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BAYSTATE HEALTH INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BAYSTATE HEALTH INC (EIN 04-2105941)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-09
IRS object ID
201912219349300326
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-09T10:38:08-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1Two Jericho PlazaAddressLine1Txt
CityJerichoCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11753ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042105941EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Baystate Health IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBAYSBusinessNameControlTxt
Phone4137940000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01199ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDennis W ChalkePersonNm
Person TitleSVP Finance, CFO & TreasurerPersonTitleTxt
Phone4137940000PhoneNum
Signature2019-08-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeanne FahrenbachPreparerPersonNm
PTINP01365953PTIN
Phone5169187000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address208.99.255.205IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-09IPDt
IP Tm09:54:48IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8121CA463AABFA4EFE5158FD2073B628CA1C8F6DAtSubmissionCreationDeviceId
At Submission Filing Device IdD6D028B83EC7BAE48696A0FE418AC7215527A94EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDennis W ChalkePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01199ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$65,176,594GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.baystatehealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionThe mission of the organization is to improve the health of people in our communities every day, with quality and compassion.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$595,705TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$41,794NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,468,715PYContributionsGrantsAmt
CY Contributions Grants$16,606,363CYContributionsGrantsAmt
PY Program Service Revenue$2,034,414PYProgramServiceRevenueAmt
CY Program Service Revenue$5,831,176CYProgramServiceRevenueAmt
PY Investment Income$2,651,414PYInvestmentIncomeAmt
CY Investment Income$3,326,309CYInvestmentIncomeAmt
PY Other Revenue$73,524PYOtherRevenueAmt
CY Other Revenue$1,055,433CYOtherRevenueAmt
PY Total Revenue$16,228,067PYTotalRevenueAmt
CY Total Revenue$26,819,281CYTotalRevenueAmt
PY Grants And Similar Paid$430,626PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$451,270CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,533,208PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,622,185CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$25,545,716PYOtherExpensesAmt
CY Other Expenses$26,115,410CYOtherExpensesAmt
PY Total Expenses$27,509,550PYTotalExpensesAmt
CY Total Expenses$28,188,865CYTotalExpensesAmt
PY Revenues Less Expenses-$11,281,483PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,369,584CYRevenuesLessExpensesAmt
Total Assets BOY$238,995,907TotalAssetsBOYAmt
Total Assets EOY$236,024,226TotalAssetsEOYAmt
Total Liabilities BOY$132,902,485TotalLiabilitiesBOYAmt
Total Liabilities EOY$129,253,129TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$106,093,422NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$106,771,097NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of the organization is to improve the health of the people in our communities every day, with quality and compassion.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$19,880,034ExpenseAmt
Grant$451,270GrantAmt
Revenue$2,480,818RevenueAmt
DescBaystate Health, Inc. (Baystate Health or BH) based in Springfield, Massachusetts is the parent corporation of an integrated health care delivery system with the mission "to improve the health of the people in our community every day, with quality and compassion." BH provides funding for strategic initiatives, as necessary, funding for research & education initiatives and support of community health, development, and outreach activities, mostly funded by BH board-designated funds. Public Health Institute of Western Massachusetts, formerly Partners for a Healthier Community, is the primary recipient of BH support.Baystate Health currently includes the following:Baystate Medical Center (BMC) located in Springfield, Massachusetts, is the largest of the four hospitals in the Baystate Health system. BMC, the leading health facility in western Massachusetts is the only tertiary care referral medical center and Level I trauma center in the region. It is also home to western New England's only neonatal and pediatric intensive care units. BMC is a 718-bed, tax exempt, not-for-profit, academic teaching hospital.Baystate Franklin Medical Center (BFMC) located in Greenfield, Massachusetts, is a 89-bed, tax exempt, not-for-profit, acute care community hospital. BFMC serves the northern tier of northwestern Massachusetts and southern Vermont.Baystate Wing Hospital Corporation (BWH), located in Palmer, Massachusetts, is a 74-bed, tax-exempt, not-for-profit, acute care community hospital.Baystate Total Home Care, Inc. (BTHC), located in Springfield, Massachusetts, is a tax exempt, not-for-profit corporation organized to benefit, support and further the charitable activities of BMC.Baystate Noble Hospital, Inc. (BNH) is a 97-bed tax-exempt, not-for- profit acute care community hospital. BNH provides inpatient, outpatient and emergency care services for residents in the greater Westfield community. Westfield Medical Corporation (WMC) is a tax-exempt, not-for-profit physician practice that provides medical services to residents of the greater Westfield community.Noble Visiting Nurse Services, Inc. (NVNS) is a tax-exempt, not-for-profit cummunity-based home health care agency, whose primary purpose is to provide home health care services and promote and maintain community health to the city of Westfield and surrounding communities.Baystate Medical Practices, Inc.(BMP)is a multi-specialty academic group practice established as a tax exempt, not-for-profit organization to support the educational and research programs of Baystate Health as well as numerous community primary care and outreach services.Visiting Nurse Association and Hospice of Western New England, Inc. (VNAH) is a tax exempt, not-for-profit organization that provides comprehensive home health care committed to providing the highest quality care to patients and families, primarily in the home setting. BVNAH meets individual needs by bringing experienced nurses, rehabilitation therapists, social workers, and home care aides to patients' homes. Health New England, Inc. (HNE) is a health maintenance organization that converted from a taxable for profit corporation to a non-profit corporation as of January 1, 2013. It is located in Springfield, Massachusetts. HNE's service area in Massachusetts includes Franklin, Berkshire, Hampden and Hampshire counties and part of Worcester county. HNE also serves Hartford, Litchfield and Tolland counties in Connecticut.Ingraham Corporation (IC) is a for-profit, taxable corporation that served as a holding company for Baystate Health Ambulance, Inc.Baystate Administrative Services, Inc. (BAS) is a tax exempt, not-for-profit corporation that provides management support for the BH subsidiaries, including human resources, marketing, strategic planning, information services and financial services.Baystate Health Foundation, Inc. (BHF) is a tax exempt, charitable organization established for the purpose of fund-raising for healthcare related activities, in support, and for the benefit, of BH and those subsidiaries of BH that are tax exempt, not-for-profit corporations, and to hold endowment, charitable donations, and other funds for their benefit.Baystate Health Insurance Company, Ltd. (BHIC) is a captive insurance company organized and licensed in the Cayman Islands, British West Indies. BHIC provides professional liability and other insurance coverage to BH and its corporate affiliates and their employees. In 2004, BHIC began offering malpractice insurance to members of BH's medical staff who meet criteria for participation.Desc
Total Program Service Expenses$19,880,034TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDennis W Chalke Baystate HealthPersonNm
Phone4137940000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP011990001ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Anne M Paradis
Chair2.001.00Yes (X)Yes (X)$0$0$0
John F Maybury
Vice Chair1.001.00Yes (X)Yes (X)$0$0$0
Mark A Keroack MD
President, CEO & Trustee1.0049.00Yes (X)Yes (X)$0$1,888,794$32,862
Adrian J Levsky
Trustee1.001.00Yes (X)$0$0$0
Claudia R Coplein DO
Trustee1.001.00Yes (X)$0$0$0
Colleen W Holmes
Trustee1.001.00Yes (X)$0$0$0
Edward J Noonan
Trustee1.001.00Yes (X)$0$0$0
Grace Makari-Judson MD
Trustee/Hematologist (Thru 12/31/17)1.0040.00Yes (X)$340,368$0$77,945
Gregory L Braden MD
Trustee1.001.00Yes (X)$0$0$0
Harriet A DeVerry
Trustee1.001.00Yes (X)$0$0$0
Hector Toledo
Trustee1.001.00Yes (X)$0$0$0
Irene Rodriguez Martin
Trustee (As of 1/1/2018)1.001.00Yes (X)$0$0$0
James P Sadowsky
Trustee (Through 12/31/17)2.001.00Yes (X)$0$0$0
James R Phaneuf
Trustee1.001.00Yes (X)$0$0$0
John A Egelhofer MD
Trustee1.001.00Yes (X)$0$0$0
John H Davis
Trustee (Through 12/31/17)1.001.00Yes (X)$0$0$0
Kathleen B Scoble
Trustee1.001.00Yes (X)$0$0$0
Kevin P Moriarty MD
Trustee/ Chief Ped Surgery1.0040.00Yes (X)$686,449$0$38,262
Maria P Goncalves
Trustee (As of 1/1/2018)1.001.00Yes (X)$0$0$0
Paul R Murphy
Trustee1.001.00Yes (X)$0$0$0
Robert J Bacon
Trustee1.001.00Yes (X)$0$0$0
Robert L Pura PhD
Trustee1.001.00Yes (X)$0$0$0
Timothy F Farrell
Trustee1.001.00Yes (X)$0$0$0
Victor Woolridge
Trustee (Through 12/31/17)1.001.00Yes (X)$0$0$0
William R Webber
Trustee1.001.00Yes (X)$0$0$0
Dennis Chalke
Treasurer2.0048.00Yes (X)$0$994,659$87,008
Kristin R Delaney
Clerk39.001.00Yes (X)$0$143,978$37,512
Madeline Torres
Assistant Clerk1.0040.00Yes (X)$0$57,772$15,600
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,026,817TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,085,203TotReportableCompRltdOrgAmt
Total Other Compensation$289,189TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Baystate Administrative Services Inc
759 Chestnut StreetSpringfieldMA011990001Management Services$2,106,152
Premier Inc
13034 Ballantyne Corporate PlaceCharlotteNC28277IT Services$663,641
Birdsall Voss & Associates Inc dba
250 W Coventry Ct Ste 300MilwaukeeWI53217Consulting Services$377,479
VLink Inc
701 John Fitch BlvdSouth WindsorCT06074IT Services$354,623
Workday Inc
6110 Stoneridge Mall RoadPleasantonCA94588Consulting Services$229,978
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$16,480,228RelatedOrganizationsAmt
All Other Contributions$126,135AllOtherContributionsAmt
Total Contributions$16,606,363TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Subpart F Income from Captive Ins525990$3,270,018$3,270,018
Premier Purchasing Partners, L.P.525990$1,282,789$1,189,229$93,560
Misc (incl CPIP admin revenue)524298$444,950$139,950$305,000
Medical Staff Dues524298$391,240$391,240
Intercompany Rent531120$277,197$277,197

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$164,982TotalRevenueColumnAmt
Unrelated Business Revenue$164,982UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,831,176TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,440,497TotalRevenueColumnAmt
Unrelated Business Revenue$32,163UnrelatedBusinessRevenueAmt
Exclusion$1,408,334ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,170TotalRevenueColumnAmt
Exclusion$4,170ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$40,243,125SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$38,357,313SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,885,812SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,885,812TotalRevenueColumnAmt
Exclusion$1,885,812ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Loomis & PVAC loans principal rec561499$558,601$558,601
Federal Tax Refund621110$386,549$386,549
MA state Tax Refund621110$96,653$96,653

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,460TotalRevenueColumnAmt
Exclusion$9,460ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,051,263OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,819,281TotalRevenueColumnAmt
Related Or Exempt Func Income$2,480,818RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$595,705UnrelatedBusinessRevenueAmt
Exclusion$7,136,395ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$451,270TotalAmt
Program Services$451,270ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,622,185TotalAmt
Program Services$1,622,185ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$131,644TotalAmt
Management And General$131,644ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$69,418TotalAmt
Management And General$69,418ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$376,500TotalAmt
Program Services$376,500ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$68,874TotalAmt
Management And General$68,874ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,052,558TotalAmt
Program Services$2,025,835ProgramServicesAmt
Management And General$26,723ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,837TotalAmt
Program Services$5,837ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$32,078TotalAmt
Management And General$32,078ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$33,645TotalAmt
Program Services$32,541ProgramServicesAmt
Management And General$1,104ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$29,615TotalAmt
Management And General$29,615ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$69,487TotalAmt
Program Services$69,487ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$117,627TotalAmt
Program Services$93,045ProgramServicesAmt
Management And General$24,582ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,054,409TotalAmt
Management And General$1,054,409ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$2,569,624TotalAmt
Program Services$1,700,050ProgramServicesAmt
Management And General$869,574ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,449TotalAmt
Program Services$5,449ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,261TotalAmt
Management And General$27,261ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
STRATEGIC INITIATIVES$12,956,761$12,956,761
457b PENSION PLAN EXP$5,072,626$5,072,626
RESEARCH INITIATIVES$352,941$352,941
INCOME TAX PROVISION$340,328$340,328

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$748,728TotalAmt
Program Services$188,133ProgramServicesAmt
Management And General$560,595ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,188,865TotalAmt
Program Services$19,880,034ProgramServicesAmt
Management And General$8,308,831ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$25,293,599BOYAmt
EOY$19,048,564EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$344,799BOYAmt
EOY$381,384EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$306,237BOYAmt
EOY$507,820EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$348,445LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$270,007LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$74,864BOYAmt
EOY$78,438EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$16,384,722BOYAmt
EOY$18,795,339EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$66,330,502BOYAmt
EOY$70,830,159EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,132,000BOYAmt
EOY$4,132,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$126,129,184BOYAmt
EOY$122,250,522EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$238,995,907BOYAmt
EOY$236,024,226EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,958,355BOYAmt
EOY$2,246,472EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$305,000BOYAmt
EOY$305,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$50,021,101BOYAmt
EOY$40,800,655EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$80,618,029BOYAmt
EOY$85,901,002EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$132,902,485BOYAmt
EOY$129,253,129EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$76,214,352BOYAmt
EOY$76,382,445EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,234,000BOYAmt
EOY$5,234,000EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,645,071BOYAmt
EOY$25,154,652EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$106,093,422BOYAmt
EOY$106,771,097EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$238,995,907BOYAmt
EOY$236,024,226EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,369,584ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,949,445NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,902,186OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,882,171CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,809,195CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,427,115CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,468,715CurrentTaxYearMinus1YearAmt
Current Tax Year$15,863,186CurrentTaxYearAmt
Total$62,450,382TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,882,171CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,809,195CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,427,115CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,468,715CurrentTaxYearMinus1YearAmt
Current Tax Year$15,863,186CurrentTaxYearAmt
Total$62,450,382TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$62,450,382PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,035,551CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,073,789CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$992,385CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,384,810CurrentTaxYearMinus1YearAmt
Current Tax Year$1,412,504CurrentTaxYearAmt
Total$5,899,039TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$760,524CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,312,952CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,033,540CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$433,675CurrentTaxYearMinus1YearAmt
Current Tax Year$110,186CurrentTaxYearAmt
Total$2,783,527TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$904,912CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$921,681CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$955,072CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,455CurrentTaxYearMinus1YearAmt
Current Tax Year$1,051,263CurrentTaxYearAmt
Total$3,904,383TotalAmt
FieldValueIRS element (for citing)
Total Support$75,037,331TotalSupportAmt
Gross Receipts Rltd Activities$17,892,961GrossReceiptsRltdActivitiesAmt
Public Support CY1700.83230PublicSupportCY170Pct
Public Support PY1700.80640PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$376,500OtherActivitiesAmt
Total Lobbying Expenditures$376,500TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationBH paid Rauschenbach Associates for lobbying activities related to healthcare policy, bills and appropriations-related activities. BH paid HospitalMax Associates, Inc., Philip W. Johnston Associates, Lisa Andoscia (Rosewood Consulting), Capitol Counsel, LLC, Buoniconti & McCary, LLC and Brian P. Lees for technical and strategic advisory services including public advocacy and interpretation of proposed and actual program and legislative changes.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,340,210BeginningYearBalanceAmt
Contributions$98,063ContributionsAmt
Investment Earnings Or Losses$546,805InvestmentEarningsOrLossesAmt
End Year Balance$21,985,078EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,873,475BeginningYearBalanceAmt
Contributions$93,080ContributionsAmt
Investment Earnings Or Losses$1,373,655InvestmentEarningsOrLossesAmt
End Year Balance$21,340,210EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,868,167BeginningYearBalanceAmt
Contributions$98,310ContributionsAmt
Investment Earnings Or Losses$906,998InvestmentEarningsOrLossesAmt
End Year Balance$19,873,475EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,376,609BeginningYearBalanceAmt
Contributions$103,225ContributionsAmt
Investment Earnings Or Losses-$1,611,667InvestmentEarningsOrLossesAmt
End Year Balance$18,868,167EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,758,115BeginningYearBalanceAmt
Contributions$100,868ContributionsAmt
Investment Earnings Or Losses$517,626InvestmentEarningsOrLossesAmt
End Year Balance$20,376,609EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,124OtherCostOrOtherBasisAmt
Book Value$59,124BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$233,233OtherCostOrOtherBasisAmt
Depreciation$231,176DepreciationAmt
Book Value$2,057BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,589OtherCostOrOtherBasisAmt
Depreciation$14,665DepreciationAmt
Book Value$3,924BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,499OtherCostOrOtherBasisAmt
Depreciation$24,166DepreciationAmt
Book Value$13,333BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$78,438TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescInvestments - Other SecuritiesDesc
Book Value$70,830,159BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$70,830,159TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Due from Affiliated Companies$2,193,942
Equity Investment in Subsidiaries (Ingraham, Wing and Noble)$48,315,602
Affiliate Line of Credit$27,460,928
Interest in Net Assets in BHF$23,974,835
Deferred Expenses$20,305,215
FieldValueIRS element (for citing)
Total Book Value Other Assets$122,250,522TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$76,392FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Due to Affiliated Companies$2,728,575
Due to Board-Designated Funds$1,116,431
Insurance Reserves$19,382,762
Deferred Compensation Obligations$62,596,842
FieldValueIRS element (for citing)
Total Liability$85,901,002TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4FormAndLineReferenceDesc
ExplanationEndowment assets are to provide funding to support programs that further Baystate Health's mission.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Caribbean00Insurance$22,629,606
Bermuda00Investments$223,360
United Kingdom00Investments$51,618,302
Caribbean00Investments$31,598,471
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$106,069,739SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$106,069,739TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationExpenditures of $22,629,606 in the Caribbean are comprised of insurance related cash transfers of $22,509,606 and Baystate Health's book value of the $120,000 BHIC investment.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Public Health Institute of Western Massachusetts
PO Box 4895SpringfieldMA011014895043342182501(c)(3)$250,000To assist the Public Health Institute of Western Massachusetts, formerly Partners for a Healthier Community, in narrowing the gap in health disparities for some of Springfield's most vulnerable citizens, and to be a source of support for building civic leaders, creating strategies for change, and promoting policy actions to create healthier communities.
Baystate Health Foundation Inc
759 Chestnut StreetSpringfieldMA01199043549011501(c)(3)$65,000To provide support for the Health Science Library and Medical Staff Pledge.
Develop Springfield
83 Maple StreetSpringfieldMA01105263862976501(c)(3)$30,000To promote development and redevelopment projects that stimulate and support economic growth and expedite City of Springfield revitalization.
Massachusetts Health Policy Forum
415 South Street MS 035WalthamMA024549110042103552501(c)(3)$30,000The Massachusetts Health Policy Forum is dedicated to improving health and the health care system in the Commonwealth of MA by convening forums and presenting the highest quality research to legislators, stakeholders and the public.
Health Resources in Action Inc
2 Boylston Street 4th FloorBostonMA02116042229839501(c)(3)$20,000Health Resources in Action, Inc. develops programs that advance public health and medical research. The organization collaborates with others to resolve public health issues through policy, research, prevention and health promotion.
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II, line 1, Column (h):FormAndLineReferenceDesc
ExplanationBaystate Health, Inc. has a close relationship with its grantees, which include Baystate Health Foundation (BHF). Through this close relationship, management is able to ensure the granted money is used for the intended purposes. For BHF, funds are accounted for and monitored in individual temporarily restricted purpose funds in accordance with the restrictions. Fund administrators of the related entity are assigned responsibility to assure that the fund purpose is met before releasing from restrictions.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mark A Keroack MD
President, CEO & Trustee$0$1,001,554$0$525,000$0$362,240$0$17,550$0$15,312$0$1,921,656$0$0
Grace Makari-Judson MD
Trustee/Hematologist (Thru 12/31/17)$291,317$0$44,081$0$4,970$0$56,259$0$21,686$0$418,313$0$0$0
Kevin P Moriarty MD
Trustee/ Chief Ped Surgery$543,203$0$100,207$0$43,039$0$22,950$0$15,312$0$724,711$0$0$0
Dennis Chalke
Treasurer$0$518,753$0$189,630$0$286,276$0$58,410$0$28,598$0$1,081,667$0$0
Kristin R Delaney
Clerk$0$128,397$0$14,975$0$606$0$13,738$0$23,774$0$181,490$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The compensation of the President and CEO is reviewed and determined annually by the compensation committee of Baystate Health, Inc. This committee consists entirely of individuals serving on the board of the filing organization. The individuals responsible for deliberating the compensation arrangement for the President and CEO 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. and all such deliberations and decisions are documented contemporaneously.
Part I, Line 4bDennis W. Chalke - Supplemental Retirement of $186,459 is included in column B. This amount was earned and paid in 2017. Mark A. Keroack, MD - Total Supplemental Retirement of $334,356 is included in column B. This amount was earned in 2017. Grace Makari-Judson, MD- Supplemental Retirement of $9,031 is included in column B. This amount was earned in 2017. Kevin P. Moriarty, MD - Supplemental Retirement of $39,037 is included in column B. This amount was earned and paid in 2017.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1The filing organization has a standing executive committee, which is entitled to act between meetings of the Board, on all matters as to which the Board is entitled to act and permitted by law to delegate to a committee.
Form 990, Part VI, Section A, line 2Two 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) Grace P. Makari-Judson, MD, James P. Sadowsky and John H. Davis, (2) Paul R. Murphy and Robert L. Pura, PhD, (3) John F. Maybury and Mark A. Keroack, MD, (4) Hector F. Toledo and Timothy F. Farrell, (5) Claudia R. Coplein, DO and Victor Woolridge, (6) Colleen W. Holmes and James P. Sadowsky, (7) John F. Maybury and Anne M. Paradis.
Form 990, Part VI, Section A, line 3Baystate Health, Inc. is affiliated with Baystate Administrative Services, Inc. (BAS) which is a 501(c) (3) organization. Information Technology, Human Resources, Finance, Treasury, Accounting and other management and support functions are delegated to BAS.
Form 990, Part VI, Section A, line 7aTwo of the Trustees of the filing organization are required to be members of the Board of Directors of BWH, an affiliated organization, and their election is subject to approval by the Board of Directors of BWH.
Form 990, Part VI, Section B, line 11bPrior to the filing of this return appropriate parts of this Form 990 were reviewed by representatives from the Tax, Finance, and Human Resources Departments of Baystate Health, Inc. and by outside legal counsel. The entire return was reviewed by a tax expert from an outside accounting firm. The entire return was also reviewed prior to filing by the Audit and Compliance Committee of Baystate Health, Inc., which also includes some of the officers and trustees of the filing organization. This committee also reviews the audited financial statements for the health system. The Form 990 was provided to all members of the Board of Trustees prior to filing.
Form 990, Part VI, Section B, line 12cBaystate Health, Inc. (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 15The compensation of the President and CEO is reviewed and determined annually by the compensation committee of Baystate Health, Inc. This committee consists entirely of individuals serving on the board of the filing organization. The individuals responsible for deliberating the compensation arrangement for the President and CEO 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. The compensation of other officers is administered under 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. Line 15a has been answered No because the President and CEO is paid by Baystate Administrative Services, Inc., an affiliate and related organization of the filing organization.
Form 990, Part VI, Section C, line 19The 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 VII, Section A, Line 5Certain officers or trustees of the filing organization are paid by an entity, Baystate Medical Practices, Inc. (BMP) EIN 04-2888373, which is part of the health care system to which the filing organization belongs but does not meet the technical requirements as a "Related Organization" per Schedule R. Compensation from BMP to the officers and trustees of the filing organization therefore, is reported as paid from an unrelated organization in Line 5 and according to the instructions reported as though paid by the filing organization.
Form 990, Part XI, line 9:Transfers from/to Affiliated Companies, Net 7,453,117. Property, Plant & Equipment Transfers -8,908,454. Equity Gain / (Loss) in Baycare 1,893,310. Equity Gain / (Loss) in Ingraham 76,427. BHIC UBTI -164,982. Net Assets released from restrictions from BHF 18,414. Subpart F Income from Captive Insurance Company -3,270,018.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Baystate Medical Center Inc
759 Chestnut StreetSpringfieldMA01199042790311Acute Care Teaching HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Baystate Franklin Medical Center
164 High StreetGreenfieldMA01301042103575HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Baystate Wing Hospital Corporation
40 Wright StreetPalmerMA01069222519813HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Visiting Nurse Assn and Hospice of Western New England Inc
50 Maple StreetSpringfieldMA01199042105803Homehealth and Hospice careMA501 (c ) (3)10Baystate Health IncYes (1)
Baystate Total Home Care Inc
50 Maple StreetSpringfieldMA01199203260764Real Estate and OtherMA501 (c ) (3)12b, IIBaystate Medical Center IncYes (1)
Baystate Administrative Services Inc
759 Chestnut StreetSpringfieldMA01199222747685Administrative servicesMA501 (c ) (3)12c, IIIBaystate Health IncYes (1)
Baystate Health Foundation Inc
759 Chestnut StreetSpringfieldMA01199043549011FundraisingMA501 (c ) (3)7Baystate Health IncYes (1)
Baystate Noble Hospital Corporation
115 West Silver StreetWestfieldMA010861634222537423HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Westfield Medical Corporation
115 West Silver StreetWestfieldMA010861634043127730HealthcareMA501 (c ) (3)12a, IBaystate Noble Hospital CorporationYes (1)
Noble Visiting Nurse Services Inc
77 Mill StreetWestfieldMA01085222757446Homehealth and Hospice careMA501 (c ) (3)10Visiting Nurse Assn and Hospice of Western New England IncYes (1)
Health New England Inc
Monarch Place Suite 1500SpringfieldMA011441500042864973HMO/InsuranceMA501 (c ) (4)Baystate Health IncYes (1)
HNE of Connecticut Inc
Monarch Place Suite 1500SpringfieldMA011441500465190134HMO/InsuranceCT501 (c ) (4)Health New EnglandYes (1)
Baystate Health Systems Inc Health & Welfare Benefits Plan
759 Chestnut StreetSpringfieldMA01199222531644Voluntary Employees' Benefit AssociationMA501 (c ) (9)Baystate Health IncYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPctAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACd
HNE Advisory Services Inc
Monarch Place Suite 1500SpringfieldMA011441500043012347Administrative ServicesMAHNE Holding CorporationCYes (1)
HNE Insurance Services Inc
Monarch Place Suite 1500SpringfieldMA011441500043183019Ancilliary InsuranceMAHNE Holding CorporationCYes (1)
Ingraham Corporation
759 Chestnut StreetSpringfieldMA01199043016257Health care and other business activitiesMABaystate Health IncCYes (1)1.00000
HNE Holding Corporation
Monarch Place Suite 1500SpringfieldMA011441500464620480Holding shares in subsidiary corporationsMAHealth New England IncCYes (1)
HNE Insurance Company Inc
Monarch Place Suite 1500SpringfieldMA011441500454462433Health Ins svcs for Mass Medicare supplement membersMAHNE Holding CorporationCYes (1)
Baystate Health Insurance Company LTD
980421413Offshore captive insuranceBaystate Health IncCYes (1)1.00000North Church StGeorgetownCJCJ
Frances Lutolf BO Wesson Hosp
Bank of America 100 Federal StBostonMA02110046019056TrustMATYes (1)1.00000N/A
Daniel Wesson TUW W Maternity
Bank of America 100 Federal StBostonMA02110046019096TrustMATYes (1)1.00000N/A
Daniel Wesson TUW W Memorial
Bank of America 100 Federal StBostonMA02110046019097TrustMATYes (1)1.00000N/A
Louise G Pease BO Baystate Med
Bank of America 100 Federal StBostonMA02110046019113TrustMATYes (1)1.00000N/A
Gertrude Hibbard TUW W Mem
Bank of America 100 Federal StBostonMA02110046019230TrustMATYes (1)1.00000N/A
Herbert Thresher UW W Hosp
Bank of America 100 Federal StBostonMA02110046088132TrustMATYes (1)1.00000N/A
Tr UW H Dexter FB Wesson M
Bank of America 100 Federal StBostonMA02110046018707TrustMATYes (1)1.00000N/A
Tr UW H Dexter FB Wesson W
Bank of America 100 Federal StBostonMA02110046018708TrustMATYes (1)1.00000N/A
L & F Tifft BO BSHS Tr UA
Bank of America 100 Federal StBostonMA02110046046282TrustMATYes (1)1.00000N/A
TW D B Wesson FB W M H
Bank of America 100 Federal StBostonMA02110046018682TrustMATYes (1)1.00000N/A
TW D B Wesson FB WWH
Bank of America 100 Federal StBostonMA02110046018681TrustMATYes (1)1.00000N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (19 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
Baystate Administrative Services Inc
M$2,546,868
Baystate Health Foundation Inc
B$65,000
Baystate Health Foundation Inc
M$462,470
Baystate Health Foundation Inc
S$991,290
Baystate Health Insurance Company Ltd
P$3,530,329
Baystate Medical Center Inc
C$7,380,000
Baystate Medical Center Inc
K$277,197
Baystate Medical Center Inc
S$66,663,000
Baystate Medical Center Inc
M$1,111,341
Baystate Medical Center Inc
R$2,600,448
Baystate Franklin Medical Center
S$1,500,000
Health New England Inc
D$410,933
Ingraham Corporation
D$131,641
Visiting Nurse Assn and Hospice of Western New England Inc
P$213,520
Baystate Wing Memorial Hospital Corporation
M$50,588
Baystate Wing Memorial Hospital Corporation
R$1,398,615
L & F Tifft BO BSHS Tr UA
A$98,063
Baystate Noble Hospital Corporation
D$169,373
Baystate Noble Hospital Corporation
R$6,518,516