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ObjectId: 202142259349302439 - Submission: 2021-08-13
TIN: 91-2155626
Form
990
Department of the Treasury
Internal 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)
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
19
Open to Public Inspection
A
For the 2019 calendar year, or tax year beginning
10-01-2019
, and ending
09-30-2020
B
Check if applicable:
Address change
Name change
Initial return
Final return/terminated
Amended return
Application pending
C
Name 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
,
MA
01604
D Employer identification number
91-2155626
E Telephone number
(508) 334-0496
G
Gross receipts $
2,860,559,651
F
Name and address of principal officer:
Sergio Melgar
306 Belmont Street
Worcester
,
MA
01604
I
Tax-exempt status:
501(c)(3)
501(c)
(
)
(insert no.)
4947(a)(1)
or
527
J
Website:
https://www.ummhealth.org/
H(a)
Is this a group return for
subordinates?
Yes
No
H(b)
Are all subordinates
included?
Yes
No
If "No," attach a list. (see instructions)
H(c)
Group exemption number
3642
K
Form of organization:
Corporation
Trust
Association
Other
L
Year of formation:
M
State of legal domicile:
Part I
Summary
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
3
Number of voting members of the governing body (
Part VI
, line 1a)
........
3
158
4
Number of independent voting members of the governing body (
Part VI
, line 1b)
.....
4
83
5
Total number of individuals employed in calendar year 2019 (
Part V
, line 2a)
......
5
14,115
6
Total number of volunteers (estimate if necessary)
.............
6
887
7a
Total unrelated business revenue from
Part VIII
, column (C), line 12
........
7a
4,433,241
b
Net unrelated business taxable income from Form 990-T, line 39
.........
7b
-7,620
Prior Year
Current Year
8
Contributions and grants (
Part VIII
, line 1h)
.........
31,502,293
41,685,785
9
Program service revenue (
Part VIII
, line 2g)
.........
2,589,960,712
2,792,155,257
10
Investment income (
Part VIII
, column (A), lines 3, 4, and 7d )
....
218,793,330
13,563,278
11
Other revenue (
Part VIII
, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)
11,932,674
8,743,048
12
Total revenue—add lines 8 through 11 (must equal
Part VIII
, column (A), line 12)
2,852,189,009
2,856,147,368
13
Grants and similar amounts paid (
Part IX
, column (A), lines 1–3 )
...
9,292,943
8,880,620
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)
1,272,048,297
1,346,735,254
16a
Professional fundraising fees (
Part IX
, column (A), line 11e)
.....
0
b
Total fundraising expenses (
Part IX
, column (D), line 25)
1,518,299
17
Other expenses (
Part IX
, column (A), lines 11a–11d, 11f–24e)
....
1,364,864,150
1,479,530,049
18
Total expenses. Add lines 13–17 (must equal
Part IX
, column (A), line 25)
2,646,205,390
2,835,145,923
19
Revenue less expenses. Subtract line 18 from line 12
.......
205,983,619
21,001,445
Beginning of Current Year
End of Year
20
Total assets (
Part X
, line 16)
.............
1,887,997,936
2,439,359,685
21
Total liabilities (
Part X
, line 26)
.............
1,310,975,925
1,614,058,654
22
Net assets or fund balances. Subtract line 21 from line 20
.....
577,022,011
825,301,031
Part II
Signature Block
Sign Here
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.
2021-08-13
Signature of officer
Date
Sergio Melgar
EVP/CFO/Treasurer
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
Check
if
self-employed
PTIN
P00520729
Firm's name
CROWE LLP
Firm's EIN
35-0921680
Firm's address
9600 Brownsboro Road Suite 400
Louisville
,
KY
402413902
Phone no.
(502) 326-3996
May the IRS discuss this return with the preparer shown above? (see instructions)
..........
Yes
No
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form
990
(2019)
Page 2
Form 990 (2019)
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?
.....................
Yes
No
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?
...........................
Yes
No
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 $
1,669,472,770
including grants of $
2,061,948
) (Revenue $
1,987,299,428
)
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 2020 KEY STATISTICS - TOTAL DISCHARGES: 35,026 TOTAL SURGICAL & ENDOSCOPY CASES: 38,550 TOTAL ER VISITS: 110,665
4b
(Code:
) (Expenses $
607,756,583
including grants of $
6,802,000
) (Revenue $
447,777,780
)
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 $
236,765,830
including grants of $
16,672
) (Revenue $
295,719,339
)
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 2020 KEY STATISTICS - TOTAL DISCHARGES: 10,239 TOTAL SURGICAL & ENDOSCOPY CASES: 9,536 TOTAL ER VISITS: 72,180
(Code:
) (Expenses $
72,271,307
including grants of $
) (Revenue $
56,933,089
)
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 $
72,271,307
including grants of $
) (Revenue $
56,933,089
)
4e
Total program service expenses
2,586,266,490
Form
990
(2019)
Page 3
Form 990 (2019)
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 A
.....................
1
Yes
2
Is the organization required to complete
Schedule B, Schedule of Contributors
(see instructions)?
...
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 II
.........
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 IV
..............
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 V
......
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
.
...................
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 VII
.......
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 IX
............
11d
Yes
e
Did the organization report an amount for other liabilities in
Part X
, line 25?
If "Yes," complete Schedule D,
Part X
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 X
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
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
Yes
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
............
18
No
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
....
20a
Yes
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
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
.....
21
Yes
Form
990
(2019)
Page 4
Form 990 (2019)
Page
4
Part IV
Checklist of Required Schedules
(continued)
Yes
No
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
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
.......................
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
...............
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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons?
If "Yes," complete Schedule L,
Part II
...........
26
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) 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, key employee, creator or founder, or substantial contributor?
If "Yes," complete Schedule L,
Part IV
......................
28a
Yes
b
A family member of any individual described in line 28a?
If "Yes," complete Schedule L,
Part IV
.....
28b
Yes
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b?
If "Yes," complete Schedule L,
Part IV
.....................
28c
Yes
29
Did the organization receive more than $25,000 in non-cash contributions?
If "Yes," complete Schedule M
..
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
Yes
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
.........................
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
...
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
.............
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
1,127
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
(2019)
Page 5
Form 990 (2019)
Page
5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
(continued)
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
14,115
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:
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
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?
.....
7b
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
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
9
Sponsoring organizations maintaining donor advised funds.
a
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
Yes
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
(2019)
Page 6
Form 990 (2019)
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
158
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
83
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
No
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 filed
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.
Own website
Another's website
Upon request
Other (explain in Schedule O)
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:
Brian Huggins
306 Belmont Street
Worcester
,
MA
01604
(508) 334-0252
Form
990
(2019)
Page 7
Form 990 (2019)
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.
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.
List all of the organization’s
current
key employees, if any. See instructions for definition of "key employee."
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.
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.
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.
See instructions for the order in which to list the persons above.
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
(1)
ANN K MOLLOY
VICE-CHAIRPERSON, MARLBOROUGH HOSPITAL
1.0
.................
0
X
X
0
0
0
(2)
CHERYL LAPRIORE
PRESIDENT, DIRECTOR, UMM HEALTH VENTURES, INC., DIRECTOR VARIOUS
5.0
.................
40.0
X
X
0
580,439
131,675
(3)
DANA SWENSON
PRESIDENT, DIRECTOR, UMM REALTY, INC. UNTIL FY2020
5.0
.................
40.0
X
X
0
337,245
102,606
(4)
DOUGLAS S BROWN
Secretary, UMM Medical Center, Inc., Director Various
5.0
.................
40.0
X
X
0
997,224
195,698
(5)
ERIC W DICKSON MD
President & CEO, UMMHC, Inc. & Affiliates, Director various
5.0
.................
40.0
X
X
0
2,317,497
410,261
(6)
JOHN GREENWOOD
PRESIDENT, DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
40.0
.................
5.0
X
X
432,130
0
127,091
(7)
LESLIE BOVENZI
CHAIRPERSON, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC., DIRECTOR VARIOUS
1.0
.................
1.0
X
X
0
0
0
(8)
LYNDA M YOUNG MD
CHAIRPERSON, DIRECTOR, UMM MEDICAL GROUP, INC., DIRECTOR VARIOUS
1.0
.................
1.0
X
X
0
0
0
(9)
MICHAEL D MURPHY
CHAIRPERSON, MARLBOROUGH HOSPITAL, DIRECTOR VARIOUS
1.0
.................
0
X
X
0
0
0
(10)
MICHAEL GUSTAFSON MD
PRESIDENT, UMM MEDICAL CENTER, INC., DIRECTOR VARIOUS
40.0
.................
5.0
X
X
1,025,075
0
114,006
(11)
PAUL KANGAS
CHAIRPERSON, DIRECTOR, UMM HEALTH VENTURES, INC., DIRECTOR VARIOUS
1.0
.................
1.0
X
X
0
0
0
(12)
RAYMOND PAWLICKI
VICE CHAIRPERSON, DIRECTOR, UMM MEDICAL CENTER, INC.
1.0
.................
1.0
X
X
0
0
0
(13)
RENEE MIKITARIAN-BRADLEY
PRESIDENT, DIRECTOR, UMM REALTY, INC.
5.0
.................
41.0
X
X
0
183,969
59,003
(14)
RICHARD SIEGRIST
CHAIRPERSON, DIRECTOR, UMM MEDICAL CENTER, INC
1.0
.................
1.0
X
X
0
0
0
(15)
ROBERT J PAULHUS JR
INTERIM CHAIRPERSON, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
1.0
.................
1.0
X
X
0
0
0
(16)
SERGIO MELGAR
EVP/CFO/Treasurer, UMM Health Care, Inc. Officer/DIR Various
5.0
.................
41.0
X
X
0
1,172,335
248,108
(17)
STEPHEN E TOSI MD
PRESIDENT, UMM MEDICAL GROUP, INC., DIRECTOR, UMM ACO, INC.
40.0
.................
5.0
X
X
1,093,218
0
115,473
Form
990
(2019)
Page 8
Form 990 (2019)
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
(18)
STEVEN ROACH
PRESIDENT, DIR., CNEHA, INC. & MARLBORORUGH HOSP., OFF. & DIR. VARIOUS
40.0
.......................
6.0
X
X
553,160
0
111,164
(19)
ALAN P BROWN MD
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
30.0
.......................
0
X
209,025
0
39,282
(20)
AMY GRASSETTE
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
1.0
.......................
0
X
0
0
0
(21)
ANTHONY J MERCADANTE
DIRECTOR UNTIL FY2020, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.
1.0
.......................
0
X
0
0
0
(22)
ANTONIA MCGUIRE
DIRECTOR UNTIL FY2020, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
1.0
.......................
0
X
0
0
0
(23)
BARBARA KUPFER
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
1.0
.......................
0
X
0
0
0
(24)
BENJAMIN H COLONERO JR
DIRECTOR, MARLBOROUGH HOSPITAL
1.0
.......................
0
X
0
0
0
(25)
BRIAN BOUVIER
DIRECTOR, MARLBOROUGH HOSPITAL
1.0
.......................
0
X
0
0
0
(26)
CARLOS NICOLAS FORMAGGIA ESQ
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC., Director various
1.0
.......................
0
X
0
0
0
(27)
CELESTE STRAIGHT MD
DIRECTOR, UMM MEDICAL GROUP, INC.
40.0
.......................
0
X
252,245
0
22,573
(28)
CHANDRIKA JAIN MD
DIRECTOR, MARLBOROUGH HOSPITAL
40.0
.......................
0
X
177,884
0
20,297
(29)
CHARLES CAVAGNARO MD
DIRECTOR, MARLBOROUGH HOSPITAL & CPC, INC.
40.0
.......................
0
X
454,978
0
19,145
(30)
CHRISTOPHER KENNEDY MD
DIRECTOR UNTIL FY2020, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
24.0
.......................
0
X
174,183
0
36,234
(31)
CYNTHIA M MCMULLEN EDD
DIRECTOR UNTIL FY2020, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
1.0
.......................
0
X
0
0
0
(32)
DANIEL CARLUCCI MD
DIRECTOR, MARLBOROUGH HOSPITAL
1.0
.......................
0
X
0
0
0
(33)
DANIEL LASSER MD
DIRECTOR UNTIL FY2020, UMM MEDICAL GROUP, INC. & ACO, INC.
24.0
.......................
0
X
233,789
0
64,383
(34)
DAVID HARLAN MD
DIRECTOR UNTIL FY2020, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
20.0
.......................
0
X
186,674
0
38,870
(35)
DAVID L BENNETT
DIRECTOR, UMM MEDICAL CENTER, INC. & UMM Realty, Inc.
1.0
.......................
1.0
X
0
0
0
(36)
DAVID WALTON
DIRECTOR, MARLBOROUGH HOSPITAL
1.0
.......................
0
X
0
0
0
(37)
DEBRA TWEHOUS MD
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
38.0
.......................
0
X
240,856
0
46,050
(38)
DIANE MCKEE MD
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
1.0
.......................
0
X
0
0
0
(39)
DIX F DAVIS
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. Director various
1.0
.......................
1.0
X
0
0
0
(40)
DOMINIC NOMPLEGGI MD
DIRECTOR, UMM MEDICAL GROUP, INC.
24.0
.......................
0
X
276,022
0
47,049
(41)
DONATA MARTIN
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC., Director various
1.0
.......................
1.0
X
0
0
0
(42)
ED MOORE
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
1.0
.......................
0
X
0
0
0
(43)
EDWARD D'ALELIO
DIRECTOR, UMM MEDICAL CENTER, INC.
1.0
.......................
1.0
X
0
0
0
(44)
ELLEN DORIAN
DIRECTOR, MARLBOROUGH HOSPITAL
1.0
.......................
0
X
0
0
0
(45)
ELVIRA GUARDIOLA
DIRECTOR, UMM MEDICAL CENTER, INC.
1.0
.......................
1.0
X
0
0
0
(46)
EVAN BENJAMIN MD
DIRECTOR, UMM MEDICAL CENTER, INC.
1.0
.......................
1.0
X
0
0
0
(47)
FERNANDO CATALINA MD
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC., Director various
1.0
.......................
1.0
X
0
0
0
(48)
FRANCIS SWEENEY MD
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
1.0
.......................
0
X
0
0
0
(49)
FREDERICK G CROCKER
DIRECTOR, UMM HEALTH VENTURES, INC.
1.0
.......................
0
X
0
0
0
(50)
GAIL ALLEN ESQ
DIRECTOR, UMM MEDICAL GROUP, INC., Director various
1.0
.......................
0
X
0
0
0
(51)
GERARD P RICHER
DIRECTOR, UMM HEALTH VENTURES, INC., DIRECTOR VARIOUS
1.0
.......................
0
X
0
0
0
(52)
HOWARD ALFRED MD
DIRECTOR UNTIL FY2020, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
37.0
.......................
0
X
74,939
0
18,059
(53)
HOWARD FERRIS
DIRECTOR, MARLBOROUGH HOSPITAL
1.0
.......................
0
X
0
0
0
(54)
J CHRISTOPHER CUTLER FACHE
DIRECTOR, UMM MEDICAL GROUP, INC.
1.0
.......................
0
X
0
0
0
(55)
JACK WILSON PHD
DIRECTOR, UMM COMMUNITY HOSPITALS, INC.
1.0
.......................
0
X
0
0
0
(56)
JAMES LEARY
DIRECTOR, UMM COMMUNITY HOSPITALS, INC., DIRECTOR VARIOUS
5.0
.......................
40.0
X
0
283,578
53,530
(57)
JEFFREY N METZMAKER MD
DIRECTOR, UMM MEDICAL GROUP, INC.
29.0
.......................
0
X
292,509
0
45,676
(58)
JENNIFER REIDY MD
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
32.0
.......................
0
X
227,211
0
38,195
(59)
JIM NOTARO
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
1.0
.......................
0
X
0
0
0
(60)
JOANNE JOHNSON
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
1.0
.......................
0
X
0
0
0
(61)
JOHN BUDD
DIRECTOR, UMM HEALTH VENTURES, INC.
1.0
.......................
0
X
0
0
0
(62)
JOHN SHEA ESQ
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
1.0
.......................
0
X
0
0
0
(63)
JORDAN EISENSTOCK MD
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
7.0
.......................
0
X
33,139
0
1,974
(64)
JOSEPH G LEANDRES
DIRECTOR, MARLBOROUGH HOSPITAL
1.0
.......................
0
X
0
0
0
(65)
KATHRYN KENNEDY MD
DIRECTOR UNTIL FY2020, UMM MEDICAL GROUP, INC.
36.0
.......................
0
X
305,511
0
45,755
(66)
KEITH REARDON
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
1.0
.......................
0
X
0
0
0
(67)
KIMBERLY EISENSTOCK MD
DIRECTOR, MARLBOROUGH HOSPITAL
40.0
.......................
0
X
306,011
0
42,411
(68)
KIMBERLY ROBINSON MD
DIRECTOR, MARLBOROUGH HOSPITAL
1.0
.......................
0
X
0
0
0
(69)
LALITA MATTA MD
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
1.0
.......................
0
X
44,830
0
0
(70)
LUIS J MASEDA
DIRECTOR, UMM COMMUNITY HOSPITALS, INC., DIRECTOR VARIOUS
1.0
.......................
0
X
0
0
0
(71)
LYNNE FARRELL
DIRECTOR UNTIL FY2020, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.
1.0
.......................
0
X
0
0
0
(72)
MARK JOHNSON MD
DIRECTOR, UMM MEDICAL CENTER, INC.
28.0
.......................
5.0
X
739,969
0
46,356
(73)
MARY E MALONEY MD
DIRECTOR, UMM MEDICAL GROUP, INC.
30.0
.......................
0
X
564,531
0
42,477
(74)
MATTHEW J TRAINOR MD
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
38.0
.......................
0
X
333,302
0
42,048
(75)
MICHAEL COLLINS MD
DIRECTOR, UMM MEDICAL CENTER, INC.
1.0
.......................
1.0
X
0
0
0
(76)
MICHAEL MAHAN
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC., Director various
1.0
.......................
1.0
X
0
0
0
(77)
MICHAEL RIVARD
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
1.0
.......................
1.0
X
0
0
0
(78)
MICHAEL W AMES
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
1.0
.......................
0
X
0
0
0
(79)
NANCY DUPHILY
DIRECTOR UNTIL FY2020, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.
1.0
.......................
0
X
0
0
0
(80)
NANCY KANE
DIRECTOR, UMM MEDICAL CENTER, INC.
1.0
.......................
1.0
X
0
0
0
(81)
NICHOLAS MERCADANTE MD
DIRECTOR UNTIL FY2020, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
1.0
.......................
0
X
0
0
0
(82)
PAULETTE SEYMOUR-ROUTE PHD
DIRECTOR, UMM MEDICAL CENTER, INC.
40.0
.......................
5.0
X
156,704
0
3,277
(83)
PETER KNOX
DIRECTOR, UMM MEDICAL CENTER, INC.
1.0
.......................
1.0
X
0
0
0
(84)
PHILIP E PURCELL
DIRECTOR, MARLBOROUGH HOSPITAL
1.0
.......................
0
X
0
0
0
(85)
RICARDO BELLO MD
DIRECTOR, UMM MEDICAL GROUP, INC.
30.0
.......................
0
X
568,911
0
46,542
(86)
RICHARD K BENNETT
DIRECTOR, UMM MEDICAL CENTER, INC.
1.0
.......................
1.0
X
0
0
0
(87)
ROBERT BABINEAU JR MD
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC., Director various
40.0
.......................
0
X
403,229
0
42,295
(88)
ROBERT FISHMAN DO FACP
DIRECTOR, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
1.0
.......................
0
X
0
0
0
(89)
ROBERT KEVIN FERGUSON MD
DIRECTOR UNTIL FY2020, UMM MEDICAL GROUP, INC.
40.0
.......................
0
X
108,791
0
18,683
(90)
ROBERT LESLIE SHELTON MD
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
1.0
.......................
0
X
0
0
0
(91)
ROBERT W FINBERG MD
DIRECTOR, UMM MEDICAL CENTER, INC.
20.0
.......................
5.0
X
439,902
0
80,930
(92)
ROSEMARY THOMSEN
DIRECTOR, UMM MEDICAL CENTER, INC.
1.0
.......................
1.0
X
0
0
0
(93)
SHELDON BENJAMIN MD
DIRECTOR, COMMUNITY HEALTHLINK, INC. & UMBHS, INC.
1.0
.......................
0
X
0
0
0
(94)
SHLOMIT SCHAAL MD
DIRECTOR, UMM MEDICAL GROUP, INC.
32.0
.......................
0
X
517,105
0
45,466
(95)
SUSAN MAILMAN
DIRECTOR, UMM MEDICAL CENTER, INC.
1.0
.......................
1.0
X
0
0
0
(96)
TAMMY GRAVEL
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
1.0
.......................
0
X
0
0
0
(97)
TERENCE FLOTTE MD
DIRECTOR, UMM MEDICAL CENTER, INC. & MEDICAL GROUP, INC.
1.0
.......................
1.0
X
0
0
0
(98)
THERESE DAY
DIRECTOR, UMM HEALTH VENTURES, INC.
40.0
.......................
5.0
X
467,894
0
119,261
(99)
VIBHA SHARMA MD
DIRECTOR, MARLBOROUGH HOSPITAL
1.0
.......................
0
X
0
0
0
(100)
WILLIAM CORBETT MD
Director, UMM HealthAlliance-Clinton Hosp. , Inc., Director various
40.0
.......................
5.0
X
570,386
0
138,020
(101)
WILLIAM FISHER
DIRECTOR, MARLBOROUGH HOSPITAL
1.0
.......................
0
X
0
0
0
(102)
WILLIAM MCGRAIL ESQ
DIRECTOR, UMM COMMUNITY HOSPITALS, INC.
1.0
.......................
0
X
0
0
0
(103)
XIMENA M CASTRO MD
DIRECTOR, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC. & CNEHA, INC.
40.0
.......................
0
X
291,084
0
28,346
(104)
ANN-MARIA D'AMBRA
ASSISTANT SECRETARY, MARLBOROUGH HOSPITAL
40.0
.......................
0
X
52,491
0
27,194
(105)
FRANCIS W SMITH
Secretary, UMM Medical Group, Inc., Officer various
5.0
.......................
41.0
X
0
278,047
53,315
(106)
JEANNE SHIRSHAC
TREASURER, UMM ACCOUNTABLE CARE ORGANIZATION, INC.
5.0
.......................
40.0
X
0
320,805
84,333
(107)
JOHN GLASSBURN
Secretary, UMM Community Hospitals, Inc., Officer Various
5.0
.......................
40.0
X
0
198,641
49,520
(108)
KATHARINE BOLLAND ESHGHI
ASSISTANT SECRETARY, UMM MEDICAL CENTER, INC.
5.0
.......................
40.0
X
0
529,702
121,693
(109)
MAUREEN CROTEAU
ASSISTANT CLERK, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC., OFFICER VARIOUS
40.0
.......................
1.0
X
74,098
0
29,954
(110)
MICHELE STREETER
TREASURER, UMM MEDICAL GROUP, INC.
40.0
.......................
5.0
X
667,713
0
145,781
(111)
NICOLE GAGNE
PRESIDENT UNTIL FY2020, COMMUNITY HEALTHLINK, INC.
40.0
.......................
5.0
X
298,198
0
73,871
(112)
STEVEN MCCUE
ASSISTANT TREASURER, HEALTHALLIANCE HOME HEALTH AND HOSPICE, INC.
40.0
.......................
0
X
362,056
0
54,968
(113)
TAMARA LUNDI
PRESIDENT, COMMUNITY HEALTHLINK, INC
40.0
.......................
0
X
97,110
0
19,075
(114)
WILLIAM H O'BRIEN
SECRETARY, UMM BEHAVIORAL HEALTH SYSTEM, INC.
40.0
.......................
0
X
83,894
0
36,781
(115)
ALICE A SHAKMAN
SVP, CLINICAL SVCS
40.0
.......................
5.0
X
465,533
0
93,573
(116)
ANDREW KARSON MD
SVP, CMO-UMMMC
40.0
.......................
5.0
X
581,566
0
87,935
(117)
BART METZGER
SVP, CHIEF HR OFFICER
5.0
.......................
40.0
X
0
687,396
109,031
(118)
JACK W BAILEY
SVP, CLINICAL SVCS
40.0
.......................
5.0
X
197,225
0
37,822
(119)
JAMES P CYR
SVP, SURGICAL & PROCEDURAL SVCS
40.0
.......................
5.0
X
369,164
0
106,644
(120)
JOHN R SALZBERG
SVP, SYSTEM REV CYCLE OPS & CRO
5.0
.......................
40.0
X
0
390,614
101,984
(121)
JOHN T RANDOLPH
VP, CHIEF CORPORATE COMPLIANCE
5.0
.......................
40.0
X
0
556,377
97,034
(122)
JUSTIN PRECOURT
SVP, PATIENT CARE SVCS & CNO
40.0
.......................
5.0
X
309,724
0
51,462
(123)
ROBERT FELDMANN
SVP, FINANCE/CORPORATE CONTROLLER
5.0
.......................
40.0
X
0
531,538
115,044
(124)
TIMOTHY A TARNOWSKI
SVP, CHIEF INFO OFFICER & CTO UNTIL FY2020
5.0
.......................
40.0
X
0
724,705
149,262
(125)
ADEL BOZORGZADEH MD
PHYSICIAN, DIVISION CHIEF OF TRANSPLANT SURGERY - MED GROUP
32.0
.......................
0
X
788,680
0
46,726
(126)
ARNO S SUNGARIAN MD
PHYSICIAN, NEUROLOGICAL SURGEON FOR CMG - MED GROUP
40.0
.......................
0
X
1,078,471
0
50,490
(127)
DEMETRIUS LITWIN MD
PHYSICIAN, CHAIR OF SURGERY DEPT - MED GROUP
28.0
.......................
0
X
846,000
0
49,376
(128)
GERALD T MCGILLICUDDY MD
PHYSICIAN, NEUROLOGICAL SURGEON FOR CMG - MED GROUP
40.0
.......................
0
X
979,286
0
49,373
(129)
JENNIFER D WALKER MD
PHYSICIAN, DIVISION CHIEF OF CARDIAC SURGERY - MED GROUP
33.0
.......................
0
X
778,464
0
46,726
(130)
BARBARA FISHER
FORMER KEY EE, SVP UNTIL 9/25/19, OPERATIONS (UMMMC)
0.0
.......................
0.0
X
589,283
0
94,933
(131)
DEBORAH WEYMOUTH
FORMER PRESIDENT UNTIL 9/27/19, HEALTHALLIANCE-CLINTON HOSPITAL
0.0
.......................
0.0
X
971,730
0
126,314
(132)
JOHN BRONHARD
FORMER TREASURER UNTIL 10/1/18, UMM HEALTHALLIANCE-CLINTON HOSPITAL, INC.
0.0
.......................
0.0
X
415,937
0
37,658
1b
Sub-Total
................
c
Total from continuation sheets to
Part VII
, Section A
....
d
Total (add lines 1b and 1c)
...........
21,761,820
10,090,112
4,996,141
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
3,015
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
Vizient Inc
290 E John Carpenter Freeway
Irving
,
TX
75062
Supply Chain Services
8,868,929
Crothall Healthcare
13028 Collection Center Drive
Chicago
,
IL
60693
Clinical Engineering Services
5,154,016
Sodexo Inc Affiliates
PO Box 360170
Pittsburgh
,
PA
152516170
Food Management Services
4,101,532
Valet Park Am
185 Spring Street
Springfield
,
MA
011051131
Parking & Transportation Services
3,831,957
Angelica Corporation
PO Box 532268
Atlanta
,
GA
303532268
Linen Services
3,562,704
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization
187
Form
990
(2019)
Page 9
Form 990 (2019)
Page
9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this
Part VIII
.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
1a
Federated campaigns
..
1a
135,720
b
Membership dues
..
1b
c
Fundraising events
..
1c
2,730
d
Related organizations
1d
12,000
e
Government grants (contributions)
1e
32,630,308
f
All other contributions, gifts, grants, and similar amounts not included above
1f
8,905,027
g
Noncash contributions included in lines 1a - 1f:$
1g
39,915
h Total.
Add lines 1a-1f
.......
41,685,785
Business Code
2a
Net Patient Service Revenue
622110
2,214,554,792
2,213,259,659
1,295,133
b
Medicaid Supplemental Funds
622110
255,329,103
255,329,103
c
Contract Revenue
622110
117,084,380
117,084,380
d
All other program service revenue
622110
193,429,511
192,295,278
1,134,233
e
Joint Venture Income
622110
11,116,906
9,120,651
1,996,255
f
All other program service revenue.
640,565
640,565
0
0
g
Total.
Add lines 2a–2f
.....
2,792,155,257
3
Investment income (including dividends, interest, and other
similar amounts)
......
11,434,558
7,620
11,426,938
4
Income from investment of tax-exempt bond proceeds
5
Royalties
...........
(ii) Personal
(i) Real
6a
Gross rents
4,417,511
6a
b
Less: rental expenses
4,054,817
6b
c
Rental income or (loss)
0
362,694
6c
d
Net rental income or (loss)
.......
362,694
362,694
(ii) Other
(i) Securities
7a
Gross amount from sales of assets other than inventory
2,483,642
7a
b
Less: cost or other basis and sales expenses
354,922
7b
c
Gain or (loss)
2,128,720
0
7c
d
Net gain or (loss)
.........
2,128,720
2,128,720
8a
Gross income from fundraising events (not including $
2,730
of contributions reported on line 1c).
See
Part IV
, line 18
....
8a
0
b
Less: direct expenses
...
8b
2,544
c
Net income or (loss) from fundraising events
..
-2,544
-2,544
9a
Gross income from gaming activities.
See
Part IV
, line 19
...
9a
b
Less: direct expenses
...
9b
c
Net income or (loss) from gaming activities
..
10a
Gross sales of inventory, less
returns and allowances
..
10a
b
Less: cost of goods sold
..
10b
c
Net income or (loss) from sales of inventory
..
Business Code
Miscellaneous Revenue
11a
Cafeteria Income
722514
5,267,809
5,267,809
b
Parking revenue
812930
2,717,139
2,717,139
c
All other revenue
622110
397,950
397,950
d
All other revenue
....
0
0
0
0
e
Total.
Add lines 11a–11d
......
8,382,898
12
Total revenue.
See instructions
.....
2,856,147,368
2,787,729,636
4,433,241
22,298,706
Form
990
(2019)
Page 10
Form 990 (2019)
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
....
8,880,620
8,880,620
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
, lines 15 and 16.
.............
4
Benefits paid to or for members
.......
5
Compensation of current officers, directors, trustees, and key employees
...........
18,303,635
13,354,053
4,949,582
6
Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
.........
2,574,986
1,376,115
1,029,733
169,138
7
Other salaries and wages
........
996,163,858
965,212,432
30,810,071
141,355
8
Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
....
84,892,767
81,794,181
3,073,118
25,468
9
Other employee benefits
.......
169,662,586
163,469,901
6,141,786
50,899
10
Payroll taxes
...........
75,137,422
72,394,906
2,719,975
22,541
11
Fees for services (non-employees):
a
Management
......
46,986,718
46,986,718
b
Legal
.........
50,669
50,669
c
Accounting
...........
152,953
152,953
d
Lobbying
...........
e
Professional fundraising services.
See
Part IV
, line 17
f
Investment management fees
......
586,775
586,775
g
Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
250,036,667
241,400,442
8,613,384
22,841
12
Advertising and promotion
....
359,705
339,853
465
19,387
13
Office expenses
.......
31,124,742
27,604,205
3,519,629
908
14
Information technology
......
2,334,330
2,250,006
84,324
15
Royalties
..
16
Occupancy
...........
41,124,148
41,072,402
51,746
17
Travel
............
1,315,456
230,732
1,084,386
338
18
Payments of travel or entertainment expenses for any federal, state, or local public officials
.
19
Conferences, conventions, and meetings
....
812,149
812,149
20
Interest
...........
16,811,903
16,811,903
21
Payments to affiliates
.......
22
Depreciation, depletion, and amortization
..
92,758,368
92,746,349
12,019
23
Insurance
...
31,392,075
31,236,319
155,756
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
413,510,134
411,832,134
1,678,000
b
System allocation expense
342,699,064
160,145,832
181,503,485
1,049,747
c
Medical education services
171,414,550
171,414,550
d
Federal & state income taxes
1,508,516
1,508,516
e
All other expenses
34,551,127
34,204,321
331,129
15,677
25
Total functional expenses.
Add lines 1 through 24e
2,835,145,923
2,586,266,490
247,361,134
1,518,299
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
if following SOP 98-2 (ASC 958-720).
Form
990
(2019)
Page 11
Form 990 (2019)
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
1
Cash–non-interest-bearing
........
8,254,465
1
140,076,163
2
Savings and temporary cash investments
.........
290,583,350
2
316,263,361
3
Pledges and grants receivable, net
......
58,905
3
4,716,897
4
Accounts receivable, net
.............
237,808,473
4
222,772,070
5
Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons
.......
0
5
0
6
Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B)
...
0
6
0
7
Notes and loans receivable, net
...........
215,292
7
157,708
8
Inventories for sale or use
............
44,649,282
8
58,488,258
9
Prepaid expenses and deferred charges
......
12,319,159
9
10,229,655
10a
Land, buildings, and equipment: cost or other basis. Complete
Part VI
of Schedule D
10a
1,938,955,586
b
Less: accumulated depreciation
10b
1,191,440,670
702,720,760
10c
747,514,916
11
Investments—publicly traded securities
.
23,488,614
11
92,342,859
12
Investments—other securities. See
Part IV
, line 11
.....
217,583,471
12
243,879,038
13
Investments—program-related. See
Part IV
, line 11
..
75,760,975
13
82,227,745
14
Intangible assets
...............
14
15
Other assets. See
Part IV
, line 11
...........
274,555,190
15
520,691,015
16
Total assets.
Add lines 1 through 15 (must equal line 33)
...
1,887,997,936
16
2,439,359,685
17
Accounts payable and accrued expenses
.....
261,629,173
17
278,012,682
18
Grants payable
...
340,269
18
263,576
19
Deferred revenue
.........
13,836,187
19
49,026,781
20
Tax-exempt bond liabilities
.........
436,821,620
20
419,485,911
21
Escrow or custodial account liability.
Complete
Part IV
of Schedule D
12,819
21
4,537,585
22
Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons
.........
0
22
0
23
Secured mortgages and notes payable to unrelated third parties
..
5,641,188
23
48,097,132
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
592,694,669
25
814,634,987
26
Total liabilities.
Add lines 17 through 25
..
1,310,975,925
26
1,614,058,654
Organizations that follow FASB ASC 958,
check here
and complete lines 27, 28, 32, and 33.
27
Net assets without donor restrictions
..........
481,011,160
27
724,278,713
28
Net assets with donor restrictions
...........
96,010,851
28
101,022,318
Organizations that do not follow FASB ASC 958,
check here
and complete lines 29 through 33.
29
Capital stock or trust principal, or current funds
.....
29
30
Paid-in or capital surplus, or land, building or equipment fund
...
30
31
Retained earnings, endowment, accumulated income, or other funds
31
32
Total net assets or fund balances
...........
577,022,011
32
825,301,031
33
Total liabilities and net assets/fund balances
........
1,887,997,936
33
2,439,359,685
Form
990
(2019)
Page 12
Form 990 (2019)
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
2,856,147,368
2
Total expenses (must equal
Part IX
, column (A), line 25)
............
2
2,835,145,923
3
Revenue less expenses. Subtract line 2 from line 1
..............
3
21,001,445
4
Net assets or fund balances at beginning of year (must equal
Part X
, line 32, column (A))
..
4
577,022,011
5
Net unrealized gains (losses) on investments
...............
5
9,670,152
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
217,607,423
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal
Part X
, line 32, column (B))
10
825,301,031
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:
Cash
Accrual
Other
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:
Separate basis
Consolidated basis
Both consolidated and separate basis
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:
Separate basis
Consolidated basis
Both consolidated and separate basis
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
(2019)
Form 990 (2019)
Additional Data
Software ID:
19010655
Software Version:
2019v5.0
Form 990, Special Condition Description:
Special Condition Description