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 Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
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) 2016
Page 2

Schedule J (Form 990) 2016
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, HealthAlliance Hospitals, Inc., Officer/Dir various 		(i)

(ii)		 274,874
-------------
0 		51,687
-------------
0 		563
-------------
0 		7,805
-------------
0 		23,279
-------------
0 		358,208
-------------
0 		0
-------------
0
2Douglas S Brown
 
Secretary, UMM Health Care, Inc., Officer/Dir various 		(i)

(ii)		 0
-------------
540,831 		0
-------------
245,570 		0
-------------
44,584 		0
-------------
180,928 		0
-------------
24,303 		0
-------------
1,036,215 		0
-------------
44,584
3Lisa Colombo
 
President, Clinton Hospital Assoc., Director of Comm Hospitals Inc. 		(i)

(ii)		 217,363
-------------
0 		76,275
-------------
0 		9,995
-------------
0 		19,238
-------------
0 		23,297
-------------
0 		346,168
-------------
0 		0
-------------
0
4Eric W Dickson MD
 
President & CEO/Director, UMM Health Care, Inc., Director various 		(i)

(ii)		 0
-------------
1,057,840 		0
-------------
528,650 		0
-------------
42,536 		0
-------------
327,911 		0
-------------
55,489 		0
-------------
2,012,426 		0
-------------
40,466
5John Greenwood
 
President/Director, UMM Accountable Care Organization, Inc. 		(i)

(ii)		 283,618
-------------
0 		103,429
-------------
0 		17,603
-------------
0 		81,471
-------------
0 		24,347
-------------
0 		510,468
-------------
0 		17,603
-------------
0
6Cheryl M Lapriore
 
President/Director, UMM Health Ventures, Inc., Director various 		(i)

(ii)		 0
-------------
295,259 		0
-------------
101,234 		0
-------------
24,998 		0
-------------
92,965 		0
-------------
23,109 		0
-------------
537,565 		0
-------------
24,998
7Sergio Melgar
 
Treasurer, UMM Health Care, Inc., Officer/Dir various 		(i)

(ii)		 0
-------------
649,922 		0
-------------
296,693 		0
-------------
57,523 		0
-------------
137,298 		0
-------------
38,849 		0
-------------
1,180,283 		0
-------------
57,523
8Patrick Muldoon
 
President, UMM Med Ctr, Inc., Director various 		(i)

(ii)		 757,686
-------------
0 		375,229
-------------
0 		47,583
-------------
0 		244,115
-------------
0 		40,292
-------------
0 		1,464,904
-------------
0 		47,583
-------------
0
9Steven Roach
 
President, Marlborough Hospital, Director various 		(i)

(ii)		 342,141
-------------
0 		128,609
-------------
0 		40,440
-------------
0 		60,394
-------------
0 		25,334
-------------
0 		596,919
-------------
0 		40,440
-------------
0
10Dana E Swenson
 
President/Director, UMM Realty, Inc. 		(i)

(ii)		 0
-------------
245,086 		0
-------------
95,111 		0
-------------
0 		0
-------------
65,055 		0
-------------
22,187 		0
-------------
427,439 		0
-------------
0
11Stephen E Tosi MD
 
President, UMM Med Group, Inc., Director various 		(i)

(ii)		 638,739
-------------
0 		291,042
-------------
0 		193,632
-------------
0 		80,547
-------------
0 		29,176
-------------
0 		1,233,136
-------------
0 		193,632
-------------
0
12Deborah Weymouth
 
President, HealthAlliance Hospitals, Inc., Director various 		(i)

(ii)		 387,246
-------------
0 		132,651
-------------
0 		0
-------------
0 		87,590
-------------
0 		15,209
-------------
0 		622,696
-------------
0 		0
-------------
0
13Douglas Ziedonis MD
 
President, UMM Behavioral Health System, Inc. until 3/8/17, Director various 		(i)

(ii)		 224,584
-------------
0 		39,468
-------------
0 		0
-------------
0 		13,250
-------------
0 		28,947
-------------
0 		306,249
-------------
0 		0
-------------
0
14Howard Alfred MD
 
Director, UMM Accountable Care Organization, Inc. 		(i)

(ii)		 232,135
-------------
0 		7,343
-------------
0 		0
-------------
0 		4,969
-------------
0 		27,845
-------------
0 		272,292
-------------
0 		0
-------------
0
15Peter Bagley MD
 
Director, UMM Accountable Care Organization, Inc. 		(i)

(ii)		 257,034
-------------
0 		182,829
-------------
0 		0
-------------
0 		45,300
-------------
0 		28,947
-------------
0 		514,110
-------------
0 		0
-------------
0
16Alan P Brown MD
 
Director, UMM Behavioral Health System, Inc. 		(i)

(ii)		 181,817
-------------
0 		21,950
-------------
0 		0
-------------
0 		10,590
-------------
0 		25,091
-------------
0 		239,447
-------------
0 		0
-------------
0
17William Corbett MD
 
Director, Marlborough Hospital, Director various 		(i)

(ii)		 373,014
-------------
0 		156,814
-------------
0 		35,206
-------------
0 		147,006
-------------
0 		22,187
-------------
0 		734,226
-------------
0 		35,206
-------------
0
18Therese Day
 
Director, UMM Health Ventures, Inc. 		(i)

(ii)		 298,984
-------------
0 		110,604
-------------
0 		23,768
-------------
0 		102,317
-------------
0 		23,109
-------------
0 		558,782
-------------
0 		23,768
-------------
0
19Kimberly Eisenstock MD
 
Director, Marlborough Hospital 		(i)

(ii)		 222,999
-------------
0 		46,048
-------------
0 		0
-------------
0 		13,250
-------------
0 		24,996
-------------
0 		307,293
-------------
0 		0
-------------
0
20R Kevin Ferguson MD
 
Director, UMM Med Group, Inc. 		(i)

(ii)		 237,299
-------------
0 		9,396
-------------
0 		0
-------------
0 		12,242
-------------
0 		25,038
-------------
0 		283,975
-------------
0 		0
-------------
0
21Robert W Finberg MD
 
Director, UMM Health Care, Inc. 		(i)

(ii)		 282,351
-------------
0 		74,655
-------------
0 		49,405
-------------
0 		39,187
-------------
0 		31,446
-------------
0 		477,044
-------------
0 		49,405
-------------
0
22David Harlan MD
 
Director, UMM Accountable Care Organization, Inc. 		(i)

(ii)		 151,724
-------------
0 		27,000
-------------
0 		0
-------------
0 		9,307
-------------
0 		25,643
-------------
0 		213,674
-------------
0 		0
-------------
0
23Kathryn Kennedy MD
 
Director, UMM Med Group, Inc. 		(i)

(ii)		 227,873
-------------
0 		57,675
-------------
0 		0
-------------
0 		13,250
-------------
0 		28,689
-------------
0 		327,487
-------------
0 		0
-------------
0
24Daniel H Lasser MD
 
Director, UMM Med Group, Inc. 		(i)

(ii)		 212,231
-------------
0 		68,421
-------------
0 		0
-------------
0 		42,615
-------------
0 		27,718
-------------
0 		350,986
-------------
0 		0
-------------
0
25Shipen Li MD
 
Director, HealthAlliance Hospitals, Inc. 		(i)

(ii)		 273,641
-------------
0 		31,420
-------------
0 		0
-------------
0 		13,250
-------------
0 		24,923
-------------
0 		343,234
-------------
0 		0
-------------
0
26Jeffrey N Metzmaker MD
 
Director, UMM Med Group, Inc. 		(i)

(ii)		 305,632
-------------
0 		158,171
-------------
0 		0
-------------
0 		13,250
-------------
0 		26,419
-------------
0 		503,473
-------------
0 		0
-------------
0
27Dominic Nompleggi MD
 
Director, UMM Med Group, Inc. 		(i)

(ii)		 235,925
-------------
0 		81,409
-------------
0 		0
-------------
0 		13,250
-------------
0 		31,007
-------------
0 		361,590
-------------
0 		0
-------------
0
28Daniel O'Leary MD
 
Director, Coordinated Primary Care, Inc. 		(i)

(ii)		 208,166
-------------
0 		40,503
-------------
0 		1,894
-------------
0 		6,245
-------------
0 		3,868
-------------
0 		260,675
-------------
0 		0
-------------
0
29Chris Philbin
 
Director, UMM Comm Hospitals, Inc., Clinton Hospital Assoc. 		(i)

(ii)		 0
-------------
206,531 		0
-------------
67,100 		0
-------------
16,842 		0
-------------
34,390 		0
-------------
25,669 		0
-------------
350,532 		0
-------------
16,842
30Catherine Rossi
 
Director, Clinton Hospital Association 		(i)

(ii)		 0
-------------
179,500 		0
-------------
57,118 		0
-------------
12,723 		0
-------------
51,876 		0
-------------
24,452 		0
-------------
325,669 		0
-------------
12,723
31Katharine Bolland Eshghi
 
Assistant Secretary, UMM Health Care, Inc. 		(i)

(ii)		 0
-------------
335,319 		0
-------------
129,196 		0
-------------
33,225 		0
-------------
78,350 		0
-------------
23,609 		0
-------------
599,699 		0
-------------
33,225
32Nicole Gagne
 
President, Community HealthLink, Inc. 		(i)

(ii)		 196,470
-------------
0 		57,990
-------------
0 		0
-------------
0 		14,164
-------------
0 		23,434
-------------
0 		292,058
-------------
0 		0
-------------
0
33John Glassburn
 
Secretary, UMM Community Hospitals, Inc. 		(i)

(ii)		 0
-------------
174,290 		0
-------------
17,499 		0
-------------
0 		0
-------------
14,017 		0
-------------
22,187 		0
-------------
227,993 		0
-------------
0
34Steven McCue
 
Treasurer, Marlborough Hospital 		(i)

(ii)		 185,319
-------------
0 		44,660
-------------
0 		0
-------------
0 		18,617
-------------
0 		3,678
-------------
0 		252,273
-------------
0 		0
-------------
0
35William O'Brien
 
Secretary, UMBHS, Inc. 		(i)

(ii)		 0
-------------
121,911 		0
-------------
12,854 		0
-------------
0 		0
-------------
18,626 		0
-------------
25,661 		0
-------------
179,051 		0
-------------
0
36Jeffrey Olson
 
Treasurer, Clinton Hospital Assoc. 		(i)

(ii)		 144,296
-------------
0 		23,706
-------------
0 		0
-------------
0 		21,977
-------------
0 		25,270
-------------
0 		215,249
-------------
0 		0
-------------
0
37Jeanne Shirshac
 
Treasurer, UMM Accountable Care Organization, Inc. 		(i)

(ii)		 0
-------------
201,026 		0
-------------
63,525 		0
-------------
15,406 		0
-------------
49,278 		0
-------------
22,388 		0
-------------
351,622 		0
-------------
15,406
38Francis W Smith
 
Secretary, UMM Medical Group, Inc., Officer various 		(i)

(ii)		 0
-------------
198,302 		0
-------------
24,173 		0
-------------
0 		0
-------------
29,432 		0
-------------
24,376 		0
-------------
276,283 		0
-------------
0
39Michele Streeter
 
Treasurer, UMM Med Group, Inc. 		(i)

(ii)		 404,850
-------------
0 		184,369
-------------
0 		23,664
-------------
0 		136,271
-------------
0 		24,795
-------------
0 		773,949
-------------
0 		23,664
-------------
0
40James P Cyr
 
Sr. VP, Operations (UMMMC) 		(i)

(ii)		 251,073
-------------
0 		98,089
-------------
0 		25,058
-------------
0 		86,168
-------------
0 		23,978
-------------
0 		484,366
-------------
0 		25,058
-------------
0
41Robert Feldmann
 
VP, Corporate Controller 		(i)

(ii)		 0
-------------
283,862 		0
-------------
110,774 		0
-------------
49,743 		0
-------------
85,102 		0
-------------
26,083 		0
-------------
555,564 		0
-------------
49,743
42Barbara Fisher
 
Sr VP, Operations (UMMMC) 		(i)

(ii)		 261,856
-------------
0 		101,657
-------------
0 		28,898
-------------
0 		98,248
-------------
0 		22,187
-------------
0 		512,845
-------------
0 		28,898
-------------
0
43Cathy Jewell
 
Sr VP, Chief Nursing Officer until 1/31/17 		(i)

(ii)		 298,487
-------------
0 		115,148
-------------
0 		182,220
-------------
0 		112,952
-------------
0 		33,182
-------------
0 		741,988
-------------
0 		182,220
-------------
0
44Bart Metzger
 
Sr VP, Chief HR Officer 		(i)

(ii)		 0
-------------
372,995 		0
-------------
146,757 		0
-------------
0 		0
-------------
53,905 		0
-------------
25,836 		0
-------------
599,493 		0
-------------
0
45John T Randolph
 
VP, Chief Corporate Compliance 		(i)

(ii)		 0
-------------
232,236 		0
-------------
92,194 		0
-------------
0 		0
-------------
71,784 		0
-------------
24,709 		0
-------------
420,923 		0
-------------
0
46Alice Shakman
 
Sr. VP, Operations (UMMMC) 		(i)

(ii)		 263,326
-------------
0 		100,351
-------------
0 		30,683
-------------
0 		85,260
-------------
0 		12,120
-------------
0 		491,739
-------------
0 		30,683
-------------
0
47Jeffrey A Smith MD
 
Executive VP, COO 		(i)

(ii)		 520,600
-------------
0 		199,590
-------------
0 		0
-------------
0 		59,090
-------------
0 		30,228
-------------
0 		809,507
-------------
0 		0
-------------
0
48Timothy Tarnowski
 
Sr VP, Chief Info Officer 		(i)

(ii)		 0
-------------
448,327 		0
-------------
172,722 		0
-------------
0 		0
-------------
91,387 		0
-------------
36,727 		0
-------------
749,163 		0
-------------
0
49Jennifer Walker MD
 
Physician, Division Chief of Cardiac Surgery - Med Group 		(i)

(ii)		 531,707
-------------
0 		350,000
-------------
0 		0
-------------
0 		13,250
-------------
0 		28,295
-------------
0 		923,252
-------------
0 		0
-------------
0
50Demetrius Litwin MD
 
Physician, Chair of Surgery Dept - Med Group 		(i)

(ii)		 583,591
-------------
0 		224,538
-------------
0 		0
-------------
0 		13,250
-------------
0 		29,131
-------------
0 		850,510
-------------
0 		0
-------------
0
51Adel Bozorgzadeh MD
 
Physician, Chief of Organ Transplantation - Med Group 		(i)

(ii)		 469,399
-------------
0 		266,173
-------------
0 		0
-------------
0 		13,250
-------------
0 		28,947
-------------
0 		777,769
-------------
0 		0
-------------
0
52David C Ayers MD
 
Physician, Chair of Orthopedics and Physical Rehab - Med Group 		(i)

(ii)		 631,176
-------------
0 		47,547
-------------
0 		0
-------------
0 		13,250
-------------
0 		28,056
-------------
0 		720,029
-------------
0 		0
-------------
0
53Ajit S Puri MD
 
Physician, Division Chief of Neuroimaging and Intervention - Med Group 		(i)

(ii)		 493,260
-------------
0 		145,036
-------------
0 		0
-------------
0 		13,250
-------------
0 		24,543
-------------
0 		676,089
-------------
0 		0
-------------
0
54Patricia George
 
VP & Deputy CIO, until 11/15 		(i)

(ii)		 0
-------------
300,000 		0
-------------
0 		0
-------------
26,488 		0
-------------
11,365 		0
-------------
5,594 		0
-------------
343,447 		0
-------------
26,488
55Margaret Hudlin MD
 
CMO/VP Perioperative Svcs, until 9/1/16 		(i)

(ii)		 253,162
-------------
0 		369,221
-------------
0 		265,181
-------------
0 		0
-------------
0 		17,758
-------------
0 		905,322
-------------
0 		120,584
-------------
0
56Robert Klugman MD
 
Former Chief Quality Officer, until 9/30/13 		(i)

(ii)		 0
-------------
0 		19,203
-------------
0 		772,916
-------------
0 		0
-------------
0 		0
-------------
0 		792,120
-------------
0 		755,982
-------------
0
57Andrew Cocchiarella MD
 
Director until 3/16, Marlborough Hospital 		(i)

(ii)		 3,207
-------------
0 		4,800
-------------
0 		22,231
-------------
0 		1,519
-------------
0 		477
-------------
0 		32,234
-------------
0 		0
-------------
0
58Carlos Iitsuka
 
Director until 7/16, UMM Health Ventures, Inc. 		(i)

(ii)		 0
-------------
152,149 		0
-------------
95,280 		0
-------------
154,825 		0
-------------
34,641 		0
-------------
16,520 		0
-------------
453,415 		0
-------------
75,595
59Sheila Daly
 
President until 1/16, Clinton Hospital Association, Director Comm Hospitals Inc. 		(i)

(ii)		 201,306
-------------
0 		18,362
-------------
0 		0
-------------
0 		43,262
-------------
0 		9,773
-------------
0 		272,702
-------------
0 		0
-------------
0
60Todd Keating
 
Treasurer until 2/14, UMass Memorial Health Care, Inc. and Director of other boards 		(i)

(ii)		 0
-------------
0 		0
-------------
0 		0
-------------
17,808 		0
-------------
0 		0
-------------
0 		0
-------------
17,808 		0
-------------
17,808
Schedule J (Form 990) 2016
Page 3

Schedule J (Form 990) 2016
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 DIRECOTRS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR.
Schedule J, Part I, Line 4a Severance or change-of-control payment The following individuals received or had deferred severance in the reporting period: Included in Sch J Col Biii: Hudlin, Margaret, MD $144,597 Iitsuka, Carlos $79,230
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 $33,225 Brown, Douglas S. $44,584 Corbett, William, MD $35,206 Day, Therese $23,768 Dickson, Eric W., MD $40,466 Finberg, Robert W., MD $49,405 Greenwood, John $17,603 Lapriore, Cheryl M. $24,998 Melgar, Sergio $57,523 Muldoon, Patrick $47,583 Philbin, Chris $16,842 Roach, Steven $40,440 Rossi, Catherine $12,723 Shirshac, Jeanne $15,406 Streeter, Michele $23,664 Tosi, Stephen E., MD $193,632 Subtotal Off, Dir, Trustees $677,068 Key Employees: Fisher, Barbara $28,898 Jewell, Cathy $182,220 Shakman, Alice $30,683 Subtotal Key Employees $241,801 Former: George, Patricia $26,488 Hudlin, Margaret, MD $120,584 Iitsuka, Carlos $75,595 Keating, Todd A. $17,808 Klugman, Robert, MD $755,982 Subtotal Former $996,457 Total $1,915,326 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD (no distribution received): Officers, Directors, Trustees: Colombo, Lisa Gagne, Nicole Swenson, Dana E. Weymouth, Deborah Key Employees: Cyr, James P. Feldmann, Robert Metzger, Bart Randolph, John T. Smith, Jeffrey A., MD Tarnowski, Timothy Former: Daly, Sheila
Schedule J (Form 990) 2016
Additional Data


Software ID: 16000421
Software Version: 2016v3.0