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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-06T14:44:10-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FEELEY & DRISCOLL PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 PORTLAND STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 912155626 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UMASS MEMORIAL HEALTH CARE INC | BusinessNameLine1 |
| Business Name Line2 | & AFFILIATES - GROUP RETURN | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UMAS | NameControl |
| Phone | 5088561104 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 328 SHREWSBURY STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01604 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TODD A KEATING | Name |
| Title | TREASURER/CFO | Title |
| Phone | 5088561104 | Phone |
| Date Signed | 2012-07-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALAN GAROFALO | Name |
| Phone | 6177427788 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TODD A KEATING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 328 SHREWSBURY STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2892357181 | GrossReceipts |
| Group Return For Affiliates | 1 | GroupReturnForAffiliates |
| All Affiliates Included | 1 | AllAffiliatesIncluded |
| Group Exemption Number | 3642 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.UMASSMEMORIAL.ORG | WebSite |
| Activity Or Mission Description | UMASS 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 Body | 204 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 108 | NbrIndependentVotingMembers |
| Total Nbr Employees | 16705 | TotalNbrEmployees |
| Total Nbr Volunteers | 1323 | TotalNbrVolunteers |
| Total Gross UBI | 41960974 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 15161118 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 15191447 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2521334903 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2528300113 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 8545452 | InvestmentIncomePriorYear |
| Investment Income Current Year | 18774670 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 49436143 | OtherRevenuePriorYear |
| Other Revenue Current Year | 51218788 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2594477616 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2613485018 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2060000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2064000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1173766137 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1213599587 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 2082186 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 1602995 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 2542608 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1350886524 | OtherExpensePriorYear |
| Other Expenses Current Year | 1351659364 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2528794847 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2568925946 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 65682769 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 44559072 | RevenuesLessExpensesCY |
| Total Assets BOY | 1964348828 | TotalAssetsBOY |
| Total Assets EOY | 1872279772 | TotalAssetsEOY |
| Total Liabilities BOY | 1317539288 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1275306773 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 646809540 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 596972999 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | UMASS 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1081573856 | Expense |
| Grants | 2000000 | Grants |
| Revenue | 1320415698 | Revenue |
| Description | UMASS 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: 140,915 | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 419336379 | Expense |
| Revenue | 451247651 | Revenue |
| Description | UMASS 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 298183721 | Expense |
| Revenue | 351248326 | Revenue |
| Description | UMASS 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: 125,706 | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 349400251 | Expense |
| Grants | 64000 | Grants |
| Revenue | 405388438 | Revenue |
| Description | OTHER 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 349400251 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 64000 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 405388438 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 2148494207 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1798 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 16705 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 204 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 108 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT FELDMANN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5088561104 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 328 SHREWSBURY STREET | AddressLine1 |
| City | WORCESTER | City |
| State | MA | State |
| ZIP Code | 01604 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (167 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| ANDRIENI JULIA MD | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 31.00 | X | 307606 | 0 | 21832 | ||||
| ARONSON MICHAEL P MD | |||||||||
| DIRECTOR, UNTIL 6/2011, UMASS MEMORIAL HEALTH CARE | 25.00 | X | 48299 | 0 | 13705 | ||||
| AROUS ELIAS J MD | |||||||||
| DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR | 32.00 | X | 602908 | 0 | 35594 | ||||
| AYERS DAVID MD | |||||||||
| DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR | 33.00 | X | 543086 | 0 | 38299 | ||||
| BAGLEY PETER H MD | |||||||||
| CHAIRPERSON,UNTIL 6/21/11, UMASS MEMORIAL MEDICAL | 27.00 | X | 443075 | 0 | 105522 | ||||
| BROWN ALAN P MD | |||||||||
| DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR | 31.00 | X | 161221 | 0 | 30694 | ||||
| CARLUCCI DANIEL MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 32.00 | X | 302316 | 0 | 39548 | ||||
| CAVAGNARO CHARLES III MD | |||||||||
| PRESIDENT, WING MEMORIAL HOSPITAL | 40.00 | X | 384679 | 0 | 151941 | X | |||
| CHANDLER WILLIS | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 40.00 | X | 331428 | 0 | 72205 | ||||
| CHESHIRE BRYAN MD | |||||||||
| DIRECTOR, UNTIL 12/31/10, MARLBOROUGH HOSPITAL | 35.00 | X | 235350 | 0 | 14197 | ||||
| CIRILLO BETTYANN MD | |||||||||
| DIRECTOR, UNTIL 2/10, COORDINATED PRIMARY CARE, IN | 40.00 | X | 254436 | 0 | 28646 | ||||
| COFONE MICHAEL J | |||||||||
| TREASURER, DIRECTOR, CENTRAL NEW ENGLAND HEALTHALL | 40.00 | X | 380572 | 0 | 24668 | X | |||
| CORBETT WILLIAM MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 40.00 | X | 373194 | 0 | 72861 | ||||
| DALY SHEILA | |||||||||
| PRESIDENT, DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 40.00 | X | 252122 | 0 | 109017 | X | |||
| FELICE MARIANNE E MD | |||||||||
| DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR | 22.00 | X | 218554 | 0 | 44837 | ||||
| FERGUSON R KEVIN MD | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 40.00 | X | 227930 | 0 | 33710 | ||||
| FERRUCCI JOSEPH MD | |||||||||
| DIRECTOR, CMMIC, INC. | 24.00 | X | 389910 | 0 | 37562 | ||||
| GUNDERSEN JASON MD | |||||||||
| DIRECTOR, UNTIL 12/10/10, MARLBOROUGH HOSPITAL | 40.00 | X | 385933 | 0 | 22411 | ||||
| KAUR SHUBJEET MD | |||||||||
| DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR | 27.00 | X | 293499 | 0 | 38299 | ||||
| KEATING TODD A | |||||||||
| TREASURER & CFO, DIRECTOR, UMASS MEMORIAL HEALTH C | 40.00 | X | 617471 | 0 | 199171 | X | |||
| KENNEDY KATHRYN MD | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 36.00 | X | 270678 | 0 | 37468 | ||||
| LAPIDAS GARY N | |||||||||
| PRESIDENT, DIRECTOR, UMASS MEMORIAL HEALTH VENTURE | 40.00 | X | 475940 | 0 | 171080 | X | |||
| LASSER DANIEL H MD | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 20.00 | X | 308105 | 0 | 164460 | ||||
| LINDHOLM MARY S MD | |||||||||
| DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR | 36.00 | X | 133329 | 0 | 30773 | ||||
| MAGUIRE DAVID L MD | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 40.00 | X | 240987 | 0 | 9898 | ||||
| MANNING GORDON MD | |||||||||
| DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR | 40.00 | X | 188038 | 0 | 54937 | ||||
| MATTA LALITA MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 40.00 | X | 27195 | 0 | 1618 | ||||
| MESSINA LOUIS MD | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 36.00 | X | 501354 | 0 | 35594 | ||||
| MULDOON PATRICK L | |||||||||
| PRESIDENT, DIRECTOR, CENTRAL NEW ENGLAND HEALTHALL | 40.00 | X | 496989 | 0 | 156879 | X | |||
| O'BRIEN JOHN G | |||||||||
| PRESIDENT & CEO, DIRECTOR, UMASS MEMORIAL HEALTH C | 40.00 | X | 1340405 | 0 | 997518 | X | |||
| OKIKE O NSIDINANYA MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 40.00 | X | 361231 | 0 | 55729 | ||||
| O'LEARY DANIEL MD | |||||||||
| DIRECTOR, COORDINATED PRIMARY CARE, INC. | 40.00 | X | 56103 | 0 | 484 | ||||
| PAPPAS ARTHUR MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HOSPITALS, INC. | 16.00 | X | 13386 | 0 | 25818 | ||||
| POLANOWICZ JOHN | |||||||||
| PRESIDENT, UNTIL 5/6/11, MARLBOROUGH HOSPITAL | 40.00 | X | 358599 | 0 | 116659 | X | |||
| POWER DIANE MD | |||||||||
| DIRECTOR, UNTIL 9/30/10, CENTRAL NEW ENGLAND HEALT | 40.00 | X | 255402 | 0 | 31784 | ||||
| SLAYTON VAL MD | |||||||||
| DIRECTOR, UNTIL 7/28/10, COORDINATED PRIMARY CARE, | 40.00 | X | 443198 | 0 | 16816 | ||||
| SOAR BART MD | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 40.00 | X | 168782 | 0 | 17177 | ||||
| SWENSON DANA | |||||||||
| DIRECTOR, UMASS MEMORIAL REALTY, INC. | 40.00 | X | 287350 | 0 | 107313 | ||||
| TOSI STEPHEN E MD | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 40.00 | X | 763459 | 0 | 83566 | ||||
| UMANZOR RENE M MD | |||||||||
| DIRECTOR, UNTIL 9/2011, WING MEMORIAL HOSPITAL | 36.00 | X | 220299 | 0 | 30789 | ||||
| VOLTURO GREGORY MD | |||||||||
| DIRECTOR, UNTIL 6/21/11, UMASS MEMORIAL MEDICAL GR | 25.00 | X | 317819 | 0 | 38299 | ||||
| WESOLOWSKI PAUL | |||||||||
| DIRECTOR, COORDINATED PRIMARY CARE, INC. | 40.00 | X | 170078 | 0 | 18989 | ||||
| ZIEDONIS DOUGLAS MD | |||||||||
| PRESIDENT, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM | 20.00 | X | 218140 | 0 | 37373 | X | |||
| ALLEN GAIL | |||||||||
| DIRECTOR, HEALTH ALLIANCE HOSPITALS, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| ANDERSON ELAINE | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| ANTONIONI ROBERT | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | X | 0 | 0 | 0 | ||||
| BABINEAU ROBERT JR MD | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BENNETT DAVID L | |||||||||
| CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BENNETT RICHARD K | |||||||||
| CHAIRPERSON, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| BERGERON ARTHUR | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| BERKEY DENNIS D | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BERRY SARAH G | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BOUDREAU NORMAN | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BOVENZI LESLIE | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| BUDD JOHN H | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| CARLSON MARY | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| CARROLL BRIAN K | |||||||||
| DIRECTOR, UNTIL 3/2011, UMASS MEMORIAL HEALTH VENT | 1.00 | X | 0 | 0 | 0 | ||||
| CATALINA FERNANDO MD | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| CHERUBINI J PAUL | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | X | 0 | 0 | 0 | ||||
| CHRISTENSEN RONALD | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| CLEMENTI JOHN | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| COLLINS MICHAEL MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| CONNORS MARTIN JR | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| COOLIDGE KATHERINE | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| CORNELL LOIS D | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| CROCKER FREDERICK G | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| D'ALELIO EDWARD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| DAVIS DIX F | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| DELROSARIO GENE MD | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | X | 0 | 0 | 0 | ||||
| DENNEHY RAYMOND III | |||||||||
| DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE, | 1.00 | X | 0 | 0 | 0 | ||||
| DESROCHERS ROLAND | |||||||||
| DIRECTOR, UNTIL 5/12/11, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| DIGERONIMO ARTHUR P JR | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| DITULLIO DANIEL | |||||||||
| DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| DOBECK PAM | |||||||||
| DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| D'ONFRO PAUL | |||||||||
| CHAIRPERSON, CENTRAL NEW ENGLAND HEALTHALLIANCE, I | 1.00 | X | 0 | 0 | 0 | ||||
| FERRIS CORNELIUS A | |||||||||
| DIRECTOR, UNTIL 2/11/11, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| FITCH ROGER | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | X | 0 | 0 | 0 | ||||
| FLOTTE TERENCE MD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| GIBLIN DAVID R | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| GRAY JENNIFER | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | X | 0 | 0 | 0 | ||||
| GREGORIUS PATRICK | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| HAVELES ROBERT | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| HENEBRY CLARK | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | X | 0 | 0 | 0 | ||||
| HEWITT FRANK | |||||||||
| DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| HOLLISTER MATT | |||||||||
| FIRST VICE PRESIDENT, CLINTON HOSPITAL FOUNDATION, | 1.00 | X | 0 | 0 | 0 | ||||
| JACOBSON M HOWARD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| JEFFERSON PHILIP W JR | |||||||||
| DIRECTOR, UNTIL 12/17/10, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| JOHNSON JOANNE | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | X | 0 | 0 | 0 | ||||
| KAPLAN DANIEL | |||||||||
| DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| KATSOUNAKIS THEA | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| KELLEHER WILLIAM D JR | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| LENHARDT STEPHEN W SR | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| LYONS CYNTHIA | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| LYONS MICHAEL MD | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| MACNEILL HARRIS L | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| MANZI EDWARD | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | X | 0 | 0 | 0 | ||||
| MCGRAIL WILLIAM ESQUIRE | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | X | 0 | 0 | 0 | ||||
| MCMAHON RICHARD MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| MCMULLEN CYNTHIA M EDD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| MCNAMARA MARY ELLEN | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| MENDOZA STEVEN | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | X | 0 | 0 | 0 | ||||
| MERCADANTE ANTHONY J | |||||||||
| DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE, | 1.00 | X | 0 | 0 | 0 | ||||
| MITCHELL LINDA | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| MOLLOY ANN K | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| MORRILLY DARLENE | |||||||||
| DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE, | 1.00 | X | 0 | 0 | 0 | ||||
| MURPHY MICHAEL D | |||||||||
| VICE CHAIRPERSON, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| NOONAN EDWARD J | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| PAEN GENARO | |||||||||
| DIRECTOR, CLINTON HOSPITAL FOUNDATION, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| PARRY EDWARD J III | |||||||||
| VICE CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| PAULINO JEANNE | |||||||||
| DIRECTOR, CLINTON HOSPITAL ASSOCIATION | 1.00 | X | 0 | 0 | 0 | ||||
| PEDERSON THORU | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| PEREZ JUDGE LUIS | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| PHANEUF JAMES | |||||||||
| CHAIRPERSON, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| PURCELL PHILIP E | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| RICHER GERALD P | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| RIVARD MICHAEL | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| SCULLY PAUL | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| SEYMOUR-ROUTE PAULETTE PHD | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| SHEA JAMES P | |||||||||
| DIRECTOR, UNTIL 2/15/11, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| SHEA JOHN ESQUIRE | |||||||||
| DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, | 1.00 | X | 0 | 0 | 0 | ||||
| SHELTON R LESLIE MD | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| SIMMONS IRINA | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| ST AMAND JAMES | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| STARR STANLEY B JR | |||||||||
| DIRECTOR, UNTIL 6/11, CLINTON HOSPITAL FOUNDATION, | 1.00 | X | 0 | 0 | 0 | ||||
| STECYK MARKIAN MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| SULLIVAN WILLIAM F SR | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| TAYLOR HARVEY MD | |||||||||
| DIRECTOR, MARLBOROUGH HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| TURLEY PATRICK | |||||||||
| DIRECTOR, WING MEMORIAL HOSPITAL | 1.00 | X | 0 | 0 | 0 | ||||
| WHITNEY MARY | |||||||||
| DIRECTOR, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| WILSON JACK | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| YOUNG LYNDA M | |||||||||
| DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC. | 1.00 | X | 0 | 0 | 0 | ||||
| ALLICON KEARY T | |||||||||
| TREASURER, WING MEMORIAL HOSPITAL | 40.00 | 156418 | 0 | 41241 | X | ||||
| BERGAN THOMAS | |||||||||
| PRESIDENT, CMMIC, INC. | 40.00 | 253624 | 0 | 328020 | X | ||||
| BROWN DOUGLAS S | |||||||||
| SECRETARY, UMASS MEMORIAL HEALTH CARE, INC. | 40.00 | 501307 | 0 | 135994 | X | ||||
| D'AMBRA ANN-MARIA | |||||||||
| SECRETARY, MARLBOROUGH HOSPITAL | 40.00 | 46591 | 0 | 7569 | X | ||||
| DICKSON ERIC MD | |||||||||
| PRESIDENT, UMASS MEMORIAL MEDICAL GROUP, INC. | 40.00 | 407774 | 0 | 94107 | X | ||||
| DION JEFFREY | |||||||||
| TREASURER, UNTIL 9/9/11, MARLBOROUGH HOSPITAL | 40.00 | 177568 | 0 | 44986 | X | ||||
| EKSTROM DEBORAH | |||||||||
| PRESIDENT, COMMUNITY HEALTHLINK, INC. | 40.00 | 253325 | 0 | 116023 | X | ||||
| FELDMANN ROBERT | |||||||||
| TREASURER, UMASS MEMORIAL LABORATORIES, INC. | 40.00 | 328411 | 0 | 144011 | X | ||||
| FRAKER MURIEL E ESQUIRE | |||||||||
| SECRETARY, UMASS MEMORIAL MEDICAL GROUP, INC. | 40.00 | 172636 | 0 | 78841 | X | ||||
| MCCUE STEVEN | |||||||||
| TREASURER, CLINTON HOSPITAL ASSOCIATION | 40.00 | 160622 | 0 | 28032 | X | ||||
| MILLER LAUREN B | |||||||||
| SECRETARY, WING MEMORIAL HOSPITAL | 40.00 | 77476 | 0 | 11579 | X | ||||
| MORABITO NANCY E | |||||||||
| SECRETARY, CLINTON HOSPITAL ASSOCIATION | 40.00 | 57348 | 0 | 1338 | X | ||||
| MORIN LYNN A | |||||||||
| SECRETARY, CENTRAL NEW ENGLAND HEALTHALLIANCE, INC | 40.00 | 78034 | 0 | 7210 | X | ||||
| O'BRIEN WILLIAM H | |||||||||
| SECRETARY, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM | 40.00 | 110650 | 0 | 53033 | X | ||||
| SMITH FRANCIS W | |||||||||
| CLERK, UMASS MEMORIAL HEALTH VENTURES, INC. | 40.00 | 179097 | 0 | 50558 | X | ||||
| STREETER MICHELE M | |||||||||
| TREASURER, UMASS MEMORIAL MEDICAL GROUP, INC. | 40.00 | 357332 | 0 | 116926 | X | ||||
| BLUTE MICHAEL | |||||||||
| DIRECTOR, CANCER CENTER OF EXCELLENCE | 40.00 | 524834 | 0 | 75444 | X | ||||
| BRENCKLE GEORGE PHD | |||||||||
| SR. VP, CHIEF INFORMATION OFFICER | 40.00 | 383725 | 0 | 119808 | X | ||||
| DALEY JENNIFER MD | |||||||||
| EXECUTIVE VP, CHIEF OPERATING OFFICER | 40.00 | 424921 | 0 | 59872 | X | ||||
| DIAMOND VICTORIA | |||||||||
| SR. VP, OPERATIONS | 40.00 | 321806 | 0 | 121220 | X | ||||
| ETTINGER WALTER H MD | |||||||||
| PRESIDENT - MEDICAL CENTER | 40.00 | 920700 | 0 | 299452 | X | ||||
| FISHER BARBARA | |||||||||
| SR. VP, OPERATIONS | 40.00 | 317118 | 0 | 105356 | X | ||||
| HYLKA SHARON | |||||||||
| SR. VP, HOSPITAL ADMIN. | 40.00 | 392709 | 0 | 241101 | X | ||||
| KLUGMAN ROBERT MD | |||||||||
| CHIEF QUALITY OFFICER | 40.00 | 502672 | 0 | 242845 | X | ||||
| KRUGER NANCY | |||||||||
| SR. VP, CHIEF NURSING OFFICER | 40.00 | 419715 | 0 | 68373 | X | ||||
| PHILLIPS ROBERT A | |||||||||
| MED DIR, HEART & VASCULAR COE | 40.00 | 799751 | 0 | 238506 | X | ||||
| RANDOLPH JOHN T | |||||||||
| VP, CHIEF COMPLIANCE OFFICER | 40.00 | 234335 | 0 | 138086 | X | ||||
| WEBB PATRICIA | |||||||||
| SR. VP, CHIEF HR OFFICER, UNTIL 1/2/11 | 40.00 | 417377 | 0 | 113889 | X | ||||
| ANDERSON MILTON C | |||||||||
| SR. VP, CHIEF OF HR | 40.00 | 0 | 0 | 0 | X | ||||
| FAIRCHILD DAVID MD | |||||||||
| SR. VP, CLINICAL INTEGRATION | 40.00 | 0 | 0 | 0 | X | ||||
| MAYKEL JUSTIN MD | |||||||||
| PHYSICIAN, CHIEF OF COLORECTAL SURGERY - MED GROUP | 30.00 | 562589 | 0 | 34857 | X | ||||
| BUSCONI BRIAN D MD | |||||||||
| PHYSICIAN, DIVISION CHIEF OF ORTHOPEDICS - MED GRO | 33.00 | 545085 | 0 | 35594 | X | ||||
| ZIVNY JAROSLAV MD | |||||||||
| PHYSICIAN, DIRECTOR OF GASTROENTEROLOGY - MED GROU | 33.00 | 543818 | 0 | 40465 | X | ||||
| MALONEY MARY E MD | |||||||||
| PHYSICIAN, CHIEF OF DERMATOLOGY - MED GROUP | 30.00 | 513877 | 0 | 35594 | X | ||||
| LEVEY JOHN MD | |||||||||
| PHYSICIAN, CLINICAL CHIEF OF GASTROENTEROLOGY - ME | 30.00 | 505207 | 0 | 35594 | X | ||||
| WARRING WENDY | |||||||||
| FORMER EXECUTIVE VICE PRESIDENT, UNTIL 9/1/06 | 0.00 | 117663 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 26136570 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 6641264 | TotalOtherCompensation |
| Number Individuals GT100 K | 2330 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ACS CORPORATE HEADQUARTERS | |||||
| 2828 NORTH HASKELL | DALLAS | TX | 75204 | I/S MANAGEMENT SERVICES | 21418985 |
| ARUP LABORATORIES INC | |||||
| PO BOX 27964 | SALT LAKE CITY | UT | 84127 | LAB SERVICES | 5768884 |
| WOOD ART EXHIBIT GROUP | |||||
| 424 MAIN STREET | CHERRY VALLEY | MA | 01611 | SEE SCHEDULE O - FOOTNOTE A | 5183984 |
| MORRISON MANAGEMENT SPECIALISTS | |||||
| PO BOX 102289 | ATLANTA | GA | 303682289 | FOOD SERVICES | 4624062 |
| ANGELICA CORPORATION | |||||
| PO BOX 823283 | PHILADELPHIA | PA | 191823283 | LINEN SERVICES | 3787261 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 180 | NumberOfContractorsGT100K |
| Fundraising Events | 777636 | FundraisingEvents |
| Related Organizations | 598558 | RelatedOrganizations |
| Government Grants | 6203999 | GovernmentGrants |
| All Other Contributions | 7611254 | AllOtherContributions |
| Noncash Contributions | 64355 | NoncashContributions |
| Total Contributions | 15191447 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| NET PATIENT SERVICE RE | 900099 | 1840791013 | 1840791013 | |
| SPECIAL MEDICAID PAYME | 900099 | 187999996 | 187999996 | |
| AFFILIATE RELATED PROG | 900099 | 169788329 | 169788329 | |
| OTHER PSR & JV | 900099 | 165585106 | 164289852 | $1,295,254 |
| SYSTEM ALLOCATION REVE | 900099 | 142966270 | 142966270 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21169399 | TotalRevenueColumn |
| Related Or Exempt Function Income | 21169399 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2528300113 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11942604 | TotalRevenueColumn |
| Unrelated Business Revenue | 25290 | UnrelatedBusinessRevenue |
| Exclusion | $11,917,314 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 71662 | TotalRevenueColumn |
| Exclusion | $71,662 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2378324 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1200812 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1177512 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1177512 | TotalRevenueColumn |
| Exclusion | $1,177,512 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 282509740 | Securities |
| Other | 1557654 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 275928808 | Securities |
| Other | 1306520 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6580932 | Securities |
| Other | 251134 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6832066 | TotalRevenueColumn |
| Exclusion | $6,832,066 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 358183 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 777636 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 436023 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -77840 | TotalRevenueColumn |
| Exclusion | -$77,840 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| LAB OUTREACH PROGRAM & | 621500 | 42167106 | 231422 | 41935684 | |
| OTHER REVENUE | 900099 | 3548501 | 2124287 | $1,424,214 | |
| 1500 MD BILLING | 900099 | 2384437 | $2,384,437 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1947410 | TotalRevenueColumn |
| Exclusion | $1,947,410 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 50047454 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2613485018 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2529360568 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 41960974 | UnrelatedBusinessRevenue |
| Exclusion | $26,972,029 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2000000 | Total |
| Program Services | 2000000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64000 | Total |
| Program Services | 64000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28988507 | Total |
| Program Services | 14008969 | ProgramServices |
| Management And General | 14979538 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 918429133 | Total |
| Program Services | 793550260 | ProgramServices |
| Management And General | 124476661 | ManagementAndGeneral |
| Fundraising | 402212 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71854300 | Total |
| Program Services | 60715249 | ProgramServices |
| Management And General | 11132556 | ManagementAndGeneral |
| Fundraising | 6495 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130645800 | Total |
| Program Services | 109744593 | ProgramServices |
| Management And General | 20864692 | ManagementAndGeneral |
| Fundraising | 36515 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63681847 | Total |
| Program Services | 54487853 | ProgramServices |
| Management And General | 9174227 | ManagementAndGeneral |
| Fundraising | 19767 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 562607 | Total |
| Program Services | 73234 | ProgramServices |
| Management And General | 489373 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3793747 | Total |
| Program Services | 571452 | ProgramServices |
| Management And General | 3222295 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 965000 | Total |
| Management And General | 965000 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1752623 | Total |
| Program Services | 1752623 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1602995 | Total |
| Fundraising | 1602995 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 768878 | Total |
| Management And General | 768878 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132487949 | Total |
| Program Services | 120271404 | ProgramServices |
| Management And General | 11957372 | ManagementAndGeneral |
| Fundraising | 259173 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1985045 | Total |
| Program Services | 1512107 | ProgramServices |
| Management And General | 409049 | ManagementAndGeneral |
| Fundraising | 63889 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41678458 | Total |
| Program Services | 29054761 | ProgramServices |
| Management And General | 12574986 | ManagementAndGeneral |
| Fundraising | 48711 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38648455 | Total |
| Program Services | 38049968 | ProgramServices |
| Management And General | 598132 | ManagementAndGeneral |
| Fundraising | 355 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87222157 | Total |
| Program Services | 72249650 | ProgramServices |
| Management And General | 14954203 | ManagementAndGeneral |
| Fundraising | 18304 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4045991 | Total |
| Program Services | 3921795 | ProgramServices |
| Management And General | 121582 | ManagementAndGeneral |
| Fundraising | 2614 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1676552 | Total |
| Program Services | 1437956 | ProgramServices |
| Management And General | 236275 | ManagementAndGeneral |
| Fundraising | 2321 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18123942 | Total |
| Program Services | 17342689 | ProgramServices |
| Management And General | 781253 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85518258 | Total |
| Program Services | 67290720 | ProgramServices |
| Management And General | 18220463 | ManagementAndGeneral |
| Fundraising | 7075 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55999861 | Total |
| Program Services | 53602791 | ProgramServices |
| Management And General | 2395708 | ManagementAndGeneral |
| Fundraising | 1362 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PURCHASED SERVICES | 268037051 | 209848591 | 58185392 | 3068 |
| MEDICAL SUPPLIES | 211608103 | 177418894 | 34189209 | |
| SYSTEM OVERHEAD ACTIVIT | 157704222 | 87656573 | 70046003 | 1646 |
| MEDICAL EDUCATION SERVI | 137269837 | 137269837 | ||
| BAD DEBTS | 69844277 | 69844277 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31966351 | Total |
| Program Services | 24753961 | ProgramServices |
| Management And General | 7146284 | ManagementAndGeneral |
| Fundraising | 66106 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2568925946 | Total |
| Program Services | 2148494207 | ProgramServices |
| Management And General | 417889131 | ManagementAndGeneral |
| Fundraising | 2542608 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76105323 | BOY |
| EOY | 121731059 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 157081704 | BOY |
| EOY | 176798916 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3487300 | BOY |
| EOY | 2155912 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 248778348 | BOY |
| EOY | 233992397 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4888284 | BOY |
| EOY | 4471041 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22721737 | BOY |
| EOY | 31891970 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21961266 | BOY |
| EOY | 22550727 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24952745 | BOY |
| EOY | 22763905 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1558504273 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 879633005 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 662475699 | BOY |
| EOY | 678871268 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 380412217 | BOY |
| EOY | 377356855 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122472718 | BOY |
| EOY | 127541059 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12020740 | BOY |
| EOY | 12255179 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 657706 | BOY |
| EOY | 631776 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 226333041 | BOY |
| EOY | 59267708 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1964348828 | BOY |
| EOY | 1872279772 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 263376871 | BOY |
| EOY | 274942645 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4075556 | BOY |
| EOY | 5054227 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 395209096 | BOY |
| EOY | 379318376 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46412288 | BOY |
| EOY | 51682999 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22615340 | BOY |
| EOY | 19023486 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 585850137 | BOY |
| EOY | 545285040 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1317539288 | BOY |
| EOY | 1275306773 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500785067 | BOY |
| EOY | 461765636 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69497127 | BOY |
| EOY | 58913271 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76527346 | BOY |
| EOY | 76294092 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 646809540 | BOY |
| EOY | 596972999 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1964348828 | BOY |
| EOY | 1872279772 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 44559072 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -94395613 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $864,640 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $887,983 | RalliesDemonstrationsAmount |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 1752623 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 104017758 | BeginningOfYearBalance |
| Contributions | 316330 | Contributions |
| Investment Earnings Or Losses | -2402463 | InvestmentEarningsOrLosses |
| Other Expenditures | 3636662 | OtherExpenditures |
| End Of Year Balance | 98294963 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 98561352 | BeginningOfYearBalance |
| Contributions | 1245442 | Contributions |
| Investment Earnings Or Losses | 5785214 | InvestmentEarningsOrLosses |
| Other Expenditures | 1574250 | OtherExpenditures |
| End Of Year Balance | 104017758 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 97341571 | BeginningOfYearBalance |
| Contributions | 172660 | Contributions |
| Investment Earnings Or Losses | 510787 | InvestmentEarningsOrLosses |
| Other Expenditures | -536334 | OtherExpenditures |
| End Of Year Balance | 98561352 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.78000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.22000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7746102 | OtherCostOrOtherBasis |
| Book Value | 7746102 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 802821590 | OtherCostOrOtherBasis |
| Depreciation | 422427040 | Depreciation |
| Book Value | 380394550 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 34398186 | OtherCostOrOtherBasis |
| Depreciation | 18803126 | Depreciation |
| Book Value | 15595060 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 631951201 | OtherCostOrOtherBasis |
| Depreciation | 432092227 | Depreciation |
| Book Value | 199858974 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 81587194 | OtherCostOrOtherBasis |
| Depreciation | 6310612 | Depreciation |
| Book Value | 75276582 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 678871268 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (13 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| TIFF ABSOLUTE RETURN POOL (6,291 SHARES) | 21563639 | F |
| TIFF PRIVATE EQUITY PARTNERS 2006 (2,590,699 SHARES) | 2590699 | F |
| FRANK RUSSELL GLOBAL PRIVATE EQUITY FUND (977,448 SHARES) | 977448 | F |
| GMO MULTI-STRATEGY FUND (OFFSHORE) LP (12,177,685 SHARES) | 12177685 | F |
| BENEFICIAL INTEREST IN TRUSTS | 66905446 | F |
| AETOS CAPITAL LONG/SHORT STRATEGIES (79,905 SHARES) | 7498098 | F |
| AETOS CAPITAL DISTRESSED INV STRATEGIES (26,692 SHARES) | 3098685 | F |
| AETOS CAPITAL MULTI-STRATEGY ARBITRAGE (27,019 SHARES) | 2787758 | F |
| MPPLTD/PORTFOLIO CLASS A (4,954 SHARES) | 455942 | F |
| TIFF ABSOLUTE RETURN POOL CLASS C (3,871 SHARES) | 6165561 | F |
| MET WEST ENHANCED TALF STRATEGY FUND (3,209,248 SHARES) | 3209248 | F |
| INCOME RESEARCH AND MGMT (LB HOLDINGS) (200,000 SHARES) | 32000 | F |
| INCOME RESEARCH AND MGMT (LB HOLDINGS) (415,000 SHARES) | 78850 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 127541059 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (14 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 545285040 | TotalOfAmounts |
| Total Revenue | 2613485018 | TotalRevenue |
| Total Expenses | 2568925946 | TotalExpenses |
| Excess Or Deficit For Year | 44559072 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -19474382 | NetUnrealizedGLOnInvestments |
| Other | -$74,921,231 | OtherAmount |
| Total Adjustments | -94395613 | TotalAdjustments |
| Excess Or Deficit Per FS | -49836541 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 0 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
Name Of Organization NameOfOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UMASS MEMORIAL FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 SOUTH STREET | AddressLine1 |
| City | SHREWSBURY | City |
| State | MA | State |
| ZIP Code | 01545 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | FUNDRAISING | Activity |
| Fundraiser Control Of Funds | 1 | FundraiserControlOfFunds |
| Gross Receipts | 5665576 | GrossReceipts |
| Amount Retained By Contractor | 1602995 | AmountRetainedByContractor |
| Net To Organization | 4062581 | NetToOrganization |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 5665576 | TotalGrossReceipts |
| Total Retained By Contractors | 1602995 | TotalRetainedByContractors |
| Total Net To Organization | 4062581 | TotalNetToOrganization |
| Licensed States | MA | LicensedStates |
| Licensed States | NH | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | HOSP GOLF TRNM | NameOfEvent1 |
| Gross Receipts Event1 | 288514 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 190007 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 98507 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 29279 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 116254 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 10318 | OtherDirectExpensesEvent1 |
| Name Of Event2 | WINTER BALL | NameOfEvent2 |
| Gross Receipts Event2 | 277825 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 204994 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 72831 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 72831 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 11 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 569480 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 382635 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 186845 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 15848 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 51814 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 12342 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 2200 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 125137 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 1135819 | GrossReceiptsTotal |
| Charitable Contributions Total | 777636 | CharitableContributionsTotal |
| Gross Revenue Total Events | 358183 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 45127 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 168068 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 12342 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 2200 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 208286 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 436023 | DirectExpenseSummaryEvents |
| Net Income Summary | -77840 | NetIncomeSummary |
Form990 Schedule G Part IV Form990ScheduleGPartIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I, LINE 2B; COLUMN (III) | PART I, LINE 2B - FUNDRAISER ADDITIONAL INFORMATION | UMASS MEMORIAL FOUNDATION, INC. IS IDENTIFIED AS THE ADMINISTRATOR OF THE PHILANTHROPIC ACTIVITIES OF THE REPORTING ENTITIES OF UMASS MEMORIAL HEALTH CARE, INC. THIS INCLUDES THE COORDINATION OF ALL CHARITABLE WORK AND THE MANAGEMENT OF OFFICE OPERATIONS TO SUPPORT FUNDRAISING INCLUDING THE FOLLOWING PROCEDURES: 1) ACTIVE DEVELOPMENT WORK 2) DONOR RELATIONS AND COMMUNICATIONS 3) SERVICES TO UMASS MEMORIAL STAFF 4) CONTRIBUTION REPORTS, DONOR RECORD FILES 5) TRANSFER OF CONTRIBUTIONS RECEIVED (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 II | SCHEDULE G - ADDITIONAL INFORMATION | PART 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 600.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 55001985 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20950610 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 34051375 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02100 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 261525939 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 241606541 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19919398 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01230 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37092662 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 35268968 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1823694 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 353620586 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 297826119 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 55794467 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03440 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4050554 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2646887 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1403667 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 190772451 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 128258080 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 62514371 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03860 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 91850494 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 82836487 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9014007 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00560 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4698302 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2066575 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2631727 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 291371801 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 215808029 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 75563772 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04670 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 644992387 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 513634148 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 131358239 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08110 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 16818 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 16818 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 13000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 13000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 19000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 19000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4326 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4326 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 71598 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 71598 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 766955 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 766955 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 892697 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 892697 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $9,422,060 | BadDebtExpenseAmount |
| Amount Attributable To | 1693756 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 357021904 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 383705879 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -26683975 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (10 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | |||
| PROVIDES INSURANCE | 1.00000 | 0.00000 | 0.00000 |
| 2 UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP | |||
| MANAGES POOLED INVESTMENTS | 1.00000 | 0.00000 | 0.00000 |
| 3 UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC | |||
| MAGNETIC RESONANCE IMAGING CENTER | 0.60000 | 0.00000 | 0.00000 |
| 4 UMASS MEMORIAL MRI OF MARLBOROUGH LLC | |||
| MAGNETIC RESONANCE IMAGING CENTER | 0.56000 | 0.00000 | 0.00000 |
| 5 MEMORIAL OFFICE CONDOMINIUM TRUST | |||
| CONDO ASSOCIATION THAT OWNS MEDICAL OFFICE BUILDING | 0.53690 | 0.00000 | 0.00000 |
| 6 UMASS MEMORIAL MRI & IMAGING CENTER LLC | |||
| MAGNETIC RESONANCE IMAGING CENTER | 0.50000 | 0.00000 | 0.00000 |
| 7 NEW ENGLAND REHABILITATION SERVICES OF CENTRAL MASSACHUSETTS INC | |||
| ACUTE CARE REHABILITATION FACILITY | 0.50000 | 0.00000 | 0.00000 |
| 8 BIO LABS INC | |||
| CLINICAL LABORATORY | 1.00000 | 0.00000 | 0.00000 |
| 9 HEALTHALLIANCE WITH PHYSICIANS INC | |||
| PHYSICIAN ALLIANCE | 0.50000 | 0.00000 | 0.00000 |
| 10 SHIELDS IMAGING OF MASSACHUSETTS LLC | |||
| MANAGEMENT COMPANY FOR PET IMAGING | 0.25000 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 5 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Childrens HospitalChildrensHospital | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours |
|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER INC | ||||||||||
| 1 | 55 LAKE AVE 119 BELMONT STREET | WORCESTER | MA | 01605 | X | X | X | X | X | X |
| HEALTHALLIANCE HOSPITAL INC | ||||||||||
| 2 | 60 HOSPITAL ROAD | LEOMINSTER | MA | 01453 | X | X | X | X | ||
| MARLBOROUGH HOSPITAL | ||||||||||
| 3 | 157 UNION STREET | MARLBOROUGH | MA | 01752 | X | X | X | X | ||
| WING MEMORIAL HOSPITAL CORPORATION | ||||||||||
| 4 | 40 WRIGHT STREET | PALMER | MA | 01069 | X | X | X | |||
| CLINTON HOSPITAL ASSOCIATION | ||||||||||
| 5 | 201 HIGHLAND STREET | CLINTON | MA | 01510 | X | X | X | |||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Uninsured DiscountUninsuredDiscount | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Attached To InvoicesAttachedToInvoices | Posted In Emergency RoomPostedInEmergencyRoom | Posted In Admission OfficePostedInAdmissionOffice | Provided On AdmissionProvidedOnAdmission | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Permit Other ActionsPermitOtherActions | Collection ActivitiesCollectionActivities | Other ActionsOtherActions | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Other Actions TakenOtherActionsTaken | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges | Other PublicityOtherPublicity |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL MEDICAL CENTER INC | |||||||||||||||||||||||||||||||
| 1 | 1 | 1 | 200.000000000000 | 1 | 600.000000000000 | 1 | X | X | X | 1 | 1 | X | X | X | X | X | X | 1 | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 | |
| HEALTHALLIANCE HOSPITAL INC | |||||||||||||||||||||||||||||||
| 2 | 1 | 1 | 200.000000000000 | 1 | 600.000000000000 | 1 | X | 1 | 1 | X | X | X | X | 1 | X | 1 | X | X | X | X | X | 1 | X | 0 | 1 | X | |||||
| MARLBOROUGH HOSPITAL | |||||||||||||||||||||||||||||||
| 3 | 1 | 1 | 200.000000000000 | 1 | 600.000000000000 | 1 | X | X | X | 1 | 1 | X | X | X | X | X | X | 1 | X | 1 | X | X | X | X | X | 1 | X | 0 | 1 | ||
| WING MEMORIAL HOSPITAL CORPORATION | |||||||||||||||||||||||||||||||
| 4 | 1 | 1 | 200.000000000000 | 1 | 600.000000000000 | 1 | X | X | X | 1 | 1 | X | X | X | X | X | X | 1 | X | 1 | X | X | X | X | X | 1 | X | 0 | 1 | ||
| CLINTON HOSPITAL ASSOCIATION | |||||||||||||||||||||||||||||||
| 5 | 1 | 1 | 200.000000000000 | 1 | 600.000000000000 | 1 | X | X | X | 1 | 1 | X | X | X | X | X | X | 1 | X | 1 | X | X | X | X | X | 1 | X | 0 | 1 | ||
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 4 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (4 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| UMASS MEMORIAL LABORATORIES | ||||
| BIOTECH ONE 365 PLANTATION STREET | WORCESTER | MA | 01605 | SATELLITE - LAB SERVICES |
| UMASS MEMORIAL MEDICAL CENTER(PATHOLOGY) | ||||
| BIOTECH THREE ONE INNOVATION DRIVE | WORCESTER | MA | 01605 | SATELLITE - PATHOLOGY SERVICES |
| UMASS MEMORIAL MEDICAL CENTER AMBULANCE | ||||
| 23 WELL STREET | WORCESTER | MA | 01604 | SATELLITE - AMBULANCE SERVICES |
| UMASS MEMORIAL MEDICAL CENTER AMBULANCE | ||||
| 100 PROVIDENCE STREET | WORCESTER | MA | 01604 | SATELLITE - AMBULANCE SERVICES |
Form990 Schedule H Part VI Form990ScheduleHPartVI (37 entries)
| ExplanationExplanation | IdentifierIdentifier | Return 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 12 | HEALTHALLIANCE 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. | ||
| MA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC | |||||||
| 19 TACOMA STREET | WORCESTER | MA | 01605 | 042513817 | 501 (C) (3) | 1000000 | SUPPORT FOR HEALTH CENTER'S MISSION |
| FAMILY HEALTH CENTER OF WORCESTER INC | |||||||
| 26 QUEEN STREET | WORCESTER | MA | 01610 | 042485308 | 501 (C) (3) | 1000000 | SUPPORT FOR HEALTH CENTER'S MISSION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 32 | NumberOfRecipients |
| Amount Of Cash Grant | 64000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER INFORMATION: | Identifier |
| Return Reference | PART IV: | ReturnReference |
| Explanation | PART 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (71 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDRIENI JULIA MD | |||||||||||||
| 272341 | 0 | 35244 | 0 | 21 | 0 | 12250 | 0 | 9582 | 0 | 329438 | 0 | 0 | 0 |
| AROUS ELIAS J MD | |||||||||||||
| 571120 | 0 | 31731 | 0 | 57 | 0 | 12250 | 0 | 23344 | 0 | 638502 | 0 | 0 | 0 |
| AYERS DAVID MD | |||||||||||||
| 503029 | 0 | 40000 | 0 | 57 | 0 | 12250 | 0 | 26049 | 0 | 581385 | 0 | 0 | 0 |
| BAGLEY PETER H MD | |||||||||||||
| 235593 | 0 | 207425 | 0 | 57 | 0 | 79473 | 0 | 26049 | 0 | 548597 | 0 | 0 | 0 |
| BROWN ALAN P MD | |||||||||||||
| 152354 | 0 | 8810 | 0 | 57 | 0 | 8343 | 0 | 22351 | 0 | 191915 | 0 | 0 | 0 |
| CARLUCCI DANIEL MD | |||||||||||||
| 277316 | 0 | 25000 | 0 | 0 | 0 | 12250 | 0 | 27298 | 0 | 341864 | 0 | 0 | 0 |
| CAVAGNARO CHARLES III MD | |||||||||||||
| 298335 | 0 | 85767 | 0 | 577 | 0 | 119576 | 0 | 32365 | 0 | 536620 | 0 | 0 | 0 |
| CHANDLER WILLIS | |||||||||||||
| 259168 | 0 | 63078 | 0 | 9182 | 0 | 52398 | 0 | 19807 | 0 | 403633 | 0 | 9182 | 0 |
| CHESHIRE BRYAN MD | |||||||||||||
| 196749 | 0 | 38544 | 0 | 57 | 0 | 11770 | 0 | 2427 | 0 | 249547 | 0 | 0 | 0 |
| CIRILLO BETTYANN MD | |||||||||||||
| 238900 | 0 | 14609 | 0 | 927 | 0 | 4916 | 0 | 23730 | 0 | 283082 | 0 | 0 | 0 |
| COFONE MICHAEL J | |||||||||||||
| 232044 | 0 | 16923 | 0 | 131605 | 0 | 3779 | 0 | 20889 | 0 | 405240 | 0 | 0 | 0 |
| CORBETT WILLIAM MD | |||||||||||||
| 271744 | 0 | 79997 | 0 | 21453 | 0 | 53055 | 0 | 19806 | 0 | 446055 | 0 | 21353 | 0 |
| DALY SHEILA | |||||||||||||
| 198099 | 0 | 53446 | 0 | 577 | 0 | 91325 | 0 | 17692 | 0 | 361139 | 0 | 0 | 0 |
| FELICE MARIANNE E MD | |||||||||||||
| 194497 | 0 | 24000 | 0 | 57 | 0 | 18894 | 0 | 25943 | 0 | 263391 | 0 | 0 | 0 |
| FERGUSON R KEVIN MD | |||||||||||||
| 180307 | 0 | 47566 | 0 | 57 | 0 | 11635 | 0 | 22075 | 0 | 261640 | 0 | 0 | 0 |
| FERRUCCI JOSEPH MD | |||||||||||||
| 358853 | 0 | 31000 | 0 | 57 | 0 | 12250 | 0 | 25312 | 0 | 427472 | 0 | 0 | 0 |
| GUNDERSEN JASON MD | |||||||||||||
| 250675 | 0 | 135201 | 0 | 57 | 0 | 12250 | 0 | 10161 | 0 | 408344 | 0 | 0 | 0 |
| KAUR SHUBJEET MD | |||||||||||||
| 267442 | 0 | 26000 | 0 | 57 | 0 | 12250 | 0 | 26049 | 0 | 331798 | 0 | 0 | 0 |
| KEATING TODD A | |||||||||||||
| 462183 | 0 | 115874 | 0 | 39414 | 0 | 183185 | 0 | 15986 | 0 | 816642 | 0 | 38837 | 0 |
| KENNEDY KATHRYN MD | |||||||||||||
| 208566 | 0 | 62055 | 0 | 57 | 0 | 12250 | 0 | 25218 | 0 | 308146 | 0 | 0 | 0 |
| LAPIDAS GARY N | |||||||||||||
| 359690 | 0 | 80148 | 0 | 36102 | 0 | 160802 | 0 | 10278 | 0 | 647020 | 0 | 35525 | 0 |
| LASSER DANIEL H MD | |||||||||||||
| 207111 | 0 | 100937 | 0 | 57 | 0 | 140038 | 0 | 24422 | 0 | 472565 | 0 | 0 | 0 |
| LINDHOLM MARY S MD | |||||||||||||
| 133272 | 0 | 0 | 0 | 57 | 0 | 7034 | 0 | 23739 | 0 | 164102 | 0 | 0 | 0 |
| MAGUIRE DAVID L MD | |||||||||||||
| 196154 | 0 | 44437 | 0 | 396 | 0 | 8356 | 0 | 1542 | 0 | 250885 | 0 | 0 | 0 |
| MANNING GORDON MD | |||||||||||||
| 175138 | 0 | 12843 | 0 | 57 | 0 | 43500 | 0 | 11437 | 0 | 242975 | 0 | 0 | 0 |
| MESSINA LOUIS MD | |||||||||||||
| 403350 | 0 | 97947 | 0 | 57 | 0 | 12250 | 0 | 23344 | 0 | 536948 | 0 | 0 | 0 |
| MULDOON PATRICK L | |||||||||||||
| 381370 | 0 | 64286 | 0 | 51333 | 0 | 126360 | 0 | 30519 | 0 | 653868 | 0 | 50756 | 0 |
| O'BRIEN JOHN G | |||||||||||||
| 922008 | 0 | 253219 | 0 | 165178 | 0 | 978472 | 0 | 19046 | 0 | 2337923 | 0 | 0 | 0 |
| OKIKE O NSIDINANYA MD | |||||||||||||
| 361231 | 0 | 0 | 0 | 0 | 0 | 41511 | 0 | 14218 | 0 | 416960 | 0 | 0 | 0 |
| POLANOWICZ JOHN | |||||||||||||
| 269569 | 0 | 57899 | 0 | 31131 | 0 | 81885 | 0 | 34774 | 0 | 475258 | 0 | 30554 | 0 |
| POWER DIANE MD | |||||||||||||
| 240247 | 0 | 14042 | 0 | 1113 | 0 | 4975 | 0 | 26809 | 0 | 287186 | 0 | 0 | 0 |
| SLAYTON VAL MD | |||||||||||||
| 156553 | 0 | 0 | 0 | 286645 | 0 | 3242 | 0 | 13574 | 0 | 460014 | 0 | 0 | 0 |
| SOAR BART MD | |||||||||||||
| 142678 | 0 | 26050 | 0 | 54 | 0 | 7459 | 0 | 9718 | 0 | 185959 | 0 | 0 | 0 |
| SWENSON DANA | |||||||||||||
| 228319 | 0 | 59031 | 0 | 0 | 0 | 86987 | 0 | 20326 | 0 | 394663 | 0 | 0 | 0 |
| TOSI STEPHEN E MD | |||||||||||||
| 488415 | 0 | 117736 | 0 | 157308 | 0 | 58078 | 0 | 25488 | 0 | 847025 | 0 | 80944 | 0 |
| UMANZOR RENE M MD | |||||||||||||
| 147644 | 0 | 72595 | 0 | 60 | 0 | 9523 | 0 | 21266 | 0 | 251088 | 0 | 0 | 0 |
| VOLTURO GREGORY MD | |||||||||||||
| 245357 | 0 | 72405 | 0 | 57 | 0 | 12250 | 0 | 26049 | 0 | 356118 | 0 | 0 | 0 |
| WESOLOWSKI PAUL | |||||||||||||
| 158357 | 0 | 8044 | 0 | 3677 | 0 | 540 | 0 | 18449 | 0 | 189067 | 0 | 0 | 0 |
| ZIEDONIS DOUGLAS MD | |||||||||||||
| 184083 | 0 | 34000 | 0 | 57 | 0 | 11324 | 0 | 26049 | 0 | 255513 | 0 | 0 | 0 |
| ALLICON KEARY T | |||||||||||||
| 140810 | 0 | 15608 | 0 | 0 | 0 | 20758 | 0 | 20483 | 0 | 197659 | 0 | 0 | 0 |
| BERGAN THOMAS | |||||||||||||
| 228073 | 0 | 10285 | 0 | 15266 | 0 | 317871 | 0 | 10149 | 0 | 581644 | 0 | 15266 | 0 |
| BROWN DOUGLAS S | |||||||||||||
| 361656 | 0 | 104096 | 0 | 35555 | 0 | 114257 | 0 | 21737 | 0 | 637301 | 0 | 35555 | 0 |
| DICKSON ERIC MD | |||||||||||||
| 313139 | 0 | 93375 | 0 | 1260 | 0 | 60744 | 0 | 33363 | 0 | 501881 | 0 | 0 | 0 |
| DION JEFFREY | |||||||||||||
| 160168 | 0 | 17400 | 0 | 0 | 0 | 24301 | 0 | 20685 | 0 | 222554 | 0 | 0 | 0 |
| EKSTROM DEBORAH | |||||||||||||
| 187408 | 0 | 50641 | 0 | 15276 | 0 | 91403 | 0 | 24620 | 0 | 369348 | 0 | 13876 | 0 |
| FELDMANN ROBERT | |||||||||||||
| 240733 | 0 | 64118 | 0 | 23560 | 0 | 122905 | 0 | 21106 | 0 | 472422 | 0 | 23560 | 0 |
| FRAKER MURIEL E ESQUIRE | |||||||||||||
| 164204 | 0 | 8432 | 0 | 0 | 0 | 52060 | 0 | 26781 | 0 | 251477 | 0 | 0 | 0 |
| MCCUE STEVEN | |||||||||||||
| 145488 | 0 | 15134 | 0 | 0 | 0 | 9382 | 0 | 18650 | 0 | 188654 | 0 | 0 | 0 |
| O'BRIEN WILLIAM H | |||||||||||||
| 110593 | 0 | 0 | 0 | 57 | 0 | 29786 | 0 | 23247 | 0 | 163683 | 0 | 0 | 0 |
| SMITH FRANCIS W | |||||||||||||
| 168759 | 0 | 10338 | 0 | 0 | 0 | 25753 | 0 | 24805 | 0 | 229655 | 0 | 0 | 0 |
| STREETER MICHELE M | |||||||||||||
| 274566 | 0 | 66030 | 0 | 16736 | 0 | 97120 | 0 | 19806 | 0 | 474258 | 0 | 16736 | 0 |
| BLUTE MICHAEL | |||||||||||||
| 466308 | 0 | 58526 | 0 | 0 | 0 | 48396 | 0 | 27048 | 0 | 600278 | 0 | 0 | 0 |
| BRENCKLE GEORGE PHD | |||||||||||||
| 290526 | 0 | 68755 | 0 | 24444 | 0 | 92534 | 0 | 27274 | 0 | 503533 | 0 | 24444 | 0 |
| DALEY JENNIFER MD | |||||||||||||
| 352559 | 0 | 72362 | 0 | 0 | 0 | 36875 | 0 | 22997 | 0 | 484793 | 0 | 0 | 0 |
| DIAMOND VICTORIA | |||||||||||||
| 253619 | 0 | 68187 | 0 | 0 | 0 | 94476 | 0 | 26744 | 0 | 443026 | 0 | 0 | 0 |
| ETTINGER WALTER H MD | |||||||||||||
| 688066 | 0 | 170899 | 0 | 61735 | 0 | 278909 | 0 | 20543 | 0 | 1220152 | 0 | 55209 | 0 |
| FISHER BARBARA | |||||||||||||
| 244955 | 0 | 55256 | 0 | 16907 | 0 | 85550 | 0 | 19806 | 0 | 422474 | 0 | 16907 | 0 |
| HYLKA SHARON | |||||||||||||
| 297093 | 0 | 74085 | 0 | 21531 | 0 | 220510 | 0 | 20591 | 0 | 633810 | 0 | 20954 | 0 |
| KLUGMAN ROBERT MD | |||||||||||||
| 380371 | 0 | 94454 | 0 | 27847 | 0 | 219854 | 0 | 22991 | 0 | 745517 | 0 | 27847 | 0 |
| KRUGER NANCY | |||||||||||||
| 287303 | 0 | 68570 | 0 | 63842 | 0 | 56732 | 0 | 11641 | 0 | 488088 | 0 | 0 | 0 |
| PHILLIPS ROBERT A | |||||||||||||
| 581622 | 0 | 163281 | 0 | 54848 | 0 | 210024 | 0 | 28482 | 0 | 1038257 | 0 | 54848 | 0 |
| RANDOLPH JOHN T | |||||||||||||
| 191944 | 0 | 42391 | 0 | 0 | 0 | 116014 | 0 | 22072 | 0 | 372421 | 0 | 0 | 0 |
| WEBB PATRICIA | |||||||||||||
| 311409 | 0 | 81091 | 0 | 24877 | 0 | 87608 | 0 | 26281 | 0 | 531266 | 0 | 24300 | 0 |
| ANDERSON MILTON C | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| FAIRCHILD DAVID MD | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| MAYKEL JUSTIN MD | |||||||||||||
| 277609 | 0 | 284923 | 0 | 57 | 0 | 12250 | 0 | 22607 | 0 | 597446 | 0 | 0 | 0 |
| BUSCONI BRIAN D MD | |||||||||||||
| 490861 | 0 | 54167 | 0 | 57 | 0 | 12250 | 0 | 23344 | 0 | 580679 | 0 | 0 | 0 |
| ZIVNY JAROSLAV MD | |||||||||||||
| 233025 | 0 | 310736 | 0 | 57 | 0 | 12399 | 0 | 28066 | 0 | 584283 | 0 | 0 | 0 |
| MALONEY MARY E MD | |||||||||||||
| 393684 | 0 | 120136 | 0 | 57 | 0 | 12250 | 0 | 23344 | 0 | 549471 | 0 | 0 | 0 |
| LEVEY JOHN MD | |||||||||||||
| 260315 | 0 | 244835 | 0 | 57 | 0 | 12250 | 0 | 23344 | 0 | 540801 | 0 | 0 | 0 |
| WARRING WENDY | |||||||||||||
| 0 | 0 | 0 | 0 | 117663 | 0 | 0 | 0 | 0 | 0 | 117663 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | SPLIT DOLLAR GROSS UP CALCULATIONS TO JOHN O'BRIEN AND WALTER ETTINGER WHICH ARE TREATED AS TAXABLE COMPENSATION. | |
| PART I, LINE 4B | NAME 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 III | PART II - DISCLOSURES: 1) JOHN O'BRIEN'S RETIREMENT AND OTHER DEFERRED COMPENSATION AMOUNT INCLUDES A CONTINGENT DEFERRED COMPENSATION ACCRUAL OF $928,633 WHICH REMAINS THE PROPERTY OF UMASS MEMORIAL UNTIL AND UNLESS THE TERMS OF THE DEFERRED AGREEMENT ARE FULFILLED. 2) THE ABOVE DIRECTORS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR. 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. $101,755 | SUPPLEMENTAL INFORMATION |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MHEFA-UMASS MEMORIAL SERIES D | |||||||
| 042456011 | 57586CLQ6 | 2005-08-18 | 107450000 | SEE PART V | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES E | |||||||
| 042456011 | 57586EH27 | 2009-05-22 | 30000000 | SEE PART V | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES F | |||||||
| 042456011 | 57586EH27 | 2009-05-22 | 30000000 | SEE PART V | 0 | 0 | 0 |
| MHEFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A | |||||||
| 042456011 | 2009-11-24 | 9420000 | SEE PART V | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 110030036 | 10835303 | 5411300 | 1384731 | 2935890 | 95000000 | 2006 | 0 | 0 | 1 | 1 | ||
| 30056959 | 666836 | 205455 | 26703915 | 2012 | 0 | 0 | 0 | 1 | 630000 | 3147590 | ||
| 30056959 | 630782 | 118700 | 26723915 | 2012 | 0 | 0 | 0 | 1 | 630000 | 3214343 | ||
| 9420000 | 226989 | 78458 | 9341542 | 2009 | 1 | 0 | 1 | 1 | 356000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| 0 | 0 | 1 | 0 | 0 | 0.00580 | 0.00580 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 | ||
| 0 | 0 | 0 | 0 | 0 | 1 | ||
| 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 1 | 0 | 0 | 0 | 0 | 0 |
| 1 | 1 | 0 | 0 | 0 | 1 |
| 1 | 1 | 0 | 0 | 0 | 1 |
| 1 | 1 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I - BOND ISSUE | MHEFA - UMASS MEMORIAL, SERIES D | PART 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 ISSUE | MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E | PART 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 ISSUE | MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F | PART 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 ISSUE | MHEFA - MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A | PART I COLUMN (F) DESCRIPTION OF PURPOSE: PAY OFF HEFA POOL O LOAN, ER RENOVATIONS,EICU EQUIPMENT,CT SCAN LEASE,MAMMOGRAPHY UNIT |
| PART I - BOND ISSUE | MHEFA - UMASS MEMORIAL, SERIES G | PART 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 ISSUE | MHEFA - UMASS MEMORIAL, SERIES H | PART 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 = PROCEEDS | DIFFERNCE BETWEEN PART I, COLUMN(E) AND PART II, LINE 3 | MHEFA - 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 EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|
| MHEFA-UMASS MEMORIAL MASTER LEASE | ||||||
| 042456011 | 2005-12-07 | 10000000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | ||||||
| 042456011 | 2006-12-27 | 20000000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | ||||||
| 042456011 | 2008-04-24 | 20000000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | ||||||
| 042456011 | 2009-07-24 | 20000000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capitalized InterestCapitalizedInterest | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Working Capital ExpendituresWorkingCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|
| 10000000 | 10000000 | 10000000 | 2006 | 0 | 0 | 1 | 1 | |||
| 15497037 | 20717238 | 19973035 | 2007 | 0 | 0 | 1 | 1 | 213490 | 26965 | 717238 |
| 10974538 | 20152952 | 19970928 | 2009 | 0 | 0 | 1 | 1 | 304462 | 29072 | 152952 |
| 6767853 | 20024254 | 19995754 | 2010 | 0 | 0 | 1 | 1 | 496858 | 28500 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 1 | 0 | 0 | 0 | 0 | 1 |
| 1 | 0 | 0 | 0 | 0 | 1 |
| 1 | 0 | 0 | 0 | 0 | 1 |
| 1 | 0 | 0 | 0 | 0 | 1 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|
| MHEFA-UMASS MEMORIAL SERIES G | ||||||
| 042456011 | 2010-05-27 | 60445000 | SEE PART V | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL MASTER LEASE | ||||||
| 043431814 | 2010-12-09 | 20000000 | CAPITAL EQUIPMENT | 0 | 0 | 0 |
| MHEFA-UMASS MEMORIAL SERIES H | ||||||
| 043431814 | 2011-08-10 | 90990000 | SEE PART V | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4795000 | 61833832 | 2790538 | 60722232 | 1099039 | 12561 | 2010 | 0 | 0 | 0 | 1 | ||
| 2394411 | 20005301 | 231537 | 33031 | 2011 | 0 | 0 | 1 | 1 | 5301 | 19966969 | ||
| 92293778 | 90832107 | 1235315 | 226356 | 2011 | 1 | 0 | 0 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|
| 1 | 0 | 0 | 0 | 0 | 1 | ||
| 1 | 0 | 0 | 0 | 0 | 1 | ||
| 1 | 1 | 1 | 0 | 0 | 1 | 0 | 0 |
Schedule L IRS990ScheduleL
Loan Table LoanTable (5 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| WALTER ETTINGER | ||||||
| CSV OF LIFE INSURANCE - CURRENT KEY EMPLOYEE OF MEDICAL CENTER | X | $707,000 | 364279 | 0 | 1 | 1 |
| THOMAS CUMMINGS | ||||||
| CSV OF LIFE INSURANCE - FORMER CEO OF MARLBOROUGH HOSPITAL | X | $377,630 | 212495 | 0 | 1 | 1 |
| RICHARD H SCHEFFER | ||||||
| CSV OF LIFE INSURANCE - FORMER CEO OF WING MEMORIAL CORP. | X | $26,660 | 49542 | 0 | 1 | 1 |
| WILLIAM J WILLIAMS | ||||||
| CSV OF LIFE INSURANCE - FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC. | X | $1,981,627 | 3552266 | 0 | 1 | 1 |
| FLOYD CONNELLY | ||||||
| CSV OF LIFE INSURANCE - FORMER EXECUTIVE DIRECTOR OF CMMIC, INC. | X | $455,570 | 292459 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 4471041 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (27 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| GORDON MANNING MD | |||
| CURRENT DIRECTOR | 15600 | RENTAL OF PROPERTY - INCOME | 0 |
| ROBERT KLUGMAN MD | |||
| KEY EMPLOYEE | 15600 | RENTAL OF PROPERTY - INCOME | 0 |
| DANIEL J O'LEARY MD | |||
| CURRENT DIRECTOR | 72744 | RENTAL OF PROPERTY - INCOME | 0 |
| FERNANDO CATALINA MD | |||
| CURRENT DIRECTOR | 311058 | RENTAL OF PROPERTY - INCOME | 0 |
| ROBERT L SHELTON JR MD | |||
| CURRENT DIRECTOR | 54168 | RENTAL OF PROPERTY - INCOME | 0 |
| MICHAEL J LYONS MD | |||
| CURRENT DIRECTOR | 311508 | RENTAL OF PROPERTY - INCOME | 0 |
| GORDON MANNING MD | |||
| CURRENT DIRECTOR | 216967 | RENTAL OF PROPERTY - EXPENSE | 0 |
| ROBERT KLUGMAN MD | |||
| KEY EMPLOYEE | 216967 | RENTAL OF PROPERTY - EXPENSE | 0 |
| JOHN CLEMENTI | |||
| CURRENT DIRECTOR | 140741 | RENTAL OF PROPERTY - EXPENSE | 0 |
| EDWARD MANZI | |||
| CURRENT DIRECTOR | 35759 | RENTAL OF PROPERTY - EXPENSE | 0 |
| EDWARD MANZI | |||
| CURRENT DIRECTOR | 193320 | RENTAL OF PROPERTY - EXPENSE | 0 |
| EDWARD NOONAN | |||
| CURRENT DIRECTOR | 56133 | INDEPENDENT CONTACTOR ARRANGEMENT | 0 |
| ROBERT HAVELES | |||
| CURRENT DIRECTOR | 86142 | INDEPENDENT CONTACTOR ARRANGEMENT | 0 |
| PATRICK TURLEY | |||
| CURRENT DIRECTOR | 27904 | INDEPENDENT CONTACTOR ARRANGEMENT | 0 |
| ANTHONY J MERCADANTE | |||
| CURRENT DIRECTOR & FAMILY MEMBER OF NICHOLAS MERCADANTE | 220679 | INDEPENDENT CONTACTOR ARRANGEMENT | 0 |
| WILLIAM F SULLIVAN SR | |||
| CURRENT DIRECTOR | 366837 | INDEPENDENT CONTACTOR ARRANGEMENT | 0 |
| JOHN BUDD | |||
| CURRENT DIRECTOR | 1067515 | INDEPENDENT CONTACTOR ARRANGEMENT | 0 |
| STEPHEN TOSI MD | |||
| CURRENT DIRECTOR | 191158 | INDEPENDENT CONTACTOR ARRANGEMENT | 0 |
| LYNDA YOUNG MD | |||
| CURRENT DIRECTOR | 18000 | INDEPENDENT CONTACTOR ARRANGEMENT | 0 |
| SUSAN ETTINGER | |||
| FAMILY MEMBER OF WALTER ETTINGER, KEY EMPLOYEE | 25605 | EMPLOYMENT ARRANGEMENT | 0 |
| KATHLEEN HYLKA | |||
| FAMILY MEMBER OF SHARON HYLKA, KEY EMPLOYEE | 90971 | EMPLOYMENT ARRANGEMENT | 0 |
| JOANNE D'ONFRO | |||
| FAMILY MEMBER OF PAUL D'ONFRO, DIRECTOR | 46564 | EMPLOYMENT ARRANGEMENT | 0 |
| ELLEN CARLUCCI | |||
| FAMILY MEMBER OF DANIEL CARLUCCI, MD, DIRECTOR | 82670 | EMPLOYMENT ARRANGEMENT | 0 |
| CHERYL SWENSON | |||
| FAMILY MEMBER OF DANA SWENSON, DIRECTOR | 23396 | EMPLOYMENT ARRANGEMENT | 0 |
| KATHRYN C MAY | |||
| FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER | 37547 | EMPLOYMENT ARRANGEMENT | 0 |
| EILEEN HENRICKSON RN | |||
| FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER | 102307 | EMPLOYMENT ARRANGEMENT | 0 |
| ELIZABETH GUNDERSEN MD | |||
| FAMILY MEMBER OF JASON GUNDERSEN, MD, DIRECTOR | 227281 | EMPLOYMENT ARRANGEMENT | 0 |
Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART II - LOANS FROM INTERESTED PERSONS | THE 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 PERSONS | SEVERAL 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 327 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 64355 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV/SELLING PRICE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | THIRD PARTY USE: | Identifier |
| Return Reference | PART I, LINE 32B: | ReturnReference |
| Explanation | UMASS 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)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DISCLOSURE 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 6 | THERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF THE MEMBER'S BOARD ARE ABSOLUTE. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE 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 7B | THE 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 11 | SECTIONS 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 RETURN | THE 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: 9/30/2011 | PAGE 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL FOUNDATION INC | ||||||||||
| 333 SOUTH STREET | SHREWSBURY | MA | 01545 | 043108190 | FUNDRAISING SUPPORT | MA | 501( C)(3) | 11C | N/A | 0 |
| HEALTH ALLIANCE REALTY CORPORATION | ||||||||||
| 326 NICHOLS ROAD | FITCHBURG | MA | 01420 | 042560754 | REAL ESTATE MANAGEMENT | MA | 501( C)(2) | N/A | 0 | |
| WING HEALTH FOUNDATION INC | ||||||||||
| 40 WRIGHT STREET | PALMER | MA | 01069 | 042105839 | ISSUANCE OF HEALTH RELATED GRANTS | MA | 501( C)(3) | 11B | N/A | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP | |||||||||||||||
| ONE BIOTECH PARK 365 PLANTATION ST | WORCESTER | MA | 01605 | 043530755 | INVESTMENT MANAGEMENT | MA | N/A | EXCLUDED 514 | 15238931 | 331190863 | 0 | $25,291 | 1 | 1.00000 | |
| UMASS MEMORIAL MRI OF MARLBOROUGH LLC | |||||||||||||||
| 157 UNION STREET | MARLBOROUGH | MA | 01752 | 202293995 | MAGNETIC RESONANCE IMAGING | MA | RELATED | 577331 | 345122 | 0 | 0 | 0.56000 | MARLBOROUGH HOSPITAL | ||
| UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC | |||||||||||||||
| 60 HOSPITAL ROAD | LEOMINSTER | MA | 01453 | 043561571 | MAGNETIC RESONANCE IMAGING | MA | N/A | RELATED | 893348 | 1038505 | 0 | 0 | 0.60000 | ||
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD | ||||||||||||||||
| PO BOX 1051 GT | GRAND CAYMAN | CJ | 980226143 | INSURANCE | CJ | N/A | C | 26262197 | 136908432 | 1.00000 | ||||||
| MEMORIAL OFFICE CONDOMINIUM TRUST | ||||||||||||||||
| 046616900 | CONDOMINIUM ASSOCIATION | T | -5572 | 144653 | 0.53690 | 328 SHREWSBURY STREET | WORCESTER | MA | 01604 | MA | UMASS MEMORIAL MEDICAL CENTER INC | |||||
| BIO-LAB INC | ||||||||||||||||
| 042708828 | CLINICAL LABORATORY | S | 364610 | 1142577 | 1.00000 | 215 WEST STREET | MILFORD | MA | 01757 | MA | UMASS MEMORIAL HEALTH VENTURES INC | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (25 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | ||
| L | 24975900 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| B | 7604048 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| N | 1122757 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| Q | 3492031 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| L | 4153854 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| N | 708425 | FAIR VALUE |
| WING MEMORIAL HOSPITAL CORPORATION | ||
| Q | 300000 | FAIR VALUE |
| UMASS MEMORIAL REALTY INC | ||
| J | 4100255 | FAIR VALUE |
| UMASS MEMORIAL FOUNDATION | ||
| O | 1602995 | FAIR VALUE |
| COMMUNITY HEALTHLINK INC | ||
| Q | 183320 | FAIR VALUE |
| UMASS MEMORIAL HEALTH VENTURES INC | ||
| P | 349572 | FAIR VALUE |
| UMASS MEMORIAL LABORATORIES INC | ||
| P | 2929357 | FAIR VALUE |
| UMASS MEMORIAL REALTY INC | ||
| P | 361772 | FAIR VALUE |
| MARLBOROUGH HOSPITAL | ||
| P | 1825219 | FAIR VALUE |
| THE CLINTON HOSPITAL ASSOCIATION | ||
| P | 1322285 | FAIR VALUE |
| WING MEMORIAL HOSPITAL CORPORATION | ||
| P | 1787422 | FAIR VALUE |
| WING MEMORIAL HOSPITAL CORPORATION | ||
| N | 100927 | FAIR VALUE |
| CENTRAL NEW ENGLAND HEALTH ALLIANCE INC | ||
| P | 2944509 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| P | 130821745 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL GROUP INC | ||
| P | 34322803 | FAIR VALUE |
| CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER INC | ||
| P | 130896 | FAIR VALUE |
| COMMUNITY HEALTHLINK INC | ||
| P | 606632 | FAIR VALUE |
| COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD | ||
| P | 21839224 | FAIR VALUE |
| UMASS MEMORIAL LABORATORIES INC | ||
| R | 20014610 | FAIR VALUE |
| UMASS MEMORIAL MEDICAL CENTER INC | ||
| C | 6202000 | FAIR VALUE |
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