2022-08-05T04:49:36-05:00 2021-09-30 861065772 Deloitte Tax LLP Two Jericho Plaza Jericho NY 11753 990 2020-10-01 222747685 Baystate Administrative Services Inc BAYS 4137947872 759 Chestnut Street Springfield MA 011990001 Raymond McCarthy SVP Finance, CFO & Treasurer 4137947872 2022-08-01 1 Raymond McCarthy 999009999 Christine Kawecki P00743140 5169187000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Raymond McCarthy 759 Chestnut Street Springfield MA 011990001 148686621 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. 7 0 560 0 394511 0 201115 0 132818647 146792789 10005 26003 2031389 1867829 135061156 148686621 0 0 0 0 74028986 75489748 0 0 0 61730671 72994774 135759657 148484522 -698501 202099 31586935 41895061 67743752 65857966 -36156817 -23962905 The mission of the organization is to improve the health of the people in our communities every day, with quality and compassion. 0 0 35974472 56016847 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. 87368404 92481424 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. 123342876 1 0 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 1 193 0 1 560 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 7 0 1 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 MA X Laurie Martin Baystate Health Inc 4137940000 759 Chestnut Street Springfield MA 01199 Mark A Keroack MD President/Director 8.00 42.00 X X 2511656 0 39342 Nancy Shendell-Falik Director (Thru 5/21)/Pres BMC SVP Ops 5.00 45.00 X 1311383 0 46342 Andrew Artenstein MD Director/President BMP CPE 5.00 45.00 X 1178522 0 43817 Marion Mcgowan Director (As of 9/14/21)/ EVP COO 5.00 45.00 X 436766 579564 58644 Jo-Ann Davis Esq Director/SVP/Chief Admin (Thru 10/30/20) 45.00 5.00 X 854414 0 54919 Jane E Albert Dir/ SVP Commun & Ext Reltn (As of 9/14/21) 50.00 0.00 X 691036 0 77156 Raymond McCarthy Treasurer/Director 5.00 45.00 X X 668402 0 25713 Kristin Morales-Lemieux Director (As Of 11/1/20)/SVP/CHRO 50.00 0.00 X 416288 0 36727 Vanessa L Smith Director (As Of 9/14/21)/SVP/CLO 50.00 0.00 X 415925 0 35413 Kristin R Delaney Clerk 8.00 42.00 X 168346 0 40493 Nancy Remillard Assistant Clerk 43.00 7.00 X 60003 0 11278 Joel L Vengco VP Information Services 50.00 0.00 X 765812 0 51849 Douglas Salvador MD SVP/CQO BH, CMO BMC 10.00 40.00 X 743324 0 52443 Ronald P Bryant Pres Baystate Noble & Franklin 2.00 48.00 X 597706 0 47607 Tejas Gandhi VP/Chief Operating Officer 10.00 40.00 X 558425 0 50912 Betty K Larue COO BMP/VP Ambulatory Officer 10.00 40.00 X 536991 0 72100 Howard Goldberg MD VP/ Chief Med Info Off 50.00 0.00 X 421770 0 46345 Dennis W Chalke Former Treasurer/Director 0.00 0.00 X 898889 0 76373 13235658 579564 867473 230 1 1 0 Cerner Corporation PO Box 959156 St Louis MO 631959156 Computer services 11124802 BaytechIT LLC 4 Open Square Way Holyoke MA 01040 IT services 4042300 Philips Healthcare LLC PO Box 100355 Atlanta GA 30384 Software Maintenance 1826690 Connection PO Box 536464 Pittsburgh PA 152535906 IT services 1734330 Olympus America PO Box 200194 Pittsburgh PA 12251 Equipment repair 1350994 125 Affiliate Support 561000 146792789 146560625 232164 146792789 26003 26003 Partners for a Healthi 624200 882634 882634 Worker for Rehab 621990 784672 784672 Baycare Realth Partner 623000 162347 162347 38176 38176 1867829 148686621 148266107 394511 26003 14072511 11690035 2382476 49078501 41476257 7602244 3854952 3250889 604063 4534245 3822656 711589 3949539 3325676 623863 1994009 1994009 9409 9409 5994206 5047371 946835 1400171 1179002 221169 1109465 934216 175249 50353003 42399327 7953676 2281647 1921242 360405 74631 62842 11789 377384 317773 59611 63622 53572 10050 91999 77466 14533 Equipment repair/suppli 4985241 4197781 787460 Workforce Reduction 2125000 1789339 335661 Recruitment 1291768 1087722 204046 Dues Membership 642948 541389 101559 200271 168321 31950 148484522 123342876 25141646 0 14047232 9133471 704317 707325 692837 1510699 436001 489988 8649990 10960680 5881941 5735713 185054 146228 2657009 6871504 16289661 31586935 41895061 44635304 42319428 23108448 23538538 67743752 65857966 X -36156817 -23962905 -36156817 -23962905 31586935 41895061 X 202099 11991813 X 0 1 X 1 0 X X X 9 Baystate Health Inc 042105941 7 1 2060244 0 Baystate Medical Center Inc 042790311 3 1 115503337 0 Baystate Franklin Medical Center 042103575 3 1 8839404 0 Baystate Wing Hospital Corporation 222519813 3 1 5981016 0 Visiting Nurse Association & Hospice of WNE Inc 042105803 10 1 1776048 0 Baystate Medical Practices Inc 042888373 10 1 6611604 0 Baystate Health Foundation Inc 043549011 1 1 110175 0 Baystate Noble Hospital 222537423 3 1 2865348 0 Health New England Inc 042864973 10 1 627937 0 9 144375113 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 99.55% 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 E, Line 2a: Organizations supported by 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). 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. 0 1 0 0 0 0 1 85008 0 0 85008 0 Part II-B, Line 1: The amount recorded on line j represents BAS salaries and operating expenses as reported on Massachusetts Public Records Division Lobbyist Disclosure for activities related to healthcare policy, bills, and appropriations. 531417 508939 22478 5350524 5226774 123750 146228 Due from affiliated companies 16289661 16289661 Due to affiliated companies 23538538 23538538 X X 1 1 0 1 0 0 0 0 0 0 0 Mark A Keroack MD President/Director 1425333 0 677350 0 408973 0 12825 0 26517 0 2550998 0 0 0 Nancy Shendell-Falik Director (Thru 5/21)/Pres BMC SVP Op 744791 0 335013 0 231579 0 18525 0 27817 0 1357725 0 0 0 Andrew Artenstein MD Director/President BMP CPE 715415 0 253425 0 209682 0 18525 0 25292 0 1222339 0 0 0 Marion Mcgowan Director (As of 9/14/21)/ EVP COO 306038 357687 92087 186063 38641 35814 12825 17100 15199 13520 464790 610184 0 0 Dennis W Chalke Former Treasurer/Director 406832 0 175603 0 316454 0 58691 0 17682 0 975262 0 0 0 Jo-Ann Davis Esq Director/SVP/Chief Admin (Thru 10/30 474336 0 203571 0 176507 0 40300 0 14619 0 909333 0 0 0 Joel L Vengco VP Information Services 462886 0 161784 0 141142 0 18525 0 33324 0 817661 0 0 0 Douglas Salvador MD SVP/CQO BH, CMO BMC 440968 0 168039 0 134317 0 16408 0 36035 0 795767 0 0 0 Jane E Albert Dir/ SVP Commun & Ext Reltn (As of 9 412898 0 148360 0 129778 0 46372 0 30784 0 768192 0 0 0 Raymond McCarthy Treasurer/Director 487508 0 154214 0 26680 0 21375 0 4338 0 694115 0 0 0 Ronald P Bryant Pres Baystate Noble & Franklin 429758 0 120375 0 47573 0 18525 0 29082 0 645313 0 0 0 Tejas Gandhi VP/Chief Operating Officer 404404 0 115025 0 38996 0 18525 0 32387 0 609337 0 9155 0 Betty K Larue COO BMP/VP Ambulatory Officer 387268 0 108338 0 41385 0 53125 0 18975 0 609091 0 0 0 Howard Goldberg MD VP/ Chief Med Info Off 329236 0 89222 0 3312 0 18525 0 27820 0 468115 0 0 0 Kristin Morales-Lemieux Director (As Of 11/1/20)/SVP/CHRO 313327 0 91133 0 11828 0 18195 0 18532 0 453015 0 0 0 Vanessa L Smith Director (As Of 9/14/21)/SVP/CLO 308677 0 81588 0 25660 0 18232 0 17181 0 451338 0 0 0 Kristin R Delaney Clerk 151161 0 16435 0 750 0 15836 0 24657 0 208839 0 0 0 Part I, Line 1a Explanation: 1. Tax Gross up / Discretionary Spending Account - A few key employees were provided with reimbursement for financial and tax and estate planning requiring a tax gross up. The item above was 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 compensation 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 compensation committee of Baystate Health, Inc. and all such deliberations and decisions are documented contemporaneously. The Baystate Administrative Services, Inc. Board of Directors is composed of management of Baystate Health, Inc. and its affiliates. Therefore it is more appropriate that the establishment and review of the compensation of the organization's top management officials be performed at the Baystate Health level, which has a more independent board. Part I, Line 4b Jane Albert - Supplemental Retirement of $95,012 is included in column B. This amount was earned and paid in 2020. Andrew Artenstein, MD Total Supplemental Retirement of $168,822 included in column B. This amount was earned and paid in 2020. Ronald P. Bryant- Supplemental Retirement of $11,163 is included in column B. This amount was earned and paid in 2020. Dennis W. Chalke - Supplemental Retirement of $146,809 is included in column B. This amount was earned and paid in 2020. Jo-Ann Davis - Supplemental Retirement of $137,062 is included in column B. This amount was earned in 2020. Tejas Gandhi - Supplemental Retirement of $18,940 is included in column B. This amount consists of $9,785 earned and paid in 2020 and $9,155 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 requirement. Mark A. Keroack, MD Supplemental Retirement of $363,205 is included in column B. This amount was earned in 2020. Betty K. Larue - Supplemental Retirement of $15,634 is included in column B. This amount was earned in 2020. Raymond McCarthy - Supplemental Retirement of $187 is included in column B. This amount was earned in 2020. Marion McGowan - Supplemental Retirement of $70,834 is included in column C. This amount was earned and paid in 2020. Douglas Salvador, MD - Supplemental Retirement of $103,384 is included in column B. This amount was earned and paid in 2020. Nancy Shendell-Falik- Total Supplemental Retirement of $187,422 is included in column B. This amount was earned and paid in 2020. Joel L. Vengco - Supplemental Retirement of $104,577 is included in column B. This amount was earned and paid in 2020. Form 990, Part VI, Section A, line 1 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. The following trustees, officers, or key employees have a business relationship: (1) Jo-Ann Davis and Joel L. Vengco. Form 990, Part VI, Section A, line 4 The filing organization amended its bylaws to change its board composition by changing the office held by one individual serving ex officio on the filing organization's board. 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. 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 15 The compensation of the President and CEO is reviewed and determined annually by the compensation 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 is reviewed and determined annually by the compensation 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 and key employees of the filing organization is determined by the President of the filing organization in accordance with the Executive Compensation Philosophy Statement, in consultation with Human Resources, based on information provided by independent third party consultants for reasonableness including appropriate comparability data or 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 11,991,813. Baystate Franklin Medical Center 164 High Street Greenfield MA 01301 042103575 Hospital MA 501(c)(3) 3 Baystate Health Inc 0 Baystate Health Foundation Inc 759 Chestnut Street Springfield MA 01199 043549011 Fundraising MA 501(c)(3) 7 Baystate Health Inc 0 Baystate Health Systems Inc Health & Welfare Benefits Plan 759 Chestnut Street Springfield MA 01199 222531644 Voluntary Employees' Benefit Association MA 501(c)(9) Baystate Health Inc 0 Baystate Health Inc 759 Chestnut Street Springfield MA 01199 042105941 Healthcare System Parent MA 501(c)(3) 7 Baystate Health Inc 0 Baystate Medical Center Inc 759 Chestnut Street Springfield MA 01199 042790311 Acute Care Teaching Hospital MA 501(c)(3) 3 Baystate Health Inc 0 Baystate Noble Hospital Corporation 115 West Silver Street Westfield MA 010861634 222537423 Hospital MA 501(c)(3) 3 Baystate Health Inc 0 Baystate Total Home Care Inc 280 Chestnut Street Springfield MA 01104 203260764 Real Estate and Other MA 501(c)(3) 12B, II Baystate Medical Center Inc 0 Baystate Wing Hospital Corporation 40 Wright Street Palmer MA 01069 222519813 Hospital MA 501(c)(3) 3 Baystate Health Inc 0 Health New England Inc Monarch Place Suite 1500 Springfield MA 011441500 042864973 HMO/Insurance MA 501(c)(4) Baystate Health Inc 0 HNE of Connecticut Inc Monarch Place Suite 1500 Springfield MA 011441500 465190134 HMO/Insurance CT 501(c)(4) Health New England Inc 0 Visiting Nurse Assn & Hospice of Western New England Inc 30 Capital Drive Suite A West Springfield MA 01089 042105803 Homehealth and Hospice Care MA 501(c)(3) 10 Baystate Health Inc 0 Baystate Health Insurance Company Ltd North Church Street Georgetown CJ 980421413 Offshore Captive Insurance CJ Baystate Health Inc C 0 HNE Advisory Services Inc Monarch Place Suite 1500 Springfield MA 011441500 043012347 Administrative Services MA HNE Holding Corporation C 0 HNE Holding Corporation Monarch Place Suite 1500 Springfield MA 011441500 464620480 Holding shares in subsidiary corporations MA Health New England Inc C 0 HNE Insurance Company Inc Monarch Place Suite 1500 Springfield MA 011441500 454462433 Health Insurance Services for MA Medicare Supplement Members MA HNE Holding Corporation C 0 HNE Insurance Services Inc Monarch Place Suite 1500 Springfield MA 011441500 043183019 Ancillary Insurance MA HNE Holding Corporation C 0 Ingraham Corporation 759 Chestnut Street Springfield MA 01199 043016257 Health care and other business activities MA Baystate Health Inc C 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 HNE Advisory Services Inc Q 75503086 Book value