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      <Form990PartVIISectionAGrp>
        <BusinessName>
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        <TitleTxt>VP INTERIM CHIEF MKTG OFC</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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        <TitleTxt>AVP MED DIR, EHS &amp; OCC HLTH</TitleTxt>
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        <BusinessName>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Schedule D, Part IV, Line 2b Explanation of escrow agreement</FormAndLineReferenceDesc>
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        <OtherCompensationFilingOrgAmt>66728</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>32741</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>787438</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>44305</CompReportPrior990FilingOrgAmt>
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        <TitleTxt>EVP/CFO/Treasurer, UMM Health Care, Inc. Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>186276</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>70792</BonusRelatedOrganizationsAmt>
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        <TitleTxt>FORMER SVP, CHIEF HR OFFICER UNTIL 9/30/2022</TitleTxt>
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        <TotalCompensationFilingOrgAmt>653934</TotalCompensationFilingOrgAmt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>68775</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>185065</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>36009</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24115</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>502734</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>88867</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ROBERT A KLUGMAN MD</BusinessNameLine1Txt>
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        <TitleTxt>AVP MED DIR, EHS &amp; OCC HLTH</TitleTxt>
        <BaseCompensationFilingOrgAmt>337654</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>49804</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>50</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12683</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>400191</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JUDITH TAYLOR PATEL</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>VP INTERIM CHIEF MKTG OFC</TitleTxt>
        <BaseCompensationFilingOrgAmt>284451</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>63590</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>30399</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>53033</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33090</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>464563</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>16338</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>39 Executives listed in Part VII, Section A, Line 1a received tax gross-up payments for Executive Life Insurance and Executive Disability. These benefits are treated as taxable compensation to the individual.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Personal services</FormAndLineReferenceDesc>
        <ExplanationTxt>Sixteen executives listed in Part VII, Section A, Line 1a received financial planning benefit costs that were reported as taxable compensation to the individual.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED PAYMENT FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD: OFFICERS, DIRECTORS, TRUSTEES: BOLLAND ESHGHI, KATHARINE $44,305 BROWN, DOUGLAS S. $104,407 DICKSON, ERIC W., MD $204,894 MELGAR, SERGIO $113,870 SUBTOTAL OFFICER, DIRECTOR, TRUSTEES $467,475 KEY EMPLOYEES: ALPER, MD, ERIC J $48,321 CORBETT, WILLIAM $174,100 DRISCOLL, KATHLEEN $43,599 GUSTAFSON, MICHAEL $111,533 RANDOLPH, JOHN T. $532,682 SODANO, ROBIN L. $37,836 SALZBERG, JOHN R. $23,814 ROSSI, CATHERINE M. $21,209 WIESMAN, TOD G. $14,457 BAILEY,JACK W $27,713 DAY, THERESE $48,619 GREENWOOD, JOHN $35,281 KARSON, ANDREW $42,339 PRECOURT, JUSTIN $36,487 ROACH, STEVEN $70,170 CAFFARENA, DIANNA J. $24,689 CYR, JAMES P. $71,563 SHAKMAN, ALICE $40,844 SUBTOTAL KEY EMPLOYEES $1,119,623 FORMER: SWENSON, DANA E. $798,300 TARNOWSKI, TIMOTHY A. $306,063 LAPRIORE, CHERYL $56,072 SUBTOTAL FORMER $1,160,435 PARENT TOP 5 HIGHEST PAID: JUDD, PAUL D. $88,867 GIBBS, BRIAN K. $30,517 TAYLOR PATEL, JUDITH $16,338 SUBTOTAL TOP 5 HIGHEST PAID $135,722 TOTAL $2,883,255 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE REPORTING PERIOD (no distribution received): KEY EMPLOYEES: HUGGINS, BRIAN, MCCANDLESS, VICTORIA, MOORE, EDWARD, VAUGHAN, GERALDINE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II COMPENSATION TO DIRECTORS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS RECEIVE NO COMPENSATION FOR THEIR ROLE AS DIRECTORS. ALL COMPENSATION RECEIVED RELATES TO THEIR POSITION AS A PHYSICIAN/ADMINISTRATOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II Compensation to employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation to employees reported in Part VII and Schedule J is paid by UMass Memorial Health Care, Inc. and Affiliates only. Some of our physicians are also employed by the UMass Chan Medical School - University of Massachusetts, an unrelated entity for tax purposes.</ExplanationTxt>
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        <BondIssuedDt>2016-12-07</BondIssuedDt>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3 ALL</FormAndLineReferenceDesc>
        <ExplanationTxt>DIFFERENCES BETWEEN THE ISSUE PRICE (PART I COLUMN (E)) AND TOTAL PROCEEDS (PART II LINE 3) ARE DUE TO INVESTMENT EARNINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: Massachusetts Development Finance Agency The calculation for computing no rebate due was performed on 10/18/2022</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN C</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: Massachusetts Development Finance Agency The calculation for computing no rebate due was performed on 10/18/2022</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN D</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: Massachusetts Development Finance Agency The calculation for computing no rebate due was performed on 10/18/2022</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>Issuer name: Massachusetts Development Finance Agency The calculation for computing no rebate due was performed on 10/18/2022</ExplanationTxt>
      </SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHANCELLOR OF THE UMASS CHAN MEDICAL SCHOOL HAS CONTROL OVER 4 TRUSTEE SEATS OF THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>There are no committees with authority to act on behalf of the governing body, thus the "no" response for Part VI, Line 8b. THE ORGANIZATION DOCUMENTS THE BOARD AND COMMITTEE MEETINGS BY TAKING MINUTES, WHICH INCLUDE ALL MEETING DISCUSSIONS AND ACTIONS. THESE WRITTEN MINUTES ARE THEN APPROVED AT THE FOLLOWING BOARD AND COMMITTEE MEETINGS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>SECTIONS OF THE CORE FORM 990 RELATED TO EXECUTIVE COMPENSATION AND SCHEDULE J RELATED TO EXECUTIVE COMPENSATION ARE REVIEWED IN DETAIL WITH THE ORGANIZATION'S BOARD COMPENSATION COMMITTEE WHICH OVERSEES ALL UMASS MEMORIAL HEALTH CARE EXECUTIVE COMPENSATION. THE ORGANIZATION'S AUDIT &amp; COMPLIANCE COMMITTEE REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE L. THE ORGANIZATION'S COMMUNITY BENEFITS COMMITTEE (THAT OVERSEES ALL BOARDS) REVIEWS ALL CONTENT ASSOCIATED WITH SCHEDULE H. THE AUDIT &amp; COMPLIANCE COMMITTEE OF THE BOARD REVIEWS THE FORM 990 AND RECOMMENDS THE FORM 990 TO THE FULL BOARD FOR APPROVAL. THE FULL BOARD IS GIVEN ACCESS TO THE FORM 990. CROWE (TAX PREPARERS) PRESENTS THE FORM 990 TO THE AUDIT &amp; COMPLIANCE COMMITTEE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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 Compliance office AND COMMUNICATION TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION, PURCHASING OR RESEARCH ACTIVITIES/DECISIONS. Any conflicts identified are MANAGED AND 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>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 consultants are hired by and report to the Compensation Committee of the Board and provide 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 met to review and vote on the compensation for the CEO and key personnel. The Compensation Committee voted and approved the CEO's compensation at their annual meeting in March 2023. All other key personnel were voted on and approved at the annual meeting in December 2022.</ExplanationTxt>
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        <ExplanationTxt>Please refer to the above narrative for Part VI, Line 15a for a description of the compensation review process. Dates of the reviews for other officers and key employees are noted below, along with the title for reference and tier (internal management hierarchy). Tier - Title - Review date - Tier B - PRESIDENT,UMMH &amp; CAO/CLO,UMMHC - March 2023 Tier B - EXEC VP, CFO - December 2022 Tier C - PRESIDENT UMMMC - December 2022 Tier C - SVP CQO &amp; CHF INFORMATICS OFF - December 2022 Tier C - SVP AMBULATORY SVCS - December 2022 Tier C - SVP SURGICAL&amp;PROCEDURAL SVCS - December 2022 Tier C - VP/CHIEF FINANCIAL OFFICER - December 2022 Tier C - SVP &amp; CHIEF PHILANTHROPY OFC - December 2022 Tier C - SVP GENERAL COUNSEL-PGL - December 2022 Tier C - SVP POP HLTH &amp; PRESIDENT, ACO - December 2022 Tier C - SVP FINANCE/CORP CONTROLLER - December 2022 Tier C - PRESIDENT UMMMG - December 2022 Tier C - SVP COS &amp; SYS CEO COMMS OFC - December 2022 Tier C - PRESIDENT HARRINGTON HOSPITAL - December 2022 Tier C - VP CHIEF CORPORATE COMPLIANCE - December 2022 Tier C - PRESIDENT MARLBOROUGH &amp; HAC - December 2022 Tier C - SVP SYSTEM REV CYCLE OPS &amp; CRO - December 2022 Tier C - SVP CLINICAL SVCS - December 2022 Tier C - SVP INFORMATION SVCS - December 2022 Tier C - SVP/COO UMMMG - December 2022 Tier C - SVP HEALTH SYSTEM CONTRACTING - December 2022 Tier C - SVP CHIEF HR OFFICER - December 2022</ExplanationTxt>
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        <ExplanationTxt>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.</ExplanationTxt>
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        <ExplanationTxt>Clinical Engineering Services - Total Expense: 20406006, Program Service Expense: 20406006, Management and General Expenses: 0, Fundraising Expenses: 0; Billing, collection and transcription services - Total Expense: 19246612, Program Service Expense: 18841062, Management and General Expenses: 405550, Fundraising Expenses: 0; Purchasing management services - Total Expense: 5152542, Program Service Expense: 5152542, Management and General Expenses: 0, Fundraising Expenses: 0; Other fees for services - Total Expense: 62238682, Program Service Expense: 51327951, Management and General Expenses: 10424414, Fundraising Expenses: 486317;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfers (to) from related parties - 7334014; Transfers to unrestricted - revenue - 118170; Transfers to unrestricted - expenditures - -4426745; Nonoperating net pension periodic cost and other pension-related changes - 85880995; Other changes in net assets related to joint venture and SWAP agreement / Change in Wachusett liability - -199086; Transfers to unrestricted - PPE - -16089000;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VII, Section A ex officio members without vote</FormAndLineReferenceDesc>
        <ExplanationTxt>MICHAEL D. MURPHY ROBERT J. PAULHUS, JR. JOHN SHEA, ESQ. STEVEN ROACH</ExplanationTxt>
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      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>