UMASS MEMORIAL HEALTH CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
UMASS MEMORIAL HEALTH CARE INC (EIN 04-3358566)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-06
IRS object ID
201202199349301115
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-06T14:44:10-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043358566EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UMASS MEMORIAL HEALTH CARE INC (PARENT)BusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUMASNameControl
Phone5088568537Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1328 SHREWSBURY STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01604ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTODD A KEATINGName
TitleCFO/TREASURERTitle
Phone5088568537Phone
Date Signed2012-07-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALAN GAROFALOName
Phone6177427788Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTODD A KEATINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1328 SHREWSBURY STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts268929341GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number3642GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.UMASSMEMORIAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionUMASS MEMORIAL HEALTH CARE, INC. IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICES, TEACHING AND RESEARCH.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI11561TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5738029ContributionsGrantsPriorYear
Contributions Grants Current Year6025631ContributionsGrantsCurrentYear
Program Service Revenue Prior Year173653454ProgramServiceRevenuePriorYear
Program Service Revenue CY180835966ProgramServiceRevenueCY
Investment Income Prior Year2295316InvestmentIncomePriorYear
Investment Income Current Year7438354InvestmentIncomeCurrentYear
Other Revenue Prior Year2271526OtherRevenuePriorYear
Other Revenue Current Year1903970OtherRevenueCurrentYear
Total Revenue Prior Year183958325TotalRevenuePriorYear
Total Revenue Current Year196203921TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year2082186TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY1602995TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1602995TotalFundrsngExpCurrentYear
Other Expense Prior Year189310456OtherExpensePriorYear
Other Expenses Current Year200322218OtherExpensesCurrentYear
Total Expenses Prior Year191392642TotalExpensesPriorYear
Total Expenses Current Year201925213TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-7434317RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5721292RevenuesLessExpensesCY
Total Assets BOY176528556TotalAssetsBOY
Total Assets EOY182508694TotalAssetsEOY
Total Liabilities BOY59398738TotalLiabilitiesBOY
Total Liabilities EOY65099642TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY117129818NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY117409052NetAssetsOrFundBalancesEOY
Mission DescriptionUMASS MEMORIAL HEALTH CARE, INC. IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICES, TEACHING AND RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense141229680Expense
Revenue181476651Revenue
DescriptionTO SUPPORT THE ADVANCEMENT OF THE KNOWLEDGE, EDUCATION, AND RESEARCH AND THE PRACTICE OF HEALTH CARE RELATED SERVICES THROUGH THE OVERSIGHT OF UMASS MEMORIAL HEALTH CARE OPERATIONS AND THE EFFICIENT DELIVERY OF SUPPORT SERVICES.Description
Total Program Service Expense141229680TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TODD A KEATINGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5088565098TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1328 SHREWSBURY STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01604ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeFormerFormer
ARONSON MICHAEL P MD
DIRECTOR, UNTIL 6/201125.00X04829913705
O'BRIEN JOHN G
PRESIDENT, CEO & DIRECTOR40.00X01340405997518X
OKIKE O NSIDINANYA MD
DIRECTOR40.00X036123155729
BENNETT DAVID L
CHAIRPERSON1.00X000
BERKEY DENNIS D
DIRECTOR1.00X000
BERRY SARAH G
DIRECTOR1.00X000
BUDD JOHN H
DIRECTOR1.00X000
COLLINS MICHAEL MD
DIRECTOR1.00X000
CORNELL LOIS D
DIRECTOR1.00X000
D'ALELIO EDWARD
DIRECTOR1.00X000
DAVIS DIX F
DIRECTOR1.00X000
FLOTTE TERENCE MD
DIRECTOR1.00X000
JACOBSON M HOWARD
DIRECTOR1.00X000
LENHARDT STEPHEN W SR
DIRECTOR1.00X000
MACNEILL HARRIS L
DIRECTOR1.00X000
MCMULLEN CYNTHIA M EDD
DIRECTOR1.00X000
MCNAMARA MARY ELLEN
DIRECTOR1.00X000
PARRY EDWARD J III
VICE CHAIRPERSON1.00X000
PEDERSON THORU
DIRECTOR1.00X000
SEYMOUR-ROUTE PAULETTE PHD
DIRECTOR1.00X000
SIMMONS IRINA
DIRECTOR1.00X000
WILSON JACK
DIRECTOR1.00X000
YOUNG LYNDA M
DIRECTOR1.00X000
BROWN DOUGLAS S
SECRETARY40.000501307135994X
KEATING TODD A
TREASURER & CFO40.000617471199171X
BLUTE MICHAEL
DIRECTOR, CANCER CENTER OF EXCELLENCE40.00052483475444X
BRENCKLE GEORGE PHD
SR. VP, CHIEF INFORMATION OFFICER40.000383725119808X
DALEY JENNIFER MD
EXECUTIVE VP, CHIEF OPERATING OFFICER40.00042492159872X
DIAMOND VICTORIA
SR. VP, OPERATIONS40.000321806121220X
ETTINGER WALTER H MD
PRESIDENT - MEDICAL CENTER40.000920700299452X
FISHER BARBARA
SR. VP, OPERATIONS40.000317118105356X
HYLKA SHARON
SR. VP, HOSPITAL ADMIN.40.000392709241101X
KLUGMAN ROBERT MD
CHIEF QUALITY OFFICER40.000502672242845X
KRUGER NANCY
SR. VP, CHIEF NURSING OFFICER40.00041971568373X
PHILLIPS ROBERT A
MED DIR, HEART & VASCULAR COE40.000799751238506X
RANDOLPH JOHN T
VP, CHIEF COMPLIANCE OFFICER40.000234335138086X
WEBB PATRICIA
SR. VP, CHIEF HR OFFICER, UNTIL 1/2/1140.000417377113889X
ANDERSON MILTON C
SR. VP, CHIEF OF HR OFFICER40.00000X
FAIRCHILD DAVID MD
SR. VP, CLINICAL INTEGRATION40.00000X
WARRING WENDY
FORMER EXECUTIVE VICE PRESIDENT, UNTIL 9/1/060.0001176630X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs8646039TotalReportableCompFrmRltdOrgs
Total Other Compensation3226069TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ACS CORPORATE HEADQUARTERS
2828 NORTH HASKELLDALLASTX75204I/S MANAGEMENT SERVICES19865046
UNIVERSAL HOSPITAL SERVICES INC
PO BOX 86MINNEAPOLISMN554860940MANAGE/SERVICE EQUIPMENT2965496
NUANCE TRANSCRIPTION SERVICES
PO BOX 7247-7343PHILADELPHIAPA19170TRANSCRIPTION SERVICES1174573
MIRICK O'CONNELL
100 FRONT STREETWORCESTERMA01608LEGAL SERVICES1119473
LITTLER MENDELSON
PO BOX 45547SAN FRANCISCOCA94145LEGAL SERVICES624971
FieldValueIRS element (for citing)
Number Of Contractors GT100 K38NumberOfContractorsGT100K
Fundraising Events358744FundraisingEvents
Government Grants214641GovernmentGrants
All Other Contributions5452246AllOtherContributions
Noncash Contributions10238NoncashContributions
Total Contributions6025631TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SYSTEM ALLOCATION REVE561000142966270142966270
AFF. CONT. INCOME-PROF5610002604677326046773
AFF. CONT. INCOME-WKRS56100069909396990939
AFF. CONT. INCOME-GENE56100024269202426920
AFFILIATE ADMIN INCOME56100013110711311071

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1093993TotalRevenueColumn
Related Or Exempt Function Income1093993RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue180835966TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4335534TotalRevenueColumn
Unrelated Business Revenue11561UnrelatedBusinessRevenue
Exclusion$4,323,973ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column67524TotalRevenueColumn
Exclusion$67,524ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities75665135Securities
Other4137Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities72566452Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3098683Securities
Other4137Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3102820TotalRevenueColumn
Exclusion$3,102,820ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events158968GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events358744CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses158968FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SUBLEASE INCOME5610001195761$1,195,761
MISCELLANEOUS INCOME561000640685640685
FieldValueIRS element (for citing)
Total Other Revenue1836446TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column196203921TotalRevenueColumn
Related Or Exempt Function Income181476651RelatedOrExemptFunctionIncome
Unrelated Business Revenue11561UnrelatedBusinessRevenue
Exclusion$8,690,078ExclusionAmount

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1037796Total
Management And General1037796ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total809503Total
Management And General809503ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1049873Total
Program Services1049873ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total1602995Total
Fundraising1602995Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total371399Total
Management And General371399ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12967742Total
Program Services7002581ProgramServices
Management And General5965161ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total935164Total
Program Services935164ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total18528742Total
Program Services10005521ProgramServices
Management And General8523221ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total34989150Total
Program Services34989150ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9868812Total
Program Services5329158ProgramServices
Management And General4539654ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total589723Total
Program Services589723ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total175595Total
Program Services94821ProgramServices
Management And General80774ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total98161Total
Program Services96198ProgramServices
Management And General1963ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total829Total
Program Services448ProgramServices
Management And General381ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total30682540Total
Program Services30682540ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SYSTEM OVERHEAD ACTIVIT694646983751093731953761
PURCHASED SERVICES14743256102682234475033
PROFESSIONAL SERVICES246711013322391134871
PROGRAM EXPENDITURES729381729381
ALL OTHER EXPENSES489299342083147216

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total323445Total
Program Services271640ProgramServices
Management And General51805ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total201925213Total
Program Services141229680ProgramServices
Management And General59092538ManagementAndGeneral
Fundraising1602995Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY665227BOY
EOY1496811EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3690134BOY
EOY11794092EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3125516BOY
EOY1836910EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY556248BOY
EOY379433EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4101990BOY
EOY4390281EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis93618LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec86573LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7873BOY
EOY7045EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY133022799BOY
EOY126648501EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY28394760BOY
EOY33844271EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY120000BOY
EOY120000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2844009BOY
EOY1991350EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY176528556BOY
EOY182508694EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23948345BOY
EOY24902248EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY363739BOY
EOY400309EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY35086654BOY
EOY39797085EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY59398738BOY
EOY65099642EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY60316393BOY
EOY65327640EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY31959636BOY
EOY27069458EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY24853789BOY
EOY25011954EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY117129818BOY
EOY117409052EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY176528556BOY
EOY182508694EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-5721292ReconcilationRevenueExpenses
Reconcilation Other Changes6000526ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1UMASS MEMORIAL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN043358564EIN
Type Of Organization03TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$887,983RalliesDemonstrationsAmount
Other Activities1OtherActivities
Other Activities$161,890OtherActivitiesAmount
Total Lobbying Expenditures IIB1049873TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationUMASS MEMORIAL HEALTH CARE, INC. PAYS DUES TO THESE RESPECTIVE ORGANIZATIONS, WHO IN TURN LOBBY ON BEHALF OF ITS MEMBERS. SOME PORTION OF DUES MAY BE UTILIZED FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance36676864BeginningOfYearBalance
Contributions158165Contributions
Investment Earnings Or Losses-936731InvestmentEarningsOrLosses
Other Expenditures1418342OtherExpenditures
End Of Year Balance34479956EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance34701644BeginningOfYearBalance
Contributions622721Contributions
Investment Earnings Or Losses1795326InvestmentEarningsOrLosses
Other Expenditures442827OtherExpenditures
End Of Year Balance36676864EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance34201797BeginningOfYearBalance
Contributions76330Contributions
Investment Earnings Or Losses-5733InvestmentEarningsOrLosses
Other Expenditures-429250OtherExpenditures
End Of Year Balance34701644EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.73000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.27000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2900OtherCostOrOtherBasis
Depreciation2900Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis90718OtherCostOrOtherBasis
Depreciation83673Depreciation
Book Value7045BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7045TotalOfBookValueLandBuildings

Other Securities OtherSecurities (13 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TIFF ABSOLUTE RETURN POOL CLASS A (SHARES 2,876)9856740F
GMO MULTI-STRATEGY FUND (OFFSHORE) LP (SHARES 5,566,419)5566419F
TIFF PRIVATE EQUITY PARTNERS 2006 (SHARES 1,184,209)1184209F
FRANK RUSSELL GLOBAL PRIVATE EQUITY FUND (SHARES 446,792)446792F
MPPLTD PORTFOLIO CLASS A (SHARES 2,265)208412F
AETOS CAPITAL LONG/SHORT STRATEGIES (SHARES 36,523)3427380F
AETOS CAPITAL DISTRESSED STRATEGIES (SHARES 12,201)1416409F
AETOS CAPITAL MULTI-STRATEGY ARBITRAGE (SHARES 12,351)1274285F
TIFF ABSOLUTE RETURN POOL CLASS C (SHARES 1,769)2818278F
MET WEST ENHANCED TALF STRATEGY FUND (SHARES 1,466,948)1466948F
INCOME RESEARCH AND MANAGEMENT (91,420)14628F
INCOME RESEARCH AND MANAGEMENT (189,696)36043F
BENEFICIAL INTEREST6127728F
FieldValueIRS element (for citing)
Total Of Book Value Securities33844271TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
O/S LOSS RESERVES$30,515,992
DUE TO RELATED PARTIES$5,486,539
ANNUITY PAYABLE$726,373
THIRD PARTY LIABILITES$904,633
CONTRIBUTION PAYABLE$36,730
DUE TO UNIVERSITY MEDICAL SCHOOL$2,126,818
FieldValueIRS element (for citing)
Total Of Amounts39797085TotalOfAmounts
Total Revenue196203921TotalRevenue
Total Expenses201925213TotalExpenses
Excess Or Deficit For Year-5721292ExcessOrDeficitForYear
Net Unrealized GL On Investments-8717732NetUnrealizedGLOnInvestments
Other$14,718,258OtherAmount
Total Adjustments6000526TotalAdjustments
Excess Or Deficit Per FS279234ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt185624692TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-5481522NetUnrealizedGainsInvestments
Other Revenues1286297OtherRevenues
Revenue Not Rptd F990-4195225RevenueNotRptdF990
Revenue Subtotal189819917RevenueSubtotal
Investment Expenses Not Included371399InvestmentExpensesNotIncluded
Other Revenues Not Included6012605OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt6384004RevenueNotRptdOnFinStmt
Total Revenue Per Form990196203921TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt201170235TotExpensesEtcAuditedFinclStmt
Other Expenses Included-383557OtherExpensesIncluded
Expenses Not Rptd F990-383557ExpensesNotRptdF990
Expenses Subtotal201553792ExpensesSubtotal
Investment Expenses Not Included2371399InvestmentExpensesNotIncluded2
Other Expenses Not Included22OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt371421ExpensesNotRptdOnFinStmt
Total Expenses Per Form990201925213TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:UMASS MEMORIAL'S ENDOWMENT CONSISTS OF APPROXIMATELY 160 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR IMPOSED RESTRICTIONS. UMASS MEMORIAL HAS INTERPRETED UPMIFA AS REQUIRING THE PRESERVATION OF THE ORIGINAL GIFT AS OF THE GIFT DATE OF THE DONOR-RESTRICTED ENDOWMENT FUNDS ABSENT EXPLICIT DONOR STIPULATIONS TO THE CONTRARY. AS A RESULT, UMASS MEMORIAL CLASSIFIES AS PERMANENTLY RESTRICTED NET ASSETS, (A) THE ORIGINAL VALUE OF GIFTS DONATED TO THE PERMANENT ENDOWMENT, (B) THE ORIGINAL VALUE OF SUBSEQUENT GIFTS TO THE PERMANENT ENDOWMENT, AND (C) ACCUMULATIONS TO THE PERMANENT ENDOWMENT MADE IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE ACCUMULATION IS ADDED TO THE FUND. THE REMAINING PORTION OF THE DONOR-RESTRICTED ENDOWMENT FUND THAT IS NOT CLASSIFIED IN PERMANENTLY RESTRICTED NET ASSETS IS CLASSIFIED AS TEMPORARILY RESTRICTED NET ASSETS UNTIL THOSE AMOUNTS ARE APPROPRIATED FOR EXPENDITURE BY UMASS MEMORIAL IN A MANNER CONSISTENT WITH THE STANDARD OF PRUDENCE BY UPMIFA. IN ACCORDANCE WITH UPMIFA, UMASS MEMORIAL CONSIDERS THE FOLLOWING FACTORS IN MAKING A DETERMINATION TO APPROPRIATE OR ACCUMULATED ENDOWMENT FUNDS: THE DURATION AND PRESERVATION OF THE FUND THE PURPOSES OF UMASS MEMORIAL AND THE DONOR RESTRICTED ENDOWMENT FUND GENERAL ECONOMIC CONDITIONS THE POSSIBLE EFFECT OF INFLATION AND DEFLATION THE EXPECTED TOTAL RETURN FROM INCOME AND THE APPRECIATION OF INVESTMENTS OTHER RESOURCES OF THE ORGANIZATION THE INVESTMENT POLICIES OF THE ORGANIZATION
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:UMASS MEMORIAL FOLLOWS A TWO-STEP APPROACH FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THE SUBSTANTIAL MAJORITY OF UMASS MEMORIAL AND ITS AFFILIATE ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THESE ENTITIES WILL NOT INCUR ANY LIABILITY FOR FEDERAL INCOME TAXES EXCEPT FOR TAX ON UNRELATED BUSINESS INCOME. CERTAIN AFFILIATES ARE TAXABLE ENTITIES. THE MEASUREMENT OF THE AMOUNTS RECORDED AS A PROVISION FOR INCOME TAXES BASED UPON THE AFOREMENTIONED APPROACH IS NOT MATERIAL AND IS RECORDED AS SUPPLIES AND OTHER EXPENSE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS OF OPERATIONS. UMASS MEMORIAL DOES NOT BELIEVE IT HAS TAKEN ANY SIGNIFICANT UNCERTAIN TAX POSITIONS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 132,865. K-1 ACTIVITY FROM PARTNERSHIPS 22. MISCELLANEOUS 1. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 1,751,586. TEMPORARY RESTRICTED FUND EXPENDITURES -9,392,861. TRANSFERS FROM RELATED PARTIES 22,226,645.
PART XII, LINE 2D: $1,286,297 REVENUE RELATED TO COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY, LTD A WHOLLY OWNED SUBSIDIARY PART XII, LINE 4B: $7,764,191 RESTRICTED REVENUE ($1,751,586) NET ASSETS RELEASED FROM RESTRICTIONS PART XIII, LINE 2D: ($383,557) EXPENSES RELATED TO COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY, LTD A WHOLLY OWNED SUBSIDIARY PART XIII, LINE 4B: $22 K-1 ACTIVITY

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualUMASS MEMORIAL FOUNDATION INCNameOfIndividual

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1333 SOUTH STREETAddressLine1
CitySHREWSBURYCity
StateMAState
ZIP Code01545ZIPCode
FieldValueIRS element (for citing)
ActivityFUNDRAISINGActivity
Fundraiser Control Of Funds1FundraiserControlOfFunds
Gross Receipts5665576GrossReceipts
Amount Retained By Contractor1602995AmountRetainedByContractor
Net To Organization4062581NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts5665576TotalGrossReceipts
Total Retained By Contractors1602995TotalRetainedByContractors
Total Net To Organization4062581TotalNetToOrganization
Licensed StatesMALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WINTER BALLNameOfEvent1
Gross Receipts Event1277825GrossReceiptsEvent1
Charitable Contributions Event1204994CharitableContributionsEvent1
Gross Revenue Event172831GrossRevenueEvent1
Other Direct Expenses Event172831OtherDirectExpensesEvent1
Name Of Event2TEE UP FOR TOTSNameOfEvent2
Gross Receipts Event2115280GrossReceiptsEvent2
Charitable Contributions Event277367CharitableContributionsEvent2
Gross Revenue Event237913GrossRevenueEvent2
Other Direct Expenses Event237913OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events124607GrossReceiptsOtherEvents
Charitable Contrib Other Events76383CharitableContribOtherEvents
Gross Revenue Other Events48224GrossRevenueOtherEvents
Other Direct Expenses Other Events48224OtherDirectExpensesOtherEvents
Gross Receipts Total517712GrossReceiptsTotal
Charitable Contributions Total358744CharitableContributionsTotal
Gross Revenue Total Events158968GrossRevenueTotalEvents
Other Direct Expenses Total Events158968OtherDirectExpensesTotalEvents
Direct Expense Summary Events158968DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION OF FUNDRAISING PAYMENTSSCHEDULE G, PART I, LINE 2B, COLUMN (V)UMASS MEMORIAL FOUNDATION, INC. IS IDENTIFIED AS THE ADMINISTRATOR OF THE PHILANTHROPIC ACTIVITIES OF THE REPORTING ENTITIES OF UMASS MEMORIAL HEALTH CARE, INC. THIS INCLUDES THE COORDINATION OF ALL CHARITABLE WORK AND THE MANAGEMENT OF OFFICE OPERATIONS TO SUPPORT FUNDRAISING INCLUDING THE FOLLOWING PROCEDURES: 1) ACTIVE DEVELOPMENT WORK 2) DONOR RELATIONS AND COMMUNICATIONS 3) SERVICES TO UMASS MEMORIAL STAFF 4) CONTRIBUTION REPORTS, DONOR RECORD FILES 5) TRANSFER OF CONTRIBUTIONS RECEIVED 6) EXPENDITURES OF CONTRIBUTIONS UMASS MEMORIAL HEALTH CARE, INC. PAYS UMASS MEMORIAL FOUNDATION, INC. ITS PRORATA SHARE OF OPERATING EXPENSES BASED ON THE SPLIT OF UMASS MEMORIAL CONTRIBUTION RECEIPTS VERSUS THE OVERALL TOTAL CONTRIBUTION RECEIPTS AS COLLECTED BY THE FOUNDATION.
PART II, COLUMN (C) OTHER EVENTS (2 EVENTS REPORTED) ARE: 1) STAR LIGHT STAR BRIGHT GALA 2) LINKS TO THE FUTURE GOLF TOURNAMENT

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
O'BRIEN JOHN G
09220080253219016517809784720190460233792300
OKIKE O NSIDINANYA MD
03612310000041511014218041696000
BROWN DOUGLAS S
0361656010409603555501142570217370637301035555
KEATING TODD A
0462183011587403941401831850159860816642038837
BLUTE MICHAEL
046630805852600048396027048060027800
BRENCKLE GEORGE PHD
02905260687550244440925340272740503533024444
DALEY JENNIFER MD
035255907236200036875022997048479300
DIAMOND VICTORIA
025361906818700094476026744044302600
ETTINGER WALTER H MD
06880660170899061735027890902054301220152055209
FISHER BARBARA
02449550552560169070855500198060422474016907
HYLKA SHARON
029709307408502153102205100205910633810020954
KLUGMAN ROBERT MD
038037109445402784702198540229910745517027847
KRUGER NANCY
0287303068570063842056732011641048808800
PHILLIPS ROBERT A
05816220163281054848021002402848201038257054848
RANDOLPH JOHN T
0191944042391000116014022072037242100
WEBB PATRICIA
03114090810910248770876080262810531266024300
ANDERSON MILTON C
000000000000
FAIRCHILD DAVID MD
000000000000
WARRING WENDY
000001176630000011766300

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1ASPLIT DOLLAR GROSS UP CALCULATIONS TO JOHN O'BRIEN AND WALTER ETTINGER ARE TREATED AS TAXABLE COMPENSATION.
PART I, LINE 4BNAME OF PARTICIPANTS IN OR RECEIVING PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TODD A. KEATING $38,837 JOHN G. O'BRIEN $0 DOUGLAS S. BROWN $35,555 WALTER H. ETTINGER, M.D. $55,209 NANCY KRUGER $0 GEORGE BRENCKLE, PH.D. $24,444 ROBERT PHILLIPS $54,848 PATRICIA WEBB $24,300 JOHN RANDOLPH $0 SHARON HYLKA $20,954 VICTORIA DIAMOND $0 ROBERT KLUGMAN $27,847 BARBARA FISHER $16,907 MICHAEL BLUTE, M.D. $0 JENNIFER DALEY, M.D. $0
PART IIIMICHAEL P. ARONSON, M.D. RECEIVED $37,632 COMPENSATION FOR HIS SERVICES RELATED TO MEDICAL RESEARCH, EDUCATION OF MEDICAL STUDENTS AND RESIDENT TRAINING FROM AN UNRELATED ORGANIZATION. THE NAME OF THE UNRELATED ORGANIZATION IS UMASS MEDICAL SCHOOL. PART II - DISCLOSURES 1) JOHN O'BRIEN'S RETIREMENT AND OTHER DEFERRED COMPENSATION AMOUNT INCLUDES A CONTINGENT DEFERRED COMPENSATION ACCRUAL OF $928,633 WHICH REMAINS THE PROPERTY OF UMASS MEMORIAL UNTIL AND UNLESS THE TERMS OF THE DEFERRED AGREEMENT ARE FULFILLED. 2) THE ABOVE DIRECTORS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR.SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ROBERT KLUGMAN MD
KEY EMPLOYEE15600RENTAL OF PROPERTY - INCOME0
ROBERT KLUGMAN MD
KEY EMPLOYEE216967RENTAL OF PROPERTY - EXPENSE0
WILLIAM F SULLIVAN SR
BOD - CMMIC, LABS, VENTURES, CRIR366837INDEPENDENT CONTRACTOR ARRANGEMENT0
JOHN BUDD
BOD - PARENT, MED CTR, LABS, VENTURES, CRIR, CMMIC1067515INDEPENDENT CONTRACTOR ARRANGEMENT0
LYNDA YOUNG MD
BOD - PARENT, MED CTR, MED GROUP18000INDEPENDENT CONTRACTOR ARRANGEMENT0
SUSAN ETTINGER
CMG - FAMILY MEMBER OF WALTER ETTINGER, KEY EMPLOYEE25605EMPLOYMENT ARRANGEMENT0
KATHLEEN HYLKA
UMM CAPITAL PLANNING - FAMILY MEMBER OF SHARON HYLKA, KEY EMPLOYEE90971EMPLOYMENT ARRANGEMENT0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2UMMHC 2011 BUDD, JOHN (BOARD MEMEBER) HAS BUSINESS RELATIONSHIPS WITH PAUL D'ONFRO & ARTHUR BERGERON. BUDD, JOHN (BOARD MEMEBER) HAS BOARD RELATIONSHIP WITH HARVARD PILGRIM HEALTH CARE PHILLIPS, ROBERT (KEY EMPLOYEE) HAS A FAMILY RELATIONSHIP WITH JULIA ANDRIENI
FORM 990, PART VI, SECTION A, LINE 6THERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF THE UMASS MEMORIAL'S BOARD ARE ABSOLUTE.
FORM 990, PART VI, SECTION A, LINE 7ATHE MAJORITY OF ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (WHICH IS ALSO WITHIN THE CONSOLIDATED GROUP) THAT ELECTS THE BOARD OF TRUSTEES. THERE ARE NO CLASSES OF TRUSTEES. THE MAJORITY OF THE ENTITIES RESERVE TO THE MEMBER THE POWER TO REMOVE TRUSTEES, TO FILL VACANCIES, AND TO INCREASE OR DECREASE THE SIZE OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7BTHE MAJORITY OF THE ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (WHICH IS ALSO WITHIN THE CONSOLIDATED GROUP) WITH THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ENTITY, WHICH IS EXERCISED BY THAT MEMBER'S BOARD OF TRUSTEES. THERE ARE NO CLASSES OF TRUSTEES OR MEMBERS. THUS, THE VOTING RIGHTS OF A MEMBER BOARD ARE ABSOLUTE. GENERALLY, THE SOLE MEMBER OF EACH ENTITY RESERVES THE POWER TO APPROVE MAJOR TRANSACTIONS; TO MERGE, CONSOLIDATE OR LIQUIDATE THE CORPORATION'S ASSETS; TO ADOPT ANNUAL OPERATING AND CAPITAL BUDGETS AND AMENDMENTS; TO ENTER INTO LOAN AGREEMENTS AND/OR GUARANTIES; TO APPOINT AND/OR ELECT THE PRESIDENT AND/OR CEO; TO ELECT AND/OR APPOINT AND REMOVE TRUSTEES, FILL VACANCIES, TO INCREASE OR DECREASE THE SIZE OF THE BOARD; AND TO APPROVE UNBUDGETED EXPENDITURES.
FORM 990, PART VI, SECTION B, LINE 11SECTIONS OF THE CORE FORM 990 RELATE TO EXECUTIVE COMPENSATION AND, SCHEDULE J ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD. THE COMPLIANCE COMMITTEE OF THE BOARD REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990, INCLUDING THE ABOVE SCHEDULES AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990.
THE CONFLICT OF INTEREST POLICY REQUIRES BOARD MEMBERS AND MANAGEMENT TO COMPLETE ANNUAL DISCLOSURE STATEMENTS AND, TO UPDATE THESE DISCLOSURE STATEMENTS FOR SIGNIFICANT CHANGES IN THEIR OUTSIDE GOVERNANCE AND PROFESSIONAL ACTIVITIES OR, FINANCIAL RELATIONSHIPS AS APPROPRIATE. ADDITIONALLY, ALL TRANSACTIONS INVOLVING BOARD MEMBERS OR MANAGEMENT AND THE ORGANIZATION ARE REQUIRED TO BE APPROVED BY THE COMPLIANCE COMMITTEE OF THE BOARD AND, THERE IS ACTIVE MONITORING AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS.FORM 990, PART VI, SECTION B, LINE 12C
AT UMASS MEMORIAL HEALTH CARE INC., ALL COMPENSATION MATTERS FOR THE CEO AND SENIOR EXECUTIVES THROUGHOUT THE SYSTEM (INCLUDING ALL "DISQUALIFIED PERSONS") ARE GOVERNED AND OVERSEEN BY THE BOARD OF TRUSTEES OF THE PARENT. THE BOARD APPROVED A COMPENSATION PHILOSOPHY THAT GOVERNS ALL SUCH DECISIONS. THE PHILOSOPHY INCLUDES THE OBJECTIVES OF THE PROGRAM, COMPONENTS OF EXECUTIVE COMPENSATION, THE RELEVANT MARKET, POSITIONING IN THE MARKET, FACTORS CONSIDERED IN SETTING EXECUTIVE COMPENSATION AND THE IMPORTANCE OF TYING SUCH COMPENSATION TO PERFORMANCE. THE BOARD ESTABLISHED A COMPENSATION COMMITTEE, MADE UP OF DISINTERESTED TRUSTEES, WHO ARE GIVEN THE AUTHORITY TO ESTABLISH COMPENSATION FOR ALL SENIOR EXECUTIVES, WITHIN THE PARAMETERS OF THE PHILOSOPHY, AND WITH FULL AND COMPLETE REPORTING TO THE FULL BOARD. THE COMPENSATION COMMITTEE PERFORMS ITS WORK PURSUANT TO ITS CHARTER AND A COMPENSATION POLICY THAT ESTABLISHES THE PROCESS THE COMMITTEE WILL FOLLOW IN REVIEWING AND APPROVING EXECUTIVE COMPENSATION EACH YEAR. THE COMMITTEE ENSURES THAT ITS PROCESS MEETS THE REBUTABLE PRESUMPTION OF REASONABLENESS ESTABLISHED BY THE IRS. IN ORDER TO ASSIST THE COMMITTEE IN ITS RESPONSIBILITIES, THE COMPENSATION COMMITTEE HIRES INDEPENDENT, OUTSIDE COMPENSATION CONSULTANTS TO ADVISE THE COMMITTEE AND THE BOARD ON THE REASONABLENESS OF OVERALL EXECUTIVE COMPENSATION PROGRAM, INCLUDING COMPENSATION OF THE SPECIFIC EXECUTIVES. THESE CONSULTANTS REPORT DIRECTLY TO THE COMMITTEE AND NOT TO MANAGEMENT. THE COMMITTEE WORKS WITH THESE CONSULTANTS, AND WITH LEGAL COUNSEL, TO ENSURE THAT ALL COMPENSATION PAID, AS WELL AS THE PROCESS FOLLOWED TO DETERMINE SUCH COMPENSATION, IS REASONABLE, MEETS ALL REGULATORY REQUIREMENTS AND IS COMPETITIVE WITH THE RELEVANT MARKET.FORM 990, PART VI, SECTION B, LINE 15
UMASS MEMORIAL MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS REQUIRED BY APPLICABLE STATE AND FEDERAL LAWS, AND BY REQUEST ON A CASE-BY-CASE BASIS.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -8,717,732. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 132,865. K-1 ACTIVITY FROM PARTNERSHIPS 22. MISCELLANEOUS 1. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 1,751,586. TEMPORARY RESTRICTED FUND EXPENDITURES -9,392,861. TRANSFERS FROM RELATED PARTIES 22,226,645. TOTAL TO FORM 990, PART XI, LINE 5: 6,000,526.FORM 990, PART XI, LINE 5:
THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM.PAGE 12, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
UMASS MEMORIAL FOUNDATION INC
333 SOUTH STREETSHREWSBURYMA01545043108190FUNDRAISING SUPPORTMA501( C)(3)11CN/A0
HEALTH ALLIANCE REALTY CORPORATION
60 HOSPITAL ROADLEOMINISTERMA01473042560754REAL ESTATE MANAGEMENTMA501( C)(2)N/AN/A0
WING HEALTH FOUNDATION INC
40 WRIGHT STREETPALMERMA01069042105839ISSUANCE OF HEALTH RELATED GRANTSMA501( C)(3)11BN/A0

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP
ONE BIOTECH PARK 365 PLANTATION STWORCESTERMA01605043530755INVESTMENT MANAGEMENTMAN/AEXCLUDED 514152389313311908630$25,29111.00000
UMASS MEMORIAL MARLBOROUGH MRI OF MARLBOROUGH LLC
157 UNION STREETMARLBOROUGHMA01752202293995MAGNETIC RESONANCE IMAGINGMARELATED000.56000MARLBOROUGH HOSPITAL
UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC
60 HOSPITAL ROADLEOMINSTERMA01453043561571MAGNETIC RESONANCE IMAGINGMAN/ARELATED000.60000

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomePercentage OwnershipPercentageOwnershipAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Share Of EOY AssetsShareOfEOYAssets
COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD
PO BOX 1051 GTGRAND CAYMANCJ980226143INSURANCECJN/AC262621971.00000
MEMORIAL OFFICE CONDOMINIUM TRUST
046616900CONDOMINIUM ASSOCIATIONT-55720.53690328 SHREWSBURY STREETWORCESTERMA01604MAUMASS MEMORIAL REALTY INC144653
BIO-LAB INC
042708828CLINICAL LABORATORYS3646101.00000215 WEST STREETMILFORDMA01757MAUMASS MEMORIAL HEALTH VENTURES INC1142577
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UMASS MEMORIAL FOUNDATION INC
O1602995FAIR VALUE
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
L24975900FAIR VALUE
COMMONWEALTH PROFESSIONAL ASSUARNCE COMPANY LTD
P21839224FAIR VALUE

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