TY 2017 Form 990 Schedule J

(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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1John Bronhard Treasurer, UMM HealthAlliance-Clinton Hospital, Inc. Officer/Dir Various	(i) (ii)	300,307 ------------- 0	51,758 ------------- 0	620 ------------- 0	8,000 ------------- 0	29,740 ------------- 0	390,425 ------------- 0	0 ------------- 0
2Douglas S Brown Secretary, UMM Medical Center, Inc., Director Various	(i) (ii)	0 ------------- 578,066	0 ------------- 278,340	0 ------------- 59,819	0 ------------- 143,396	0 ------------- 25,514	0 ------------- 1,085,135	0 ------------- 59,819
3Eric W Dickson MD President & CEO/Director, UMM Health Care, Inc., Director various	(i) (ii)	0 ------------- 1,164,723	0 ------------- 729,234	0 ------------- 77,660	0 ------------- 225,716	0 ------------- 60,662	0 ------------- 2,257,995	0 ------------- 75,392
4John Greenwood President/Director, UMM Accountable Care Organization, Inc.	(i) (ii)	291,286 ------------- 0	87,660 ------------- 0	17,955 ------------- 0	86,197 ------------- 0	25,078 ------------- 0	508,176 ------------- 0	17,955 ------------- 0
5Cheryl M Lapriore President/Director, UMM Health Ventures, Inc., Director various	(i) (ii)	0 ------------- 316,907	0 ------------- 86,470	0 ------------- 25,261	0 ------------- 81,478	0 ------------- 24,015	0 ------------- 534,131	0 ------------- 25,261
6Sergio Melgar EVP/CFO/Treasurer, UMM MEDICAL CENTER, Inc., Officer/Dir various	(i) (ii)	0 ------------- 717,942	0 ------------- 346,655	0 ------------- 63,433	0 ------------- 156,149	0 ------------- 39,911	0 ------------- 1,324,090	0 ------------- 63,433
7Patrick Muldoon PRESIDENT & CEO UNTIL 1/2018, UMM MEDICAL CENTER, INC., DIRECTOR VARIOUS	(i) (ii)	828,620 ------------- 0	385,978 ------------- 0	58,929 ------------- 0	194,457 ------------- 0	40,601 ------------- 0	1,508,585 ------------- 0	58,929 ------------- 0
8Steven Roach President, Marlborough Hospital, Director various	(i) (ii)	342,311 ------------- 0	100,657 ------------- 0	35,061 ------------- 0	63,008 ------------- 0	26,569 ------------- 0	567,606 ------------- 0	35,061 ------------- 0
9Dana E Swenson President/Director, UMM Realty, Inc.	(i) (ii)	0 ------------- 245,447	0 ------------- 73,855	0 ------------- 0	0 ------------- 66,438	0 ------------- 23,078	0 ------------- 408,818	0 ------------- 0
10Stephen E Tosi MD President, UMM Med Group, Inc., Director various	(i) (ii)	639,593 ------------- 0	308,564 ------------- 0	78,444 ------------- 0	71,461 ------------- 0	30,893 ------------- 0	1,128,955 ------------- 0	78,444 ------------- 0
11Deborah Weymouth President, HealthAlliance-Clinton Hospital, Director Various	(i) (ii)	405,809 ------------- 0	107,663 ------------- 0	0 ------------- 0	95,016 ------------- 0	32,991 ------------- 0	641,479 ------------- 0	0 ------------- 0
12Howard Alfred MD Director, UMM Accountable Care Organization, Inc.	(i) (ii)	232,049 ------------- 0	12,553 ------------- 0	0 ------------- 0	7,524 ------------- 0	29,285 ------------- 0	281,411 ------------- 0	0 ------------- 0
13Peter Bagley MD Director, UMM Accountable Care Organization, Inc.	(i) (ii)	217,956 ------------- 0	181,390 ------------- 0	0 ------------- 0	28,381 ------------- 0	30,065 ------------- 0	457,792 ------------- 0	0 ------------- 0
14Alan P Brown MD Director, UMM Behavioral Health System, Inc. & CHL	(i) (ii)	186,193 ------------- 0	22,550 ------------- 0	0 ------------- 0	10,807 ------------- 0	25,774 ------------- 0	245,324 ------------- 0	0 ------------- 0
15Lisa Colombo Director until 9/30/18, UMM Comm Hospitals Inc.	(i) (ii)	334,636 ------------- 0	91,434 ------------- 0	0 ------------- 0	65,416 ------------- 0	24,735 ------------- 0	516,221 ------------- 0	0 ------------- 0
16William Corbett MD Director, UMM HealthAlliance-Clinton Hosp. , Inc., Director various	(i) (ii)	373,570 ------------- 0	121,907 ------------- 0	42,052 ------------- 0	100,363 ------------- 0	23,078 ------------- 0	660,970 ------------- 0	42,052 ------------- 0
17Therese Day Director, UMM Health Ventures, Inc.	(i) (ii)	314,369 ------------- 0	94,474 ------------- 0	30,824 ------------- 0	89,775 ------------- 0	24,664 ------------- 0	554,106 ------------- 0	30,824 ------------- 0
18Kimberly Eisenstock MD Director, Marlborough Hospital	(i) (ii)	222,836 ------------- 0	42,328 ------------- 0	0 ------------- 0	13,259 ------------- 0	26,642 ------------- 0	305,065 ------------- 0	0 ------------- 0
19R Kevin Ferguson MD Director, UMM Med Group, Inc.	(i) (ii)	225,207 ------------- 0	9,345 ------------- 0	0 ------------- 0	12,136 ------------- 0	29,305 ------------- 0	275,993 ------------- 0	0 ------------- 0
20Robert W Finberg MD Director, UMM Medical Center, Inc.	(i) (ii)	287,991 ------------- 0	68,175 ------------- 0	56,151 ------------- 0	37,954 ------------- 0	32,799 ------------- 0	483,070 ------------- 0	56,151 ------------- 0
21David Harlan MD Director, UMM Accountable Care Organization, Inc.	(i) (ii)	148,154 ------------- 0	1,000 ------------- 0	0 ------------- 0	7,970 ------------- 0	29,992 ------------- 0	187,116 ------------- 0	0 ------------- 0
22Mark Johnson MD Director, UMM Medical Center, Inc.	(i) (ii)	549,649 ------------- 0	33,697 ------------- 0	0 ------------- 0	13,500 ------------- 0	29,432 ------------- 0	626,278 ------------- 0	0 ------------- 0
23Kathryn Kennedy MD Director, UMM Med Group, Inc.	(i) (ii)	229,054 ------------- 0	39,950 ------------- 0	0 ------------- 0	13,500 ------------- 0	30,327 ------------- 0	312,831 ------------- 0	0 ------------- 0
24Daniel H Lasser MD Director, UMM Med Group, Inc. & ACO, INC.	(i) (ii)	215,397 ------------- 0	59,891 ------------- 0	0 ------------- 0	32,873 ------------- 0	3,590 ------------- 0	311,751 ------------- 0	0 ------------- 0
25Shipen Li MD Director, UMM HealthAlliance-Clinton Hospital, Inc. & CNEHA, INC.	(i) (ii)	271,564 ------------- 0	47,479 ------------- 0	0 ------------- 0	13,500 ------------- 0	29,812 ------------- 0	362,355 ------------- 0	0 ------------- 0
26Jeffrey N Metzmaker MD Director, UMM Med Group, Inc.	(i) (ii)	302,803 ------------- 0	128,735 ------------- 0	0 ------------- 0	13,500 ------------- 0	30,283 ------------- 0	475,321 ------------- 0	0 ------------- 0
27Dominic Nompleggi MD Director, UMM Med Group, Inc.	(i) (ii)	232,400 ------------- 0	73,225 ------------- 0	0 ------------- 0	13,500 ------------- 0	32,799 ------------- 0	351,924 ------------- 0	0 ------------- 0
28Daniel O'Leary MD Director, Coordinated Primary Care, Inc.	(i) (ii)	227,558 ------------- 0	37,782 ------------- 0	2,091 ------------- 0	6,827 ------------- 0	4,269 ------------- 0	278,527 ------------- 0	0 ------------- 0
29Chris Philbin DIRECTOR UNTIL 9/2018, UMM COMMUNITY HOSPITALS, INC.	(i) (ii)	0 ------------- 209,518	0 ------------- 51,436	0 ------------- 17,076	0 ------------- 38,604	0 ------------- 26,865	0 ------------- 343,499	0 ------------- 17,076
30Katharine Bolland Eshghi Assistant Secretary, UMM Medical Center, Inc., Officer Various	(i) (ii)	0 ------------- 335,841	0 ------------- 100,322	0 ------------- 35,332	0 ------------- 73,845	0 ------------- 24,764	0 ------------- 570,104	0 ------------- 35,332
31Nicole Gagne President, Community HealthLink, Inc.	(i) (ii)	198,129 ------------- 0	59,963 ------------- 0	0 ------------- 0	21,247 ------------- 0	26,496 ------------- 0	305,835 ------------- 0	0 ------------- 0
32John Glassburn Secretary, UMM Community Hospitals, Inc., Officer Various	(i) (ii)	0 ------------- 176,669	0 ------------- 12,340	0 ------------- 0	0 ------------- 16,096	0 ------------- 23,577	0 ------------- 228,682	0 ------------- 0
33Steven McCue Treasurer, Marlborough Hospital	(i) (ii)	187,673 ------------- 0	33,827 ------------- 0	0 ------------- 0	18,703 ------------- 0	389 ------------- 0	240,592 ------------- 0	0 ------------- 0
34William O'Brien Secretary, UMBHS, Inc.	(i) (ii)	120,344 ------------- 0	8,839 ------------- 0	0 ------------- 0	17,597 ------------- 0	28,348 ------------- 0	175,128 ------------- 0	0 ------------- 0
35Jeanne Shirshac Treasurer, UMM Accountable Care Organization, Inc.	(i) (ii)	0 ------------- 200,679	0 ------------- 48,695	0 ------------- 16,339	0 ------------- 44,327	0 ------------- 24,199	0 ------------- 334,239	0 ------------- 16,339
36Francis W Smith Secretary, UMM Medical Group, Inc., Officer various	(i) (ii)	0 ------------- 200,874	0 ------------- 17,934	0 ------------- 0	0 ------------- 22,093	0 ------------- 23,077	0 ------------- 263,978	0 ------------- 0
37Michele Streeter Treasurer, UMM Med Group, Inc.	(i) (ii)	402,790 ------------- 0	195,469 ------------- 0	24,185 ------------- 0	85,445 ------------- 0	28,352 ------------- 0	736,241 ------------- 0	24,185 ------------- 0
38James P Cyr Sr. VP, Operations (UMMMC)	(i) (ii)	248,584 ------------- 0	76,167 ------------- 0	25,560 ------------- 0	66,618 ------------- 0	26,865 ------------- 0	443,794 ------------- 0	25,560 ------------- 0
39Robert Feldmann VP, Corporate Controller	(i) (ii)	0 ------------- 284,621	0 ------------- 86,017	0 ------------- 30,563	0 ------------- 73,284	0 ------------- 26,344	0 ------------- 500,829	0 ------------- 30,563
40Barbara Fisher Sr VP, Operations (UMMMC)	(i) (ii)	259,510 ------------- 0	78,937 ------------- 0	29,821 ------------- 0	73,299 ------------- 0	25,812 ------------- 0	467,379 ------------- 0	29,821 ------------- 0
41Bart Metzger Sr VP, Chief HR Officer	(i) (ii)	0 ------------- 379,780	0 ------------- 113,958	0 ------------- 152,563	0 ------------- 99,210	0 ------------- 26,861	0 ------------- 772,372	0 ------------- 152,563
42John T Randolph VP, Chief Corporate Compliance	(i) (ii)	0 ------------- 235,707	0 ------------- 71,589	0 ------------- 0	0 ------------- 61,242	0 ------------- 31,415	0 ------------- 399,953	0 ------------- 0
43Alice Shakman Sr. VP, Operations (UMMMC)	(i) (ii)	262,681 ------------- 0	77,923 ------------- 0	29,893 ------------- 0	67,328 ------------- 0	15,528 ------------- 0	453,353 ------------- 0	29,893 ------------- 0
44Jeffrey A Smith MD EXECUTIVE VP, COO UNTIL 7/2018	(i) (ii)	516,702 ------------- 0	154,983 ------------- 0	27,344 ------------- 0	92,144 ------------- 0	34,849 ------------- 0	826,022 ------------- 0	27,344 ------------- 0
45Timothy Tarnowski SR VP, CHIEF INFO OFFICER & CTO	(i) (ii)	0 ------------- 446,337	0 ------------- 134,120	0 ------------- 45,211	0 ------------- 96,273	0 ------------- 40,289	0 ------------- 762,230	0 ------------- 45,211
46David C Ayers MD PHYSICIAN, CHAIR OF ORTHOPEDICS DEPT - MED GROUP	(i) (ii)	646,809 ------------- 0	56,173 ------------- 0	0 ------------- 0	13,500 ------------- 0	29,346 ------------- 0	745,828 ------------- 0	0 ------------- 0
47Adel Bozorgzadeh MD PHYSICIAN, DIVISION CHIEF OF TRANSPLANT SURGERY - MED GROUP	(i) (ii)	469,129 ------------- 0	246,484 ------------- 0	0 ------------- 0	13,500 ------------- 0	30,249 ------------- 0	759,362 ------------- 0	0 ------------- 0
48Demetrius Litwin MD PHYSICIAN, CHAIR OF SURGERY DEPT - MED GROUP	(i) (ii)	595,586 ------------- 0	197,100 ------------- 0	0 ------------- 0	13,500 ------------- 0	32,799 ------------- 0	838,985 ------------- 0	0 ------------- 0
49Arno S Sungarian MD PHYSICIAN, NEUROLOGICAL SURGEON FOR CMG - MED GROUP	(i) (ii)	722,280 ------------- 0	11,499 ------------- 0	0 ------------- 0	13,500 ------------- 0	22,319 ------------- 0	769,598 ------------- 0	0 ------------- 0
50Jennifer Walker MD PHYSICIAN, DIVISION CHIEF OF CARDIAC SURGERY - MED GROUP	(i) (ii)	589,129 ------------- 0	301,000 ------------- 0	0 ------------- 0	13,500 ------------- 0	30,249 ------------- 0	933,878 ------------- 0	0 ------------- 0
51Margaret Hudlin MD FORMER KEY EE, CHIEF MED OFFICER/VP PERIOPERATIVE SVCS	(i) (ii)	0 ------------- 0	16,184 ------------- 0	468,958 ------------- 0	0 ------------- 0	182 ------------- 0	485,324 ------------- 0	33,380 ------------- 0
52Douglas Ziedonis MD FORMER PRESIDENT AND CHAIRPERSON UNTIL 3/8/17, UMBHS, DIRECTOR OF CHL	(i) (ii)	100,046 ------------- 0	0 ------------- 0	25,660 ------------- 0	5,243 ------------- 0	13,333 ------------- 0	144,282 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2017

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Schedule J (Form 990) 2017

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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 I, Line 4a Severance or change-of-control payment	The following individuals received severance in the reporting period: Included in Sch J Col Biii: Hudlin, Margaret, MD $435,578 Morin, Lynn A. $20,803
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 $35,332 Brown, Douglas S. $59,819 Corbett, William, MD $42,052 Day, Therese $30,824 Dickson, Eric W., MD $75,392 Finberg, Robert W., MD $56,151 Greenwood, John $17,955 Lapriore, Cheryl M. $25,261 Melgar, Sergio $63,433 Muldoon, Patrick $58,929 Philbin, Chris $17,076 Roach, Steven $35,061 Shirshac, Jeanne $16,339 Streeter, Michele $24,185 Tosi, Stephen E., MD $78,444 Subtotal Off, Dir, Trustees $636,253 Key Employees: Cyr, James P. $25,560 Feldmann, Robert $30,563 Fisher, Barbara $29,821 Metzger, Bart $152,563 Shakman, Alice $29,893 Smith, Jeffrey A., MD $27,344 Tarnowski, Timothy $45,211 Subtotal Key Employees $340,955 Former: Hudlin, Margaret, MD $33,380 Subtotal Former $33,380 Total $1,010,588 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: Randolph, John T.

Schedule J (Form 990) 2017

Additional Data

Software ID:	17005876
Software Version:	2017v2.2