SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2016
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 III, Line 4d Description of other program services (Expenses $ 81,677,287 including grants of $ 28,000)(Revenue $ 97,430,084) 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 CLINTON HOSPITAL ASSOC.: PAULHUS, ROBERT (BOARD MEMBER) AND PAUL CHERUBINI (BOARD MEMBER) - Business 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) 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) 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. THUS, THE VOTING RIGHTS OF A MEMBER BOARD ARE ABSOLUTE. GENERALLY, THE SOLE MEMBER OF EACH ENTITY RESERVES THE POWER TO APPROVE MAJOR TRANSACTIONS; TO MERGE, CONSOLIDATE OR LIQUIDATE THE CORPORATION'S ASSETS; TO ADOPT ANNUAL OPERATING AND CAPITAL BUDGETS AND AMENDMENTS; TO ENTER INTO LOAN AGREEMENTS AND/OR GUARANTEES; TO APPOINT AND/OR ELECT THE PRESIDENT AND/OR CEO; TO ELECT AND/OR APPOINT AND REMOVE TRUSTEES, FILL VACANCIES, TO INCREASE OR DECREASE THE SIZE OF THE BOARD; AND TO APPROVE UNBUDGETED EXPENDITURES.
Form 990, Part VI, Line 11b Review of form 990 by governing body SECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD. THE COMPLIANCE COMMITTEE OF THE BOARD REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE AUDIT COMMITTEE OF THE BOARD REVIEWS THE FORM 990, INCLUDING THE ABOVE SCHEDULES AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990.
Form 990, Part VI, 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 Dept. of Compliance AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH DECISIONS. Any conflicts identified are 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 consultant is hired by and reports to the Compensation Committee of the Board and provides 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 meet to review and vote on the compensation for the CEO and key personnel. The Compensation Committee voted and approved the CEO compensation at their annual meeting in March 2017. All other key personnel were voted and approved at the annual meeting in December 2016.
Form 990, Part VI, Line 15b Process to establish compensation of other employees Tier Title Review date: A President, CEO March 2017 B Exec VP/COO UMMMG December 2016 B President, UMMH & CAO/CLO, UMMHC December 2016 B Chief Physician Executive December 2016 B President, Medical Center December 2016 B Exec VP, CFO December 2016 C President, Clinton Hospital Assoc. December 2016 C SVP, Chf of Staff &Chf Mktg Ofc December 2016 C Sr VP, Community Practices December 2016 C VP/Chief Financial Officer Med Center December 2016 C VP, Chief Corporate Compliance December 2016 C VP of Finance/Corp Controller December 2016 C Sr VP, Operations (UMMMC) December 2016 C Sr VP, Operations (UMMMC) December 2016 C Sr VP, Chief Facilities Officer December 2016 C Sr VP, Operations (UMMMC) December 2016 C SVP, Pop Hlth & President, ACO December 2016 C Sr VP, General Counsel-PGL December 2016 C Sr VP, Chief Info Officer December 2016 C Sr VP, Chief HR Officer December 2016 C Exec VP, COO December 2016 C President, HealthAlliance December 2016 C President, Marlborough Hospital December 2016 C President, Communty HlthLink December 2016
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 11d Other Miscellaneous Revenue Rebate income - Total Revenue: 1738, Related or Exempt Function Revenue: 1713, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 25;
Form 990, Part IX, Line 11g Other Fees Recruitment fees - Total Expense: 1028059, Program Service Expense: 977525, Management and General Expenses: 50534, Fundraising Expenses: ; Clinical engineering services - Total Expense: 1347285, Program Service Expense: 1283738, Management and General Expenses: 63547, Fundraising Expenses: ; Medical School participation payment & MES & AIF - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Professional Medical Services - Total Expense: 24939027, Program Service Expense: 24763955, Management and General Expenses: 175072, Fundraising Expenses: ; Transcription Services - Total Expense: 4255938, Program Service Expense: 3532003, Management and General Expenses: 723935, Fundraising Expenses: ; Answering Services - Total Expense: 203760, Program Service Expense: 197873, Management and General Expenses: 5551, Fundraising Expenses: 336; Collection Agency Services - Total Expense: 4125653, Program Service Expense: 2932126, Management and General Expenses: 1193527, Fundraising Expenses: ; Outside Lab Services - Total Expense: 15552227, Program Service Expense: 15552227, Management and General Expenses: , Fundraising Expenses: ; Linen Services - Total Expense: 4037815, Program Service Expense: 4037815, Management and General Expenses: , Fundraising Expenses: ; Purchased Temporary Help - Total Expense: 21657979, Program Service Expense: 18141939, Management and General Expenses: 3516040, Fundraising Expenses: ; Medical School interns and residents services - Total Expense: 41509771, Program Service Expense: 41509771, Management and General Expenses: , Fundraising Expenses: ; Purchased Medical School services - Total Expense: 37780827, Program Service Expense: 37780827, Management and General Expenses: , Fundraising Expenses: ; Housekeeping Services - Total Expense: 3973676, Program Service Expense: 3175049, Management and General Expenses: 798627, Fundraising Expenses: ; Valet Parking Services - Total Expense: 3600335, Program Service Expense: 2880268, Management and General Expenses: 720067, Fundraising Expenses: ; Coding,Billing, and Staffing Services - Total Expense: 13802666, Program Service Expense: 8543072, Management and General Expenses: 5259594, Fundraising Expenses: ; HR FMLA services - Total Expense: 582792, Program Service Expense: 466234, Management and General Expenses: 116558, Fundraising Expenses: ; Landscaping Services - Total Expense: 518370, Program Service Expense: 414696, Management and General Expenses: 103674, Fundraising Expenses: ; Other - Total Expense: 8123683, Program Service Expense: 7909909, Management and General Expenses: 111369, Fundraising Expenses: 102405; Affiliate Purchased Services - Total Expense: 2847501, Program Service Expense: 2847501, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances NET ASSETS RELEASED FROM RESTRICTION (FOR PPE) - 6019119; NET ASSETS RELEASED FROM RESTRICTIONS (FOR OPERATIONS) - 5183954; PENSION-RELATED CHANGES OTHER THAN NET PERIODIC BENEFIT COST - 75041952; TRANSFERS (TO) FROM RELATED PARTIES - -XXX-XX-XXXX; CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST - -3832391; TEMPORARY RESTRICTED EXPENDITURES - -3334729; PLEDGE RECEIVABLES, WRITE OFFS AND ADJUSTMENTS - 23331; MISC. - -26;
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 15 Members of Group exemption number 3642 UMASS MEMORIAL HEALTH CARE, INC. AND AFFILIATES EIN: 91-2155626 FYE: 9/30/2017 306 Belmont Street, Worcester, MA 01604 The Clinton Hospital Association 201 Highland Street, Clinton, MA 01510 EIN: 04-1185520 FYE: 9/30/2017 Marlborough Hospital 157 Union Street, Marlborough, MA 01752 EIN: 04-2104693 FYE: 9/30/2017 UMass Memorial Behavioral Health System, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3374724 FYE: 9/30/2017 UMass Memorial Community Hospitals, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3296271 FYE: 9/30/2017 UMass Memorial Health Ventures, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 22-2605679 FYE: 9/30/2017 UMass Memorial Medical Center, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-3358564 FYE: 9/30/2017 UMass Memorial Medical Group, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-2911067 FYE: 9/30/2017 UMass Memorial Realty, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 04-2805630 FYE: 9/30/2017 Community HealthLink, Inc. 72 Jaques Avenue, Worcester, MA 01610 EIN: 04-2626179 FYE: 9/30/2017 Central New England HealthAlliance, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-3172496 FYE: 9/30/2017 Coordinated Primary Care, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-3210002 FYE: 9/30/2017 HealthAlliance Home Health and Hospice, Inc. 25 Tucker Road, Leominster, MA 01453 EIN: 04-2932308 FYE: 9/30/2017 HealthAlliance Hospitals, Inc. 60 Hospital Road, Leominster, MA 01453 EIN: 04-2103555 FYE: 9/30/2017 UMass Memorial Accountable Care Organization, Inc. 306 Belmont Street, Worcester, MA 01604 EIN: 46-2871359 FYE: 9/30/2017
Part VII Section A Complete list of Group 990 Board Members by entity - Part 1 of 3 Entity & EIN#: UMass Memorial Medical Center, Inc. #04-3358564: Officers: Patrick L. Muldoon President & CEO, UMass Memorial Medical Center, Inc Sergio Melgar Treasurer, UMass Memorial Medical Center, Inc. Douglas S. Brown Secretary, UMass Memorial Medical Center, Inc. Katharine Bolland Eshghi Assistant Secretary, UMass Memorial Medical Center, Inc. Richard Siegrist Chairperson, UMass Memorial Medical Center, Inc Directors: David L. Bennett Director, UMass Memorial Medical Center, Inc. Edward J. Parry, III Director, UMass Memorial Medical Center, Inc. O. Nsidinanya Okike, MD Director, UMass Memorial Medical Center, Inc. Terence Flotte, MD Director, UMass Memorial Medical Center, Inc. Michael Collins, MD Director, UMass Memorial Medical Center, Inc. Edward D'Alelio Director, UMass Memorial Medical Center, Inc. Mary Ellen McNamara Director, UMass Memorial Medical Center, Inc. Harris L. MacNeill Director, UMass Memorial Medical Center, Inc. Jack Wilson Director, UMass Memorial Medical Center, Inc. Paulette Seymour-Route, Ph.D. Director, UMass Memorial Medical Center, Inc. Robert W. Finberg, MD Director, UMass Memorial Medical Center, Inc. Paul Kangas Director, UMass Memorial Medical Center, Inc. Richard K. Bennett Director, UMass Memorial Medical Center, Inc. Lynda M. Young, MD Director, UMass Memorial Medical Center, Inc. Eric W. Dickson, MD Director, UMass Memorial Medical Center, Inc. Peter Knox Director, UMass Memorial Medical Center, Inc. Elvira Guardiola Director, UMass Memorial Medical Center, Inc. Raymond Pawlicki Director, UMass Memorial Medical Center, Inc. Entity & EIN#: UMass Memorial Health Ventures, Inc. #22-2605679 Officers: Cheryl Lapriore President & Executive Director, UMass Memorial Health Ventures, Inc. Sergio Melgar Treasurer, UMass Memorial Health Ventures, Inc. Francis W. Smith Clerk, UMass Memorial Health Ventures, Inc. Paul Kangas Chairperson, UMass Memorial Health Ventures, Inc. Directors: Frederick G. Crocker Director, UMass Memorial Health Ventures, Inc. Gerard P. Richer Director, UMass Memorial Health Ventures, Inc. Cheryl Lapriore Director, UMass Memorial Health Ventures, Inc. Eric W. Dickson, MD Director, UMass Memorial Health Ventures, Inc. Steven Roach Director, UMass Memorial Health Ventures, Inc. Therese Day Director, UMass Memorial Health Ventures, Inc. Entity & EIN#: UMass Memorial Realty, Inc. #04-2805630 Officers: Dana Swenson President, UMass Memorial Realty, Inc. Sergio Melgar Treasurer, UMass Memorial Realty, Inc. Francis W. Smith Secretary, UMass Memorial Realty, Inc. Directors: Dix F. Davis Director, UMass Memorial Realty, Inc. David L. Bennett Director, UMass Memorial Realty, Inc. Dana Swenson Director, UMass Memorial Realty, Inc. Eric W. Dickson, MD Director, UMass Memorial Realty, Inc. Entity & EIN#: UMass Memorial Medical Group, Inc. #04-2911067 Officers: Stephen E. Tosi, MD President, UMass Memorial Medical Group, Inc. Michele Streeter Treasurer, UMass Memorial Medical Group, Inc. Francis W. Smith Secretary, UMass Memorial Medical Group, Inc. Lynda M. Young, MD Chairperson, UMass Memorial Medical Group, Inc. Directors: Harris L. MacNeill Director, UMass Memorial Medical Group, Inc. Daniel Lasser, MD Director, UMass Memorial Medical Group, Inc. R. Kevin Ferguson, MD Director, UMass Memorial Medical Group, Inc. Kathryn Kennedy, MD Director, UMass Memorial Medical Group, Inc. Terence Flotte, MD Director, UMass Memorial Medical Group, Inc. Eric W. Dickson, MD Director, UMass Memorial Medical Group, Inc. Jeffrey N. Metzmaker, MD Director, UMass Memorial Medical Group, Inc. Mary Ellen McNamara Director, UMass Memorial Medical Group, Inc. Dominic Nompleggi, MD Director, UMass Memorial Medical Group, Inc. J. Christopher Cutler, FACHE Director, UMass Memorial Medical Group, Inc. Entity & EIN#: UMass Memorial Community Hospitals, Inc. #04-3296271 Officers: Douglas S. Brown President & Chairperson, UMass Memorial Community Hospitals, Inc. Sergio Melgar Treasurer, UMass Memorial Community Hospitals, Inc. John Glassburn Secretary, UMass Memorial Community Hospitals, Inc. Directors: John Clementi Director, UMass Memorial Community Hospitals, Inc. Paul D'Onfro Director, UMass Memorial Community Hospitals, Inc. William McGrail, Esquire Director, UMass Memorial Community Hospitals, Inc. Fernando Catalina, MD Director, UMass Memorial Community Hospitals, Inc. Eric W. Dickson, MD Director, UMass Memorial Community Hospitals, Inc. Sergio Melgar Director, UMass Memorial Community Hospitals, Inc. Deborah Weymouth Director, UMass Memorial Community Hospitals, Inc. Steven Roach Director, UMass Memorial Community Hospitals, Inc. William Corbett, MD Director, UMass Memorial Community Hospitals, Inc. Christopher Philbin Director, UMass Memorial Community Hospitals, Inc. Lisa Colombo Director, UMass Memorial Community Hospitals, Inc. Michael D. Murphy Director, UMass Memorial Community Hospitals, Inc. Richard Siegrist Director, UMass Memorial Community Hospitals, Inc. Entity & EIN#: Marlborough Hospital #04-2104693 Officers: Steven Roach President, Marlborough Hospital Steven McCue Treasurer, Marlborough Hospital Francis W. Smith Secretary, Marlborough Hospital Ann-Maria D'Ambra Assistant Secretary, Marlborough Hospital Richard K. Bennett Chairperson, Marlborough Hospital Directors: Michael D. Murphy Vice Chairperson, Marlborough Hospital Philip E. Purcell Director, Marlborough Hospital Ann K. Molloy Director, Marlborough Hospital Gerard P. Richer Director, Marlborough Hospital William Corbett, MD Director, Marlborough Hospital Daniel Carlucci, MD Director, Marlborough Hospital Douglas S. Brown Director, Marlborough Hospital Francis Hurley Director, Marlborough Hospital Douglas Ziedonis, MD Director, Marlborough Hospital Steven Roach 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 Habib A. Sioufi, MD Director, Marlborough Hospital William Fischer Director, Marlborough Hospital Entity & EIN#: Clinton Hospital Association #04-1185520 Officers: Lisa Colombo President, Clinton Hospital Association Jeffrey Olson Treasurer, Clinton Hospital Association John Glassburn Secretary, Clinton Hospital Association Maureen Croteau Assistant Clerk, Clinton Hospital Association William McGrail, Esquire Chairperson, Clinton Hospital Association Directors: Jeanne Paulino Director, Clinton Hospital Association Douglas S. Brown Director, Clinton Hospital Association Robert J. Paulhus, Jr. Director, Clinton Hospital Association Habib A. Sioufi, MD Director, Clinton Hospital Association Catherine Rossi Director, Clinton Hospital Association Edward J. Connor Director, Clinton Hospital Association Luis J. Maseda Director, Clinton Hospital Association Christopher Philbin Director, Clinton Hospital Association William Corbett, MD Director, Clinton Hospital Association Michael W. Ames Director, Clinton Hospital Association Robert Farragher Director, Clinton Hospital Association
Part VII Section A Complete list of Group 990 Board Members by entity - Part 2 of 3 Entity & EIN#: UMass Memorial Behavioral Health System, Inc. #04-3374724 Officers: Douglas S. Brown President and Chairperson, UMass Memorial Behavioral Health System, Inc Douglas Ziedonis, MD President and Chairperson until 3/8/17, UMass Memorial Behavioral Health System, Inc. Sergio Melgar Treasurer, UMass Memorial Behavioral Health System, Inc. William H. O'Brien Secretary, UMass Memorial Behavioral Health System, Inc. Directors: Alan P. Brown, MD Director, UMass Memorial Behavioral Health System, Inc. Joanne Johnson Director, UMass Memorial Behavioral Health System, Inc. Cynthia M. McMullen, Ed.D. Director, UMass Memorial Behavioral Health System, Inc. John Shea, Esquire Director, UMass Memorial Behavioral Health System, Inc. Edward Manzi Director, UMass Memorial Behavioral Health System, Inc. Cheryl Lapriore Director, UMass Memorial Behavioral Health System, Inc. Sergio Melgar Director, UMass Memorial Behavioral Health System, Inc. Patrick L. Muldoon Director, UMass Memorial Behavioral Health System, Inc. Amy Grassette Director, UMass Memorial Behavioral Health System, Inc. Jim Notaro Director, UMass Memorial Behavioral Health System, Inc. Jessica McGarry Director, UMass Memorial Behavioral Health System, Inc. Sheldon Benjamin, MD Director, UMass Memorial Behavioral Health System, Inc. Entity & EIN#: Community HealthLink, Inc. #04-2626179 Officers: Nicole Gagne President, Community HealthLink, Inc. Sergio Melgar Treasurer, Community HealthLink, Inc. Francis W. Smith Clerk, Community HealthLink, Inc. Directors: 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. Sergio Melgar Director, Community HealthLink, Inc. Patrick L. Muldoon Director, Community HealthLink, Inc. Amy Grassette Director, Community HealthLink, Inc. Jim Notaro Director, Community HealthLink, Inc. Jessica McGarry Director, Community HealthLink, Inc. Sheldon Benjamin, MD Director, Community HealthLink, Inc. Edward Manzi Director until 5/18/17, Community HealthLink, Inc. Douglas Ziedonis, MD Director until 3/8/17, Community HealthLink, Inc. Entity & EIN#: Central New England HealthAlliance, Inc. #04-3172496 Officers: Deborah Weymouth President, Central New England HealthAlliance, Inc. John Bronhard Treasurer, Central New England HealthAlliance, Inc. Francis W. Smith Secretary, Central New England HealthAlliance,Inc Katharine Bolland Eshghi Secretary until 6/30/17, Central New England HealthAlliance, Inc. Lynn A. Morin Assistant Clerk, Central New England HealthAlliance, Inc. Fernando Catalina, MD Chairperson, Central New England HealthAlliance, Inc. Directors: Paul D'Onfro Vice Chairperson, Central New England HealthAlliance, Inc. Gail Allen Director, Central New England HealthAlliance, Inc. John Clementi Director, Central New England HealthAlliance, Inc. Leslie Bovenzi Director, Central New England HealthAlliance, Inc. Michael Rivard Director, Central New England HealthAlliance, Inc. Mary Whitney Director, Central New England HealthAlliance, Inc. Robert Leslie Shelton, MD Director, Central New England HealthAlliance, Inc. Douglas S. Brown Director, Central New England HealthAlliance, Inc. Donata Martin Director, Central New England HealthAlliance, Inc. Deborah Weymouth Director, Central New England HealthAlliance, Inc. Christie Hager Director, Central New England HealthAlliance, Inc. Michael Mahan Director, Central New England HealthAlliance, Inc. Nicholas Mercadante, MD Director, Central New England HealthAlliance, Inc. Shipen Li, MD Director, Central New England HealthAlliance, Inc.
Part VII Section A Complete list of Group 990 Board Members by entity - Part 3 of 3 Entity & EIN#: Coordinated Primary Care, Inc. #04-3210002 Officers: Deborah Weymouth President & Chairperson, Coordinated Primary Care, Inc. John Bronhard Treasurer, Coordinated Primary Care, Inc. Lynn A. Morin Secretary, Coordinated Primary Care, Inc. Directors: Daniel J. O'Leary, MD Director, Coordinated Primary Care, Inc. Paul D'Onfro Director, Coordinated Primary Care, Inc. Michael Rivard Director, Coordinated Primary Care, Inc. John Bronhard Director, Coordinated Primary Care, Inc. William Corbett, MD Director, Coordinated Primary Care, Inc. Entity & EIN#: HealthAlliance Home Health and Hospice, Inc. #04-2932308 Officers: Deborah Weymouth President, HealthAlliance Home Health and Hospice, Inc. John Bronhard Treasurer, HealthAlliance Home Health and Hospice, Inc. Lynn A. Morin Secretary, HealthAlliance Home Health and Hospice, Inc. Leslie Bovenzi Chairperson, HealthAlliance Home Health and Hospice, Inc. Directors: Anthony J. Mercadante Director, HealthAlliance Home Health and Hospice, Inc. Gail Allen Director, HealthAlliance Home Health and Hospice, Inc. Mary Whitney Director, HealthAlliance Home Health and Hospice, Inc. Deborah Weymouth Director, HealthAlliance Home Health and Hospice, Inc. Lynne Farrell Director, HealthAlliance Home Health and Hospice, Inc. Paul D'Onfro Director, HealthAlliance Home Health and Hospice, Inc. Entity & EIN#: HealthAlliance Hospitals, Inc. #04-2103555 Officers: Deborah Weymouth President, HealthAlliance Hospitals, Inc. John Bronhard Treasurer, HealthAlliance Hospitals, Inc. Katharine Bolland Eshghi Secretary, HealthAlliance Hospitals, Inc. Lynn A. Morin Assistant Clerk, HealthAlliance Hospitals, Inc. Fernando Catalina, MD Chairperson, HealthAlliance Hospitals, Inc. Directors: Paul D'Onfro Vice Chairperson, HealthAlliance Hospitals, Inc. John Clementi Director, HealthAlliance Hospitals, Inc. Leslie Bovenzi Director, HealthAlliance Hospitals, Inc. Gail Allen Director, HealthAlliance Hospitals, Inc. Michael Rivard Director, HealthAlliance Hospitals, Inc. Robert Leslie Shelton, MD Director, HealthAlliance Hospitals, Inc. Douglas S. Brown Director, HealthAlliance Hospitals, Inc. Donata Martin Director, HealthAlliance Hospitals, Inc. Deborah Weymouth Director, HealthAlliance Hospitals, Inc. Mary Whitney Director, HealthAlliance Hospitals, Inc. Christie Hager Director, HealthAlliance Hospitals, Inc. Michael Mahan Director, HealthAlliance Hospitals, Inc. Nicholas Mercadante, MD Director, HealthAlliance Hospitals, Inc. Shipen Li, MD Director, HealthAlliance Hospitals, Inc. Entity & EIN#: UMass Memorial Accountable Care Organization, Inc. #46-2871359: Officers: John Greenwood President, UMass Memorial Accountable Care Organization, Inc. Jeanne Shirshac Treasurer, UMass Memorial Accountable Care Organization, Inc. Francis W. Smith Clerk, UMass Memorial Accountable Care Organization, Inc. Eric W. Dickson, MD Chairperson, UMass Memorial Accountable Care Organization, Inc. Directors: Howard Alfred, MD Director, UMass Memorial Accountable Care Organization, Inc. Peter Bagley, MD Director, UMass Memorial Accountable Care Organization, Inc. Douglas S. Brown Director, UMass Memorial Accountable Care Organization, Inc. William Corbett, MD Director, UMass Memorial Accountable Care Organization, Inc. Jordan Eisenstock, MD Director, UMass Memorial Accountable Care Organization, Inc. David Harlan, MD Director, UMass Memorial Accountable Care Organization, Inc. Barbara Kupfer Director, UMass Memorial Accountable Care Organization, Inc. Daniel Lasser, MD Director, UMass Memorial Accountable Care Organization, Inc. Lalita Matta, MD Director, UMass Memorial Accountable Care Organization, Inc. Antonia McGuire Director, UMass Memorial Accountable Care Organization, Inc. Michele Pici, MD Director, UMass Memorial Accountable Care Organization, Inc. Patrick L. Muldoon Director, UMass Memorial Accountable Care Organization, Inc. Stephen E. Tosi, MD Director, UMass Memorial Accountable Care Organization, Inc. John Greenwood Director, UMass Memorial Accountable Care Organization, Inc. Key Employees: John T. Randolph VP, Chief Corporate Compliance Barbara Fisher Sr. VP, Operations (UMMMC) James P. Cyr Sr. VP, Operations (UMMMC) Robert Feldmann VP, Corporate Controller Timothy A. Tarnowski Sr VP, Chief Info Officer Bart Metzger Sr VP, Chief HR Officer Jeffrey A. Smith, MD Executive VP, COO Alice A. Shakman Sr. VP, Operations (UMMMC) Cathy Jewell Sr VP, Chief Nursing Officer until 1/31/17 HIGHEST COMPENSATED EMPLOYEES - GROUP 990 Jennifer D. Walker, MD Physician, Division Chief of Cardiac Surgery - Med Group Demetrius Litwin, MD Physician, Chair of Surgery Dept - Med Group Adel Bozorgzadeh, MD Physician, Chief of Organ Transplantation - Med Group David C. Ayers, MD Physician, Chair of Orthopedics and Physical Rehab. - Med Group Ajit S. Puri, MD Physician, Division Chief of Neuroimaging and Intervention - Med Group FORMER Officers, Directors and Key Employees Todd A. Keating Former Treasurer until 2/14, UMass Memorial Health Care, Inc. and Director of other boards Robert Klugman, MD Former Chief Quality Officer, until 9/30/13 Carlos Iitsuka Former Director until 7/16, UMass Memorial Health Ventures, Inc. Sheila Daly Former President & Director until 1/16, Clinton Hospital Association Andrew Cocchiarella, MD Former Director until 3/16, Marlborough Hospital Margaret Hudlin, MD Former Chief Medical Officer/VP Perioperative Svcs, until 9/1/16 Patricia A. George Former VP & Deputy CIO, until 11/15
Part VII Section A Various board titles - Part 1 of 3 Alan P. Brown, MD VICE CHAIR, ADLT PSY CLIN SVCS Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Amy Grassette Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Ann K. Molloy Director, Marlborough Hospital Ann-Maria D'Ambra EXECUTIVE ASSISTANT Assistant Secretary, Marlborough Hospital Anthony J. Mercadante Director, HealthAlliance Home Health and Hospice, Inc. Antonia McGuire Director, UMass Memorial Accountable Care Organization, Inc. Barbara Kupfer Director, UMass Memorial Accountable Care Organization, Inc. Benjamin H. Colonero Jr. Director, Marlborough Hospital Catherine Rossi VP, MANAGED CARE CONTRACTING Director, Clinton Hospital Association Cheryl Lapriore SVP,CHF OF STAFF&CHF MKTG OFC President & Executive Director, UMass Memorial Health Ventures, Inc. Director, UMass Memorial Health Ventures, Inc. Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Christie Hager Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Christopher Philbin VP, GOV'T/COMMUNITY RELATIONS Director, UMass Memorial Community Hospitals, Inc. Director, Clinton Hospital Association Cynthia M. McMullen, Ed.D. Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Dana Swenson SR VP,CHIEF FACILITIES OFFICER President, UMass Memorial Realty, Inc. Director, UMass Memorial Realty, Inc. Daniel Carlucci, MD Director, Marlborough Hospital Daniel J. O'Leary, MD VP Chief Medical Officer Director, Coordinated Primary Care, Inc. Daniel Lasser, MD CLINICAL DEPARTMENT CHAIR Director, UMass Memorial Medical Group, Inc. Director, UMass Memorial Accountable Care Organization, Inc. David Harlan, MD CHIEF, DIABETES-DIR, DIAB COE Director, UMass Memorial Accountable Care Organization, Inc. David L. Bennett Director, UMass Memorial Realty, Inc. Director, UMass Memorial Medical Center, Inc. David Walton Director, Marlborough Hospital Deborah Weymouth President of HealthAlliance Director, UMass Memorial Community Hospitals, Inc. President, Central New England HealthAlliance, Inc. Director, Central New England HealthAlliance, Inc. President & Chairperson, Coordinated Primary Care, Inc. President, HealthAlliance Home Health and Hospice, Inc. Director, HealthAlliance Home Health and Hospice, Inc. President, HealthAlliance Hospitals, Inc. Director, HealthAlliance Hospitals, Inc. Dix F. Davis Director, UMass Memorial Realty, Inc. Dominic Nompleggi, MD Director, UMass Memorial Medical Group, Inc. Donata Martin Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Douglas S. Brown PRESIDENT,UMMH & CAO/CLO,UMMHC Secretary, UMass Memorial Medical Center, Inc. President & Chairperson, UMass Memorial Community Hospitals, Inc. Director, Marlborough Hospital Director, Clinton Hospital Association President and Chairperson, UMass Memorial Behavioral Health System, Inc Director, Community HealthLink, Inc. Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Director, UMass Memorial Accountable Care Organization, Inc. Douglas Ziedonis, MD CLINICAL DEPARTMENT CHAIR Director, Marlborough Hospital President and Chairperson until 3/8/17, UMass Memorial Behavioral Health System, Inc. Director until 3/8/17, Community HealthLink, Inc. Edward D'Alelio Director, UMass Memorial Medical Center, Inc. Edward J. Connor Director, Clinton Hospital Association Edward J. Parry, III Director, UMass Memorial Medical Center, Inc. Edward Manzi Director, UMass Memorial Behavioral Health System, Inc. Director until 5/18/17, Community HealthLink, Inc. Elvira Guardiola Director, UMass Memorial Medical Center, Inc. Eric W. Dickson, MD President and CEO of UMass Memorial Health Care, Inc. Director, UMass Memorial Medical Center, Inc. Director, UMass Memorial Health Ventures, Inc. Director, UMass Memorial Realty, Inc. Director, UMass Memorial Medical Group, Inc. Director, UMass Memorial Community Hospitals, Inc. Chairperson, UMass Memorial Accountable Care Organization, Inc. Fernando Catalina, MD Director, UMass Memorial Community Hospitals, Inc. Chairperson, Central New England HealthAlliance, Inc. Chairperson, HealthAlliance Hospitals, Inc. Francis Hurley Director, Marlborough Hospital Francis W. Smith AVP,ASSOC GENERAL COUNSEL-PGL Clerk, UMass Memorial Health Ventures, Inc. Secretary, UMass Memorial Realty, Inc. Secretary, UMass Memorial Medical Group, Inc. Secretary, Marlborough Hospital Clerk, Community HealthLink, Inc. Secretary, Central New England HealthAlliance,Inc Clerk, UMass Memorial Accountable Care Organization, Inc.
Part VII Section A Various board titles - Part 2 of 3 Frederick G. Crocker Director, UMass Memorial Health Ventures, Inc. Gail Allen Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Home Health and Hospice, Inc. Director, HealthAlliance Hospitals, Inc. Gerard P. Richer Director, UMass Memorial Health Ventures, Inc. Director, Marlborough Hospital Habib A. Sioufi, MD DIR, AFFILIATED LABS Director, Marlborough Hospital Director, Clinton Hospital Association Harris L. MacNeill Director, UMass Memorial Medical Center, Inc. Director, UMass Memorial Medical Group, Inc. Howard Alfred, MD DIR, RENAL DIALYSIS Director, UMass Memorial Accountable Care Organization, Inc. J. Christopher Cutler, FACHE Director, UMass Memorial Medical Group, Inc. Jack Wilson Director, UMass Memorial Medical Center, Inc. Jeanne Paulino Director, Clinton Hospital Association Jeanne Shirshac VP, HEALTH POLICY/PUBLIC PROG Treasurer, UMass Memorial Accountable Care Organization, Inc. Jeffrey N. Metzmaker, MD PHYSICIAN Director, UMass Memorial Medical Group, Inc. Jeffrey Olson CFO Clinton Hospital Treasurer, Clinton Hospital Association Jessica McGarry Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Jim Notaro Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Joanne Johnson Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. John Bronhard VP CFO HealthAlliance Treasurer, Central New England HealthAlliance, Inc. Treasurer, Coordinated Primary Care, Inc. Director, Coordinated Primary Care, Inc. Treasurer, HealthAlliance Home Health and Hospice, Inc. Treasurer, HealthAlliance Hospitals, Inc. John Clementi Director, UMass Memorial Community Hospitals, Inc. Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. John Glassburn ASSOC GEN'L COUNSEL-CORP/BUSIN Secretary, UMass Memorial Community Hospitals, Inc. Secretary, Clinton Hospital Association John Greenwood SVP, POP HLTH & PRESIDENT, ACO President, UMass Memorial Accountable Care Organization, Inc. Director, UMass Memorial Accountable Care Organization, Inc. John Shea, Esquire Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Jordan Eisenstock, MD Director, UMass Memorial Accountable Care Organization, Inc. Katharine Bolland Eshghi SR VP, GENERAL COUNSEL-PGL Assistant Secretary, UMass Memorial Medical Center, Inc. Secretary until 6/30/17, Central New England HealthAlliance, Inc. Secretary, HealthAlliance Hospitals, Inc. Kathryn Kennedy, MD DIR, CLINICAL MARL HOSP EM Director, UMass Memorial Medical Group, Inc. Kimberly Eisenstock, MD CHIEF, CLINICAL HOSPITAL MED Director, Marlborough Hospital Lalita Matta, MD Director, UMass Memorial Accountable Care Organization, Inc. Leslie Bovenzi Director, Central New England HealthAlliance, Inc. Chairperson, HealthAlliance Home Health and Hospice, Inc. Director, HealthAlliance Hospitals, Inc. Lisa Colombo President of Clinton Hospital Association Director, UMass Memorial Community Hospitals, Inc. President, Clinton Hospital Association Luis J. Maseda Director, Clinton Hospital Association Lynda M. Young, MD Director, UMass Memorial Medical Center, Inc. Chairperson, UMass Memorial Medical Group, Inc. Lynn A. Morin Executive Assistant Assistant Clerk, Central New England HealthAlliance, Inc. Secretary, Coordinated Primary Care, Inc. Secretary, HealthAlliance Home Health and Hospice, Inc. Assistant Clerk, HealthAlliance Hospitals, Inc. Lynne Farrell Director, HealthAlliance Home Health and Hospice, Inc. Mary Ellen McNamara Director, UMass Memorial Medical Center, Inc. Director, UMass Memorial Medical Group, Inc. Mary Whitney Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Home Health and Hospice, Inc. Director, HealthAlliance Hospitals, Inc. Maureen Croteau ADMINISTRATION OFFICE MANAGER Assistant Clerk, Clinton Hospital Association Michael Collins, MD Director, UMass Memorial Medical Center, Inc. Michael D. Murphy Director, UMass Memorial Community Hospitals, Inc. Vice Chairperson, Marlborough Hospital Michael Mahan Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Michael Rivard Director, Central New England HealthAlliance, Inc. Director, Coordinated Primary Care, Inc. Director, HealthAlliance Hospitals, Inc. Michael W. Ames Director, Clinton Hospital Association
Part VII Section A Various Board Titles - Part 3 of 3 Michele Pici, MD Director, UMass Memorial Accountable Care Organization, Inc. Michele Streeter EXEC VP/COO UMMMG Treasurer, UMass Memorial Medical Group, Inc. Nicholas Mercadante, MD Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Nicole Gagne President of UMBHS President, Community HealthLink, Inc. O. Nsidinanya Okike, MD PATIENT EXPERIENCE OFFICER Director, UMass Memorial Medical Center, Inc. Patrick L. Muldoon PRESIDENT, MEDICAL CENTER President & CEO, UMass Memorial Medical Center, Inc Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Director, UMass Memorial Accountable Care Organization, Inc. Paul D'Onfro Director, UMass Memorial Community Hospitals, Inc. Vice Chairperson, Central New England HealthAlliance, Inc. Director, Coordinated Primary Care, Inc. Director, HealthAlliance Home Health and Hospice, Inc. Vice Chairperson, HealthAlliance Hospitals, Inc. Paul Kangas Director, UMass Memorial Medical Center, Inc. Chairperson, UMass Memorial Health Ventures, Inc. Paulette Seymour-Route, Ph.D. Independent Contractor Director, UMass Memorial Medical Center, Inc. Peter Bagley, MD MED DIR, CCU Director, UMass Memorial Accountable Care Organization, Inc. Peter Knox Director, UMass Memorial Medical Center, Inc. Philip E. Purcell Director, Marlborough Hospital R. Kevin Ferguson, MD PHYSICIAN Director, UMass Memorial Medical Group, Inc. Raymond Pawlicki Director, UMass Memorial Medical Center, Inc. Richard K. Bennett Director, UMass Memorial Medical Center, Inc. Chairperson, Marlborough Hospital Richard Siegrist Chairperson, UMass Memorial Medical Center, Inc Director, UMass Memorial Community Hospitals, Inc. Robert J. Paulhus, Jr. Director, Clinton Hospital Association Robert Leslie Shelton, MD Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Robert W. Finberg, MD CLINICAL DEPARTMENT CHAIR Director, UMass Memorial Medical Center, Inc. Sergio Melgar EXEC VP, CFO Treasurer, UMass Memorial Medical Center, Inc. Treasurer, UMass Memorial Health Ventures, Inc. Treasurer, UMass Memorial Realty, Inc. Treasurer, UMass Memorial Community Hospitals, Inc. Director, UMass Memorial Community Hospitals, Inc. Treasurer, UMass Memorial Behavioral Health System, Inc. Director, UMass Memorial Behavioral Health System, Inc. Treasurer, Community HealthLink, Inc. Director, Community HealthLink, Inc. Sheldon Benjamin, MD Director, UMass Memorial Behavioral Health System, Inc. Director, Community HealthLink, Inc. Shipen Li, MD PHYSICIAN Director, Central New England HealthAlliance, Inc. Director, HealthAlliance Hospitals, Inc. Stephen E. Tosi, MD CHIEF PHYSICIAN EXECUTIVE President, UMass Memorial Medical Group, Inc. Director, UMass Memorial Accountable Care Organization, Inc. Steven McCue CFO Marlborough Hospital Treasurer, Marlborough Hospital Steven Roach President of Marlborough Hospital Director, UMass Memorial Health Ventures, Inc. Director, UMass Memorial Community Hospitals, Inc. President, Marlborough Hospital Director, Marlborough Hospital Terence Flotte, MD Director, UMass Memorial Medical Center, Inc. Director, UMass Memorial Medical Group, Inc. Therese Day VP/CFO Medical Center Director, UMass Memorial Health Ventures, Inc. Vibha Sharma, MD Director, Marlborough Hospital William Corbett, MD SR VP, COMMUNITY PRACTICES Director, UMass Memorial Community Hospitals, Inc. Director, Marlborough Hospital Director, Clinton Hospital Association Director, Coordinated Primary Care, Inc. Director, UMass Memorial Accountable Care Organization, Inc. William Fischer Director, Marlborough Hospital William H. O'Brien EXEC DIR, UMMBHS Secretary, UMass Memorial Behavioral Health System, Inc. William McGrail, Esquire Director, UMass Memorial Community Hospitals, Inc. Chairperson, Clinton Hospital Association
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


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Software ID: 16000421
Software Version: 2016v3.0