Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 10-01-2018 , and ending 09-30-2019
BCheck if applicable:
CName of organization
UMass Memorial Health Care Inc & Affiliates
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
306 Belmont Street
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Worcester, MA01604
D Employer identification number

91-2155626
E Telephone number

G Gross receipts $ 2,854,690,734
F Name and address of principal officer:
Sergio Melgar
306 Belmont Street
Worcester,MA01604
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.umassmemorial.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions) Click to see attachment
H(c)
Group exemption number MediumBullet3642
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 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 MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 164
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 92
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 14,026
6 Total number of volunteers (estimate if necessary) ............. 6 1,108
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 7,751,892
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 714,108
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 36,683,858 31,502,293
9 Program service revenue (Part VIII, line 2g) ......... 2,430,122,747 2,589,960,712
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 17,818,191 218,793,330
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 10,512,035 11,932,674
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 2,495,136,831 2,852,189,009
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 9,457,799 9,292,943
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,233,250,458 1,272,048,297
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet558,761    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,298,767,154 1,364,864,150
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,541,475,411 2,646,205,390
19 Revenue less expenses. Subtract line 18 from line 12....... -46,338,580 205,983,619
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,757,124,172 1,887,997,936
21 Total liabilities (Part X, line 26)............. 1,190,948,585 1,310,975,925
22 Net assets or fund balances. Subtract line 21 from line 20..... 566,175,587 577,022,011
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: 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
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,499,939,207 including grants of $ 2,092,168 ) (Revenue $ 1,835,088,481 )
UMASS MEMORIAL MEDICAL CENTER UMASS 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 2019 KEY STATISTICS - TOTAL DISCHARGES: 38,214 TOTAL SURGICAL CASES: 27,141 TOTAL ER VISITS: 134,166
4b (Code:   ) (Expenses $ 552,326,823 including grants of $ 7,150,000 ) (Revenue $ 414,584,386 )
UMASS MEMORIAL MEDICAL GROUP THE 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.
4c (Code:   ) (Expenses $ 241,699,761 including grants of $ 43,275 ) (Revenue $ 280,673,813 )
UMASS MEMORIAL COMMUNITY HOSPITALS THE 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 2019 KEY STATISTICS - TOTAL DISCHARGES: 10,812 TOTAL SURGICAL CASES: 6,677 TOTAL ER VISITS: 86,906
(Code:   ) (Expenses $ 80,516,276 including grants of $ 7,500 ) (Revenue $ 62,906,573 )
OTHER 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, 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 $ 80,516,276 including grants of $ 7,500 ) (Revenue $ 62,906,573 )
4e Total program service expensesMediumBullet2,374,482,067
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
Yes
 
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV........................Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
1,376
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
14,026
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
164
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
92
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MA
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletRobert Feldmann306 Belmont Street   Worcester,MA01604 (508) 334-0496
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) LESLIE BOVENZI
 
DIRECTOR, UMM MEDICAL CENTER, INC. Director various
 1.0
.................
1.0 		X   X       0 0 0
(2) JOHN BRONHARD
 
Treasurer until FY2019, UMM HealthAlliance-Clinton Hospital, Inc. Officer/Dir Various
 40.0
.................
1.0 		X   X       323,766 0 40,054
(3) DOUGLAS S BROWN
 
Secretary, UMM Medical Center, Inc., Director Various
 5.0
.................
40.0 		X   X       0 896,342 175,591
(4) FERNANDO CATALINA MD
 
CHAIRPERSON, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. Director varoius
 1.0
.................
0 		X   X       0 0 0
(5) ERIC W DICKSON MD
 
President & CEO, Director, UMM Health Care, Inc., Director various
 5.0
.................
40.0 		X   X       0 2,087,540 342,802
(6) JOHN GREENWOOD
 
PRESIDENT, DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 40.0
.................
5.0 		X   X       382,141 0 117,431
(7) MICHAEL GUSTAFSON MD
 
PRESIDENT, UMM MEDICAL CENTER, INC., DIRECTOR VARIOUS
 40.0
.................
5.0 		X   X       212,939 0 40,941
(8) PAUL KANGAS
 
CHAIRPERSON, DIRECTOR, UMM HEALTH VENTURES, INC. & UMM MEDICAL CENTER, INC.
 1.0
.................
1.0 		X   X       0 0 0
(9) CHERYL LAPRIORE
 
President/Director, UMM Health Ventures, Inc., Director various
 5.0
.................
40.0 		X   X       0 421,031 118,185
(10) SERGIO MELGAR
 
EVP/CFO/Treasurer, UMM MEDICAL CENTER, Inc., Officer/Dir various
 5.0
.................
41.0 		X   X       0 1,098,633 229,069
(11) ANN K MOLLOY
 
VICE-CHAIRPERSON, MARLBOROUGH HOSPITAL
 1.0
.................
0 		X   X       0 0 0
(12) MICHAEL D MURPHY
 
CHAIRPERSON, MARLBOROUGH HOSPITAL, Director UMM COMM HOSPITALS, INC.
 1.0
.................
0 		X   X       0 0 0
(13) ROBERT J PAULHUS JR
 
VICE CHAIRPERSON, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
 1.0
.................
0 		X   X       0 0 0
(14) RAYMOND PAWLICKI
 
VICE CHAIRPERSON, DIRECTOR, UMM MEDICAL CENTER, INC.
 1.0
.................
1.0 		X   X       0 0 0
(15) STEVEN ROACH
 
President, Marlborough Hospital, Director various
 40.0
.................
6.0 		X   X       475,768 0 95,787
(16) RICHARD SIEGRIST
 
CHAIRPERSON, DIRECTOR, UMM MEDICAL CENTER, INC
 1.0
.................
1.0 		X   X       0 0 0
(17) DANA SWENSON
 
PRESIDENT, DIRECTOR, UMM REALTY, INC.
 5.0
.................
40.0 		X   X       0 298,410 96,060
Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) STEPHEN E TOSI MD
 
President, UMM Med Group, Inc., Director, UMM ACO, INC.
 40.0
.......................5.0 		X   X       962,862 0 105,172
(19) DEBORAH WEYMOUTH
 
PRESIDENT, HEALTHALLIANCE-CLINTON HOSPITAL UNTIL FY2019, DIRECTOR VARIOUS
 40.0
.......................6.0 		X   X       487,814 0 140,012
(20) LYNDA M YOUNG MD
 
CHAIRPERSON, DIRECTOR, UMM MEDICAL GROUP, INC., DIRECTOR UMM MEDICAL CENTER, INC.
 1.0
.......................1.0 		X   X       0 0 0
(21) HOWARD ALFRED MD
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 37.0
.......................0 		X           195,290 0 36,228
(22) GAIL ALLEN
 
DIRECTOR, UMM MEDICAL GROUP, INC., Director various
 1.0
.......................0 		X           0 0 0
(23) MICHAEL W AMES
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
 1.0
.......................0 		X           0 0 0
(24) ROBERT BABINEAU JR MD
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC., Director various
 40.0
.......................0 		X           306,838 0 34,058
(25) PETER BAGLEY MD
 
DIRECTOR UNTIL FY2019, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 27.0
.......................0 		X           7,755 0 696
(26) RICARDO BELLO MD
 
DIRECTOR, UMM MEDICAL GROUP, INC.
 30.0
.......................0 		X           544,651 0 45,662
(27) EVAN BENJAMIN MD
 
DIRECTOR, UMM MEDICAL CENTER, INC.
 1.0
.......................1.0 		X           0 0 0
(28) SHELDON BENJAMIN MD
 
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
 1.0
.......................0 		X           0 0 0
(29) DAVID L BENNETT
 
DIRECTOR, UMM MEDICAL CENTER, INC. & UMM Realty, Inc.
 1.0
.......................1.0 		X           0 0 0
(30) RICHARD K BENNETT
 
DIRECTOR, UMM MEDICAL CENTER, INC. DIRECTOR UNTIL FY2019, MARLBOROUGH HOSPITAL
 1.0
.......................1.0 		X           0 0 0
(31) BRIAN BOUVIER
 
DIRECTOR, MARLBOROUGH HOSPITAL
 1.0
.......................0 		X           0 0 0
(32) ALAN P BROWN MD
 
Director, UMM Behavioral Health System, Inc. & CHL
 31.0
.......................0 		X           208,616 0 38,649
(33) JOHN BUDD
 
DIRECTOR, UMM HEALTH VENTURES, INC.
 1.0
.......................0 		X           0 0 0
(34) DANIEL CARLUCCI MD
 
DIRECTOR, MARLBOROUGH HOSPITAL
 1.0
.......................0 		X           0 0 0
(35) CHARLES CAVAGNARO MD
 
DIRECTOR, MARLBOROUGH HOSPITAL & CPC, INC.
 1.0
.......................0 		X           385,138 0 7,925
(36) JOHN CLEMENTI
 
DIRECTOR UNTIL FY2019, UMM COMMUNITY HOSPITALS, INC., Director various
 1.0
.......................0 		X           0 0 0
(37) MICHAEL COLLINS MD
 
DIRECTOR, UMM MEDICAL CENTER, INC.
 1.0
.......................1.0 		X           0 0 0
(38) BENJAMIN H COLONERO JR
 
DIRECTOR, MARLBOROUGH HOSPITAL
 1.0
.......................0 		X           0 0 0
(39) WILLIAM CORBETT MD
 
Director, UMM HealthAlliance-Clinton Hosp. , Inc., Director various
 40.0
.......................5.0 		X           521,395 0 129,111
(40) FREDERICK G CROCKER
 
DIRECTOR, UMM HEALTH VENTURES, INC.
 1.0
.......................0 		X           0 0 0
(41) J CHRISTOPHER CUTLER FACHE
 
DIRECTOR, UMM MEDICAL GROUP, INC.
 1.0
.......................0 		X           0 0 0
(42) EDWARD D'ALELIO
 
DIRECTOR, UMM MEDICAL CENTER, INC.
 1.0
.......................1.0 		X           0 0 0
(43) DIX DAVIS
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. Director various
 1.0
.......................0 		X           0 0 0
(44) THERESE DAY
 
DIRECTOR, UMM HEALTH VENTURES, INC.
 40.0
.......................5.0 		X           424,706 0 117,446
(45) ELLEN DORIAN
 
DIRECTOR, MARLBOROUGH HOSPITAL
 1.0
.......................0 		X           0 0 0
(46) NANCY DUPHILY
 
DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC., Director various
 1.0
.......................0 		X           0 0 0
(47) KIMBERLY EISENSTOCK MD
 
DIRECTOR, MARLBOROUGH HOSPITAL
 40.0
.......................0 		X           272,975 0 41,513
(48) JORDAN EISENSTOCK MD
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 7.0
.......................0 		X           32,673 0 1,943
(49) LYNNE FARRELL
 
DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.
 1.0
.......................0 		X           0 0 0
(50) ROBERT KEVIN FERGUSON MD
 
DIRECTOR, UMM MEDICAL GROUP, INC.
 40.0
.......................0 		X           238,532 0 43,351
(51) HOWARD FERRIS
 
DIRECTOR, MARLBOROUGH HOSPITAL
 1.0
.......................0 		X           0 0 0
(52) ROBERT W FINBERG MD
 
DIRECTOR, UMM MEDICAL CENTER, INC.
 20.0
.......................5.0 		X           425,183 0 75,220
(53) WILLIAM FISHER
 
DIRECTOR, MARLBOROUGH HOSPITAL
 1.0
.......................0 		X           0 0 0
(54) ROBERT FISHMAN DO FACP
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 1.0
.......................0 		X           0 0 0
(55) TERENCE FLOTTE MD
 
DIRECTOR, UMM MEDICAL CENTER, INC. & UMM Medical Group, Inc.
 1.0
.......................1.0 		X           0 0 0
(56) CARLOS NICOLAS FORMAGGIA ESQ
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. Director various
 1.0
.......................0 		X           0 0 0
(57) AMY GRASSETTE
 
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, Inc.
 1.0
.......................0 		X           0 0 0
(58) ELVIRA GUARDIOLA
 
DIRECTOR, UMM MEDICAL CENTER, INC.
 1.0
.......................1.0 		X           0 0 0
(59) CHRISTIE HAGER
 
DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
 1.0
.......................0 		X           0 0 0
(60) DAVID HARLAN MD
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 20.0
.......................0 		X           170,602 0 40,509
(61) CHANDRIKA JAIN MD
 
DIRECTOR, MARLBOROUGH HOSPITAL
 40.0
.......................0 		X           190,571 0 36,644
(62) MARK JOHNSON MD
 
DIRECTOR, UMM MEDICAL CENTER, INC.
 28.0
.......................5.0 		X           663,455 0 45,326
(63) JOANNE JOHNSON
 
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
 1.0
.......................0 		X           0 0 0
(64) NANCY KANE
 
DIRECTOR, UMM MEDICAL CENTER, INC.
 1.0
.......................1.0 		X           0 0 0
(65) KATHRYN KENNEDY MD
 
DIRECTOR, UMM MEDICAL GROUP, INC.
 36.0
.......................0 		X           301,297 0 44,862
(66) CHRISTOPHER KENNEDY MD
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
 24.0
.......................0 		X           182,019 0 36,023
(67) PETER KNOX
 
DIRECTOR, UMM MEDICAL CENTER, INC.
 1.0
.......................1.0 		X           0 0 0
(68) BARBARA KUPFER
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 1.0
.......................0 		X           0 0 0
(69) DANIEL LASSER MD
 
DIRECTOR, UMM MEDICAL GROUP, INC. & ACO, INC.
 20.0
.......................0 		X           272,169 0 70,439
(70) JOSEPH G LEANDRES
 
DIRECTOR, MARLBOROUGH HOSPITAL
 1.0
.......................0 		X           0 0 0
(71) JAMES LEARY
 
DIRECTOR, UMM COMMUNITY HOSPITALS, INC., DIRECTOR VARIOUS
 5.0
.......................40.0 		X           0 79,512 20,030
(72) SHIPEN LI MD
 
DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
 40.0
.......................0 		X           284,616 0 45,233
(73) HARRIS L MACNEILL
 
DIRECTOR UNTIL FY2019, UMM MEDICAL GROUP, INC.
 1.0
.......................0 		X           0 0 0
(74) MICHAEL MAHAN
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC., Director various
 1.0
.......................0 		X           0 0 0
(75) SUSAN MAILMAN
 
DIRECTOR, UMM MEDICAL CENTER, INC.
 1.0
.......................1.0 		X           0 0 0
(76) DONATA MARTIN
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
 1.0
.......................0 		X           0 0 0
(77) LUIS J MASEDA
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC., Director various
 1.0
.......................0 		X           0 0 0
(78) LALITA MATTA MD
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 1.0
.......................0 		X           2,474 0 0
(79) JESSICA MCGARRY
 
DIRECTOR UNTIL FY2019, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
 1.0
.......................0 		X           0 0 0
(80) WILLIAM MCGRAIL ESQUIRE
 
DIRECTOR, UMM COMMUNITY HOSPITALS, INC.
 1.0
.......................0 		X           0 0 0
(81) ANTONIA MCGUIRE
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 1.0
.......................0 		X           0 0 0
(82) CYNTHIA M MCMULLEN EDD
 
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
 1.0
.......................0 		X           0 0 0
(83) NICHOLAS MERCADANTE MD
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
 1.0
.......................0 		X           0 0 0
(84) ANTHONY J MERCADANTE
 
DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.
 1.0
.......................0 		X           0 0 0
(85) JEFFREY N METZMAKER MD
 
DIRECTOR, UMM MEDICAL GROUP, INC.
 29.0
.......................0 		X           389,017 0 44,853
(86) ED MOORE
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 1.0
.......................0 		X           0 0 0
(87) DOMINIC NOMPLEGGI MD
 
DIRECTOR, UMM MEDICAL GROUP, INC.
 24.0
.......................0 		X           268,527 0 47,239
(88) JIM NOTARO
 
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, Inc.
 1.0
.......................0 		X           0 0 0
(89) O NSIDINANYA OKIKE MD
 
DIRECTOR UNTIL FY2019, UMM MEDICAL CENTER, INC.
 1.0
.......................1.0 		X           0 0 0
(90) DANIEL J O'LEARY MD
 
DIRECTOR UNTIL FY2019, COORDINATED PRIMARY CARE, INC.
 25.0
.......................0 		X           268,911 0 5,227
(91) EDWARD J PARRY III
 
DIRECTOR UNTIL FY2019, UMM MEDICAL CENTER, INC.
 1.0
.......................1.0 		X           0 0 0
(92) PHILIP E PURCELL
 
DIRECTOR, MARLBOROUGH HOSPITAL
 1.0
.......................0 		X           0 0 0
(93) KEITH REARDON
 
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
 1.0
.......................0 		X           0 0 0
(94) GERARD P RICHER
 
DIRECTOR, MARLBOROUGH HOSPITAL & UMM HEALTH VENTURES, INC.
 1.0
.......................0 		X           0 0 0
(95) MICHAEL RIVARD
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
 1.0
.......................0 		X           0 0 0
(96) KIMBERLY ROBINSON MD
 
DIRECTOR, MARLBOROUGH HOSPITAL
 1.0
.......................0 		X           0 0 0
(97) SHLOMIT SCHAAL MD
 
DIRECTOR, UMM MEDICAL GROUP, INC.
 32.0
.......................0 		X           505,201 0 44,286
(98) PAULETTE SEYMOUR-ROUTE PHD
 
DIRECTOR, UMM MEDICAL CENTER, INC.
 1.0
.......................1.0 		X           140,467 0 0
(99) VIBHA SHARMA MD
 
DIRECTOR, MARLBOROUGH HOSPITAL
 1.0
.......................0 		X           0 0 0
(100) JOHN SHEA ESQUIRE
 
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, Inc.
 1.0
.......................0 		X           0 0 0
(101) ROBERT LESLIE SHELTON MD
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
 1.0
.......................0 		X           0 0 0
(102) HABIB A SIOUFI MD
 
DIRECTOR UNTIL FY2019, MARLBOROUGH HOSPITAL
 20.0
.......................0 		X           62,712 0 0
(103) CELESTE STRAIGHT MD
 
DIRECTOR, UMM MEDICAL GROUP, INC.
 40.0
.......................0 		X           249,964 0 19,368
(104) FRANCIS SWEENEY MD
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 1.0
.......................0 		X           0 0 0
(105) DEBRA TWEHOUS MD
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 38.0
.......................0 		X           248,421 0 23,413
(106) DAVID WALTON
 
DIRECTOR, MARLBOROUGH HOSPITAL
 1.0
.......................0 		X           0 0 0
(107) MARY WHITNEY
 
DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC.
 1.0
.......................0 		X           0 0 0
(108) JACK WILSON PHD
 
DIRECTOR, UMM COMMUNITY HOSPITALS, INC.
 1.0
.......................0 		X           0 0 0
(109) MAUREEN CROTEAU
 
ASSISTANT CLERK, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. Officer various
 40.0
.......................0 		    X       73,911 0 29,390
(110) ANN-MARIA D'AMBRA
 
ASSISTANT SECRETARY, MARLBOROUGH HOSPITAL
 40.0
.......................0 		    X       51,456 0 26,603
(111) KATHARINE BOLLAND ESHGHI
 
ASSISTANT SECRETARY, UMM MEDICAL CENTER, INC.
 5.0
.......................40.0 		    X       0 472,578 108,723
(112) NICOLE GAGNE
 
PRESIDENT, COMMUNTY HLTHLINK
 40.0
.......................5.0 		    X       275,369 0 57,808
(113) JOHN GLASSBURN
 
Secretary, UMM Community Hospitals, Inc., Officer Various
 5.0
.......................40.0 		    X       0 189,884 44,944
(114) STEVEN MCCUE
 
TREASURER UNTIL FY2019, MARLBOROUGH HOSPITAL
 40.0
.......................0 		    X       253,290 0 21,786
(115) WILLIAM H O'BRIEN
 
SECRETARY, UMM BEHAVIORAL HEALTH SYSTEM, INC.
 40.0
.......................0 		    X       130,569 0 48,711
(116) JEANNE SHIRSHAC
 
TREASURER, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
 5.0
.......................40.0 		    X       0 278,010 75,752
(117) FRANCIS W SMITH
 
Secretary, UMM Medical Group, Inc., Officer various
 5.0
.......................40.0 		    X       0 219,366 48,293
(118) MICHELE STREETER
 
TREASURER, UMM MEDICAL GROUP, INC.
 40.0
.......................5.0 		    X       598,385 0 126,256
(119) JAMES P CYR
 
SVP, SURGICAL & PROCEDURAL SVCS
 40.0
.......................5.0 		      X     329,113 0 101,100
(120) ROBERT FELDMANN
 
SVP, FINANCE/CORPORATE CONTROLLER
 5.0
.......................40.0 		      X     0 437,958 106,385
(121) BARBARA FISHER
 
SVP, UNTIL FY2019, OPERATIONS (UMMMC)
 40.0
.......................5.0 		      X     406,128 0 106,904
(122) ANDREW KARSON MD
 
SVP, CMO-UMMMC
 40.0
.......................5.0 		      X     359,747 0 57,147
(123) BART METZGER
 
SVP, CHIEF HR OFFICER
 5.0
.......................40.0 		      X     0 572,774 88,478
(124) JOHN T RANDOLPH
 
VP, CHIEF CORPORATE COMPLIANCE
 5.0
.......................40.0 		      X     0 286,969 97,732
(125) JOHN R SALZBERG
 
SVP, SYSTEM REV CYCLE OPS & CRO
 5.0
.......................40.0 		      X     0 305,693 110,409
(126) ALICE A SHAKMAN
 
SVP, CLINICAL SVCS
 40.0
.......................5.0 		      X     357,379 0 88,206
(127) TIMOTHY A TARNOWSKI
 
SVP, CHIEF INFO OFFICER & CTO
 5.0
.......................40.0 		      X     0 621,562 148,470
(128) DAVID C AYERS MD
 
PHYSICIAN, CHAIR OF ORTHOPEDICS DEPT - MED GROUP
 32.0
.......................0 		        X   682,805 0 45,420
(129) DEMETRIUS LITWIN MD
 
PHYSICIAN, CHAIR OF SURGERY DEPT - MED GROUP
 28.0
.......................0 		        X   786,151 0 48,446
(130) GERALD T MCGILLICUDDY MD
 
PHYSICIAN, NEUROLOGICAL SURGEON FOR CMG - MED GROUP
 40.0
.......................0 		        X   899,181 0 45,431
(131) ARNO S SUNGARIAN MD
 
PHYSICIAN, NEUROLOGICAL SURGEON FOR CMG - MED GROUP
 40.0
.......................0 		        X   1,181,906 0 44,748
(132) JENNIFER D WALKER MD
 
PHYSICIAN, DIVISION CHIEF OF CARDIAC SURGERY - MED GROUP
 33.0
.......................0 		        X   817,509 0 45,846
(133) LISA COLOMBO
 
FORMER KEY EE, SVP, Patient Care Svcs & CNO until 9/30/18
 0.0
.......................0.0 		          X 349,198 0 81,645
(134) JEFFREY A SMITH MD
 
FORMER KEY EE, EXEC. VP, COO UNTIL 7/2018
 0.0
.......................0.0 		          X 929,110 0 69,648
(135) PATRICK L MULDOON
 
FORMER OFFICER, PRESIDENT, MEDICAL CENTER, UNTIL 1/2018
 0.0
.......................0.0 		          X 200,393 0 120,614
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 19,291,065 8,266,262 4,591,251
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet2,892
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
UMASS MEMORIAL SHIELDS PHARMACY

P O Box 417648
Boston,MA022417648 		Management Services 32,732,187
DIVURGENT LLC

4445 Corporation Lane
Virginia Beach,VA23462 		Consulting Services 10,180,524
MEDASSETS SUPPLY CHAIN SYS LLC

5543 Legacy Drive
Plano,TX75024 		Supply Chain Services 9,721,217
NORDIC CONSULTING PARTNERS INC

740 Regent St Suite 400
Madison,WI53715 		Consulting Services 6,584,577
CROTHALL HEALTHCARE INC

13028 Collection Center Drive
Chicago,IL60693 		Clinical Engineering Services 6,342,356
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet131
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 150,859
b Membership dues..1b  
c Fundraising events..1c 317,737
d Related organizations1d  
e Government grants (contributions)1e 26,350,177
f All other contributions, gifts, grants, and similar amounts not included above1f 4,683,520
g Noncash contributions included in lines 1a - 1f:$ 54,711
h Total. Add lines 1a-1f.......MediumBullet 31,502,293
Program Service RevenueAmt Business Code
2a Net Patient Service Revenue 622110 2,213,187,769 2,211,665,870 1,521,899  
b Medicaid Supplemental Funds 622110 220,000,000 220,000,000    
c Contract Revenue 622110 110,343,141 110,343,141    
d All other program service revenue 622110 25,911,227 24,516,180 1,395,047  
e Joint Venture Income 622110 19,726,401 14,896,094 4,830,307  
f All other program service revenue. 792,174 792,174 0 0
g Total. Add lines 2a–2f ....MediumBullet 2,589,960,712
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 218,873,381   4,639 218,868,742
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   2,881,013
b Less: rental expenses   1,928,677
c Rental income or (loss) 0 952,336
d Net rental income or (loss)......MediumBullet 952,336     952,336
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 320,746  
b Less: cost or other basis and sales expenses 400,797  
c Gain or (loss) -80,051 0
d Net gain or (loss).....MediumBullet -80,051     -80,051
8a Gross income from fundraising events (not including $ 317,737of contributions reported on line 1c). See Part IV, line 18 ....
a 112,795
b Less: direct expenses ...b 172,251
c Net income or (loss) from fundraising events..MediumBullet -59,456   -59,456
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..MediumBullet        
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..MediumBullet        
Business Code Miscellaneous Revenue
11a Cafeteria Income 722514 6,357,001 6,357,001    
b All other revenue 622110 4,682,793 4,682,793    
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 11,039,794
12 Total revenue. See Instructions......MediumBullet 2,852,189,009 2,593,253,253 7,751,892 219,681,571
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
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 9,292,943 9,292,943
2 Grants and other assistance to domestic individuals. See Part IV, line 22    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 18,120,698 11,806,803 6,313,895  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 974,340 811,451   162,889
7 Other salaries and wages 974,330,202 945,385,720 28,749,280 195,202
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 76,103,618 73,907,320 2,183,141 13,157
9 Other employee benefits ....... 135,437,199 130,313,188 5,083,777 40,234
10 Payroll taxes ........... 67,082,240 64,464,337 2,590,662 27,241
11 Fees for services (non-employees):        
a Management ...... 39,975,500 39,975,500    
b Legal ......... 364,642   364,642  
c Accounting ........... 121,751   121,751  
d Lobbying ........... 102,277 102,277    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 476,917 171,380 305,537  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 210,703,688 205,842,240 4,778,726 82,722
12 Advertising and promotion .... 332,192 285,099 34,632 12,461
13 Office expenses ....... 18,701,400 15,795,899 2,895,396 10,105
14 Information technology ...... 3,485,330 3,193,404 291,926  
15 Royalties ..        
16 Occupancy ........... 62,662,328 62,063,469 598,859  
17 Travel ............ 2,282,064 36,601 2,245,463  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 1,342,551   1,342,151 400
20 Interest ........... 17,413,687 17,413,687    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 88,793,442 87,778,284 1,015,158  
23 Insurance ... 30,347,834 30,017,763 330,071  
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 365,415,948 365,039,314 376,634  
b System Allocation Expense 341,442,948 132,618,796 208,824,152  
c Medical Education Services 153,749,999 153,749,999    
d Federal & State Income Taxes 1,185,523 1,185,523    
e All other expenses 25,964,129 23,231,070 2,718,709 14,350
25 Total functional expenses. Add lines 1 through 24e 2,646,205,390 2,374,482,067 271,164,562 558,761
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 58,959,457 1 8,254,465
2 Savings and temporary cash investments ......... 200,030,362 2 290,583,350
3 Pledges and grants receivable, net ...... 136,208 3 58,905
4 Accounts receivable, net ............. 281,625,994 4 237,808,473
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
0 5 0
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 0
7 Notes and loans receivable, net .... 75,417 7 215,292
8 Inventories for sale or use ........ 41,002,269 8 44,649,282
9 Prepaid expenses and deferred charges ...... 13,994,263 9 12,319,159
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,906,171,257
b Less: accumulated depreciation 10b 1,203,450,497 693,297,792 10c 702,720,760
11 Investments—publicly traded securities . 29,086,056 11 23,488,614
12 Investments—other securities. See Part IV, line 11 ..... 245,590,988 12 217,583,471
13 Investments—program-related. See Part IV, line 11 .. 83,370,553 13 75,760,975
14 Intangible assets ............... 0 14  
15 Other assets. See Part IV, line 11 ........... 109,954,813 15 274,555,190
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,757,124,172 16 1,887,997,936
Liabilities 17 Accounts payable and accrued expenses ..... 254,585,800 17 261,629,173
18 Grants payable ... 399,890 18 340,269
19 Deferred revenue ......... 17,363,971 19 13,836,187
20 Tax-exempt bond liabilities ......... 456,478,036 20 436,821,620
21 Escrow or custodial account liability. Complete Part IV of Schedule D 12,998 21 12,819
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 0
23 Secured mortgages and notes payable to unrelated third parties .. 4,677,986 23 5,641,188
24 Unsecured notes and loans payable to unrelated third parties ..   24  
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 457,429,904 25 592,694,669
26 Total liabilities. Add lines 17 through 25.. 1,190,948,585 26 1,310,975,925
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 470,163,232 27 481,011,160
28 Temporarily restricted net assets ........... 42,377,640 28 42,627,913
29 Permanently restricted net assets 53,634,715 29 53,382,938
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 566,175,587 33 577,022,011
34 Total liabilities and net assets/fund balances ........ 1,757,124,172 34 1,887,997,936
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
2,852,189,009
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,646,205,390
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
205,983,619
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
566,175,587
5
Net unrealized gains (losses) on investments ...............
5
2,025,444
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-197,162,639
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
577,022,011
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Form 990, Special Condition Description:
Special Condition Description
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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
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.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) 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.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
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
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
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
 
 
Section B. Type I Supporting Organizations
Yes
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
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 2018 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-2018 		(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		  
6 Remaining underdistributions for 2018. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		  
7 Excess distributions carryover to 2019. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
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) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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






Form 990-PF




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
Special Rules
......... Arrow Bullet $  
Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
Name of organization
UMass Memorial Health Care Inc & Affiliates
  		Employer identification number
91-2155626
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


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 3
Name of organization
UMass Memorial Health Care Inc & Affiliates
  		Employer identification number

91-2155626
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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
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 (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2018)

Additional Data


Software ID: 18007697
Software Version: 2018v3.1
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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on 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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2018

Schedule C (Form 990 or 990-EZ) 2018
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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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? ...................................................................................................................

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) 2015 (b) 2016 (c) 2017 (d) 2018 (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) 2018


Schedule C (Form 990 or 990-EZ) 2018
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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
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:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
102,277
j
Total. Add lines 1c through 1i ....................................................................................................
102,277
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
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, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Amounts represent percentage of lobbying expenses included in membership dues paid to the following associations: American Hospital Association $43,204 Assocation for Behavioral Healthcare Inc. $26,466 National Association of Children's Hospitals $17,574 American College of Emergency Physicians $9,825 340B Health $2,022 North Central MA Chamber of Commerce $1,151 Association of Air Medical Services $668 Association of American Medical Colleges $464 Massachusetts Medical Society $341 MA Association of Behavioral Health Systems, Inc. (MABHS) $270 American Academy of Family Physicians $214 American Osteopathic Association $39 Radiology Business Management Association $39 Total $102,277
Schedule C (Form 990 or 990EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on 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.
SchDMd Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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" on 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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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" on Form 990, Part IV, line 8.
1a
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.
b
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 on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
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:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2018

Schedule D (Form 990) 2018
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 81,443,759 81,260,948 78,913,132 117,475,856 115,101,660
b Contributions ... -208,049 961,201 3,536,295 174,883 5,757,118
c Net investment earnings, gains, and losses 2,476,373 3,556,343 3,401,567 5,899,351 -2,182,362
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		2,664,288 4,334,733 4,590,046 44,636,958 1,200,560
f Administrative expenses ....          
g End of year balance ...... 81,047,795 81,443,759 81,260,948 78,913,132 117,475,856
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet66 %
c
Temporarily restricted endowment SchDMd Bullet34 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
Yes
 
(ii) related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   8,506,305 8,506,305
b Buildings ....   943,511,395 542,611,505 400,899,890
c Leasehold improvements   38,103,947 17,478,112 20,625,835
d Equipment ....   410,297,655 312,567,544 97,730,111
e Other .....   505,751,955 330,793,336 174,958,619
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 702,720,760
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered "Yes" on 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) Units in investment partnership		 185,817,446 F

(B) BENEFICIAL INTEREST IN TRUSTS		    

(C) INVESTMENT IN QUEST DIAGNOSTICS		    

(D) INVESTMENT IN SHIELDS PHARMACY HOLDINGS		    

(E) Funds held in escrow under bond indenture agreements		 31,766,025 F
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 217,583,471
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Other Assets  
(2) Beneficial interest in trusts 69,689,512
(3) Estimated settlements with third-party payors 65,477,269
(4) Cash Value Life Insurance 5,530,828
(5) Security Deposits 49,322
(6) MALPRACTICE TAIL COVERAGE  
(7) DUE FROM RELATED PARTIES 133,808,259
(8) RECEIVABLE FROM MEDICAID  
(9) CASH SECURITY  
(10) Estimated settlements with third-party payors  
(11) Other assets - beneficial interest  
(12) Other assets - cash value of life insurance policies  
(13) Other assets - Due from related parties  
(14) Security deposits  
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 274,555,190
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
Accrued pension and postretirement benefit obligations 379,125,924
Due to University of Massachusetts 86,049,289
Due to related parties 58,697,197
Self insured reserves 379,401
Estimated settlements with third-party payors 38,988,274
Other noncurrent liabilities 29,454,584
Claims reserve  
ACCRUED LT LIABILITIES  
LT LIABILITY ARO  
ESTIMATED MALPRACTICE COSTS  
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 592,694,669
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) 2018

Schedule D (Form 990) 2018
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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
Schedule D, Part V, Line 3a(i) Sch d, part v, line 3a(i) HEALTHALLIANCE-CLINTON HOSPITAL - YES Bank of America Private Wealth Management holds the Miriam Shaw Trust for HEALTHALLIANCE-CLINTON HOSPITAL Distributions are paid to HEALTHALLIANCE-CLINTON HOSPITAL. Bank of America Private Wealth Management is an unrelated organization. Bank of America Corporation holds the following Trusts for HEALTHALLIANCE-CLINTON HOSPITAL: George Henry May Trust- Article Fourth (8) Trust U/Will Elizabeth L. Rowan Christine L Beck Trust Distributions are paid to HEALTHALLIANCE-CLINTON HOSPITAL. Bank of America Corporation is an unrelated organization. BANK OF AMERICA MERRILL LYNCH HOLDS THE BERNARD W DOYLE TRUST FOR HEALTHALLIANCE-CLINTON HOSPITAL. DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE-CLINTON HOSPITAL . BANK OF AMERICA MERRILL LYNCH IS AN UNRELATED ORGANIZATION. BNY MELLON WEALTH MANAGEMENT HOLDS THE FOLLOWING TRUSTS FOR HEALTHALLIANCE-CLINTON HOSPITAL: TRUST U/WILL PART 11 WILLIAM H CROPPER TRUST U/WILL PART 15 WILLIAM H CROPPER TRUST U/WILL PART 18 WILLIAM H CROPPER TRUST UNDER 2ND CODICIL OF WILL OF WILLIAM H CROPPER TRUST UNDER 4TH CODICIL WILLIAM H CROPPER DISTRIBUTIONS ARE PAID TO HEALTHALLIANCE-CLINTON HOSPITAL. BNY MELLON WEALTH MANAGEMENT IS AN UNRELATED ORGANIZATION.
Schedule D, Part V Endowment Funds Medical Center - The Medical Center's endowment funds are the beneficial interest in the funds held by a related organization, UMass Memorial Health Care, Inc. (Parent EIN 04-3358566). 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, Part IV, Line 2b Explanation of escrow agreement Tenant security deposits of $12,819 for UMass Memorial Realty, Inc. These will be returned once the tenant vacates the property.
Schedule D, Part V, Line 4 Intended uses of endowment funds The intended uses of the organization's endowment funds include health care services, research, medical education, charity care, and capital spending.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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 taxable income ("UBTI"). Certain affiliates are taxable entities. The measurement of the amounts recorded as a provision for income taxes based upon the aforementioned approach was $197,000 and $675,000 for the years ended September 30, 2019 and 2018, respectively, and is recorded as part of supplies and other expense in the accompanying consolidated statements of operations. The Tax Cuts and Jobs Act (the "Act") was enacted on December 22, 2017. The Act impacts the System in several ways, including new excise taxes on executive compensation, increases to UBTI by the amount of certain fringe benefits for which a deduction is not allowed, changes to the net operating loss rules, repeal of the alternative minimum tax ("AMT"), and the computation of UBTI separately for each unrelated trade or business. Further, the Act reduces the U.S. federal corporate tax rate and federal corporate unrelated business income tax rate from 35% to 21%. The overall impact of the Act has not been material to the System. For the years ended September 30, 2019 and 2018, the System had approximately $11,520,000 and $15,500,000 of net operating loss ("NOL") carryforwards for federal income tax purposes primarily related to its previously discontinued laboratory outreach business. The NOL carryforwards have expiration dates from 2028 through 2035. In compliance with the Tax Cuts and Jobs Act of 2017, the federal components of the deferred tax assets were revalued from 35% to 21%. For the year ended September 30, 2019, the System believes the deferred tax assets of $1,992,000 will be fully utilized and recognized an income tax expense of $1,008,000 which has been recorded in supplies and other expense in the accompanying consolidated statements of operations. The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of September 30, 2019.
Schedule D (Form 990) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1




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" on 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 arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
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" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
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?
b
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
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2018
Schedule G (Form 990 or 990-EZ) 2018
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on 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.




VerticalRevenue
(a) Event #1

CNEHA GOLF TOURNAMENT
(event type) 		(b) Event #2

MARLBOROUGH GOLF TOURNAMENT
(event type) 		(c) Other events

2
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
258,391
115,421
56,720
430,532

2
Less: Contributions . . . .
187,391
87,171
43,175
317,737
3 Gross income (line 1 minus
line 2) . . . . . .
71,000
28,250
13,545
112,795



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . . 34,550 14,169 5,543 54,262
7 Food and beverages . . . 39,053 14,218   53,271
8 Entertainment . . . .     3,200 3,200
9 Other direct expenses . . . 36,989 7,397 17,132 61,518
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 172,251
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow -59,456
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2018
Schedule G (Form 990 or 990-EZ) 2018
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
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? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
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 $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
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
Schedule G (Form 990 or 990-EZ) 2018
Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
Yes
 
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . . 		0 0 28,352,243 15,377,020 12,975,223 0.62 %
b Medicaid (from Worksheet 3, column a) . . . . . 0 0 397,336,080 335,538,618 61,797,462 2.94 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . . 0 0 13,901,000 13,901,000 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 439,589,323 364,816,638 74,772,685 3.55 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 0 0 5,279,252 2,923,098 2,356,154 0.11 %
f Health professions education (from Worksheet 5) . . . 0 0 242,643,343 135,192,183 107,451,160 5.11 %
g Subsidized health services (from Worksheet 6) . . . . 0 0 70,386,025 54,195,542 16,190,483 0.77 %
h Research (from Worksheet 7) . 0 0 0 0 0 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 0 0 2,013,339 2,013,339 0 0 %
j Total. Other Benefits . . 0 0 320,321,959 194,324,162 125,997,797 5.99 %
k Total. Add lines 7d and 7j . 0 0 759,911,282 559,140,800 200,770,482 9.54 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (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 0 0 0 %
2 Economic development 0 0 0 0 0 0 %
3 Community support 0 0 49,074 0 49,074 0 %
4 Environmental improvements 0 0 0 0 0 0 %
5 Leadership development and
training for community members		 0 0 0 0 0 0 %
6 Coalition building 0 0 29,679 0 29,679 0 %
7 Community health improvement advocacy 0 0 5,757 0 5,757 0 %
8 Workforce development 0 0 213,100 65,500 147,600 0.01 %
9 Other 0 0 0 0 0 0 %
10 Total 0 0 297,610 65,500 232,110 0.01 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
42,920,733
3
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. ......
3
3,433,963
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
448,803,453
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
496,034,798
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-47,231,345
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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 % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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?3Name, 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) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 UMASS MEMORIAL MEDICAL CENTER INC
55 LAKE AVE 119 BELMONT STREET
WORCESTER,MA01605
https://www.umassmemorialhealthcare.org/umass-memorial-medical-center
V111 		X X X X   X X      
2 UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL INC
60 HOSPITAL ROAD
LEOMINSTER,MA01453
www.umassmemorialhealthcare.org/healthalliance-clinton-hospital
VWPE 		X X   X     X      
3 MARLBOROUGH HOSPITAL
157 UNION STREET
MARLBOROUGH,MA01752
www.umassmemorialhealthcare.org/marlborough-hospital
2103 		X X   X     X      
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
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): 		1
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 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 ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.umassmemorialhealthcare.org/about-us/community-benefits-program/umass-memorial-medical-c
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
UMASS MEMORIAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Part VI
b
See Part VI
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
UMASS MEMORIAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
UMASS MEMORIAL MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
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 HEALTHALLIANCE-CLINTON 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): 		2
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 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 ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.umassmemorialhealthcare.org/about-us/community-benefits-program/healthalliance-clinton-h
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Part VI
b
See Part VI
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
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): 		3
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 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 ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.umassmemorialhealthcare.org/marlborough-hospital-community-benefits-program
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MARLBOROUGH HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
See Part VI
b
See Part VI
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
MARLBOROUGH HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MARLBOROUGH HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 8
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, 16j, 18e, 19e, 20e, 21c, 21d, 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
Schedule H, Part V, Section B, Line 3E Yes, the significant health needs identified in the CHNA are a prioritized description of the significant health needs of the community. The community engagement process for the CHNA culminated with a community meeting of service providers, stakeholders and residents held at the Worcester Public Library, where CHNA key findings were presented and a prioritization process took place. This event was attended by approximately 75 people.
Schedule H, Part V, Section B, Line 3 Facility , 1 Facility , 1 - UMass Memorial Medical Center. The most recent CHNA also includes an Impact Evaluation Summary (final Appendix) of previous CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - UMass Memorial Medical Center. 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 The Coalition for a Healthy Greater Worcester which served in an advisory role in the development of its CHNA. The Director of the WDPH, 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 profile of the region and provide their feedback and prioritization on community health-related strengths, needs, and a vision for the future. The CHNA process gathered extensive quantitative data from federal, state and local sources for the City of Worcester, and the outlying communities of Shrewsbury, Grafton, Millbury, West Boylston, Leicester, and Holden, including a community health survey of nearly 3,000 individuals who live, work and play in Greater Worcester. Qualitative information was captured through 45 key stakeholder interviews, ten focus groups, four community forums, a strategic retreat, a community health survey conducted at multiple community events and an online survey. These sessions gathered critical community input from service providers, community leaders and neighborhood residents with an emphasis on engaging at-risk populations (e.g., Focus groups included: Hispanics/Latinos, youth, South East Asians and individuals with disabilities) as well as service providers representing fields including; behavioral health providers, health providers for elders and public health officials. The process included a Steering Committee comprised of a diverse number of stakeholders that advised and informed the CHNA.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - UMass Memorial Medical Center. UMass Memorial conducted the CHNA in collaboration with the Worcester Division of Public Health and Fallon Health. Additional partners included: Academic Health Collaborative, Worcester Division of Public Health Central MA Tobacco Free Partnership City of Worcester Clark University Coalition for a Healthy Greater Worcester Edward M. Kennedy Health Center Family Health Center of Worcester HOPE Coalition Latino Educational Institute Massachusetts Department of Public Health Muslim Community Link Regional Environmental Council of Worcester Reliant Medical Group UMass Medical School Women In Action Worcester Food Policy Council YouthConnect/Boys & Girls Club of Worcester YWCA Central Massachusetts Worcester Public Schools Worcester Regional Research Bureau
Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - UMass Memorial Medical Center. The CHNA was publicly announced to the community at an event attended by more than 150 community stakeholders and hosted by the Worcester City Manager, Worcester Director of Public Health (WDPH), Senior Vice President of UMass Memorial Health Care, the UMass Memorial Vice President of Community Relations and the Director of Community Relations, Fallon Health. The CHNA was additionally publicized through various venues including; in local news and communications of CHNA-8, a Healthy Communities Coalition.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - UMass Memorial Medical Center. The hospital conducted its most recent Community Health Needs Assessment in 2018 and developed its Community Benefits Strategic Implementation Strategy. The prioritization process of identified community health needs was led by the Worcester Division of Public Health, Fallon Health and the hospital Vice President of Community Benefits and included input from 75 community stakeholders. The hospital's Community Benefit Strategic Implementation Strategy aligns with the priority findings of the Community Health Needs Assessment (CHNA) and the Greater Worcester Community Health Improvement Plan (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 CHIP Domain areas and due to limited funding. Community Benefits target populations are identified through a community input and planning process including a range of focus groups, key stakeholder interviews, forums and surveys. This includes the Community Health Needs Assessment (CHA) process and the development of a Community Health Improvement Plan (CHIP) to address the Priority Areas identified in the CHA. Priority Areas identified in the 2018 CHA are: Mental Health, Substance Use, Chronic and Complex Conditions and Social Determinants of Health. An additional identified Priority Area is Health Equity, that is cross-cutting across each of these Priority Areas. UMMMC addressed these Priority Areas through the following programs and efforts in 2019: * UMass Memorial has provided ongoing support since 2008 for the Coalition for a Healthy Greater Worcester, a healthy communities coalition, that plays a leadership role in organizing CHIP Working Groups for each of the CHA Priority Areas and in securing significant funding for community health improvement efforts. There are eight different CHIP groups working on addressing the Priority Areas. There are 200 community organizations involved in the Coalition. Mental health: * Youth Mental Health Model: The Model employs a unique approach to adolescent mental health by integrating prevention and crisis intervention counselors into the milieu at community-based, youth-serving programs where nearly 100% of the youth are low-income and roughly 90% are Latino or African American. In 2019, the program served approximately 850 at-risk youth in one-on-one counseling sessions, therapeutic groups and crisis interventions through its therapeutic partner. * Worcester Addresses Childhood Trauma (Worcester ACTs): A unique, community-wide CHW Resilient Home Visiting Program for children that have experienced or witnessed adverse childhood experiences (ACEs). As a means of reducing future violence, this intervention introduces a clinical response at the point of a trauma, as soon as possible after an incident involving police. The effort is a partnership among the Worcester Police Department (WPD), YWCA, UMass Medical School Child Trauma Center, UMMHC Child Protection Program, Worcester Division of Public Health (WDPH) and Clark University. Substance use: * Healthy Options for Prevention and Education (H.O.P.E.) Coalition Peer Leaders: A youth/adult partnership started in 2002 that addresses public health concerns affecting at-risk youth, including tobacco and alcohol use, violence and access to mental health. H.O.P.E. Peer Leaders co-chair the Youth Substance Abuse Prevention Task Force with the WDPH. * The H.O.P.E. Coalition Youth Working Training Institute (YWTI): Provides professional education for front-line youth workers serving at-risk populations at community organizations to better prepare them to serve vulnerable young people. In 2019, 38 youth workers enrolled and earned a certificate of completion and opportunity for advanced graduate credit at Clark University. YWTI also partners with Worcester Public Schools to certify youth workers in Youth Mental Health First Aid. * Hector Reyes House: A residential substance abuse treatment program provided coordination and support services for a group of 80 Latino men who are in transition to recovery Social Determinants of Health: Access to Care: * UMMMC operates the Ronald McDonald Care Mobile Program: A mobile clinic established in 2000 providing medical and preventive dental services in 10 low income neighborhoods and 20 inner-city elementary schools in Worcester. Patients are served regardless of insurance status and assisted in enrollment into a medical and dental home and connection to social support services. The program plays a critical role in addressing the high level of tooth decay due to a lack of fluoride in the City's water supply. In 2019, the Care Mobile served a minimum of 2,500 patients. * Oral Health Task Force: Is coordinated and supported by the UMMMC Care Mobile program to ensure that among task force providers, preventive dental services are delivered to at-risk children in public and charter schools. Collaborators include Worcester Public Schools, two community health centers, a community college, Massachusetts Department of Public Health and a college of pharmacy. * CommunityHELP: An online technology platform to improve accessibility of community resource information and social determinants of health. A collaborative effort with Reliant Medical Group, the platform can be viewed in multiple languages and links community resources with patient's needs. * Medical-Legal Partnership: A collaboration with UMMMC's Legal Department and Community Legal Aid, Inc. that assists Medicaid-eligible, socially-complex patients in addressing a wide array of social determinants of health needs. The program leverages pro-bono, private legal services with law firms to address multiple social factors. In 2019, 146 referrals to legal services were made to pro-bono attorneys. * Health Insurance Enrollment: Is provided by our Financial Counselors to improve access to health care for vulnerable populations. About 8,500 people receive health insurance enrollment assistance each year. Chronic/complex conditions and their risk factors: * UMMMC established and co-chairs a city-wide Pediatric Asthma Home Visiting Intervention to reduce school absenteeism, hospitalizations and ED use among high risk asthmatic children in Worcester where rates of pediatric asthma-related ED visits are double that of the state. The partnership includes all Worcester Public Schools (WPS)/Head Start Programs, two community health centers and the City's Healthy Homes Office. This community/clinical linkage model utilizes trained, Community Health Workers (CHW)s to address asthma triggers in the home. CHWs provide education to address medication adherence. Referrals are made to community resources and Community Legal Aid (CLA) to resolve home triggers that require landlord remediation actions. * Working with WPS, UMMMC Pediatric Pulmonology Department operates AsthmaLink, a school-based medication adherence program enrolling 85-100 students yearly that provides consultation, coordination of controller medications given by school nurses and connection to the CHW home visiting intervention. The Pulmonology Division also provides training to school nurses, clinical providers and launched an innovative "Hospitalized Patient Intervention" which links pediatric patients admitted to the hospital to the CHW/home visiting program. This intervention establishes communication with medical residents within the ED. Access to Health Food/Hunger/Food Insecurity: UMass Memorial addressing food insecurity and access to healthy foods the following: * The Worcester Regional Environmental Council's urban agricultural program that provides youth jobs, leadership development and produce for a Veggie Mobile that addresses food insecurity in economically-challenged neighborhoods across the City. * Recreation Worcester, a partnership with the City of Worcester is a neighborhood-based summer initiative providing access to safe, supervised physical activity, minimizes learning loss and promotes positive youth development for approximately 1,700 inner-city children annually. Participants (eligible for free and reduced lunch school program) receive two healthy meals and a snack daily. The program hires 100 inner-city youth summer staff each year. * UMMMC Community Relations staff serves as a member of the Worcester Food Policy Council (WFPC) Steering Committee that convenes the CHIP Access to Healthy Foods Work Group to promote healthy weight/healthy eating and improve nutrition in distressed, food insecure neighborhoods through policy. To improve access to healthy food for underserved, food desert areas the Council works on a range of issues including healthy food retail, SNAP/Healthy Incentives Program (HIP), minimum wage, and expanding urban agriculture opportunities.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - UMass Memorial Medical Center. 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
Schedule H, Part V, Section B, Line 3E Yes, the significant health needs identified in the CHNA are a prioritized description of the significant health needs of the community. The community engagement activities for the CHNA culminated throughout five community, provider focus groups, and three community forums in the UMass Memorial HealthAlliance-Clinton Hospital's service area where information was gathered, and input was received from service providers, community leaders, and residents. The engagement process was held at the areas listed below where CHNA key findings were presented and a prioritization process took place. Approximately 100 people attended the focus groups and community forums.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - UMass Memorial - HealthAlliance-Clinton Hospital. UMass Memorial HealthAlliance-Clinton Hospital conducted a comprehensive Community Health Needs Assessment (CHNA) that gathered, analyzed and documented qualitative and quantitative data. The CHNA was developed through a collaborative process involving both administrative and clinical staff at the hospital working with a diverse CHNA Advisory Group made up of health and social service providers, local public health officials, community health advocates, and other community leaders. The Advisory Committee's input and involvement was central to the CHNA and strategic plan development process informed and based on the Hospital's Community Health Improvement Plan (CHIP). Since the beginning of the assessment, more than one hundred individuals participated in key stakeholder interviews, focus groups, and community forums. Key stakeholder interviews were conducted with eighteen community leaders and staff members at UMass Memorial HealthAlliance-Clinton Hospital. Key stakeholder interviews were done to collect qualitative information from key health and social service providers, city/town officials, representatives from community organizations or advocacy groups, and other community leaders to (1) confirm and refine findings from secondary data, (2) provide community context, (3) clarify needs and priorities of the community. Five community and provider focus groups with key segments of the population and/or key types of service providers were also conducted in HealthAlliance-Clinton Hospital's service area. This activity allows for the collection of more targeted and nuanced information from segments of the population who are deemed most at-risk and the key service providers who serve these populations and are critical to community health improvement. Focus groups (1) augment findings from secondary data and key informant interviews and (2) allow for exploration of strategic and programmatic options to address identified health issues, service gaps, and/or barriers to care. Three Community Forums for the public at-large were also conducted in the towns of Fitchburg, Leominster, and Clinton. Community forums allow for the capture of information directly from community residents and, to some extent, representatives from local service providers or community organizations. Input is captured from residents on (1) community health needs and priorities, (2) service system gaps, (3) barriers to care across a wide array of health-related service and community resource domains (e.g., health, housing, transportation, safety, food access). Forums are critical to fulfilling a comprehensive community engagement plan and will support the development of a sound and objective health needs assessment that will be used to develop programs that reduce disparities and improve health status.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - UMass Memorial - HealthAlliance-Clinton Hospital. The Community Health Needs Assessment was conducted with input from our community partners including: Community Health Network Association 9 (CHNA9), Community Health Connections, The Joint Coalition on Health and the Montachusett Public Health Network.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - UMass Memorial - HealthAlliance-Clinton Hospital. The hospital conducted its most recent Community Health Needs Assessment (CHNA) in 2018 and developed its Community Benefits Strategic Implementation Strategy. The CHNA included a prioritization process that identified the most pressing needs that offer opportunities to partner and leverage resources. The prioritization process was led by the Steering Committee with the support of the Hospital's staff, CHNA Advisory Committee, PFAC, and other stakeholders and included input from 18 community stakeholders. The needs identified in the CHNA are 1) Health Equity, 2) Behavioral Health (mental health and substance use), 3) Chronic/Complex Conditions and Risk Factors, 4) Healthy Relationships and Domestic/Interpersonal Violence, and 5) Healthy Aging. The hospital's Community Benefit Strategic Implementation Strategy aligns with the priority findings of the Community Health Needs Assessment (CHNA) and the Community Health Improvement Plan (CHIP). The other needs that are not included in the CHNA/CHIP are not being addressed due to limited funding. UMass HealthAlliance-Clinton hospital's Community Health Needs Assessment identified the following Priority Areas: 1) Health Equity, 2) Behavioral Health (mental health and substance use), 3) Chronic/Complex Conditions and Risk Factors, 4) Healthy Relationships and Domestic/Interpersonal Violence, and 5) Healthy Aging identified as a result of the hospital's latest community health assessment (2018). The hospital continues to aim their efforts on the medically-underserved and vulnerable groups of all ages, specifically targeting our outreach to low-income populations, racial/ethnic minority and indigenous populations, recent immigrants, non-English speakers, and older adults as priority populations that deserve special attention. The hospital's Community Benefit Strategic Implementation Strategy aligns with the priority findings of the Community Health Needs Assessment (CHNA) and the Community Health Network Area 9 (CHNA9) of North Central Massachusetts Community Health Improvement Plan (CHIP). UMass Memorial HealthAlliance-Clinton Hospital developed and implemented the following Community Activities / Strategies that address the identified health priorities needs: 1) Health Equity: * Anchor Mission: UMass Memorial HealthAlliance-Clinton Hospital works in collaboration with the system's Anchor Mission focusing on four pillars: Local Procurement, Workforce Development and Investment as a means of improving the economic status, health and well-being of vulnerable, low-income populations in targeted areas. For example, a diverse Hiring Committee works with community-based, workforce organizations serving vulnerable populations. The Hospital's Community Health Director and Sr. Director of External Affairs serves on several UMass Memorial Anchor Mission Task Forces that are working with different community groups on workforce development neighborhood revitalization/housing, poverty and employee engagement. * Community Health Network Area of North Central Massachusetts (CHNA-9): As part of this statewide effort, the hospital partners with CHNA-9 (a healthy communities coalition) to develop, implement and integrate community projects to effectively utilize community resources and create healthier communities through a health equity framework. The hospital's Community Health Director and Community Outreach Coordinator work in collaboration with CHNA-9 as an active steering committee member, help facilitate the north regional Community Health Improvement Plan (CHIP) process, convene community stakeholders to implement the CHIP. 2) Behavioral Health (mental health and substance use): * Opioid Task Force: HealthAlliance-Clinton Hospital formed an Opioid Task Force in response to the growing problem of opioids/substance use in the North Central MA region (Leominster, Fitchburg, Clinton, and surrounding towns). The Task Force brings together healthcare providers, community leaders, patient advocates and community stakeholders to tackle the problem of substance and prescription drug abuse in the area by reducing opioid and addiction, preventing overdose deaths, and improving the well-being of our community. * CHNA-9 Mental Health & Behavioral Health and Substance Abuse Workgroup: The goal of this group is to improve overall mental and behavioral health and wellbeing, including preventing substance abuse, in a culturally-responsive and holistic manner in the North Central region. The hospital supports these efforts by the Community Outreach Specialist co-chairing the work group. * Community Narcan Education and Training: Community members learned about Opiate/Opioid overdose Education, how to effectively, and rapidly assess a person that may be overdosing, the appropriate steps to take during an overdose, such as administering Narcan, and rescue breathing and harm reduction. * Organized support groups: with mental health organizations in the community to support those living with behavioral health issues and providing support for their families and caregivers. 3) Chronic/Complex Conditions and Risk Factors * "Walk N' Talk": Program encourages healthy physical activity, allowing community members to engage in an opportunity for learning and sharing from health care professionals on health-related topics chosen by community members. * WHEAT Community Cafe: Hospital supports and coordinates a feeding program at the WHEAT Community Cafe for populations living in poverty. * Hospital Financial Enrollment and Counseling program: Hospital Financial Counselors enroll and educate community members about existing health insurance. 4) Healthy Relationships and Domestic/Interpersonal Violence * The hospital partners with the YWCA (Daybreak Program) to raise awareness of domestic violence by displaying "Empty Place" displays at each hospital campus: an art exhibition which features dinner place settings representing real victims of domestic violence missing from their family's lives, educational materials and a public comment/feedback box. 5) Healthy Aging * UMass Memorial HealthAlliance-Clinton Hospital, in collaboration with Elder-serving organizations, held screenings and educational Elder Health related sessions at the request of local Senior Centers. * Elder Health Fairs: The hospital provides health education and screenings related to chronic diseases and prevalent health conditions in the community. Other health needs that are not included in the CHNA/CHIP are not being addressed due to limited funding or resources.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - UMass Memorial HealthAlliance-Clinton Hospital, Inc.. UMass Memorial HealthAlliance-Clinton Hospital, Inc. The 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.
Schedule H, Part V, Section B, Line 3E Yes, the significant health needs identified in the CHNA are a prioritized description of the significant health needs of the community. The CHNA conducted in 2016 results were presented to the public on Friday, November 18, 2017. Over 100 MetroWest community members attended. All Marlborough Hospital focus group participants (including faith leaders, Community Benefits Advisory Council, seniors and Patient Family Advisory Council) and key informants who participated were invited with approximately 10 attended the public presentation. In addition to an online community survey that engaged over 600 residents, approximately 92 individuals from multisector organizations, residents, and community stakeholders participated in focus groups and interviews to gather feedback on community strengths, challenges, priority health concerns, and opportunities for the future.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Marlborough Hospital. To understand public perceptions around a range of health issues in the MetroWest region, a community health survey was developed and administered online and via paper surveys to residents throughout the 22 communities. The survey explored key health concerns of community residents, access to services, and their primary priorities for services and programming. The MetroWest community partners disseminated the survey link via their networks as well as through local media. The survey was available in English, Spanish, and Portuguese and was advertised through language-specific channels as well. A total of 799 respondents were included in the final sample. The majority (78.4%) of survey respondents were female and over half (55.5%) were age 50 years or older. One quarter (25.2%) of respondents self-identified as a minority race/ethnicity, including 13.1% who identified as Hispanic or Latino.
Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Marlborough Hospital. The CHNA was completed in conjunction with the MetroWest Medical Center.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Marlborough Hospital. The CHNA was completed in conjunction with MetroWest Health Foundation, MetroWest Medical Center, Hudson Health Department, and Framingham Health Department and CHNA7
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Marlborough Hospital. 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 Community Health Needs Assessment (CHNA) and in accordance with the hospital's Community Benefits Strategic Implementation Plan. Our hospital does not have the available resources to develop initiatives to meet every health need identified, which makes collaboration with community organizations and stakeholders critical. Community Benefits target populations are identified through a community input and planning process including a range of focus groups, key stakeholder interviews, forums and surveys. This includes the Community Health Needs Assessment (CHA) process and the development of a Community Health Improvement Plan (CHIP) to address the Priority Areas identified in the CHA. Priority Areas identified in the 2016 CHA are: Mental Health, Substance Abuse, Healthy Aging, Access to Health Care and Health and Wellness. Marlborough Hospital addressed these Priority Areas through the following programs and efforts in 2019: Build Awareness of Mental Health Issues * Participated in the Hudson Public Schools Wellness and Safety Committee * Provided conference use for numerous community partners for training programs and educational programs. Community partners included National Association for Mental Illness (NAMI) and Human Services Coalition * Assisted Human Services Coalition with Hoarding Task Force o Hosted "Buy Nothing, Be Social" event on Black Friday for all ClearPath Hoarders support groups o Co-facilitated support group for loved ones of hoarders Substance Abuse * Participated on City of Marlborough Alliance for Prevention (formally, the Marlborough Substance Prevention Coalition * Presented a Narcan training program and distributed Narcan to attendees Access to Care * Assisted residents of the community in enrolling in Mass Health or other health insurance programs. Assistance is offered in English, Spanish and Portuguese. * Improved access to care by providing medical services to elders. Enrolled 429 people into the appropriate health plans. Promote Health and Wellness * Organized and hosted injury prevention programs targeted at children o At Safe Summer Fun Day, children were fitted for free bike helmets by hospital staff and provided with educational activities and materials regarding safety and access to health care. Distributed educational materials in English and Spanish. 400 helmets distributed. 1,800 people attended * Participated in elementary school physical activity and nutrition programs in the City of Marlborough * Delivered "Take the pledge" program to local school children. The program emphasizes positive life choices that focus on self-esteem, low risk behavior, substance use and abuse, safety 500 students at Richer School Wellness Fair * Helped with disadvantaged youth to participate in healthy programs Boys & Girls Club - 2 scholarships -$500 Friendly House - 1 scholarship - $100 o Supported Basketball program (700 youth participate) to promote fitness - $250 o Supported Baseball and Softball program - $750 Healthy Aging: * Supported community education sessions on various topics o Speech therapy education event presented by Nadine Smith, our Occupational Therapist, to Parkinson's support group in Westborough. o Stroke awareness education programs at Senior Centers in Marlborough and Northborough * Provided glucose and cholesterol screenings at Senator Eldridge Health Senior Conference and distributed educational materials regarding medication reconciliation and chronic diseases. Over 450 seniors attended with approximately 90 being screened Anchor Mission: UMass Memorial's Anchor Mission focuses on four pillars: Local Procurement, Workforce Development and Investment as a means of improving the economic status, health and well-being of vulnerable, low-income populations in targeted areas. For example, a diverse Hiring Committee works with community-based, workforce organizations serving vulnerable populations. We have several Anchor Mission Task Forces that are working with different community groups on workforce development neighborhood revitalization/housing, poverty and employee engagement.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Marlborough Hospital. 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.
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 9
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) 2018
Schedule H (Form 990) 2018
Page 10
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
Schedule H, Part I 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.
Schedule H, Part VI, Line 7 SCH H, PART VI, LINE 7 ALL THREE HOSPITAL'S FILE INDIVIDUAL COMMUNITY BENEFIT REPORTS WITH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE.
Schedule H, Part III, Line 8 Schedule H, Part III, Line 8 UMASS BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
Schedule H, Part V, Section A Schedule H, Part V Section A Clinton Hospital 201 Highland Street, Clinton MA 01510 is the second campus of the UMass Memorial HealthAlliance-Clinton Hospital, Inc. The merger of Clinton Hospital Association with HealthAlliance Hospital became effective 10/1/2017.
Schedule H, Part I, Line 7 Bad Debt Expense Bad Debt Expense has been excluded from Financial Assistance.
Schedule H, Part V, Section B, Line 11 UMass Memorial Medical Center Additional Narrative * UMMMC Community Relations staff is also part of the Food is Medicine Massachusetts State Steering Committee, an effort being led by the Harvard University Center for Health Law and Policy Innovation and Community Servings that developed a strategic plan to find ways to increase access to medically-tailored foods and improve the availability of prepared nutritious food for economically-disadvantaged patients being discharged from a hospital. Findings and the full State Plan were published and shared with key stakeholders in 2019. * UMMMC's Maternal-Fetal Medicine and Community Relations departments partnered with the Worcester Division of Public Health to pilot a new, Community Health Worker (CHW) intervention in Maternal-Fetal Medicine to address at-risk pregnancies among Latino women and vulnerable populations; specifically focused on healthy eating and nutrition among at-risk pregnant and lactating women. * Anchor Mission: UMass Memorial's Anchor Mission focuses on four pillars: Local Procurement, Workforce Development and Investment as a means of improving the economic status, health and well-being of vulnerable, low-income populations in targeted areas. For example, a diverse Hiring Committee works with community-based, workforce organizations serving vulnerable populations. We have several Anchor Mission Task Forces that are working with different community groups on workforce development neighborhood revitalization/housing, poverty and employee engagement.
Schedule H, Part V, Section B, Line 16a Line 16c - FAP Website - UMASS MEMORIAL MEDICAL CENTER, INC The FAP, the FAP application form, and a plain language summary of the FAP were widely available on the following website for UMASS MEMORIAL MEDICAL CENTER, INC: https://www.umassmemorialhealthcare.org/umass-memorial-medical-center/patients-visitors/patient-resources/financial-assistance-and-credit-and-collection-policy
Schedule H, Part V, Section B, Line 16a Line 16c - UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL The FAP, the FAP application form, and a plain language summary of the FAP were widely available on the following website for UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL, INC: HTTPS://WWW.UMASSMEMORIALHEALTHCARE.ORG/HEALTHALLIANCE-CLINTON-HOSPITAL/PATIENTSVISITORS/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE-AND-CREDIT-AND-COLLECTION-POLICY
Schedule H, Part V, Section B, Line 16a Line 16c - FAP Website - MARLBOROUGH HOSPITAL The FAP, the FAP application form, and a plain language summary of the FAP were widely available on the following website for MARLBOROUGH HOSPITAL: HTTPS://WWW.UMASSMEMORIALHEALTHCARE.ORG/MARLBOROUGH-HOSPITAL/PATIENTSVISITORS/PATIENT-RESOURCES/FINANCIAL-ASSISTANCE-AND-CREDIT-AND-COLLECTION-POLICY
Schedule H, Part I, Line 7g Subsidized Health Services NOT APPLICABLE
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost to charge ratio is the costing methodology is used to calculate the amounts reported for each line in Part 1, Line 7.
Schedule H, Part II Community Building Activities UMass Memorial Medical Center: UMass Memorial Medical Center recognizes 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 "as 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. The hospital additionally provides community support through efforts including participation in the United Way Day of Caring and others. UMass Memorial HealthAlliance-Clinton Hospital Inc. : Workforce Development: UMass Memorial HealthAlliance-Clinton Hospital provides a paid internship program to high school seniors and first year college students who wish to pursue a career in the health care field. The hospital also awarded four scholarships to high school graduating seniors living in the service area who are pursuing a college education in a health-related field. During FY2019, twenty-eight high school students participated in the hospital's internship program. The program exposed these 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 establish valuable professional connections. This program was developed and implemented in response to an identified need in the community. Workforce Development is identified as a need nationally, as a critical component to social determinants of health, and in its CHNA. UMass Memorial HealthAlliance-Clinton Hospital partnered with the Clinton, Leominster, and Fitchburg Public High School and the Workforce Investment Board to implement the program. Coalition Building: UMass Memorial HealthAlliance-Clinton Hospital is a member of Community Health Network Association 9 (CHNA-9). The hospital's Community Health Director and Outreach Coordinator help to facilitate CHNA-9 meetings, Co-chair two of the priority areas (Healthy Eating and Active Living, Healthy and Safe Relationships, Mental/Behavioral and Substance Abuse) of the CHNA9 North Region Community Health Improvement. They additionally serve on the CHNA-9 Coalition, Grant Review Team and Steering Committee as part of a statewide effort to develop, implement, and integrate community projects to effectively utilize community resources to create healthier communities. UMass Memorial HealthAlliance-Clinton Hospital worked with the Community Health Network of North Central Mass (CHNA-9) and other partners in building capacity, engaging other partners and implementing strategies that advances the five priority areas working groups. Most working groups meet monthly and took significant steps towards gaining community input and creating a network that will enable sharing of resources in order to achieve the hospital's strategic plan in carrying out the North Central MA CHIP implementation. Advocacy for Community Health Improvements/Safety: UMass Memorial HealthAlliance-Clinton Hospital is working to address basic, social and personal needs as a way to improve their communities' health. The hospital joined The Democracy Collaborative, Anchor Network with 40 other healthcare institutions nationwide to address Health Equity, Social Determinants of Health, Health System Strengthening, and to engage with our local communities and institutions to help build communities' assets. The Healthcare Anchor Network was formed to support health systems collaborating nationally to accelerate learning and local implementation of economic inclusion strategies. Marlborough: 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 tools to overcome barriers and move into self-sustaining employment in sectors of the economy where there is a need.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount On October 1, 2018 , the System adopted ASU 2014-09 Revenue from Contracts with Customers and all subsequent amendments to the ASU (collectively, "ASC 606") which outlines a five-step framework that supersedes the principles for recognizing revenue (previously "ASC 605") and eliminated industry-specific guidance. This framework ensures that entities appropriately reflect the consideration to which they expect to be entitled in exchange for goods and services by allocating transaction price to identified performance obligations and recognizing revenue as performance obligations are satisfied. Qualitative and quantitative disclosures are required to enable users of the financial statements to understand the nature, amount, timing and uncertainty of revenue and cash flows arising from contracts with customers. The System adopted ASC 606 using a modified retrospective approach. The presentation and disclosure of revenue primarily related to uninsured or underinsured patients changed because of the adoption of ASC 606. Under the provisions of ASC 606, the estimated uncollectible amounts due from self-pay patients, as well as co-pays and co-insurance obligations of patients with insurance, generally considered implicit price concessions, are required to be reflected as a direct reduction to patient service revenue as opposed to the previous reporting as a provision for doubtful accounts. As a result, for the year ended September 30, 2019, the System recorded approximately $48,566,000 of implicit price concessions as a direct reduction of patient service revenue that would have previously been recorded as provision for doubtful accounts and $54,791,000 as a direct reduction of accounts receivable.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology Based on historical experience, a significant portion of the System's uninsured patients will likely be unable or unwilling to pay for the services provided and are considered an implicit price concession. Estimates of implicit price concessions are determined based on historical collection experience with these classes of patients using a portfolio approach as a practical expedient to account for patient contracts as collective groups rather than individually. The financial statement effects of using this practical expedient are not materially different from an individual contract approach. Changes in the economy, unemployment rates, the number of uninsured and underinsured patients, the volume of patients through emergency departments, the increased burden of co-pays, co-insurance amounts and deductibles to be made by patients with insurance, and business practices related to collection efforts are some of the factors that can impact collection trends and the estimation process. Although our financial assistance policies and procedures make every effort to identify those patients who are eligible for financial assistance before the billing process begins, often it is not possible to make an appropriate determination until after the billing and collection collection cycle has commenced. The rationale for including implicit price concession amounts amounts in community benefits would be to account for those patients who were classified as an implicit price concession, but would have qualified for financial assistance if sufficient information had been available to make a determination of their eligibility.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Notes to Consolidated Financial Statements, page 18 of Audited Financial Statements: For patient accounts receivable after adoption of ASU 2014-09 on October 1, 2018, the estimated uncollectible amounts are generally considered implicit price concessions that are a direct reduction to patient accounts receivable rather than allowance for doubtful accounts.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance A. Exemption From Self-Pay Billing and Collection Action- UMMHC will not initiate Self-Pay billing and collection activity in the following instances: 1. Upon sufficient proof that a patient is a recipient of Emergency Aid to the Elderly, Disabled and Children (EAEDC), or enrolled in MassHealth, Health Safety Net, the Children's Medical Security Plan whose family income is equal or less than 300% of the FPL or Low Income Patient designation with the exception of Dental-Only Low Income patients as determined by the office of Medicaid with the exception of co-pays and deductibles required under the Program of Assistance. 2. 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. 3. Medical Hardship bills that exceed the medical hardship contribution. 4. Medical Hardship contributions that remains outstanding during a patient's MassHealth or Low Income Patient eligibility period. 5. Unless UMMHC has checked the EVS system to determine if the patient has filed an application for MassHealth. 6. For Partial Health Safety Net eligible patients, with the exception of any deductibles required. 7. UMMHC 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. 8. UMMHC may bill a Low Income Patient at their request in order to allow the patient to meet the required CommonHealth One-Time Deductible
Schedule H, Part V, Section B, Line 16a FAP website - UMASS MEMORIAL MEDICAL CENTER, INC: Line 16a URL: See Part VI; - UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL, INC.: Line 16a URL: See Part VI; - MARLBOROUGH HOSPITAL: Line 16a URL: See Part VI;
Schedule H, Part V, Section B, Line 16b FAP Application website - UMASS MEMORIAL MEDICAL CENTER, INC: Line 16b URL: See Part VI; - UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL, INC.: Line 16b URL: See Part VI; - MARLBOROUGH HOSPITAL: Line 16b URL: See Part VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - UMASS MEMORIAL MEDICAL CENTER, INC: Line 16c URL: See Part VI; - UMASS MEMORIAL HEALTHALLIANCE-CLINTON HOSPITAL, INC.: Line 16c URL: See Part VI; - MARLBOROUGH HOSPITAL: Line 16c URL: See Part VI;
Schedule H, Part VI, Line 2 Needs assessment UMass Memorial Medical Center: In addition to conducting the Community Health Needs Assessment (CHNA), UMass Memorial Medical Center assesses the health care needs of the community it serves by working closely with the Worcester Division of Public Health on an on-going basis. Community Benefits staff hold leadership roles and/or participate in multiple coalitions and efforts focused on addressing priority areas identified in the CHNA and aligned with strategies of the Community Health Improvement Plan (CHIP). In 2018, the Vice President of Community Relations and the Community Health Manager continued to serve as members of the Steering Committee of the Coalition for a Healthy Greater Worcester, a healthy communities coalition that coordinates and provides accountability for CHIP Priority Area Working Groups, participates in the CHIP Access to Care group and a subcommittee for oversight of UMass Memorial Medical Center Determination of Needs (DoN) funds distribution. The hospital also works closely with the Worcester Division of Public Health, Worcester Public Schools and two community health centers (Family Health Center of Worcester and the Edward M. Kennedy Community Health Center) on an ongoing basis through its Ronald McDonald Care Mobile program and the Worcester Pediatric Asthma Task Force/Intervention. UMass Memorial Medical Center completed its CHNA 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 hospital's Community Benefits Strategic Implementation Plan 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 nine, identified priority CHIP Domain areas and due to limited funding. The following strategies were 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 areas The following sources inform and enhance our efforts to identify priorities and unmet needs: * U.S. Census 2010 * U.S. Census American Fact Finder * 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 * 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 and organizations who have expertise on community health issues. Te health needs identified in the CHNA are a prioritized description of the significant health needs of the community. The community engagement process for the CHNA culminated with a meeting of service providers, stakeholders and residents held at the Worcesetr Public Library, where CHnA key findings were presented and a prioritization process took place. This event was attended by approximately 75 people. UMass Memorial HealthAlliance-Clinton Hospital Inc. : In addition to the CHNA, UMass Memorial HealthAlliance-Clinton Hospital Management Team plays an active role in the Community Benefit Program by sharing information regarding needed programs, services and support. Members of the Community Benefits Team and the Management Team also participate in various community agency boards, coalitions, committees, community events, and health fairs. These groups and events play a significant role in defining needs, generating program ideas and creating services, programs, and support groups. Community Benefits activities and goals are also shared with the Board of Trustees for their feedback. UMass Memorial HealthAlliance-Clinton Hospital works closely with the CHNA9 which is comprised of representatives from a diverse group of agencies, providers, schools, community organizations and community members. The hospital also works with CHNA9 members: A.E.D. Foundation, Inc. Arc of Opportunity Central Mass Agency on Aging, Clinton Adult Learning Center, Community Health Connections, Community Health link, Fitchburg Board of Health, Fitchburg Department of Community Development, Fitchburg Police Department, Fitchburg Public Schools, Fitchburg State University, GAAMHA Inc., Gardner Community Action Team, Gardner Public Schools, Gardner Visiting Nurses Association, Growing Places Inc., Health Care for All Health Disparities Collaborative, Health Foundation of Central Mass, Heywood Healthcare, Joint Coalition on Health, Leominster Public Schools, LUK, Inc., MA Department of Corrections, MA Department of Public Health, Massachusetts Public Health Association, Montachusett Community Branch YMCA, Montachusett Home Care, Montachusett Opportunity Council, Montachusett Veterans Outreach Center Inc., Montachusett Public Health Network, Mount Wachusett Community College, NAMI of North Central Mass, Nashoba Regional School District, Nashoba Valley Medical Center, North Central Mass Coalition for Healthy Relationships, North Central Mass Minority Coalition, North Central WIC, The SHINE Initiative, South Bay Mental Health, Spanish American Center, Suicide Prevention Task Force, Sunrise Senior Living, Three Pyramids Training Resources of America, Transportation for Massachusetts, UMass Medical School Center for Tobacco Treatment, United Neighbors of Fitchburg, United Way of Tri-County/Wheat Community Connections, Winchendon Board of Health, Winchendon Public Schools, Worcester County Food Bank/Feeding America, You Inc., and YWCA of North Central Marlborough: The CHNA is comprised of qualitative and quantitative data collected through a community engagement process. In addition, 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. and assesses the health care needs of the community it serves by working closely with community partners. CBAC members include representatives from the Hudson and Marlborough Public Schools and the Boards of Health, agencies that focus on addiction and recovery services, the Council on Aging, the Marlborough Community Development Corporation, Wellness Council members and residents of the community. The CBAC helps to identify programs in support of the community priorities, provides feedback on an on-going basis and focuses on addressing priority areas identified in the CHNA and aligned with strategies of the Community Health Improvement Plan.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance UMass Memorial Medical Center: UMass Memorial Medical Center employs 24 Financial Counselors, also referred to as Certified Application Counselors (CAC's). All Financial Counselors are state certified and located on all campus locations. The Patient Financial Counseling department has a dedicated call center line that is available to patients and any member in the community that requires assistance. Patient's are referred to the Financial Counselors from many community organizations, such as the local community actions councils and area Health Centers. Financial Counseling assistance is provided at several area free clinics to assist patients in the application process. The Patient Financial Counseling department assists patient's at bedside on inpatient units and patients in the emergency department setting. CAC's are available to assist underinsured and uninsured patients navigate the medical benefit application process. CAC's will take the steps necessary to help patients submit applications to obtain coverage, apply for Financial Assistance, resolve eligibility issues, upgrade their coverage to coverage that provides more benefits, choose and enroll in a MassHealth or Connector Care Health insurance plan and change these plans when necessary. UMass Memorial HealthAlliance-Clinton Hospital Inc. UMass Memorial HealthAlliance Clinton Hospital Inc. employs 3 Financial Counselors, also referred to as Certified Application Counselors (CAC's). All Financial Counselors are state certified and located on all campus locations. The Patient Financial Counseling department has a dedicated call center line that is available to patients and any member in the community that requires assistance. Patient's are referred to the Financial Counselors from many community organizations, such as the local community actions councils and area Health Centers. Financial Counseling assistance is provided at several area free clinics to assist patients in the application process. The Patient Financial Counseling department assists patient's at bedside on inpatient units and patients in the emergency department setting. CAC's are available to assist underinsured and uninsured patients navigate the medical benefit application process. CAC's will take the steps necessary to help patients submit applications to obtain coverage, apply for Financial Assistance, resolve eligibility issues, upgrade their coverage to coverage that provides more benefits, choose and enroll in a MassHealth or Connector Care Health insurance plan and change these plans when necessary. Marlborough Hospital: Marlborough Hospital employs 3 Financial Counselors, also referred to as Certified Application Counselors (CAC's). All Financial Counselors are state certified and located on all campus locations. The Patient Financial Counseling department has a dedicated call center line that is available to patients and any member in the community that requires assistance. Patient's are referred to the Financial Counselors from many community organizations, such as the local community actions councils and area Health Centers. Financial Counseling assistance is provided at several area free clinics to assist patients in the application process. The Patient Financial Counseling department assists patient's at bedside on inpatient units and patients in the emergency department setting. CAC's are available to assist underinsured and uninsured patients navigate the medical benefit application process. CAC's will take the steps necessary to help patients submit applications to obtain coverage, apply for Financial Assistance, resolve eligibility issues, upgrade their coverage to coverage that provides more benefits, choose and enroll in a MassHealth or Connector Care Health insurance plan and change these plans when necessary.
Schedule H, Part VI, Line 4 Community information UMass Memorial Medical Center: Geographical Reach: The 2018 Community Health Assessment (CHNA) and 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 initiative, 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 (The Coalition for a Healthy Greater Worcester) 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. 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 American Fact Finder population estimates for 2013-2017 indicated that the median household income for the City of Worcester was $45,869 and for Worcester County region was $69,313. According to the Worcester Regional Research Bureau, of the city's total 184,743 residents, 22% are living below the poverty level. The number of children under the age of 18 living below the poverty level rose to 30% in 2010 from 25% in 2005-2009. 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. Demographics: Worcester is a Federal Resettlement Site, as a result, the City of Worcester's 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%. UMass Memorial HealthAlliance-Clinton Hospital Inc. UMass Memorial HealthAlliance-Clinton Hospital's primary service area includes the quasi-urban municipalities of Clinton, Fitchburg, and Leominster, and the more rural towns of Ashburnham, Ashby, Gardner, Lunenburg, Townsend, Sterling, and Westminster. The Hospital's secondary service area includes an additional twelve towns: Ayer, Bolton, Groton, Harvard, Hubbardston, Lancaster, Pepperell, Princeton, Shirley, Sterling, Templeton and Winchendon. While great efforts are made to improve the health status, provide diagnostic screening, and address access barriers of all residents within these communities, special attention is given to address the needs of diverse and/or low income, vulnerable segments of the population. The challenges that these cohorts face with respect to social determinants of health and access to care are often intense and are at the root of the challenges and poorer health outcomes faced in these communities. More specifically, the hospital's 2018 CHNA identified low-income populations, African Americans and other racial/ethnic minority populations, recent immigrants, non-English speakers, and older adults as priority populations that deserve special attention. According to the US Census Bureau: * In Fitchburg (6%), a significantly greater percentage of residents speak Spanish at home and English "less than very well" compared to the Commonwealth overall (4%) * Compared to the Commonwealth (11%), the percentage of Hispanic/Latino residents is significantly high in Fitchburg (24%), Clinton (14%), and Leominster (15%). * The percentage of residents identifying as "some other race" besides White, Black or African American, Asian, American Indian/Alaska Native, or Native Hawaiian/Pacific Islander is significantly high in Fitchburg (8%) and Leominster (7%) compared to the Commonwealth overall (4%). Employment, income, and poverty is another area where there was significant variation within the service area. According to the US Census Bureau: * Compared to the Commonwealth overall ($68,563), the median household income was significantly lower in Clinton, Fitchburg, Gardner, and Leominster, yet significantly higher in all other municipalities in the service area. * The percentage of residents that live below the federal poverty line is significantly high in Fitchburg (19%) and Gardner (19%) compared to the Commonwealth (12%). * Compared to the Commonwealth (24%), a significantly high percentage of residents live below 200% of the federal poverty line in Gardner (38%) and Leominster (28%). The percentage of families, individuals under 18, individuals over the age of 65, and female-headed households living in poverty was significantly high in Fitchburg compared to the Commonwealth overall. Marlborough Hospital: The City of Marlborough, with a population of 39,825 (July 2018) grew 3.4% from 2010. Marlborough's population is predominately White (80%) followed by Hispanic or Latino (10%), other race is 7%, Asian 5%, Black or African American 2% and 3% identify themselves as 2 or more races. Hudson has a population of 14,603 with 90% who identify themselves as White, 4% Hispanic or Latino, 2% other, 2% Asian, 1% Black or African American and 2% indicate two or more races. Quantitative data from U.S Department of Commerce, Bureau of the Census, American Community Survey 5 year estimates, 2010-2014 illustrates that just over threefourths of the Massachusetts population is White (76.9%) which was largely consistent with Marlborough (80%). Both at the state level and in Marlborough, the Hispanic population was the next largest racial/ethnic group. Hudson's population followed a similar pattern, the proportion of its population that identified as white was even larger (90%) followed by Hispanic and Latino. English, Portuguese and Spanish are the predominant language for the communities the hospital serves
Schedule H, Part VI, Line 5 Promotion of community health The majority of the governing bodies of all our boards overseeing our hospital facilities -community hospitals, inc., and the member hospitals are comprised of persons who reside in the organization's primary service area who are neither employees nor independent contractors of the organization nor family members thereof. All hospital facilities extend medical staff privileges to all qualified physicians in its respective community for some (or all) of its departments or specialties and are also eligible to become part of the faculty of the University of Mass Medical School. UMass Memorial Medical Center: UMass Memorial has a designated Community Benefits 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 and Pedi-Pulmonology. We also provide medical and dental services to the underserved at 11 neighborhood sites and 20 schools through the UMass Memorial Care Mobile. Most recently, we have adopted an Anchor Mission as a strategy to specifically address social determinants of health. UMass Memorial HealthAlliance-Clinton Hospital Inc.: The hospital has a Community Benefit program that is responsible for promoting the Community Benefit Implementation Strategy focusing on Community Health Improvement. Hospital staff, leaders, and medical providers work 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 mental/behavioral health, lung cancer/smoking cessation, chronic occlusive pulmonary disease (COPD), heart health, depression and nutrition/diabetes. We particularly focus on diverse populations and and social determinants of health. UMass Memorial HealthAlliance-Clinton Hospital continued working with the Community Health Network of North Central Mass (CHNA9) and other partners in implementing the North Central Mass Community Health Improvement Plan (CHIP). Most CHIP working groups meet monthly and took significant steps toward reviewing baseline information and creating more partnerships that will enable sharing of resources throughout the CHIP implementation and beyond. 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.
Schedule H, Part VI, Line 6 Affiliated health care system UMass Memorial Health Care is the largest not-for-profit health care system in Central Mass and the largest provider of care for the uninsured outside of Boston; and the only Safety Net provider in Central New England. Our health care system is comprised of UMass Memorial Medical Center as well as the Community Hospitals Health Alliance Clinton and Marlboro Hospitals. We have a reporting parent board and a medical group and affiliate with Community Healthlink which is the largest provider of mental health for vulnerable populations. Each hospital in our system, has a dedicated Community Benefits staff and department that works closely with their respective communities in conducting a the Community Health Needs Assessment, a Community Health Improvement Plan and a Community Benefits Implementation Strategy. In addition, we also share best practices and knowledge and adopt when appropriate. We have been one of the few hospital systems in the country that has adopted an "anchor mission" for our organization. This involves leveraging all of the assets of our organization in order to address pervasive inequality and social disadvantage in our community. We do so by strategically focusing our investment practices, hiring practices and purchasing practices in a manner that addresses the social determinants of health in the community. For example, we have pledged to devote 1% of our investment portfolio ($4 Million) and invest it into the community. We have already deployed almost half of that $4 Million by making four specific investments in the areas of housing and the arts in vulnerable areas of our community.
Schedule H, Part VI, Line 7 State filing of community benefit report MA
Schedule H (Form 990) 2018
Additional Data


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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," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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
1
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? ........................
2
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" on 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 (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) Family Health Center of Worcester Inc
28 Queen Street
Worcester,MA01610 		04-2485308 501 (c)(3) 1,000,000 0 N/A N/A 1. Support for Health Center's mission. 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.
(2) Edward M Kennedy Comm Health Ctr Inc
650 Lincoln Street
Worcester,MA01605 		04-2513817 501 (c)(3) 1,000,000 0 N/A N/A 2. Support for Health Center's mission. 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.
(3) University of MA Medical School
55 Lake Ave N
Worcester,MA01655 		04-3167352   7,239,390 0 N/A N/A 3. Primary purpose of the academic investment funds is to support the University of Massachusetts Medical School programs. - $7,100,000 2. 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 Aortic Aneurysm Repair. - $89,390 3.Support for Diabetes Research - Identify new genes that confer susceptibility to type 1 dabetes (T1D). Expand ongoing research in a new set of carefully curated DNA samples. - $50,000
(4) Physician Health Services Inc
860 Winter Street
Waltham,MA02451 		22-3234975 501 (c)(3) 15,000 0 N/A N/A 4. Support for Caring for Physicians Health Campaign. Physician Health, Inc. is to provide confidential consultation and support to physicians, residents, and medical students- Malpractive captive's portion of the aggregate contribution.
(5) American Heart Association
PO Box 4002012
Des Moines,IA503402012 		13-5613797 501 (c)(3) 15,000 0 N/A N/A 5. Support for American Heart Association
(6) Boys & Girls Club of Brockton
233 Warren Avenue
Brockton,MA02301 		22-2963214 501 (c)(3) 7,500 0 N/A N/A 6. Sponsorship 2019 BGCB Shields Golf Tournament to support BGCB of Brockton
(7) MetroWest Health Foundation
161 Worcester Road
Framingham,MA01701 		04-2121342 501 (c)(3) 5,625 0 N/A N/A 7. Support for Community Health Needs Assessment
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
6
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. We monitor the use of grant funds for compliance after they are awarded, by, but not limited to, the following methods: Family Health Center of Worcester, Inc. At reasonable intervals, re-evaluation of the Grants will occur to ensure that the arrangements and compliance are expected to continue to satisfy the standard set forth. The Health Centers will document the re-evaluation contemporaneously. Edward M. Kennedy Community Health Center Inc. At reasonable intervals, re-evaluation of the Grants will occur to ensure that the arrangements and compliance are expected to continue to satisfy the standard set forth. The Health Centers will document the re-evaluation contemporaneously. University of Massachusetts Medical School As part of the agreement, the use of the AIF is controlled and monitored jointly by the University and the System. Evaluate safety & efficiency of physicians-modifications regarding Complex Aortic Aneurysm Repair with quarterly progress and financial reports received to ensure compliance. Identifying new genes that confer susceptibility to type 1 diabetes with quarterly progress and financial reports received to ensure compliance. Physician Health Services, Inc. As part of the agreement, semi-annual and final reports will be provided in order to make sure they are in compliance. American Heart Association As part of the agreement, semi-annual and final reports will be provided in order to make sure they are in compliance. Boys & Girls Club of Brockton As part of the agreement, semi-annual and final reports will be provided in order to make sure they are in compliance. Metro West Health Foundation As part of the agreement, semi-annual and final reports will be provided in order to make sure they are in compliance.
Schedule I (Form 990) 2018



Additional Data


Software ID: 18007697
Software Version: 2018v3.1


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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
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
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
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 .........
1b
 
 
2
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? ..
2
 
 
3
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.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on 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 ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
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 on 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 on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1JOHN BRONHARD
 
Treasurer until FY2019, UMM HealthAlliance-Clinton Hospital, Inc. Officer/Dir Various 		(i)

(ii)		 307,738
-------------
0 		15,390
-------------
0 		638
-------------
0 		8,250
-------------
0 		31,804
-------------
0 		363,820
-------------
0 		0
-------------
0
2DOUGLAS S BROWN
 
Secretary, UMM Medical Center, Inc., Director Various 		(i)

(ii)		 0
-------------
584,918 		0
-------------
223,902 		0
-------------
87,522 		0
-------------
148,352 		0
-------------
27,239 		0
-------------
1,071,933 		0
-------------
69,555
3ERIC W DICKSON MD
 
President & CEO, Director, UMM Health Care, Inc., Director various 		(i)

(ii)		 0
-------------
1,261,929 		0
-------------
736,399 		0
-------------
89,212 		0
-------------
313,114 		0
-------------
29,688 		0
-------------
2,430,342 		0
-------------
84,154
4JOHN GREENWOOD
 
PRESIDENT, DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. 		(i)

(ii)		 296,238
-------------
0 		57,377
-------------
0 		28,526
-------------
0 		90,083
-------------
0 		27,348
-------------
0 		499,572
-------------
0 		28,526
-------------
0
5MICHAEL GUSTAFSON MD
 
PRESIDENT, UMM MEDICAL CENTER, INC., DIRECTOR VARIOUS 		(i)

(ii)		 212,939
-------------
0 		0
-------------
0 		0
-------------
0 		24,069
-------------
0 		16,872
-------------
0 		253,880
-------------
0 		0
-------------
0
6CHERYL LAPRIORE
 
President/Director, UMM Health Ventures, Inc., Director various 		(i)

(ii)		 0
-------------
322,909 		0
-------------
62,256 		0
-------------
35,866 		0
-------------
91,300 		0
-------------
26,885 		0
-------------
539,216 		0
-------------
35,866
7SERGIO MELGAR
 
EVP/CFO/Treasurer, UMM MEDICAL CENTER, Inc., Officer/Dir various 		(i)

(ii)		 0
-------------
733,668 		0
-------------
278,803 		0
-------------
86,162 		0
-------------
187,479 		0
-------------
41,590 		0
-------------
1,327,702 		0
-------------
67,662
8STEVEN ROACH
 
President, Marlborough Hospital, Director various 		(i)

(ii)		 354,727
-------------
0 		76,108
-------------
0 		44,933
-------------
0 		67,964
-------------
0 		27,823
-------------
0 		571,555
-------------
0 		44,933
-------------
0
9DANA SWENSON
 
PRESIDENT, DIRECTOR, UMM REALTY, INC. 		(i)

(ii)		 0
-------------
250,069 		0
-------------
48,341 		0
-------------
0 		0
-------------
70,792 		0
-------------
25,268 		0
-------------
394,470 		0
-------------
0
10STEPHEN E TOSI MD
 
President, UMM Med Group, Inc., Director, UMM ACO, INC. 		(i)

(ii)		 633,862
-------------
0 		247,267
-------------
0 		81,733
-------------
0 		71,286
-------------
0 		33,886
-------------
0 		1,068,034
-------------
0 		63,766
-------------
0
11DEBORAH WEYMOUTH
 
PRESIDENT, HEALTHALLIANCE-CLINTON HOSPITAL UNTIL FY2019, DIRECTOR VARIOUS 		(i)

(ii)		 397,849
-------------
0 		72,441
-------------
0 		17,524
-------------
0 		105,575
-------------
0 		34,437
-------------
0 		627,826
-------------
0 		0
-------------
0
12HOWARD ALFRED MD
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. 		(i)

(ii)		 195,290
-------------
0 		0
-------------
0 		0
-------------
0 		6,153
-------------
0 		30,075
-------------
0 		231,518
-------------
0 		0
-------------
0
13ROBERT BABINEAU JR MD
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC., Director various 		(i)

(ii)		 286,838
-------------
0 		20,000
-------------
0 		0
-------------
0 		13,750
-------------
0 		20,308
-------------
0 		340,896
-------------
0 		0
-------------
0
14RICARDO BELLO MD
 
DIRECTOR, UMM MEDICAL GROUP, INC. 		(i)

(ii)		 495,087
-------------
0 		49,564
-------------
0 		0
-------------
0 		13,750
-------------
0 		31,912
-------------
0 		590,313
-------------
0 		0
-------------
0
15ALAN P BROWN MD
 
Director, UMM Behavioral Health System, Inc. & CHL 		(i)

(ii)		 185,916
-------------
0 		22,700
-------------
0 		0
-------------
0 		10,816
-------------
0 		27,833
-------------
0 		247,265
-------------
0 		0
-------------
0
16CHARLES CAVAGNARO MD
 
DIRECTOR, MARLBOROUGH HOSPITAL & CPC, INC. 		(i)

(ii)		 349,210
-------------
0 		34,667
-------------
0 		1,261
-------------
0 		3,699
-------------
0 		4,226
-------------
0 		393,063
-------------
0 		0
-------------
0
17WILLIAM CORBETT MD
 
Director, UMM HealthAlliance-Clinton Hosp. , Inc., Director various 		(i)

(ii)		 380,675
-------------
0 		89,609
-------------
0 		51,111
-------------
0 		104,779
-------------
0 		24,332
-------------
0 		650,506
-------------
0 		51,111
-------------
0
18THERESE DAY
 
DIRECTOR, UMM HEALTH VENTURES, INC. 		(i)

(ii)		 320,471
-------------
0 		61,835
-------------
0 		42,400
-------------
0 		90,377
-------------
0 		27,069
-------------
0 		542,152
-------------
0 		42,400
-------------
0
19KIMBERLY EISENSTOCK MD
 
DIRECTOR, MARLBOROUGH HOSPITAL 		(i)

(ii)		 222,496
-------------
0 		50,479
-------------
0 		0
-------------
0 		13,667
-------------
0 		27,846
-------------
0 		314,488
-------------
0 		0
-------------
0
20ROBERT KEVIN FERGUSON MD
 
DIRECTOR, UMM MEDICAL GROUP, INC. 		(i)

(ii)		 226,066
-------------
0 		12,466
-------------
0 		0
-------------
0 		13,386
-------------
0 		29,965
-------------
0 		281,883
-------------
0 		0
-------------
0
21ROBERT W FINBERG MD
 
DIRECTOR, UMM MEDICAL CENTER, INC. 		(i)

(ii)		 293,494
-------------
0 		66,142
-------------
0 		65,547
-------------
0 		40,500
-------------
0 		34,720
-------------
0 		500,403
-------------
0 		65,547
-------------
0
22DAVID HARLAN MD
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. 		(i)

(ii)		 150,602
-------------
0 		20,000
-------------
0 		0
-------------
0 		9,066
-------------
0 		31,443
-------------
0 		211,111
-------------
0 		0
-------------
0
23CHANDRIKA JAIN MD
 
DIRECTOR, MARLBOROUGH HOSPITAL 		(i)

(ii)		 174,369
-------------
0 		16,202
-------------
0 		0
-------------
0 		31,067
-------------
0 		5,577
-------------
0 		227,215
-------------
0 		0
-------------
0
24MARK JOHNSON MD
 
DIRECTOR, UMM MEDICAL CENTER, INC. 		(i)

(ii)		 619,173
-------------
0 		44,282
-------------
0 		0
-------------
0 		13,750
-------------
0 		31,576
-------------
0 		708,781
-------------
0 		0
-------------
0
25KATHRYN KENNEDY MD
 
DIRECTOR, UMM MEDICAL GROUP, INC. 		(i)

(ii)		 229,813
-------------
0 		71,484
-------------
0 		0
-------------
0 		13,750
-------------
0 		31,112
-------------
0 		346,159
-------------
0 		0
-------------
0
26CHRISTOPHER KENNEDY MD
 
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC. 		(i)

(ii)		 104,991
-------------
0 		58,605
-------------
0 		18,423
-------------
0 		9,342
-------------
0 		26,681
-------------
0 		218,042
-------------
0 		0
-------------
0
27DANIEL LASSER MD
 
DIRECTOR, UMM MEDICAL GROUP, INC. & ACO, INC. 		(i)

(ii)		 215,317
-------------
0 		56,852
-------------
0 		0
-------------
0 		39,249
-------------
0 		31,190
-------------
0 		342,608
-------------
0 		0
-------------
0
28SHIPEN LI MD
 
DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC. 		(i)

(ii)		 273,646
-------------
0 		10,970
-------------
0 		0
-------------
0 		14,833
-------------
0 		30,400
-------------
0 		329,849
-------------
0 		0
-------------
0
29JEFFREY N METZMAKER MD
 
DIRECTOR, UMM MEDICAL GROUP, INC. 		(i)

(ii)		 283,827
-------------
0 		86,690
-------------
0 		18,500
-------------
0 		13,750
-------------
0 		31,103
-------------
0 		433,870
-------------
0 		0
-------------
0
30DOMINIC NOMPLEGGI MD
 
DIRECTOR, UMM MEDICAL GROUP, INC. 		(i)

(ii)		 232,928
-------------
0 		35,599
-------------
0 		0
-------------
0 		13,750
-------------
0 		33,489
-------------
0 		315,766
-------------
0 		0
-------------
0
31DANIEL J O'LEARY MD
 
DIRECTOR UNTIL FY2019, COORDINATED PRIMARY CARE, INC. 		(i)

(ii)		 131,379
-------------
0 		0
-------------
0 		137,532
-------------
0 		3,133
-------------
0 		2,094
-------------
0 		274,138
-------------
0 		0
-------------
0
32SHLOMIT SCHAAL MD
 
DIRECTOR, UMM MEDICAL GROUP, INC. 		(i)

(ii)		 477,371
-------------
0 		27,830
-------------
0 		0
-------------
0 		13,750
-------------
0 		30,536
-------------
0 		549,487
-------------
0 		0
-------------
0
33CELESTE STRAIGHT MD
 
DIRECTOR, UMM MEDICAL GROUP, INC. 		(i)

(ii)		 244,393
-------------
0 		5,571
-------------
0 		0
-------------
0 		12,665
-------------
0 		6,703
-------------
0 		269,332
-------------
0 		0
-------------
0
34DEBRA TWEHOUS MD
 
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. 		(i)

(ii)		 223,421
-------------
0 		25,000
-------------
0 		0
-------------
0 		12,679
-------------
0 		10,734
-------------
0 		271,834
-------------
0 		0
-------------
0
35KATHARINE BOLLAND ESHGHI
 
ASSISTANT SECRETARY, UMM MEDICAL CENTER, INC. 		(i)

(ii)		 0
-------------
366,245 		0
-------------
70,313 		0
-------------
36,020 		0
-------------
82,160 		0
-------------
26,563 		0
-------------
581,301 		0
-------------
36,020
36NICOLE GAGNE
 
PRESIDENT, COMMUNTY HLTHLINK 		(i)

(ii)		 230,781
-------------
0 		44,588
-------------
0 		0
-------------
0 		30,995
-------------
0 		26,813
-------------
0 		333,177
-------------
0 		0
-------------
0
37JOHN GLASSBURN
 
Secretary, UMM Community Hospitals, Inc., Officer Various 		(i)

(ii)		 0
-------------
180,449 		0
-------------
9,435 		0
-------------
0 		0
-------------
17,953 		0
-------------
26,991 		0
-------------
234,828 		0
-------------
0
38STEVEN MCCUE
 
TREASURER UNTIL FY2019, MARLBOROUGH HOSPITAL 		(i)

(ii)		 221,192
-------------
0 		32,098
-------------
0 		0
-------------
0 		21,324
-------------
0 		462
-------------
0 		275,076
-------------
0 		0
-------------
0
39WILLIAM H O'BRIEN
 
SECRETARY, UMM BEHAVIORAL HEALTH SYSTEM, INC. 		(i)

(ii)		 123,811
-------------
0 		6,758
-------------
0 		0
-------------
0 		18,865
-------------
0 		29,846
-------------
0 		179,280
-------------
0 		0
-------------
0
40JEANNE SHIRSHAC
 
TREASURER, UMM ACCOUNTABLE CARE ORGANIZATION, INC. 		(i)

(ii)		 0
-------------
226,089 		0
-------------
35,250 		0
-------------
16,671 		0
-------------
50,061 		0
-------------
25,691 		0
-------------
353,762 		0
-------------
16,671
41FRANCIS W SMITH
 
Secretary, UMM Medical Group, Inc., Officer various 		(i)

(ii)		 0
-------------
204,614 		0
-------------
14,752 		0
-------------
0 		0
-------------
23,545 		0
-------------
24,748 		0
-------------
267,659 		0
-------------
0
42MICHELE STREETER
 
TREASURER, UMM MEDICAL GROUP, INC. 		(i)

(ii)		 410,217
-------------
0 		156,641
-------------
0 		31,527
-------------
0 		95,913
-------------
0 		30,343
-------------
0 		724,641
-------------
0 		31,527
-------------
0
43JAMES P CYR
 
SVP, SURGICAL & PROCEDURAL SVCS 		(i)

(ii)		 253,177
-------------
0 		49,854
-------------
0 		26,082
-------------
0 		70,709
-------------
0 		30,391
-------------
0 		430,213
-------------
0 		26,082
-------------
0
44ROBERT FELDMANN
 
SVP, FINANCE/CORPORATE CONTROLLER 		(i)

(ii)		 0
-------------
271,422 		0
-------------
56,300 		0
-------------
110,236 		0
-------------
78,468 		0
-------------
27,917 		0
-------------
544,343 		0
-------------
91,736
45BARBARA FISHER
 
SVP, UNTIL FY2019, OPERATIONS (UMMMC) 		(i)

(ii)		 245,924
-------------
0 		51,667
-------------
0 		108,537
-------------
0 		78,228
-------------
0 		28,676
-------------
0 		513,032
-------------
0 		90,037
-------------
0
46ANDREW KARSON MD
 
SVP, CMO-UMMMC 		(i)

(ii)		 295,059
-------------
0 		64,688
-------------
0 		0
-------------
0 		29,616
-------------
0 		27,531
-------------
0 		416,894
-------------
0 		0
-------------
0
47BART METZGER
 
SVP, CHIEF HR OFFICER 		(i)

(ii)		 0
-------------
379,984 		0
-------------
74,588 		0
-------------
118,202 		0
-------------
58,275 		0
-------------
30,203 		0
-------------
661,252 		0
-------------
112,202
48JOHN T RANDOLPH
 
VP, CHIEF CORPORATE COMPLIANCE 		(i)

(ii)		 0
-------------
240,114 		0
-------------
46,855 		0
-------------
0 		0
-------------
63,992 		0
-------------
33,740 		0
-------------
384,701 		0
-------------
0
49JOHN R SALZBERG
 
SVP, SYSTEM REV CYCLE OPS & CRO 		(i)

(ii)		 0
-------------
251,911 		0
-------------
38,307 		0
-------------
15,475 		0
-------------
70,356 		0
-------------
40,053 		0
-------------
416,102 		0
-------------
15,475
50ALICE A SHAKMAN
 
SVP, CLINICAL SVCS 		(i)

(ii)		 267,707
-------------
0 		51,000
-------------
0 		38,672
-------------
0 		70,882
-------------
0 		17,324
-------------
0 		445,585
-------------
0 		38,672
-------------
0
51TIMOTHY A TARNOWSKI
 
SVP, CHIEF INFO OFFICER & CTO 		(i)

(ii)		 0
-------------
458,366 		0
-------------
98,200 		0
-------------
64,996 		0
-------------
106,268 		0
-------------
42,202 		0
-------------
770,032 		0
-------------
46,496
52DAVID C AYERS MD
 
PHYSICIAN, CHAIR OF ORTHOPEDICS DEPT - MED GROUP 		(i)

(ii)		 643,464
-------------
0 		39,341
-------------
0 		0
-------------
0 		13,750
-------------
0 		31,670
-------------
0 		728,225
-------------
0 		0
-------------
0
53DEMETRIUS LITWIN MD
 
PHYSICIAN, CHAIR OF SURGERY DEPT - MED GROUP 		(i)

(ii)		 610,804
-------------
0 		175,347
-------------
0 		0
-------------
0 		13,750
-------------
0 		34,696
-------------
0 		834,597
-------------
0 		0
-------------
0
54GERALD T MCGILLICUDDY MD
 
PHYSICIAN, NEUROLOGICAL SURGEON FOR CMG - MED GROUP 		(i)

(ii)		 853,303
-------------
0 		27,378
-------------
0 		18,500
-------------
0 		13,750
-------------
0 		31,681
-------------
0 		944,612
-------------
0 		0
-------------
0
55ARNO S SUNGARIAN MD
 
PHYSICIAN, NEUROLOGICAL SURGEON FOR CMG - MED GROUP 		(i)

(ii)		 999,578
-------------
0 		182,328
-------------
0 		0
-------------
0 		13,750
-------------
0 		30,998
-------------
0 		1,226,654
-------------
0 		0
-------------
0
56JENNIFER D WALKER MD
 
PHYSICIAN, DIVISION CHIEF OF CARDIAC SURGERY - MED GROUP 		(i)

(ii)		 530,009
-------------
0 		287,500
-------------
0 		0
-------------
0 		13,750
-------------
0 		32,096
-------------
0 		863,355
-------------
0 		0
-------------
0
57LISA COLOMBO
 
FORMER KEY EE, SVP, Patient Care Svcs & CNO until 9/30/18 		(i)

(ii)		 267,083
-------------
0 		66,936
-------------
0 		15,179
-------------
0 		60,419
-------------
0 		21,226
-------------
0 		430,843
-------------
0 		15,179
-------------
0
58JEFFREY A SMITH MD
 
FORMER KEY EE, EXEC. VP, COO UNTIL 7/2018 		(i)

(ii)		 330,045
-------------
0 		82,419
-------------
0 		516,646
-------------
0 		45,215
-------------
0 		24,433
-------------
0 		998,758
-------------
0 		277,354
-------------
0
59PATRICK L MULDOON
 
FORMER OFFICER, PRESIDENT, MEDICAL CENTER, UNTIL 1/2018 		(i)

(ii)		 89,897
-------------
0 		0
-------------
0 		110,496
-------------
0 		107,981
-------------
0 		12,633
-------------
0 		321,007
-------------
0 		73,447
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
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
Schedule J, Part II THE ABOVE DIRECTORS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR.
Schedule J, Part II Compensation to employees Compensation to employees reported in Part VII and Schedule J is paid by UMass Memorial Health Care, Inc. and Affiliates only. Some of our physicians are also employed by the University of Massachusetts Medical School, an unrelated entity for tax purposes.
Schedule J, Part I, Line 4a Severance or change-of-control payment The following individuals received severance in the reporting period: Included in Sch J Col Biii: O'Leary, Daniel, MD $129,134 Smith, Jeffery A., MD $239,292
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD: Officers, Directors, Trustees: Bolland Eshghi, Katharine $36,020 Brown, Douglas S. $69,555 Corbett, William, MD $51,111 Day, Therese $42,400 Dickson, Eric W., MD $84,154 Finberg, Robert W., MD $65,547 Greenwood, John $28,526 Lapriore, Cheryl M. $35,866 Melgar, Sergio $67,662 Roach, Steven $44,933 Shirshac, Jeanne $16,671 Streeter, Michele $31,527 Tosi, Stephen E., MD $63,766 Subtotal Off, Dir, Trustees $637,738 Key Employees: Cyr, James P. $26,082 Feldmann, Robert $91,736 Fisher, Barbara $90,037 Metzger, Bart $112,202 Salzberg, John R. $15,475 Shakman, Alice $38,672 Tarnowski, Timothy $46,496 Subtotal Key Employees $420,700 Former: Colombo, Lisa $15,179 Muldoon, Patrick $73,447 Smith, Jeffrey A., MD $277,354 Subtotal Former $365,980 Total $1,424,418 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD (no distribution received): Officers, Directors, Trustees: Gagne, Nicole Gustafson, MD, Michael LEARY, JAMES Swenson, Dana E. Weymouth, Deborah Key Employees: KARSON, ANDREW Randolph, John T.
Schedule J (Form 990) 2018
Additional Data


Software ID: 18007697
Software Version: 2018v3.1

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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
Yes No Yes No Yes No
A Massachusetts Development Finance Agency
  		04-3431814 000000000 03-28-2017 25,725,000 Series F: to refund (reissue) bonds originally issued 5/22/2009 and reissued 5/21/2015   X   X   X
B Massachusetts Health and Educational Facilities Authority
  		04-2456011 000000000 11-24-2009 9,420,000 Series A (Marlborough): to current refund debt issued 8/14/2009   X   X   X
C Massachusetts Health and Educational Facilities Authority
  		04-2456011 57586EVD0 05-27-2010 61,833,656 Series G: to current refund bonds issued 11/18/1992 and 7/1/2005   X   X   X
D Massachusetts Development Finance Agency
  		04-3431814 57583UHB7 08-10-2011 92,293,778 Series H: to current refund bonds issued 12/2/1998, 12/9/1998, and 5/24/2001 X     X   X
Massachusetts Development Finance Agency
  		04-3431814 57584XKB6 02-02-2016 194,086,349 Series I: to current refund of bonds issued 12/9/1998 and 8/18/2005; supporting various acquisitions   X   X   X
Massachusetts Development Finance Agency
  		04-3431814 000000000 12-07-2016 125,000,000 Series J/Master Lease: purchase and implement new electronic medical record and billing system   X   X   X
Massachusetts Development Finance Agency
  		04-3431814 57584XF63 02-01-2017 56,751,941 Series K: to refund (reissue) bonds orig. issued 5/22/2009 & reissued 5/21/2015; reimburse equip   X   X   X
Massachusetts Development Finance Agency
  		04-3431814 57584YAH2 12-27-2017 118,297,225 Series L: to advance refund bonds issued 8/10/2011; reimburse capital costs of equip & other costs   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 2,660,000 2,274,000 42,880,000 36,380,000
2 Amount of bonds legally defeased .............. 0 0 0 23,900,000
3 Total proceeds of issue .................. 25,725,000 9,420,000 61,833,656 92,293,778
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 78,458 1,099,039 1,235,315
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 0 0 0
11 Other spent proceeds ............. 25,725,000 9,341,542 60,734,617 91,058,463
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2017 2018
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) 2018

Schedule K (Form 990) 2018
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?                
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 ....SchKMediumBullet 0 % 0 % 0 % 0 %
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 ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
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? ....... X     X   X   X
b Exception to rebate? ........   X X     X X  
c No rebate due? .........   X   X X     X
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) 2018

Schedule K (Form 990) 2018
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
Schedule K, Part II, Line 3 All Differences between the issue price (Part I column (e)) and total proceeds (Part II line 3) are due to investment earnings.
Schedule K, Part IV, Line 2c bonds issued 5/27/2010 The calculation was performed on 10/14/2014.
Schedule K, Part IV, Line 6 bonds issued 12/27/2017 Such amounts were appropriately yield restricted.
Schedule K, Part II, Line 6 bonds issued 12/27/2017 Until the reporting for 9/30/2021 (and thereafter), the issue price (Part I column (e) will not agree to total expenditures (Part II, lines 6-12) due to the specific accounting used for the refunding escrow.
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Health and Educational Facilities Authority N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Health and Educational Facilities Authority N/A
Schedule K, Part IV, Line 2c COLUMN C Issuer name: Massachusetts Health and Educational Facilities Authority The calculation for computing no rebate due was performed on 10/14/2014
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A
Schedule K (Form 990) 2018

Additional Data


Software ID: 18007697
Software Version: 2018v3.1


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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
Yes No Yes No Yes No
A Massachusetts Development Finance Agency
  		04-3431814 000000000 03-28-2017 25,725,000 Series F: to refund (reissue) bonds originally issued 5/22/2009 and reissued 5/21/2015   X   X   X
B Massachusetts Health and Educational Facilities Authority
  		04-2456011 000000000 11-24-2009 9,420,000 Series A (Marlborough): to current refund debt issued 8/14/2009   X   X   X
C Massachusetts Health and Educational Facilities Authority
  		04-2456011 57586EVD0 05-27-2010 61,833,656 Series G: to current refund bonds issued 11/18/1992 and 7/1/2005   X   X   X
D Massachusetts Development Finance Agency
  		04-3431814 57583UHB7 08-10-2011 92,293,778 Series H: to current refund bonds issued 12/2/1998, 12/9/1998, and 5/24/2001 X     X   X
Massachusetts Development Finance Agency
  		04-3431814 57584XKB6 02-02-2016 194,086,349 Series I: to current refund of bonds issued 12/9/1998 and 8/18/2005; supporting various acquisitions   X   X   X
Massachusetts Development Finance Agency
  		04-3431814 000000000 12-07-2016 125,000,000 Series J/Master Lease: purchase and implement new electronic medical record and billing system   X   X   X
Massachusetts Development Finance Agency
  		04-3431814 57584XF63 02-01-2017 56,751,941 Series K: to refund (reissue) bonds orig. issued 5/22/2009 & reissued 5/21/2015; reimburse equip   X   X   X
Massachusetts Development Finance Agency
  		04-3431814 57584YAH2 12-27-2017 118,297,225 Series L: to advance refund bonds issued 8/10/2011; reimburse capital costs of equip & other costs   X   X   X
Part Ⅱ
Proceeds
A B C D
1 Amount of bonds retired .................. 2,660,000 2,274,000 42,880,000 36,380,000
2 Amount of bonds legally defeased .............. 0 0 0 23,900,000
3 Total proceeds of issue .................. 25,725,000 9,420,000 61,833,656 92,293,778
4 Gross proceeds in reserve funds ............. 0 0 0 0
5 Capitalized interest from proceeds ............. 0 0 0 0
6 Proceeds in refunding escrows ............... 0 0 0 0
7 Issuance costs from proceeds ............... 0 78,458 1,099,039 1,235,315
8 Credit enhancement from proceeds ............. 0 0 0 0
9 Working capital expenditures from proceeds ............. 0 0 0 0
10 Capital expenditures from proceeds ............. 0 0 0 0
11 Other spent proceeds ............. 25,725,000 9,341,542 60,734,617 91,058,463
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2017 2018
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) 2018

Schedule K (Form 990) 2018
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?                
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 ....SchKMediumBullet 0 % 0 % 0 % 0 %
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 ......... SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
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? ....... X     X   X   X
b Exception to rebate? ........   X X     X X  
c No rebate due? .........   X   X X     X
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) 2018

Schedule K (Form 990) 2018
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
Schedule K, Part II, Line 3 All Differences between the issue price (Part I column (e)) and total proceeds (Part II line 3) are due to investment earnings.
Schedule K, Part IV, Line 2c bonds issued 5/27/2010 The calculation was performed on 10/14/2014.
Schedule K, Part IV, Line 6 bonds issued 12/27/2017 Such amounts were appropriately yield restricted.
Schedule K, Part II, Line 6 bonds issued 12/27/2017 Until the reporting for 9/30/2021 (and thereafter), the issue price (Part I column (e) will not agree to total expenditures (Part II, lines 6-12) due to the specific accounting used for the refunding escrow.
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Health and Educational Facilities Authority N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Health and Educational Facilities Authority N/A
Schedule K, Part IV, Line 2c COLUMN C Issuer name: Massachusetts Health and Educational Facilities Authority The calculation for computing no rebate due was performed on 10/14/2014
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: Massachusetts Development Finance Agency N/A
Schedule K (Form 990) 2018

Additional Data


Software ID: 18007697
Software Version: 2018v3.1

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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.
MediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
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) 2018
Schedule L (Form 990 or 990-EZ) 2018
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?
Yes No
(1) 80 Erdman Way LLC
  		Entity more than 35% owned by John R. Clementi, Board Director 110,037 Rental of Property - Expense   No
(2) MA Lung and Allergy PC
  		Entity more than 35% owned by Kimberly Robinson, MD, Board Director 211,027 3rd Party Payer Contract Payment   No
(3) Robert A Babineau Jr MD PC
  		Entity more than 35% owned by Robert A. Babineau, Jr., MD, Board Director 113,751 3rd Party Payer Contract Payment   No
(4) Leominster Medical Associates
  		Entity more than 35% owned by Daniel O'Leary, MD, Board Director 148,440 3rd Party Payer Contract Payment   No
(5) Chair City Family Medicine PC
  		Entity more than 35% owned by Francis Sweeney, MD, Board Director 155,410 3rd Party Payer Contract Payment   No
(6) Darlene A Purcell
  		Family Member of Philip E. Purcell, Board Director 170,357 Employment Arrangement w/ UMM Medical Center, Inc.   No
(7) Ellen Carlucci
  		Family Member of Daniel Carlucci, M.D., Board Director 162,889 Employment Arrangement w/ Marlborough Hospital   No
(8) Elaine Granville RN
  		Family Member of Cheryl Lapriore, Officer / Board Director 161,350 Employment Arrangement w/ UMM Medical Center, Inc.   No
(9) Joyce Fingeroth MD
  		Family Member of Robert W. Finberg, M.D., Board Director 21,582 Employment Arrangement w/ UMM Medical Group, Inc.   No
(10) Brittany M Paulhus
  		Family Member of Robert J. Paulhus, Jr., Board Director 76,271 Employment Arrangement w/ UMM Medical Center, Inc.   No
(11) BRIAN GREENBERG NP
  		Family Member of Howard Alfred, MD, Board Director 175,570 Employment Arrangement w/ UMM Medical Group, Inc.   No
(12) DILIP JAIN MD
  		Family Member of Chandrika Jain, MD, Board Director 204,226 Employment Arrangement w/ UMM Medical Group, Inc.   No
(13) Substantial Contributor
  		Substantial Contributor 16,187,471 Independent Contractor Arrangement, donation of $10,000   No
(14) Substantial Contributor
  		Substantial Contributor 4,926,191 Independent Contractor Arrangement, donation of $12,400   No
(15) Substantial Contributor
  		Substantial Contributor 3,317,875 Independent Contractor Arrangement, donation of $5,000   No
(16) Substantial Contributor
  		Substantial Contributor 623,417 Independent Contractor Arrangement, donation of $5,500   No
(17) Substantial Contributor
  		Substantial Contributor 525,982 Independent Contractor Arrangement, donation of $5,000   No
(18) Substantial Contributor
  		Substantial Contributor 160,138 Independent Contractor Arrangement, donation of $5,000   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
UMass Memorial Health Care Inc & Affiliates
 
Employer identification number

91-2155626
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 1,189 Market value
5 Clothing and household
goods ....... 		X 8,533 Market value
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 1 5,063 Market value
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies . X 3 10,943 Market value
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Assorted toys ) X 24 17,633 Market value
26 Other Right pointing arrow large image ( Virtual Reality Goggle Headset ) X 1 6,000 Market value
27 Other Right pointing arrow large image ( Misc. supplies ) X 30 5,350 Market value
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which is not required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
 
No
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2018)
Schedule M (Form 990) (2018)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M, Part I, Line 32a UMass Memorial Health Care, Inc. affiliates utilize the services of UMass Memorial Foundation, Inc. to solicit donor contributions, on occasion, the organization receives gifts of publicly traded stock. All gifts of publicly traded stock are immediately sold upon receipt through an investment services firm.
Schedule M, Part I Explanations of reporting method for number of contributions Books and publications - The organization is reporting the number of contributions. Clothing and household goods - The organization is reporting the number of contributions. Securities - Publicly traded - The organization is reporting the number of contributions. Drugs and medical supplies - The organization is reporting the number of contributions. Other - Assorted toys - The organization is reporting the number of contributions. Other - Virtual Reality Goggle Headset - The organization is reporting the number of contributions. Other - Misc. supplies - The organization is reporting the number of contributions.
Schedule M (Form 990) (2018)

Additional Data


Software ID: 18007697
Software Version: 2018v3.1
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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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 I, Line 3 Number of voting members and Part VII The number of voting members of the governing body does not agree to the number of individuals reported in Part VII because there are 13 entities included in the group exemption and each entity has their own board of directors with voting rights. These directors are included in Part VII once, even if they serve on multiple boards. Refer to Sch O for a complete list of board members by entity and individuals with various board titles.
Form 990, Part III, Line 4d Description of other program services (Expenses $ 80,516,276 including grants of $ 7,500)(Revenue $ 62,906,573) OTHER 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, OR PATIENT ADVOCACY SERVICES TO THE PATIENTS OF UMASS MEMORIAL, CENTRAL NEW ENGLAND, AND OTHER GEOGRAPHIES.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Marlborough: Richer, Gerard (Board Member) and Michael Murphy (Board Member) - Business relationship, CNEHA & UMM HealthAlliance-Clinton: Robert Paulhus (Board Member) and Michael Ames (Board Member) - Business relationship, CNEHA & UMM HealthAlliance-Clinton: Nicholas Mercadante (Board Member) and HealthAlliance Home Health Hospice: Anthony J. Mercadante (Board Member) - Family relationship
Form 990, Part VI, Line 6 Classes of members or stockholders THERE ARE NO CLASSES OF MEMBERS. THE VOTING RIGHTS OF EACH MEMBER'S BOARD ARE ABSOLUTE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MAJORITY OF ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (UMMHC - Parent OR CNEHA, INC.) THAT ELECTS THE BOARD OF TRUSTEES. THERE ARE NO CLASSES OF MEMBERS. 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, Line 7b Decisions requiring approval by members or stockholders THE MAJORITY OF THE ENTITIES IN THE CONSOLIDATED GROUP HAVE A SOLE MEMBER (UMMHC - Parent OR CNEHA, INC.) 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 MEMBERS. 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, Line 11b Review of form 990 by governing body SECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J RELATED TO EXECUTIVE COMPENSATION IS REVIEWED IN DETAIL WITH THE ORGANIZATION'S BOARD COMPENSATION COMMITTEE WHICH OVERSEES ALL UMASS MEMORIAL HEALTH CARE EXECUTIVE COMPENSATION. THE ORGANIZATION'S COMPLIANCE COMMITTEE REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE ORGANIZATION'S COMMUNITY BENEFITS COMMITTEE (THAT OVERSEES ALL BOARDS) REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE H. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990 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, Line 12c Conflict of interest policy 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. The following groups of individuals are covered by this policy: a. All Trustees/Directors: all UMM entities b. UMMHC/UMMMC/UMMMG: Dept Heads and above; selected others c. Physicians: all employed physicians, members of any board committee, members of Medical Staff Executive Committees; others as determined appropriate THERE IS ACTIVE MONITORING by the UMMHC Compliance office AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH ACTIVITIES/DECISIONS. Any conflicts identified are MANAGED AND reported to the appropriate officer and/or governing body. We have an appropriate management plan with any individuals with outside relationships that require mitigation. Where it is necessary, individuals may provide subject matter expertise however they have no influence or authorization of decisions for the organization.
Form 990, Part VI, Line 15a Process to establish compensation of top management official Compensation matters involving the CEO and Senior Executives are overseen by the Compensation Committee of the Board, which was designated this authority by the Organization's Board of Trustees. The Compensation Committee approved a Compensation Philosophy and Policy which govern compensation matters. 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. Independent outside compensation consultants are hired by and report to the Compensation Committee of the Board and provide advice to the Committee on compensation matters. 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. During the fiscal year, the Compensation Committee met to review and vote on the compensation for the CEO and key personnel. The Compensation Committee voted and approved the CEO's compensation at their annual meeting in March 2019. All other key personnel were voted on and approved at the annual meeting in December 2018.
Form 990, Part VI, Line 15b Process to establish compensation of other employees Tier - Title - Review date: Tier A - PRESIDENT, CEO - March 2019 Tier B - PRESIDENT, MEDICAL CENTER - December 2018 Tier B - EXEC VP, CFO - December 2018 Tier B - CHIEF PHYSICIAN EXECUTIVE - December 2018 Tier B - PRESIDENT,UMMH & CAO/CLO,UMMHC - December 2018 Tier B - EXEC VP/COO UMMMG - December 2018 Tier C - SVP, CIO & CTO - December 2018 Tier C - SVP, CMO-UMMMC - December 2018 Tier C - PRESIDENT, MARLBORO HOSPITAL - December 2018 Tier C - SVP, CHIEF HR OFFICER - December 2018 Tier C - SVP, COMMUNITY PRACTICES - December 2018 Tier C - SVP, GENERAL COUNSEL-PGL - December 2018 Tier C - SVP, PATIENT CARE SVCS & CNO - December 2018 Tier C - SVP,CHF OF STAFF&CHF MKTG OFC - December 2018 Tier C - VP/CHIEF FINANCIAL OFFICER - December 2018 Tier C - SVP FINANCE/CORP CONTROLLER - December 2018 Tier C - SVP SYSTEM REV CYCLE OPS & CRO - December 2018 Tier C - SVP, POP HLTH & PRESIDENT, ACO - December 2018 Tier C - SVP, CLINICAL SVCS - December 2018 Tier C - SVP, CLINICAL SVCS - December 2018 Tier C - SVP, SURGICAL&PROCEDURAL SVCS - December 2018 Tier C - SVP,CHIEF FACILITIES OFFICER - December 2018 Tier C - VP, CHIEF CORPORATE COMPLIANCE - December 2018 Tier C - PRESIDENT, COMMUNTY HLTH LINK - December 2018
Form 990, Part VI, Line 19 Required documents available to the public 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 2f Other Program Service Revenue Affiliate Contract Income - Total Revenue: 792174, Related or Exempt Function Revenue: 792174, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11a Management fees The amount reported on line 11a represents management fees paid by UMass Memorial Medical Center for the management of exempt-function pharmaceutical services for the Medical Center.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS TO UNRESTRICTED - REVENUE - 2960435; TRANSFERS TO UNRESTRICTED - PPE - 1288972; PENSION-RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST - -XXX-XX-XXXX; TRANSFERS (TO) FROM RELATED PARTIES - -43848812; TRANSFERS TO UNRESTRICTED - EXPENDITURES - -2521632; CHANGE IN BENEFICIAL INTEREST IN TRUSTS AND OTHER CHANGES IN RESTRICTED NET ASSETS - 915879; INTEREST RATE SWAP - -605685; CONTRIBUTION OF INTANGIBLE ASSET TO JOINT VENTURE - 1283266;
Form 990, Part XII, Line 2c Change of oversight process or selection process THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM.
Page 1 Line Hc 14 Members of Group exemption number 3642 UMASS MEMORIAL HEALTH CARE, INC. AND AFFILIATES EIN: 91-2155626 FYE: 9/30/2019 306 Belmont Street, Worcester, MA 01604 Marlborough Hospital 157 Union Street, Marlborough, MA 01752 EIN: 04-2104693 FYE: 9/30/2019 UMass Memorial Behavioral Health System, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3374724 FYE: 9/30/2019 UMass Memorial Community Hospitals, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3296271 FYE: 9/30/2019 UMass Memorial Health Ventures, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 22-2605679 FYE: 9/30/2019 UMass Memorial Medical Center, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3358564 FYE: 9/30/2019 UMass Memorial Medical Group, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-2911067 FYE: 9/30/2019 UMass Memorial Realty, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-2805630 FYE: 9/30/2019 Community HealthLink, Inc. 72 Jaques Avenue, Worcester, MA 01610 EIN: 04-2626179 FYE: 9/30/2019 Central New England HealthAlliance, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-3172496 FYE: 9/30/2019 Coordinated Primary Care, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-3210002 FYE: 9/30/2019 HealthAlliance Home Health and Hospice, Inc. 25 Tucker Road, Leominster, MA 01453 EIN: 04-2932308 FYE: 9/30/2019 UMass Memorial HealthAlliance-Clinton Hospital, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-2103555 FYE: 9/30/2019 UMass Memorial Accountable Care Organization, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 46-2871359 FYE: 9/30/2019
Part VII Section A Complete list of Group 990 Board Members by entity - Part 1 of 4 Entity & EIN: UMass Memorial Medical Center, Inc. #04-3358564 MICHAEL GUSTAFSON, MD PRESIDENT, UMM MEDICAL CENTER, INC SERGIO MELGAR TREASURER, UMM MEDICAL CENTER, INC. DOUGLAS S. BROWN SECRETARY, UMM MEDICAL CENTER, INC. KATHARINE BOLLAND ESHGHI ASSISTANT SECRETARY, UMM MEDICAL CENTER, INC. RICHARD SIEGRIST CHAIRPERSON, DIRECTOR, UMM MEDICAL CENTER, INC RAYMOND PAWLICKI VICE CHAIRPERSON, DIRECTOR, UMM MEDICAL CENTER, INC. DAVID L. BENNETT DIRECTOR, UMM MEDICAL CENTER, INC. TERENCE FLOTTE, MD DIRECTOR, UMM MEDICAL CENTER, INC. MICHAEL COLLINS, MD DIRECTOR, UMM MEDICAL CENTER, INC. EDWARD D'ALELIO DIRECTOR, UMM MEDICAL CENTER, INC. PAULETTE SEYMOUR-ROUTE, PH.D. DIRECTOR, UMM MEDICAL CENTER, INC. ROBERT W. FINBERG, MD DIRECTOR, UMM MEDICAL CENTER, INC. PAUL KANGAS DIRECTOR, UMM MEDICAL CENTER, INC. RICHARD K. BENNETT DIRECTOR, UMM MEDICAL CENTER, INC. LYNDA M. YOUNG, MD DIRECTOR, UMM MEDICAL CENTER, INC. ERIC W. DICKSON, MD DIRECTOR, UMM MEDICAL CENTER, INC. PETER KNOX DIRECTOR, UMM MEDICAL CENTER, INC. ELVIRA GUARDIOLA DIRECTOR, UMM MEDICAL CENTER, INC. NANCY KANE DIRECTOR, UMM MEDICAL CENTER, INC. LESLIE BOVENZI DIRECTOR, UMM MEDICAL CENTER, INC. MARK JOHNSON, MD DIRECTOR, UMM MEDICAL CENTER, INC. EVAN BENJAMIN, MD DIRECTOR, UMM MEDICAL CENTER, INC. SUSAN MAILMAN DIRECTOR, UMM MEDICAL CENTER, INC. EDWARD J. PARRY, III DIRECTOR UNTIL FY2019, UMM MEDICAL CENTER, INC. O. NSIDINANYA OKIKE, MD DIRECTOR UNTIL FY2019, UMM MEDICAL CENTER, INC. Entity & EIN: UMass Memorial Health Ventures, Inc. #22-2605679 CHERYL LAPRIORE PRESIDENT, DIRECTOR, UMM HEALTH VENTURES, INC. SERGIO MELGAR TREASURER, UMM HEALTH VENTURES, INC. FRANCIS W. SMITH CLERK, UMM HEALTH VENTURES, INC. PAUL KANGAS CHAIRPERSON, DIRECTOR, UMM HEALTH VENTURES, INC. FREDERICK G. CROCKER DIRECTOR, UMM HEALTH VENTURES, INC. GERARD P. RICHER DIRECTOR, UMM HEALTH VENTURES, INC. ERIC W. DICKSON, MD DIRECTOR, UMM HEALTH VENTURES, INC. STEVEN ROACH DIRECTOR, UMM HEALTH VENTURES, INC. THERESE DAY DIRECTOR, UMM HEALTH VENTURES, INC. JOHN BUDD DIRECTOR, UMM HEALTH VENTURES, INC. Entity & EIN: UMass Memorial Realty, Inc. #04-2805630 DANA SWENSON PRESIDENT, DIRECTOR, UMM REALTY, INC. SERGIO MELGAR TREASURER, UMM REALTY, INC. FRANCIS W. SMITH SECRETARY, UMM REALTY, INC. DIX F. DAVIS DIRECTOR, UMM REALTY, INC. DAVID L. BENNETT DIRECTOR, UMM REALTY, INC. ERIC W. DICKSON, MD DIRECTOR, UMM REALTY, INC. Entity & EIN: UMass Memorial Medical Group, Inc. #04-2911067 STEPHEN E. TOSI, MD PRESIDENT, UMM MEDICAL GROUP, INC. MICHELE STREETER TREASURER, UMM MEDICAL GROUP, INC. FRANCIS W. SMITH SECRETARY, UMM MEDICAL GROUP, INC. LYNDA M. YOUNG, MD CHAIRPERSON, DIRECTOR, UMM MEDICAL GROUP, INC. DANIEL LASSER, MD DIRECTOR, UMM MEDICAL GROUP, INC. ROBERT KEVIN FERGUSON, MD DIRECTOR, UMM MEDICAL GROUP, INC. KATHRYN KENNEDY, MD DIRECTOR, UMM MEDICAL GROUP, INC. TERENCE FLOTTE, MD DIRECTOR, UMM MEDICAL GROUP, INC. ERIC W. DICKSON, MD DIRECTOR, UMM MEDICAL GROUP, INC. JEFFREY N. METZMAKER, MD DIRECTOR, UMM MEDICAL GROUP, INC. DOMINIC NOMPLEGGI, MD DIRECTOR, UMM MEDICAL GROUP, INC. J. CHRISTOPHER CUTLER, FACHE DIRECTOR, UMM MEDICAL GROUP, INC. GAIL ALLEN DIRECTOR, UMM MEDICAL GROUP, INC. RICARDO BELLO, MD DIRECTOR, UMM MEDICAL GROUP, INC. SHLOMIT SCHAAL, MD DIRECTOR, UMM MEDICAL GROUP, INC. CELESTE STRAIGHT, MD DIRECTOR, UMM MEDICAL GROUP, INC. HARRIS L. MACNEILL DIRECTOR UNTIL FY2019, UMM MEDICAL GROUP, INC.
Part VII Section A Complete list of Group 990 Board Members by entity - Part 2 of 4 Entity & EIN: UMass Memorial Community Hospitals, Inc. #04-3296271 DOUGLAS S. BROWN PRESIDENT, CHAIRPERSON, UMM COMMUNITY HOSPITALS, INC. SERGIO MELGAR TREASURER, DIRECTOR, UMM COMMUNITY HOSPITALS, INC. JOHN GLASSBURN SECRETARY, UMM COMMUNITY HOSPITALS, INC. WILLIAM MCGRAIL, ESQUIRE DIRECTOR, UMM COMMUNITY HOSPITALS, INC. FERNANDO CATALINA, MD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. ERIC W. DICKSON, MD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. WILLIAM CORBETT, MD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. MICHAEL D. MURPHY DIRECTOR, UMM COMMUNITY HOSPITALS, INC. MICHAEL GUSTAFSON, MD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. JAMES LEARY DIRECTOR, UMM COMMUNITY HOSPITALS, INC. JACK WILSON, PHD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. LUIS MASEDA DIRECTOR, UMM COMMUNITY HOSPITALS, INC. JOHN CLEMENTI DIRECTOR UNTIL FY2019, UMM COMMUNITY HOSPITALS, INC. DEBORAH WEYMOUTH DIRECTOR UNTIL FY2019, UMM COMMUNITY HOSPITALS, INC. STEVEN ROACH UMM COMMUNITY HOSPITALS, INC. (no vote) Entity & EIN: Marlborough Hospital #04-2104693 STEVEN ROACH PRESIDENT, DIRECTOR, MARLBOROUGH HOSPITAL SERGIO MELGAR TREASURER, MARLBOROUGH HOSPITAL ANN-MARIA D'AMBRA ASSISTANT SECRETARY, MARLBOROUGH HOSPITAL JOHN GLASSBURN SECRETARY, MARLBOROUGH HOSPITAL MICHAEL D. MURPHY CHAIRPERSON, MARLBOROUGH HOSPITAL ANN K. MOLLOY VICE-CHAIRPERSON, MARLBOROUGH HOSPITAL STEVEN MCCUE TREASURER UNTIL FY2019, MARLBOROUGH HOSPITAL PHILIP E. PURCELL DIRECTOR, MARLBOROUGH HOSPITAL GERARD P. RICHER DIRECTOR, MARLBOROUGH HOSPITAL DANIEL CARLUCCI, MD DIRECTOR, MARLBOROUGH HOSPITAL DOUGLAS S. BROWN DIRECTOR, MARLBOROUGH HOSPITAL DAVID WALTON DIRECTOR, MARLBOROUGH HOSPITAL BENJAMIN H. COLONERO, JR. DIRECTOR, MARLBOROUGH HOSPITAL VIBHA SHARMA, MD DIRECTOR, MARLBOROUGH HOSPITAL KIMBERLY EISENSTOCK, MD DIRECTOR, MARLBOROUGH HOSPITAL WILLIAM FISHER DIRECTOR, MARLBOROUGH HOSPITAL BRIAN BOUVIER DIRECTOR, MARLBOROUGH HOSPITAL JOSEPH G. LEANDRES DIRECTOR, MARLBOROUGH HOSPITAL KIMBERLY ROBINSON, MD DIRECTOR, MARLBOROUGH HOSPITAL CHANDRIKA JAIN, MD DIRECTOR, MARLBOROUGH HOSPITAL CHARLES CAVAGNARO, MD DIRECTOR, MARLBOROUGH HOSPITAL ELLEN DORIAN DIRECTOR, MARLBOROUGH HOSPITAL HOWARD FERRIS DIRECTOR, MARLBOROUGH HOSPITAL HABIB A. SIOUFI, MD DIRECTOR UNTIL FY2019, MARLBOROUGH HOSPITAL RICHARD K. BENNETT DIRECTOR UNTIL FY2019, MARLBOROUGH HOSPITAL Entity & EIN: UMass Memorial Behavioral Health System, Inc. #04-3374724 DOUGLAS S. BROWN PRESIDENT, CHAIRPERSON, UMM BEHAVIORAL HEALTH SYSTEM, INC SERGIO MELGAR TREASURER, DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. WILLIAM H. O'BRIEN SECRETARY, UMM BEHAVIORAL HEALTH SYSTEM, INC. ALAN P. BROWN, MD DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. JOANNE JOHNSON DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. CYNTHIA M. MCMULLEN, ED.D. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. JOHN SHEA, ESQUIRE DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. CHERYL LAPRIORE DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. AMY GRASSETTE DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. JIM NOTARO DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. SHELDON BENJAMIN, MD DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. KEITH REARDON DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. JAMES LEARY DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. JESSICA MCGARRY DIRECTOR UNITL FY2019, UMM BEHAVIORAL HEALTH SYSTEM, INC. Entity & EIN: Community Healthlink, Inc. #04-2626179 NICOLE GAGNE PRESIDENT, COMMUNITY HEALTHLINK, INC. SERGIO MELGAR TREASURER, DIRECTOR, COMMUNITY HEALTHLINK, INC. FRANCIS W. SMITH CLERK, COMMUNITY HEALTHLINK, INC. JOHN SHEA, ESQUIRE DIRECTOR, COMMUNITY HEALTHLINK, INC. CYNTHIA M. MCMULLEN, ED.D. DIRECTOR, COMMUNITY HEALTHLINK, INC. ALAN P. BROWN, MD DIRECTOR, COMMUNITY HEALTHLINK, INC. JOANNE JOHNSON DIRECTOR, COMMUNITY HEALTHLINK, INC. DOUGLAS S. BROWN DIRECTOR, COMMUNITY HEALTHLINK, INC. CHERYL LAPRIORE DIRECTOR, COMMUNITY HEALTHLINK, INC. AMY GRASSETTE DIRECTOR, COMMUNITY HEALTHLINK, INC. JIM NOTARO DIRECTOR, COMMUNITY HEALTHLINK, INC. SHELDON BENJAMIN, MD DIRECTOR, COMMUNITY HEALTHLINK, INC. KEITH REARDON DIRECTOR, COMMUNITY HEALTHLINK, INC. JAMES LEARY DIRECTOR, COMMUNITY HEALTHLINK, INC. JESSICA MCGARRY DIRECTOR UNTIL FY2019, COMMUNITY HEALTHLINK, INC.
Part VII Section A Complete list of Group 990 Board Members by entity - Part 3 of 4 Entity & EIN: Central New England HealthAlliance, Inc. #04-3172496 STEVEN ROACH PRESIDENT, DIRECTOR, CNEHA, Inc. SERGIO MELGAR TREASURER, CNEHA, Inc. FRANCIS W. SMITH SECRETARY, CNEHA,INC MAUREEN CROTEAU ASSISTANT CLERK, CNEHA, Inc. FERNANDO CATALINA, MD CHAIRPERSON, CNEHA, Inc. ROBERT J. PAULHUS, JR. VICE CHAIRPERSON, CNEHA, Inc. DEBORAH WEYMOUTH PRESIDENT UNTIL FY2019, CNEHA, Inc. JOHN BRONHARD TREASURER UNTIL FY2019, CNEHA, Inc. GAIL ALLEN DIRECTOR, CNEHA, Inc. ROBERT LESLIE SHELTON, MD DIRECTOR, CNEHA, Inc. DOUGLAS S. BROWN DIRECTOR, CNEHA, Inc. DONATA MARTIN DIRECTOR, CNEHA, Inc. MICHAEL MAHAN DIRECTOR, CNEHA, Inc. NICHOLAS MERCADANTE, MD DIRECTOR, CNEHA, Inc. ROBERT BABINEAU, JR., MD DIRECTOR, CNEHA, Inc. WILLIAM CORBETT, MD DIRECTOR, CNEHA, Inc. MICHAEL W. AMES DIRECTOR, CNEHA, Inc. CARLOS NICOLAS FORMAGGIA, ESQ. DIRECTOR, CNEHA, Inc. LUIS J. MASEDA DIRECTOR, CNEHA, Inc. MICHAEL RIVARD DIRECTOR, CNEHA, Inc. DIX DAVIS DIRECTOR, CNEHA, Inc. CHRISTOPHER KENNEDY, MD DIRECTOR, CNEHA, Inc. JOHN CLEMENTI DIRECTOR UNTIL FY2019, CNEHA, Inc. CHRISTIE HAGER DIRECTOR UNTIL FY2019, CNEHA, Inc. SHIPEN LI, MD DIRECTOR UNTIL FY2019, CNEHA, Inc. NANCY DUPHILY DIRECTOR UNTIL FY2019, CNEHA, Inc. Entity & EIN: COORDINATED PRIMARY CARE, INC. #04-3210002 STEVEN ROACH PRESIDENT, CHAIRPERSON, COORDINATED PRIMARY CARE, INC. SERGIO MELGAR TREASURER, DIRECTOR, COORDINATED PRIMARY CARE, INC. MAUREEN CROTEAU SECRETARY, COORDINATED PRIMARY CARE, INC. JOHN BRONHARD TREASURER, DIRECTOR UNTIL FY2019, COORDINATED PRIMARY CARE, INC. DEBORAH WEYMOUTH PRESIDENT, CHAIRPERSON UNTIL FY2019, COORDINATED PRIMARY CARE, INC. WILLIAM CORBETT, MD DIRECTOR, COORDINATED PRIMARY CARE, INC. CHARLES CAVAGNARO, MD DIRECTOR, COORDINATED PRIMARY CARE, INC. DANIEL J. O'LEARY, MD DIRECTOR UNTIL FY2019, COORDINATED PRIMARY CARE, INC. Entity & EIN: HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. #04-2932308 STEVEN ROACH PRESIDENT, DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. SERGIO MELGAR TREASURER, DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. MAUREEN CROTEAU SECRETARY, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. LESLIE BOVENZI CHAIRPERSON UNTIL FY2019, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DEBORAH WEYMOUTH PRESIDENT, DIRECTOR UNTIL FY2019, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. JOHN BRONHARD TREASURER UNTIL FY2019, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. ANTHONY J. MERCADANTE DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. GAIL ALLEN DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. LYNNE FARRELL DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. ROBERT BABINEAU, JR., MD DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIX F. DAVIS DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. NANCY DUPHILY DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. CARLOS NICOLAS FORMAGGIA, ESQ. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. MICHAEL MAHAN DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.
Part VII Section A Complete list of Group 990 Board Members by entity - Part 4 of 4 Entity & EIN: UMass Memorial HEALTHALLIANCE-CLINTON HOSPITAL, INC. #04-2103555 STEVEN ROACH PRESIDENT, DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. SERGIO MELGAR TREASURER, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. FRANCIS W. SMITH SECRETARY, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MAUREEN CROTEAU ASSISTANT CLERK, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. FERNANDO CATALINA, MD CHAIRPERSON, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. ROBERT J. PAULHUS, JR. VICE CHAIRPERSON, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DEBORAH WEYMOUTH PRESIDENT, DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. JOHN BRONHARD TREASURER UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. GAIL ALLEN DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MICHAEL RIVARD DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. ROBERT LESLIE SHELTON, MD DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DOUGLAS S. BROWN DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DONATA MARTIN DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MICHAEL MAHAN DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. NICHOLAS MERCADANTE, MD DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. CARLOS NICOLAS FORMAGGIA, ESQ. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. WILLIAM CORBETT, MD DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MICHAEL W. AMES DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. LUIS J. MASEDA DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DIX DAVIS DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. ROBERT BABINEAU, JR., MD DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. CHRISTOPHER KENNEDY, MD DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. JOHN CLEMENTI DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. LESLIE BOVENZI DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MARY WHITNEY DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. CHRISTIE HAGER DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. SHIPEN LI, MD DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. NANCY DUPHILY DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. Entity & EIN: UMass Memorial ACCOUNTABLE CARE ORGANIZATION, INC. #46-2871359 JOHN GREENWOOD PRESIDENT, DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. JEANNE SHIRSHAC TREASURER, UMM ACCOUNTABLE CARE ORGANIZATION, INC. FRANCIS W. SMITH CLERK, UMM ACCOUNTABLE CARE ORGANIZATION, INC. ERIC W. DICKSON, MD CHAIRPERSON, UMM ACCOUNTABLE CARE ORGANIZATION, INC. HOWARD ALFRED, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DOUGLAS S. BROWN DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. WILLIAM CORBETT, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. JORDAN EISENSTOCK, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DAVID HARLAN, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. BARBARA KUPFER DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DANIEL LASSER, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. LALITA MATTA, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. ANTONIA MCGUIRE DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. STEPHEN E. TOSI, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. ROBERT FISHMAN, DO, FACP DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. ED MOORE DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. FRANCIS SWEENEY, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. MICHAEL GUSTAFSON, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DEBRA TWEHOUS, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. PETER BAGLEY, MD DIRECTOR UNTIL FY2019, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
Part VII Section A Various board titles - Part 1 of 3 ALAN P. BROWN, MD DIRECTOR, COMMUNITY HEALTHLINK, INC. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. VICE CHAIR, ADLT PSY CLIN SVCS AMY GRASSETTE DIRECTOR, COMMUNITY HEALTHLINK, INC. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. ANN K. MOLLOY VICE-CHAIRPERSON, MARLBOROUGH HOSPITAL ANN-MARIA D'AMBRA ASSISTANT SECRETARY, MARLBOROUGH HOSPITAL EXECUTIVE ASSISTANT ANTHONY J. MERCADANTE DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. ANTONIA MCGUIRE DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. BARBARA KUPFER DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. BENJAMIN H. COLONERO, JR. DIRECTOR, MARLBOROUGH HOSPITAL BRIAN BOUVIER DIRECTOR, MARLBOROUGH HOSPITAL CARLOS NICOLAS FORMAGGIA, ESQ. DIRECTOR, CNEHA, Inc. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. CELESTE STRAIGHT, MD PHYSICIAN DIRECTOR, UMM MEDICAL GROUP, INC. CHANDRIKA JAIN, MD DIRECTOR, MARLBOROUGH HOSPITAL PRESIDENT OF MED STAFF CHARLES CAVAGNARO, MD DIRECTOR, COORDINATED PRIMARY CARE, INC. DIRECTOR, MARLBOROUGH HOSPITAL VP, CMO-HAC, SVP, CMO-UMMMC until 5/6/18 CHERYL LAPRIORE DIRECTOR, COMMUNITY HEALTHLINK, INC. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. PRESIDENT, DIRECTOR, UMM HEALTH VENTURES, INC. SVP, CHF OF STAFF &CHF MKTG OFC CHRISTIE HAGER DIRECTOR UNTIL FY2019, CNEHA, Inc. DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. CHRISTOPHER KENNEDY, MD PHYSICIAN DIRECTOR, CNEHA, Inc. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. CYNTHIA M. MCMULLEN, ED.D. DIRECTOR, COMMUNITY HEALTHLINK, INC. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DANA SWENSON PRESIDENT, DIRECTOR, UMM REALTY, INC. SVP, CHIEF FACILITIES OFFICER DANIEL CARLUCCI, MD DIRECTOR, MARLBOROUGH HOSPITAL DANIEL LASSER, MD CLINICAL DEPARTMENT CHAIR DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DIRECTOR, UMM MEDICAL GROUP, INC. DANIEL J. O'LEARY, MD DIRECTOR UNTIL FY2019, COORDINATED PRIMARY CARE, INC. VP CHIEF MEDICAL OFFICER, UNTIL FY2019 DAVID HARLAN, MD CHIEF, DIABETES-DIR, DIAB COE DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DAVID WALTON DIRECTOR, MARLBOROUGH HOSPITAL DAVID L. BENNETT DIRECTOR, UMM MEDICAL CENTER, INC. DIRECTOR, UMM REALTY, INC. DEBORAH WEYMOUTH DIRECTOR UNTIL FY2019, UMM COMMUNITY HOSPITALS, INC. PRESIDENT UNTIL FY2019, CNEHA, Inc. PRESIDENT, CHAIRPERSON UNTIL FY2019, COORDINATED PRIMARY CARE, INC. PRESIDENT, DIRECTOR UNTIL FY2019, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. PRESIDENT, DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. PRESIDENT, HEALTHALLIANCE-CLINTON HOSPITAL UNTIL FY2019 DEBRA TWEHOUS, MD PHYSICIAN DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DIX F. DAVIS DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIRECTOR, UMM REALTY, INC. DIRECTOR, CNEHA, Inc. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DOMINIC NOMPLEGGI, MD CHIEF, GASTROENTEROLOGY DIRECTOR, UMM MEDICAL GROUP, INC. DONATA MARTIN DIRECTOR, CNEHA, Inc. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DOUGLAS S. BROWN DIRECTOR, CNEHA, Inc. DIRECTOR, COMMUNITY HEALTHLINK, INC. DIRECTOR, MARLBOROUGH HOSPITAL DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. PRESIDENT, CHAIRPERSON, UMM BEHAVIORAL HEALTH SYSTEM, INC PRESIDENT, CHAIRPERSON, UMM COMMUNITY HOSPITALS, INC. PRESIDENT,UMMH & CAO/CLO,UMMHC SECRETARY, UMM MEDICAL CENTER, INC. ED MOORE DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. EDWARD D'ALELIO DIRECTOR, UMM MEDICAL CENTER, INC. EDWARD J. PARRY, III DIRECTOR UNTIL FY2019, UMM MEDICAL CENTER, INC. ELLEN DORIAN DIRECTOR, MARLBOROUGH HOSPITAL ELVIRA GUARDIOLA DIRECTOR, UMM MEDICAL CENTER, INC. ERIC W. DICKSON, MD PRESIDENT & CEO of UMM Health Care, Inc. & Affiliates CHAIRPERSON, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DIRECTOR, UMM COMMUNITY HOSPITALS, INC. DIRECTOR, UMM HEALTH VENTURES, INC. DIRECTOR, UMM MEDICAL CENTER, INC. DIRECTOR, UMM MEDICAL GROUP, INC. DIRECTOR, UMM REALTY, INC. EVAN BENJAMIN, MD DIRECTOR, UMM MEDICAL CENTER, INC. FERNANDO CATALINA, MD CHAIRPERSON, CNEHA, Inc. CHAIRPERSON, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DIRECTOR, UMM COMMUNITY HOSPITALS, INC. FRANCIS SWEENEY, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
Part VII Section A Various board titles - Part 2 of 3 FRANCIS W. SMITH AVP,ASSOC GENERAL COUNSEL-PGL CLERK, COMMUNITY HEALTHLINK, INC. CLERK, UMM ACCOUNTABLE CARE ORGANIZATION, INC. CLERK, UMM HEALTH VENTURES, INC. SECRETARY, CNEHA,INC SECRETARY, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. SECRETARY, UMM MEDICAL GROUP, INC. SECRETARY, UMM REALTY, INC. FREDERICK G. CROCKER DIRECTOR, UMM HEALTH VENTURES, INC. GAIL ALLEN DIRECTOR, CNEHA, Inc. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DIRECTOR, UMM MEDICAL GROUP, INC. GERARD P. RICHER DIRECTOR, MARLBOROUGH HOSPITAL DIRECTOR, UMM HEALTH VENTURES, INC. HABIB A. SIOUFI, MD DIR, AFFILIATED LABS until FY2019 DIRECTOR UNTIL FY2019, MARLBOROUGH HOSPITAL HARRIS L. MACNEILL DIRECTOR UNTIL FY2019, UMM MEDICAL GROUP, INC. HOWARD ALFRED, MD DIR, RENAL DIALYSIS DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. HOWARD FERRIS DIRECTOR, MARLBOROUGH HOSPITAL J. CHRISTOPHER CUTLER, FACHE DIRECTOR, UMM MEDICAL GROUP, INC. JACK WILSON, PHD DIRECTOR, UMM COMMUNITY HOSPITALS, INC. JAMES LEARY DIRECTOR, COMMUNITY HEALTHLINK, INC. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR, UMM COMMUNITY HOSPITALS, INC. JEANNE SHIRSHAC TREASURER, UMM ACCOUNTABLE CARE ORGANIZATION, INC. VP, HEALTH POLICY/PUBLIC PROG JEFFREY N. METZMAKER, MD DIRECTOR, UMM MEDICAL GROUP, INC. PHYSICIAN JESSICA MCGARRY DIRECTOR UNITL FY2019, UMM BEHAVIORAL HEALTH SYSTEM, INC. DIRECTOR UNTIL FY2019, COMMUNITY HEALTHLINK, INC. JIM NOTARO DIRECTOR, COMMUNITY HEALTHLINK, INC. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. JOANNE JOHNSON DIRECTOR, COMMUNITY HEALTHLINK, INC. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. JOHN BRONHARD TREASURER UNTIL FY2019, CNEHA, Inc. TREASURER UNTIL FY2019, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. TREASURER UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. TREASURER, DIRECTOR UNTIL FY2019, COORDINATED PRIMARY CARE, INC. VP CFO HEALTHALLIANCE until FY2019 JOHN BUDD DIRECTOR, UMM HEALTH VENTURES, INC. JOHN CLEMENTI DIRECTOR UNTIL FY2019, CNEHA, Inc. DIRECTOR UNTIL FY2019, UMM COMMUNITY HOSPITALS, INC. DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. JOHN GLASSBURN ASSOC GEN'L COUNSEL-CORP/BUSIN SECRETARY, MARLBOROUGH HOSPITAL SECRETARY, UMM COMMUNITY HOSPITALS, INC. JOHN GREENWOOD PRESIDENT, DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. SVP, POP HLTH & PRESIDENT, ACO JOHN SHEA, ESQUIRE DIRECTOR, COMMUNITY HEALTHLINK, INC. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. JORDAN EISENSTOCK, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. PHYSICIAN JOSEPH G. LEANDRES DIRECTOR, MARLBOROUGH HOSPITAL KATHARINE BOLLAND ESHGHI ASSISTANT SECRETARY, UMM MEDICAL CENTER, INC. SR VP, GENERAL COUNSEL-PGL KATHRYN KENNEDY, MD DIR, CLINICAL MARL HOSP EM DIRECTOR, UMM MEDICAL GROUP, INC. KEITH REARDON DIRECTOR, COMMUNITY HEALTHLINK, INC. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. KIMBERLY EISENSTOCK, MD CHIEF, CLINICAL HOSPITAL MED DIRECTOR, MARLBOROUGH HOSPITAL KIMBERLY ROBINSON, MD DIRECTOR, MARLBOROUGH HOSPITAL LALITA MATTA, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. MARLBORO CHIEF MEDICAL OFFICER LESLIE BOVENZI CHAIRPERSON UNTIL FY2019, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DIRECTOR, UMM MEDICAL CENTER, INC. LUIS J. MASEDA DIRECTOR, CNEHA, Inc. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DIRECTOR, UMM COMMUNITY HOSPITALS, INC. LYNDA M. YOUNG, MD CHAIRPERSON, DIRECTOR, UMM MEDICAL GROUP, INC. DIRECTOR, UMM MEDICAL CENTER, INC. LYNNE FARRELL DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. MARK JOHNSON, MD CLINICAL DEPARTMENT CHAIR DIRECTOR, UMM MEDICAL CENTER, INC. MARY WHITNEY DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MAUREEN CROTEAU ASSISTANT CLERK, CNEHA, Inc. ASSISTANT CLERK, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. EXECUTIVE ASST, PROJECT MGR SECRETARY, COORDINATED PRIMARY CARE, INC. SECRETARY, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. MICHAEL COLLINS, MD DIRECTOR, UMM MEDICAL CENTER, INC. MICHAEL GUSTAFSON, MD DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DIRECTOR, UMM COMMUNITY HOSPITALS, INC. PRESIDENT, MEDICAL CENTER PRESIDENT, UMM MEDICAL CENTER, INC
Part VII Section A Various board titles - Part 3 of 3 MICHAEL MAHAN DIRECTOR, CNEHA, Inc. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MICHAEL RIVARD DIRECTOR, CNEHA, Inc. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MICHAEL D. MURPHY CHAIRPERSON, MARLBOROUGH HOSPITAL DIRECTOR, UMM COMMUNITY HOSPITALS, INC. MICHAEL W. AMES DIRECTOR, CNEHA, Inc. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. MICHELE STREETER EXEC VP/COO UMMMG TREASURER, UMM MEDICAL GROUP, INC. NANCY DUPHILY DIRECTOR UNTIL FY2019, CNEHA, Inc. DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. NANCY KANE DIRECTOR, UMM MEDICAL CENTER, INC. NICHOLAS MERCADANTE, MD DIRECTOR, CNEHA, Inc. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. NICOLE GAGNE PRESIDENT, COMMUNITY HEALTHLINK, INC. O. NSIDINANYA OKIKE, MD DIRECTOR UNTIL FY2019, UMM MEDICAL CENTER, INC. PAUL KANGAS CHAIRPERSON, DIRECTOR, UMM HEALTH VENTURES, INC. DIRECTOR, UMM MEDICAL CENTER, INC. PAULETTE SEYMOUR-ROUTE, PH.D. DIRECTOR, UMM MEDICAL CENTER, INC. PETER BAGLEY, MD DIRECTOR UNTIL FY2019, UMM ACCOUNTABLE CARE ORGANIZATION, INC. MED DIR, CCU PETER KNOX DIRECTOR, UMM MEDICAL CENTER, INC. PHILIP E. PURCELL DIRECTOR, MARLBOROUGH HOSPITAL RAYMOND PAWLICKI VICE CHAIRPERSON, DIRECTOR, UMM MEDICAL CENTER, INC. RICARDO BELLO, MD PHYSICIAN DIRECTOR, UMM MEDICAL GROUP, INC. RICHARD SIEGRIST CHAIRPERSON, DIRECTOR, UMM MEDICAL CENTER, INC RICHARD K. BENNETT DIRECTOR UNTIL FY2019, MARLBOROUGH HOSPITAL DIRECTOR, UMM MEDICAL CENTER, INC. ROBERT BABINEAU, JR., MD PHYSICIAN DIRECTOR, CNEHA, Inc. DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. ROBERT FISHMAN, DO, FACP DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. ROBERT J. PAULHUS, JR. VICE CHAIRPERSON, CNEHA, Inc. VICE CHAIRPERSON, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. ROBERT KEVIN FERGUSON, MD DIRECTOR, UMM MEDICAL GROUP, INC. PHYSICIAN ROBERT LESLIE SHELTON, MD DIRECTOR, CNEHA, Inc. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. ROBERT W. FINBERG, MD CLINICAL DEPARTMENT CHAIR DIRECTOR, UMM MEDICAL CENTER, INC. SERGIO MELGAR EXEC VP, CFO TREASURER, CNEHA, Inc. TREASURER, DIRECTOR, COMMUNITY HEALTHLINK, INC. TREASURER, DIRECTOR, COORDINATED PRIMARY CARE, INC. TREASURER, DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. TREASURER, DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. TREASURER, DIRECTOR, UMM COMMUNITY HOSPITALS, INC. TREASURER, MARLBOROUGH HOSPITAL TREASURER, UMM HEALTH VENTURES, INC. TREASURER, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. TREASURER, UMM MEDICAL CENTER, INC. TREASURER, UMM REALTY, INC. SHELDON BENJAMIN, MD DIRECTOR, COMMUNITY HEALTHLINK, INC. DIRECTOR, UMM BEHAVIORAL HEALTH SYSTEM, INC. SHIPEN LI, MD DIRECTOR UNTIL FY2019, CNEHA, Inc. DIRECTOR UNTIL FY2019, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. PHYSICIAN SHLOMIT SCHAAL, MD CLINICAL DEPARTMENT CHAIR DIRECTOR, UMM MEDICAL GROUP, INC. STEPHEN E. TOSI, MD CHIEF PHYSICIAN EXECUTIVE DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. PRESIDENT, UMM MEDICAL GROUP, INC. STEVEN MCCUE CFO MARLBOROUGH HOSPITAL until FY2019 TREASURER UNTIL FY2019, MARLBOROUGH HOSPITAL STEVEN ROACH PRESIDENT, MARLBOROUGH HOSPITAL DIRECTOR, UMM HEALTH VENTURES, INC. PRESIDENT, CHAIRPERSON, COORDINATED PRIMARY CARE, INC. PRESIDENT, DIRECTOR, CNEHA, Inc. PRESIDENT, DIRECTOR, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC. PRESIDENT, DIRECTOR, MARLBOROUGH HOSPITAL PRESIDENT, DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. UMM COMMUNITY HOSPITALS, INC. (no vote) SUSAN MAILMAN DIRECTOR, UMM MEDICAL CENTER, INC. TERENCE FLOTTE, MD DIRECTOR, UMM MEDICAL CENTER, INC. DIRECTOR, UMM MEDICAL GROUP, INC. THERESE DAY DIRECTOR, UMM HEALTH VENTURES, INC. VP/CHIEF FINANCIAL OFFICER MED CENTER VIBHA SHARMA, MD DIRECTOR, MARLBOROUGH HOSPITAL WILLIAM CORBETT, MD DIRECTOR, CNEHA, Inc. DIRECTOR, COORDINATED PRIMARY CARE, INC. DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC. DIRECTOR, UMM COMMUNITY HOSPITALS, INC. DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. SR VP, COMMUNITY PRACTICES WILLIAM FISHER DIRECTOR, MARLBOROUGH HOSPITAL WILLIAM MCGRAIL, ESQUIRE DIRECTOR, UMM COMMUNITY HOSPITALS, INC. WILLIAM H. O'BRIEN EXEC DIR, UMMBHS SECRETARY, UMM BEHAVIORAL HEALTH SYSTEM, INC.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


Software ID: 18007697
Software Version: 2018v3.1
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
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?
Yes No
(1)HEALTHALLIANCE REALTY CORPORATION
60 HOSPITAL ROAD

LEOMINSTER,MA01473
04-2560754 		REAL ESTATE MANAGEMENT MA 501(c)(2)   NA
 
 
No
(2)UMass Memorial Health Care Inc (Parent)
306 Belmont Street

Worcester,MA01604
04-3358566 		Management of Healthcare System MA 501(c)(3) Type III-FI na
 
 
No










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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
Yes No Yes No
(1) UMASS MEMORIAL MRI OF MALRBOROUGH LLC

157 UNION STREET
MARLBOROUGH,MA01752
20-2293995 		MAGNETIC RESONANCE IMAGING MA MARLBOROUGH HOSPITAL
  		Related 524,427 368,470   No     No 60 %
(2) UMASS MEMORIAL HEALTHALLIANCE MRI CENTER LLC

60 HOSPITAL ROAD
LEOMINSTER,MA01453
04-3561571 		MAGNETIC RESONANCE IMAGING MA NA
  		Related 800,506 1,062,527   No     No 60 %










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?
Yes No
(1) MEMORIAL OFFICE CONDOMIUM TRUST

306 BELMONT STREET
WORCESTER,MA01604
04-6616900 		CONDOMINIUM ASSOCIATION MA UMASS MEMORIAL REALTY INC
  		Trust 6 229,190 53.69 %   No
(2) Commonwealth Professional Assurance Company Ltd

P O Box 1051 GT
  Grand Cayman,KY11102
CJ
98-0226143 		Insurance CJ NA
  		C Corporation         No










Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
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) HealthAlliance Realty Inc

 K 401,226 Fair value
(2) HealthAlliance Realty Inc

 P 384,475 Fair Value
(3) UMass Memorial HealthAlliance MRI Center LLC

 S 780,000 Fair Value
(4) UMass Memorial MRI of Marlborough LLC

 S 480,000 Fair Value


Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) 2018

Additional Data


Software ID: 18007697
Software Version: 2018v3.1