TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) ALFRED HOWARD MD........................................................................ DIRECTOR, UMM ACO, INC.	37.00 .......................	X		248,148	30,650
(2) BAGLEY PETER MD........................................................................ DIRECTOR, UMM ACO, INC.	27.00 .......................	X		354,743	121,106
(3) BROWN ALAN P MD........................................................................ SECRETARY, UMMHC, INC., DIRECTOR VARIOUS	31.00 .......................	X	X	193,418	34,737
(4) CARLUCCI DANIEL MD........................................................................ DIRECTOR, MARLBOROUGH HOSPITAL	32.00 .......................	X		309,832	41,594
(5) COFONE MICHAEL J........................................................................ TREASURER/DIRECTOR, COORDINATED PRIMARY CARE, INC	40.00 .......................	X	X	367,804	37,725
(6) CORBETT WILLIAM MD........................................................................ DIRECTOR, MARLBOROUGH HOSPITAL	40.00 .......................	X		453,989	164,280
(7) DALY SHEILA........................................................................ PRESIDENT, CLINTON HOSPITAL ASSOC., DIRECTOR HOSP	40.00 .......................	X	X	283,264	44,867
(8) DICKSON ERIC W MD........................................................................ PRESIDENT & CEO/DIRECTOR, UMM HEALTH CARE, INC.	40.00 .......................	X	X	1,333,724	270,644
(9) DUNCAN DAVID........................................................................ DIRECTOR UNTIL 8/3/15, COORDINATED PRIMARY CARE,	40.00 .......................	X		196,369	30,664
(10) EISENSTOCK JORDAN MD........................................................................ DIRECTOR, UMM ACO, INC.	40.00 .......................	X		185,876	32,895
(11) FAIRCHILD DAVID MD........................................................................ PRESIDENT/DIRECTOR, UMM ACO, INC.	40.00 .......................	X	X	512,543	103,616
(12) FERGUSON R KEVIN MD........................................................................ DIRECTOR, UMM MED GROUP, INC.	40.00 .......................	X		277,690	37,521
(13) FINBERG ROBERT W MD........................................................................ DIRECTOR, UMM HEALTH CARE, INC.	20.00 .......................	X		315,755	132,665
(14) GOTTLIEB PHILIP D MD........................................................................ DIRECTOR UNTIL 12/13, CLINTON HOSPITAL ASSOC.	40.00 .......................	X		372,910	37,761
(15) HARLAN DAVID MD........................................................................ DIRECTOR, UMM ACO, INC.	20.00 .......................	X		181,056	34,745
(16) IITSUKA CARLOS........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC.	40.00 .......................	X		93,476	16,575
(17) KENNEDY KATHRYN MD........................................................................ DIRECTOR, UMM MED GROUP, INC.	36.00 .......................	X		289,156	41,588

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) LAPRIORE CHERYL M........................................................................ PRESIDENT/DIRECTOR, UMM HEALTH VENTURES, INC.	40.00 .......................	X	X				369,560	123,508
(19) LASSER DANIEL H MD........................................................................ DIRECTOR, UMM MED GROUP, INC.	20.00 .......................	X					260,581	83,128
(20) MESSINA LOUIS MD........................................................................ DIRECTOR UNTIL 3/14, UMM MED GROUP, INC.	33.00 .......................	X					597,486	41,891
(21) METZMAKER JEFFREY N MD........................................................................ DIRECTOR, UMM MED GROUP, INC.	29.00 .......................	X					425,311	39,061
(22) MULDOON PATRICK........................................................................ PRESIDENT, UMM MED CTR, INC.,	40.00 .......................	X	X				869,566	295,711
(23) NOMPLEGGI DOMINIC MD........................................................................ DIRECTOR, UMM MED GROUP, INC.	29.00 .......................	X					342,706	43,154
(24) OKIKE O NSIDINANYA MD........................................................................ DIRECTOR, UMM HEALTH CARE, INC.	40.00 .......................	X					534,847	40,943
(25) O'LEARY DANIEL MD........................................................................ DIRECTOR, COORDINATED PRIMARY CARE, INC.	25.00 .......................	X					188,960	7,673
(26) PHILBIN CHRIS........................................................................ DIRECTOR, UMASS MEMORIAL COMMUNITY HOSPITALS, INC	40.00 .......................	X					229,880	49,690
(27) ROACH STEVEN........................................................................ PRESIDENT/DIRECTOR, MARLBOROUGH HOSPITAL	40.00 .......................	X	X				457,614	65,400
(28) ROSEN MAX P MD........................................................................ DIRECTOR, CMMIC, INC.	24.00 .......................	X					407,337	16,840
(29) ROSSI CATHERINE........................................................................ DIRECTOR, CLINTON HOSPITAL ASSOCIATION	40.00 .......................	X					208,552	47,729
(30) SIOUFI HABIB A MD........................................................................ DIRECTOR, CLINTON HOSPITAL ASSOCIATION	40.00 .......................	X					207,566	34,623
(31) SWENSON DANA E........................................................................ PRESIDENT/DIRECTOR, UMM REALTY, INC.	40.00 .......................	X	X				296,299	146,610
(32) TOSI STEPHEN E MD........................................................................ PRESIDENT, UMM MED GROUP, INC., DIRECTOR VARIOUS	40.00 .......................	X	X				1,249,264	288,367
(33) YOUNG LYNDA M MD........................................................................ DIRECTOR, UMM HEALTH CARE, INC.	1.00 .......................	X					40,974	107
(34) ZIEDONIS DOUGLAS MD........................................................................ PRESIDENT/DIRECTOR, UMBHS, INC.	20.00 .......................	X	X				227,696	40,499
(35) ALLEN GAIL........................................................................ DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(36) ARNOW JONATHAN MD........................................................................ DIRECTOR UNTIL 6/15, CLINTON HOSPITAL ASSOCIATION	1.00 .......................	X					0	0
(37) BABINEAU ROBERT JR MD........................................................................ DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(38) BENNETT DAVID L........................................................................ CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(39) BENNETT RICHARD K........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(40) BERGERON ARTHUR........................................................................ DIRECTOR UNTIL 12/14, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(41) BERKEY DENNIS D........................................................................ EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(42) BERRY SARAH G........................................................................ EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(43) BOUDREAU NORMAN........................................................................ DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(44) BOVENZI LESLIE........................................................................ DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(45) BUDD JOHN H........................................................................ EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(46) CARLSON MARY........................................................................ DIRECTOR UNTIL 7/14, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(47) CATALINA FERNANDO MD........................................................................ VICE CHAIRPERSON, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(48) CHERUBINI J PAUL........................................................................ DIRECTOR, CLINTON HOSPITAL ASSOCIATION	1.00 .......................	X					0	0
(49) CLEMENTI JOHN........................................................................ DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(50) COLLINS MICHAEL MD........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(51) COLONERO BENJAMIN H JR........................................................................ DIRECTOR, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(52) CONNOR EDWARD J........................................................................ DIRECTOR, CLINTON HOSPITAL ASSOCIATION	1.00 .......................	X					0	0
(53) CONNORS MARTIN JR........................................................................ DIRECTOR UNTIL 4/14, CENTRAL NEW ENGLAND HEALTHALL	1.00 .......................	X					0	0
(54) CORNELL LOIS D........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(55) CROCKER FREDERICK G........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH VENTURES, INC.	1.00 .......................	X					0	0
(56) CUTLER J CHRISTOPHER FACHE........................................................................ DIRECTOR, UMASS MEMORIAL MEDICAL GROUP, INC.	1.00 .......................	X					0	0
(57) D'ALELIO EDWARD........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(58) DAVIS DIX F........................................................................ EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(59) DENNEHY RAYMOND III........................................................................ CHAIRPERSON UNTIL 3/15, HEALTH ALLIANCE HOME HEALT	1.00 .......................	X					0	0
(60) DIGERONIMO ARTHUR P JR........................................................................ DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(61) D'ONFRO PAUL........................................................................ CHAIRPERSON, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(62) FARRELL LYNNE........................................................................ DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE,	1.00 .......................	X					0	0
(63) FITCH ROGER........................................................................ DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,	1.00 .......................	X					0	0
(64) FLOTTE TERENCE MD........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(65) GRASSETTE AMY........................................................................ DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,	1.00 .......................	X					0	0
(66) GRAY JENNIFER........................................................................ DIRECTOR UNTIL 6/15, CLINTON HOSPITAL ASSOCIATION	1.00 .......................	X					0	0
(67) GUARDIOLA ELVIRA........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(68) HENEBRY CLARK........................................................................ DIRECTOR, CLINTON HOSPITAL ASSOCIATION	1.00 .......................	X					0	0
(69) HURLEY FRANCIS........................................................................ DIRECTOR, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(70) JACOBSON M HOWARD........................................................................ EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(71) JOHNSON JOANNE........................................................................ DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,	1.00 .......................	X					0	0
(72) KANGAS PAUL........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(73) KAPLAN DANIEL........................................................................ DIRECTOR UNTIL 12/14, UMASS MEMORIAL MEDICAL GROUP	1.00 .......................	X					0	0
(74) KNOX PETER........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(75) KUPFER BARBARA........................................................................ DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA	1.00 .......................	X					0	0
(76) LATIMER JOHN MD........................................................................ DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(77) LENHARDT STEPHEN W SR........................................................................ EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(78) MACNEILL HARRIS L........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(79) MANZI EDWARD........................................................................ DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,	1.00 .......................	X					0	0
(80) MARTIN DONATA........................................................................ DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(81) MASEDA LUIS J........................................................................ DIRECTOR, CLINTON HOSPITAL ASSOCIATION	1.00 .......................	X					0	0
(82) MATTA LALITA MD........................................................................ DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA	1.00 .......................	X					0	0
(83) MCGRAIL WILLIAM ESQUIRE........................................................................ CHAIRPERSON, CLINTON HOSPITAL ASSOCIATION	1.00 .......................	X					0	0
(84) MCGUIRE TONI........................................................................ DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA	1.00 .......................	X					0	0
(85) MCMULLEN CYNTHIA M EDD........................................................................ EMERITA TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(86) MCNAMARA MARY ELLEN........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(87) MENDOZA STEVEN........................................................................ DIRECTOR UNTIL 6/15, CLINTON HOSPITAL ASSOCIATION	1.00 .......................	X					0	0
(88) MERCADANTE ANTHONY J........................................................................ DIRECTOR, HEALTH ALLIANCE HOME HEALTH AND HOSPICE,	1.00 .......................	X					0	0
(89) MOLLOY ANN K........................................................................ DIRECTOR, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(90) MURPHY MICHAEL D........................................................................ VICE CHAIRPERSON, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(91) PARRY EDWARD J III........................................................................ VICE CHAIRPERSON, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(92) PAULHUS ROBERT J JR........................................................................ DIRECTOR, CLINTON HOSPITAL ASSOCIATION	1.00 .......................	X					0	0
(93) PAULINO JEANNE........................................................................ DIRECTOR, CLINTON HOSPITAL ASSOCIATION	1.00 .......................	X					0	0
(94) PEDERSON THORU........................................................................ EMERITUS TRUSTEE, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(95) PICI MICHAEL MD........................................................................ DIRECTOR, UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZA	1.00 .......................	X					0	0
(96) PONGOR PAUL J MD........................................................................ DIRECTOR UNTIL 12/14, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(97) PURCELL PHILIP E........................................................................ DIRECTOR, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(98) RICHER GERARD P........................................................................ DIRECTOR, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(99) RIVARD MICHAEL........................................................................ DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(100) SANCHEZ CAROL........................................................................ DIRECTOR, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(101) SEYMOUR-ROUTE PAULETTE PHD........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(102) SHARMA VIBHA MD........................................................................ DIRECTOR, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(103) SHEA JOHN ESQUIRE........................................................................ DIRECTOR, UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM,	1.00 .......................	X					0	0
(104) SHELTON ROBERT LESLIE MD........................................................................ DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(105) SIEGRIST RICHARD........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(106) STECYK MARKIAN MD........................................................................ DIRECTOR, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(107) TAYLOR HARVEY MD........................................................................ DIRECTOR UNTIL 1/15, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(108) WALTON DAVID........................................................................ DIRECTOR, MARLBOROUGH HOSPITAL	1.00 .......................	X					0	0
(109) WEISBERG OREN MD........................................................................ DIRECTOR UNTIL 3/15, HEALTHALLIANCE HOSPITALS, INC	1.00 .......................	X					0	0
(110) WHITNEY MARY........................................................................ DIRECTOR, HEALTHALLIANCE HOSPITALS, INC.	1.00 .......................	X					0	0
(111) WILSON JACK........................................................................ DIRECTOR, UMASS MEMORIAL HEALTH CARE, INC.	1.00 .......................	X					0	0
(112) BOLLAND ESHGHI KATHARINE........................................................................ ASSISTANT SECRETARY, UMMHC, INC.	40.00 .......................		X				393,499	95,011
(113) BRONHARD JOHN........................................................................ TREASURER, CNEHA, INC.	40.00 .......................		X				218,445	11,391
(114) BROWN DOUGLAS S........................................................................ SECRETARY, UMM HEALTH CARE, INC.	40.00 .......................		X				885,272	248,130
(115) COCCHIARELLA ANDREW MD........................................................................ DIRECTOR, MARLBOROUGH HOSPITAL	40.00 .......................		X				314,972	38,305
(116) CROTEAU MAUREEN........................................................................ SECRETARY, CLINTON HOSPITAL ASSOC.	40.00 .......................		X				54,459	23,525
(117) D'AMBRA ANN-MARIA........................................................................ SECRETARY, MARLBOROUGH HOSPITAL	40.00 .......................		X				49,820	25,876
(118) EKSTROM DEBORAH........................................................................ PRESIDENT, COMMUNITY HEALTHLINK, INC.	40.00 .......................		X				260,038	119,137
(119) GREENWOOD JOHN........................................................................ TREASURER, UMM ACO, INC.	40.00 .......................		X				273,567	104,283
(120) KEATING TODD A........................................................................ TREASURER UNTIL 2/14, UMM HEALTH CARE, INC.	40.00 .......................		X				1,190,005	149,070
(121) MCCUE STEVEN........................................................................ TREASURER, MARLBOROUGH HOSPITAL	40.00 .......................		X				195,208	44,640
(122) MELGAR SERGIO........................................................................ TREASURER, UMASS MEMORIAL HEALTH CARE, INC.	40.00 .......................		X				857,255	89,174
(123) MORIN LYNN A........................................................................ SECRETARY, CNEHA, INC.	40.00 .......................		X				87,389	7,355
(124) O'BRIEN WILLIAM........................................................................ SECRETARY, UMBHS, INC.	40.00 .......................		X				124,759	58,649
(125) OLSON JEFFREY........................................................................ TREASURER, CLINTON HOSPITAL ASSOC.	40.00 .......................		X				155,872	58,847
(126) SHAKMAN ALICE........................................................................ PRESIDENT, CMMIC, INC.	40.00 .......................		X				342,099	156,617
(127) SMITH FRANCIS W........................................................................ CLERK, UMM HEALTH VENTURES, INC.	40.00 .......................		X				202,881	76,410
(128) STREETER MICHELE........................................................................ TREASURER, UMM MED GROUP, INC.	40.00 .......................		X				593,494	248,789
(129) SZYMANSKI CANDRA D........................................................................ INTERIM PRESIDENT UNTIL 12/13, MARLBOROUGH HOSPIT	40.00 .......................		X				190,684	13,521
(130) WEYMOUTH DEBORAH........................................................................ PRESIDENT, CENTRAL NEW ENGLAND HEALTHALLIANCE, IN	40.00 .......................		X				223,633	6,415
(131) ANDERSON MILTON........................................................................ SR. VP, CHIEF HR OFFICER UNTIL 9/14	40.00 .......................			X			771,463	388,099
(132) BRENCKLE GEORGE PHD........................................................................ SR. VP, CIO UNTIL 4/14	40.00 .......................			X			519,540	349,803
(133) CYR JAMES P........................................................................ SR VP, HEART AND VASCULAR DISEASES	40.00 .......................			X			321,924	185,405
(134) DAY THERESE........................................................................ VP, FINANCE / CFO OF MED CENTER	40.00 .......................			X			371,674	179,287
(135) DIAMOND VICTORIA........................................................................ SR. VP, OPERATIONS, UNTIL 1/14	40.00 .......................			X			422,990	142,327
(136) FELDMANN ROBERT........................................................................ VP, CORPORATE CONTROLLER	40.00 .......................			X			322,778	154,309
(137) FISHER BARBARA........................................................................ SR VP, OPERATIONS	40.00 .......................			X			379,613	152,588
(138) GEORGE PATRICIA........................................................................ VP & DEPUTY CIO	40.00 .......................			X			18,466	340,096
(139) HUDLIN MARGARET MD........................................................................ CHIEF MED OFFICER/VP PERIOPERATIVE SVCS	40.00 .......................			X			435,170	68,882
(140) HYLKA SHARON........................................................................ SR. VP, HOSPITAL ADMIN UNTIL 1/14	40.00 .......................			X			971,604	270,706
(141) JEWELL CATHY........................................................................ SR VP, CHIEF NURSING OFFICER	40.00 .......................			X			230,486	47,579
(142) RANDOLPH JOHN........................................................................ CHIEF COMPLIANCE OFFICER	40.00 .......................			X			250,818	118,330
(143) TARNOWSKI TIMOTHY........................................................................ SR VP, CHIEF INFO OFFICER	40.00 .......................			X			82,456	1,461
(144) THOMPSON DIANE........................................................................ SR VP CHIEF NURSING OFF UNTIL 4/9/15	40.00 .......................			X			421,608	382,512
(145) LITWIN DEMETRIUS MD........................................................................ PHYSICIAN, CHAIR OF SURGERY DEPT	27.00 .......................				X		717,655	41,775
(146) BOZORGZADEH ADEL MD........................................................................ PHYSICIAN, CHIEF OF ORGAN TRANSPLANTATION	32.00 .......................				X		712,759	41,594
(147) AROUS ELIAS J MD........................................................................ PHYSICIAN, ASSOC. CHIEF MEDICAL OFFICER, CHIEF OF	32.00 .......................				X		645,700	39,061
(148) AYERS DAVID C MD........................................................................ PHYSICIAN, CHAIR OF ORTHOPEDICS AND PHYSICAL REHA	33.00 .......................				X		641,344	40,769
(149) BUSCONI BRIAN D MD........................................................................ PHYSICIAN, CHIEF OF ORTHOPEDICS	33.00 .......................				X		617,122	39,061
(150) CHANDLER WILLIS........................................................................ FMR DIR CLINTON UNTIL 12/31/11	0.00 .......................					X	43,852	107
(151) FERRUCCI JOSEPH MD........................................................................ FMR DIR CMMIC UNTIL 3/31/13	0.00 .......................					X	276,314	24,085
(152) PAPPAS ARTHUR M MD........................................................................ FMR DIR UNTIL 3/27/13	0.00 .......................					X	13,536	208
(153) MOORE KAREN........................................................................ FMR PRESIDENT/DIR UNTIL 3/25/13	0.00 .......................					X	156,975	40,023
(154) BLUTE MICHAEL MD........................................................................ FMR KEY EE UNTIL 3/31/2012, CANCER CENTER OF E	0.00 .......................					X	122,006	107
(155) DALEY JENNIFER MD........................................................................ FMR EXEC VP, COO, UNTIL 3/18/13	0.00 .......................					X	529,399	126,216
(156) ETTINGER WALTER H MD........................................................................ FMR KEY EE/PRES MEDCTR UNTIL 1/20/12	0.00 .......................					X	716,815	107

(A) Name and business address	(B) Description of services	(C) Compensation
XEROX BUSINESS SVCS LLC PO BOX 201322 DALLAS,TX75320	I/S MANAGEMENT SERVICES	27,975,170
UMASS MEMORIAL SHIELDS PHARMACY 25 ROCKWOOD ROAD MARSHFIELD,MA02050	PHARMACY MANAGEMENT SERVICES	14,525,219
PRICE WATERHOUSE COOPERS LLP PO BOX 7247 8001 PHILADELPHIA,PA19170	CONSULTING SERVICES	5,009,858
SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH,PA152515170	FOOD & HOUSEKEEPING SERVICES	4,595,689
LEIDOS HEALTH LLC PO BOX 223866 PITTSBURGH,PA15251	PROFESSIONAL BILLING SERVICES	4,518,377
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 180

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	4,385,885	4,385,885
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	97,848	97,848
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	31,388,756	14,462,233	16,926,523
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages ....	970,434,089	789,180,382	180,904,401	349,306
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	70,119,199	57,068,484	13,047,416	3,299
9	Other employee benefits .......	139,261,372	107,394,752	31,845,944	20,676
10	Payroll taxes ...........	66,312,901	53,230,350	13,071,540	11,011
11	Fees for services (non-employees):
a	Management ......	61,196,488	46,543,893	14,652,595
b	Legal .........	1,723,857	91,050	1,632,807
c	Accounting ...........	1,099,208	85	1,099,123
d	Lobbying ...........	177,020	177,020
e	Professional fundraising services. See Part IV, line 17	323,352			323,352
f	Investment management fees ......	1,020,780		1,020,780
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	284,868,879	211,958,691	72,877,307	32,881
12	Advertising and promotion ....	1,593,284	91,822	1,483,113	18,349
13	Office expenses .......	23,952,176	14,345,605	9,599,848	6,723
14	Information technology ......	51,641,153	3,280,896	48,360,257
15	Royalties ..
16	Occupancy ...........	73,776,589	46,762,931	27,009,664	3,994
17	Travel ............	2,616,353	1,916,464	699,317	572
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	1,603,035	1,029,559	571,716	1,760
20	Interest ...........	15,305,620	14,818,411	487,209
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	103,110,509	79,507,614	23,602,895
23	Insurance ..............	11,293,792	6,530,040	4,763,752
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	244,327,125	200,099,889	44,227,236
b	MEDICAL EDUCATION SERVI	131,284,106	131,057,825	226,281
c	SYSTEM OVERHEAD ACTIVIT	120,694,736	69,929,275	50,765,461
d	PURCHASED SERVICES	36,073,800	25,923,643	10,105,523	44,634
e	All other expenses	34,259,927	29,666,059	4,575,272	18,596
25	Total functional expenses. Add lines 1 through 24e	2,483,941,839	1,909,550,706	573,555,980	835,153
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	91,339,673	1	119,788,165
2	Savings and temporary cash investments .........	51,569,765	2	65,070,897
3	Pledges and grants receivable, net ...........	1,221,500	3	562,552
4	Accounts receivable, net .............	262,415,754	4	250,995,615
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		4,432,374	5	4,703,689
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	41,989,817	7	33,456,546
8	Inventories for sale or use ..............	24,740,080	8	29,117,718
9	Prepaid expenses and deferred charges ..........	23,751,081	9	22,899,661
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,669,626,558
b	Less: accumulated depreciation .....	10b	1,086,098,052	616,971,066	10c	583,528,506
11	Investments—publicly traded securities ..........	459,751,041	11	72,182,619
12	Investments—other securities. See Part IV, line 11 .....	164,159,185	12	519,994,237
13	Investments—program-related. See Part IV, line 11 .....	35,417,054	13	63,800,082
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	364,656,197	15	524,735,084
16	Total assets. Add lines 1 through 15 (must equal line 34)......	2,142,414,587	16	2,290,835,371
	17	Accounts payable and accrued expenses .........	277,838,208	17	286,431,598
18	Grants payable .................	584,353	18	338,032
19	Deferred revenue ................	9,420,067	19	6,297,369
20	Tax-exempt bond liabilities .............	340,791,673	20	327,411,105
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	45,087,007	23	43,756,483
24	Unsecured notes and loans payable to unrelated third parties ....	32,590,236	24	50,000,000
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	529,651,940	25	668,427,726
26	Total liabilities. Add lines 17 through 25.........	1,235,963,484	26	1,382,662,313
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	741,359,678	27	747,417,618
28	Temporarily restricted net assets ...........	86,449,119	28	76,999,973
29	Permanently restricted net assets ...........	78,642,306	29	83,755,467
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	906,451,103	33	908,173,058
34	Total liabilities and net assets/fund balances ........	2,142,414,587	34	2,290,835,371

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number

91-2155626

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number

91-2155626

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number

91-2155626

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number

91-2155626

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Yes

175,957

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Yes

1,063

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

177,020

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number

91-2155626

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	115,101,660	112,462,194	109,418,023	98,294,963	104,017,758
b	Contributions ........	5,757,118			2,557,800	316,330
c	Net investment earnings, gains, and losses	-2,182,362	9,419,969	8,142,465	12,021,986	-2,402,463
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	-1,200,560	-4,425,190	-5,098,294	3,456,726	3,636,662
f	Administrative expenses ....		-2,355,313
g	End of year balance ......	119,876,976	115,101,660	112,462,194	109,418,023	98,294,963

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

71.000 %

Temporarily restricted endowment SchDMd Bullet

29.000 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

Yes

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	8,807,895		8,807,895
b	Buildings ................	839,373,502	514,258,026	325,115,476
c	Leasehold improvements ............	23,930,326	13,284,285	10,646,041
d	Equipment ................	749,469,454	554,643,101	194,826,353
e	Other .................	48,045,381	3,912,640	44,132,741
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				583,528,506

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) BENEFICIAL INTEREST IN TRUSTS	66,580,170	F
(B) COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD	120,000	F
(C) BIO VENTURES	123,323	F
(D) INVESTMENT IN UMASS MEMORIAL INVESTMENT PARTNERSHIP, LLP	453,170,744	F





Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	519,994,237

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM RELATED PARTIES				136,245,479
(2) CSV LIFE INSURANCE				31,951
(3) MALPRACTICE TAIL COVERAGE				33,862,723
(4) LONG TERM SECURITY DEPOSITS				159,722
(5) OTHER NON-CURRENT ASSETS				621,455
(6) RECEIVABLE FROM MEDICAID				325,437,201
(7) DUE FROM THIRD PARTIES				28,376,553


Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				524,735,084

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
DUE TO UMASS MEDICAL SCHOOL		165,944,420
THIRD PARTY LIABILITIES		61,203,632
DUE TO RELATED PARTIES		120,975,290
ACCRUED PENSION POST RETIREMENT BENEFITS		205,127,263
O/S LOSS RESERVES		31,526,604
ESTIMATED MALPRACTICE COSTS		33,862,723
OTHER		1,425,988
ANNUITY PAYABLE		2,835,602
LT LIABILITY ARO		9,763,160
ACCRUED LT LIABILITIES		4,142,820
CLAIMS RESERVES		89,125
MEDICARE RESERVES		30,000
NOTE PAYABLE TO AFFILIATES (MC AND UMBHS)		31,501,099
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		668,427,726
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

(ASC 740): 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.

FORM 990, SCHEDULE D, PART V ENDOWMENT FUNDS QUESTION 3A(I) & 4:

ARE THERE ENDOWMENT FUNDS NOT IN THE POSSESSION OF THE ORGANIZATION THAT ARE HELD AND ADMINISTERED FOR THE ORGANIZATION BY: (I) UNRELATED ORGANIZATIONS: YES OR NO HEALTHALLIANCE HOSPITAL - YES 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. BNY 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. BNY MELLON WEALTH MANAGEMENT IS AN UNRELATED ORGANIZATION. PART V ENDOWMENT FUNDS QUESTION 4: PARENT - 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. 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. CLINTON 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. MARLBOROUGH 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 D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number

91-2155626

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Form 990-EZ

filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No
	UMASS MEMORIAL FOUNDATION INC 333 SOUTH STREET SHREWSBURY, MA01545	FUNDRAISING		No	541,913	227,352	314,561
	JNB ASSOCIATES 21 WATER STREET AMESBURY, MA01913	FUNDRAISING		No	0	96,000	-96,000








Total .................					541,913	323,352	218,561

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

MA, NH

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2014

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 PARENT-WINTER BALL (event type)	(b) Event #2 CNEHA GOLF TOURNAMENT (event type)	(c) Other events 8 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	375,693	305,899	333,165	1,014,757
2	Less: Contributions . .	313,504	162,940	254,795	731,239
3	Gross income (line 1 minus line 2) . . .	62,189	142,959	78,370	283,518
4	Cash prizes . . .
5	Noncash prizes . .		26,101	11,567	37,668
6	Rent/facility costs . .	21,608	80,403	3,134	105,145
7	Food and beverages .	19,067			19,067
8	Entertainment . . .	8,747		18,100	26,847
9	Other direct expenses .	12,767	36,455	66,350	115,572
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				304,299
11	Net income summary. Subtract line 10 from line 3, column (d)...........				-20,781

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2014

Page 3

Does the organization conduct gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activities conducted in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information (see instructions).

Return Reference

Explanation

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.

SCHEDULE G - ADDITIONAL INFORMATION

PART II, COLUMN (A) EVENT #1 THE WINTER BALL WAS HELD BY THE PARENT PART II, COLUMN (B) EVENT #2 THE HOSPITAL GOLF TOURNEY WAS HELD BY CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. PART II, COLUMN (C) OTHER EVENTS (10 EVENTS REPORTED) ARE: 1. SPEAKEASY HELD BY HEALTHALLIANCE HOSPITALS 2. DENNEHY GOLF TOURNAMENT HELD BY HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. 3. LOVELIGHT HELD BY HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. 4. NICU GOLF-A-THON WAS HELD BY THE PARENT 5. LINKS TO THE FUTURE EVENT WAS HELD BY THE PARENT, 6. GALA BALL WAS HELD BY CENTRAL NEW ENGLAND HEALTHALLIANCE, INC. 7. GOLF TOURNAMENT WAS HELD BY MARLBOROUGH HOSPITAL, INC. 8. 125TH ANNIVERSARY EVENT WAS HELD BY CLINTON HOSPITAL ASSOCIATION

Schedule G (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number

91-2155626

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other 60000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	35,049,684	22,118,773	12,930,911	0.750 %
b	Medicaid (from Worksheet 3, column a) ....	349,547,956	307,533,990	42,013,966	2.430 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	13,139,319	12,979,868	159,451	0.010 %
d	Total Financial Assistance and Means-Tested Government Programs .	397,736,959	342,632,631	55,104,328	3.190 %
Other Benefits		3,842,170	2,007,471	1,834,699	0.110 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	3,842,170	2,007,471	1,834,699	0.110 %
f	Health professions education (from Worksheet 5) ..	206,454,967	109,759,749	96,695,218	5.600 %
g	Subsidized health services (from Worksheet 6) ..	103,394,362	84,456,325	18,938,037	1.100 %
h	Research (from Worksheet 7)	104,967	27,700	77,267	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	2,740,983	2,740,983
j	Total. Other Benefits ..	316,537,449	198,992,228	117,545,221	6.810 %
k	Total. Add lines 7d and 7j .	714,274,408	541,624,859	172,649,549	10.000 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	0	0		0 %
2	Economic development	0	0		0 %
3	Community support	5,953	0	5,953	0 %
4	Environmental improvements	0	0		0 %
5	Leadership development and training for community members	0	0		0 %
6	Coalition building	2,094	0	2,094	0 %
7	Community health improvement advocacy	0	0		0 %
8	Workforce development	61,732	0	61,732	0 %
9	Other	0	0		0 %
10	Total	69,779		69,779

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

6,783,144

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

2,756,653

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

371,254,776

Enter Medicare allowable costs of care relating to payments on line 5.....

374,468,928

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-3,214,152

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %
11 COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD	PROVIDES INSURANCE	100.000 %
22 UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP	MANAGES POOLED INVESTMENTS	100.000 %
33 UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC	MAGNETIC RESONANCE IMAGING CENTER	60.000 %
44 UMASS MEMORIAL MRI OF MARLBOROUGH LLC	MAGNETIC RESONANCE IMAGING CENTER	56.000 %
55 MEMORIAL OFFICE CONDOMINIUM TRUST	CONDO ASSOCIATION THAT OWNS MEDICAL OFFICE BUILDING	53.690 %
66 UMASS MEMORIAL MRI & IMAGING CENTER LLC	MAGNETIC RESONANCE IMAGING CENTER	50.000 %
77 NEW ENGLAND REHAB SERVICES OF CENTRAL MA INC (DBA FAIRLAWN REHAB)	ACUTE CARE REHABILITATION CENTER	20.000 %
88 BIO LAB INC	CLINICAL LABORATORY	100.000 %
99 SHIELDS IMAGING OF MASSACHUSETTS LLC	MANAGEMENT COMPANY FOR PET IMAGING	25.000 %
1010 UMASS MEMORIAL SHIELDS PHARMACY LLC	PHARMACY SERVICES	50.000 %
1111 116 BELMONT STREET INC	CONDO ASSOCIATION	63.040 %
1212 SHIELDS SPECIALTY PHARMACY OF SPRINGFIELD LLC	PHARMACY SERVICES	50.000 %
1313 SPECIALTY PHARMACY OF NEWARK	PHARMACY SERVICES	50.000 %
1414 QUEST DIAGNOSTICS MASSACHUSETTS LLC	LABORATORY SERVICES	18.900 %
1515 CENTRAL MA COMPREHENSIVE CANCER CENTER LLC (DBA NE RADIATION THERAPY)	ONCOLOGY SERVICES	5.000 %
1616 BIOVENTURES INVESTORS LIMITED PARTNERSHIP	MANAGES INVESTMENTS	6.000 %

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?4 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	UMASS MEMORIAL MEDICAL CENTER INC 55 LAKE AVE 119 BELMONT STREET WORCESTER,MA01605	X	X	X	X	X	X
2	HEALTHALLIANCE HOSPITAL INC 60 HOSPITAL ROAD LEOMINSTER,MA01453	X	X		X		X
3	MARLBOROUGH HOSPITAL 157 UNION STREET MARLBOROUGH,MA01752	X	X		X		X
4	CLINTON HOSPITAL ASSOCIATION 201 HIGHLAND STREET CLINTON,MA01510	X	X		X		X

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	UMASS MEMORIAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.UMASSMEMORIALHEALTHCARE.ORG/

Other website (list url): WWW.WORCESTERMA.GOV/

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): WWW.UMASSMEMORIALHEALTHCARE.ORG/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	UMASS MEMORIAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	UMASS MEMORIAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	HEALTHALLIANCE HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://WWW.HEALTHALLIANCE.COM/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): HTTP://WWW.HEALTHALLIANCE.COM

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	HEALTHALLIANCE HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	HEALTHALLIANCE HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	MARLBOROUGH HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://WWW.UMASSMEMORIALHEALTHCARE.ORG/MARLBOROUGH-HOSPITAL

Other website (list url): HTTP://WWW.MWHEALTH.ORG

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): HTTP://WWW.UMASSMEMORIALHEALTHCARE.ORG/ABOUT-US/COMMUNITY-BENEFITS-PROGRAM/

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	MARLBOROUGH HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	MARLBOROUGH HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	CLINTON HOSPITAL ASSOCIATION
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 14

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://WWW.CLINTONHOSPITAL.ORG

Other website (list url): HTTP://CHNA9.COM/INDEX.HTML

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): HTTP://WWW.CLINTONHOSPITAL.ORG

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	CLINTON HOSPITAL ASSOCIATION
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	CLINTON HOSPITAL ASSOCIATION
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

Yes

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 3J: THE COMMUNITY HEALTH ASSESSMENT PROCESS CONSISTED OF A COMPREHENSIVE GATHERING OF QUANTITATIVE (I.E., HEALTH STATUS INDICATORS) AND QUALITATIVE DATA, THROUGH FOCUS GROUPS WITH COMMUNITY MEMBERS AND THROUGH INTERVIEWS WITH COMMUNITY MEMBERS AND COMMUNITY LEADERS. PARTICIPANTS WERE DRAWN FROM AMONG COMMUNITY-BASED, EDUCATIONAL, CIVIC, GOVERNMENTAL, AND FAITH-BASED PROFESSIONALS, HEALTH CARE PROVIDERS, AND OTHERS, AND EVERY EFFORT WAS MADE TO ENSURE RACIAL/ETHNIC, SOCIOECONOMIC, AND GEOGRAPHIC DIVERSITY IN THE COMPOSITION OF FOCUS GROUPS AND INTERVIEW PARTICIPANTS. HEALTHALLIANCE HOSPITAL COLLABORATED WITH THE JOINT COALITION ON HEALTH (JCOH) AND HEYWOOD HOSPITAL TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH ASSESSMENT THAT GATHERED, ANALYZED AND DOCUMENTED QUALITATIVE AND QUANTITATIVE DATA.
UMASS MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 5: YES, INPUT FROM DIVERSE PERSONS WHO REPRESENT THE COMMUNITY WAS TAKEN INTO ACCOUNT. UMASS MEMORIAL MEDICAL CENTER JOINED EFFORTS WITH THE WORCESTER DIVISION OF PUBLIC HEALTH (WDPH), FALLON HEALTH AND COMMON PATHWAYS, A HEALTHY COMMUNITIES COALITION THAT IS COMPRISED OF 30+ HEALTH AND HUMAN SERVICE ORGANIZATIONS, IN THE DEVELOPMENT OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE DIRECTOR OF THE WDPH AND THE UMASS MEMORIAL VICE PRESIDENT OF COMMUNITY RELATIONS, AND FALLON HEALTH CO-CHAIRED THE LEADERSHIP PROCESS TO DEVELOP A CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR THE GREATER WORCESTER REGION. DURING THE ASSESSMENT PROCESS, COMMUNITY MEMBERS WERE ENGAGED IN KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND COMMUNITY DIALOGUES, WHICH ALLOWED FOR COMMUNITY MEMBERS TO REVIEW AND DISCUSS A PRELIMINARY PROFILE OF THE REGION AND PROVIDE THEIR FEEDBACK ON COMMUNITY HEALTH-RELATED STRENGTHS, NEEDS, AND A VISION FOR THE FUTURE. ELEVEN COMMUNITY DIALOGUE SESSIONS WERE HELD: FIVE SESSIONS IN WORCESTER, AND SIX IN THE OUTLYING COMMUNITIES (ONE EACH IN SHREWSBURY, GRAFTON, MILLBURY, WEST BOYLSTON, LEICESTER, AND HOLDEN). MORE THAN A TOTAL OF 1,777 INDIVIDUALS (INCLUDING PARTICIPANTS IN AN ONLINE COMMUNITY SURVEY) REPRESENTING DIVERSE INSTITUTIONS AND COMMUNITY ORGANIZATIONS FROM ACROSS THE REGION WORKED TOGETHER TO ESTABLISH A ROADMAP FOR THE FUTURE HEALTH OF THE REGION. THE PROCESS INCLUDED A STEERING COMMITTEE COMPRISED OF A DIVERSE NUMBER OF STAKEHOLDERS THAT ADVISED AND INFORMED THE CHNA.
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 5: PARTICIPANTS INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE DRAWN FROM AMONG COMMUNITY-BASED, EDUCATIONAL, CIVIC, GOVERNMENTAL, AND FAITH-BASED PROFESSIONALS, HEALTH CARE PROVIDERS, AND OTHERS, AND EVERY EFFORT WAS MADE TO ENSURE RACIAL/ETHNIC, SOCIOECONOMIC, AND GEOGRAPHIC DIVERSITY IN THE COMPOSITION OF FOCUS GROUPS AND INTERVIEW PARTICIPANTS.
MARLBOROUGH HOSPITAL	PART V, SECTION B, LINE 5: THE PROCESS INCLUDED GATHERING COMMUNITY INPUT, AS WELL AS ANALYSIS OF GENERAL DATA COLLECTED FROM THE HOSPITAL AND PUBLICLY AVAILABLE DATA SOURCES. THE PROCESS ALSO INCORPORATED A SURVEY COMPONENT THAT WAS AVAILABLE IN ENGLISH, SPANISH AND PORTUGUESE, AS WELL AS KEY INFORMANT INTERVIEWS AND FOCUS GROUPS.
CLINTON HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 5: TARGET POPULATIONS FOR CLINTON HOSPITAL'S COMMUNITY BENEFITS INITIATIVES ARE IDENTIFIED THROUGH A COMMUNITY INPUT AND PLANNING PROCESS, COLLABORATIVE EFFORTS, AND A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH IS CONDUCTED EVERY THREE YEARS. CLINTON HOSPITAL COLLABORATES WITH THE COMMUNITY HEALTH NETWORK AREA 9 (CHNA 9); A LOCAL COALITION OF PUBLIC, NON-PROFIT, AND PRIVATE SECTORS WORKING TOGETHER TO BUILD HEALTHIER COMMUNITIES IN MASSACHUSETTS THROUGH COMMUNITY-BASED PREVENTION PLANNING AND HEALTH PROMOTION. OTHER PARTNERS INCLUDED; KEY STAKEHOLDERS IN HEALTH IMPROVEMENT: RESIDENTS, CONSUMERS, COALITIONS, COMMUNITIES OF FAITH, BUSINESSES, AND PROVIDERS OF COMMUNITY-BASED HEALTH, EDUCATION, HUMAN SERVICES AND LOCAL AND STATE GOVERNMENTS.
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 6A: HEALTHALLIANCE HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT WITH HEYWOOD HELATHCARE (HEYWOOD HOSPITAL AND ATHOL HOSPITAL)
MARLBOROUGH HOSPITAL	PART V, SECTION B, LINE 6A: THE ASSESSMENT WAS DONE IN CONJUNCTION WITH THE METRO WEST MEDICAL CENTER.
CLINTON HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 6A: CLINTON HOSPITAL COLLABORATED WITH TWO OTHER HOSPITALS IN CONDUCTING THE 2011 COMMUNITY HEALTH ASSESSMENT OF NORTH CENTRAL MASSACHUSETTS IN A JOINT EFFORT BETWEEN THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH'S COMMUNITY HEALTH NETWORK AREA OF NORTH CENTRAL MASSACHUSETTS (CHNA 9) AND THE JOINT COALITION ON HEALTH (JCOH) ASSESSMENT. THEY INCLUDE HEALTHALLIANCE, AN AFFILIATE OF UMASS MEMORIAL HEALTH CARE AND HEYWOOD HOSPITAL. TOGETHER, THESE ENTITIES HAVE CAPITALIZED ON THEIR COMPLENTARY EXPERTISE AND HAVE PRODUCED A DOCUMENT THAT CAN BE USED BY STAKEHOLDERS FROM EVERY SECTOR OF THE COMMUNITY TO BETTER THE HEALTH AND WELFARE OF RESIDENTS OF NORTH CENTRAL MASSACHUSETTS.
UMASS MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 6B: UMASS MEMORIAL CONDUCTED THE CHNA IN COLLABORATION WITH THE WORCESTER DIVISION OF PUBLIC HEALTH AND FALLON HEALTHADDITIONAL PARTNERS INCLUDED:YWCA OF CENTRAL MASOUTH EAST ASIAN COALITIONMARCH OF DIMESWORCESTER PUBLIC SCHOOLSFAMILY HEALTH CENTER OF WORCESTEREDWARD M. KENNEDY HEALTH CENTERUMASS MEDICAL SCHOOLWORCESTER POLICE DEPARTMENTWORCESTER SENIOR CENTERWORCESTER FOOD & ACTIVE LIVING POLICY COUNCILWALKBIKE WORCESTERREGIONAL ENVIRONMENTAL COUNCIL OF WORCESTERMA DEPARTMENT OF PUBLIC HEALTHUNITED WAY OF CENTRAL MACLARK UNIVERSITY MOSAKOWSKI INSTITUTE FOR PUBLIC ENTERPRISEWORCESTER REGIONAL RESEARCH BUREAU
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 6B: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH INPUT FROM OUR COMMNUNITY PARTNERS; COMMUNITY HEALTH CONNECTIONS, HEYWOOD HEALTHCARE, ATHOL HOSPITAL, HEYWOOD HOSPITAL, THE JOINT COALITION ON HEALTH AND THE MONTACHUSETT PUBLIC HEALTH NETWORK.
MARLBOROUGH HOSPITAL	PART V, SECTION B, LINE 6B: THE ASSESSMENT WAS DONE IN CONJUNCTION WITH METROWEST HEALTH FOUNDATION, EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, AND SOUTHBOROUGH MEDICAL GROUP.
CLINTON HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 6B: CLINTON HOSPITAL CONDUCTED THE CHNA WITH THE FOLLOWING LISTED ORGANIZATIONS:PARTNERS INCLUDED:- THE COMMUNITY HEALTH NETWORK AREA OF NORTH CENTRAL MASS. (CHNA 9)- THE JOINT COALITION ON HEALTH OF NORTH CENTRAL MASSACHUSETTS- THE MINORITY COALITION OF NORTH CENTRAL MASSACHUSETTS- THE QUALITATIVE WORK WAS COMPLETED WITH THE COMBINED EFFORTS OF THE MINORITY COALITION OF NORTH CENTRAL MASSACHUSETTS, THE SPANISH AMERICAN CENTER, CLEGHORN NEIGHBORHOOD CENTER, HEYWOOD HOSPITAL, HEALTHALLIANCE HOSPITAL, WHEAT, THREE PYRAMIDS, BEAUTIFUL GATE CHURCH, NEW HOPE COMMUNITY CHURCH, TWIN CITIES CDC, GARDNER CDC, MEMORIAL CONGREGATIONAL CHURCH, MONTACHUSETT OPPORTUNITY COUNCIL AND MANY OTHER AGENCIES AND INDIVIDUALS.
UMASS MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 7D: THE CHNA WAS PUBLICLY ANNOUNCED TO THE COMMUNITY AT A PUBLIC EVENT ATTENDED BY MORE THAN 100 COMMUNITY STAKEHOLDERS AND HOSTED BY THE WORCESTER CITY MANAGER, WORCESTER DIRECTOR OF PUBLIC HEALTH, SENIOR VICE PRESIDENT OF UMASS MEMORIAL HEALTH CARE, PRESIDENT OF THE UMASS MEMORIAL HEALTH CARE HOSPITALS AND THE UMASS MEMORIAL VICE PRESIDENT OF COMMUNITY RELATIONS. THE HOSPITAL AND WDPH ALSO ENGAGED IN VARIOUS MEDIA VENUES INCLUDING; PRINT AND ONLINE ARTICLES IN LOCAL NEWS AND COMMUNITY NEWSPAPERS, CHNA-8, A HEALTHY COMMUNITIES COALITION AND INTERVIEWS TELEVISED ON WCCATV13.
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 7D: THE LAST COMMUNITY HEALTH ASSESSMENT WAS MADE AVAILABLE THROUGH OUR WEBSITE AND PRESENTATIONS TO VARIOUS ORGANIZATIONS AND COMMUNITY FORUMS THROUGHOUT OUR SERVICE AREAS. THE COMMUNITY HEALTH ASSESSMENT IS ALSO AVAILABLE UPON REQUEST. YOU CAN FIND THE LINK TO OUR COMMUNITY HEALTH NEEDS ASSESSMENT HERE:HTTP://WWWW.UMASSMEMORIALHEALTHCARE.ORG/SITES/UMASS-MEMORIAL-HOSPITAL/FILES/DOCUMENTS/MEMBERS/5-21-15%20FINAL%20COMMUNITY_HEALTH_ASSESSMENT_OF_NORTH_CENTRAL_MA.PDF
CLINTON HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 7D: CLINTON HOSPITAL ALSO UNVEILS THE COMMUNITY HEALTH ASSESSMENT TO COMMUNITY GROUPS, COMMUNITY ADVISORY COMMITTEE, AND TO THE HOSPITAL'S BOARD OF TRUSTEES.
UMASS MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 11: THE CHNA PROCESS WAS LEAD BY THE WORCESTER DIVISION OF PUBLIC HEALTH, FALLON HEALTH AND THE HOSPITAL VICE PRESIDENT OF COMMUNITY BENEFITS, AND INCLUDED INPUT FROM APPROXIMATELY 100 COMMUNITY STAKEHOLDERS. FURTHERMORE, THE CHNA PROCESS HAS RESULTING IN THE DEVELOPMENT OF THE 2016 GREATER WORCESTER COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE HOSPITAL'S COMMUNITY BENEFIT IMPLEMENTATION STRATEGY HAS ALIGNMENT WITH THE CHNA/CHIP. THE OTHER NEEDS THAT ARE NOT INCLUDED IN THE CHNA/CHIP ARE NOT BEING ADDRESSED BECAUSE THEY ARE NOT A PART OF THE IDENTIFIED PRIORITY AREAS AND DUE TO LIMITED FUNDING.
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 11: THE HOSPITAL RESPONDS TO PRIORITY HEALTH NEEDS IN MANY WAYS, AND IN TIMES THAT ARE CRITICAL FOR PATIENTS IN CRISIS. IN ADDITION TO CHARITY CARE, INDIGENT CARE, A SIGNIFICANT NUMBER OF PROGRAMS AND SERVICES OFFERED ADDRESS SOME OF THE PRIORITY NEEDS IDENTIFIED IN THE CHNA. OUR HOSPITAL DOES NOT HAVE THE AVAILABLE RESOURCES TO DEVELOP INITIATIVES TO MEET ALL IDENTIFIED HEALTH NEEDS, WHICH MAKES COLLABORATION WITH COMMUNITY RESOURCES CRITICAL.
MARLBOROUGH HOSPITAL	PART V, SECTION B, LINE 11: THE HOSPITAL RESPONDS TO PRIORITY HEALTH NEEDS IN MANY WAYS, AND IN TIMES THAT ARE CRITICAL FOR PATIENTS IN CRISIS. IN ADDITION TO CHARITY CARE, INDIGENT CARE, A SIGNIFICANT NUMBER OF PROGRAMS AND SERVICES OFFERED ADDRESS THE PRIORITY NEEDS IDENTIFIED IN THE 2013 CHNA. OUR HOSPITAL DOES NOT HAVE THE AVAILABLE RESOURCES TO DEVELOP INITIATIVES TO MEET EVERY PRIORITY HEALTH NEED IDENTIFIED, WHICH MAKES COLLABORATION WITH COMMUNITY ASSETS CRITICAL. THE HOSPITAL IS NOT CURRENTLY ADDRESSING ALL CHRONIC CONDITIONS DUE TO LIMITED RESOURCES.
CLINTON HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 11: THE HOSPITAL RESPONDS TO PRIORITY HEALTH NEEDS IN MANY WAYS, AND IN TIMES THAT ARE CRITICAL FOR NORTH CENTRAL MA COMMUNITY, AND PATIENTS IN CRISIS. IN ADDITION TO CHARITY CARE, INDIGENT CARE, A NUMBER OF PROGRAMS AND SERVICES OFFERED ADDRESS SOME OF THE PRIORITY NEEDS IDENTIFIED IN THE CHNA. OUR HOSPITAL DOES NOT HAVE THE AVAILABLE RESOURCES TO DEVELOP INITIATIVES TO MEET EVERY PRIORITY HEALTH NEED IDENTIFIED, WHICH MAKES COLLABORATION WITH COMMUNITY ASSETS CRITICAL.
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 13H: FINANCIAL ASSISTANCE - HAH EMPLOYS A STAFF OF FINANCIAL COUNSELORS, CERTIFIED APPLICATION 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, CERTIFIED APPLICATION COUNSELORS, CUSTOMER SERVICE REPRESENTATIVES AND GUARANTOR COLLECTORS PROVIDE POTENTIALLY ELIGIBLE PATIENTS WITH THE APPROPRIATE METHODS OF APPLYING FOR HEALTH CARE COVERAGE AS LISTED ON THE MASSACHUSETTS CONNECTORCARE WEBSITE.
UMASS MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 16I: FINANCIAL ASSISTANCE - UMASSMEMORIAL MEDICAL CENTER EMPLOYS A STAFF OF FINANCIAL COUNSELORS, CERTIFIED APPLICATION 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, CERTIFIED APPLICATION COUNSELORS, CUSTOMER SERVICE REPRESENTATIVES AND GUARANTOR COLLECTORS PROVIDE POTENTIALLY ELIGIBLE PATIENTS WITH THE APPROPRIATE METHODS OF APPLYING FOR HEALTH CARE COVERAGE AS LISTED ON THE MASSACHUSETTS CONNECTORCARE WEBSITE.
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 16I: 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.
MARLBOROUGH HOSPITAL	PART V, SECTION B, LINE 16I: FINANCIAL ASSISTANCE - MARLBOROUGH HOSPITAL EMPLOYS FINANCIAL COUNSELORS WHO ARE AVAILABLE BY PHONE OR BY APPOINTMENT TO SUPPORT PATIENTS IN APPLYING FOR FINANCIAL ASSISTANCE AND FOR HELP RESOLVING THEIR MEDICAL BILLS. FINANCIAL COUNSELORS PROVIDE POTENTIALLY ELIGIBLE PATIENTS WITH THE APPROPRIATE METHODS OF APPLYING FOR HEALTH CARE COVERAGE AS LISTED ON THE MASSACHUSETTS CONNECTORCARE WEBSITE.
CLINTON HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 16I: FINANCIAL ASSISTANCE - CLINTON HOSPITAL EMPLOYS A STAFF OF FINANCIAL COUNSELORS, CERTIFIED APPLICATION 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, CERTIFIED APPLICATION COUNSELORS, CUSTOMER SERVICE REPRESENTATIVES AND GUARANTOR COLLECTORS PROVIDE POTENTIALLY ELIGIBLE PATIENTS WITH THE APPROPRIATE METHODS OF APPLYING FOR HEALTH CARE COVERAGE AS LISTED ON THE MASSACHUSETTS CONNECTORCARE WEBSITE.
UMASS MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 18D: 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.
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 18D: 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.
MARLBOROUGH HOSPITAL	PART V, SECTION B, LINE 18D: 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.
CLINTON HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 18D: 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.
UMASS MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 19D: 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.
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 19D: 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.
MARLBOROUGH HOSPITAL	PART V, SECTION B, LINE 19D: 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.
CLINTON HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 19D: 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.
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 20E: 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.
UMASS MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT. ONCE A PATIENT IS DETERMINED ELIGIBLE FOR A DISCOUNT, THIS DISCOUNT IS APPLIED TO TOTAL CHARGES AND THE PATIENT RESPONSIBILITY IS REDUCED.
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 22D: 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.
MARLBOROUGH HOSPITAL	PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT.
CLINTON HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 22D: THE HOSPITAL FACILITY BILLS GROSS CHARGES WITH A 20% PROMPT PAY DISCOUNT. ONCE A PATIENT IS DETERMINED ELIGIBLE FOR A DISCOUNT, THE DISCOUNT IS APPLIED TO TOTAL CHARGES AND THE PATIENT RESPONSIBILITY IS REDUCED.
UMASS MEMORIAL MEDICAL CENTER, INC.	PART V, SECTION B, LINE 24: 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.
HEALTHALLIANCE HOSPITAL, INC.	PART V, SECTION B, LINE 24: 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.
MARLBOROUGH HOSPITAL	PART V, SECTION B, LINE 24: 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.
CLINTON HOSPITAL ASSOCIATION	PART V, SECTION B, LINE 24: 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.
PART V LINE 7A & 7B	UMASS MEMORIAL MEDICAL CENTER:YES, THE CHNA WAS POSTED ON THE HOSPITAL WEBSITE AND THE WORCESTER DIVISION OF PUBLIC HEALTH WEBSITE: (NOTE: THE FULL URLS INDICATED BELOW DID NOT FIT IN THEIR ENTIRETY ON THE UMASS MEMORIAL MEDICAL CENTER SCHEDULE H FORM).HOSPITAL WEBSITE: HTTP://WWW.UMASSMEMORIALHEALTHCARE.ORG/SITES/UMASS-MEMORIAL-HOSPITAL/FILES/DOCUMENTS/ABOUT/UMASS_MEMORIAL_CBI_MEASURES-CHAFINAL.PDFWORCESTER DIVISION OF PUBLIC HEALTH WEBSITE: HTTP://WWW.WORCESTERMA.GOV/UPLOADS/E3/8B/E38B32C7D4A96243C9C48BBD3250B00E/CHA-REPORT.PDFCLINTON HOSPITAL:YES, CLINTON HOSPITAL MAKES THE CHNA REPORT WIDELY AVAILABLE TO THE PUBLIC AND IT IS POSTED ON THE HOSPITAL'S WEBSITE:HTTP://WWW.UMASSMEMORIALHEALTHCARE.ORG/CLINTON-HOSPITAL/ABOUT-USTHE COMMUNITY BENEFITS REPORT IS ALSO POSTED ON THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH'S COMMUNITY NETWORK AREA OF NORTH CENTRAL, LINK:HTTP://WWW.CI.FITCHBURG.MA.US/GOVERNMENT/DEPARTMENTS/HEALTH/MPHN-PAGE/AND THE JOINT COALITION ON HEALTH (JCOH) WEBSITES WITH AVAILABILITY UPON REQUEST BY ANY OF THE ORGANIZATIONS MENTIONED.

Schedule H (Form 990) 2014

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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?4
Name and address		Type of Facility (describe)
1	UMASS MEMORIAL MED CENTER (LAB SVCS) BIOTECH ONE 365 PLANTATION STREET WORCESTER,MA01605	SATELLITE - LAB SERVICES
2	UMASS MEMORIAL MED CENTER (PATHOLOGY) BIOTECH THREE ONE INNOVATION DRIVE WORCESTER,MA01605	SATELLITE - PATHOLOGY
3	UMASS MEMORIAL MED CENTER AMBULANCE 23 WELLS STREET WORCESTER,MA01604	SATELLITE - AMBULATORY SERVICES
4	UMASS MEMORIAL MED CENTER 100 PROVIDENCE STREET WORCESTER,MA01604	SATELLITE - AMBULATORY SERVICES
5
6
7
8
9
10

Schedule H (Form 990) 2014

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Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I OTHER - RESEARCH EXPENSES	THE AMOUNT OF RESEARCH EXPENSES FOR FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS BEING REPORTED BY UMASS MEMORIAL HEALTH CARE IS LOW SINCE THESE COSTS ARE SUPPORTED BY THE UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL. THE MEDICAL SCHOOL IS CLOSELY ASSOCIATED WITH UMASS MEMORIAL HEALTH CARE AND PROVIDES A SIGNIFICANT NUMBER OF COMMUNITY BASED PROGRAMS.
PART II, COMMUNITY BUILDING ACTIVITIES:	UMASS MEMORIAL MEDICAL CENTER: UMMC RECOGNIZES THE COMMUNITY BUILDING ACTIVITIES AS BEING A PART OF THE "SOCIAL DETERMINANTS OF HEALTH" THAT IMPACT THE HEALTH OF THE COMMUNITY. WE INVEST IN YOUTH WORKFORCE DEVELOPMENT FOR AT-RISK YOUTH. 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 MEDICAL CENTER HAS EXPANDED ITS STRATEGY TO INCLUDE THE SOCIAL AND ECONOMIC 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 ACTIVITY EXAMPLES INCLUDE: FUNDING AND PROMOTING WORKFORCE AND HEALTH CAREER DEVELOPMENT OPPORTUNITIES FOR INNER-CITY YOUTH.HEALTHALLIANCE HOSPITAL: FOR WORKFORCE DEVELOPMENT HEALTHALLIANCE HAS PROVIDED FINANCIAL ASSISTANCE TO STUDENTS WHO WISH TO PURSUE A CAREER IN THE HEALTH CARE FIELD VIA AN INTERNSHIP PROGRAM PROVIDING FINANCIAL ASSISTANCE AND EXPERIENCE THROUGH HANDS ON PRACTICE AND OBSERVATION. FOR COMMUNITY SUPPORT, COMMUNITY EMERGENCY PREPAREDNESS AND DRILLS ARE CONDUCTED IN COLLABORATION WITH THE LEOMINSTER AND FITCHBURG FIRE DEPARTMENTS AND MEDSTAR EMS.MARLBOROUGH HOSPITAL: MARLBOROUGH HOSPITAL PROVIDES ASSISTANCE TO COGNITIVELY CHALLENGED POST GRAD STUDENTS AGED 18 TO 22 BY HELPING THEM GAIN WORK/LIFE SKILLS TO ASSIST THEM IN THEIR TRANSITION FROM A SCHOOL ENVIRONMENT TO A WORK AND COMMUNITY SETTING. ADDITIONALLY, DISADVANTAGED STUDENTS, INCLUDING BOTH ECONOMICALLY OR DISENGAGED YOUTH AT RISK, LEARN THE TOOOLS TO OVERCOME BARRIERS AND MOVE INTO SELF SUSTAINING EMPLOYMENT IN SECTORS OF THE ECONOMY WHERE THERE IS A NEED.CLINTON HOSPITAL: CLINTON HOSPITAL IS WORKING TO ADDRESS BASIC, SOCIAL AND PERSONAL NEEDS AS A WAY TO IMPROVE THEIR COMMUNITIES' HEALTH. CLINTON HOSPITAL PROVIDES HIGH SCHOOL STUDENTS WITH THE OPPORTUNITY OF A HEALTH CAREER PREPARATION PROGRAM. THE PROGRAM EXPOSES STUDENTS TO HEALTH CAREER POSSIBILITIES, ROLE MODELS AND HOW HEALTH ORGANIZATIONS OPERATE; IT IS ALSO AN OPPORTUNITY FOR PRACTICAL EXPERIENCE TO LEARN BY DOING AND APPLYING THE KNOWLEDGE. THE STUDENTS LEARN NEW SKILLS AND DEVELOP THEIR OWN PERSONAL AND PROFESSIONAL INTERESTS. THEY ALSO EXPAND THEIR EDUCATIONAL OPPORTUNITIES, PERSONAL NETWORK AND MAKE CONNECTIONS. THIS PROGRAM WAS DEVELOPED AND IMPLEMENTED IN RESPONSE TO AN IDENTIFIED NEED IN THE COMMUNITY. WORKFORCE DEVELOPMENT IS IDENTIFIED AS A NEED NATIONALLY AND IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. CLINTON HOSPITAL PARTNERED WITH THE CLINTON PUBLIC HIGH SCHOOL AND THE WORKFORCE INVESTMENT BOARD TO IMPLEMENT THE PROGRAM.
PART III, LINE 8:	THE MEDICARE COSTS ARE OBTAINED FROM THE COST REPORT FOR INPATIENT, PSYCHIATRIC, CAPITAL, AND OUTPATIENT SERVICES. IN ADDITION, FEE BASED SERVICES SUCH AS LABS, PT, OT, ETC., ARE DETERMINED THROUGH PS&R CHARGES TIMES OUTPATIENT COST TO CHARGE RATIO.
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 9:	UMASS MEMORIAL MEDICAL CENTER, INC.UMMCI MOST RECENTLY ADOPTED AN IMPLEMENTATION STRATEGY IN APRIL 2016, EFFECTIVELY DURING THE 2015 FISCAL TAX YEAR. HOWEVER, THIS IS NOT AN ALLOWED RESPONSE FOR E-FILING PURPOSES, AS SUCH 2014 HAS BEEN ENTERED AS A RESPONSE ON THIS LINE.
PART VI, LINE 2:	UMASS MEMORIAL MEDICAL CENTER COMPLETED ITS COMMUNITY HEALTH NEEDS ASSESSMENT BY ASSEMBLING A DIVERSE GROUP OF COMMUNITY STAKEHOLDERS THAT INCLUDE, BUT ARE NOT LIMITED TO, MEMBERS OF HEALTH AND HUMAN SERVICE ORGANIZATIONS, PHILANTHROPY, COMMUNITIES OF COLOR, NEIGHBORHOOD RESIDENTS AND THE WORCESTER DIVISION OF PUBLIC HEALTH AS PART OF THE GROUP THAT ASSISTED AND GUIDED THE ASSESSMENT PROCESS. THE HOSPITALS COMMUNITY BENEFIT IMPLEMENTATION STRATEGY IS ALIGNED WITH THE CHIP. THE OTHER NEEDS THAT ARE NOT INCLUDED IN THE CHNA/CHIP ARE NOT BEING ADDRESSED BECAUSE THEY ARE NOT A PART OF THE FIVE IDENTIFIED PRIORITY CHIP DOMAIN AREAS AND DUE TO LIMITED FUNDING. THE FOLLOWING STRATEGIES ARE CONDUCTED TO COMPLETE THE ASSESSMENT:- CONDUCTED KEY INFORMANT INTERVIEWS AND FOCUS GROUPS WITH COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS- CONDUCTED OUTREACH EFFORTS TO MEDICALLY-UNDERSERVED POPULATIONS AND CONVENE MEETINGS WITH NEIGHBORHOOD/COMMUNITY GROUPS- REVIEWED PRIMARY AND SECONDARY DATA- CONDUCTED ONLINE COMMUNITY SURVEY- ORGANIZED COMMUNITY FORUMS TO SHARE FINDINGS AND RELEASE OF FINAL REPORT - ORGANIZED TASK FORCES FOR FURTHER ACTION TO IDENTIFY PRIORITY AREASTHE FOLLOWING SOURCES INFORM AND ENHANCE OUR EFFORTS TO IDENTIFY PRIORITIES AND UNMET NEEDS:- U.S. CENSUS 2010- HEALTHY PEOPLE 2020- NATIONAL PREVENTION STRATEGY- MASSACHUSETTS DEPARTMENT OF EDUCATION REPORTS INCLUDING LOCAL ENROLLMENT AND LANGUAGE DATA - MASSACHUSETTS DEPARTMENT OF EMPLOYMENT AND TRAINING- HOSPITAL UTILIZATION DATA - MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH/ MASSCHIP- DATA FROM VARIOUS CITY OF WORCESTER DEPARTMENTS INCLUDING, BUT NOT LIMITED TO, THE LOCAL DIVISION OF PUBLIC HEALTH, NEIGHBORHOOD SERVICES AND POLICE.- INFORMATION COLLECTED FROM HEALTH CARE PROVIDERS, COMMUNITY GROUPS/UNDERSERVED POPULATIONS AND INDIVIDUALS WHO HAVE EXPERTISE ON COMMUNITY HEALTH ISSUES.HEALTHALLIANCE HOSPITAL:THE COMMUNITY HEALTH NEEDS ASSESSMENT COMPREHENSIVE PROCESS CONSISTED OF COLLECTING QUANTITATIVE AND QUALITATIVE DATA THROUGH FOCUS GROUPS WITH COMMUNITY MEMBERS AND INTERVIEWS WITH COMMUNITY MEMBERS AND COMMUNITY LEADERS. PARTICIPANTS WERE FROM COMMUNITY-BASED ORGANIZATIONS, EDUCATIONAL, CIVIC, GOVERNMENTAL, FAITH-BASED PROFESSIONALS, HEALTH CARE PROVIDERS, AND OTHERS. WE MAKE A STRONG EFFORT TO ENSURE RACIAL/ETHNIC, SOCIOECONOMIC, AND GEOGRAPHIC DIVERSITY IN THE COMPOSITION OF ALL FOCUS GROUPS AND INTERVIEWS. THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH HEALTHALLIANCE HOSPITAL AND HEYWOOD HEALTHCARE (HEYWOOD HOSPITAL AND ATHOL HOSPITAL).MARLBOROUGH HOSPITAL:THE COMMUNITY BENEFITS ADVISORY COUNCIL, COMPRISED OF MEMBERS OF DIFFERENT AGENCIES AND BUSINESSES IN THE AREA, HELPS TO IDENTIFY PROGRAMS IN SUPPORT OF THE COMMUNITY PRIORITIES. THE ASSESSMENT WAS COMPLETED IN CONJUNCTION WITH THE METROWEST HEALTH FOUNDATION, EDWARD M. KENNEDY COMMUNITY HEALTH CENTER, BOARDS OF HEALTH FROM MARLBOROUGH AND HUDSON AND THE SOUTHBOROUGH MEDICAL GROUP.CLINTON HOSPITAL:CLINTON HOSPITAL CONDUCTED A COMMUNITY HEALTH ASSESSMENT (CHNA) IN COLLABORATION WITH THE MONTACHUSETT PUBLIC HEALTH NETWORK (MPHN), THE JOINT COALITION ON HEALTH OF NORTH CENTRAL MASSACHUSETTS (JCOH) AND COMMUNITY HEALTH NETWORK AREA 9 (CHNA9) IN 2014. THE JCOH IS A GROUP OF COMMITTED INDIVIDUALS AND ORGANIZATIONS WORKING COLLABORATIVELY AS CATALYSTS FOR CHANGE AND AS ADVOCATES FOR THE UNDERSERVED TO IMPROVE THE HEALTH AND WELL-BEING OF EVERYONE IN NORTH CENTRAL MASSACHUSETTS. THE MONTACHUSETTS PUBLIC HEALTH NETWORK (MPHN) IS A COLLABORATIVE COMMITTEE OF ALL THE BOARD OF HEALTH'S COVERING THE MONTACHUSETT REGION (ATHOL, GARDNER, FITCHBURG, LEOMINSTER, WESTMINSTER, PRINCETON, STERLING, ROYALSTON, PHILLIPSTON, TEMPLETON AND CLINTON) THE STATE GOAL OF THE MPHN IS "RAISING THE HEALTH STATUS OF THE RESIDENTS OF OUR COMMUNITIES TO THE HIGHEST LEVELS ANYWHERE IN THE COUNTRY". THE COMMUNITY HEALTH NETWORK OF NORTH CENTRAL MASSACHUSETTS (CHNA9) IS ONE OF 17 CHNAS ACCROSS MASSACHUSETTS, CREATED BY THE DEPARTMENT OF PUBLIC HEALTH IN 1992. CHNA-9 MISSION BRINGS TOGETHER AND SUPPORTS DIVERSE VOICES TO PROMOTE HEALTH EQUITY IN OUR COMMUNITIES. CLINTON HOSPITAL TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY, INCLUDING DIVERSE MEMBERS WHO WERE INTERVIEWED IN THE COMMUNITY HEALTH ASSESSMENT FOCUS GROUPS. CLINTON HOSPITAL UTILIZED THE INFORMATION IN THE CHNA TO COLLABORATE WITH OTHER COMMUNITY BASED ORGANIZATIONS TO ADOPT IMPLEMENTATION STRATEGIES THAT ADDRESS THE UNMET HEALTH NEEDS OF CLINTON HOSPITAL'S CATCHMENT AREA.
PART VI, LINE 4:	GEOGRAPHICAL REACH: THE 2015 COMMUNITY HEALTH ASSESSMENT (CHA) AND SUBSEQUENT GREATER WORCESTER COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOCUSES ON THE CITY OF WORCESTER AND THE OUTLYING COMMUNITIES OF SHREWSBURY, MILLBURY, WEST BOYLSTON, LEICESTER, GRAFTON AND HOLDEN, A SUB-SECTION OF ITS PRIMARY SERVICE AREA. THIS SPECIFIC GEOGRAPHIC AREA IS THE FOCUS FOR THE CITY OF WORCESTER DIVISION OF PUBLIC HEALTH REGIONALIZATION INTITIATIVE, AND OVERLAPS WITH THE SERVICE AREA OF MANY OTHER LOCAL ORGANIZATIONS. FOCUSING UMASS MEMORIAL'S CHNA ON THIS GEOGRAPHIC AREA FACILITATES THE ALIGNMENT OF THE HOSPITAL'S EFFORTS WITH COMMUNITY AND GOVERNMENTAL PARTNERS, SPECIFICALLY THE CITY HEALTH DEPARTMENT, THE AREA FEDERALLY QUALIFIED HEALTH CENTERS, AND COMMUNITY-BASED ORGANIZATIONS. THIS FOCUS ALSO FACILITATES COLLABORATION WITH THE CHIP ADVISORY COMMITTEE THAT IMPLEMENTS KEY STRATEGIES OF THE CHIP SO THAT FUTURE INITIATIVES CAN BE DEVELOPED IN A MORE COORDINATED APPROACH.REGIONAL DESCRIPTION: THE CITY OF WORCESTER IS VERY ETHNICALLY-DIVERSE, CONSIDERABLY MORE SO THAN THE NATION AND STATE OVERALL. THE NUMBER OF HISPANICS LIVING IN THE CITY HAS GROWN BY 35% OVER THE PAST 10 YEARS. REFUGEES FROM IRAQ CURRENTLY ACCOUNT FOR THE GREATEST PERCENTAGE OF NEW IMMIGRANTS (51%) FOLLOWED BY REFUGEES FROM BHUTAN, BURMA, LIBERIA AND OTHER AFRICAN NATIONS. HEALTH RESOURCES AND SERVICES ADMINISTRATION (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. 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).DEMOGRAPHICS: WORCESTER IS THE LARGEST SITE FOR REFUGEE RESETTLEMENT IN MASSACHUSETTS, WITH MORE THAN 1,600 REFUGEES RESETTLED IN THE CITY IN THE PAST FIVE YEARS. AS A RESULT, THE CITY OF WORCESTERS FOREIGN BORN POPULATION IS SIGNIFICANTLY HIGHER THAN WORCESTER COUNTY AS A WHOLE, ACCOUNTING FOR THE MAJORITY OF THIS POPULATION IN THE REGION. ACCORDING TO U.S. CENSUS 2010 FIGURES, THE HISPANIC POPULATION AND OTHER NON-HISPANIC, NON-WHITE ETHNIC GROUPS IN THE CITY HAVE NOTABLY INCREASED WHILE THE WHITE, NON-HISPANIC POPULATION HAS DECREASED. REFLECTING THIS DIVERSITY, NINETY PERCENT OF ALL MEDICAL INTERPRETATIONS PROVIDED BY UMMHC ARE CONDUCTED IN: SPANISH, PORTUGUESE, VIETNAMESE, ARABIC, ALBANIAN AND AMERICAN SIGN LANGUAGE. THE REMAINING TEN PERCENT ARE 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%.HEALTHALLIANCE HOSPITAL: OUR TARGET POPULATIONS FOCUS ON MEDICALLY-UNDERSERVED AND VULNERABLE GROUPS OF ALL AGES IN NORTH CENTRAL MASSACHUSETTS. OUR MOST VULNERABLE POPULATIONS INCLUDE CHILDREN, ETHNIC AND LINGUISTIC MINORITIES AND THOSE LIVING IN POVERTY. THESE POPULATIONS OFTEN BECOME ISOLATED AND DISENFRANCHISED DUE TO NEGLIGENCE, MISPERCEPTIONS, AND EVEN FEAR. THE STUDY AREA CONFIGURATION FOR THE CURRENT ASSESSMENT INCLUDES THE 30 SURROUNDING MUNICIPALITIES INCLUDING NINE (9) CITIES AND TOWNS INCLUDED FOR THE FIRST TIME IN THIS REPORT AND EXCLUDING SIX (6) CITIES AND TOWNS REPRESENTED IN PRIOR REPORTS: BARRE, BERLIN, HARDWICK, NEW BRAINTREE, OAKHAM, AND RUTLAND.WITHIN THE HEALTH STATUS AND OUTCOMES SECTION OF THE REPORT, SOME DATA SETS REFLECT A FURTHER DISTILLATION OF DATA FROM THE COMMUNITIES OF: PRINCETON/EAST PRINCETON; LANCASTER/SOUTH LANCASTER; GROTON/WEST GROTON; TOWNSEND/WEST TOWNSEND; AND WINCHENDON/WINCHENDON SPRINGS, RESULTING IN A PRESENTATION OF DATA FROM 35 COMMUNITIES.THE HOSPITAL IS ACTIVELY INVOLVED IN COALITION BUILDING THAT FOCUSES ON IMPROVING THE HEALTH OF THE COMMUNITY, INCLUDING THE JOINT COALITION ON HEALTH. THE COALITION HAS BROUGHT POSITIVE CHANGE TO THE SERVICE AREA. HEALTHALLIANCE HOSPITAL IS ALSO ACTIVELY ENGAGED WITH THE CHNA 9, WHOSE GOAL IS CONTINUOUS IMPROVEMENT OF HEALTH STATUS, WITH A FOCUS ON HEALTH EQUALITY AND ADDRESSING AND ELIMINATING HEALTH DISPARITIES.MARLBOROUGH HOSPITAL: BETWEEN 2000 AND 2011, MARLBOROUGH EXPERIENCED THE GREATEST POPULATION INCREASED FROM 36,255 TO 38,087 (5.1%), NEARLY TWICE AS LARGE OF A PERCENT CHANGE AT THE STATE LEVEL (2.6%). HUDSON'S POPULATION ALSO EXCEEDED THE STATE'S AT 4.0%. IN TERMS OF AGE DISTRIBUTION, MOST OF MARLBOROUGH'S POPULATION WAS BETWEEN THE AGES OF 25 TO 44 YEARS OLD (32.4%) WHILE HUDSON'S POPULATION HAD THE GREATEST PERCENT BETWEEN 45 TO 64 YEARS OLD (29.7%). QUANTITATIVE DATA ALSO ILLUSTRATE THAT JUST OVER THREE-FOURTHS OF THE MASSACHUSETTS POPULATION IS WHITE (76.9%) WHICH WAS LARGELY CONSISTENT WITH MARLBOROUGH (79.2%). BOTH AT THE STATE LEVEL AND IN MARLBOROUGH, THE HISPANIC POPULATION WAS THE NEXT LARGEST RACIAL/ETHNIC GROUP (9.3% AND 9.2%, RESPECTIVELY). HUDSON'S POPULATION FOLLOWED A SIMILAR PATTERN, THE PROPORTION OF ITS POPULATION THAT IDENTIFIED AS WHITE WAS EVEN LARGER (90.5%). ENGLISH, PORTUGUESE AND SPANISH ARE THE PREDOMINANT LANGUAGE FOR THE COMMUNITIES THE HOSPITAL SERVES.CLINTON HOSPITAL: CLINTON HOSPITAL PRIMARILY SERVES THE COMMUNITIES OF CLINTON, BERLIN, BOLTON, LANCASTER AND STERLING WITH POPULATIONS OF 13,606, 2,866, 4,897, 7,582 AND 9,564 RESPECTIVELY. THE POPULATION OF THE TOTAL SERVICE AREA IS 36,759. CLINTON HAS A POPULATION OF 13,606. THE MAJORITY OF CLINTON RESIDENTS ARE WHITE NON-HISPANIC (84%), FOLLOWED BY HISPANIC (11.6%) AND BLACK NON-HISPANIC (1.80%). THE CLINTON HOSPITAL SERVICE AREA IS ALSO PRIMARILY WHITE NON-HISPANIC (88%), FOLLOWED BY HISPANIC (6.4%), AND BLACK NON-HISPANIC (2.8%). CLINTON HOSPITAL'S COMMUNITY BENEFITS PLAN FOCUSES ON THE NEEDS OF CLINTON DUE TO ITS LARGE CONCENTRATION OF DIVERSE, VULNERABLE POPULATIONS.
PART VI, LINE 5:	UMASS MEMORIAL HAS A DESIGNATED COMMUNITY BENEFIT DEPARTMENT HOUSED WITHIN COMMUNITY RELATIONS THAT IS WHOLLY DEDICATED TO PROMOTING THE COMMUNITY BENEFIT AGENDA WITH A SPECIAL FOCUS ON COMMUNITY HEALTH IMPROVEMENT. OUR COMMUNITY BENEFITS STAFF WORKS VERY CLOSELY WITH MULTIPLE COMMUNITY ORGANIZATIONS FORGING PARTNERSHIPS. THE HOSPITAL HAS A STRONG AND LONGSTANDING PARTNERSHIP WITH THE WORCESTER DIVISION OF PUBLIC HEALTH WHICH HAS RESULTED IN SIGNIFICANT OPPORTUNITIES THAT HAVE LEVERAGED FUNDING AND IMPLEMENTATION OF PREVENTIVE COMMUNITY-CLINICAL LINKAGES. IN ADDITION, WE WORK CLOSELY WITH THE TWO FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS AND LEVERAGE INTERNAL RESOURCES WITHIN THE SYSTEM TO INCREASE PROGRAM CAPACITY WHENEVER POSSIBLE. THE COMMUNITY RELATIONS/COMMUNITY BENEFITS DEPARTMENT WORKS CLOSELY WITH PEDI-PRIMARY CARE, FAMILY AND COMMUNITY MEDICINE, PEDI-PULMONOLOGY AND PLUMLEY VILLAGE HEALTH SERVICES. WE ALSO PROVIDE MEDICAL AND DENTAL SERVICES TO THE UNDERSERVED AT 11 NEIGHBORHOOD SITES AND 20 SCHOOLS THROUGH THE UMASS MEMORIAL CARE MOBILE.HEALTHALLIANCE HOSPITAL: HEALTHALLIANCE HOSPITAL HAS A COMMUNITY BENEFIT PROGRAM THAT IS RESPONSIBLE FOR PROMOTING THE COMMUNITY BENEFIT AGENDA FOCUSING ON COMMUNITY HEALTH IMPROVEMENT. OUR STAFF WORKS VERY CLOSELY WITH MULTIPLE COMMUNITY ORGANIZATIONS FORGING PARTNERSHIPS. IN ADDITION, WE LEVERAGE INTERNAL RESOURCES WITHIN THE SYSTEM TO INCREASE PROGRAM CAPACITY WHENEVER POSSIBLE. WE CONTINUE TO SUPPORT HEALTH EDUCATION AND SCREENINGS RELATED TO CHRONIC DISEASES AND PREVALENT HEALTH CONDITIONS IN THE COMMUNITY INCLUDING BREAST AND LUNG CANCER, CHRONIC OCCLUSIVE PULMONARY DISEASE (COPD), HEART HEALTH, DEPRESSION, DIABETES AND MENTAL/BEHAVIORAL HEALTH. THE PRIMARY DRIVING FORCE BEHIND THE HEALTHALLIANCE HOSPITAL COMMUNITY BENEFITS IMPLEMENTATION PLAN (THROUGH 2015) IS THE PRIORITY NEEDS IDENTIFIED IN THE COMMUNITY HEALTH ASSESSMENT OF NORTH CENTRAL MA (CHA-NCMA) AND THE MONTACHUSETT PUBLIC HEALTH NETWORK (MPHN). ONE UNIQUE ASPECT OF THE CURRENT ASSESSMENT IS THE LEVEL OF ATTENTION PAID TO MINORITY HEALTH ISSUES. IN ADDITION, THOSE RESPONSIBLE FOR GATHERING QUALITATIVE DATA MADE EVERY EFFORT TO ENSURE RACIAL/ETHNIC, SOCIOECONOMIC, AND GEOGRAPHIC DIVERSITY IN THE COMPOSITION OF FOCUS GROPUS AND WITH INTERVIEW PARTICIPANTS. THE RESULT IS A MUCH MORE COMPREHENSIVE PICTURE OF THE HEALTH STATUS, ISSUES, CONCERNS, AND ASSETS OF NORTH CENTRAL MASSACHUSETTS. ANOTHER KEY FEATURE OF THIS COMMUNITY HEALTH ASSESSMENT IS THE AMOUNT OF COLLABORATION THAT HAS GONE INTO GATHERING AND ANALYZING THE DATA PRESENTED HEREIN.MARLBOROUGH HOSPITAL: MARLBOROUGH HOSPITAL PARTICIPATES IN AREA EVENTS AND PROVIDES FACILITIES FOR SUPPORT GROUPS. IN ADDITION, WHENEVER POSSIBLE WE LEVERAGE INTERNAL RESOURCES TO BUILD CAPACITY IN OUR PROGRAMMING AND WE HAVE STAFF THAT SUPPORTS COMMUNITY BENEFITS ACTIVITIES.CLINTON HOSPITAL: CLINTON HOSPITAL'S COMMUNITY BENEFITS PROGRAMS MIRROR THE FIVE CORE PRINCIPLES OUTLINES BY THE PUBLIC HEALTH INSTITUTE IN TERMS OF THE "EMPHASIS ON COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH-RELATED NEEDS; EMPHASIS ON PRIMARY PREVENTION; BUILDING A SEAMLESS CONTINUUM OF CARE; BUILDING COMMUNITY CAPACITY; AND COLLABORATIVE GOVERNANCE." TARGET POPULATIONS FOR CLINTON HOSPITAL'S COMMUNITY BENEFITS INITIATIVES ARE IDENTIFIED THROUGH A COMMUNITY INPUT AND PLANNING PROCESS, COLLABORATIVE EFFORTS, AND A CHNA WHICH IS CONDUCTED EVERY THREE YEARS.
PART VI, LINE 6:	UMASS MEMORIAL MEDICAL CENTER IS PART OF THE UMASS MEMORIAL HEALTH CARE SYSTEM (FOUR HOSPITALS TOTAL IN CENTRAL MASSACHUSETTS). EACH HOSPITAL HAS DESIGNATED COMMUNITY BENEFITS STAFF TO WORK WITH THEIR RESPECTIVE LOCAL COMMUNITIES. EACH HOSPITAL IS RESPONSIBLE FOR DEVELOPING THEIR OWN COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH LOCAL COMMUNITY STAKEHOLDERS AND DEVELOPS A COMMUNITY BENEFIT IMPLEMENTATION STRATEGY FOR THEIR RESPECTIVE COMMUNITY.
PART VI, LINE 7, REPORTS FILED WITH STATES	MA
PART VI LINE 7	YES, ALL FOUR HOSPITALS FILE INDIVIDUAL COMMUNITY BENEFIT REPORTS WITH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE.

Schedule H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number
91-2155626

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC 650 LINCOLN STREET WORCESTER,MA01605	04-2513817	501(C)(3)	1,000,000	SUPPORT FOR HEALTH CENTER'S MISSION
(2) FAMILY HEALTH CENTER OF WORCESTER INC 26 QUEEN STREET WORCESTER,MA01610	04-2485308	501(C)(3)	1,000,000	SUPPORT FOR HEALTH CENTER'S MISSION
(3) UNIVERSITY OF MA MEDICAL SCHOOL 55 LAKE AVE N WORCESTER,MA01655	04-3167352	501(C)(3)	200,000	MUSCULOSKELETAL CENTER OF EXCELLENCE GRANT
(4) UNIVERSITY OF MA MEDICAL SCHOOL 55 LAKE AVE N WORCESTER,MA01655	04-3167352	501(C)(3)	50,000	INTERVENTIONAL NEURORADIOLOGY RESEARCH
(5) UNIVERSITY OF MA MEDICAL SCHOOL 55 LAKE AVE N WORCESTER,MA01655	04-3167352	501(C)(3)	22,580	COMPLEX AORTIC ANEURYSM REPAIR STUDY
(6) UNIVERSITY OF MA MEDICAL SCHOOL 55 LAKE AVE N WORCESTER,MA01655	04-3167352	501(C)(3)	2,000,000	ACADEMIC CHAIR FUNDING
(7) QCC FOUNDATION INC 670 WEST BOYLSTON STREET WORCESTER,MA01606	04-2897624	501(C)(3)	5,000	ANNIVERSARY SPONSORSHIP
(8) UNIVERSITY OF MA MEDICAL SCHOOL 55 LAKE AVE N WORCESTER,MA01655	04-3167352	501(C)(3)	5,000	SPONSORSHIP OF SEED SYMPOSIUM
(9) COMMUNITY HEALTHLINK 72 JACQUES AVE WORCESTER,MA01610	04-2626179	501(C)(3)	6,500	SPONSORSHIP FAMILY FUN FEST & "LISTEN IN" EVENT
(10) CLINTON HOSPITAL 201 HIGHLAND STREET CLINTON,MA01510	04-1185520	501(C)(3)	33,125	125TH MATCH

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) INTERNSHIPS	34	69,298
(2) SPONSORSHIPS	16	28,550

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

FORM 990, SCHEDULE I, PART I LINE 2:

PART I LINE 2: MEDICAL CENTER: 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: MEDICAL CENTER: AS PART OF THE FUNDING AGREEMENT, BI-ANNUAL UPDATES WILL BE PROVIDED TO THE SENIOR VICE PRESIDENT FOR OPERATIONS OF THE MEDICAL CENTER RESPONSIBLE FOR THE MUSCULOSKELETAL CENTER OF EXCELLENCE. PART I LINE 2: MEDICAL CENTER: RESEARCH GRANTS WILL BE FUNDED ANNUALLY, FOLLOWING ANNUAL UPDATES PROVIDED BY THE DIVISION DIRECTOR AND/OR DEPARTMENT CHAIR TO THE SENIOR VICE PRESIDENT OF OPERATIONS RESPONSIBLE FOR THE RADIOLOGY DEPARTMENT AND THE INTERVENTIONAL NEURORADIOLOGY DIVISION. PART I LINE 2: MEDICAL CENTER: GRANT FUNDED ON A PER YEAR BASIS FOR THE DURATION OF THE STUDY; WITH ANNUAL COST RECONCILIATIONS PERFORMED AND PROVIDED TO THE MEDICAL CENTER. PART II LINE 1(H): MEDICAL CENTER: 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. PART II LINE 1(H): MEDICAL CENTER: THESE GRANTS REPRESENT HIGHLY COLLABORATIVE PROJECTS AMONG THREE DEPARTMENTS (ORTHOPEDICS, MEDICINE (PHEUMATOLOGY) AND CELL BIOLOGY) THAT FOCUS ON THE ROLE OF MICRORNAS IN THE PATHOGENESIS OF RHEUMATOID ARTHRITIS AND OSTEOARTHRITIS, AND ADDRESS THE POTENTIAL ROLE OF MICRORNAS AS BIOMARKERS OF DISEASE. PART II LINE 1(H): MEDICAL CENTER: THIS GRANT ALLOWS THE MEDICAL SCHOOL TO RECEIVE A THREE YEAR RESEARCH GRANT FOR START UP FUNDING RESEARCH UNDER THE DIRECTOR OF THE MEDICAL SCHOOL'S DIVISION DIRECTOR FOR INTERVENTIONAL NEURORADIOLOGY. PART II LINE 1(H): MEDICAL CENTER: THE PRIMARY OBJECTIVE OF THE PRESENT STUDY IS TO EVALUATE THE SAFETY AND EFFICACY OF PHYSICIAN-MODIFICATION OF FDA-APPROVED OFF-THE-SHELF ENDOVASCULAR GRAFTS IN THE TREATMENT OF PATIENTS WITH COMPLEX ABDOMINAL OR THOROCOABDOMINAL ANEURYSMS OR ULCERS. PART I LINE 2: HEALTHALLIANCE HOSPITALS, INC.: PRIOR TO THE DISTRIBUTION OF ANY AND ALL SCHOLARSHIP/INTERNSHIP FUNDS, HEALTHALLIANCE REQUIRES VERIFICATION OF PROGRAM ENROLLMENT FROM ALL RECIPIENTS.

Schedule I (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number

91-2155626

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ALFRED HOWARD MDDIRECTOR, UMM ACO, INC.	(i) (ii)	237,821 ............................... 0	10,327 ............................... 0	0 ............................... 0	18,536 ............................... 0	12,114 ............................... 0	278,798 ............................... 0	0 ............................... 0
2BAGLEY PETER MDDIRECTOR, UMM ACO, INC.	(i) (ii)	237,823 ............................... 0	116,920 ............................... 0	0 ............................... 0	92,512 ............................... 0	28,594 ............................... 0	475,849 ............................... 0	0 ............................... 0
3BROWN ALAN P MDSECRETARY, UMMHC, INC., DIRECTOR VAR	(i) (ii)	170,318 ............................... 0	23,100 ............................... 0	0 ............................... 0	10,064 ............................... 0	24,673 ............................... 0	228,155 ............................... 0	0 ............................... 0
4CARLUCCI DANIEL MDDIRECTOR, MARLBOROUGH HOSPITAL	(i) (ii)	287,163 ............................... 0	22,669 ............................... 0	0 ............................... 0	13,000 ............................... 0	28,594 ............................... 0	351,426 ............................... 0	0 ............................... 0
5COFONE MICHAEL JTREASURER/DIRECTOR, COORDINATED PRIM	(i) (ii)	294,265 ............................... 0	70,675 ............................... 0	2,864 ............................... 0	7,800 ............................... 0	29,925 ............................... 0	405,529 ............................... 0	0 ............................... 0
6CORBETT WILLIAM MDDIRECTOR, MARLBOROUGH HOSPITAL	(i) (ii)	318,625 ............................... 0	104,564 ............................... 0	30,800 ............................... 0	142,507 ............................... 0	21,773 ............................... 0	618,269 ............................... 0	30,800 ............................... 0
7DALY SHEILAPRESIDENT, CLINTON HOSPITAL ASSOC.,	(i) (ii)	205,300 ............................... 0	77,964 ............................... 0	0 ............................... 0	33,757 ............................... 0	11,110 ............................... 0	328,131 ............................... 0	0 ............................... 0
8DICKSON ERIC W MDPRESIDENT & CEO/DIRECTOR, UMM HEALTH	(i) (ii)	773,029 ............................... 0	520,000 ............................... 0	40,695 ............................... 0	230,517 ............................... 0	40,127 ............................... 0	1,604,368 ............................... 0	38,913 ............................... 0
9DUNCAN DAVIDDIRECTOR UNTIL 8/3/15, COORDINATED P	(i) (ii)	167,076 ............................... 0	28,474 ............................... 0	819 ............................... 0	6,940 ............................... 0	23,724 ............................... 0	227,033 ............................... 0	0 ............................... 0
10EISENSTOCK JORDAN MDDIRECTOR, UMM ACO, INC.	(i) (ii)	164,454 ............................... 0	16,357 ............................... 0	5,065 ............................... 0	9,586 ............................... 0	23,309 ............................... 0	218,771 ............................... 0	5,065 ............................... 0
11FAIRCHILD DAVID MDPRESIDENT/DIRECTOR, UMM ACO, INC.	(i) (ii)	378,547 ............................... 0	97,060 ............................... 0	36,936 ............................... 0	94,041 ............................... 0	9,575 ............................... 0	616,159 ............................... 0	36,936 ............................... 0
12FERGUSON R KEVIN MDDIRECTOR, UMM MED GROUP, INC.	(i) (ii)	217,960 ............................... 0	53,694 ............................... 0	6,036 ............................... 0	13,000 ............................... 0	24,521 ............................... 0	315,211 ............................... 0	6,036 ............................... 0
13FINBERG ROBERT W MDDIRECTOR, UMM HEALTH CARE, INC.	(i) (ii)	251,386 ............................... 0	49,354 ............................... 0	15,015 ............................... 0	101,571 ............................... 0	31,094 ............................... 0	448,420 ............................... 0	15,015 ............................... 0
14GOTTLIEB PHILIP D MDDIRECTOR UNTIL 12/13, CLINTON HOSPIT	(i) (ii)	230,340 ............................... 0	134,444 ............................... 0	8,126 ............................... 0	13,000 ............................... 0	24,761 ............................... 0	410,671 ............................... 0	8,126 ............................... 0
15HARLAN DAVID MDDIRECTOR, UMM ACO, INC.	(i) (ii)	148,056 ............................... 0	33,000 ............................... 0	0 ............................... 0	9,415 ............................... 0	25,330 ............................... 0	215,801 ............................... 0	0 ............................... 0
16KENNEDY KATHRYN MDDIRECTOR, UMM MED GROUP, INC.	(i) (ii)	227,786 ............................... 0	61,370 ............................... 0	0 ............................... 0	13,000 ............................... 0	28,588 ............................... 0	330,744 ............................... 0	0 ............................... 0
17LAPRIORE CHERYL MPRESIDENT/DIRECTOR, UMM HEALTH VENT	(i) (ii)	244,120 ............................... 0	94,804 ............................... 0	30,636 ............................... 0	100,910 ............................... 0	22,598 ............................... 0	493,068 ............................... 0	30,636 ............................... 0
18LASSER DANIEL H MDDIRECTOR, UMM MED GROUP, INC.	(i) (ii)	207,486 ............................... 0	29,457 ............................... 0	23,638 ............................... 0	56,027 ............................... 0	27,101 ............................... 0	343,709 ............................... 0	23,638 ............................... 0
19MESSINA LOUIS MDDIRECTOR UNTIL 3/14, UMM MED GROUP,	(i) (ii)	520,117 ............................... 0	77,369 ............................... 0	0 ............................... 0	13,789 ............................... 0	28,102 ............................... 0	639,377 ............................... 0	0 ............................... 0
20METZMAKER JEFFREY N MDDIRECTOR, UMM MED GROUP, INC.	(i) (ii)	305,811 ............................... 0	119,500 ............................... 0	0 ............................... 0	13,000 ............................... 0	26,061 ............................... 0	464,372 ............................... 0	0 ............................... 0
21MULDOON PATRICKPRESIDENT, UMM MED CTR, INC.,	(i) (ii)	579,577 ............................... 0	258,750 ............................... 0	31,239 ............................... 0	267,751 ............................... 0	27,960 ............................... 0	1,165,277 ............................... 0	31,239 ............................... 0
22NOMPLEGGI DOMINIC MDDIRECTOR, UMM MED GROUP, INC.	(i) (ii)	222,270 ............................... 0	120,436 ............................... 0	0 ............................... 0	13,000 ............................... 0	30,154 ............................... 0	385,860 ............................... 0	0 ............................... 0
23OKIKE O NSIDINANYA MDDIRECTOR, UMM HEALTH CARE, INC.	(i) (ii)	425,028 ............................... 0	90,569 ............................... 0	19,250 ............................... 0	13,000 ............................... 0	27,943 ............................... 0	575,790 ............................... 0	19,250 ............................... 0
24O'LEARY DANIEL MDDIRECTOR, COORDINATED PRIMARY CARE,	(i) (ii)	166,973 ............................... 0	20,466 ............................... 0	1,521 ............................... 0	3,340 ............................... 0	4,333 ............................... 0	196,633 ............................... 0	0 ............................... 0
25PHILBIN CHRISDIRECTOR, UMASS MEMORIAL COMMUNITY H	(i) (ii)	189,880 ............................... 0	40,000 ............................... 0	0 ............................... 0	24,558 ............................... 0	25,132 ............................... 0	279,570 ............................... 0	0 ............................... 0
26ROACH STEVENPRESIDENT/DIRECTOR, MARLBOROUGH HOSP	(i) (ii)	328,968 ............................... 0	128,646 ............................... 0	0 ............................... 0	41,706 ............................... 0	23,694 ............................... 0	523,014 ............................... 0	0 ............................... 0
27ROSEN MAX P MDDIRECTOR, CMMIC, INC.	(i) (ii)	377,877 ............................... 0	29,460 ............................... 0	0 ............................... 0	13,000 ............................... 0	3,840 ............................... 0	424,177 ............................... 0	0 ............................... 0
28ROSSI CATHERINEDIRECTOR, CLINTON HOSPITAL ASSOCIATI	(i) (ii)	172,552 ............................... 0	36,000 ............................... 0	0 ............................... 0	25,467 ............................... 0	22,262 ............................... 0	256,281 ............................... 0	0 ............................... 0
29SIOUFI HABIB A MDDIRECTOR, CLINTON HOSPITAL ASSOCIATI	(i) (ii)	199,247 ............................... 0	0 ............................... 0	8,319 ............................... 0	10,719 ............................... 0	23,904 ............................... 0	242,189 ............................... 0	8,319 ............................... 0
30SWENSON DANA EPRESIDENT/DIRECTOR, UMM REALTY, INC.	(i) (ii)	235,564 ............................... 0	60,735 ............................... 0	0 ............................... 0	124,837 ............................... 0	21,773 ............................... 0	442,909 ............................... 0	0 ............................... 0
31TOSI STEPHEN E MDPRESIDENT, UMM MED GROUP, INC., DIRE	(i) (ii)	614,181 ............................... 0	281,303 ............................... 0	353,780 ............................... 0	259,762 ............................... 0	28,605 ............................... 0	1,537,631 ............................... 0	353,780 ............................... 0
32ZIEDONIS DOUGLAS MDPRESIDENT/DIRECTOR, UMBHS, INC.	(i) (ii)	199,796 ............................... 0	27,900 ............................... 0	0 ............................... 0	11,905 ............................... 0	28,594 ............................... 0	268,195 ............................... 0	0 ............................... 0
33BOLLAND ESHGHI KATHARINEASSISTANT SECRETARY, UMMHC, INC.	(i) (ii)	295,192 ............................... 0	73,588 ............................... 0	24,719 ............................... 0	71,413 ............................... 0	23,598 ............................... 0	488,510 ............................... 0	24,719 ............................... 0
34BRONHARD JOHNTREASURER, CNEHA, INC.	(i) (ii)	181,856 ............................... 0	25,943 ............................... 0	10,646 ............................... 0	4,601 ............................... 0	6,790 ............................... 0	229,836 ............................... 0	0 ............................... 0
35BROWN DOUGLAS SSECRETARY, UMM HEALTH CARE, INC.	(i) (ii)	443,477 ............................... 0	396,974 ............................... 0	44,821 ............................... 0	225,532 ............................... 0	22,598 ............................... 0	1,133,402 ............................... 0	44,821 ............................... 0
36COCCHIARELLA ANDREW MDDIRECTOR, MARLBOROUGH HOSPITAL	(i) (ii)	197,022 ............................... 0	117,950 ............................... 0	0 ............................... 0	13,000 ............................... 0	25,305 ............................... 0	353,277 ............................... 0	0 ............................... 0
37EKSTROM DEBORAHPRESIDENT, COMMUNITY HEALTHLINK, INC	(i) (ii)	193,355 ............................... 0	50,131 ............................... 0	16,552 ............................... 0	93,352 ............................... 0	25,785 ............................... 0	379,175 ............................... 0	15,608 ............................... 0
38GREENWOOD JOHNTREASURER, UMM ACO, INC.	(i) (ii)	213,448 ............................... 0	44,000 ............................... 0	16,119 ............................... 0	82,830 ............................... 0	21,453 ............................... 0	377,850 ............................... 0	16,119 ............................... 0
39KEATING TODD ATREASURER UNTIL 2/14, UMM HEALTH CAR	(i) (ii)	91,987 ............................... 0	0 ............................... 0	1,098,018 ............................... 0	147,144 ............................... 0	1,926 ............................... 0	1,339,075 ............................... 0	1,098,018 ............................... 0
40MCCUE STEVENTREASURER, MARLBOROUGH HOSPITAL	(i) (ii)	175,880 ............................... 0	19,328 ............................... 0	0 ............................... 0	23,654 ............................... 0	20,986 ............................... 0	239,848 ............................... 0	0 ............................... 0
41MELGAR SERGIOTREASURER, UMASS MEMORIAL HEALTH CAR	(i) (ii)	560,318 ............................... 0	285,000 ............................... 0	11,937 ............................... 0	59,208 ............................... 0	29,966 ............................... 0	946,429 ............................... 0	0 ............................... 0
42O'BRIEN WILLIAMSECRETARY, UMBHS, INC.	(i) (ii)	117,117 ............................... 0	7,642 ............................... 0	0 ............................... 0	33,517 ............................... 0	25,132 ............................... 0	183,408 ............................... 0	0 ............................... 0
43OLSON JEFFREYTREASURER, CLINTON HOSPITAL ASSOC.	(i) (ii)	139,702 ............................... 0	16,170 ............................... 0	0 ............................... 0	35,085 ............................... 0	23,762 ............................... 0	214,719 ............................... 0	0 ............................... 0
44SHAKMAN ALICEPRESIDENT, CMMIC, INC.	(i) (ii)	253,236 ............................... 0	64,081 ............................... 0	24,782 ............................... 0	147,863 ............................... 0	8,754 ............................... 0	498,716 ............................... 0	24,782 ............................... 0
45SMITH FRANCIS WCLERK, UMM HEALTH VENTURES, INC.	(i) (ii)	187,014 ............................... 0	15,867 ............................... 0	0 ............................... 0	50,459 ............................... 0	25,951 ............................... 0	279,291 ............................... 0	0 ............................... 0
46STREETER MICHELETREASURER, UMM MED GROUP, INC.	(i) (ii)	389,263 ............................... 0	178,200 ............................... 0	26,031 ............................... 0	224,630 ............................... 0	24,159 ............................... 0	842,283 ............................... 0	26,031 ............................... 0
47SZYMANSKI CANDRA DINTERIM PRESIDENT UNTIL 12/13, MARLB	(i) (ii)	90,876 ............................... 0	0 ............................... 0	99,808 ............................... 0	12,383 ............................... 0	1,138 ............................... 0	204,205 ............................... 0	88,494 ............................... 0
48WEYMOUTH DEBORAHPRESIDENT, CENTRAL NEW ENGLAND HEALT	(i) (ii)	193,633 ............................... 0	30,000 ............................... 0	0 ............................... 0	297 ............................... 0	6,118 ............................... 0	230,048 ............................... 0	0 ............................... 0
49ANDERSON MILTONSR. VP, CHIEF HR OFFICER UNTIL 9/14	(i) (ii)	278,569 ............................... 0	188,883 ............................... 0	304,011 ............................... 0	369,884 ............................... 0	18,215 ............................... 0	1,159,562 ............................... 0	304,011 ............................... 0
50BRENCKLE GEORGE PHDSR. VP, CIO UNTIL 4/14	(i) (ii)	110,652 ............................... 0	0 ............................... 0	408,888 ............................... 0	340,242 ............................... 0	9,561 ............................... 0	869,343 ............................... 0	408,888 ............................... 0
51CYR JAMES PSR VP, HEART AND VASCULAR DISEASES	(i) (ii)	241,332 ............................... 0	62,636 ............................... 0	17,956 ............................... 0	162,807 ............................... 0	22,598 ............................... 0	507,329 ............................... 0	17,956 ............................... 0
52DAY THERESEVP, FINANCE / CFO OF MED CENTER	(i) (ii)	273,845 ............................... 0	70,628 ............................... 0	27,201 ............................... 0	156,689 ............................... 0	22,598 ............................... 0	550,961 ............................... 0	27,201 ............................... 0
53DIAMOND VICTORIASR. VP, OPERATIONS, UNTIL 1/14	(i) (ii)	36,051 ............................... 0	0 ............................... 0	386,939 ............................... 0	138,442 ............................... 0	3,885 ............................... 0	565,317 ............................... 0	386,939 ............................... 0
54FELDMANN ROBERTVP, CORPORATE CONTROLLER	(i) (ii)	258,169 ............................... 0	64,609 ............................... 0	0 ............................... 0	152,358 ............................... 0	1,951 ............................... 0	477,087 ............................... 0	0 ............................... 0
55FISHER BARBARASR VP, OPERATIONS	(i) (ii)	251,672 ............................... 0	64,915 ............................... 0	63,026 ............................... 0	130,815 ............................... 0	21,773 ............................... 0	532,201 ............................... 0	63,026 ............................... 0
56GEORGE PATRICIAVP & DEPUTY CIO	(i) (ii)	18,466 ............................... 0	0 ............................... 0	0 ............................... 0	339,530 ............................... 0	566 ............................... 0	358,562 ............................... 0	0 ............................... 0
57HUDLIN MARGARET MDCHIEF MED OFFICER/VP PERIOPERATIVE S	(i) (ii)	338,331 ............................... 0	87,500 ............................... 0	9,339 ............................... 0	43,750 ............................... 0	25,132 ............................... 0	504,052 ............................... 0	9,339 ............................... 0
58HYLKA SHARONSR. VP, HOSPITAL ADMIN UNTIL 1/14	(i) (ii)	94,281 ............................... 0	0 ............................... 0	877,323 ............................... 0	263,324 ............................... 0	7,382 ............................... 0	1,242,310 ............................... 0	877,323 ............................... 0
59JEWELL CATHYSR VP, CHIEF NURSING OFFICER	(i) (ii)	217,068 ............................... 0	13,418 ............................... 0	0 ............................... 0	24,981 ............................... 0	22,598 ............................... 0	278,065 ............................... 0	0 ............................... 0
60RANDOLPH JOHNCHIEF COMPLIANCE OFFICER	(i) (ii)	199,185 ............................... 0	51,633 ............................... 0	0 ............................... 0	93,732 ............................... 0	24,598 ............................... 0	369,148 ............................... 0	0 ............................... 0
61TARNOWSKI TIMOTHYSR VP, CHIEF INFO OFFICER	(i) (ii)	37,456 ............................... 0	45,000 ............................... 0	0 ............................... 0	0 ............................... 0	1,461 ............................... 0	83,917 ............................... 0	0 ............................... 0
62THOMPSON DIANESR VP CHIEF NURSING OFF UNTIL 4/9/15	(i) (ii)	325,897 ............................... 0	89,792 ............................... 0	5,919 ............................... 0	360,115 ............................... 0	22,397 ............................... 0	804,120 ............................... 0	0 ............................... 0
63LITWIN DEMETRIUS MDPHYSICIAN, CHAIR OF SURGERY DEPT	(i) (ii)	555,716 ............................... 0	161,939 ............................... 0	0 ............................... 0	13,000 ............................... 0	28,775 ............................... 0	759,430 ............................... 0	0 ............................... 0
64BOZORGZADEH ADEL MDPHYSICIAN, CHIEF OF ORGAN TRANSPLANT	(i) (ii)	469,603 ............................... 0	243,156 ............................... 0	0 ............................... 0	13,000 ............................... 0	28,594 ............................... 0	754,353 ............................... 0	0 ............................... 0
65AROUS ELIAS J MDPHYSICIAN, ASSOC. CHIEF MEDICAL OFFI	(i) (ii)	596,100 ............................... 0	49,600 ............................... 0	0 ............................... 0	13,000 ............................... 0	26,061 ............................... 0	684,761 ............................... 0	0 ............................... 0
66AYERS DAVID C MDPHYSICIAN, CHAIR OF ORTHOPEDICS AND	(i) (ii)	606,387 ............................... 0	34,957 ............................... 0	0 ............................... 0	13,000 ............................... 0	27,769 ............................... 0	682,113 ............................... 0	0 ............................... 0
67BUSCONI BRIAN D MDPHYSICIAN, CHIEF OF ORTHOPEDICS	(i) (ii)	501,137 ............................... 0	115,985 ............................... 0	0 ............................... 0	13,000 ............................... 0	26,061 ............................... 0	656,183 ............................... 0	0 ............................... 0
68CHANDLER WILLISFMR DIR CLINTON UNTIL 12/31/11	(i) (ii)	0 ............................... 0	0 ............................... 0	43,852 ............................... 0	0 ............................... 0	107 ............................... 0	43,959 ............................... 0	43,852 ............................... 0
69FERRUCCI JOSEPH MDFMR DIR CMMIC UNTIL 3/31/13	(i) (ii)	259,317 ............................... 0	15,612 ............................... 0	1,385 ............................... 0	8,300 ............................... 0	15,785 ............................... 0	300,399 ............................... 0	0 ............................... 0
70PAPPAS ARTHUR M MDFMR DIR UNTIL 3/27/13	(i) (ii)	12,736 ............................... 0	800 ............................... 0	0 ............................... 0	101 ............................... 0	107 ............................... 0	13,744 ............................... 0	0 ............................... 0
71MOORE KARENFMR PRESIDENT/DIR UNTIL 3/25/13	(i) (ii)	0 ............................... 0	0 ............................... 0	156,975 ............................... 0	26,309 ............................... 0	13,714 ............................... 0	196,998 ............................... 0	156,975 ............................... 0
72BLUTE MICHAEL MDFMR KEY EE UNTIL 3/31/2012, CANCER C	(i) (ii)	0 ............................... 0	0 ............................... 0	122,006 ............................... 0	0 ............................... 0	107 ............................... 0	122,113 ............................... 0	122,006 ............................... 0
73DALEY JENNIFER MDFMR EXEC VP, COO, UNTIL 3/18/13	(i) (ii)	0 ............................... 0	0 ............................... 0	529,399 ............................... 0	100,961 ............................... 0	25,255 ............................... 0	655,615 ............................... 0	529,399 ............................... 0
74ETTINGER WALTER H MDFMR KEY EE/PRES MEDCTR UNTIL 1/20/12	(i) (ii)	0 ............................... 0	0 ............................... 0	716,815 ............................... 0	0 ............................... 0	107 ............................... 0	716,922 ............................... 0	716,815 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINES 4A-B

PART I, LINE 4A: RECEIVE A SEVERANCE PAYMENT OR CHANGE-OF-CONTROL PAYMENT. THE FOLLOWING INDIVIDUALS RECEIVED OR HAD DEFERRED SEVERANCE IN THE REPORTING PERIOD: INCLUDED IN SCH. J COL. BIII: ANDERSON, MILTON $127,422 BRENCKLE, GEORGE, PH.D. $198,020 DALEY, JENNIFER, MD $479,079 DIAMOND, VICTORIA $235,532 FERRUCCI, JOSEPH, MD $ 1,385 HYLKA, SHARON $217,849 KEATING, TODD $389,532 MOORE, KAREN $142,257 SZYMANSKI, CANDRA D. $ 88,494 INCLUDED IN SCH. J COL. C: ANDERSON, MILTON $293,123 BRENCKLE, GEORGE, PH.D. $225,567 DIAMOND, VICTORIA $ 12,296 GEORGE, PATRICIA $339,530 HYLKA, SHARON $190,143 THOMPSON, DIANE $313,225 THE DEFERRED SEVERANCE REPORTED ON SCH. J COL. C IS THE MAXIMUM POTENTIAL OBLIGATION FOR UMMHC AND AFFILIATES. THESE SEVERANCE COSTS ARE OFFSET IN PART BY THE RECIPIENTS GAINING EMPLOYMENT. THEREFORE, THEIR OVERALL SEVERANCE BENEFIT COULD BE SUBSTANTIALLY LOWER. PART I, LINE 4B: NAME OF PARTICIPANTS IN OR RECEIVING PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN EXECUTIVES BOLLAND ESHGHI, KATHARINE $24,719 BROWN, DOUGLAS S. $44,821 CORBETT, WILLIAM, MD $30,800 DALY, SHEILA $0 DICKSON, ERIC, M.D. $38,913 EKSTROM, DEBORAH $15,608 FAIRCHILD, DAVID, M.D. $35,436 FINBERG, ROBERT W., MD $0 GREENWOOD, JOHN $16,119 IITSUKA, CARLOS $0 KEATING, TODD A. $76,900 LAPRIORE, CHERYL M. $30,636 MELGAR, SERGIO $0 MULDOON, PATRICK L. $31,239 PHILBIN, CHRIS $0 ROACH, STEVEN $0 ROSSI, CATHERINE $0 SHAKMAN, ALICE $24,782 STREETER, MICHELE M. $26,031 SWENSON, DANA $0 TOSI, STEPHEN E., M.D. $257,069 WEYMOUTH, DEBORAH $0 SUBTOTAL EXECUTIVES $653,071 KEY EMPLOYEES ANDERSON, MILTON $12,086 BRENCKLE, GEORGE, PH.D. $55,236 CYR, JAMES P. $17,956 DAY, THERESE $27,201 DIAMOND, VICTORIA $43,540 FELDMANN, ROBERT $0 FISHER, BARBARA $63,026 GEORGE, PATRICIA $0 HUDLIN, MARGARET, M.D. $9,339 HYLKA, SHARON $66,871 RANDOLPH, JOHN $0 TARNOWSKI, TIMOTHY $0 THOMPSON, DIANE $0 SUBTOTAL KEY EMPLOYEES $295,257 FORMER O/D OR KEY EMPLOYEES BLUTE, MICHAEL, MD $122,006 CHANDLER, WILLIS $ 30,786 DALEY, JENNIFER, MD $ 50,320 ETTINGER, WALTER H., MD $ 77,458 MOORE, KAREN $ 14,718 SUBTOTAL FORMER $295,287 TOTAL - ALL $1,243,615 PART II - DISCLOSURES: 1) 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 2014. THE NAME OF THE UNRELATED ORGANIZATION IS UMASS MEDICAL SCHOOL. PART III - UNRELATED ORGANIZATION COMPENSATION OFFICERS, DIRECTORS, TRUSTEES ALFRED, HOWARD, MD $ 24,667 BAGLEY, PETER, MD $134,387 BROWN, ALAN P., MD $ 64,030 CARLUCCI, DANIEL, MD $ 92,600 COCCHIARELLA, ANDREW, MD $129,095 FINBERG, ROBERT W., MD $305,351 HARLAN, DAVID, MD $166,150 KENNEDY, KATHRYN, MD $ 38,782 LASSER, DANIEL H., MD $260,363 MESSINA, LOUIS, MD $129,000 METZMAKER, JEFFREY N., MD $144,351 NOMPLEGGI, DOMINIC, MD $170,252 ROSEN, MAX P., MD $254,953 ZIEDONIS, DOUGLAS, MD $254,377 SUBTOTAL OFF., DIR., TRUSTEES $2,168,358 FORMER FERRUCCI, JOSEPH, MD $ 39,877 SUBTOTAL FORMER $ 39,877 TOP 5 HIGHEST PAID LITWIN, DEMETRIUS, MD $276,118 BOZORGZADEH, ADEL, MD $139,000 AROUS, ELIAS J., MD $160,068 AYERS, DAVID C., MD $192,088 BUSCONI, BRIAN, MD $136,500 SUBTOTAL TOP 5 HIGHEST PAID $903,774 TOTAL COMP. FROM UNREL. ORG. $3,112,009

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number
91-2155626

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MHEFA-UMASS MEMORIAL SERIES D	04-2456011	57586CLQ6	08-18-2005	107,450,000	SEE PART VI		X		X		X
B	MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES E	04-2456011	57586EHZ7	05-22-2009	30,000,000	SEE PART VI		X		X		X
C	MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES F	04-2456011	57586EJA0	05-22-2009	30,000,000	SEE PART VI		X		X		X
D	MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A	04-3431814		11-24-2009	9,420,000	SEE PART VI		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		12-07-2005	10,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		12-27-2006	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		04-24-2008	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		07-24-2009	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL SERIES G	04-2456011	57586EUS8	05-27-2010	60,445,000	SEE PART VI		X		X		X
	MDFA-UMASS MEMORIAL MASTER LEASE	04-3431814		12-09-2010	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MDFA-UMASS MEMORIAL SERIES H	04-3431814	57583UGP7	08-10-2011	90,990,000	SEE PART VI		X		X		X
	MDFA-UMASS MEMORIAL MASTER LEASE	04-3431814		12-28-2011	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MDFA-UMASS MEMORIAL MASTER LEASE	04-3431814		08-14-2013	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MDFA-UMASS MEMORIAL VARIABLE RATE SERIES E	04-3431814		04-01-2015	27,290,000	SEE PART VI		X		X		X
	MDFA-UMASS MEMORIAL VARIABLE RATE SERIES F	04-3431814		05-21-2015	27,290,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	30,000,000		30,000,000		30,000,000		1,203,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	110,521,543		30,062,453		30,062,772		9,420,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	10,709,415
5 Capitalized interest from proceeds . . . . . . . . . . .	5,411,300		170,731		238,917		191,609
6 Proceeds in refunding escrows . . . . . . . . . . . .	60,734,797		27,290,000		91,058,463
7 Issuance costs from proceeds . . . . . . . . . . . .	1,384,731		205,455		118,700		93,458
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .	3,427,397		717,238		152,952		24,254
10 Capital expenditures from proceeds . . . . . . . . . . .	95,000,000		29,856,998		29,944,072		9,326,542
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2006		2012		2012		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.580 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.580 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .	X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . .
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X	X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART I - BOND ISSUES (A) ISSUER NAME:	MHEFA - UMASS MEMORIAL, SERIES D MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F MDFA - MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL, SERIES G MDFA - UMASS MEMORIAL MASTER LEASE MDFA - UMASS MEMORIAL, SERIES H MDFA - UMASS MEMORIAL, MASTER LEASE MDFA - UMASS MEMORIAL, MASTER LEASE MDFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MDFA - UMASS MEMORIAL VARIABLE RATE, SERIES F
PART I - BOND ISSUE	MHEFA-UMASS MEMORIAL, SERIES D PART I COLUMN (C ) CUSIP #: 57586CLP8 - 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 #: 57586EHZ7 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUE	MDFA-UMASS MEMORIAL VARIABLE RATE, SERIES E PART I COLUMN (F) DESCRIPTION OF PURPOSE: PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES E BONDS
PART I - BOND ISSUE	MHEFA-UMASS MEMORIAL VARIABLE RATE, SERIES F PART I COLUMN (C ) CUSIP #: 57586EJA0 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUE	MDFA-UMASS MEMORIAL VARIABLE RATE, SERIES F PART I COLUMN (F) DESCRIPTION OF PURPOSE: PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES F BONDS
PART I - BOND ISSUE	MDFA-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 - 57586EUY5 - 57586EUZ2 - 57586EVA6 - 57586EVB4 - 57586EVC2 - 57586EVD0 - 57586EVE8 - 57586EVF5 - 57586EVG3 - 57586EVH1 - 57586EVJ7 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	MDFA-UMASS MEMORIAL, SERIES H PART I COLUMN (C ) CUSIP #: 57583UGP7 - 57583UGQ5 - 57583UGR3 - 57583UGS1 - 57583UGT9 - 57583UGU6 - 57583UGV4 - 57583UGW2 - 57583UGX0 - 57583UGY8 - 57583UGZ5 - 57583UHA9 - 57583UHB7 - 57583UHC5 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	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 $3,427,397, LESS ISSUE DISCOUNT OF ($960,668), EQUALS LINE 3 OF $110,521,543. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $62,453, EQUALS LINE 3 OF $30,062,453. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $62,772, EQUALS LINE 3 OF $30,062,772. 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, SERIES G COLUMN (E) ISSUE PRICE OF $60,445,000; ADD ISSUE PREMIUM OF $1,388,656 ADD INTEREST EARNED ON PROCEEDS OF $180, EQUALS LINE 3 OF $61,833,836 MDFA - 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. MDFA - 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. MDFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $13,504, EQUALS LINE 3 OF $20,013,504. MDFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $723, EQUALS LINE 3 OF $20,000,723.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number
91-2155626

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MHEFA-UMASS MEMORIAL SERIES D	04-2456011	57586CLQ6	08-18-2005	107,450,000	SEE PART VI		X		X		X
B	MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES E	04-2456011	57586EHZ7	05-22-2009	30,000,000	SEE PART VI		X		X		X
C	MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES F	04-2456011	57586EJA0	05-22-2009	30,000,000	SEE PART VI		X		X		X
D	MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A	04-3431814		11-24-2009	9,420,000	SEE PART VI		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		12-07-2005	10,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		12-27-2006	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		04-24-2008	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		07-24-2009	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL SERIES G	04-2456011	57586EUS8	05-27-2010	60,445,000	SEE PART VI		X		X		X
	MDFA-UMASS MEMORIAL MASTER LEASE	04-3431814		12-09-2010	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MDFA-UMASS MEMORIAL SERIES H	04-3431814	57583UGP7	08-10-2011	90,990,000	SEE PART VI		X		X		X
	MDFA-UMASS MEMORIAL MASTER LEASE	04-3431814		12-28-2011	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MDFA-UMASS MEMORIAL MASTER LEASE	04-3431814		08-14-2013	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MDFA-UMASS MEMORIAL VARIABLE RATE SERIES E	04-3431814		04-01-2015	27,290,000	SEE PART VI		X		X		X
	MDFA-UMASS MEMORIAL VARIABLE RATE SERIES F	04-3431814		05-21-2015	27,290,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	30,000,000		30,000,000		30,000,000		1,203,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	110,521,543		30,062,453		30,062,772		9,420,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	10,709,415
5 Capitalized interest from proceeds . . . . . . . . . . .	5,411,300		170,731		238,917		191,609
6 Proceeds in refunding escrows . . . . . . . . . . . .	60,734,797		27,290,000		91,058,463
7 Issuance costs from proceeds . . . . . . . . . . . .	1,384,731		205,455		118,700		93,458
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .	3,427,397		717,238		152,952		24,254
10 Capital expenditures from proceeds . . . . . . . . . . .	95,000,000		29,856,998		29,944,072		9,326,542
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2006		2012		2012		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.580 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.580 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .	X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . .
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X	X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART I - BOND ISSUES (A) ISSUER NAME:	MHEFA - UMASS MEMORIAL, SERIES D MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F MDFA - MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL, SERIES G MDFA - UMASS MEMORIAL MASTER LEASE MDFA - UMASS MEMORIAL, SERIES H MDFA - UMASS MEMORIAL, MASTER LEASE MDFA - UMASS MEMORIAL, MASTER LEASE MDFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MDFA - UMASS MEMORIAL VARIABLE RATE, SERIES F
PART I - BOND ISSUE	MHEFA-UMASS MEMORIAL, SERIES D PART I COLUMN (C ) CUSIP #: 57586CLP8 - 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 #: 57586EHZ7 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUE	MDFA-UMASS MEMORIAL VARIABLE RATE, SERIES E PART I COLUMN (F) DESCRIPTION OF PURPOSE: PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES E BONDS
PART I - BOND ISSUE	MHEFA-UMASS MEMORIAL VARIABLE RATE, SERIES F PART I COLUMN (C ) CUSIP #: 57586EJA0 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUE	MDFA-UMASS MEMORIAL VARIABLE RATE, SERIES F PART I COLUMN (F) DESCRIPTION OF PURPOSE: PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES F BONDS
PART I - BOND ISSUE	MDFA-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 - 57586EUY5 - 57586EUZ2 - 57586EVA6 - 57586EVB4 - 57586EVC2 - 57586EVD0 - 57586EVE8 - 57586EVF5 - 57586EVG3 - 57586EVH1 - 57586EVJ7 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	MDFA-UMASS MEMORIAL, SERIES H PART I COLUMN (C ) CUSIP #: 57583UGP7 - 57583UGQ5 - 57583UGR3 - 57583UGS1 - 57583UGT9 - 57583UGU6 - 57583UGV4 - 57583UGW2 - 57583UGX0 - 57583UGY8 - 57583UGZ5 - 57583UHA9 - 57583UHB7 - 57583UHC5 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	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 $3,427,397, LESS ISSUE DISCOUNT OF ($960,668), EQUALS LINE 3 OF $110,521,543. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $62,453, EQUALS LINE 3 OF $30,062,453. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $62,772, EQUALS LINE 3 OF $30,062,772. 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, SERIES G COLUMN (E) ISSUE PRICE OF $60,445,000; ADD ISSUE PREMIUM OF $1,388,656 ADD INTEREST EARNED ON PROCEEDS OF $180, EQUALS LINE 3 OF $61,833,836 MDFA - 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. MDFA - 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. MDFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $13,504, EQUALS LINE 3 OF $20,013,504. MDFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $723, EQUALS LINE 3 OF $20,000,723.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number
91-2155626

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MHEFA-UMASS MEMORIAL SERIES D	04-2456011	57586CLQ6	08-18-2005	107,450,000	SEE PART VI		X		X		X
B	MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES E	04-2456011	57586EHZ7	05-22-2009	30,000,000	SEE PART VI		X		X		X
C	MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES F	04-2456011	57586EJA0	05-22-2009	30,000,000	SEE PART VI		X		X		X
D	MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A	04-3431814		11-24-2009	9,420,000	SEE PART VI		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		12-07-2005	10,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		12-27-2006	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		04-24-2008	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		07-24-2009	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL SERIES G	04-2456011	57586EUS8	05-27-2010	60,445,000	SEE PART VI		X		X		X
	MDFA-UMASS MEMORIAL MASTER LEASE	04-3431814		12-09-2010	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MDFA-UMASS MEMORIAL SERIES H	04-3431814	57583UGP7	08-10-2011	90,990,000	SEE PART VI		X		X		X
	MDFA-UMASS MEMORIAL MASTER LEASE	04-3431814		12-28-2011	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MDFA-UMASS MEMORIAL MASTER LEASE	04-3431814		08-14-2013	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MDFA-UMASS MEMORIAL VARIABLE RATE SERIES E	04-3431814		04-01-2015	27,290,000	SEE PART VI		X		X		X
	MDFA-UMASS MEMORIAL VARIABLE RATE SERIES F	04-3431814		05-21-2015	27,290,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	30,000,000		30,000,000		30,000,000		1,203,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	110,521,543		30,062,453		30,062,772		9,420,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	10,709,415
5 Capitalized interest from proceeds . . . . . . . . . . .	5,411,300		170,731		238,917		191,609
6 Proceeds in refunding escrows . . . . . . . . . . . .	60,734,797		27,290,000		91,058,463
7 Issuance costs from proceeds . . . . . . . . . . . .	1,384,731		205,455		118,700		93,458
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .	3,427,397		717,238		152,952		24,254
10 Capital expenditures from proceeds . . . . . . . . . . .	95,000,000		29,856,998		29,944,072		9,326,542
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2006		2012		2012		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.580 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.580 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .	X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . .
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X	X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART I - BOND ISSUES (A) ISSUER NAME:	MHEFA - UMASS MEMORIAL, SERIES D MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F MDFA - MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL, SERIES G MDFA - UMASS MEMORIAL MASTER LEASE MDFA - UMASS MEMORIAL, SERIES H MDFA - UMASS MEMORIAL, MASTER LEASE MDFA - UMASS MEMORIAL, MASTER LEASE MDFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MDFA - UMASS MEMORIAL VARIABLE RATE, SERIES F
PART I - BOND ISSUE	MHEFA-UMASS MEMORIAL, SERIES D PART I COLUMN (C ) CUSIP #: 57586CLP8 - 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 #: 57586EHZ7 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUE	MDFA-UMASS MEMORIAL VARIABLE RATE, SERIES E PART I COLUMN (F) DESCRIPTION OF PURPOSE: PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES E BONDS
PART I - BOND ISSUE	MHEFA-UMASS MEMORIAL VARIABLE RATE, SERIES F PART I COLUMN (C ) CUSIP #: 57586EJA0 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUE	MDFA-UMASS MEMORIAL VARIABLE RATE, SERIES F PART I COLUMN (F) DESCRIPTION OF PURPOSE: PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES F BONDS
PART I - BOND ISSUE	MDFA-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 - 57586EUY5 - 57586EUZ2 - 57586EVA6 - 57586EVB4 - 57586EVC2 - 57586EVD0 - 57586EVE8 - 57586EVF5 - 57586EVG3 - 57586EVH1 - 57586EVJ7 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	MDFA-UMASS MEMORIAL, SERIES H PART I COLUMN (C ) CUSIP #: 57583UGP7 - 57583UGQ5 - 57583UGR3 - 57583UGS1 - 57583UGT9 - 57583UGU6 - 57583UGV4 - 57583UGW2 - 57583UGX0 - 57583UGY8 - 57583UGZ5 - 57583UHA9 - 57583UHB7 - 57583UHC5 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	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 $3,427,397, LESS ISSUE DISCOUNT OF ($960,668), EQUALS LINE 3 OF $110,521,543. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $62,453, EQUALS LINE 3 OF $30,062,453. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $62,772, EQUALS LINE 3 OF $30,062,772. 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, SERIES G COLUMN (E) ISSUE PRICE OF $60,445,000; ADD ISSUE PREMIUM OF $1,388,656 ADD INTEREST EARNED ON PROCEEDS OF $180, EQUALS LINE 3 OF $61,833,836 MDFA - 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. MDFA - 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. MDFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $13,504, EQUALS LINE 3 OF $20,013,504. MDFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $723, EQUALS LINE 3 OF $20,000,723.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number
91-2155626

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MHEFA-UMASS MEMORIAL SERIES D	04-2456011	57586CLQ6	08-18-2005	107,450,000	SEE PART VI		X		X		X
B	MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES E	04-2456011	57586EHZ7	05-22-2009	30,000,000	SEE PART VI		X		X		X
C	MHEFA-UMASS MEMORIAL VARIABLE RATE SERIES F	04-2456011	57586EJA0	05-22-2009	30,000,000	SEE PART VI		X		X		X
D	MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A	04-3431814		11-24-2009	9,420,000	SEE PART VI		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		12-07-2005	10,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		12-27-2006	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		04-24-2008	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL MASTER LEASE	04-2456011		07-24-2009	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MHEFA-UMASS MEMORIAL SERIES G	04-2456011	57586EUS8	05-27-2010	60,445,000	SEE PART VI		X		X		X
	MDFA-UMASS MEMORIAL MASTER LEASE	04-3431814		12-09-2010	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MDFA-UMASS MEMORIAL SERIES H	04-3431814	57583UGP7	08-10-2011	90,990,000	SEE PART VI		X		X		X
	MDFA-UMASS MEMORIAL MASTER LEASE	04-3431814		12-28-2011	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MDFA-UMASS MEMORIAL MASTER LEASE	04-3431814		08-14-2013	20,000,000	CAPITAL EQUIPMENT		X		X		X
	MDFA-UMASS MEMORIAL VARIABLE RATE SERIES E	04-3431814		04-01-2015	27,290,000	SEE PART VI		X		X		X
	MDFA-UMASS MEMORIAL VARIABLE RATE SERIES F	04-3431814		05-21-2015	27,290,000	SEE PART VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	30,000,000		30,000,000		30,000,000		1,203,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	110,521,543		30,062,453		30,062,772		9,420,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	10,709,415
5 Capitalized interest from proceeds . . . . . . . . . . .	5,411,300		170,731		238,917		191,609
6 Proceeds in refunding escrows . . . . . . . . . . . .	60,734,797		27,290,000		91,058,463
7 Issuance costs from proceeds . . . . . . . . . . . .	1,384,731		205,455		118,700		93,458
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .	3,427,397		717,238		152,952		24,254
10 Capital expenditures from proceeds . . . . . . . . . . .	95,000,000		29,856,998		29,944,072		9,326,542
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2006		2012		2012		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X		X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.580 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.580 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .	X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .
c No rebate due? . . . . . . . .
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X	X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART I - BOND ISSUES (A) ISSUER NAME:	MHEFA - UMASS MEMORIAL, SERIES D MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F MDFA - MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL MASTER LEASE MHEFA - UMASS MEMORIAL, SERIES G MDFA - UMASS MEMORIAL MASTER LEASE MDFA - UMASS MEMORIAL, SERIES H MDFA - UMASS MEMORIAL, MASTER LEASE MDFA - UMASS MEMORIAL, MASTER LEASE MDFA - UMASS MEMORIAL VARIABLE RATE, SERIES E MDFA - UMASS MEMORIAL VARIABLE RATE, SERIES F
PART I - BOND ISSUE	MHEFA-UMASS MEMORIAL, SERIES D PART I COLUMN (C ) CUSIP #: 57586CLP8 - 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 #: 57586EHZ7 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUE	MDFA-UMASS MEMORIAL VARIABLE RATE, SERIES E PART I COLUMN (F) DESCRIPTION OF PURPOSE: PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES E BONDS
PART I - BOND ISSUE	MHEFA-UMASS MEMORIAL VARIABLE RATE, SERIES F PART I COLUMN (C ) CUSIP #: 57586EJA0 PART I COLUMN (F) DESCRIPTION OF PURPOSE: RENOVATION, EQUIPPING AND CONSTRUCTION FOR CLINICAL, SUPPORT SERVICE AND INFRASTRUCTURE PROJECTS
PART I - BOND ISSUE	MDFA-UMASS MEMORIAL VARIABLE RATE, SERIES F PART I COLUMN (F) DESCRIPTION OF PURPOSE: PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES F BONDS
PART I - BOND ISSUE	MDFA-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 - 57586EUY5 - 57586EUZ2 - 57586EVA6 - 57586EVB4 - 57586EVC2 - 57586EVD0 - 57586EVE8 - 57586EVF5 - 57586EVG3 - 57586EVH1 - 57586EVJ7 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	MDFA-UMASS MEMORIAL, SERIES H PART I COLUMN (C ) CUSIP #: 57583UGP7 - 57583UGQ5 - 57583UGR3 - 57583UGS1 - 57583UGT9 - 57583UGU6 - 57583UGV4 - 57583UGW2 - 57583UGX0 - 57583UGY8 - 57583UGZ5 - 57583UHA9 - 57583UHB7 - 57583UHC5 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	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 $3,427,397, LESS ISSUE DISCOUNT OF ($960,668), EQUALS LINE 3 OF $110,521,543. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES E COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $62,453, EQUALS LINE 3 OF $30,062,453. MHEFA - UMASS MEMORIAL VARIABLE RATE, SERIES F COLUMN (E) ISSUE PRICE OF $30,000,000; ADD INTEREST EARNED ON PROCEEDS OF $62,772, EQUALS LINE 3 OF $30,062,772. 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, SERIES G COLUMN (E) ISSUE PRICE OF $60,445,000; ADD ISSUE PREMIUM OF $1,388,656 ADD INTEREST EARNED ON PROCEEDS OF $180, EQUALS LINE 3 OF $61,833,836 MDFA - 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. MDFA - 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. MDFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $13,504, EQUALS LINE 3 OF $20,013,504. MDFA - UMASS MEMORIAL MASTER LEASE COLUMN (E) ISSUE PRICE OF $20,000,000; ADD INTEREST EARNED ON PROCEEDS OF $723, EQUALS LINE 3 OF $20,000,723.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number

91-2155626

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) FLOYD CONNELLY	FORMER EXECUTIVE DIRECTOR OF CMMIC, INC.	CSV OF LIFE INSURANCE		X	455,570	301,054		No	Yes		Yes
(2) THOMAS CUMMINGS	FORMER CEO OF MARLBOROUGH HOSPITAL	CSV OF LIFE INSURANCE		X	377,630	230,850		No	Yes		Yes
(3) WILLIAM J WILLIAMS	FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC.	CSV OF LIFE INSURANCE		X	1,981,627	4,171,785		No	Yes		Yes



Total ...... $						4,703,689

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) FERNANDO CATALINA MD	BOD	346,180	RENTAL OF PROPERTY - INCOME		No
(2) ANTHONY J MERCADANTE	BOD	448,004	PHYSICIAN SERVICES WERE PROVIDED TO HA HOSPITALS, INC. BY CARDIOLOGY INTERNISTS OF LEOMINSTER, INC., OF WHICH ANTHONY J. MERCADANTE'S BROTHER, NICHOLAS MERCADANTE, IS A PRINCIPAL.		No
(3) EDWARD MANZI	BOD	212,570	RENTAL OF PROPERTY - EXPENSE		No
(4) ERIC W DICKSON MD	OFFICER/BOD	493,770	ED SERVICES WERE PROVIDED TO HA HOSPITALS, INC. BY WACHUSETT EMERGENCY PHYSICIANS PC, A COMPANY WHICH CONTRACTS ED SERVICES FROM PRINCETON BIO-MEDICAL, A COMPANY WHICH IS CO-OWNED BY ERIC W. DICKSON, M.D. & HIS SPOUSE CATHERINE JONES, M.D.		No
(5) JOHN H BUDD (OF COUNSEL)	BOD	1,035,462	LEGAL SERVICES WERE PROVIDED TO UMM HEALTH CARE, INC. AND UMM MEDICAL CENTER, INC. BY MIRICK, O'CONNELL, DEMALLIE, & LOUGEE, LLP. JOHN H. BUDD IS OF COUNSEL TO THIS LAW FIRM BUT PERFORMED NO WORK FOR UMM AND/OR AFFILIATED ENTITIES.		No
(6) KATHLEEN HYLKA	FAMILY MEMBER OF SHARON HYLKA, KEY EMPLOYEE (JANUARY 2014 RETIREMENT)	102,657	EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC.		No
(7) JOANNE D'ONFRO	FAMILY MEMBER OF PAUL D'ONFRO, BOD	51,529	EMPLOYMENT ARRANGEMENT W/ HA HOSPITALS, INC.		No
(8) ELLEN CARLUCCI	FAMILY MEMBER OF DANIEL CARLUCCI, M.D., BOD	128,426	EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL		No
(9) KATHRYN C MAY	FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER	44,084	EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC.		No
(10) EILEEN HENRICKSON RN	FAMILY MEMBER OF DEBORAH EKSTROM, OFFICER	127,940	EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC.		No
(11) KAREN BUCKLEY RN	FAMILY MEMBER OF MARY CARLSON, BOD	51,302	EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL		No
(12) ELAINE GRANVILLE RN	FAMILY MEMBER OF CHERYL LAPRIORE, OFFICER/BOD	93,949	EMPLOYMENT ARRANGEMENT W/ UMM MEDICAL CENTER, INC.		No
(13) JOSHUA P SZYMANSKI	FAMILY MEMBER OF CANDRA SZYMANSKI, INTERIM OFFICER/BOD (UNTIL 12/13)	29,352	EMPLOYMENT ARRANGEMENT W/ MARLBOROUGH HOSPITAL		No
(14) LALITA MATTA MD	BOD	31,132	AMOUNTS WERE PAID TO LALITA MATTA, M.D. BY UMM MEDICAL GROUP, INC., ACTING AS MEDIATOR, FOR MEETING CERTAIN TARGETS AND/OR OTHER CRITERION AS ESTABLISHED IN 3RD PARTY PAYER CONTRACTS. DEPENDENT ON THE AGREEMENT AND THE MEASURES MET, PAYMENTS CAN BE IN THE FORM OF ADDITIONAL COMPENSATION AND/OR AS A RETURN OF WITHHELD FUNDS.		No
(15) WILLIAM MCGRAIL ESQUIRE	BOD	775,527	CLINTON HOSPITAL ASSOCIATION HAS A CERTIFICATE OF DEPOSIT WITH CLINTON SAVINGS BANK, OF WHICH WILLIAM MCGRAIL, ESQUIRE IS A BOARD MEMBER. THE INTEREST RATE WAS ASSESSED AND COMPARED WITH THOSE OF OTHER LOCAL BANKS AND DETERMINED TO BE FAIR MARKET VALUE.		No
(16) ROBERT J PAULHUS JR	BOD	775,527	CLINTON HOSPITAL ASSOCIATION HAS A CERTIFICATE OF DEPOSIT WITH CLINTON SAVINGS BANK, OF WHICH ROBERT J. PAULHUS, JR. IS THE PRESIDENT AND CEO. THE INTEREST RATE WAS ASSESSED AND COMPARED WITH THOSE OF OTHER LOCAL BANKS AND DETERMINED TO BE FAIR MARKET VALUE.		No
(17) GERARD P RICHER	BOD	433,501	MARLBOROUGH HOSPITAL HAS A CERTIFICATE OF DEPOSIT WITH ST. MARY'S CREDIT UNION, OF WHICH GERARD P. RICHER IS THE CHAIRPERSON OF THE BOARD OF DIRECTORS. THE INTEREST RATE WAS ASSESSED AND COMPARED WITH THOSE OF OTHER LOCAL BANKS AND DETERMINED TO BE FAIR MARKET VALUE.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCH L, PART II, LOANS FROM INTERESTED PERSONS:

NAME OF INTERESTED PERSON, TITLE, ORIGINAL PRINCIPAL AMOUNT, BALANCE DUETHOMAS CUMMINGS, FORMER CEO OF MARLBOROUGH HOSPITAL, $377,630, $230,850WILLIAM J. WILLIAMS, FORMER OFFICER OF HEALTHALLIANCE HOSPITALS, INC., $1,981,627, $4,171,785FLOYD CONNELLY, FORMER DIRECTOR OF CMMIC, INC., $455,570, $301,054TOTAL ORIGINAL PRINCIPAL AMOUNT $2,814,827TOTAL BALANCE DUE $4,703,689AMOUNTS DUE FROM 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.

SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:

SEVERAL OF OUR COMMUNITY HOSPITALS MAINTAIN LOCAL BANK ACCOUNTS IN THEIR RESPECTIVE COMMUNITIES. EACH ALSO HAS TRUSTEES FROM THESE BANKS ON THEIR BOARDS. THESE BANKING RELATIONSHIPS HAVE BEEN ASSESSED, MEET FAIR MARKET VALUE REQUIREMENTS, AND MOST ARE VALUED WELL BELOW THE DISCLOSURE THRESHOLDS. BALANCES PERTAINING TO CERTIFICATES OF DEPOSIT THAT EXCEED THE DISCLOSURE THRESHOLDS HAVE BEEN SEPARATELY REPORTED.

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE N
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Liquidation, Termination, Dissolution, or Significant Disposition of Assets

Complete if the organization answered "Yes" to Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet

Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet

Attach to Form 990 or 990-EZ.
bullet

Information about Schedule N (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number
91-2155626

Part I

Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" to Form 990, Part IV, line 31, or Form 990-EZ, line 36.
Part I can be duplicated if additional space is needed.

1(a)Description of asset(s) distributed or transaction expenses paid	(b)Date of distribution	(c)Fair market value of asset(s) distributed or amount of transaction expenses	(d)Method of determining FMV for asset(s) distributed or transaction expenses	(e)EIN of recipient	(f)Name and address of recipient	(g)IRC section of recipient(s) (if tax-exempt) or type of entity
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. - CASH	09-30-2015	506,905	BOOK VALUE	22-2605679	UMASS MEMORIAL HEALTH VENTURES INC 306 BELMONT STREET WORCESTER,MA01604	501(C)(3)
CENTRAL MASSACHUSETTS MAGNETIC IMAGINING CENTER, INC. - CURRENT ASSETS	09-30-2015	14,767,673	BOOK VALUE	22-2605679	UMASS MEMORIAL HEALTH VENTURES INC 306 BELMONT STREET WORCESTER,MA01604	501(C)(3)
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. - NOTES RECEIVABLE	09-30-2015	1,739,565	BOOK VALUE	22-2605679	UMASS MEMORIAL HEALTH VENTURES INC 306 BELMONT STREET WORCESTER,MA01604	501(C)(3)
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. - INVESTMENTS	09-30-2015	9,999,523	BOOK VALUE	22-2605679	UMASS MEMORIAL HEALTH VENTURES INC 306 BELMONT STREET WORCESTER,MA01604	501(C)(3)
CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. - OTHER ASSETS	09-30-2015	4,125,282	BOOK VALUE	22-2605679	UMASS MEMORIAL HEALTH VENTURES INC 306 BELMONT STREET WORCESTER,MA01604	501(C)(3)

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .

Yes

Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .

Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . .

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? . . . . .

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2014)

Page 2

Part I

Liquidation, Termination, or Dissolution (continued)

Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.

Yes

Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III . . . . . . . . . . .

Yes

Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? . . . . . .

Yes

If "Yes," did the organization provide such notice? . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

Did the organization discharge or pay all of its liabilities in accordance with state laws? . . . . . . . . . . . . . . . . .

Yes

Did the organization have any tax-exempt bonds outstanding during the year? . . . . . . . . . . . . . . . . . . . .

If "Yes" to line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?

If "Yes" to line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" to line 6b, explain in Part III.

Part II

Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" to Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .

Yes

Become an employee of, or independent contractor for, a successor or transferee organization? . . . . . . . . . . . . . . . .

Become a direct or indirect owner of a successor or transferee organization? . . . . . . . . . . . . . . . . . . . . .

Receive, or become entitled to, compensation or other similar payments as a result of the organization’s significant disposition of assets? . . . . . . .

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

Schedule N(Form 990 or 990-EZ) (2014)

Schedule N (Form 990 or 990-EZ) (2014)

Page 3

Part III

Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.

Return Reference

Explanation

PART I, LINE 2E:

EXPLANATION OF INVOLVEMENT: SEVERAL OF THE DIRECTORS OF CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. ARE ALREADY OFFICERS AND/OR DIRECTORS OF THE TRANSFEREE ORGANIZATION. BOTH ORGANIZATIONS ARE INCLUDED IN THIS GROUP RETURN - GROUP EXEMPTION #3642SERGIO MELGARFRANCIS W. SMITHTODD A. KEATINGPAUL KANGASJOHN H. BUDDFREDERICK G. CROCKERGERARD P. RICHERERIC W. DICKSON, MDCHERYL LAPRIOREEDWARD J. PARRY, IIICENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC. WAS MERGED INTO ANOTHER ORGANIZATION WITHIN THE UMASS MEMORIAL SYSTEM.SEE ATTACHED MERGER DOCUMENTS

Schedule N (Form 990 or 990-EZ) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number

91-2155626

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	DISCLOSURE YEAR, DISCLOSING INDIVIDUAL, TITLE/ROLE, RELATIONSHIP WITH, RELATIONSHIP UMMHC 2014 - BENNETT, RICHARD, BOARD MEMBER, MARLBOROUGH SAVINGS BANK (BUSINESS) VENTURES 2014 - BUDD, JOHN, BOARD MEMBER, PAUL D'ONFRO (BUSINESS) MEMBER ENTITIES HEALTHALLIANCE 2014 - CLEMENTI, JOHN, BOARD MEMBER, 80 ERDMAN WAY LLC (BUSINESS) 2014 - CATALINA, FERNANDO, BOARD MEMBER, BOYS & GIRLS CLUB (BUSINESS) CHL 2014 - EKSTROM, DEBORAH, CEO, CHL, FIDELITY COOPERATIVE BANK (EDWARD MANZI) (BUSINESS), FIDELITY MUTUAL HOLDING COMPANY (BUSINESS) MARLBOROUGH 2014 - BENNETT, RICHARD, BOARD MEMBER, MARLBOROUGH SAVINGS BANK (BUSINESS) 2014 - CARLUCCI, DANIEL, BOARD MEMBER, ELLEN CARLUCCI (FAMILY) CLINTON 2014 - PAULHUS, JR., ROBERT, BOARD MEMBER, PAUL CHERUBINI (BUSINESS) 2014 - CHERUBINI, PAUL, BOARD MEMBER, PAULHUS, JR., ROBERT (BUSINESS) UMM ACO 2014 - NONE UMM MED GROUP 2014 - NONE
FORM 990, PART VI, SECTION A, LINE 6	THERE ARE NO CLASSES OF DIRECTORS. THE VOTING RIGHTS OF EACH 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 GUARANTEES; 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.
FORM 990, PART VI, SECTION B, LINE 12C	PAGE 6 SECTION B. POLICIES LINE 12C: 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 15	PAGE 6 SECTION B. POLICIES LINE 15B: 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 C, LINE 19	PAGE 6: LINE 19 UMASS MEMORIAL MAKES ITS 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 VIII, LINE 11 - MISC. REVENUE, COLUMN C - UNREL. BUS. REVENU	JOINT VENTURE UNRELATED BUSINESS INCOME (LOSS) FROM K-1'S TAX YEAR EIN NAME 2014 04-2708828 BIO-LAB, INC. 2013 46-4276493 SHIELDS SPECIALTY PHARMACY OF SPRINGFIELD, LLC 2014 46-4276493 SHIELDS SPECIALTY PHARMACY OF SPRINGFIELD, LLC 2014 47-1510851 SHIELDS PHARMACY OF NEWARK, LLC
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 211,958,691. MANAGEMENT AND GENERAL EXPENSES 72,877,307. FUNDRAISING EXPENSES 32,881. TOTAL EXPENSES 284,868,879.
FORM 990, PART IX, LINE 11G - DETAIL	LINE 25 - TOTAL FUNCTIONAL EXPENSES - COLUMN (A) $2,483,941,839 LINE 11G - OTHER FEES - COLUMN (A) $ 284,868,879 PERCENTAGE OF EXPENSES ON LINE 11G TO TOTAL EXPENSES 11% DETAIL OF OTHER FEES ON LINE 11G AFFILIATE PURCHASED SERVICES $ 98,528,699 MEDICAL SCHOOL INTERNS AND RESIDENTS SERVICES $ 39,526,447 OUTSIDE LAB SERVICES $ 12,873,728 CLINICAL ENGINEERING SERVICES $ 11,686,014 PURCHASED TEMPORARY HELP $ 9,038,274 ICD-10 CHARGES $ 4,212,717 TRANSCRIPTION SERVICES $ 3,964,440 PROFESSIONAL MEDICAL SERVICES $ 3,287,213 DISCOUNT PURCHASING SERVICES $ 2,006,491 PRIVACY ADVISORY SERVICES $ 1,256,055 RECRUITMENT FEES $ 831,317 MEDICAL SCHOOL PARTICIPATION PAYMENT $ 631,844 COLLECTION AGENCY SERVICES $ 478,039 SHIELDS CARE PURCHASED SERVICES $ 245,462 LINEN SERVICES $ 70,913 ANSWERING SERVICES $ 20,917 OTHER $ 96,210,309 TOTAL $ 284,868,879
FORM 990, PART XI, LINE 9:	NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 1,757,904. PENSION RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST -57,317,934. CHANGE IN BENEFICIAL INTERESTS IN PERPETUAL TRUSTS -1,846,398. MISCELLANEOUS 184. NET ASSETS RELEASED FROM RESTRICTION FOR PPE 594,093. TEMPORARY RESTRICTED FUND EXPENDITURES -2,352,948. ALLOWANCE FOR UNCOLLECTIBLE PLEDGES 84,976. PLEDGE RECEIVABLES, WRITE-OFFS AND ADJUSTMENTS -224,049. TRANSFERS TO FR FUNDS -75,438. BOOK TO TAX DIFFERENCE FROM S-CORP K-1 4,119,722.
PAGE 1, LINE H(B) LIST OF AFFILIATED ORGANIZATIONS	THE CLINTON HOSPITAL ASSOCIATION; 201 HIGHLAND STREET, CLINTON, MA 01510 EIN: 04-1185520 FISCAL YEAR END: 9/30/2015 MARLBOROUGH HOSPITAL; 157 UNION STREET, MARLBOROUGH, MA 01752 EIN: 04-2104693 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL BEHAVIORAL HEALTH SYSTEM, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3374724 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL COMMUNITY HOSPITALS, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3296271 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL HEALTH VENTURES, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 22-2605679 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL MEDICAL CENTER, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3358564 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL MEDICAL GROUP, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-2911067 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL REALTY, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-2805630 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL HEALTH CARE, INC. (PARENT); 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 04-3358566 FISCAL YEAR END: 9/30/2015 COMMUNITY HEALTHLINK, INC.; 72 JAQUES AVENUE, WORCESTER, MA 01610 EIN: 04-2626179 FISCAL YEAR END: 9/30/2015 CENTRAL MASSACHUSETTS MAGNETIC IMAGING CENTER, INC.; 367 PLANTATION STREET, WORCESTER, MA 01605 EIN: 04-2981362 FISCAL YEAR END: 9/30/2015 CENTRAL NEW ENGLAND HEALTHALLIANCE, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-3172496 FISCAL YEAR END: 9/30/2015 COORDINATED PRIMARY CARE, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-3210002 FISCAL YEAR END: 9/30/2015 HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.; 25 TUCKER ROAD, LEOMINSTER, MA 01453 EIN: 04-2932308 FISCAL YEAR END: 9/30/2015 HEALTHALLIANCE HOSPITALS, INC.; 60 HOSPITAL ROAD, LEOMINSTER, MA 01453 EIN: 04-2103555 FISCAL YEAR END: 9/30/2015 UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZATION, INC.; 306 BELMONT STREET, WORCESTER, MA 01604 EIN: 46-2871359 FISCAL YEAR END: 9/30/2015

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

UMASS MEMORIAL HEALTH CARE INC & AFFILIATES

Employer identification number

91-2155626

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) UMASS MEMORIAL FOUNDATION INC 333 SOUTH STREET SHREWSBURY,MA01545 04-3108190	FUNDRAISING SUPPORT	MA	501(C)(3)	11C	N/A		No
(2) HEALTH ALLIANCE REALTY CORPORATION 60 HOSPITAL ROAD LEOMINSTER,MA01473 04-2560754	REAL ESTATE MANAGEMENT	MA	501(C)(2)	N/A	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) UMASS MEMORIAL INVESTMENT PARTNERSHIP LLP ONE BIOTECH PARK 355 PLANTATION ST WORCESTER,MA01605 04-3530755	INVESTMENT MANAGEMENT	MA	N/A	EXCLUDED 514	23,004,489	453,170,744		No	2,186	Yes		100.000 %
(2) UMASS MEMORIAL MRI OF MARLBOROUGH LLC 157 UNION STREET MARLBOROUGH,MA01752 20-2293995	MAGNETIC RESONANCE IMAGING	MA	MARLBOROUGH HOSPITAL	RELATED	565,497	412,728		No			No	56.000 %
(3) UMASS MEMORIAL HEALTH ALLIANCE MRI CENTER LLC 60 HOSPITAL ROAD LEOMINSTER,MA01453 04-3561571	MAGNETIC RESONANCE IMAGING	MA	N/A	RELATED	993,573	1,289,638		No			No	60.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) COMMONWEALTH PROFESSIONAL ASSURANCE CO LTD PO BOX 1051 GT GRAND CAYMAN CJ 98-0226143	INSURANCE	CJ	N/A	C	-14,339,873	167,731,722	100.000 %		No
(2) MEMORIAL OFFICE CONDOMINIUM TRUST 306 BELMONT STREET WORCESTER,MA01604 04-6616900	CONDOMINIUM ASSOCIATION	MA	UMASS MEMORIAL MEDICAL CENTER INC	T		271,634	53.690 %		No
(3) BIO-LAB INC 215 WEST STREET MILFORD,MA01757 04-2708828	CLINICAL LABORATORY	MA	UMASS MEMORIAL HEALTH VENTURES INC	S	-45,915	2,212,007	100.000 %		No
(4) 116 BELMONT ST INC CO APPLETON CORP 57 SUFFOLK STREET HOLYOKE,MA01040 04-2717865	CONDOMINIUM ASSOCIATION	MA	UMASS MEMORIAL REALTY INC	C	215	144,305	63.040 %		No

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD	L	25,903,450	FAIR VALUE
(2) UMASS MEMORIAL MEDICAL CENTER INC	B	328,847	FAIR VALUE
(3) UMASS MEMORIAL REALTY INC	P	256,898	FAIR VALUE
(4) MARLBOROUGH HOSPITAL	P	4,131,200	FAIR VALUE
(5) THE CLINTON HOSPITAL ASSOCIATION	P	2,743,141	FAIR VALUE
(6) CENTRAL NEW ENGLAND HEALTH ALLIANCE INC	P	4,016,667	FAIR VALUE
(7) UMASS MEMORIAL MEDICAL CENTER INC	P	135,617,159	FAIR VALUE
(8) UMASS MEMORIAL MEDICAL GROUP INC	P	34,291,782	FAIR VALUE
(9) COMMUNITY HEALTHLINK INC	P	485,800	FAIR VALUE
(10) UMASS MEMORIAL MEDICAL GROUP INC	B	705,787	FAIR VALUE
(11) UMASS MEMORIAL REALTY INC	J	3,152,642	FAIR VALUE
(12) THE CLINTON HOSPITAL ASSOCIATION	B	312,500	FAIR VALUE
(13) COMMONWEALTH PROFESSIONAL ASSURANCE COMPANY LTD	P	33,585,804	FAIR VALUE
(14) UMASS MEMORIAL MEDICAL CENTER INC	S	483,561	FAIR VALUE
(15) UMASS MEMORIAL MEDICAL CENTER INC	Q	27,935	FAIR VALUE
(16) UMASS MEMORIAL MEDICAL GROUP INC	L	5,383,644	FAIR VALUE
(17) CENTRAL NEW ENGLAND HEALTH ALLIANCE INC	Q	8,026	FAIR VALUE
(18) UMASS MEMORIAL ACCOUNTABLE CARE ORGANIZATION INC	L	353,923	FAIR VALUE
(19) MARLBOROUGH HOSPITAL	B	9,312	FAIR VALUE
(20) CENTRAL NEW ENGLAND HEALTH ALLIANCE INC	B	112,589	FAIR VALUE
(21) COMMUNITY HEALTHLINK INC	R	5,895	FAIR VALUE

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	192
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	104
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	15,036
6	Total number of volunteers (estimate if necessary) .............	6	1,182
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,976,329
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	11,687,383	14,499,867
9	Program service revenue (Part VIII, line 2g) .........	2,539,202,708	2,510,679,190
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	47,398,719	41,297,302
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	11,933,184	11,103,132
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	2,610,221,994	2,577,579,491
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	4,940,267	4,483,733
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,292,502,919	1,277,516,317
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	301,241	323,352
b	Total fundraising expenses (Part IX, column (D), line 25) 835,153
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,246,056,328	1,201,618,437
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,543,800,755	2,483,941,839
19	Revenue less expenses. Subtract line 18 from line 12.......	66,421,239	93,637,652
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,142,414,587	2,290,835,371
21	Total liabilities (Part X, line 26).............	1,235,963,484	1,382,662,313
22	Net assets or fund balances. Subtract line 21 from line 20.....	906,451,103	908,173,058

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,187,083,343 including grants of $ 2,336,260 ) (Revenue $ 1,498,951,691 )
	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.FY 2015 KEY STATISTICS - TOTAL DISCHARGES: 38,396TOTAL SURGICAL CASES: 28,966 TOTAL ER VISITS: 131,052

4b	(Code: ) (Expenses $ 210,667,104 including grants of $ 69,298 ) (Revenue $ 269,554,234 )
	UMASS MEMORIAL COMMUNITY HOSPITALSTHE UMASS MEMORIAL COMMUNITY HOSPITALS (CLINTON HOSPITAL, HEALTH ALLIANCE HOSPITALS, INC., MARLBOROUGH HOSPITAL) 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.FY 2015 KEY STATISTICS -TOTAL DISCHARGES: 11,534TOTAL SURGICAL CASES: 8,501TOTAL ER VISITS: 84,427

4c	(Code: ) (Expenses $ 438,100,920 including grants of $ ) (Revenue $ 465,476,475 )
	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.

	(Code: ) (Expenses $ 73,699,339 including grants of $ 2,078,175 ) (Revenue $ 277,064,881 )
	OTHER PROGRAM SERVICESOTHER UMASS MEMORIAL ENTITIES - UMASS 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 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.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 73,699,339 including grants of $ 2,078,175 ) (Revenue $ 277,064,881 )
4e	Total program service expenses1,909,550,706

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	30,211,370	0	7,328,209

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a		70,000
b	Membership dues....1b
c	Fundraising events....1c		731,239
d	Related organizations...1d		446,198
e	Government grants (contributions)1e		8,578,916

f	All other contributions, gifts, grants, and similar amounts not included above1f		4,673,514

g	Noncash contributions included in lines 1a-1f:$		10,853
h	Total. Add lines 1a-1f.......			14,499,867
			Business Code
2a	NET PATIENT SERVICE RE		900099	1,960,116,077	1,960,116,077
b	SYSTEM ALLOCATION REVE		900099	171,072,958	171,072,958
c	SPECIAL MEDICAID PAYME		900099	168,649,504	168,649,504
d	AFFILIATE RELATED PROG		900099	148,657,627	148,657,627
e	OTHER PSR & JV		900099	36,449,481	36,449,481
f	All other program service revenue .			25,733,543	25,733,543
g	Total. Add lines 2a–2f........			2,510,679,190
3	Investment income (including dividends, interest, and other similar amounts).......			10,473,582	36,162	2,186	10,435,234
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........			78,143			78,143
		(i) Real	(ii) Personal
6a	Gross rents	2,628,666
b	Less: rental expenses	1,371,048
c	Rental income or (loss)	1,257,618
d	Net rental income or (loss).......			1,257,618			1,257,618
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	321,450,973	183,376
b	Less: cost or other basis and sales expenses	290,148,455	662,174
c	Gain or (loss)	31,302,518	-478,798
d	Net gain or (loss)..........			30,823,720	-368,600		31,192,320
8a	Gross income from fundraising events (not including $ 731,239 of contributions reported on line 1c). See Part IV, line 18 ..
	a		283,518
b	Less: direct expenses ...b		304,299
c	Net income or (loss) from fundraising events..			-20,781			-20,781
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	OTHER REVENUE		900099	7,527,369	700,529	-157,778	6,984,618
b	LAB OUTREACH PROGRAM		621500	2,131,921		2,131,921
c	SUBLEASE INCOME		900099	128,862			128,862
d	All other revenue ....
e	Total. Add lines 11a–11d ......			9,788,152
12	Total revenue. See Instructions......			2,577,579,491	2,511,047,281	1,976,329	50,056,014


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			91,339,673	1	119,788,165
2	Savings and temporary cash investments .........			51,569,765	2	65,070,897
3	Pledges and grants receivable, net ...........			1,221,500	3	562,552
4	Accounts receivable, net .............			262,415,754	4	250,995,615
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				4,432,374	5	4,703,689
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			41,989,817	7	33,456,546
8	Inventories for sale or use ..............			24,740,080	8	29,117,718
9	Prepaid expenses and deferred charges ..........			23,751,081	9	22,899,661
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,669,626,558
b	Less: accumulated depreciation .....	10b	1,086,098,052	616,971,066	10c	583,528,506
11	Investments—publicly traded securities ..........			459,751,041	11	72,182,619
12	Investments—other securities. See Part IV, line 11 .....			164,159,185	12	519,994,237
13	Investments—program-related. See Part IV, line 11 .....			35,417,054	13	63,800,082
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			364,656,197	15	524,735,084
16	Total assets. Add lines 1 through 15 (must equal line 34)......			2,142,414,587	16	2,290,835,371
17	Accounts payable and accrued expenses .........			277,838,208	17	286,431,598
18	Grants payable .................			584,353	18	338,032
19	Deferred revenue ................			9,420,067	19	6,297,369
20	Tax-exempt bond liabilities .............			340,791,673	20	327,411,105
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			45,087,007	23	43,756,483
24	Unsecured notes and loans payable to unrelated third parties ....			32,590,236	24	50,000,000
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			529,651,940	25	668,427,726
26	Total liabilities. Add lines 17 through 25.........			1,235,963,484	26	1,382,662,313
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			741,359,678	27	747,417,618
28	Temporarily restricted net assets ...........			86,449,119	28	76,999,973
29	Permanently restricted net assets ...........			78,642,306	29	83,755,467
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			906,451,103	33	908,173,058
34	Total liabilities and net assets/fund balances ........			2,142,414,587	34	2,290,835,371