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

View the entire original 990 at ProPublica ↗

Organization
UMASS MEMORIAL HEALTH CARE INC (EIN 91-2155626)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-06
IRS object ID
201242199349301254
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)
EIN912155626EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UMASS MEMORIAL HEALTH CARE INCBusinessNameLine1
Business Name Line2& AFFILIATES - GROUP RETURNBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUMASNameControl
Phone5088561104Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameTODD A KEATINGName
TitleTREASURER/CFOTitle
Phone5088561104Phone
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 Receipts2892357181GrossReceipts
Group Return For Affiliates1GroupReturnForAffiliates
All Affiliates Included1AllAffiliatesIncluded
Group Exemption Number3642GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.UMASSMEMORIAL.ORGWebSite
Activity Or Mission DescriptionUMASS MEMORIAL HEALTH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.ActivityOrMissionDescription
Nbr Voting Members Governing Body204NbrVotingMembersGoverningBody
Nbr Independent Voting Members108NbrIndependentVotingMembers
Total Nbr Employees16705TotalNbrEmployees
Total Nbr Volunteers1323TotalNbrVolunteers
Total Gross UBI41960974TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15161118ContributionsGrantsPriorYear
Contributions Grants Current Year15191447ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2521334903ProgramServiceRevenuePriorYear
Program Service Revenue CY2528300113ProgramServiceRevenueCY
Investment Income Prior Year8545452InvestmentIncomePriorYear
Investment Income Current Year18774670InvestmentIncomeCurrentYear
Other Revenue Prior Year49436143OtherRevenuePriorYear
Other Revenue Current Year51218788OtherRevenueCurrentYear
Total Revenue Prior Year2594477616TotalRevenuePriorYear
Total Revenue Current Year2613485018TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2060000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2064000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1173766137SalariesEtcPriorYear
Salaries Etc Current Year1213599587SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year2082186TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY1602995TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2542608TotalFundrsngExpCurrentYear
Other Expense Prior Year1350886524OtherExpensePriorYear
Other Expenses Current Year1351659364OtherExpensesCurrentYear
Total Expenses Prior Year2528794847TotalExpensesPriorYear
Total Expenses Current Year2568925946TotalExpensesCurrentYear
Revenues Less Expenses Prior Year65682769RevenuesLessExpensesPriorYear
Revenues Less Expenses CY44559072RevenuesLessExpensesCY
Total Assets BOY1964348828TotalAssetsBOY
Total Assets EOY1872279772TotalAssetsEOY
Total Liabilities BOY1317539288TotalLiabilitiesBOY
Total Liabilities EOY1275306773TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY646809540NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY596972999NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionUMASS MEMORIAL HEATLH CARE IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1081573856Expense
Grants2000000Grants
Revenue1320415698Revenue
DescriptionUMASS MEMORIAL MEDICAL CENTERUMASS MEMORIAL MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. UMASS MEMORIAL MEDICAL CENTER DOES THIS BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY.FY2011 KEY STATISTICS - TOTAL DISCHARGES: 42,727 TOTAL SURGICAL CASES: 30,536 TOTAL ER VISITS: 140,915Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense419336379Expense
Revenue451247651Revenue
DescriptionUMASS MEMORIAL MEDICAL GROUPTHE UMASS MEMORIAL MEDICAL GROUP IS A MULTISPECIALTY GROUP PRACTICE OF PHYSICIANS WHOSE MISSION AND PURPOSE IS TO SUPPORT THE CLINICAL, EDUCATIONAL, RESEARCH AND COMMUNITY SERVICE MISSIONS OF UMASS MEMORIAL HEALTH CARE AND UMASS MEMORIAL MEDICAL CENTER. UMASS MEMORIAL MEDICAL GROUP ACCOMPLISHES THIS MISSION BY PROVIDING MEDICAL CARE TO RESIDENTS OF CENTRAL NEW ENGLAND WITHOUT REGARD TO THEIR ABILITY TO PAY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense298183721Expense
Revenue351248326Revenue
DescriptionUMASS MEMORIAL COMMUNITY HOSPITALS THE UMASS MEMORIAL COMMUNITY HOSPITALS (CLINTON HOSPITAL, HEALTH ALLIANCE HOSPITALS, INC., MARLBOROUGHHOSPITAL, WING MEMORIAL HOSPITAL AND MEDICAL CENTERS) ARE COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF THE COMMUNITIES THAT THEY SERVE THROUGH EXCELLENCE IN CLINICAL CARE AND SERVICE. EACH OF THESE HOSPITALS ACCOMPLISHES THIS GOAL BY PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE RESIDENTS OF THEIR COMMUNITIES WITHOUT REGARD TO THEIR ABILITY TO PAY.FY2011 KEY STATISTICS - TOTAL DISCHARGES: 16,285 TOTAL SURGICAL CASES: 10,758 TOTAL ER VISITS: 125,706Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense349400251Expense
Grants64000Grants
Revenue405388438Revenue
DescriptionOTHER UMASS MEMORIAL ENTITIESUMASS MEMORIAL HAS A NUMBER OF SUBSIDIARY ENTITIES THAT FUNCTION PRIMARILY TO DELIVER HEALTH CARE TO PATIENTS OR TO SUPPORT THE DELIVERY OF HEALTH CARE TO PATIENTS OF HEALTH CARE TO PATIENTS OF UMASS MEMORIAL. THEY ACCOMPLISH THIS THROUGH THE DELIVERY OF HEALTH CARE SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THEY ALSO ACCOMPLISH THIS BY PROVIDING SUPPORT, OVERSIGHT, ADMINISTRATIVE SERVICES OR PATIENT ADVOCACY SERVICES TO THE PATIENTS OF UMASS MEMORIAL, CENTRAL NEW ENGLAND, AND OTHER GEOGRAPHIES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp349400251TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt64000TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev405388438TotalOfOtherProgramServiceRev
Total Program Service Expense2148494207TotalProgramServiceExpense
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
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961798NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees16705NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
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 Members204NbrVotingGoverningBodyMembers
Number Independent Voting Members108NumberIndependentVotingMembers
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 Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
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 Line1ROBERT FELDMANNBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5088561104TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (167 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ANDRIENI JULIA MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.31.00X307606021832
ARONSON MICHAEL P MD
DIRECTOR, UNTIL 6/2011, UMASS MEMORIAL HEALTH CARE25.00X48299013705
AROUS ELIAS J MD
DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR32.00X602908035594
AYERS DAVID MD
DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR33.00X543086038299
BAGLEY PETER H MD
CHAIRPERSON,UNTIL 6/21/11, UMASS MEMORIAL MEDICAL27.00X4430750105522
BROWN ALAN P MD
DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR31.00X161221030694
CARLUCCI DANIEL MD
DIRECTOR, MARLBOROUGH HOSPITAL32.00X302316039548
CAVAGNARO CHARLES III MD
PRESIDENT, WING MEMORIAL HOSPITAL40.00X3846790151941X
CHANDLER WILLIS
DIRECTOR, CLINTON HOSPITAL ASSOCIATION40.00X331428072205
CHESHIRE BRYAN MD
DIRECTOR, UNTIL 12/31/10, MARLBOROUGH HOSPITAL35.00X235350014197
CIRILLO BETTYANN MD
DIRECTOR, UNTIL 2/10, COORDINATED PRIMARY CARE, IN40.00X254436028646
COFONE MICHAEL J
TREASURER, DIRECTOR, CENTRAL NEW ENGLAND HEALTHALL40.00X380572024668X
CORBETT WILLIAM MD
DIRECTOR, MARLBOROUGH HOSPITAL40.00X373194072861
DALY SHEILA
PRESIDENT, DIRECTOR, CLINTON HOSPITAL ASSOCIATION40.00X2521220109017X
FELICE MARIANNE E MD
DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR22.00X218554044837
FERGUSON R KEVIN MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.40.00X227930033710
FERRUCCI JOSEPH MD
DIRECTOR, CMMIC, INC.24.00X389910037562
GUNDERSEN JASON MD
DIRECTOR, UNTIL 12/10/10, MARLBOROUGH HOSPITAL40.00X385933022411
KAUR SHUBJEET MD
DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR27.00X293499038299
KEATING TODD A
TREASURER & CFO, DIRECTOR, UMASS MEMORIAL HEALTH C40.00X6174710199171X
KENNEDY KATHRYN MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.36.00X270678037468
LAPIDAS GARY N
PRESIDENT, DIRECTOR, UMASS MEMORIAL HEALTH VENTURE40.00X4759400171080X
LASSER DANIEL H MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.20.00X3081050164460
LINDHOLM MARY S MD
DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR36.00X133329030773
MAGUIRE DAVID L MD
DIRECTOR, WING MEMORIAL HOSPITAL40.00X24098709898
MANNING GORDON MD
DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR40.00X188038054937
MATTA LALITA MD
DIRECTOR, MARLBOROUGH HOSPITAL40.00X2719501618
MESSINA LOUIS MD
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.36.00X501354035594
MULDOON PATRICK L
PRESIDENT, DIRECTOR, CENTRAL NEW ENGLAND HEALTHALL40.00X4969890156879X
O'BRIEN JOHN G
PRESIDENT & CEO, DIRECTOR, UMASS MEMORIAL HEALTH C40.00X13404050997518X
OKIKE O NSIDINANYA MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.40.00X361231055729
O'LEARY DANIEL MD
DIRECTOR, COORDINATED PRIMARY CARE, INC.40.00X561030484
PAPPAS ARTHUR MD
DIRECTOR, UMASS MEMORIAL HOSPITALS, INC.16.00X13386025818
POLANOWICZ JOHN
PRESIDENT, UNTIL 5/6/11, MARLBOROUGH HOSPITAL40.00X3585990116659X
POWER DIANE MD
DIRECTOR, UNTIL 9/30/10, CENTRAL NEW ENGLAND HEALT40.00X255402031784
SLAYTON VAL MD
DIRECTOR, UNTIL 7/28/10, COORDINATED PRIMARY CARE,40.00X443198016816
SOAR BART MD
DIRECTOR, WING MEMORIAL HOSPITAL40.00X168782017177
SWENSON DANA
DIRECTOR, UMASS MEMORIAL REALTY, INC.40.00X2873500107313
TOSI STEPHEN E MD
DIRECTOR, CLINTON HOSPITAL ASSOCIATION40.00X763459083566
UMANZOR RENE M MD
DIRECTOR, UNTIL 9/2011, WING MEMORIAL HOSPITAL36.00X220299030789
VOLTURO GREGORY MD
DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR25.00X317819038299
WESOLOWSKI PAUL
DIRECTOR, COORDINATED PRIMARY CARE, INC.40.00X170078018989
ZIEDONIS DOUGLAS MD
PRESIDENT, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM20.00X218140037373X
ALLEN GAIL
DIRECTOR, HEALTH ALLIANCE HOSPITALS, INC.1.00X000
ANDERSON ELAINE
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
ANTONIONI ROBERT
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
BABINEAU ROBERT JR MD
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
BENNETT DAVID L
CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BENNETT RICHARD K
CHAIRPERSON, MARLBOROUGH HOSPITAL1.00X000
BERGERON ARTHUR
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
BERKEY DENNIS D
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BERRY SARAH G
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
BOUDREAU NORMAN
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
BOVENZI LESLIE
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
BUDD JOHN H
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
CARLSON MARY
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
CARROLL BRIAN K
DIRECTOR, UNTIL 3/2011, UMASS MEMORIAL HEALTH VENT1.00X000
CATALINA FERNANDO MD
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
CHERUBINI J PAUL
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
CHRISTENSEN RONALD
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
CLEMENTI JOHN
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
COLLINS MICHAEL MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
CONNORS MARTIN JR
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
COOLIDGE KATHERINE
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
CORNELL LOIS D
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
CROCKER FREDERICK G
DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC.1.00X000
D'ALELIO EDWARD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
DAVIS DIX F
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
DELROSARIO GENE MD
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
DENNEHY RAYMOND III
DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE,1.00X000
DESROCHERS ROLAND
DIRECTOR, UNTIL 5/12/11, WING MEMORIAL HOSPITAL1.00X000
DIGERONIMO ARTHUR P JR
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
DITULLIO DANIEL
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
DOBECK PAM
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
D'ONFRO PAUL
CHAIRPERSON, CENTRAL NEW ENGLAND HEALTHALLIANCE, I1.00X000
FERRIS CORNELIUS A
DIRECTOR, UNTIL 2/11/11, MARLBOROUGH HOSPITAL1.00X000
FITCH ROGER
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
FLOTTE TERENCE MD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
GIBLIN DAVID R
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
GRAY JENNIFER
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
GREGORIUS PATRICK
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
HAVELES ROBERT
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
HENEBRY CLARK
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
HEWITT FRANK
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
HOLLISTER MATT
FIRST VICE PRESIDENT, CLINTON HOSPITAL FOUNDATION,1.00X000
JACOBSON M HOWARD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
JEFFERSON PHILIP W JR
DIRECTOR, UNTIL 12/17/10, MARLBOROUGH HOSPITAL1.00X000
JOHNSON JOANNE
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
KAPLAN DANIEL
DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.1.00X000
KATSOUNAKIS THEA
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
KELLEHER WILLIAM D JR
DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC.1.00X000
LENHARDT STEPHEN W SR
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
LYONS CYNTHIA
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
LYONS MICHAEL MD
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
MACNEILL HARRIS L
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MANZI EDWARD
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
MCGRAIL WILLIAM ESQUIRE
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
MCMAHON RICHARD MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
MCMULLEN CYNTHIA M EDD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MCNAMARA MARY ELLEN
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
MENDOZA STEVEN
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
MERCADANTE ANTHONY J
DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE,1.00X000
MITCHELL LINDA
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
MOLLOY ANN K
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
MORRILLY DARLENE
DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE,1.00X000
MURPHY MICHAEL D
VICE CHAIRPERSON, MARLBOROUGH HOSPITAL1.00X000
NOONAN EDWARD J
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
PAEN GENARO
DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC.1.00X000
PARRY EDWARD J III
VICE CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
PAULINO JEANNE
DIRECTOR, CLINTON HOSPITAL ASSOCIATION1.00X000
PEDERSON THORU
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
PEREZ JUDGE LUIS
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
PHANEUF JAMES
CHAIRPERSON, WING MEMORIAL HOSPITAL1.00X000
PURCELL PHILIP E
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
RICHER GERALD P
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
RIVARD MICHAEL
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
SCULLY PAUL
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
SEYMOUR-ROUTE PAULETTE PHD
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
SHEA JAMES P
DIRECTOR, UNTIL 2/15/11, MARLBOROUGH HOSPITAL1.00X000
SHEA JOHN ESQUIRE
DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,1.00X000
SHELTON R LESLIE MD
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
SIMMONS IRINA
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
ST AMAND JAMES
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
STARR STANLEY B JR
DIRECTOR, UNTIL 6/11, CLINTON HOSPITAL FOUNDATION,1.00X000
STECYK MARKIAN MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
SULLIVAN WILLIAM F SR
DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC.1.00X000
TAYLOR HARVEY MD
DIRECTOR, MARLBOROUGH HOSPITAL1.00X000
TURLEY PATRICK
DIRECTOR, WING MEMORIAL HOSPITAL1.00X000
WHITNEY MARY
DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.1.00X000
WILSON JACK
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
YOUNG LYNDA M
DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.1.00X000
ALLICON KEARY T
TREASURER, WING MEMORIAL HOSPITAL40.00156418041241X
BERGAN THOMAS
PRESIDENT, CMMIC, INC.40.002536240328020X
BROWN DOUGLAS S
SECRETARY, UMASS MEMORIAL HEALTH CARE, INC.40.005013070135994X
D'AMBRA ANN-MARIA
SECRETARY, MARLBOROUGH HOSPITAL40.004659107569X
DICKSON ERIC MD
PRESIDENT, UMASS MEMORIAL MEDICAL GROUP, INC.40.00407774094107X
DION JEFFREY
TREASURER, UNTIL 9/9/11, MARLBOROUGH HOSPITAL40.00177568044986X
EKSTROM DEBORAH
PRESIDENT, COMMUNITY HEALTHLINK, INC.40.002533250116023X
FELDMANN ROBERT
TREASURER, UMASS MEMORIAL LABORATORIES, INC.40.003284110144011X
FRAKER MURIEL E ESQUIRE
SECRETARY, UMASS MEMORIAL MEDICAL GROUP, INC.40.00172636078841X
MCCUE STEVEN
TREASURER, CLINTON HOSPITAL ASSOCIATION40.00160622028032X
MILLER LAUREN B
SECRETARY, WING MEMORIAL HOSPITAL40.0077476011579X
MORABITO NANCY E
SECRETARY, CLINTON HOSPITAL ASSOCIATION40.005734801338X
MORIN LYNN A
SECRETARY, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC40.007803407210X
O'BRIEN WILLIAM H
SECRETARY, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM40.00110650053033X
SMITH FRANCIS W
CLERK, UMASS MEMORIAL HEALTH VENTURES, INC.40.00179097050558X
STREETER MICHELE M
TREASURER, UMASS MEMORIAL MEDICAL GROUP, INC.40.003573320116926X
BLUTE MICHAEL
DIRECTOR, CANCER CENTER OF EXCELLENCE40.00524834075444X
BRENCKLE GEORGE PHD
SR. VP, CHIEF INFORMATION OFFICER40.003837250119808X
DALEY JENNIFER MD
EXECUTIVE VP, CHIEF OPERATING OFFICER40.00424921059872X
DIAMOND VICTORIA
SR. VP, OPERATIONS40.003218060121220X
ETTINGER WALTER H MD
PRESIDENT - MEDICAL CENTER40.009207000299452X
FISHER BARBARA
SR. VP, OPERATIONS40.003171180105356X
HYLKA SHARON
SR. VP, HOSPITAL ADMIN.40.003927090241101X
KLUGMAN ROBERT MD
CHIEF QUALITY OFFICER40.005026720242845X
KRUGER NANCY
SR. VP, CHIEF NURSING OFFICER40.00419715068373X
PHILLIPS ROBERT A
MED DIR, HEART & VASCULAR COE40.007997510238506X
RANDOLPH JOHN T
VP, CHIEF COMPLIANCE OFFICER40.002343350138086X
WEBB PATRICIA
SR. VP, CHIEF HR OFFICER, UNTIL 1/2/1140.004173770113889X
ANDERSON MILTON C
SR. VP, CHIEF OF HR40.00000X
FAIRCHILD DAVID MD
SR. VP, CLINICAL INTEGRATION40.00000X
MAYKEL JUSTIN MD
PHYSICIAN, CHIEF OF COLORECTAL SURGERY - MED GROUP30.00562589034857X
BUSCONI BRIAN D MD
PHYSICIAN, DIVISION CHIEF OF ORTHOPEDICS - MED GRO33.00545085035594X
ZIVNY JAROSLAV MD
PHYSICIAN, DIRECTOR OF GASTROENTEROLOGY - MED GROU33.00543818040465X
MALONEY MARY E MD
PHYSICIAN, CHIEF OF DERMATOLOGY - MED GROUP30.00513877035594X
LEVEY JOHN MD
PHYSICIAN, CLINICAL CHIEF OF GASTROENTEROLOGY - ME30.00505207035594X
WARRING WENDY
FORMER EXECUTIVE VICE PRESIDENT, UNTIL 9/1/060.0011766300X
FieldValueIRS element (for citing)
Total Reportable Comp From Org26136570TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation6641264TotalOtherCompensation
Number Individuals GT100 K2330NumberIndividualsGT100K
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 SERVICES21418985
ARUP LABORATORIES INC
PO BOX 27964SALT LAKE CITYUT84127LAB SERVICES5768884
WOOD ART EXHIBIT GROUP
424 MAIN STREETCHERRY VALLEYMA01611SEE SCHEDULE O - FOOTNOTE A5183984
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289ATLANTAGA303682289FOOD SERVICES4624062
ANGELICA CORPORATION
PO BOX 823283PHILADELPHIAPA191823283LINEN SERVICES3787261
FieldValueIRS element (for citing)
Number Of Contractors GT100 K180NumberOfContractorsGT100K
Fundraising Events777636FundraisingEvents
Related Organizations598558RelatedOrganizations
Government Grants6203999GovernmentGrants
All Other Contributions7611254AllOtherContributions
Noncash Contributions64355NoncashContributions
Total Contributions15191447TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
NET PATIENT SERVICE RE90009918407910131840791013
SPECIAL MEDICAID PAYME900099187999996187999996
AFFILIATE RELATED PROG900099169788329169788329
OTHER PSR & JV900099165585106164289852$1,295,254
SYSTEM ALLOCATION REVE900099142966270142966270

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column21169399TotalRevenueColumn
Related Or Exempt Function Income21169399RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2528300113TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11942604TotalRevenueColumn
Unrelated Business Revenue25290UnrelatedBusinessRevenue
Exclusion$11,917,314ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column71662TotalRevenueColumn
Exclusion$71,662ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2378324Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1200812Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1177512Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1177512TotalRevenueColumn
Exclusion$1,177,512ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities282509740Securities
Other1557654Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities275928808Securities
Other1306520Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6580932Securities
Other251134Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6832066TotalRevenueColumn
Exclusion$6,832,066ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events358183GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events777636CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses436023FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-77840TotalRevenueColumn
Exclusion-$77,840ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
LAB OUTREACH PROGRAM &6215004216710623142241935684
OTHER REVENUE90009935485012124287$1,424,214
1500 MD BILLING9000992384437$2,384,437

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1947410TotalRevenueColumn
Exclusion$1,947,410ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue50047454TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2613485018TotalRevenueColumn
Related Or Exempt Function Income2529360568RelatedOrExemptFunctionIncome
Unrelated Business Revenue41960974UnrelatedBusinessRevenue
Exclusion$26,972,029ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2000000Total
Program Services2000000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total64000Total
Program Services64000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total28988507Total
Program Services14008969ProgramServices
Management And General14979538ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total918429133Total
Program Services793550260ProgramServices
Management And General124476661ManagementAndGeneral
Fundraising402212Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total71854300Total
Program Services60715249ProgramServices
Management And General11132556ManagementAndGeneral
Fundraising6495Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total130645800Total
Program Services109744593ProgramServices
Management And General20864692ManagementAndGeneral
Fundraising36515Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total63681847Total
Program Services54487853ProgramServices
Management And General9174227ManagementAndGeneral
Fundraising19767Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total562607Total
Program Services73234ProgramServices
Management And General489373ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3793747Total
Program Services571452ProgramServices
Management And General3222295ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total965000Total
Management And General965000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1752623Total
Program Services1752623ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total1602995Total
Fundraising1602995Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total768878Total
Management And General768878ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total132487949Total
Program Services120271404ProgramServices
Management And General11957372ManagementAndGeneral
Fundraising259173Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1985045Total
Program Services1512107ProgramServices
Management And General409049ManagementAndGeneral
Fundraising63889Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total41678458Total
Program Services29054761ProgramServices
Management And General12574986ManagementAndGeneral
Fundraising48711Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total38648455Total
Program Services38049968ProgramServices
Management And General598132ManagementAndGeneral
Fundraising355Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total87222157Total
Program Services72249650ProgramServices
Management And General14954203ManagementAndGeneral
Fundraising18304Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total4045991Total
Program Services3921795ProgramServices
Management And General121582ManagementAndGeneral
Fundraising2614Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1676552Total
Program Services1437956ProgramServices
Management And General236275ManagementAndGeneral
Fundraising2321Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total18123942Total
Program Services17342689ProgramServices
Management And General781253ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total85518258Total
Program Services67290720ProgramServices
Management And General18220463ManagementAndGeneral
Fundraising7075Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total55999861Total
Program Services53602791ProgramServices
Management And General2395708ManagementAndGeneral
Fundraising1362Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PURCHASED SERVICES268037051209848591581853923068
MEDICAL SUPPLIES21160810317741889434189209
SYSTEM OVERHEAD ACTIVIT15770422287656573700460031646
MEDICAL EDUCATION SERVI137269837137269837
BAD DEBTS6984427769844277

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total31966351Total
Program Services24753961ProgramServices
Management And General7146284ManagementAndGeneral
Fundraising66106Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2568925946Total
Program Services2148494207ProgramServices
Management And General417889131ManagementAndGeneral
Fundraising2542608Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY76105323BOY
EOY121731059EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY157081704BOY
EOY176798916EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3487300BOY
EOY2155912EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY248778348BOY
EOY233992397EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY4888284BOY
EOY4471041EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY22721737BOY
EOY31891970EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY21961266BOY
EOY22550727EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY24952745BOY
EOY22763905EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1558504273LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec879633005LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY662475699BOY
EOY678871268EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY380412217BOY
EOY377356855EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY122472718BOY
EOY127541059EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY12020740BOY
EOY12255179EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY657706BOY
EOY631776EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY226333041BOY
EOY59267708EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1964348828BOY
EOY1872279772EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY263376871BOY
EOY274942645EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4075556BOY
EOY5054227EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY395209096BOY
EOY379318376EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY46412288BOY
EOY51682999EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY22615340BOY
EOY19023486EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY585850137BOY
EOY545285040EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1317539288BOY
EOY1275306773EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY500785067BOY
EOY461765636EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY69497127BOY
EOY58913271EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY76527346BOY
EOY76294092EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY646809540BOY
EOY596972999EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1964348828BOY
EOY1872279772EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses44559072ReconcilationRevenueExpenses
Reconcilation Other Changes-94395613ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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)
Hospital170b1 AiiiXHospital170b1Aiii

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 Organizations1GrantsOtherOrganizations
Grants Other Organizations$864,640GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$887,983RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB1752623TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance104017758BeginningOfYearBalance
Contributions316330Contributions
Investment Earnings Or Losses-2402463InvestmentEarningsOrLosses
Other Expenditures3636662OtherExpenditures
End Of Year Balance98294963EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance98561352BeginningOfYearBalance
Contributions1245442Contributions
Investment Earnings Or Losses5785214InvestmentEarningsOrLosses
Other Expenditures1574250OtherExpenditures
End Of Year Balance104017758EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance97341571BeginningOfYearBalance
Contributions172660Contributions
Investment Earnings Or Losses510787InvestmentEarningsOrLosses
Other Expenditures-536334OtherExpenditures
End Of Year Balance98561352EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.78000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.22000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7746102OtherCostOrOtherBasis
Book Value7746102BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis802821590OtherCostOrOtherBasis
Depreciation422427040Depreciation
Book Value380394550BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis34398186OtherCostOrOtherBasis
Depreciation18803126Depreciation
Book Value15595060BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis631951201OtherCostOrOtherBasis
Depreciation432092227Depreciation
Book Value199858974BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis81587194OtherCostOrOtherBasis
Depreciation6310612Depreciation
Book Value75276582BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings678871268TotalOfBookValueLandBuildings

Other Securities OtherSecurities (13 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TIFF ABSOLUTE RETURN POOL (6,291 SHARES)21563639F
TIFF PRIVATE EQUITY PARTNERS 2006 (2,590,699 SHARES)2590699F
FRANK RUSSELL GLOBAL PRIVATE EQUITY FUND (977,448 SHARES)977448F
GMO MULTI-STRATEGY FUND (OFFSHORE) LP (12,177,685 SHARES)12177685F
BENEFICIAL INTEREST IN TRUSTS66905446F
AETOS CAPITAL LONG/SHORT STRATEGIES (79,905 SHARES)7498098F
AETOS CAPITAL DISTRESSED INV STRATEGIES (26,692 SHARES)3098685F
AETOS CAPITAL MULTI-STRATEGY ARBITRAGE (27,019 SHARES)2787758F
MPPLTD/PORTFOLIO CLASS A (4,954 SHARES)455942F
TIFF ABSOLUTE RETURN POOL CLASS C (3,871 SHARES)6165561F
MET WEST ENHANCED TALF STRATEGY FUND (3,209,248 SHARES)3209248F
INCOME RESEARCH AND MGMT (LB HOLDINGS) (200,000 SHARES)32000F
INCOME RESEARCH AND MGMT (LB HOLDINGS) (415,000 SHARES)78850F
FieldValueIRS element (for citing)
Total Of Book Value Securities127541059TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (14 entries)

DescriptionDescriptionAmountAmount
DUE TO UMASS MEDICAL SCHOOL$9,057,413
THIRD PARTY LIABILITIES$61,327,563
DUE TO RELATED PARTIES$28,385,625
ACCRUED PENSION POST RETIREMENT BENEFITS$359,707,649
O/S LOSS RESERVES$30,515,992
ESTIMATED MALPRACTICE COSTS$28,010,403
OTHER$681,519
ANNUITY PAYABLE$726,373
LT LIABILITY ARO$10,752,427
ACCRUED LT LIABILITIES$3,554,191
CLAIMS RESERVES$89,125
CONTRIBUTION PAYABLE$36,730
MEDICARE RESERVES$30,000
NOTES PAYABLE TO UMMHC (MED CENTER)$12,410,030
FieldValueIRS element (for citing)
Total Of Amounts545285040TotalOfAmounts
Total Revenue2613485018TotalRevenue
Total Expenses2568925946TotalExpenses
Excess Or Deficit For Year44559072ExcessOrDeficitForYear
Net Unrealized GL On Investments-19474382NetUnrealizedGLOnInvestments
Other-$74,921,231OtherAmount
Total Adjustments-94395613TotalAdjustments
Excess Or Deficit Per FS-49836541ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:FIN 48 FOOTNOTE: INCOME TAXES: THE SYSTEM 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 PART OF SUPPLIES AND OTHER EXPENSE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. THE SYSTEM DOES NOT BELIEVE IT HAS ANY SIGNIFICANT UNCERTAIN TAX POSITIONS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS 4,768,664. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -70,678,363. BOOK/TAX DIFFERENCES FROM S CORP K-1 472,818. CHANGE IN BENEFICIAL INTERESTS IN PERPETUAL TRUSTS -5,149,554. MISCELLANEOUS 47. NET ASSETS RELEASED FROM RESTRICTION FOR PPE 5,005,601. TEMPORARY RESTRICTED FUND EXPENDITURES -9,558,388. TRANSFERS (TO) FROM RELATED PARTIES 217,944.
PART V ENDOWMENT FUNDS QUESTION 3 A (I): BANK OF AMERICA HOLDS 3 TRUST FUNDS FOR WING MEMORIAL HOSPITAL: DORNOE PARKER TRUST, RATHBONE 1950 TRUST, RATHBONE 1951 TRUST INTEREST IS PAID TO WING. BANK OF AMERICA IS AN UNRELATED ORGANIZATION. BANK OF AMERICA MERRILL LYNCH HOLDS THE BERNARD W DOYLE TRUST FOR HEALTHALLIANCE HOSPITAL. DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL. BANK OF AMERICA MERRILL LYNCH IS AN UNRELATED ORGANIZATION. BYN MELLON WEALTH MANAGEMENT HOLDS THE FOLLOWING TRUSTS FOR HEALTHALLIANCE HOSPITAL: TRUST U/WILL ART 11 WILLIAM H CROPPER TRUST U/WILL PAR 15 WILLIAM H CROPPER TRUST U/WILL ART 18 WILLIAM H CROPPER TRUST UNDER 2ND CODICIL OF WILL OF WILLIAM H CROPPER TRUST U/WILL 4TH COD WILLIAM H CROPPER DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE HOSPITAL. BYN MELLON WEALTH MANAGEMENT IS AN UNRELATED ORGANIZATION. PART V ENDOWMENT FUNDS QUESTION 4: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE DIRECTED IN ACCORDANCE WITH THE DONOR'S INTENT INCLUDING THE PERSERVATION OF THE ORIGINAL GIFT AND VARIOUS PURPOSES INCLUDING CHARITY CARE, MEDICAL EDUCATION, RESEARCH, HEALTH CARE SERVICES, BUILDINGS AND EQUIPMENT. HEALTHALLIANCE HOSPITAL - THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE DIRECTED IN ACCORDANCE WITH THE DONOR'S INTENT INCLUDING THE PRESERVATION OF THE ORIGINAL GIFT AND VARIOUS PURPOSES INCLUDING CHARITY CARE, MEDICAL EDUCATION, RESEARCH, HEALTH CARE SERVICES, BUILDINGS AND EQUIPMENT.

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 Fundraising0AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1UMASS MEMORIAL FOUNDATION INCBusinessNameLine1

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
Licensed StatesNHLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1HOSP GOLF TRNMNameOfEvent1
Gross Receipts Event1288514GrossReceiptsEvent1
Charitable Contributions Event1190007CharitableContributionsEvent1
Gross Revenue Event198507GrossRevenueEvent1
Non Cash Prizes Event129279NonCashPrizesEvent1
Rent Facility Costs Event1116254RentFacilityCostsEvent1
Other Direct Expenses Event110318OtherDirectExpensesEvent1
Name Of Event2WINTER BALLNameOfEvent2
Gross Receipts Event2277825GrossReceiptsEvent2
Charitable Contributions Event2204994CharitableContributionsEvent2
Gross Revenue Event272831GrossRevenueEvent2
Other Direct Expenses Event272831OtherDirectExpensesEvent2
Total Number Of Other Events11TotalNumberOfOtherEvents
Gross Receipts Other Events569480GrossReceiptsOtherEvents
Charitable Contrib Other Events382635CharitableContribOtherEvents
Gross Revenue Other Events186845GrossRevenueOtherEvents
Non Cash Prizes Other Events15848NonCashPrizesOtherEvents
Rent Facility Costs Other Events51814RentFacilityCostsOtherEvents
Food And Beverage Other Events12342FoodAndBeverageOtherEvents
Entertainment Other Events2200EntertainmentOtherEvents
Other Direct Expenses Other Events125137OtherDirectExpensesOtherEvents
Gross Receipts Total1135819GrossReceiptsTotal
Charitable Contributions Total777636CharitableContributionsTotal
Gross Revenue Total Events358183GrossRevenueTotalEvents
Non Cash Prizes Total Events45127NonCashPrizesTotalEvents
Rent Facility Costs Total Events168068RentFacilityCostsTotalEvents
Food And Beverage Total Events12342FoodAndBeverageTotalEvents
Entertainment Total Events2200EntertainmentTotalEvents
Other Direct Expenses Total Events208286OtherDirectExpensesTotalEvents
Direct Expense Summary Events436023DirectExpenseSummaryEvents
Net Income Summary-77840NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, LINE 2B; COLUMN (III)PART I, LINE 2B - FUNDRAISER ADDITIONAL INFORMATIONUMASS 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 (CONTRIBUTIONS RECEIVED BY THE FOUNDATION THAT ARE DESIGNATED TO A UMASS MEMORIAL REPORTING ENTITY ARE DEPOSITED INTO A DESIGNATED ACCOUNT OF THE RESPECTIVE REPORTING ENTITY UPON RECEIPT.) 6) EXPENDITURES OF CONTRIBUTIONS
PART I, LINE 2B; COLUMN (V)PART I, LINE 2B - FUNDRAISER ADDITIONAL INFORMATION (CONTINUED)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 IISCHEDULE G - ADDITIONAL INFORMATIONPART II, COLUMN (A) EVENT #1 THE HOSPITAL GOLF TOURNAMENT WAS HELD BY CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. PART II, COLUMN (B) EVENT #2 THE WINTER BALL WAS HELD BY THE PARENT PART II, COLUMN (C) OTHER EVENTS (11EVENTS REPORTED) ARE: GOLF TOURNAMENT HELD BY WING MEMORIAL HOSPITAL CORPORATION SPEAKEASY HELD BY HEALTHALLIANCE HOSPITALS DENNEHY GOLF TOURNAMENT HELD BY HEALTH ALLIANCE HOME HEALTH AND HOSPICE, INC. LOVELIGHT HELD BY HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. GOLF TOURNAMENT HELD BY THE PARENT OTHER MISC EVENT HELD BY THE PARENT GOLF TOURNAMENT HELD BY MARLBOROUGH HOSPITAL, INC. 50'S SOCK HOP DANCE HELD BY CLINTON HOSPITAL ASSOCIATION MENTAL HEALTH MONTH DINNER HELD BY COMMUNITY HEALTHLINK, INC. SPANISH FOR KIDS HELD BY COMMUNITY HEALTHLINK, INC. DOG WALK FUNDRAISER HELD BY COMMUNITY HEALTHLINK, INC.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense55001985TotalCommunityBenefitExpense
Direct Offsetting Revenue20950610DirectOffsettingRevenue
Net Community Benefit Expense34051375NetCommunityBenefitExpense
Percent Of Total Expense0.02100PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense261525939TotalCommunityBenefitExpense
Direct Offsetting Revenue241606541DirectOffsettingRevenue
Net Community Benefit Expense19919398NetCommunityBenefitExpense
Percent Of Total Expense0.01230PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense37092662TotalCommunityBenefitExpense
Direct Offsetting Revenue35268968DirectOffsettingRevenue
Net Community Benefit Expense1823694NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense353620586TotalCommunityBenefitExpense
Direct Offsetting Revenue297826119DirectOffsettingRevenue
Net Community Benefit Expense55794467NetCommunityBenefitExpense
Percent Of Total Expense0.03440PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense4050554TotalCommunityBenefitExpense
Direct Offsetting Revenue2646887DirectOffsettingRevenue
Net Community Benefit Expense1403667NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense190772451TotalCommunityBenefitExpense
Direct Offsetting Revenue128258080DirectOffsettingRevenue
Net Community Benefit Expense62514371NetCommunityBenefitExpense
Percent Of Total Expense0.03860PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense91850494TotalCommunityBenefitExpense
Direct Offsetting Revenue82836487DirectOffsettingRevenue
Net Community Benefit Expense9014007NetCommunityBenefitExpense
Percent Of Total Expense0.00560PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense4698302TotalCommunityBenefitExpense
Direct Offsetting Revenue2066575DirectOffsettingRevenue
Net Community Benefit Expense2631727NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense291371801TotalCommunityBenefitExpense
Direct Offsetting Revenue215808029DirectOffsettingRevenue
Net Community Benefit Expense75563772NetCommunityBenefitExpense
Percent Of Total Expense0.04670PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense644992387TotalCommunityBenefitExpense
Direct Offsetting Revenue513634148DirectOffsettingRevenue
Net Community Benefit Expense131358239NetCommunityBenefitExpense
Percent Of Total Expense0.08110PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense16818TotalCommunityBuildingExpense
Net Community Building Expense16818NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense13000TotalCommunityBuildingExpense
Net Community Building Expense13000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense19000TotalCommunityBuildingExpense
Net Community Building Expense19000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense4326TotalCommunityBuildingExpense
Net Community Building Expense4326NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense71598TotalCommunityBuildingExpense
Net Community Building Expense71598NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense1000TotalCommunityBuildingExpense
Net Community Building Expense1000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense766955TotalCommunityBuildingExpense
Net Community Building Expense766955NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense892697TotalCommunityBuildingExpense
Net Community Building Expense892697NetCommunityBuildingExpense
Percent Of Total Expense0.00050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$9,422,060BadDebtExpenseAmount
Amount Attributable To1693756AmountAttributableTo
Amount Reimbursed By Medicare357021904AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare383705879CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-26683975MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (10 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
PROVIDES INSURANCE1.000000.000000.00000
2 UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP
MANAGES POOLED INVESTMENTS1.000000.000000.00000
3 UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC
MAGNETIC RESONANCE IMAGING CENTER0.600000.000000.00000
4 UMASS MEMORIAL MRI OF MARLBOROUGH LLC
MAGNETIC RESONANCE IMAGING CENTER0.560000.000000.00000
5 MEMORIAL OFFICE CONDOMINIUM TRUST
CONDO ASSOCIATION THAT OWNS MEDICAL OFFICE BUILDING0.536900.000000.00000
6 UMASS MEMORIAL MRI & IMAGING CENTER LLC
MAGNETIC RESONANCE IMAGING CENTER0.500000.000000.00000
7 NEW ENGLAND REHABILITATION SERVICES OF CENTRAL MASSACHUSETTS INC
ACUTE CARE REHABILITATION FACILITY0.500000.000000.00000
8 BIO LABS INC
CLINICAL LABORATORY1.000000.000000.00000
9 HEALTHALLIANCE WITH PHYSICIANS INC
PHYSICIAN ALLIANCE0.500000.000000.00000
10 SHIELDS IMAGING OF MASSACHUSETTS LLC
MANAGEMENT COMPANY FOR PET IMAGING0.250000.000000.00000
FieldValueIRS element (for citing)
Number Of Hospital Facilities5NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24Hours
UMASS MEMORIAL MEDICAL CENTER INC
155 LAKE AVE 119 BELMONT STREETWORCESTERMA01605XXXXXX
HEALTHALLIANCE HOSPITAL INC
260 HOSPITAL ROADLEOMINSTERMA01453XXXX
MARLBOROUGH HOSPITAL
3157 UNION STREETMARLBOROUGHMA01752XXXX
WING MEMORIAL HOSPITAL CORPORATION
440 WRIGHT STREETPALMERMA01069XXX
CLINTON HOSPITAL ASSOCIATION
5201 HIGHLAND STREETCLINTONMA01510XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelUninsured DiscountUninsuredDiscountState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentPermit Other ActionsPermitOtherActionsCollection ActivitiesCollectionActivitiesOther ActionsOtherActionsNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationOther Actions TakenOtherActionsTakenNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesOther PublicityOtherPublicity
UMASS MEMORIAL MEDICAL CENTER INC
111200.0000000000001600.0000000000001XXX11XXXXXX1X1XXXXXX1X01
HEALTHALLIANCE HOSPITAL INC
211200.0000000000001600.0000000000001X11XXXX1X1XXXXX1X01X
MARLBOROUGH HOSPITAL
311200.0000000000001600.0000000000001XXX11XXXXXX1X1XXXXX1X01
WING MEMORIAL HOSPITAL CORPORATION
411200.0000000000001600.0000000000001XXX11XXXXXX1X1XXXXX1X01
CLINTON HOSPITAL ASSOCIATION
511200.0000000000001600.0000000000001XXX11XXXXXX1X1XXXXX1X01

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities4NumberOfOtherFacilities

Other Facilities OtherFacilities (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
UMASS MEMORIAL LABORATORIES
BIOTECH ONE 365 PLANTATION STREETWORCESTERMA01605SATELLITE - LAB SERVICES
UMASS MEMORIAL MEDICAL CENTER(PATHOLOGY)
BIOTECH THREE ONE INNOVATION DRIVEWORCESTERMA01605SATELLITE - PATHOLOGY SERVICES
UMASS MEMORIAL MEDICAL CENTER AMBULANCE
23 WELL STREETWORCESTERMA01604SATELLITE - AMBULANCE SERVICES
UMASS MEMORIAL MEDICAL CENTER AMBULANCE
100 PROVIDENCE STREETWORCESTERMA01604SATELLITE - AMBULANCE SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (37 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 7: THE ECLIPSYS COST ACCOUNTING DATA WAS APPLIED FOR THE PATIENT CARE THAT SUSTAINED A LOSS. CARE IS BILLED AT A PROCEDURE (CHARGE CODE) LEVEL AND THIS IS APPLIED TO THE PATIENT UTILIZATION. THIS DATA INCLUDES ALL PATIENT SEGMENTS OF CARE. EXCLUSIONS WERE APPLIED AS DIRECTED IN THE SCHEDULE. THE COST TO CHARGE WAS ACHIEVED BY TAKING THE EXPENSES (EXCLUDING BAD DEBT) AND APPLYING THEM AGAINST THE GROSS CHARGES. A COST CHARGE RATIO WAS APPLIED TO THE PATIENT CARE THAT WAS NOT BILLED TO HEALTH SAFETY NET (HSN), I.E. AMBULANCE SERVICES, MOBILE VAN PATIENT CARE, AND PRIMARY CARE WHERE THE PATIENT DID NOT FULLY COMPLETE THE FREE CARE APPLICATION.
PART I, LINE 7G: THE ORGANIZATION REVIEWED PROGRAMS THAT WERE PROVIDED BUT WHICH INCURRED A FINANCIAL LOSS. THE LOSS IS OBTAINED AFTER REDUCING THE CHARGES TO COST, LESS THE PAYMENTS. THESE LOSSES ARE NOT INCLUDED IN PART I OR AS BAD DEBT IN PART III. MEDICAID, SELF-PAY AND FREE CARE CASES AND VISITS WERE REMOVED FROM THE TOTAL PER THE INSTRUCTIONS. THE SERVICES PROVIDED HAVE BEEN IDENTIFIED AS A COMMUNITY NEED AND IF THE ORGANIZATION NO LONGER OFFERED THE SERVICE, THE SERVICE WOULD BE UNAVAILABLE. THE SERVICES RECOGNIZED ARE: PSYCHIATRY, FAMILY AND COMMUNITY MEDICINE, NEPHROLOGY, BARRE PRIMARY CARE, PEDIATRIC PRIMARY CARE, AND MATERNITY SERVICES PROVIDED FOR DELIVERIES AND NORMAL NEWBORNS, EMERGENCY SERVICES, CARE MOBILE, PLUMLEY VILLAGE PRIMARY CARE, TRI-RIVER PRIMARY CARE, AND TB CLINIC. THE DATA REPRESENTS THE UMASS MEMORIAL MEDICAL CENTER AND THE MEMBER HOSPITALS, CLINTON, MARLBOROUGH, HEALTHALLIANCE AND WING MEMORIAL.PART I, LINE 7G: NO COST ATTRIBUTABLE TO A PHYSICIAN CLINIC IS INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, L7 COL(F): BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) WHICH WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE AMOUNTS TO $48,795,577.
PART II: UMASS MEMORIAL HEALTH CARE RECOGNIZES COMMUNITY BUILDING ACTIVITIES AS BEING A PART OF THOSE 'SOCIAL DETERMINANTS OF HEALTH' THAT IMPACT THE HEALTH OF THE COMMUNITY. WE INVEST IN EDUCATIONAL COLLABORATIVES, COALITION BUILDING, ADVOCACY EFFORTS, COMMUNITY GARDENS, WORKFORCE DEVELOPMENT AND LEADERSHIP TRAINING PROGRAMS THAT SUPPORT YOUTH WHO ARE AT RISK OF DEVELOPING POOR AND RISKY HEALTH BEHAVIORS AND ARE EXPERIENCING VIOLENCE DUE TO POVERTY. WE ALSO INVEST IN ENVIRONMENTAL AND PHYSICAL IMPROVEMENT PROGRAMS SUCH AS BEAUTIFICATION OF LOW INCOME NEIGHBORHOOD PARKS TO ENABLE ACCESS TO SAFE PLAYGROUNDS THAT PROMOTE PHYSICAL ACTIVITY AS A WAY TO REDUCE OBESITY. THESE PROGRAMS ARE BASED ON OUR COMMUNITY BENEFITS MISSION WHICH WAS RECOMMENDED BY A COMMUNITY BENEFITS ADVISORY COMMITTEE AND DRAWS INSPIRATION FROM THE WORLD HEALTH ORGANIZATION'S BROAD DEFINITION OF HEALTH, AS 'A STATE OF COMPLETE, PHYSICAL, MENTAL, AND SOCIAL WELL BEING AND NOT MERELY THE ABSENCE OF DISEASE.' BY ADOPTING THIS DEFINITION, UMASS MEMORIAL HEALTH CARE HAS EXPANDED ITS STRATEGY TO INCLUDE THE SOCIAL, ECONOMIC, AND POLITICAL OBSTACLES THAT PREVENT PEOPLE FROM ACHIEVING OPTIMAL HEALTH. ALL OF OUR COMMUNITY BUILDING ACTIVITIES ARE THE RESULT OF AN IDENTIFIED NEED AND ENGAGE THE COMMUNITY. THEY INCLUDE COLLABORATIVE EFFORTS, ADVOCACY ACTIVITIES AND PARTNERSHIPS THAT ENGAGE A BROAD ARRAY OF COMMUNITY STAKEHOLDERS IN ADDRESSING THESE UNMET SOCIAL DETERMINANTS OF HEALTH (COMMUNITY BUILDING ACTIVITIES).
PART III, LINE 4: COSTING METHODOLOGY - MULTIPLIED THE GROSS PATIENT SERVICE REVENUE BY THE RATIO OF COSTS TO CHARGES CALCULATED AS REPORTED IN HOSPITALS DHCFP 403 HOSPITAL STATEMENT OF COSTS, REVENUES AND STATISTICS. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE PERTAINING TO BAD DEBT EXPENSE, ACCOUNTS RECEIVABLE, OR THE ALLLOWANCE FOR DOUBTFUL ACCOUNTS. AMOUNTS RECORDED AS BAD DEBT EXPENSE AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE PRESENTED DIRECTLY ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CONSOLIDATED BALANCE SHEETS RESPECTIVELY.
PART III, LINE 8: THE MEDICARE SHORTFALL IS THE SUBSIDIZED AMOUNT OF CARE PROVIDED TO PATIENTS AND IS CONSIDERED A COMMUNITY BENEFIT. THIS SHORTFALL INCLUDES LOW REIMBURSEMENT FOR CAPITAL DUE TO TIMING DIFFERENCES AS MAJOR INVESTMENTS ARE MADE, PROGRAMS RELATED TO EMERGENCY AND OTHER AMBULATORY PROGRAMS.
PART III, LINE 9B: EXEMPTION FROM SELF-PAY BILLING AND COLLECTION ACTION - THE ORGANIZATION WILL NOT INITIATE SELF-PAY BILLING AND COLLECTION ACTIVITY:A. UPON SUFFICIENT PROOF THAT A PATIENT IS A RECIPIENT OF EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN (EAEDC), OR ENROLLED IN THE HEALTH SAFETY NET (HSNO) OR MASSHEALTH, HEALTHY START, OR THE CHILDREN'S MEDICAL SECURITY PLAN WHOSE FAMILY INCOME IS EQUAL OR LESS THAN 400% OF THE FPL, WITH THE EXCEPTION OF CO-PAYS AND DEDUCTIBLES REQUIRED UNDER THE PROGRAM OF ASSISTANCE.B. IF THE HOSPITAL HAS PLACED THE ACCOUNT IN LEGAL OR ADMINISTRATIVE HOLD STATUS AND/OR SPECIFIC PAYMENT ARRANGEMENTS HAVE BEEN MADE WITH THE PATIENT OR GUARANTOR.C. FOR MEDICAL HARDSHIP BILLS THAT EXCEED THE MEDICAL HARDSHIP CONTRIBUTION.D. UNLESS UMMMC HAS CHECKED THE EVS SYSTEM TO DETERMINE IF THE PATIENT HAS FILED AN APPLICATION FOR MASSHEALTH.E. FOR PARTIAL HEALTH SAFETY NET ELIGIBLE PATIENTS, WITH THE EXCEPTION OF ANY DEDUCTIBLES REQUIRED.NOTE: THE ORGANIZATION MAY BILL FOR HEALTH SAFETY NET ELIGIBLE AND MEDICAL HARDSHIP PATIENTS FOR NON-MEDICALLY NECESSARY SERVICES PROVIDED AT THE REQUEST OF THE PATIENT AND FOR WHICH THE PATIENT HAS AGREED BY WRITTEN CONSENT.
PART V, SECTION B, LINE 13G: PATIENTS WHO ARE SCHEDULED TO BE ADMITTED AND HAVE BEEN IDENTIFIED AS NON INSURED AND/OR IN NEED OF FINANCIAL ASSISTANCE WILL HAVE AN APPOINTMENT SCHEDULED PRIOR TO ADMISSION TO MEET WITH A FINANCIAL COUNSELOR. PATIENTS, WHO ARE ADMITTED TO THE HOSPITAL THROUGH THE EMERGENCY DEPARTMENT, WILL BE VISITED BY THE FINANCIAL COUNSELOR ONCE THE PATIENT IS ON THE INPATIENT FLOOR. THE MEETING WILL BE HELD WITH THE PATIENT AND/OR FAMILY AS THE PATIENT'S MEDICAL CONDITION PERMITS.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 15E: POLICY ON LIENS-NO LIENS WILL BE INITIATED AGAINST A PATIENT'S PRIMARY RESIDENCE OR MOTOR VEHICLE WITHOUT WRITTEN APPROVAL FROM UMMMC'S BOARD OF TRUSTEES. ALL APPROVALS BY THE BOARD OF TRUSTEES WILL BE MADE ON AN INDIVIDUAL CASE BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS.UMASS MEMORIAL MEDICAL CENTER, INC.
PART V, SECTION B, LINE 15E: POLICY ON LIENS-NO LIENS WILL BE INITIATED AGAINST A PATIENT'S PRIMARY RESIDENCE OR MOTOR VEHICLE WITHOUT WRITTEN APPROVAL FROM HEALTHALLIANCE'S BOARD OF TRUSTEES. ALL APPROVALS BY THE BOARD OF TRUSTEES WILL BE MADE ON AN INDIVIDUAL CASE BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 15E: POLICY ON LIENS-NO LIENS WILL BE INITIATED AGAINST A PATIENT'S PRIMARY RESIDENCE OR MOTOR VEHICLE WITHOUT WRITTEN APPROVAL FROM MARLBOROUGH'S BOARD OF TRUSTEES. ALL APPROVALS BY THE BOARD OF TRUSTEES WILL BE MADE ON AN INDIVIDUAL CASE BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 15E: POLICY ON LIENS-NO LIENS WILL BE INITIATED AGAINST A PATIENT'S PRIMARY RESIDENCE OR MOTOR VEHICLE WITHOUT WRITTEN APPROVAL FROM WING'S BOARD OF TRUSTEES. ALL APPROVALS BY THE BOARD OF TRUSTEES WILL BE MADE ON AN INDIVIDUAL CASE BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS.WING MEMORIAL HOSPITAL CORPORATION
PART V, SECTION B, LINE 15E: POLICY ON LIENS-NO LIENS WILL BE INITIATED AGAINST A PATIENT'S PRIMARY RESIDENCE OR MOTOR VEHICLE WITHOUT WRITTEN APPROVAL FROM CLINTON'S BOARD OF TRUSTEES. ALL APPROVALS BY THE BOARD OF TRUSTEES WILL BE MADE ON AN INDIVIDUAL CASE BASES. WE ALSO SEND STATEMENTS AND MAKE PHONE CALLS.CLINTON HOSPITAL ASSOCIATION
PART V, SECTION B, LINE 16E: UMMMC REFERS ACCOUNTS TO A CREDIT AGENCY WHEN WRITTEN OFF AS BAD DEBT FOR FURTHER COLLECTIONS. THESE AGENCIES CONTINUE COLLECTIONS WITHOUT IMPACT TO THE CREDIT RATING.UMASS MEMORIAL MEDICAL CENTER, INC.
PART V, SECTION B, LINE 16E: HEALTHALLIANCE HOSPITAL REFERS ACCOUNTS TO A CREDIT AGENCY WHEN WRITTEN OFF AS BAD DEBT FOR FURTHER COLLECTIONS. THESE AGENCIES CONTINUE COLLECTIONS WITHOUT IMPACT TO THE CREDIT RATING.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 16E: MARLBOROUGH ENGAGES A THIRD PARTY AGENCY TO ASSIST ON ALL SELF PAY ACCOUNTS AT ORIGINATION. THEY REFER ACCOUNTS TO A CREDIT AGENCY WHEN WRITTEN OFF AS BAD DEBT FOR FURTHER COLLECTIONS. THESE AGENCIES CONTINUE COLLECTIONS WITHOUT IMPACT TO THE CREDIT RATING.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 16E: WING REFERS ACCOUNTS TO A CREDIT AGENCY WHEN WRITTEN OFF AS BAD DEBT FOR FURTHER COLLECTIONS. THESE AGENCIES CONTINUE COLLECTIONS WITHOUT IMPACT TO THE CREDIT RATING.WING MEMORIAL HOSPITAL CORPORATION
PART V, SECTION B, LINE 16E: CLINTON REFERS ACCOUNTS TO A CREDIT AGENCY WHEN WRITTEN OFF AS BAD DEBT FOR FURTHER COLLECTIONS. THESE AGENCIES CONTINUE COLLECTIONS WITHOUT IMPACT TO THE CREDIT RATING.CLINTON HOSPITAL ASSOCIATION
PART V, SECTION B, LINE 17E: 1. PATIENTS WITH SELF-PAY RESPONSIBILITIES, INCLUDING EMERGENCY, ELECTIVE, SCHEDULED AND URGENT SERVICES WILL RECEIVE AN INITIAL BILL DELINEATING THE SERVICES AND AMOUNTS DUE FOR WHICH THEY ARE RESPONSIBLE.2. FOR ANY SELF-PAY RESPONSIBILITIES THAT REMAIN UNPAID AFTER THE INITIAL BILL, THE PATIENT WILL RECEIVE A SERIES OF MONTHLY STATEMENTS FOR 4 MONTHS OR UNTIL THE BALANCE IS RESOLVED, THE 4TH STATEMENT INDICATED AS A FINAL NOTICE. 3. PROVIDER ACCOUNTING STAFF WILL MAKE A TELEPHONE CALL TO ANY PATIENT WITH AN OUTSTANDING SELF-PAY BALANCE OF $1,000 OR MORE DURING THE NORMAL SELF-PAY BILLING AND COLLECTION PROCESS. 4. HAH WILL SEND A FINAL NOTICE BY CERTIFIED MAIL FOR BALANCES OVER $1,000 WHERE NOTICES HAVE NOT BEEN RETURNED AS "INCORRECT ADDRESS" OR "UNDELIVERABLE" FOR EMERGENCY CARE PATIENTS.5. ADDITIONAL NOTICES AND/OR LETTERS MAY BE SENT TO DEBTOR PATIENTS DURING THE BILLING AND COLLECTION PROCESS IN AN EFFORT TO RESOLVE OUTSTANDING BALANCES.6. RETURNED MAIL AND/OR UNDELIVERABLE MAIL WILL BE RESEARCHED BY THE PROVIDER ACCOUNTING STAFF TO OBTAINED VALID ADDRESSES. DATABASES AND PRIOR VISIT INFORMATION WILL BE UTILIZED.7. ALL SUCH EFFORTS TO COLLECT BALANCES, AS WELL AS ANY PATIENT INITIATED INQUIRIES, WILL BE DOCUMENTED ON THE GUARANTOR'S ACCOUNT AND AVAILABLE FOR REVIEW.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.UMASS MEMORIAL MEDICAL CENTER, INC.
PART V, SECTION B, LINE 19D: HEALTHALLIANCE CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.WING MEMORIAL HOSPITAL CORPORATION
PART V, SECTION B, LINE 19D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.CLINTON HOSPITAL ASSOCIATION
PART V, SECTION B, LINE 21: UMMMC CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.UMASS MEMORIAL MEDICAL CENTER, INC.
PART V, SECTION B, LINE 21: HEALTHALLIANCE CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.HEALTHALLIANCE HOSPITAL, INC.
PART V, SECTION B, LINE 21: MARLBOROUGH CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.MARLBOROUGH HOSPITAL
PART V, SECTION B, LINE 21: WING CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.WING MEMORIAL HOSPITAL CORPORATION
PART V, SECTION B, LINE 21: CLINTON CHARGES ALL PATIENTS THE PUBLISHED CHARGE. WHEN THE PATIENT HAS BEEN DETERMINED FOR A DISCOUNT, THE DISCOUNT IS THEN APPLIED TO THE TOTAL CHARGE, AND THE AMOUNT OWED BY THE GUARANTOR IS NOW REDUCED.CLINTON HOSPITAL ASSOCIATION
FINANCIAL ASSISTANCE- HAH EMPLOYS A STAFF OF FINANCIAL COUNSELORS, CUSTOMER SERVICE REPRESENTATIVES AND GUARANTOR COLLECTORS WHO ARE AVAILABLE BY PHONE OR BY APPOINTMENT TO SUPPORT PATIENTS IN APPLYING FOR FINANCIAL ASSISTANCE AND RESOLVING THEIR MEDICAL BILLS. FINANCIAL COUNSELORS, CUSTOMER SERVICE REPRESENTATIVES AND GUARANTOR COLLECTORS, PROVIDE POTENTIALLY ELIGIBLE PATIENTS WITH THE APPROPRIATE APPLICATION(S) FOR MASS HEALTH AND/OR HEALTH SAFETY NET, AND ASSIST PATIENTS WITH THE APPLICATION PROCESS.PART V, QUESTION 12HEALTHALLIANCE HOSPITAL, INC.
PART I, LINE 7B - UNDER THE MEDICAID STATE PLAN, UMMHC IS ONE OF TWO HOSPITAL SYSTEMS IN THE STATE THAT QUALIFY AS ESSENTIAL MASSHEALTH HOSPITALS, WHICH PERMITS THE STATE TO PAY IT SUPPLEMENTAL PAYMENTS IN ADDITION TO UMMHC'S STANDARD MEDICAID PAYMENT. THE STANDARD MEDICAID PAYMENT REIMBURSES UMMHC APPROXIMATELY 73% OF THE COST OF PROVIDING SERVICES TO MASSHEALTH PATIENTS. MEDICAID SUPPLEMENTAL FUNDS PROVIDE ADDITIONAL REVENUE TO THE UMMHC HEALTH CARE SYSTEM IN RECOGNITION AND SUPPORT OF UMMHC'S SPECIAL RELATIONSHIP AND OBLIGATIONS TO THE STATE'S ONLY PUBLIC MEDICAL SCHOOL TO FURTHER ITS PUBLIC MISSION AS WELL AS ITS COMMITMENT TO ITS COMMUNITY AS THE REGIONS ONLY SAFETY NET HOSPITAL. THESE SUPPLEMENTAL PAYMENTS ARE MADE PURSUANT TO A SPECIFIC PROVISION ON THE MEDICAID STATE PLAN.
PART VI, LINE 2: EACH OF OUR HOSPITALS HAS A DESIGNATED COMMUNITY BENEFITS PROGRAM STAFF THAT HAS JOINED EFFORTS WITH THEIR RESPECTIVE COMMUNITY AND TAKEN INTO ACCOUNT INPUT FROM COMMUNITY STAKEHOLDERS IN DEVELOPMENT OF THEIR COMMUNITY NEEDS ASSESSMENT.UMASS MEMORIAL MEDICAL CENTER:UMASS MEMORIAL MEDICAL CENTER HAS ASSEMBLED A DIVERSE TEAM THAT IS IN THE PROCESS OF UPDATING THE COMMUNITY NEEDS ASSESSMENT, THE LAST COMMUNITY NEEDS ASSESSMENT, THE WORCESTER INDICATORS REPORT, WAS ANNOUNCED TO THE PUBLIC IN THE PRESENCE OF 100+ COMMUNITY LEADERS IN 2008 AND WAS THE FINAL PRODUCT OF A COLLABORATIVE EFFORT AND AN EXTENSIVE COMMUNITY ENGAGEMENT PROCESS THAT HAD UMASS MEMORIAL LEADERSHIP STAFF WORKING CLOSELY WITH COMMON PATHWAYS CHNA 8, A CITY-WIDE HEALTH COMMUNITIES INITIATIVE. UMASS MEMORIAL MEDICAL CENTER HAS COLLECTED THE DATA FOR UPDATING THIS NEEDS ASSESSMENT AND IS IN THE PROCESS OF DEVELOPING THE PLAN TO IDENTIFY PRIORITIES AND COMPLETE THE IMPLEMENTATION STRATEGY.CLINTON HOSPITAL:IN 2011, CLINTON HOSPITAL PARTICIPATED IN THE DEVELOPMENT OF A COMMUNITY NEEDS ASSESSMENT REPORT TITLED, THE COMMUNITY NEEDS ASSESSMENT OF CENTRAL MASSACHUSETTS. THE HOSPITAL WORKED WITH THE FOLLOWING ORGANIZATIONS TO COMPLETE THE ASSESSMENT: HEALTHALLIANCE HOSPITAL, COMMUNITY HEALTH NETWORK OF NORTH CENTRAL MASSACHUSETTS (CHNA 9), THE JOINT COALITION ON HEALTH OF NORTH CENTRAL MASSACHUSETTS AND THE MINORITY COALITION OF NORTH CENTRAL MASSACHUSETTS. THE HOSPITAL IS IN THE PROCESS OF IDENTIFYING PRIORITIES AND DEVELOPING AN IMPLEMENTATION PLAN.HEALTHALLIANCE HOSPITAL:IN 2011, HEALTHALLIANCE HOSPITAL PARTICIPATED IN THE DEVELOPMENT OF A COMMUNITY NEEDS ASSESSMENT REPORT TITLED, THE COMMUNITY NEEDS ASSESSMENT OF CENTRAL MASSACHUSETTS. THE HOSPITAL WORKED WITH THE FOLLOWING ORGANIZATIONS TO COMPLETE THE ASSESSMENT: CLINTON HOSPITAL, COMMUNITY HEALTH NETWORK OF NORTH CENTRAL MASSACHUSETTS (CHNA 9), THE JOINT COALITION ON HEALTH OF NORTH CENTRAL MASSACHUSETTS AND THE MINORITY COALITION OF NORTH CENTRAL MASSACHUSETTS. THE HOSPITAL IS IN THE PROCESS OF IDENTIFYING PRIORITIES AND DEVELOPING AN IMPLEMENTATION PLAN.MARLBOROUGH HOSPITAL:MARLBORO HOSPITAL CONDUCTED ITS MOST RECENT NEEDS ASSESSMENT IN FY2010/2011 WITH INPUT FROM A WIDE ARRAY OF COMMUNITY STAKEHOLDERS AND IS CURRENTLY DEVELOPING ITS PLAN TO UPDATE IDENTIFIED PRIORITIES AND DEVELOP AN IMPLEMENTATION PLAN. WING MEMORIAL HOSPITAL:WING MEMORIAL HOSPITAL IS IN THE PROCESS OF WORKING WITH SEVERAL AREA HOSPITALS AND COMMUNITY STAKEHOLDERS IN GATHERING DATA TO IDENTIFY PRIORITIES AND DEVELOP AN IMPLEMENTATION PLAN.
PART VI, LINE 3: PATIENT ED OF ELIGIBILITY FOR ASSISTANCE - UMASS MEMORIAL INFORMS AND EDUCATES PATIENTS/OTHERS ABOUT ELIGIBILITY FOR AVAILABLE COVERAGE AND/OR CHARITY CARE BY EMPLOYING A LARGE (25+) STAFF OF FINANCIAL COUNSELORS, EXPERT IN MATCHING PATIENTS TO AVAILABLE COVERAGE AND CHARITY CARE OPTIONS AND ASSISTING PATIENTS THROUGH THE APPLICATION PROCESS. FURTHER, UMASS MEMORIAL WORKS TO CONNECT POTENTIALLY ELIGIBLE PATIENTS TO OUR FINANCIAL COUNSELORS THROUGH- WIDELY DISTRIBUTED BROCHURES- SIGNS POSTED IN HIGH TRAFFIC PATIENT AREAS- EDUCATION OF OUR CLINICIANS- ATTENDANCE AT NUMEROUS COMMUNITY OUTREACH EVENTS- REFERRAL OF ALL SELF-PAY PATIENTS AT THE POINT OF OUTPATIENT SCHEDULING/REGISTRATION- VISITS TO INPATIENTS WITHOUT HEALTH INSURANCE OR WITH COVERAGE GAPS- BILLBOARDS POSTED IN THE COMMUNITY- MESSAGES ON ALL PATIENT BILLS AND STATEMENTS- MAILINGS TO PATIENTS- CONVENIENT FINANCIAL COUNSELOR LOCATIONS WITHIN OR CONTIGUOUS TO CLINICAL AREAS.
PART VI, LINE 4: GEOGRAPHICAL REACH - UMASS MEMORIAL HEALTH CARE SERVES APPROXIMATELY ONE MILLION RESIDENTS OF CENTRAL NEW ENGLAND. OUR CENTRAL MASSACHUSETTS SERVICE AREA INCLUDES ALL SIXTY CITIES AND TOWNS IN WORCESTER COUNTY FROM THE NEW HAMPSHIRE BORDER IN THE NORTH TO THE CONNECTICUT AND RHODE ISLAND BORDERS IN THE SOUTH. IT EXTENDS TO THE WEST INTO SEVEN TOWNS IN HAMPDEN COUNTY AND THREE TOWNS IN HAMPSHIRE COUNTY. FIVE HOSPITALS SERVE THIS GEOGRAPHIC AREA.REGIONAL DESCRIPTION - THE CENTRAL NEW ENGLAND REGION IS A MIX OF CITIES AND URBANIZED CENTERS, SUBURBS, SMALL TOWNS AND RURAL AREAS WITH SOME AGRICULTURE. SEVEN TOWNS IN OUR SERVICE AREA ARE DEFINED BY THE U.S. DEPARTMENT OF HEALTH, HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AS RURAL BASED ON THEIR RURAL URBAN COMMUNITY AREA (RUCA) CODES, HRSA HAS DESIGNATED THE CITY OF WORCESTER A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) IN PRIMARY CARE, MENTAL HEALTH AND DENTAL SERVICES DUE TO ITS LOW INCOME POPULATION. SEVERAL TOWNS AND CITIES IN THE NORTH COUNTY ARE DESIGNATE BY HRSA AS HPSAS AND AS HAVING MEDICALLY-UNDERSERVED POPULATIONS (MUPS), ANOTHER DESIGNATION INDICATING NEED BECAUSE THEIR RESIDENTS FACE ECONOMIC, LINGUISTIC AND CULTURAL BARRIERS TO CARE. THE CITY OF WORCESTER HAS SEVERAL NEIGHBORHOODS WITH A SHORTAGE OF HEALTH PROVIDERS AND HRSA HAS DETERMINED THAT MANY CENSUS TRACTS IN THE CITY ARE MEDICALLY-UNDERSERVED AREAS (MUAS).ECONOMIC CHARACTERISTICS - THE U.S. CENSUS DATA FOR 2010 INDICATED THAT THE MEDIAN HOUSEHOLD INCOME FOR WORCESTER COUNTY WAS $29,316. FOR THE CITY OF WORCESTER, THE REGION'S LARGEST URBAN AREA, IT WAS CONSIDERABLY LOWER AT $23,135. ACCORDING TO THE CENSUS DATA, OF THE CITY'S TOTAL 181,045 RESIDENTS, 19.4% ARE LIVING BELOW THE POVERTY LEVEL. THE NUMBER OF CHILDREN UNDER THE AGE OF 18 LIVING BELOW THE POVERTY LEVEL ROSE TO 29.6% IN 2010 FROM 25% IN 2005-2009. (SOURCE: U.S. CENSUS 2010 AND 2010 AMERICAN COMMUNITY SURVEY 1-YEAR ESTIMATES, U.S. CENSUS.) THE UNEMPLOYMENT RATE IN WORCESTER COUNTY RANGED BETWEEN 9.3 IN JANUARY 2011 AND 7.2 IN DECEMBER 2011. (SOURCE: MASSACHUSETTS EXECUTIVE OFFICE OF LABOR WORKFORCE AND DEVELOPMENT.) THESE FACTORS HAVE RESULTED IN A STRONG NEED FOR FOOD ASSISTANCE SERVICES. FOR EXAMPLE, ACCORDING TO THE MASSACHUSETTS DEPARTMENT OF EDUCATION, 64% OF STUDENTS IN THE WORCESTER PUBLIC SCHOOL SYSTEM RECEIVE FREE SCHOOL LUNCH. (SOURCE: MASSACHUSETTS DEPARTMENT OF EDUCATION.) SINCE 2008, UMASS MEMORIAL HEALTH CARE FACILITIES HAVE FILED OVER 5,000 SNAP (FOOD STAMP) AND SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC) APPLICATIONS. CENTRAL MASSACHUSETTS HAS ALSO BEEN HARD-HIT BY THE FORECLOSURES CRISIS. BETWEEN 2006 AND 2011, THERE WERE NEARLY 26,000 FORECLOSURES IN WORCESTER COUNTY. (SOURCE: REALTYRAC, THE WARREN GROUP.) WHILE THE NUMBER OF FORECLOSURE PETITIONS IN THE REGION DECREASED IN 2011, THE TIME PERIOD FOR FORECLOSURES TO BE COMPLETED HAS INCREASED, SO AN UPTICK IS EXPECTED IN FORECLOSURES AS PREVIOUSLY FILED PETITIONS ARE COMPLETED IN THE COMING TWO YEARS.DEMOGRAPHIC AND HEALTH FACTORS - THE DEMOGRAPHICS OF THE REGION VARY WIDELY ACROSS THE REGION. WORCESTER COUNTY HAS A TOTAL POPULATION OF 798,552 AND IS 86% WHITE. THE CITY OF WORCESTER IS A LEADING RESETTLEMENT SITE FOR IMMIGRANTS DUE TO ITS LOWER COST OF LIVING AND AVAILABLE SERVICES AND ACCOUNTS FOR THE GREATEST INCREASE OF DIVERSITY IN THE REGION. ACCORDING TO U.S. CENSUS 2010 FIGURES, THE HISPANIC POPULATION AND OTHER NON-HISPANIC, NON-WHITE ETHNIC GROUPS HAVE NOTABLY INCREASED WHILE THE WHITE, NON-HISPANIC POPULATION HAS DECREASED. THE NUMBER OF HISPANICS LIVING IN THE CITY OF WORCESTER HAS GROWN BY 35% AND BY MORE THAN 46% STATEWIDE OVER THE PAST 10 YEARS. THE CITY'S FOREIGN BORN POPULATION IS SIGNIFICANTLY HIGHER THAN WORCESTER COUNTY AS A WHOLE, ACCOUNTING FOR THE MAJORITY OF THIS POPULATION IN THE REGION. THE CITY'S FOREIGN BORN POPULATION IS ALSO SIGNIFICANTLY HIGHER COMPARED TO THE NATION AND STATE OVERALL. ADDING TO THIS DIVERSITY IS AN INFLUX OF IMMIGRANTS AND NEW ARRIVAL REFUGEES. REFUGEES FROM IRAQ CURRENTLY ACCOUNT FOR THE GREATEST PERCENTAGE OF NEW IMMIGRANTS FOLLOWED BY REFUGEES FROM BHUTAN, BURMA AND LIBERIA. THIS GROWING DIVERSITY HAS BROADENED THE NEED FOR INTERPRETER SERVICES FOR MEDICAL CARE. FOR EXAMPLE, IN ITS FISCAL YEAR 2011, UMASS MEMORIAL HEALTH CARE DELIVERED 122,963 DOCUMENTED INTERPRETATIONS FOR MEDICAL SERVICES IN OVER 87 LANGUAGES. NINETY PERCENT OF ALL INTERPRETATIONS PROVIDED BY UMMHC WERE CONDUCTED IN: SPANISH, PORTUGUESE, VIETNAMESE, ARABIC, ALBANIAN AND AMERICAN SIGN LANGUAGE. THE REMAINING TEN PERCENT WERE CONDUCTED IN OTHER "NON-PRIMARY" LANGUAGES, THE POOL OF WHICH CONSISTS OF 81 DIFFERENT LANGUAGES. THE SENIOR POPULATION IN THE REGION ALSO CONTINUES TO GROW AS BABY BOOMERS REACH THE AGE OF 65. ACCORDING TO THE U.S. CENSUS, RESIDENTS BETWEEN THE AGES OF 20-64 ACCOUNT FOR THE MAJORITY OF THE POPULATION IN WORCESTER COUNTY AT 61%.ACCESS TO CARE - APPROXIMATELY 90% OF PEOPLE HAVE HEALTH INSURANCE. DESPITE THIS, THERE REMAINS A CHURNING OF ENROLLMENTS WITH MANY DROPPING OFF. HEALTH INSURANCE ENROLLMENT REMAINS AN ISSUE AS EVIDENCED BY UMMHC'S RATES OF ENROLLMENT ASSISTANCE IN HEALTH SAFETY NETWORK, COMMONWEALTH CARE AND MEDICAID APPLICATIONS.CHRONIC DISEASE OVERVIEW:- OVERWEIGHT & OBESITY: HIGH RATES OF OVERWEIGHT AND OBESITY ARE A LEADING PUBLIC HEALTH CONCERN IN THE REGION AND PARTICULARLY IN THE CITY OF WORCESTER. LOWER-INCOME RESIDENTS ARE SIGNIFICANTLY MORE LIKELY TO SUFFER FROM OBESITY AND OTHER DIET-RELATED HEALTH PROBLEMS. NEARLY 70% OF HISPANIC ADULTS IN THE REGION WERE OVERWEIGHT OR OBESE, BUT WITHIN ETHNIC GROUPS, BLACKS WERE MORE LIKELY TO BE OBESE. CHILDREN LIVING IN THE CITY OF WORCESTER ARE OVERWEIGHT AT HIGHER RATES THAN THE STATE AS A WHOLE. OVERALL, THE AVERAGE FOR OBESE YOUTH ENTERING FIRST GRADE IN THE CITY OF WORCESTER IS 20.25% COMPARED TO THE NATIONWIDE AVERAGE OF 10%. PARTICULARLY ALARMING IS A DRAMATIC INCREASE IN THE PAST DECADE OF OBESITY AMONG 1ST GRADERS IN THE ASIAN COMMUNITY. IN WORCESTER COUNTY, OBESITY IS MORE PREVALENT AMONG MINORITY ETHNIC GROUPS. AMONG ADULTS, NEARLY 70% OF HISPANICS WERE OVERWEIGHT OR OBESE, BUT WITHIN ETHNIC GROUPS, BLACKS WERE MORE LIKELY TO BE OBESE. (SOURCE: MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH/MASSCHIP; DALE MAGEE, COMMISSIONER, WORCESTER DEPARTMENT OF PUBLIC HEALTH, HEALTH OF WORCESTER 2011 REPORT, WORCESTER PUBLIC SCHOOLS.)- DIABETES: THE PREVALENCE OF DIABETES AMONG WORCESTER COUNTY RESIDENTS IS SLIGHTLY LOWER THAN THE STATE AS A WHOLE. DIABETES IS MORE PREVALENT AMONG BLACK AND HISPANIC POPULATIONS AND THOSE 65 YEARS OLD AND OVER. THE PREVALENCE OF HEART DISEASE IN THE REGION IS SIGNIFICANTLY HIGHER AMONG LOWER INCOME RESIDENTS.- ASTHMA: ASTHMA AFFECTS PEOPLE OF ALL AGES, RACES, GENDERS AND SOCIO-ECONOMIC STATUS, HOWEVER, IT OCCURS AT DISPROPORTIONATELY HIGHER RATES AMONG SOME ETHNIC AND RACIAL POPULATIONS. THE PREVALENCE OF ASTHMA IS HIGHER AMONG FEMALES AND HISPANIC ADULTS IN WORCESTER COUNTY COMPARED TO THE STATE AND INCREASING AMONG CHILDREN AGES 0-19 YEARS OLD. (SOURCE: MDPH, MASSCHIP CUSTOMER REPORTS.)CONTINUED ON SCHEDULE O
PART VI, LINE 6: UMASS MEMORIAL HEALTH CARE UTILIZES QUANTITATIVE AND QUALITATIVE DATA AND COMMUNITY PARTICIPATORY ENGAGEMENT AS A MEANS TO IDENTIFY ISSUES IMPACTING THE HEALTH OF THE COMMUNITY. AS SUCH, ONE OF OUR KEY STRATEGIES IS ENSURING THAT OUR CLINICAL SYSTEM LEADERS ARE INVOLVED AND ACTIVELY PARTICIPATE IN AREA COALITIONS AND PLANNING EFFORTS. THIS MEANS THAT WE ARE CONVENING MEETINGS WITH REPRESENTATIVES FROM VARIOUS NEIGHBORHOODS, COMMUNITY ORGANIZATIONS AND NEW IMMIGRANT GROUPS, SOLICITING INPUT AND RECOMMENDATIONS, PARTICIPATING IN COMMUNITY-BASED ETHNIC EVENTS AND CO-CHAIRING INITIATIVES. FOR EXAMPLE, THE CEO OF THE CLINICAL SYSTEM AND MEMBERS OF OUR SENIOR LEADERSHIP CO-CHAIR COALITIONS AND PARTICIPATE AS MEMBERS OF MULTIPLE BOARDS THAT ARE ADDRESSING IDENTIFIED DISPARITIES AND PUBLIC HEALTH NEEDS. IN WORCESTER WE'VE PLAYED AN IMPORTANT ROLE BY FUNDING THE DEPARTMENT OF PUBLIC HEALTH COMMISSIONER'S POSITION.
PART VI, LINE 7: UMASS MEMORIAL HEALTH CARE IS THE LARGEST NOT-FOR-PROFIT HEALTH CARE SYSTEM IN CENTRAL NEW ENGLAND. THROUGH THE COLLECTIVE EFFORTS OF UMASS MEMORIAL MEDICAL CENTER AND FOUR COMMUNITY HOSPITALS - CLINTON HOSPITAL, HEALTHALLIANCE HOSPITAL, MARLBOROUGH HOSPITAL AND WING MEMORIAL HOSPITAL AND MEDICAL CENTERS, WE ARE IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH. OUR FIVE HOSPITALS WORK CLOSELY WITH THEIR RESPECTIVE COMMUNITIES TO IDENTIFY AND PRIORITIZE COMMUNITY NEEDS. OUR COMMUNITY BENEFITS MISSION WAS DEVELOPED AND RECOMMENDED BY A COMMUNITY BENEFITS ADVISORY COMMITTEE AND APPROVED BY THE BOARD OF TRUSTEES OF THE CLINICAL SYSTEM AND HAS BEEN ADOPTED BY ALL FIVE HOSPITALS. A STANDING COMMUNITY BENEFITS COMMITTEE HAS BEEN ESTABLISHED AT THE BOARD OF TRUSTEE LEVEL TO OVERSEE THE CLINICAL SYSTEM'S RESPONSIBILITIES TO THE COMMUNITY AND TO STRENGTHEN OUR ORGANIZATIONAL COMMITMENT AND ACCOUNTABILITY. EACH HOSPITAL'S COMMUNITY BENEFITS PROGRAM FOCUSED ON THE NEEDS OF UNDERSERVED POPULATIONS AND SUPPORTS ADDRESSING IDENTIFIED UNMET HEALTH NEEDS. IN ADDITION, EACH HOSPITAL HAS ITS OWN COMMUNITY BENEFITS PROGRAM STAFF AND AS SUCH HAS DEVELOPED COMMUNITY LINKAGES WITHIN THEIR SERVICE AREA THAT ARE WORKING TOWARDS ADDRESSING THE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITY.AS OF APRIL 1, 2012, ALL UMASS MEMORIAL HEALTH CARE HOSPITALS WILL HAVE FILED A 2011 COMMUNITY BENEFITS REPORT WITH THE MASSACHUSETTS ATTORNEY GENERAL OFFICE.
MAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC
19 TACOMA STREETWORCESTERMA01605042513817501 (C) (3)1000000SUPPORT FOR HEALTH CENTER'S MISSION
FAMILY HEALTH CENTER OF WORCESTER INC
26 QUEEN STREETWORCESTERMA01610042485308501 (C) (3)1000000SUPPORT FOR HEALTH CENTER'S MISSION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients32NumberOfRecipients
Amount Of Cash Grant64000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierOTHER INFORMATION:Identifier
Return ReferencePART IV:ReturnReference
ExplanationPART I LINE 2: GRANTS - AT REASONABLE INTERVALS, RE-EVALUATION OF THE GRANTS WILL OCCUR TO ENSURE THAT THE ARRANGEMENTS ARE EXPECTED TO CONTINUE TO SATISFY THE STANDARD SET FORTH. THE HEALTH CENTERS WILL DOCUMENT THE RE-EVALUATION CONTEMPORANEOUSLY. PART I LINE 2: SCHOLARSHIPS - PRIOR TO THE DISTRIBUTION OF ANY AND ALL SCHOLARSHIP FUNDS, HEALTHALLIANCE REQUIRES VERIFICATION OF PROGRAM ENROLLMENT FROM ALL RECIPIENTS. PART II LINE 1(H): THE STANDARD SET FORTH IS A REASONABLE EXPECTATION THAT THE GRANTS WILL CONTRIBUTE MEANINGFULLY TO EACH OF THE HEALTH CENTER'S ABILITY TO MAINTAIN OR INCREASE THE AVAILABILITY, OR ENHANCE THE QUALITY, OF SERVICES PROVIDED TO A MEDICALLY UNDERSERVED POPULATION SERVICED BY THE HEALTH CENTERS. EACH HEALTH CENTER HAS DOCUMENTED THE BASIS FOR SAID REASONABLE EXPECTATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
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 (71 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
ANDRIENI JULIA MD
272341035244021012250095820329438000
AROUS ELIAS J MD
5711200317310570122500233440638502000
AYERS DAVID MD
5030290400000570122500260490581385000
BAGLEY PETER H MD
23559302074250570794730260490548597000
BROWN ALAN P MD
15235408810057083430223510191915000
CARLUCCI DANIEL MD
277316025000000122500272980341864000
CAVAGNARO CHARLES III MD
298335085767057701195760323650536620000
CHANDLER WILLIS
259168063078091820523980198070403633091820
CHESHIRE BRYAN MD
196749038544057011770024270249547000
CIRILLO BETTYANN MD
2389000146090927049160237300283082000
COFONE MICHAEL J
2320440169230131605037790208890405240000
CORBETT WILLIAM MD
27174407999702145305305501980604460550213530
DALY SHEILA
19809905344605770913250176920361139000
FELICE MARIANNE E MD
1944970240000570188940259430263391000
FERGUSON R KEVIN MD
1803070475660570116350220750261640000
FERRUCCI JOSEPH MD
3588530310000570122500253120427472000
GUNDERSEN JASON MD
25067501352010570122500101610408344000
KAUR SHUBJEET MD
2674420260000570122500260490331798000
KEATING TODD A
4621830115874039414018318501598608166420388370
KENNEDY KATHRYN MD
2085660620550570122500252180308146000
LAPIDAS GARY N
359690080148036102016080201027806470200355250
LASSER DANIEL H MD
207111010093705701400380244220472565000
LINDHOLM MARY S MD
13327200057070340237390164102000
MAGUIRE DAVID L MD
196154044437039608356015420250885000
MANNING GORDON MD
1751380128430570435000114370242975000
MESSINA LOUIS MD
4033500979470570122500233440536948000
MULDOON PATRICK L
381370064286051333012636003051906538680507560
O'BRIEN JOHN G
92200802532190165178097847201904602337923000
OKIKE O NSIDINANYA MD
36123100000415110142180416960000
POLANOWICZ JOHN
26956905789903113108188503477404752580305540
POWER DIANE MD
24024701404201113049750268090287186000
SLAYTON VAL MD
156553000286645032420135740460014000
SOAR BART MD
14267802605005407459097180185959000
SWENSON DANA
228319059031000869870203260394663000
TOSI STEPHEN E MD
4884150117736015730805807802548808470250809440
UMANZOR RENE M MD
147644072595060095230212660251088000
VOLTURO GREGORY MD
2453570724050570122500260490356118000
WESOLOWSKI PAUL
158357080440367705400184490189067000
ZIEDONIS DOUGLAS MD
1840830340000570113240260490255513000
ALLICON KEARY T
140810015608000207580204830197659000
BERGAN THOMAS
228073010285015266031787101014905816440152660
BROWN DOUGLAS S
3616560104096035555011425702173706373010355550
DICKSON ERIC MD
313139093375012600607440333630501881000
DION JEFFREY
160168017400000243010206850222554000
EKSTROM DEBORAH
18740805064101527609140302462003693480138760
FELDMANN ROBERT
240733064118023560012290502110604724220235600
FRAKER MURIEL E ESQUIRE
16420408432000520600267810251477000
MCCUE STEVEN
14548801513400093820186500188654000
O'BRIEN WILLIAM H
110593000570297860232470163683000
SMITH FRANCIS W
168759010338000257530248050229655000
STREETER MICHELE M
27456606603001673609712001980604742580167360
BLUTE MICHAEL
466308058526000483960270480600278000
BRENCKLE GEORGE PHD
29052606875502444409253402727405035330244440
DALEY JENNIFER MD
352559072362000368750229970484793000
DIAMOND VICTORIA
253619068187000944760267440443026000
ETTINGER WALTER H MD
68806601708990617350278909020543012201520552090
FISHER BARBARA
24495505525601690708555001980604224740169070
HYLKA SHARON
297093074085021531022051002059106338100209540
KLUGMAN ROBERT MD
380371094454027847021985402299107455170278470
KRUGER NANCY
2873030685700638420567320116410488088000
PHILLIPS ROBERT A
58162201632810548480210024028482010382570548480
RANDOLPH JOHN T
1919440423910001160140220720372421000
WEBB PATRICIA
31140908109102487708760802628105312660243000
ANDERSON MILTON C
000000000000
FAIRCHILD DAVID MD
000000000000
MAYKEL JUSTIN MD
27760902849230570122500226070597446000
BUSCONI BRIAN D MD
4908610541670570122500233440580679000
ZIVNY JAROSLAV MD
23302503107360570123990280660584283000
MALONEY MARY E MD
39368401201360570122500233440549471000
LEVEY JOHN MD
26031502448350570122500233440540801000
WARRING WENDY
000011766300000117663000

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 WHICH 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 WILLIS CHANDLER $9,182 THOMAS BERGAN $15,266 CHARLES CAVAGNARO, III, MD $0 WILLIAM CORBETT, MD $21,353 SHEILA DALY $0 ERIC DICKSON, MD $0 DEBORAH EKSTROM $13,876 ROBERT FELDMANN $23,560 GARY N. LAPIDAS $35,525 PATRICK L. MULDOON $50,756 JOHN POLANOWICZ $30,554 MICHELE M. STREETER $16,736 DANA SWENSON $0 STEPHEN E. TOSI, MD $80,944 MICHAEL J. COFONE $130,424 VAL SLAYTON, M.D. $170,651 MICHAEL BLUTE, M.D. $0 JENNIFER DALEY, M.D. $0
PART IIIPART 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. PART II - UNRELATED ORGANIZATION: THE OFFICERS, DIRECTORS AND HIGHEST COMPENSATED EMPLOYEES LISTED IN PART II THAT RECEIVED COMPENSATION FROM AN UNRELATED ORGANIZATION WERE PAID FOR THEIR SERVICES RELATED TO MEDICAL RESEARCH, EDUCATION OF MEDICAL STUDENTS AND RESIDENT TRAINING. AMOUNTS INCLUDE THEIR BASE COMPENSATION AND DEFERRED COMPENSATION FOR CALENDAR YEAR 2010. THE NAME OF THE UNRELATED ORGANIZATION IS UMASS MEDICAL SCHOOL. DANIEL LASSER, M.D. $254,808 MARIANNE E. FELICE, M.D. $213,090 ELIAS J. AROUS, M.D. $151,750 PETER H. BAGLEY, M.D. $140,016 ALAN P. BROWN, M.D. $73,177 SHUBJEET KAUR, M.D. $154,503 MARY LINDHOLM, M.D. $23,075 DAVID AYERS, M.D. $150,242 GREGORY VOLTURO, M.D. $183,649 MICHAEL P. ARONSON, M.D. $37,632 BRYAN CHESHIRE, M.D. $34,485 DOUGLAS ZIEDONIS, M.D. $205,470 JOSEPH FERRUCCI, M.D. $254,202 BRIAN D. BUSCONI, M.D. $124,750 JUSTIN MAYKEL, M.D. $113,700 JULIA ANDRIENI, M.D. $17,953 DANIEL CARLUCCI, M.D. $87,892 KATHRYN KENNEDY, M.D. $33,424 LOUIS MESSINA, M.D. $74,414 JAROSLAV ZIVNY, M.D. $66,839 MARY MALONEY, M.D. $148,200 JOHN LEVEY, M.D. $101,755SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHEFA-UMASS MEMORIAL SERIES D
04245601157586CLQ62005-08-18107450000SEE PART V000
MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES E
04245601157586EH272009-05-2230000000SEE PART V000
MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES F
04245601157586EH272009-05-2230000000SEE PART V000
MHEFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A
0424560112009-11-249420000SEE PART V000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredAmount UnspentAmountUnspent
110030036108353035411300138473129358909500000020060011
3005695966683620545526703915201200016300003147590
3005695963078211870026723915201200016300003214343
942000022698978458934154220091011356000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001000.005800.005801
000001
000001
000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
100000
110001
110001
110001

Form990 Schedule K Part V Form990ScheduleKPartV (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL, SERIES DPART I COLUMN (C ) CUSIP #: 57586CLQ6 PART I COLUMN (F) DESCRIPTION OF PURPOSE: COMPLETION OF THE EXPANSION OF THE EMERGENCY DEPT AND ROUTINE CAPITAL EQUIPMENT AND/OR RENOVATION PROJECTS
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES EPART I COLUMN (C ) CUSIP #: 57586EH27 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES FPART I COLUMN (C ) CUSIP #: 57586EH27 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUEMHEFA - MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES APART I COLUMN (F) DESCRIPTION OF PURPOSE: PAY OFF HEFA POOL O LOAN, ER RENOVATIONS,EICU EQUIPMENT,CT SCAN LEASE,MAMMOGRAPHY UNIT
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL, SERIES GPART I COLUMN (C ) CUSIP #: 57586EUS8 - 57586EUT6 - 57586EUU3 - 57586EUV1 - 57586EUW9 - 57586EUX7 - 57586EVE8 - 57586EUY5 - 57586EVF5 - 57586EUZ2 - 57586EVG3 - 57586EVA6 - 57586EVH1 - 57586EVB4 - 57586EVJ7 - 57586EVC2 - 57586EVD0 PART I COLUMN (F) DESCRIPTION OF PURPOSE: REFUNDING OF CENTRAL NEW ENGLAND HEALTH ALLIANCE SERIES A BOND (1993) AND MEDICAL CENTER OF CENTRAL MASSACHUSETTS, SERIES B (1992)
PART I - BOND ISSUEMHEFA - UMASS MEMORIAL, SERIES HPART I COLUMN (C ) CUSIP #: 57583UGP7 - 57583UGQ5 - 57583UGR3 - 57583UGS1 - 57583UGT9 - 57583UGU6 - 57583UGV4 - 57583UGW2 - 57583UHC5 - 57583UGX0 - 57583UGY8 - 57583UGZ5 - 57583UHA9 - 57583UHB7 PART I COLUMN (F) DESCRIPTION OF PURPOSE: PARTIAL REFUNDING OF MEDICAL CENTER VARIABLE RATE SERIES A BONDS (1998), REFUNDING IN FULL OF CENTRAL NEW ENGLAND HEALTH ALLIANCE SERIES B BONDS (1998) AND UMASS MEMORIAL SERIES C (2001).
PART II = PROCEEDSDIFFERNCE BETWEEN PART I, COLUMN(E) AND PART II, LINE 3MHEFA - UMASS MEMORIAL, SERIES D COLUMN (E) ISSUE PRICE OF $107,450,000; ADD ISSUE PREMIUM OF $604,814, ADD INTEREST EARNED ON PROCEEDS OF $2,935,890, LESS ISSUE DISCOUNT OF ($960,668), EQUALS LINE 3 OF $110,030,036. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $56,959, EQUALS LINE 3 OF $30,056,959. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $56,959, EQUALS LINE 3 OF $30,056,959. MHEFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $717,238, EQUALS LINE 3 OF $20,717,238. MHEFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $152,952, EQUALS LINE 3 OF $20,152,952. MHEFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $24,254, EQUALS LINE 3 OF $20,024,254. MHEFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $5,301, EQUALS LINE 3 OF $20,005,301. MHEFA - UMASS MEMORIAL, SERIES G COLUMN (E) ISSUE PRICE OF $60,445,000; ADD ISSUE PREMIUM OF $1,388,656 ADD INTEREST EARNED ON PROCEEDS OF $176, EQUALS LINE 3 OF $61,833,832. MHEFA - UMASS MEMORIAL, SERIES H COLUMN (E) ISSUE PRICE OF $90,990,000; ADD ISSUE PREMIUM OF $1,303,778, EQUALS LINE 3 OF $92,293,778.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHEFA-UMASS MEMORIAL MASTER LEASE
0424560112005-12-0710000000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL MASTER LEASE
0424560112006-12-2720000000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL MASTER LEASE
0424560112008-04-2420000000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL MASTER LEASE
0424560112009-07-2420000000CAPITAL EQUIPMENT000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpenditures
10000000100000001000000020060011
1549703720717238199730352007001121349026965717238
1097453820152952199709282009001130446229072152952
676785320024254199957542010001149685828500

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000001
000001
000001
000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
100001
100001
100001
100001

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHEFA-UMASS MEMORIAL SERIES G
0424560112010-05-2760445000SEE PART V000
MHEFA-UMASS MEMORIAL MASTER LEASE
0434318142010-12-0920000000CAPITAL EQUIPMENT000
MHEFA-UMASS MEMORIAL SERIES H
0434318142011-08-1090990000SEE PART V000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpenditures
47950006183383227905386072223210990391256120100001
2394411200053012315373303120110011530119966969
9229377890832107123531522635620111001

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000001
000001
000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
100001
100001
11100100

Schedule L IRS990ScheduleL

Loan Table LoanTable (5 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
WALTER ETTINGER
CSV OF LIFE INSURANCE - CURRENT KEY EMPLOYEE OF MEDICAL CENTERX$707,000364279011
THOMAS CUMMINGS
CSV OF LIFE INSURANCE - FORMER CEO OF MARLBOROUGH HOSPITALX$377,630212495011
RICHARD H SCHEFFER
CSV OF LIFE INSURANCE - FORMER CEO OF WING MEMORIAL CORP.X$26,66049542011
WILLIAM J WILLIAMS
CSV OF LIFE INSURANCE - FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC.X$1,981,6273552266011
FLOYD CONNELLY
CSV OF LIFE INSURANCE - FORMER EXECUTIVE DIRECTOR OF CMMIC, INC.X$455,570292459011
FieldValueIRS element (for citing)
Total Balance Due4471041TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (27 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
GORDON MANNING MD
CURRENT DIRECTOR15600RENTAL OF PROPERTY - INCOME0
ROBERT KLUGMAN MD
KEY EMPLOYEE15600RENTAL OF PROPERTY - INCOME0
DANIEL J O'LEARY MD
CURRENT DIRECTOR72744RENTAL OF PROPERTY - INCOME0
FERNANDO CATALINA MD
CURRENT DIRECTOR311058RENTAL OF PROPERTY - INCOME0
ROBERT L SHELTON JR MD
CURRENT DIRECTOR54168RENTAL OF PROPERTY - INCOME0
MICHAEL J LYONS MD
CURRENT DIRECTOR311508RENTAL OF PROPERTY - INCOME0
GORDON MANNING MD
CURRENT DIRECTOR216967RENTAL OF PROPERTY - EXPENSE0
ROBERT KLUGMAN MD
KEY EMPLOYEE216967RENTAL OF PROPERTY - EXPENSE0
JOHN CLEMENTI
CURRENT DIRECTOR140741RENTAL OF PROPERTY - EXPENSE0
EDWARD MANZI
CURRENT DIRECTOR35759RENTAL OF PROPERTY - EXPENSE0
EDWARD MANZI
CURRENT DIRECTOR193320RENTAL OF PROPERTY - EXPENSE0
EDWARD NOONAN
CURRENT DIRECTOR56133INDEPENDENT CONTACTOR ARRANGEMENT0
ROBERT HAVELES
CURRENT DIRECTOR86142INDEPENDENT CONTACTOR ARRANGEMENT0
PATRICK TURLEY
CURRENT DIRECTOR27904INDEPENDENT CONTACTOR ARRANGEMENT0
ANTHONY J MERCADANTE
CURRENT DIRECTOR & FAMILY MEMBER OF NICHOLAS MERCADANTE220679INDEPENDENT CONTACTOR ARRANGEMENT0
WILLIAM F SULLIVAN SR
CURRENT DIRECTOR366837INDEPENDENT CONTACTOR ARRANGEMENT0
JOHN BUDD
CURRENT DIRECTOR1067515INDEPENDENT CONTACTOR ARRANGEMENT0
STEPHEN TOSI MD
CURRENT DIRECTOR191158INDEPENDENT CONTACTOR ARRANGEMENT0
LYNDA YOUNG MD
CURRENT DIRECTOR18000INDEPENDENT CONTACTOR ARRANGEMENT0
SUSAN ETTINGER
FAMILY MEMBER OF WALTER ETTINGER, KEY EMPLOYEE25605EMPLOYMENT ARRANGEMENT0
KATHLEEN HYLKA
FAMILY MEMBER OF SHARON HYLKA, KEY EMPLOYEE90971EMPLOYMENT ARRANGEMENT0
JOANNE D'ONFRO
FAMILY MEMBER OF PAUL D'ONFRO, DIRECTOR46564EMPLOYMENT ARRANGEMENT0
ELLEN CARLUCCI
FAMILY MEMBER OF DANIEL CARLUCCI, MD, DIRECTOR82670EMPLOYMENT ARRANGEMENT0
CHERYL SWENSON
FAMILY MEMBER OF DANA SWENSON, DIRECTOR23396EMPLOYMENT ARRANGEMENT0
KATHRYN C MAY
FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER37547EMPLOYMENT ARRANGEMENT0
EILEEN HENRICKSON RN
FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER102307EMPLOYMENT ARRANGEMENT0
ELIZABETH GUNDERSEN MD
FAMILY MEMBER OF JASON GUNDERSEN, MD, DIRECTOR227281EMPLOYMENT ARRANGEMENT0

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART II - LOANS FROM INTERESTED PERSONSTHE CASH VALUE OF LIFE INSURANCE POLICIES:AMOUNTS DUE FROM CURRENT AND FORMER OFFICERS PERTAIN TO SPLIT DOLLAR LIFE INSURANCE POLICIES OF THE RESPECTED INDIVIDUALS. THESE POLICIES WERE ORIGINATED AT VARIOUS TIMES DURING THE INSURED'S EMPLOYMENT WITH UMASS MEMORIAL HEALTH CARE, INC. THE CORRESPONDING POLICY PREMIUMS WERE FUNDED BY THE EMPLOYER AS AN EMPLOYEE BENEFIT. IN ACCORDANCE WITH IRS NOTICE 2002-8, TREASURY REGULATION 1.61-22 AND TREASURY REGULATION 1.7872-15, THESE PAYMENTS REQUIRE CLASSIFICATION AS LOANS DUE FROM THE INSURED. THESE LOAN BALANCES ARE REFLECTED AT THE LOWER OF THE DISCOUNTED CASH SURRENDER VALUE OR DISCOUNTED CUMULATIVE PREMIUMS PAID.
PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSSEVERAL OF OUR COMMUNITY HOSPITALS MAINTAIN LOCAL BANKING RELATIONSHIPS IN THEIR RESPECTIVE COMMUNITIES. WHICH HAVE BEEN ASSESSED AND MEET FAIR MARKET VALUE REQUIREMENTS. THE VALUE OF THESE RESPECTIVE RELATIONSHIPS ARE WELL BELOW THE DISCLOSURE THRESHOLDS.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions327NumberOfContributions
Noncash Contribs Rptd F99064355NoncashContribsRptdF990
Method Of Determining RevenuesFMV/SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierTHIRD PARTY USE:Identifier
Return ReferencePART I, LINE 32B:ReturnReference
ExplanationUMASS MEMORIAL HEALTH CARE, INC. UTILIZES THE SERVICES OF UMASS MEMORIAL FOUNDATION, INC. TO SOLICIT DONOR CONTRIBUTIONS, ON OCCASION, THE ORGANIZATION RECEIVES GIFTS OF PUBLICLY TRADED STOCK. ALL GIFTS OF PUBLICLY TRADED STOCK ARE IMMEDIATELY SOLD UPON RECEIPT THROUGH AN INVESTMENT SERVICES FIRM.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2DISCLOSURE YEAR, DISCLOSING INDIVIDUAL, TITLE/ROLE, RELATIONSHIP WITH, RELATIONSHIP UMMHC 2011 - JOHN BUDD, BOARD MEMBER, PAUL D'ONFRO (BUSINESS), ARTHUR BERGERON (BUSINESS), HARVARD PILGRIM HEALTH CARE (BOARD MEMBER) 2011 - ROBERT PHILLIPS, KEY EMPLOYEE, JULIA ANDRIENI (FAMILY) VENTURES 2011, NONE MEDICAL GROUP 2011, NONE MEMBER ENTITIES HEALTH ALLIANCE 2011 - MERCANDANTE, ANTHONY, BOARD MEMBER, NICHOLAS MERCANDANTE (FAMILY) 2011 - MERCANDANTE, NICHOLAS, BOARD MEMBER, ANTHONY MERCANDANTE (FAMILY) CHL 2011 - EKSTROM, DEBORAH, BOARD MEMBER, FIDELITY MUTUAL HOLDING COMPANY (BOARD MEMBER) & FIDELITY COOPERATIVE BANK (BUSINESS) MARLBOROUGH 2011 - MURPHY, MICHAEL, BOARD MEMBER, DANIEL CARLUCCI (BUSINESS), RICHARD BENNETT (BUSINESS), JOHN POLANOWICZ (BUSINESS), PHILIP PURCELL (BUSINESS) WING 2011 - PHANEUF, JAMES, BOARD MEMBER, CHARLES CAVAGNARO (BUSINESS), EDWARD J. NOONAN (BUSINESS), ROBERT S. HAVELES (BUSINESS), JAMES ST. AMAND (BUSINESS), PAUL SCULLY (BUSINESS), KATHERINE COOLIDGE (BUSINESS) 2011 - NOONAN, EDWARD, BOARD MEMBER, CHARLES CAVAGNARO (BUSINESS). JAMES ST. AMAND (BUSINESS) JAMES PHANEUF (BUSINESS) KATHERINE COOLIDGE (BUSINESS) ROBERT S. HAVELES (BUSINESS) PATRICK TURLEY (BUSINESS) ROLAND DESROCHERS (BUSINESS) ELAINE ANDERSON (BUSINESS) 2011 - DESROCHERS, ROLAND, BOARD MEMBER, CHARLES CAVAGNARO (BUSINESS), LINDA MITCHELL (BUSINESS) 2011 - TURLEY, PATRICK, BOARD MEMBER, LINDA MITCHELL (BUSINESS) EDWARD NOONAN (BUSINESS) RON CHRISTIANSEN (BUSINESS) PAUL SCULLY (BUSINESS) 2011 - HAVELES, ROBERT, BOARD MEMBER, EDWARD NOONAN (BUSINESS) JAMES PHANEUF (BUSINESS) LINDA MITCHELL (BUSINESS) PATRICK TURLEY (BUSINESS) 2011 - CHRISTIANSEN, RONALD, BOARD MEMBER, PATRICK TURLEY (BUSINESS) LINDA MITCHELL (BUSINESS) JAMES PHANEUF (BUSINESS) 2011- SCULLY, PAUL, BOARD MEMBER, RON CHRISTIANSEN (BUSINESS) PATRICK TURLEY (BUSINESS) ROBERT HAVELES (BUSINESS) JAMES PHANEUF (BUSINESS) CHARLES CAVAGNARO (BUSINESS) KATHERINE COOLIDGE (BUSINESS) LINDA MITCHELL (BUSINESS) ELAINE ANDERSON (BUSINESS) CLINTON 2011 - NONE
FORM 990, PART VI, SECTION A, LINE 6THERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF THE MEMBER'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 RELATED 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.
PAGE 6 SECTION B. POLICIES LINE 12 C: 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
PAGE 6 SECTION B. POLICIES LINE 15 B: AT UMASS MEMORIAL, 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
PAGE 6: 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
DESCRIPTION OF SERVICES FOOTNOTE A - SPECIALTY TRADE CONTRACTORS: SUBCONTRACTS TO A VARIETY OF EXHIBIT AND MARKETING SERVICES INCLUDING BUT NOT LIMITED TO: GENERAL CONSULTATION, COST OF MATERIALS AND SUPPLIES, DESIGN, CONSTRUCTION, LABORERS. THIS VENDOR MAY ALSO SUPPLY THEIR OWN LABORERS AS OPPOSED TO SUBCONTRACT.PAGE 8 PART VII SECTION B. INDEPENDENT CONTRACTORS - DESCRIPTION OF SERVICE
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -19,474,382. NET ASSETS RELEASED FROM RESTRICTIONS 4,768,664. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -70,678,363. BOOK/TAX DIFFERENCES FROM S CORP K-1 472,818. CHANGE IN BENEFICIAL INTERESTS IN PERPETUAL TRUSTS -5,149,554. MISCELLANEOUS 47. NET ASSETS RELEASED FROM RESTRICTION FOR PPE 5,005,601. TEMPORARY RESTRICTED FUND EXPENDITURES -9,558,388. TRANSFERS (TO) FROM RELATED PARTIES 217,944. TOTAL TO FORM 990, PART XI, LINE 5: -94,395,613.FORM 990, PART XI, LINE 5:
GROUP RETURNTHE CLINTON HOSPITAL ASSOCIATION; 201 HIGHLAND STREET, CLINTON, MA 01510 EIN: 04-1185520 FISCAL YEAR END: 9/30/2011 MARLBOROUGH HOSPITAL; 157 UNION STREET, MARLBOROUGH, MA 01752 EIN: 04-2104693 FISCAL YEAR END: 9/30/2011 UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, INC.; 328 SHREWSBURY STREET, WORCESTER, MA 01604 EIN: 04-3374724 FISCAL YEAR END: 9/30/2011 UMASS MEMORIAL HOSPITALS, INC.; 328 SHREWSBURY STREET, WORCESTER, MA 01604 EIN: 04-3296271 FISCAL YEAR END: 9/30/2011 UMASS MEMORIAL HEALTH VENTURES, INC.; 328 SHREWSBURY STREET, WORCESTER, MA 01604 EIN: 22-2605679 FISCAL YEAR END: 9/30/2011 UMASS MEMORIAL LABORATORIES, INC.; 328 SHREWSBURY STREET, WORCESTER, MA 01604 EIN: 04-3321703 FISCAL YEAR END: 9/30/2011 UMASS MEMORIAL MEDICAL CENTER, INC.; 328 SHREWSBURY STREET, WORCESTER, MA 01604 EIN: 04-3358564 FISCAL YEAR END: 9/30/2011 UMASS MEMORIAL MEDICAL GROUP, INC.; 328 SHREWSBURY STREET, WORCESTER, MA 01604 EIN: 04-2911067 FISCAL YEAR END: 9/30/2011 UMASS MEMORIAL REALTY, INC.; 328 SHREWSBURY STREET, WORCESTER, MA 01604 EIN: 04-2805630 FISCAL YEAR END: 9/30/2011 WING MEMORIAL HOSPITAL CORP.; 40 WRIGHT STREET, PALMER, MA 01069 EIN: 22-2519813 FISCAL YEAR END: 9/30/2011 UMASS MEMORIAL HEALTH CARE, INC. (PARENT); 328 SHREWSBURY STREET, WORCESTER, MA 01604 EIN: 04-3358566 FISCAL YEAR END: 9/30/2011 COMMUNITY HEALTHLINK, INC.; 72 JAQUES AVENUE, WORCESTER, MA 01610 EIN: 04-2626179 FISCAL YEAR END: 9/30/2011 CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.; 367 PLANTATION STREET, WORCESTER, MA 01605 EIN: 04-2981362 FISCAL YEAR END: 9/30/2011 CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-3172496 FISCAL YEAR END: 9/30/2011 COORDINATED PRIMARY CARE, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-3210002 FISCAL YEAR END: 9/30/2011 HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.; 25 TUCKER ROAD, LEOMINSTER, MA 01453 EIN: 04-2932308 FISCAL YEAR END: 9/30/2011 HEALTHALLIANCE HOSPITALS, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-2103555 FISCAL YEAR END: 9/30/2011 CAITLIN RAYMOND INTERNATIONAL REGISTRY, INC.; 328 SHREWSBURY STREET, WORCESTER, MA 01604 EIN: 06-1749208 FISCAL YEAR END: 9/30/2011 CLINTON HOSPITAL FOUNDATION, INC.; 328 SHREWSBURY STREET, WORCESTER, MA 01604 EIN: 04-3357881 FISCAL YEAR END: 9/30/2011PAGE 1, LINE H(B) LIST OF AFFILIATED ORGANIZATIONS
COMMUNITY INFORMATION - CONTINUED FROM SCHEDULE H- CANCER: CANCER WAS THE SECOND LEADING CAUSE OF DEATH IN WORCESTER COUNTY IN 2008. (SOURCE: MASSACHUSETTS DEPARTMENT OF PUBLIC HELATH/MASSCHIP; DALE MAGEE, COMMISSIONER, WORCESTER DEPARTMENT OF PUBLIC HEALTH, HEALTH OF WORCESTER, 2011 REPORT.) OF THOSE DEATHS, LUNG CANCER ACCOUNTED FOR THE GREATEST PERCENTAGE OF CANCER-RELATED DEATHS. KEY HEALTH OBSERVATIONS IN CENTRAL MASSACHUSETTS FROM REGIONAL HEALTH FORUMS IN 2011: -RACIAL AND ETHNIC DISPARITIES ARE MAJOR FACTORS: -HEALTH DISPARITIES IDENTIFIED AMONG LATINO AND BLACK POPULATIONS ACROSS SEVERAL INDICATORS ARE A MAJOR CONCERN -OVERWEIGHT/ OBESITY IS AN INCREASING HEALTH RISK THAT CONTRIBUTES TO RISING DIABETES INCIDENCE -THE PREVALENCE OF DIABETES AMONG WORCESTER COUNTY RESIDENTS IS SLIGHTLY LOWER THAN THE STATE AS A WHOLE. HOWEVER, DIABETES IS MORE PREVALENT AMONG BLACK AND HISPANIC POPULATIONS AND THOSE 65 YEARS OLD AND OVER. -HEART DISEASE IN THE CENTRAL MASSACHUSETTS REGION IS MORE PREVALENT AMONG MALES AND HISPANIC AND LOWER-INCOME POPULATIONS. OVERALL RATES FOR HEART DISEASE IN WORCESTER COUNTY AND THE STATE ARE LOWER THAN THE NATIONAL MEDIAN. -IN WORCESTER COUNTY, SMOKING IS MOST PREVALENT AMONG YOUNG ADULTS AND LOW INCOME RESIDENTS AND AT RATES SIGNIFICANTLY HIGHER THAN THE STATE AS A WHOLE AMONG THOSE GROUPS. -PREVALENCE OF CHRONIC DISEASE AND RISKY BEHAVIORS SUCH AS SMOKING OCCUR AT HIGHER RATES AMONG THOSE WITH LESS THAN A HIGH SCHOOL DEGREE AND LOWER EDUCATIONAL ATTAINMENT. -ACCORDING TO THE WORCESTER POLICE DEPARTMENT, THE CITY OF WORCESTER HAS MORE THAN 60 GANGS CONCENTRATED IN LOW INCOME NEIGHBORHOODS. PROGRAMS THAT ADDRESS YOUTH VIOLENCE PREVENTION ARE VITAL TO ADDRESSING THIS CRITICAL PUBLIC HEALTH ISSUE, PARTICULARLY AMONG INNER-CITY, AT-RISK YOUTH. IN PARTICULARLY, YOUTH HAVE IDENTIFIED HAVING JOBS AND WORKFORCE OPPORTUNITIES, SUCH AS INTERN AND MENTORSHIP PROGRAMS AS A KEY MEANS OF PREVENTING VIOLENCE AND GANG INVOLVEMENT AMONG YOUTH. EMPLOYMENT OPPORTUNITIES ADDITIONALLY PROVIDE NEEDED FINANCES FOR LOW-INCOME YOUTH AS WELL AS EXPOSURE TO THE POSITIVE EXPERIENCE OF EARNING A PAYCHECK TO HELP BREAK THE CYCLE AND MINSETS OF POVERTY. WORCESTER COUNTY'S RESIDENTS ARE DISPROPORTIONATELY AFFECTED BY: -OBESITY/ OVERWEIGHT -INFANT MORTALITY RATES FOR BLACKS AND LATINOS (PARTICULARLY IN THE CITY OF WORCESTER) -SMOKING RATES -AIDS/ HIV AND HEPATITIS C (PARTICULARLY IN THE CITIES OF WORCESTER AND FITCHBURG) -HEROIN/ OPIODS-RELATED INCIDENTS AND DEATHS (PARTICULARLY IN THE CITIES OF WORCESTER AND FITCHBURG) -REPORTED CASES OF CHLAMYDIA INFECTION HAS BEEN INCREASING DRAMATICALLY OVER THE PAST DECADE, DUE PARTLY TO SUCCESSFUL SCREENING OF ASYMPTOMATIC INDIVIDUALS. -THE CITY OF WORCESTER IS A LEADING RESETTLEMENT SITE FOR REFUGEES. THIS GROWING DIVERSITY HAS BROADENED THE NEED FOR INTERPRETER SERVICES FOR MEDICAL CARE. IN ITS FISCAL YEAR 2011, UMASS MEMORIAL HEALTH CARE DELIVERED 122,963 DOCUMENTED INTERPRETATIONS FOR MEDICAL SERVICES IN OVER 87 LANGUAGES. HEALTH CARE SAFETY NET - UMASS MEMORIAL PROVIDES CARE TO THE LARGEST NUMBER OF LOW INCOME PATIENTS IN THE REGION. SCHEDULE H PART III, LINE 2: A COST TO CHARGE RATIO AS DESCRIBED IN PART I, LINE 7 WAS APPLIED TO THE ORGANIZATION'S BAD DEBT EXPENSE WHICH WAS THEN FURTHER REDUCED BY PAYMENTS FROM THE HEALTH SAFETY NET RELATED TO FREE CARE.SCHEDULE H, PART VI - SUPPLEMENTAL INFORMATION - CONTINUED

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
326 NICHOLS ROADFITCHBURGMA01420042560754REAL ESTATE MANAGEMENTMA501( C)(2)N/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 MRI OF MARLBOROUGH LLC
157 UNION STREETMARLBOROUGHMA01752202293995MAGNETIC RESONANCE IMAGINGMARELATED577331345122000.56000MARLBOROUGH HOSPITAL
UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC
60 HOSPITAL ROADLEOMINSTERMA01453043561571MAGNETIC RESONANCE IMAGINGMAN/ARELATED8933481038505000.60000

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD
PO BOX 1051 GTGRAND CAYMANCJ980226143INSURANCECJN/AC262621971369084321.00000
MEMORIAL OFFICE CONDOMINIUM TRUST
046616900CONDOMINIUM ASSOCIATIONT-55721446530.53690328 SHREWSBURY STREETWORCESTERMA01604MAUMASS MEMORIAL MEDICAL CENTER INC
BIO-LAB INC
042708828CLINICAL LABORATORYS36461011425771.00000215 WEST STREETMILFORDMA01757MAUMASS MEMORIAL HEALTH VENTURES INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (25 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
L24975900FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
B7604048FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
N1122757FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
Q3492031FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
L4153854FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
N708425FAIR VALUE
WING MEMORIAL HOSPITAL CORPORATION
Q300000FAIR VALUE
UMASS MEMORIAL REALTY INC
J4100255FAIR VALUE
UMASS MEMORIAL FOUNDATION
O1602995FAIR VALUE
COMMUNITY HEALTHLINK INC
Q183320FAIR VALUE
UMASS MEMORIAL HEALTH VENTURES INC
P349572FAIR VALUE
UMASS MEMORIAL LABORATORIES INC
P2929357FAIR VALUE
UMASS MEMORIAL REALTY INC
P361772FAIR VALUE
MARLBOROUGH HOSPITAL
P1825219FAIR VALUE
THE CLINTON HOSPITAL ASSOCIATION
P1322285FAIR VALUE
WING MEMORIAL HOSPITAL CORPORATION
P1787422FAIR VALUE
WING MEMORIAL HOSPITAL CORPORATION
N100927FAIR VALUE
CENTRAL NEW ENGLAND HEALTH ALLIANCE INC
P2944509FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
P130821745FAIR VALUE
UMASS MEMORIAL MEDICAL GROUP INC
P34322803FAIR VALUE
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER INC
P130896FAIR VALUE
COMMUNITY HEALTHLINK INC
P606632FAIR VALUE
COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD
P21839224FAIR VALUE
UMASS MEMORIAL LABORATORIES INC
R20014610FAIR VALUE
UMASS MEMORIAL MEDICAL CENTER INC
C6202000FAIR VALUE

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