2024-08-13T06:46:46-05:00 2023-09-30 861065772 DELOITTE TAX LLP 30 ROCKEFELLER PLAZA NEW YORK NY 101120015 990 2022-10-01 222747685 BAYSTATE ADMINISTRATIVE SERVICES INC BAYS 4137947872 759 CHESTNUT STREET SPRINGFIELD MA 011990001 RAYMOND MCCARTHY SVP FINANCE, CFO & TREASURER 4137947872 2024-08-09 1 0 TODD P TERESCO P00247720 2124367613 2022 2024-08-08 14:25:15Z RAYMOND MCCARTHY 759 CHESTNUT STREET SPRINGFIELD MA 011990001 176922345 0 5611 X WWW.BAYSTATEHEALTH.ORG X 1986 MA THE MISSION OF THE ORGANIZATION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES EVERY DAY, WITH QUALITY AND COMPASSION. 5 0 655 0 426450 0 91741 58337 163593315 173393977 -19951 544497 2196480 2816322 165861585 176813133 0 0 0 0 80919746 89171686 0 0 0 85124453 90572293 166044199 179743979 -182614 -2930846 43589563 44620760 73612570 76749546 -30023007 -32128786 THE MISSION OF THE ORGANIZATION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES EVERY DAY, WITH QUALITY AND COMPASSION. 0 0 43466807 63052892 BAYSTATE ADMINISTRATIVE SERVICES PROVIDES MANAGEMENT AND ADMINISTRATIVE SUPPORT TO BAYSTATE HEALTH AND ITS AFFILIATES. THESE SERVICES ARE AN INTEGRAL PART OF THE HEALTHCARE DELIVERY SYSTEM AND INCLUDE STRATEGIC PLANNING, HUMAN RESOURCES, RISK MANAGEMENT (INSURANCE) PROGRAMS, MARKETING, FINANCIAL SERVICES AND BENEFIT PLANS ADMINISTRATION FOR ALL HEALTH SYSTEM EMPLOYEES. 108840374 112976076 BAYSTATE ADMINISTRATIVE SERVICES PROVIDES INFORMATION TECHNOLOGY SUPPORT TO BAYSTATE HEALTH AND ITS AFFILIATES. THESE SERVICES ARE AN INTEGRAL PART OF THE HEALTHCARE DELIVERY SYSTEM AND INCLUDE ALL SOFTWARE APPLICATIONS, TELECOMMUNICATIONS, CLINICAL ENGINEERING, AND COMPUTERIZED EQUIPMENT AT THE HOSPITALS. 152307181 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 187 0 1 655 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 5 0 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 MA X LAURIE MARTIN BAYSTATE HEALTH INC 4137940000 759 CHESTNUT STREET SPRINGFIELD MA 01199 MARION MCGOWAN DIRECTOR (THRU 12/31/22)/EVP, COO-BH 5.00 45.00 X 3024136 0 61001 MARK A KEROACK MD DIRECTOR/PRESIDENT & CEO - BH 8.00 42.00 X X 2590235 0 42643 ANDREW ARTENSTEIN MD DIRECTOR/PRES-BMP/CPE, CAO 5.00 45.00 X 1243342 0 38549 RAYMOND MCCARTHY DIRECTOR/SVP, CFO & TREASURER-BH 5.00 45.00 X X 1132360 0 27717 KRISTIN MORALES-LEMIEUX DIRECTOR/SVP/CHRO 49.00 1.00 X 807143 0 35806 VANESSA L SMITH DIRECTOR/SVP/CLO 50.00 0.00 X 791800 0 43492 KRISTIN R DELANEY CLERK/DIR CORP GOVERNANCE 8.00 42.00 X 171356 0 48217 NANCY REMILLARD ASST. CLERK OF THE CORP 43.00 7.00 X 60294 0 12442 KEVIN CONWAY SVP & CHIEF INFO DIGITAL OFFICER 50.00 0.00 X 365492 0 55402 DOUGLAS SALVADOR MD SVP/CQO BH, CMO BMC 10.00 40.00 X 809522 0 50714 RONALD P BRYANT PRESIDENT, BH COMM HOSPITALS 2.00 48.00 X 617217 0 46111 BETTY K LARUE COO-BMP/VP-BH, AMBULATORY OPS 10.00 40.00 X 539761 0 64834 HOWARD S GOLDBERG MD VP/CHIEF MED INFO OFFICER 50.00 0.00 X 438331 0 43885 TINA BASCH VP, CHIEF INFO SECURITY OFFICER 50.00 0.00 X 419930 0 49052 JANE E ALBERT FRMR DIR/SVP COMM & EXT RLTNS 0.00 0.00 X 418391 0 38346 JOEL L VENGCO FRMR SVP/CHIEF INFORMATION OFFICER 0.00 0.00 X 103097 0 7402 TEJAS GANDHI FORMER VP/COO-BMC 0.00 0.00 X 445058 0 5800 13977465 0 671413 249 1 1 0 BAYTECHIT LLC 4 OPEN SQUARE WAY STE 310 HOLYOKE MA 01040 IT SERVICES 4365258 CERNER CORP PO BOX 959156 ST LOUIS MO 63195 IT SERVICES 1766735 PARTS SOURCE PO BOX 645186 CINCINNATI OH 45264 IT SERVICES 1556922 POINT B LLC PO BOX 102956 PASADENA CA 911892956 CONSULTING 1383960 SLALOM LLC PO BIX 101416 PASADENA CA 911891416 CONSULTING 1256521 68 58337 58337 AFFILIATE SUPPORT 561000 173393977 173148858 245119 173393977 553709 553709 100000 109212 -9212 -9212 -9212 WORKERS FOR REHAB 621990 1330468 1330468 PARTNERS FOR A HEALTH 624200 1282790 1282790 BAYCARE HEALTH PARTNER 623000 181331 181331 21733 21733 2816322 176813133 175783849 426450 544497 10551430 9049362 1502068 1018095 873162 144933 60672767 52035588 8637179 7142579 6125784 1016795 5123546 4394174 729372 4663269 3999421 663848 2121431 2121431 34500 34500 8246270 7072358 1173912 1644249 1410179 234070 343217 294358 48859 64634462 55433308 9201154 2920362 2504629 415733 190486 163369 27117 721894 619127 102767 42458 36414 6044 137358 117804 19554 EQUIP. REPAIRS/SUPPLIES 5713125 4899823 813302 WORKERS COMP SERVICES 1032205 885264 146941 DUES & MEMBERSHIP 775289 664921 110368 FEES, ACCRED, LICENSING 486338 417104 69234 1528649 1311032 217617 179743979 152307181 27436798 0 10364406 10355959 0 0 1900408 2075530 848663 854081 10903316 11991833 5680354 5613930 109007 66424 19463763 19276933 43589563 44620760 41924624 48665876 31687946 28083670 73612570 76749546 X -30023007 -32128786 -30023007 -32128786 43589563 44620760 X -2930846 38756 786311 X 0 1 X 1 0 X X X 9 BAYSTATE HEALTH INC 042105941 7 1 2175086 0 BAYSTATE MEDICAL CENTER INC 042790311 3 1 139464560 0 BAYSTATE FRANKLIN MEDICAL CENTER 042103575 3 1 9442539 0 BAYSTATE WING HOSPITAL CORPORATION 222519813 3 1 6399453 0 VISITING NURSE ASSOCIATION & HOSPICE OF WNE INC 042105803 10 1 1645637 0 BAYSTATE MEDICAL PRACTICES INC 042888373 10 1 7139707 0 BAYSTATE HEALTH FOUNDATION INC 043549011 1 1 207237 0 BAYSTATE NOBLE HOSPITAL 222537423 3 1 3339048 0 HEALTH NEW ENGLAND INC 042864973 10 1 574939 0 9 170388206 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 SCHEDULE A, PART IV, SECTION A, LINE 3B: A PRO FORMA FORM 990 SCHEDULE A PART III SUPPORTING ORGANIZATION SCHEDULE WAS PREPARED USING THE 4 YEARS THAT HEALTH NEW ENGLAND, INC., A 501(C)(4) ORGANIZATION HAS BEEN SO DESIGNATED. THE PRO FORMA SCHEDULE A RESULTED IN A 99.37% PUBLIC SUPPORT PERCENTAGE WHICH SUPPORTS THAT IF HEALTH NEW ENGLAND, INC. WAS A 501(C)(3) ORGANIZATION, IT WOULD QUALIFY AS A SUPPORTING ORGANIZATION UNDER 509(A)(2). SCHEDULE A, PART IV, SECTION A, LINE 3C: BAYSTATE HEALTH, INC. IS THE PARENT ORGANIZATION OF HEALTH NEW ENGLAND, INC. AND BAYSTATE ADMINISTRATIVE SERVICES, INC. BAYSTATE HEALTH, INC. HAS OVERLAPPING GOVERNANCE WITH HEALTH NEW ENGLAND, INC., INCLUDING THE TREASURER AND SEVERAL BOARD MEMBERS. THEY ALSO SHARE THE SAME AUDIT AND COMPLIANCE COMMITTEE. IN ADDITION, THE MISSION OF HEALTH NEW ENGLAND, INC., AS PART OF BAYSTATE HEALTH, INC. (AN INTEGRATED HEALTH CARE SYSTEM), IS TO IMPROVE THE OVERALL QUALITY OF LIFE AND HEALTH STATUS OF THE COMMUNITIES WE SERVE AND TO CONTRIBUTE TO THE ECONOMIC SUCCESS OF OUR REGION. HEALTH NEW ENGLAND, INC. IS COMMITTED TO MEETING THE IDENTIFIED HEALTH AND WELLNESS NEEDS OF OUR COMMUNITIES SERVED THROUGH THE COMBINED EFFORTS OF BAYSTATE HEALTH, COMMUNITY ORGANIZATION PARTNERS, AND AFFILIATED PROVIDERS. SCHEDULE A, PART IV, SECTION D, LINE 3: THE BOARD OF DIRECTORS OF BAYSTATE ADMINISTRATIVE SERVICES, INC. IS COMPRISED OF SR. MANAGEMENT OF ITS SUPPORTED ORGANIZATIONS INCLUDING ITS PARENT BAYSTATE HEALTH, INC. AND THUS ALL FINANCIALLY RELATED DECISIONS ARE MADE BY THE SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION E, LINE 2A: ORGANIZATIONS SUPPORTED BY BAYSTATE ADMINISTRATIVE SERVICES, INC. (BAS) ARE LISTED ON SCHEDULE R, PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS AND PART IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORPORATION OR TRUST. ARTICLE II OF THE BAS ARTICLES OF ORGANIZATION STATES THE PURPOSES FOR WHICH THE CORPORATION WAS FORMED: TO PROMOTE THE HEALTH, CHARITABLE AND EDUCATIONAL PURPOSES OF BAYSTATE HEALTH, INC. AND ITS TAX EXEMPT AFFILIATES INCLUDING BAYSTATE MEDICAL CENTER, INC., BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE WING HOSPITAL CORPORATION, BAYSTATE NOBLE HOSPITAL CORPORATION, BAYSTATE HEALTH FOUNDATION, INC., BAYSTATE MEDICAL PRACTICES, INC., VISITING NURSE ASSOCIATION AND HOSPICE OF WESTERN NEW ENGLAND, INC., AND HEALTH NEW ENGLAND, INC., BY MANAGING, OPERATING, AND PROVIDING MANAGEMENT COUNSEL AND ADVICE IN CONNECTION WITH THE PROVISION OF MEDICAL OR HEALTH CARE AND SERVICES ANCILLARY THERETO, AND BY ENGAGING IN SUCH OTHER ACTIVITIES AS MAY BE APPROPRIATE AND AS ARE CONSISTENT WITH CHAPTER 180 OF THE MASSACHUSETTS GENERAL LAWS, AS NOW IN FORCE OR HEREAFTER AMENDED, AND WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (OR THE CORRESPONDING PROVISION OF ANY FUTURE UNITED STATE INTERNAL REVENUE LAW). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 91718 0 0 91718 0 PART II-B, LINE 1: THE AMOUNT RECORDED AS TOTAL LOBBYING EXPENDITURES REPRESENTS BAS SALARIES AND OPERATING EXPENSES AS REPORTED ON MASSACHUSETTS PUBLIC RECORDS DIVISION LOBBYIST DISCLOSURE FOR ACTIVITIES RELATED TO HEALTH CARE POLICY, BILLS, AND APPROPRIATIONS. 531417 517859 13558 5148937 5096071 52866 66424 DUE FROM AFFILIATED COMPANIES 19276933 19276933 DUE TO AFFILIATED COMPANIES 28083670 28083670 X X 1 1 1 1 0 0 0 0 0 0 0 MARION MCGOWAN DIRECTOR (THRU 12/31/22)/EVP, COO-BH 852779 0 337658 0 1833699 0 41609 0 19392 0 3085137 0 0 0 MARK A KEROACK MD DIRECTOR/PRESIDENT & CEO - BH 1542937 0 619496 0 427802 0 22875 0 19768 0 2632878 0 4200 0 ANDREW ARTENSTEIN MD DIRECTOR/PRES-BMP/CPE, CAO 766810 0 231840 0 244692 0 19825 0 18724 0 1281891 0 4200 0 RAYMOND MCCARTHY DIRECTOR/SVP, CFO & TREASURER-BH 700431 0 215579 0 216350 0 25925 0 1792 0 1160077 0 4200 0 DOUGLAS SALVADOR MD SVP/CQO BH, CMO BMC 498481 0 155462 0 155579 0 19825 0 30889 0 860236 0 4200 0 KRISTIN MORALES-LEMIEUX DIRECTOR/SVP/CHRO 444545 0 140520 0 222078 0 19825 0 15981 0 842949 0 84370 0 VANESSA L SMITH DIRECTOR/SVP/CLO 487606 0 155011 0 149183 0 19825 0 23667 0 835292 0 0 0 RONALD P BRYANT PRESIDENT, BH COMM HOSPITALS 457537 0 106088 0 53592 0 22875 0 23236 0 663328 0 4200 0 BETTY K LARUE COO-BMP/VP-BH, AMBULATORY OPS 400304 0 97866 0 41591 0 44617 0 20217 0 604595 0 4200 0 HOWARD S GOLDBERG MD VP/CHIEF MED INFO OFFICER 341772 0 85598 0 10961 0 19825 0 24060 0 482216 0 0 0 TINA BASCH VP, CHIEF INFO SECURITY OFFICER 304852 0 58167 0 56911 0 18486 0 30566 0 468982 0 0 0 JANE E ALBERT FRMR DIR/SVP COMM & EXT RLTNS 220490 0 123970 0 73931 0 27542 0 10804 0 456737 0 4200 0 TEJAS GANDHI FORMER VP/COO-BMC 0 0 0 0 445058 0 5800 0 0 0 450858 0 0 0 KEVIN CONWAY SVP & CHIEF INFO DIGITAL OFFICER 226652 0 65688 0 73152 0 51890 0 3512 0 420894 0 0 0 KRISTIN R DELANEY CLERK/DIR CORP GOVERNANCE 154852 0 15079 0 1425 0 21673 0 26544 0 219573 0 0 0 JOEL L VENGCO FRMR SVP/CHIEF INFORMATION OFFICER 85558 0 0 0 17539 0 1833 0 5569 0 110499 0 0 0 PART I, LINE 1A TAX GROSS UP/ DISCRETIONARY SPENDING ACCOUNT - A FEW KEY EMPLOYEES WERE PROVIDED WITH REIMBURSEMENT FOR FINANCIAL, TAX AND ESTATE PLANNING, AND RELOCATION EXPENSES REQUIRING A TAX GROSS UP. THESE ITEMS WERE TREATED AS TAXABLE COMPENSATION AS APPROPRIATE IN ACCORDANCE WITH BAYSTATE'S WRITTEN POLICIES WHICH REQUIRE COMPLIANCE WITH THE IRS'S ACCOUNTABLE PLAN RULES. PART I, LINE 3 THE COMPENSATION OF THE PRESIDENT IS REVIEWED AND DETERMINED ANNUALLY BY THE HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. (THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS). THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE PRESIDENT WOULD BE THOSE INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AND WOULD BE CONSIDERED INDEPENDENT FOR COMPENSATION DELIBERATION PURPOSES. THE COMPENSATION OF THE PRESIDENT IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE DULY AUTHORIZED HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. AND ALL SUCH DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY. PART I, LINE 4A: A SEVERANCE AGREEMENT WAS IN PLACE BETWEEN BAYSTATE ADMINISTRATIVE SERVICES, INC. (BAS) AND KEY EXECUTIVES STATING THAT UNDER CERTAIN CIRCUMSTANCES THE EXECUTIVE WOULD RECEIVE COMPENSATION. MARION MCGOWAN RECEIVED $1,790,420 FROM BAS IN 2022. TEJAS GANDHI RECEIVED $445,058 FROM BAS IN 2022. PART I, LINE 4B: JANE ALBERT - TOTAL SUPPLEMENTAL RETIREMENT OF $35,235 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $31,035 EARNED AND PAID IN 2022 AND $4,200 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. ANDREW ARTENSTEIN, MD TOTAL SUPPLEMENTAL RETIREMENT OF $181,932 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $177,732 EARNED AND PAID IN 2022 AND $4,200 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. TINA BASCH - SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. RONALD P. BRYANT - SUPPLEMENTAL RETIREMENT OF $14,818 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $10,618 EARNED AND PAID IN 2022 AND $4,200 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. KEVIN CONWAY - SUPPLEMENTAL RETIREMENT OF $47,216 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. HOWARD S. GOLDBERG, MD - SUPPLEMENTAL RETIREMENT OF $7,596 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2022. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. MARK A. KEROACK, MD - SUPPLEMENTAL RETIREMENT OF $382,689 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $378,489 EARNED AND PAID IN 2022 AND $4,200 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. BETTY K. LARUE - SUPPLEMENTAL RETIREMENT OF $14,740 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $10,540 EARNED AND PAID IN 2022 AND $4,200 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. RAYMOND MCCARTHY - SUPPLEMENTAL RETIREMENT OF $175,124 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $170,924 EARNED AND PAID IN 2022 AND $4,200 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. MARION MCGOWAN SUPPLEMENTAL RETIREMENT OF $35,509 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2022. KRISTIN MORALES-LEMIEUX - SUPPLEMENTAL RETIREMENT OF $186,622 IS INCLUDED IN COLUMN B THIS AMOUNT CONSISTS OF $102,252 EARNED AND PAID IN 2022 AND $84,370 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. VANESSA L. SMITH - SUPPLEMENTAL RETIREMENT OF $114,375 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2022. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. DOUGLAS SALVADOR, MD - SUPPLEMENTAL RETIREMENT OF $115,942 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $111,742 EARNED AND PAID IN 2022 AND $4,200 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. JOEL L. VENGCO - SUPPLEMENTAL RETIREMENT OF $3,318 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2022. SUPPLEMENTAL RETIREMENT OF $1,833 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. FORM 990, PART VI, SECTION A, LINE 1A BAYSTATE ADMINISTRATIVE SERVICES (BAS) IS PART OF AN INTEGRATED DELIVERY SYSTEM INCLUDING NOT FOR PROFIT COMMUNITY HOSPITALS, WHICH HAVE COMMUNITY BOARDS. BAS IS A MANAGEMENT SERVICES SUPPORTING ORGANIZATION, WHICH SUPPORTS BAYSTATE HEALTH AND ITS AFFILIATES AND IS COMPRISED PRIMARILY OF BAS EMPLOYEES. THIS BOARD STRUCTURE HAS NOT CHANGED SIGNIFICANTLY SINCE THE ORGANIZATION APPLIED FOR EXEMPT STATUS. FORM 990, PART VI, SECTION A, LINE 2 TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR MORE BOARDS OF DIRECTORS OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP WITH ONE OR MORE ENTITIES IN THE BAYSTATE GROUP OF AFFILIATED ENTITIES AND IN THE COMMUNITY. FORM 990, PART VI, SECTION A, LINE 6 THE FILING ORGANIZATION HAS ONE MEMBER, BAYSTATE HEALTH, INC. (BH). FORM 990, PART VI, SECTION A, LINE 7A ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS OF THE FILING ORGANIZATION ARE INDIVIDUALS SERVING EX OFFICIO BASED ON POSITIONS THEY HOLD WITH BAYSTATE HEALTH, INC. (BH). FORM 990, PART VI, SECTION A, LINE 7B UNDER MASSACHUSETTS LAW, A VOLUNTARY DISSOLUTION OF THE ORGANIZATION IS REQUIRED TO BE APPROVED BY BAYSTATE HEALTH, INC., AS THE SOLE MEMBER OF THE FILING ORGANIZATION. AS THE SOLE MEMBER, BAYSTATE HEALTH ALSO HAS THE AUTHORITY TO AMEND THE BYLAWS OF THE FILING ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING THE FORM 990, APPROPRIATE SECTIONS WERE REVIEWED BY THE TAX, FINANCE, AND HUMAN RESOURCES AREAS OF BAYSTATE HEALTH, INC. (THE SOLE MEMBER OF THE FILING ORGANIZATION AND THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS) AND BY OUTSIDE LEGAL COUNSEL. THE FORM 990 WAS ALSO REVIEWED BY TAX EXPERTS FROM AN INDEPENDENT ACCOUNTING FIRM AND SIGNED-OFF AS A PAID PREPARER. THE PROCESS, KEY AREAS AND ANY NEW CHANGES WERE REVIEWED PRIOR TO FILING WITH THE BAYSTATE HEALTH AUDIT AND COMPLIANCE COMMITTEE (ACC). THE ACC MEMBERS HAD AN OPPORTUNITY TO ASK QUESTIONS REGARDING THE TAX COMPLIANCE PROCESS AND THE TAX FILINGS IN GENERAL. THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BAYSTATE HEALTH BOARD OF TRUSTEES PRIOR TO FILING. LINE 11A HAS BEEN ANSWERED NO BECAUSE FORM 990 WAS NOT PROVIDED TO THE BAYSTATE ADMINISTRATIVE SERVICES, INC. BOARD MEMBERS PRIOR TO THE FILING. FORM 990, PART VI, SECTION B, LINE 12C BAYSTATE ADMINISTRATIVE SERVICE, INC. IS AN AFFILIATE OF BAYSTATE HEALTH, INC. (BH). BH AND ITS AFFILIATED ENTITIES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES. ALL DIRECTORS, TRUSTEES, OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES OF BH AND ITS AFFILIATES ARE ASKED TO COMPLETE AN ANNUAL "CONFLICT OF INTEREST" FORM. WE UTILIZE AN ELECTRONIC DATABASE TO RECEIVE AND MANAGE ALL CONFLICT OF INTEREST SUBMISSIONS. THIS INFORMATION IS REVIEWED BY THE CHIEF COMPLIANCE OFFICER, CHIEF EXECUTIVE OFFICER, CHAIR OF THE BOARD OF TRUSTEES, CHIEF GENERAL COUNSEL AND THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. A SUMMARY OF THE CONFLICT OF INTEREST DISCLOSURES IS PROVIDED TO THE BAYSTATE HEALTH BOARD OF TRUSTEES AND THE TAX DEPARTMENT. POTENTIAL CONFLICT OF INTEREST TRANSACTIONS ARE REVIEWED AS APPROPRIATE UNDER THE POLICY, WHICH PROVIDES FOR RECUSAL FROM DISCUSSION AND DELIBERATION BY ANY PARTY WITH A POTENTIAL CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15B THE COMPENSATION OF THE PRESIDENT AND CEO IS PAID BY BAYSTATE ADMINISTRATIVE SERVICES, INC. THE COMPENSATION IS REVIEWED AND DETERMINED ANNUALLY BY THE HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. (THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS). THIS COMMITTEE CONSISTS ENTIRELY OF INDIVIDUALS SERVING ON THE BOARD OF BAYSTATE HEALTH, INC. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE PRESIDENT AND CEO AND OF OTHER OFFICERS WOULD BE THOSE INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AND WOULD BE CONSIDERED INDEPENDENT FOR COMPENSATION DELIBERATION PURPOSES. THE COMPENSATION OF THE PRESIDENT AND CEO IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE DULY AUTHORIZED COMPENSATION COMMITTEE OF BAYSTATE HEALTH, INC. THE COMPENSATION OF THE SENIOR VICE PRESIDENT, FINANCE, CFO AND TREASURER AND THE KEY EMPLOYEE IS PAID BY BAYSTATE ADMINISTRATIVE SERVICES, INC. THE COMPENSATION OF THE SENIOR VICE PRESIDENT, FINANCE, CFO AND TREASURER AND THE KEY EMPLOYEE IS REVIEWED AND DETERMINED ANNUALLY BY THE HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. (THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS). THIS COMMITTEE CONSISTS ENTIRELY OF INDIVIDUALS SERVING ON THE BOARD OF BAYSTATE HEALTH, INC. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE SENIOR VICE PRESIDENT, FINANCE, CFO AND TREASURER AND OF OTHER OFFICERS WOULD BE THOSE INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AND WOULD BE CONSIDERED INDEPENDENT FOR COMPENSATION DELIBERATION PURPOSES. THE COMPENSATION OF THE SENIOR VICE PRESIDENT, FINANCE, CFO AND TREASURER IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE DULY AUTHORIZED COMPENSATION COMMITTEE OF BAYSTATE HEALTH, INC. THE COMPENSATION OF OTHER OFFICERS OF THE FILING ORGANIZATION IS DETERMINED IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT, IN CONSULTATION WITH HUMAN RESOURCES, BASED ON THE BAYSTATE HEALTH BOARD APPROVED BUDGET AND WAGE PROGRAM FOR EACH FISCAL YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT WWW.BAYSTATEHEALTH.ORG. ARTICLES OF ORGANIZATION AND BYLAWS ARE GENERALLY AVAILABLE AT THE COMMONWEALTH OF MASSACHUSETTS WEBSITE. FORM 990, PART XI, LINE 9: ADJUSTMENT FOR MINIMUM PENSION LIABILITY 333,111. TRANSFERS FROM AFFILIATES 453,200. 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