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 IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (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
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 MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS SERIES F REISSUED
  		04-3431814 000000000 03-28-2017 25,725,000 PROCEEDS OF THE BONDS USED TO REISSUE THE OUTSTANDING SERIES F BONDS   X   X   X
B MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE SERIES A
  		04-3431814 000000000 11-24-2009 9,420,000 PAY OFF HEFA POOL O LOAN, ER RENOVATIONS, EICU EQUIPMENT, CT SCAN LEASE, MAMMOGRAPHY UNIT   X   X   X
C MHEFA-UMASS MEMORIAL SERIES G
  		04-2456011 SEEPARTVI 05-27-2010 61,833,656 REFUNDING OF CNEHA SERIES A BOND (1993) AND MEDICAL CENTER OF CENTRAL MA, SERIES B (1992)   X   X   X
D MDFA-UMASS MEMORIAL SERIES H
  		04-3431814 SEEPARTVI 08-10-2011 92,293,778 PART REFUND OF MED C VAR RATE SER A (98), REFUND IN FULL OF CNEHA SER B (98) &UMASS MEM SER C (01).   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 845,000 1,706,000 32,340,000 29,480,000
2 Amount of bonds legally defeased .............. 0 0 0 0
3 Total proceeds of issue .................. 25,725,000 9,420,000 61,833,836 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 93,458 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 9,326,542 0 0
11 Other spent proceeds ............. 25,725,000 0 60,734,797 91,058,463
12 Other unspent proceeds ............. 0 0 0 0
13 Year of substantial completion ............. 2017 2009 2010 2011
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) 2016
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Schedule K (Form 990) 2016
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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) 2016
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Schedule K (Form 990) 2016
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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 I, Column (c) Series G CUSIP List 57586EUS8, 57586EUT6, 57586EUU3, 57586EUV1, 57586EUW9, 57586EUX7, 57586EUY5, 57586EUZ2, 57586EVA6, 57586EVB4, 57586EVC2, 57586EVD0, 57586EVE8, 57586EVF5, 57586EVG3, 57586EVH1, 57586EVJ7
Schedule K, Part I, Column (c) Series H CUSIP List 57583UGP7, 57583UGQ5, 57583UGR3, 57583UGS1, 57583UGT9, 57583UGU6, 57583UGV4, 57583UGW2, 57583UGX0, 57583UGY8, 57583UGZ5, 57583UHA9, 57583UHB7, 57583UHC5
Schedule K, Part I, Column (c) Series I CUSIP List 57584XJK8, 57584XJL6, 57584XJM4, 57584XJN2, 57584XJP7, 57584XJQ5, 57584XJR3, 57584XJS1, 57584XJT9, 57584XJU6, 57584XJV4, 57584XJW2, 57584XJX0, 57584XJY8, 57584XJZ5, 57584XKA8, 57584XKB6, 57584XKC4
Schedule K, Part I, Column (c) Series K CUSIP List 57584XE23 - 57584XE31 - 57584XE49 - 57584XE56 - 57584XE64 - 57584XE72 - 57584XE80 - 57584XE98 - 57584XF22 - 57584XF30- 57584XF48 - 57584XF55 - 57584XF63
Schedule K, Part III, Line 4 All Private Business Use is calculated on an annual basis by contacting appropriate organization representatives in charge of contracts, leases, and space negotiations. Contracts and other applicable documents are gathered, reviewed, and maintained. Private Business Use policy is reviewed annually. Senior management reviews private business use calculations annually.
Schedule K, Part VI All UMass Memorial Health Care, Inc., UMass Memorial Medical Center Inc., UMass Memorial Health Ventures, Inc., and UMass Memorial HealthAlliance-Clinton Hospital, Inc. are members of the Obligated Group. The assets of these members will be available to meet the debt obligations.
Schedule K, Part II, Line 3 MHEFA - UMass Memorial, Series G Column (e) issue price of $61,833,656; add interest earned on proceeds of $180, equals line 3 of $61,833,836.
Schedule K, Part II, Line 3 MDFA - UMass Memorial Master Lease Column (e) issue price of $20,000,000; add interest earned on proceeds of $13,504, equals line 3 of $20,013,504.
Schedule K, Part II, Line 3 MDFA - UMass Memorial Master Lease Column (e) issue price of $20,000,000; add interest earned on proceeds of $723, equals line 3 of $20,000,723.
Schedule K, Part II, Line 3 MDFA - UMass Memorial, Series I Column (e) issue price of $194,086,349; add interest earned on proceeds of $636,871, equals line 3 of $194,723,220.
Schedule K, Part II, Line 3 MDFA - UMass Memorial Master Lease Column (e) issue price of $75,000,000; add interest earned on proceeds of $85,559, equals line 3 of $75,085,559.
Schedule K, Part II, Line 3 MDFA - UMass Memorial, Series K Column (e) issue price of $56,751,941; add interest earned on proceeds of $134,314, equals line 3 of $56,886,255.
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA-UMASS MEMORIAL VARIABLE RATE DEMAND REVENUE BONDS, SERIES F REISSUED N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA-MARLBOROUGH HOSPITAL VARIABLE RATE, SERIES A N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MHEFA-UMASS MEMORIAL, SERIES G N/A
Schedule K, Part IV, Line 2c COLUMN C Issuer name: MHEFA-UMASS MEMORIAL, SERIES G 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: MDFA-UMASS MEMORIAL, SERIES H N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA-UMASS MEMORIAL MASTER LEASE N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA-UMASS MEMORIAL MASTER LEASE N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA - UMASS MEMORIAL, SERIES I N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA- UMASS MEMORIAL, SERIES J N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA- UMASS MEMORIAL MASTER LEASE N/A
Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: MDFA- UMASS MEMORIAL, SERIES K N/A
Schedule K (Form 990) 2016

Additional Data


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