UMASS MEMORIAL HEALTH CARE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
UMASS MEMORIAL HEALTH CARE INC (EIN 04-3358566)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-07-15
IRS object ID
201111999349300216
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-07-15T10:05:32-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043358566EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1(PARENT) UMASS MEMORIAL HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUMASNameControl
Phone5088568537Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameTodd A KeatingName
TitleTREASURERTitle
Phone5088566444Phone
Date Signed2011-06-24DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAlan GarofaloName
Phone6177427788Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1328 SHREWSBURY STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01604ZIPCode
FieldValueIRS element (for citing)
Gross Receipts255772113GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number3642GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.umassmemorial.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionUMASS MEMORIAL HEALTH CARE, INC. IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI-11333TotalGrossUBI
Net Unrelated Business Txbl Income-11333NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3673336ContributionsGrantsPriorYear
Contributions Grants Current Year5738029ContributionsGrantsCurrentYear
Program Service Revenue Prior Year156027708ProgramServiceRevenuePriorYear
Program Service Revenue CY173653454ProgramServiceRevenueCY
Investment Income Prior Year-1800058InvestmentIncomePriorYear
Investment Income Current Year2295316InvestmentIncomeCurrentYear
Other Revenue Prior Year1994395OtherRevenuePriorYear
Other Revenue Current Year2271526OtherRevenueCurrentYear
Total Revenue Prior Year159895381TotalRevenuePriorYear
Total Revenue Current Year183958325TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year2068001TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY2082186TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2082186TotalFundrsngExpCurrentYear
Other Expense Prior Year171989592OtherExpensePriorYear
Other Expenses Current Year189310456OtherExpensesCurrentYear
Total Expenses Prior Year174057593TotalExpensesPriorYear
Total Expenses Current Year191392642TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-14162212RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-7434317RevenuesLessExpensesCY
Total Assets BOY176903536TotalAssetsBOY
Total Assets EOY176528556TotalAssetsEOY
Total Liabilities BOY64283684TotalLiabilitiesBOY
Total Liabilities EOY59398738TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY112619852NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY117129818NetAssetsOrFundBalancesEOY
Mission DescriptionUMASS MEMORIAL HEALTH CARE, INC. IS COMMITTED TO IMPROVING THE HEALTH OF THE PEOPLE OF CENTRAL NEW ENGLAND THROUGH EXCELLENCE IN CLINICAL CARE, SERVICE, TEACHING AND RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense133031968Expense
Revenue173653454Revenue
DescriptionTO SUPPORT THE ADVANCEMENT OF THE KNOWLEDGE, EDUCATION, AND RESEARCH AND THE PRACTICE OF HEALTH CARE RELATED SERVICES THROUGH THE OVERSIGHT OF UMASS MEMORIAL HEALTH CARE OPERATIONS AND THE EFFICIENT DELIVERY OF SUPPORT SERVICES.Description
Total Program Service Expense133031968TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MR TODD A KEATINGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5088565098TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1328 SHREWSBURY STREETAddressLine1
CityWORCESTERCity
StateMAState
ZIP Code01604ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Aronson Michael P MD
Director25.00X012973130159
O'Brien John G
President & CEO40.00X01211974374497X
Okike O Nsidinanya MD
Director40.00X036223555291
Bennett David L
vice chairperson1.00X000
Berkey Dennis D
Director1.00X000
Berry Sarah G
Director1.00X000
Budd John H
Director1.00X000
Cornell Lois D
Director1.00X000
Davis Dix F
Director1.00X000
Jacobson M Howard
Director1.00X000
Lenhardt Stephen W Sr
Director1.00X000
McMullen Cynthia M EdD
Director1.00X000
Parry Edward J III
Chairperson1.00X000
Pederson Thoru
Director1.00X000
Young Lynda M
Director1.00X000
Simmons Irina
Director1.00X000
Flotte Terence MD
Director1.00X000
Collins Michael MD
Director1.00X000
Young James
Director (until 9/10)1.00X000
D'Alelio Edward
Director1.00X000
McNamara Mary Ellen
Director1.00X000
MacNeill Harris L
Director1.00X000
Brown Douglas S
Secretary40.000506328126174X
Keating Todd A
Treasurer & CFO/Director40.000636000212229X
Brenckle George PhD
Sr. VP, Chief Information Officer40.000401364124991X
Chandler Willis
Sr. VP, Business Development40.00027191657173X
Diamond Victoria
Sr. VP, Operations40.000358779113878X
Ettinger Walter H MD
President - Medical Center40.000994803277214X
Fisher Barbara
Sr. VP, Operations40.00030661986205X
Hylka Sharon
Sr. VP, Hospital Admin.40.000407946283101X
Klugman Robert MD
Chief Quality Officer40.000524606243818X
Kruger Nancy
Sr. VP, Chief Nursing Officer40.000385934122266X
Phillips Robert A
Med Dir, Heart & Vascular COE40.000947278226314X
Randolph John T
VP, Chief Compliance Officer40.000256522134076X
Webb Patricia
Sr. VP, Chief Hr Officer40.000425485113510X
Sussman Andrew J
Sr. VP, Coo, (until 8/09)40.00035035298433X
Blute Michael
Director, Cancer Center of Excellen40.00000X
Daley Jennifer
Executive VP, Chief Operating Offic40.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs8477872TotalReportableCompFrmRltdOrgs
Total Other Compensation2679329TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ACS CORPORATE HEADQUARTERS
2828 NORTH HASKELLDALLASTX75204I/S MANAGEMENT SERVICES20735606
universal hospital services inc
po box 86minneapolisMN554860940MANAGE/SERVICE EQUIPMENT2943226
FOCUS INFOMATICS
500 WEST CuMMINGS PK SUITE 6100WOBURNMA01801TRANSCRIPTION SERVICES1323235
ESCRIPTION INC
PO BOX 845912BOSTONMA022845912TRANSCRIPTION SERVICES1284563
INTEGRO USA INC
14569 COLLECTION CTR DRIVEchiCAGOIL60696INSURANCE SERVICES1252255
FieldValueIRS element (for citing)
Number Of Contractors GT100 K48NumberOfContractorsGT100K
Fundraising Events293089FundraisingEvents
Government Grants1152107GovernmentGrants
All Other Contributions4292833AllOtherContributions
Noncash Contributions82699NoncashContributions
Total Contributions5738029TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SYSTEM ALLOCATION REVE561000135855509135855509
AFF. CONT. INCOME-PROF5610002503884025038840
AFF. CONT. INCOME-WKRS56100087079028707902
AFF. CONT. INCOME-GENE56100021801802180180
affiliate admin income561000104678104678

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1766345TotalRevenueColumn
Related Or Exempt Function Income1766345RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue173653454TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4798725TotalRevenueColumn
Unrelated Business Revenue-11333UnrelatedBusinessRevenue
Exclusion$4,810,058ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column66222TotalRevenueColumn
Exclusion$66,222ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities69160167Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities71143858Securities
Other519718Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1983691Securities
Other-519718Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2503409TotalRevenueColumn
Exclusion-$2,503,409ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events150212GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events293089CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses150212FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
sUBLEASE INCOME5610001388047$1,388,047
MISCELLANEOUS INCOME561000817257817257
FieldValueIRS element (for citing)
Total Other Revenue2205304TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column183958325TotalRevenueColumn
Related Or Exempt Function Income174470711RelatedOrExemptFunctionIncome
Unrelated Business Revenue-11333UnrelatedBusinessRevenue
Exclusion$3,760,918ExclusionAmount

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1258649Total
Management And General1258649ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1024866Total
Management And General1024866ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total1046239Total
Program Services1046239ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total2082186Total
Fundraising2082186Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total380423Total
Management And General380423ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10191182Total
Program Services5503238ProgramServices
Management And General4687944ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1134090Total
Program Services1134090ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total17078174Total
Program Services9222214ProgramServices
Management And General7855960ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total30827759Total
Program Services30827759ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4463215Total
Program Services2410136ProgramServices
Management And General2053079ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total572044Total
Program Services572044ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total204932Total
Program Services110663ProgramServices
Management And General94269ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total881511Total
Program Services863881ProgramServices
Management And General17630ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

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

Insurance Insurance

FieldValueIRS element (for citing)
Total31353223Total
Program Services31353223ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SYSTEM OVERHEAD ACTIVIT679479923669191631256076
PURCHASED SERVICES1576079499299635830831
professionaL SERVICES254907913765031172576
othER DIRECT SERVICES1047975565906482069
progRAM EXPENDITURES6574386574380

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total930042Total
Program Services766307ProgramServices
Management And General163735ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total191392642Total
Program Services133031968ProgramServices
Management And General56278488ManagementAndGeneral
Fundraising2082186Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2946569BOY
EOY665227EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4099786BOY
EOY3690134EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2889109BOY
EOY3125516EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6767490BOY
EOY556248EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2720576BOY
EOY4101990EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis93618LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec85745LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8702BOY
EOY7873EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY123512881BOY
EOY133022799EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY24575720BOY
EOY28394760EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY120000BOY
EOY120000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9262703BOY
EOY2844009EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY176903536BOY
EOY176528556EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24295004BOY
EOY23948345EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY307693BOY
EOY363739EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY39680987BOY
EOY35086654EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY64283684BOY
EOY59398738EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY59207305BOY
EOY60316393EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY29181478BOY
EOY31959636EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY24231069BOY
EOY24853789EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY112619852BOY
EOY117129818EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY176903536BOY
EOY176528556EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation

Name Name

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$885,412RalliesDemonstrationsAmount
Other Activities1OtherActivities
Other Activities$160,827OtherActivitiesAmount
Total Lobbying Expenditures IIB1046239TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationUMASS MEMORIAL HEALTH CARE, INC. PAYS DUES TO THESE RESPECTIVE ORGANIZATIONS, WHO IN TURN LOBBY ON BEHALF OF ITS MEMBERS. SOME PORTION OF DUES MAY BE UTILIZED FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance34201797BeginningOfYearBalance
Contributions76330Contributions
Investment Earnings Or Losses-5733InvestmentEarningsOrLosses
Other Expenditures-429250OtherExpenditures
End Of Year Balance34701644EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.68000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.32000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis90718OtherCostOrOtherBasis
Depreciation82845Depreciation
Book Value7873BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7873TotalOfBookValueLandBuildings

Other Securities OtherSecurities (12 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
tiff absolute return pool (shares 2,931)9992114F
gmo multi-strategy fund (offshore) lp (shares 5,144,474)5144474F
tiff private equity partners 2006 (shares 918,554)918554F
frank russell global private equity fund (shares 499,760)499760F
MPPLTD/KENSICO MARCH 2009 (shares 6,826)739620F
MPPLTD MARCH 2009 SEGREGATED (shares 3,388)303093F
AETOS CAPITAL LONG/SHORT STRATEGIES (shares 34,196)2966125F
AETOS CAPITAL DISTRESSED INV STRATEGIES (shares 12,435)1445201F
AETOS CAPITAL MULTI-STRATEGY ARBITRAGE (shares 9,326)1294485F
AETOS CAPITAL OPPORTUNITIES (shares 6,217)586675F
tiff absolute return pool class c (shares 1,803)2862777F
met west enhanced talf strategy fund (shares 1,641,882)1641882F
FieldValueIRS element (for citing)
Total Of Book Value Securities28394760TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
O/S LOSS RESERVES$27,610,529
DUE TO RELATED PARTIES$3,824,989
ANNUITY PAYABLE$1,200,712
THIRD PARTY LIABILITES$2,367,563
CONTRIBUTION PAYABLE$82,861
FieldValueIRS element (for citing)
Total Of Amounts35086654TotalOfAmounts
Total Revenue183958325TotalRevenue
Total Expenses191392642TotalExpenses
Excess Or Deficit For Year-7434317ExcessOrDeficitForYear
Net Unrealized GL On Investments9509594NetUnrealizedGLOnInvestments
Other$2,434,689OtherAmount
Total Adjustments11944283TotalAdjustments
Excess Or Deficit Per FS4509966ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt195397943TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments6386164NetUnrealizedGainsInvestments
Other Revenues9700256OtherRevenues
Revenue Not Rptd F99016086420RevenueNotRptdF990
Revenue Subtotal179311523RevenueSubtotal
Investment Expenses Not Included380423InvestmentExpensesNotIncluded
Other Revenues Not Included4266379OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4646802RevenueNotRptdOnFinStmt
Total Revenue Per Form990183958325TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt192640791TotExpensesEtcAuditedFinclStmt
Other Expenses Included1850193OtherExpensesIncluded
Expenses Not Rptd F9901850193ExpensesNotRptdF990
Expenses Subtotal190790598ExpensesSubtotal
Investment Expenses Not Included2380423InvestmentExpensesNotIncluded2
Other Expenses Not Included221621OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt602044ExpensesNotRptdOnFinStmt
Total Expenses Per Form990191392642TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:UMass Memorial's endowment consists of approximately 160 individual funds established for a variety of purposes. Net Assets associated with endowment funds are classified and reported based on the existence or absence of donor imposed restrictions. UMass Memorial has interpreted UPMIFA as requiring the preservation of the original gift as of the gift date of the donor-restricted endowment funds absent explicit donor stipulations to the contrary. As a result, UMass Memorial classifies as permanently restricted net assets, (a) the original value of gifts donated to the permanent endowment, (b) the original value of subsequent gifts to the permanent endowment, and (c) accumulations to the permanent endowment made in accordance with the direction of the applicable donor gift instrument at the time the accumulation is added to the fund. The remaining portion of the donor-restricted endowment fund that is not classified in permanently restricted net assets is classified as temporarily restricted net assets until those amounts are appropriated for expenditure by UMass Memorial in a manner consistent with the standard of prudence prescribed by UPMIFA. In accordance with UPMIFA, UMass Memorial considers the following factors in making a determination to appropriate or accumulated endowment funds: The duration and preservation of the fund The purposes of UMass Memorial and the donor restricted endowment fund General economic conditions The possible effect of inflation and deflation The expected total return from income and the appreciation of Investments Other resources of the organization The investment policies of the organization
Part X:Description of Uncertain Tax Positions Under FIN 48:UMass Memorial follows a two-step approach for the financial statement recognition and measurement of a tax position taken or expected to be taken on a tax return. The substantial majority of UMass Memorial and its affiliate entities are recognized by the Internal Revenue Service as tax-exempt under Section 501 (c) (3) of the Internal Revenue Code. Accordingly, these entities will not incur any liability for federal income taxes except for tax on unrelated business income. Certain affiliates are taxable entities. The measurement of the amounts recorded as a provision for income taxes based upon the aforementioned approach is not material and is recorded as supplies and other expense in the accompanying consolidated financial statements of operations. UMass Memorial does not believe it has taken any significant uncertain tax positions.
Part XI, Line 8 - Other Adjustments:TRANSFERs FROM RELATED PARTIES: 6202000. Net assets released from restrictions used for purchase of PP&E: 920394. temporary restricted expenditures: -6081980. K-1 activity: 771962. CHANGE IN BENEFICIAL IntEREST in trusts: 622321. Miscellaneous: -8.
Part XII, Line 2d: $9,700,256 Revenue related to Commonwealth Professional Assurance Company, LTD a wholly owned subsidiary Part XII, Line 4b: $5,737,114 Restricted Revenue ($920,394) Net Assets Released from Restrictions ($550,341) K-1 Activity Part XIII, Line 2d: $1,850,193 Expenses related to Commonwealth Professional Assurance Company, LTD a wholly owned subsidiary Part XIII, Line 4b: $221,621 K-1 Activity

Schedule G IRS990ScheduleG

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

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

FieldValueIRS element (for citing)
Business Name Line1UMASS MEMORIAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
ActivityFUNDRAISINGActivity
Fundraiser Control Of Funds1FundraiserControlOfFunds
Gross Receipts4379942GrossReceipts
Amount Retained By Contractor2082186AmountRetainedByContractor
Net To Organization2297756NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts4379942TotalGrossReceipts
Total Retained By Contractors2082186TotalRetainedByContractors
Total Net To Organization2297756TotalNetToOrganization
Licensed StatesMALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1128962GrossReceiptsEvent1
Charitable Contributions Event177751CharitableContributionsEvent1
Gross Revenue Event151211GrossRevenueEvent1
Other Direct Expenses Event151211OtherDirectExpensesEvent1
Name Of Event2winter ballNameOfEvent2
Gross Receipts Event2224513GrossReceiptsEvent2
Charitable Contributions Event2159121CharitableContributionsEvent2
Gross Revenue Event265392GrossRevenueEvent2
Other Direct Expenses Event265391OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events89826GrossReceiptsOtherEvents
Charitable Contrib Other Events56217CharitableContribOtherEvents
Gross Revenue Other Events33609GrossRevenueOtherEvents
Other Direct Expenses Other Events33610OtherDirectExpensesOtherEvents
Gross Receipts Total443301GrossReceiptsTotal
Charitable Contributions Total293089CharitableContributionsTotal
Gross Revenue Total Events150212GrossRevenueTotalEvents
Other Direct Expenses Total Events150212OtherDirectExpensesTotalEvents
Direct Expense Summary Events150212DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Aronson Michael P MD
01093840173500299706832023327015989000
O'Brien John G
0867954029666004736003557410187560158647100
Okike O Nsidinanya MD
03622350000041511013780041752600
Brown Douglas S
0368987011145002589101054660207080632502025891
Keating Todd A
0464171014093703089201985260137030848229023248
Brenckle George PhD
02958170937140118330979490270420526355011833
Chandler Willis
021649205542400038395018778032908900
Diamond Victoria
02583010837960166820877720261060472657016682
Ettinger Walter H MD
06946180243907056278025770001951401272017037286
Fisher Barbara
02359170604880102140671620190430392824010214
Hylka Sharon
029362208754302678102610320220690691047019137
Klugman Robert MD
0388076011746201906802218690219490768424015462
Kruger Nancy
029219708355501018201102220120440508200010182
Phillips Robert A
05938990305135048244019994002637401173592048244
Randolph John T
0196052060470000113042021034039059800
Webb Patricia
0310718010712307644088235025275053899500
Sussman Andrew J
0328957000213950679870304460448785020051
Blute Michael
000000000000
Daley Jennifer
000000000000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aSplit dollar gross up calculations to John O'Brien and Walter Ettinger are treated as taxable compensation.
Part I, Line 4b:Name of participants in or receiving payment from a supplemental nonqualified retirement plan Todd A. Keating $23,248 John G. O'Brien $0 Douglas S. Brown $25,891 Walter H. Ettinger, M.D. $37,286 Nancy Kruger $10,182 George Brenckle, Ph.D. $11,833 Robert Phillips $48,244 Patricia Webb $0 Andrew Sussman $20,051 John Randolph $0 Sharon Hylka $19,137 Victoria Diamond $16,682 Robert Klugman $15,462 Barbara Fisher $10,214 Willis Chandler $0
Part IIIMichael P. Aronson, M.D. received compensation for his services related to medical research, education of medical students and resident training from an unrelated organization. Total compensation and deferred compensation amounted to $75,028. The name of the unrelated organization is Umass Medical School.Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
WILLIAM F SULLIVAN SR
BOD - CMMIC, LABS, VENTURES, CRIR316761INDEPENDENT CONTRACTOR ARRANGEMENT0
PAUL D'ONFRO
BOD - CNEHA, HA HOSP, HOSP, INC.654636INDEPENDENT CONTRACTOR ARRANGEMENT0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F99082699NoncashContribsRptdF990
Method Of Determining RevenuesSELLING PRICE/FMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMethod for Determining Number of Contributors:Identifier
Return ReferencePart I, Column (b):ReturnReference
ExplanationUmass Memorial Health Care, Inc. utilizes the services of Umass Memorial Foundation, Inc. to solicit donor contributions, on occasion, the organization receives gifts of publicly traded stock. All gifts of publicly traded stock are immediately sold upon receipt through an investment services firm.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2UMMHC John Budd (Board Member) has a business relationship with Paul D'Onfro
Form 990, Part VI, Section A, line 6There are no classes of directors. The voting rights of the UMass Memorial's board are absolute.
Form 990, Part VI, Section A, line 7aAs the parent corporation of the UMass Memorial integrated health system, UMass Memorial has no members. There are no classes of Trustees.
Form 990, Part VI, Section A, line 7bUMass Memorial has no members and there are no classes of directors or members. Thus, voting rights of UMass Memorial's board are absolute. The trustees have and may exercise all of the powers of the corporation by majority vote. An affirmative vote of two-thirds of the trustees is required to effect the closure of an acute care campus; closure of a principal clinical service; the sale of all or substantially all of the assets of the corporation, the merger or consolidation, or dissolution; the sale or other disposition of a subsidiary; and to amend the bylaws with respect to the mission statement, public benefit, number and election of trustees, composition of the nominating committee, and elections.
Form 990, Part VI, Section B, line 11Sections of the Core Form 990 relate to Executive Compensation and, Schedule J are reviewed in detail with the Organization's Compensation Committee of the Board. The Compliance Committee of the Board reviews all content associated with Schedule L. The Audit Committee of the Board reviews the Form 990, including the above schedules and recommends the Form 990 to the full Board for approval. The full board is given access to the Form 990.
Form 990, Part VI, Section B, line 12cThe 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 15At UMass Memorial Health care Inc., all compensation matters for the CEO and senior executives throughout the system (including all "disqualified persons") are governed and overseen by the Board of Trustees of Umass memorial health care inc. 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 advice 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 C, line 19UMass 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.
Schedule G, Part I, Line 2b, Column (v)UMass Memorial Foundation, Inc. is identified as the administrator of the philanthropic activities of the reporting entities of UMass Memorial Health Care, Inc. This includes the coordination of all charitable work and the management of office operations to support fundraising including the following procedures: 1) Active Development Work 2) Donor Relations and Communications 3) Services to UMass Memorial Staff 4) Contribution Reports, Donor Record Files 5) Transfer of Contributions Received (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 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.Explanation of Fundraising Payments
Page 12, Part XI, Line 2cThe organization's financial statements were audited by an independent accounting firm on a consolidated basis. The organization has an audit committee responsible for oversight of the audit of its financial statements as well as the selection of an independent accounting firm.
Schedule JPart II - Disclosures: 1) John O'Brien's retirement and other deferred compensation amount includes a contingent deferred compensation accrual of $302,000 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
UMass Memorial Foundation Inc
333 South StreetShrewsburyMA01545043108190fundraising supportMA501( c)(3)11cN/A
Health Alliance Realty Corporation
326 Nichols RoadFitchburgMA01420042560754real estate managementMA501( c)(2)N/AN/A
Wing Health Foundation Inc
40 Wright StreetPalmerMA01069042105839issuance of health related grantsMA501( c)(3)11bN/A

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
UMass Memorial Investment Partnership LLP
One Biotech Park 365 Plantation StWorcesterMA01605043530755investment managementMAN/Aexcluded 51449528393277434070-$7,7311
UMass Memorial Marlborough MRI of marlborough llc
157 Union StreetMarlboroughMA01752202293995magnetic resonance imagingMAN/Arelated60623532779100
UMass Memorial Health Alliance MRI center llc
60 Hospital RoadLeominsterMA01453043561571magnetic resonance imagingMAN/Arelated101861780716700

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Commonwealth Professional Assurance Co LTD
PO Box 1051 GTGrand CaymanCJ980226143insuranceCJN/AC267806921312403951.00000
Memorial Office Condominium Trust
046616900Condominium AssociationT23315948840.53690328 Shrewsbury StreetWorcesterMA01604MAUMass Memorial Medical Center Inc
bio-lab inc
042708828clinical labS1.00000215 west streetmilfordMA01757MAUMass Memorial Health Ventures Inc
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (23 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
UMass Memorial Foundation Inc
O2963697
Commonwealth Professional Assurance Company LTD
L23072004
Commonwealth Professional Assuarnce Company LTD
P15091995
UMass Memorial Medical Center Inc
B5082696
UMass Memorial Medical Center Inc
N736353
UMass Memorial Medical Center Inc
L6202000
UMass Memorial Medical Group Inc
L2985387
UMass Memorial Medical Group Inc
N575995
UMass Memorial Medical Group Inc
B67886
UMass Memorial Realty Inc
J2851790
UMass Memorial Health Ventures Inc
P256161
Caitlin Raymond International Registry inc
P4368
UMass Memorial Laboratories Inc
P2229087
UMass Memorial Realty Inc
P254016
Marlborough Hospital
P1861677
The Clinton Hospital Association
P1356714
Wing Memorial Hospital Corporation
N101257
Wing Memorial Hospital Corporation
P1788570
Central New England Health Alliance Inc
P3298569
UMass Memorial Medical Center Inc
P130316668
UMass Memorial Medical Group Inc
P28454628
Central Massachusetts Magnetic Imaging Center Inc
P189546
Community HealthLink Inc
P637326

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