2016-08-11T15:14:59-05:00 2015-09-30 861065772 Deloitte Tax LLP Two Jericho Plaza Jericho NY 11753 990 2014-10-01 042105941 Baystate Health Inc BAYS 4137940000 759 Chestnut Street Springfield MA 01199 Dennis W Chalke SVP Finance, CFO & Treasurer 4137940000 2016-08-11 1 Christine Kawecki P00743140 5169187000 2014 2016-12-15 16:53:06Z Dennis W Chalke 759 Chestnut Street Springfield MA 01199 55920525 0 X www.baystatehealth.org X 1983 MA The mission of the organization is to improve the health of people in our communities every day, with quality and compassion. 23 17 0 23 1650758 1284966 11882171 11809195 6526576 3517911 1612414 1647853 904912 922061 20926073 17897020 315000 315000 0 0 1343448 914472 0 0 0 20512593 18455930 22171041 19685402 -1244968 -1788382 182232268 180011969 73585883 74153002 108646385 105858967 X The mission of the organization is to improve the health of the people in our communities every day, with quality and compassion. 0 0 16760461 315000 1874358 Baystate 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. 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 five 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 710-bed, tax exempt, not-for-profit, academic teaching hospital affiliated with University of MA Medical School and Tufts University School of Medicine.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 acquired in 2014.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 by holding, leasing, improving and managing real estate held by or acquired on behalf of BMC.Baystate Noble Hospital, Inc. and affiliates consists of three tax-exempt, not-for-profit corporations located in Westfield, Massachusetts, acquired in 2015: 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. BNH is the sole corporate member of the two following organizations: 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 and Hospice Services, Inc. (BNVNAH) is a tax-exempt,not-for-profit community-based home health care and hospice 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 Mary Lane Hospital Corporation (BMLH) located in Ware, Massachusetts, is a 25-bed, tax exempt, not-for-profit, acute care community hospital. BMLH provides services to more than sixteen central Massachusetts communities.Baystate Medical Practices, Inc.(BMP)is a multi-specialty academic group practice established as a tax exempt, not-for-profit foundation 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. (BVNAH) 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 currently serves as a holding company for Baystate Health Ambulance, Inc.Baystate Health System Ambulance, Inc. (BHA) is a for-profit, taxable corporation that delivers the latest in mobile critical care providing 24-hour service throughout western New England.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. 16760461 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 72 0 1 0 1 1 1 CJ UK 0 0 0 0 0 0 0 0 X 23 17 1 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MA NY FL X Peter Lyons Baystate Health Inc 4137940000 759 Chestnut Street Springfield MA 011990001 X Mark A Keroack MD President, CEO, & Trustee 40.00 10.00 X X 0 980230 203356 James P Sadowsky Chair 1/1/15-9/30/15 2.00 1.00 X X 0 0 0 Anne M Paradis Vice Chair 1/1/15-9/30/15 1.00 1.00 X X 0 0 0 Robert J Bacon Trustee 7/1/15-9/30/15 1.00 1.00 X 0 0 0 Gregory L Braden MD Trustee 1.00 1.00 X 0 0 0 John H Davis Trustee 1.00 1.00 X 0 0 0 Harriet A DeVerry Trustee 7/1/15-9/30/15 1.00 1.00 X 0 0 0 John A Egelhofer MD Trustee 1.00 1.00 X 0 0 0 John E Kole Trustee 10/1/14-12/31/14 1.00 1.00 X 0 0 0 Grace P Makari-Judson MD Trustee/ Hematologist, MD 1.00 49.00 X 369844 0 85491 John F Maybury Trustee 1.00 1.00 X 0 0 0 Steven M Mitus Trustee 1.00 1.00 X 0 0 0 Kevin P Moriarty MD Trustee1/1-9/30/15 Chief Ped Surgery 1.00 49.00 X 594308 0 43650 Paul R Murphy Trustee 1/1/15-9/30/15 1.00 1.00 X 0 0 0 Edward J Noonan Trustee 1.00 1.00 X 0 0 0 John M O'Brien III Trustee 1.00 1.00 X 0 0 0 James R Phaneuf CIC Trustee 1.00 1.00 X 0 0 0 Robert L Pura PhD Trustee 1.00 1.00 X 0 0 0 Timothy S Rice Trustee 10/1/14-12/31/14 1.00 1.00 X 0 0 0 Kathleen B Scoble Trustee 1.00 1.00 X 0 0 0 David C Southworth Trustee 1.00 1.00 X 0 0 0 Richard B Steele Jr Trustee 1.00 1.00 X 0 0 0 Katherine McG Sullivan Trustee 1.00 1.00 X 0 0 0 Howard G Trietsch MD Trustee 10/1/14-12/31/14 1.00 1.00 X 0 0 0 Hector Toledo Trustee 1/1/15-9/30/15 1.00 1.00 X 0 0 0 Victor Woolridge Trustee 1.00 1.00 X 0 0 0 Dennis W Chalke Treasurer 40.00 10.00 X 0 929051 79645 Kristin R Delaney Clerk 40.00 10.00 X 0 107000 29470 Madeline Torres Assistant Clerk 40.00 10.00 X 0 28799 7703 Mark R Tolosky President Emeritus 20.00 5.00 X 0 1089033 234000 964152 3134113 683315 0 1 1 1 Baystate Administrative Services Inc 759 Chestnut Street Springfield MA 011990001 Management Services 1884417 Alvarez & Marsal Healthcare Industry Grp 600 Madison Ave 8th Floor New York NY 10022 Consulting Services 386108 John F Gabranski 116 Nash Hill Road Haydenville MA 01039 Consulting Services 143900 PriceWaterhouseCoopers LLP 101 Seaport Blvd Suite 500 Boston MA 02210 Consulting Services 122712 Veralon Partners Inc 1628 John F Kennedy Blvd Ste 50 Philadelphia PA 19103 Consulting Services 101030 5 11609667 199528 11809195 Ins and Prship UBI 525990 1338553 1338553 Premier Purchasing Partners, L.P. 525990 1262725 1262725 Misc (incl CPIP admin revenue) 524298 378558 73558 305000 Intercompany Rent 531120 277197 277197 Medical Staff Dues 524298 260878 260878 3517911 1099813 7205 1092608 380 380 38571545 38023505 548040 548040 548040 BHF/BH TRR & BINA INC 525990 921681 921681 921681 17897020 1874358 1650758 2562709 X 315000 315000 914472 914472 48180 48180 28946 28946 275000 275000 69450 69450 843944 819773 24171 3824 3824 22491 341 22150 69996 69996 63632 63632 41473 41473 119117 119117 2278875 1309320 969555 2782 2782 50781 50781 STRATEGIC INITIATIVES 8100816 8100816 WING HOSPITAL ACQ.EXP 2394247 2394247 RESEARCH INITIATIVES 1138025 1138025 NOBLE HOSPITAL ACQ. EXP 705597 705597 2198754 676159 1522595 19685402 16760461 2924941 0 14289655 19168456 336152 295000 12115 29581 378983 258994 76232 119989 32594754 27694788 43321963 46109448 4132000 91601397 82462707 182232268 180011969 2916525 1973986 305000 600000 18500000 17760000 51864358 53819016 73585883 74153002 X 84338324 78394244 1210000 5234000 23098061 22230723 108646385 105858967 182232268 180011969 X -1788382 -1459317 460281 X 0 1 X 1 0 X 2440269 6531372 6536957 11882171 11809195 39199964 2440269 6531372 6536957 11882171 11809195 39199964 39199964 1022969 887897 987657 1035551 1073789 5007863 62091 167675 833280 760524 1312952 3136522 955876 1069297 917939 904912 921681 4769705 52114054 20631651 0.75220 0.71040 X Schedule A, Part II, Line 10, Explanation of Other Income: Misc Other Income Part II, line 10 activity TRR operations transactions TRR adjustment TRR adjustment: Unrestricted - BHF RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 275000 275000 0 Part II-B, Line 1: BH paid Rauschenbach Associates for lobbying activities related to healthcare policy, bills and appropriations-related activities. BH paid HospitalMax Associates, Inc. and Philip W. Johnston Associates for technical and strategic advisory services including advice, public advocacy and interpretation of proposed and actual program and legislative changes. BH paid the Coalition to Protect America's Healthcare for services in support of the Healthcare industry. 20376609 103225 -1611667 18868167 19758115 100868 517626 20376609 18718148 170271 869696 19758115 17468653 79814 1169681 18718148 18056698 70532 -658577 17468653 1.00000 0 1 1 59124 59124 233233 226548 6685 18589 10947 7642 21295 21295 0 46742 204 46538 119989 Investments - Other Securities 46109448 C 46109448 Due from Affiliated Companies 1134054 Equity Investment in Subsidiaries (Ingraham, Wing and Noble) 48090015 Line of Credit -- Affiliate 1348487 Interest in Net Assets in BHF 20717697 Rounding 1 Deferred Expenses 11172453 82462707 32735 Due to Affiliated Companies 4104001 Due to Board-Designated Funds 971767 Insurance Reserves 10250000 Deferred Compensation Obligations 38460513 53819016 Part V, Line 4 Endowment assets are to provide funding to support programs that further Baystate Health's mission. Caribbean 0 0 Insurance 16507000 United Kingdom 0 0 Investments 31800623 0 0 0 0 0 0 48307623 0 48307623 1 0 1 0 1 0 Part I, Line 3 Expenditures of $16,507,000 in the Caribbean are comprised of insurance related cash transfers of $16,387,000 and Baystate Health's book value of $120,000 BHIC investment. Baystate Health's capital balance of an investment fund domiciled in the Caribbean is $31,800,623 0 Partners for a Healthier Community Inc PO Box 15769 Springfield MA 01115 043342182 501(c)(3) 250000 To assist Partner's for a Healthier Community to narrow 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 Street Springfield MA 01199 043549011 501(c)(3) 65000 To provide support for the Health Science Library and Medical Staff Pledge. 2 0 Part II, lines 1 Baystate Health, Inc. has a close relationship with its grantees, which includes 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. X X X X 0 1 0 0 0 0 0 0 0 Mark A Keroack MD President, CEO, & Trustee 0 658452 0 301313 0 20465 0 185350 0 18006 0 1183586 0 0 Grace P Makari-Judson MD Trustee/ Hematologist, MD 300766 0 36984 0 32094 0 53652 0 31839 0 455335 0 0 0 Kevin P Moriarty MD Trustee1/1-9/30/15 Chief Ped Surgery 467406 0 92796 0 34106 0 27300 0 16350 0 637958 0 0 0 Dennis W Chalke Treasurer 0 432876 0 264360 0 231815 0 55591 0 24054 0 1008696 0 0 Mark R Tolosky President Emeritus 0 571202 0 306472 0 211359 0 202614 0 31386 0 1323033 0 0 Part I, Line 3 The 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 4b Dennis W. Chalke - Supplemental Retirement of $146,489 is included in column E. This amount was earned and paid in 2014. Mark A. Keroack, MD - Supplemental Retirement of $164,550 is included in column E. This amount was earned in 2014. Grace Makari-Judson, MD- Supplemental Retirement of $15,889 is included in column E. This amount was earned and paid in 2014. Kevin P. Moriarty, MD - Supplemental Retirement of $31,163 is included in column E. This amount was earned and paid in 2014. Mark R. Tolosky - Supplemental Retirement of $150,900 is included in column E. This amount was earned and paid in 2014. Form 990, Part VI, Section A, line 1 The 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 2 Robert J. Bacon, Gregory L. Braden, MD, Dennis W. Chalke, John H. Davis, Kristin R. Delaney, Harriet Deverry, John A. Egelhofer, MD, Mark A. Keroack, MD, John E. Kole, Grace P. Makari-Judson, MD, John E. Maybury, Steven M. Mitus, Kevin P. Moriarty, MD, Paul R. Murphy, Edward Noonan, John M. OBrien, III, Ann M. Paradis, James Phaneuf, CIC, Donald F. Pion, Robert L. Pura, PhD, Timothy S. Rice, James P. Sadowsky, Kathleen B. Scoble, David C. Southworth, Richard B. Steele, Jr., Katherine McG. Sullivan, Hector Toledo, Mark R. Tolosky, Madeline Torres, Howard G. Trietsch, MD, and Victor Woolridge are also officers or trustees of the filing organization and its affiliated entities. The following trustees, officers, or key employees serve on a common board of a non-affiliated entity: (1) Richard B. Steele, Jr., Katherine McG. Sullivan, James P. Sadowsky and John H. Davis (2) Steven M. Mitus, Robert L. Pura, PhD. and Richard B. Steele, Jr. (3)John F. Maybury, David C. Southworth, Mark R. Tolosky, Mark A. Keroack MD and John H. Davis (4) John M. O'Brien, III and Victor Woolridge (5) John E. Kole and Richard B. Steele, Jr. (6) John F. Maybury and Anne M. Paradis Form 990, Part VI, Section A, line 3 Baystate 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 7a Two 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 11 Before 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., some of whom are officers or trustees of the filing organization 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 before filing by the Audit and Compliance Committee of Baystate Health, Inc., which also includes some of the officers of the filing organization. The Form 990 was provided to all members of the Board of Trustees before filing. Form 990, Part VI, Section B, line 12c Baystate Health, Inc. 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, 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 and reviewed by outside counsel. 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. 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 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 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. Part VII, Section A, Line 5 Certain 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 IX, line 24e SPONSORSHIP: Program service expenses 0. Management and general expenses 507,251. Fundraising expenses 0. Total expenses 507,251. MEMBERSHIP-PHO: Program service expenses 0. Management and general expenses 319,996. Fundraising expenses 0. Total expenses 319,996. SPF VARIOUS PRG SVCS EXP: Program service expenses 289,759. Management and general expenses 0. Fundraising expenses 0. Total expenses 289,759. 457b PENSION PLAN EXP: Program service expenses 0. Management and general expenses 283,739. Fundraising expenses 0. Total expenses 283,739. GRANTS & CONTRIBUTIONS: Program service expenses 116,382. Management and general expenses 45,000. Fundraising expenses 0. Total expenses 161,382. NURSING INITIATIVES: Program service expenses 147,528. Management and general expenses 0. Fundraising expenses 0. Total expenses 147,528. INCOME TAX PROVISION: Program service expenses 0. Management and general expenses 131,657. Fundraising expenses 0. Total expenses 131,657. FRINGE ALLOCATION: Program service expenses 0. Management and general expenses 106,926. Fundraising expenses 0. Total expenses 106,926. DUES, MEMBERSHIPS: Program service expenses 0. Management and general expenses 86,832. Fundraising expenses 0. Total expenses 86,832. MEDICAL STAFF STIPENDS: Program service expenses 59,850. Management and general expenses 0. Fundraising expenses 0. Total expenses 59,850. MD PROFESSIONAL DEVELOPMENT: Program service expenses 33,915. Management and general expenses 0. Fundraising expenses 0. Total expenses 33,915. MISC: Program service expenses 0. Management and general expenses 33,365. Fundraising expenses 0. Total expenses 33,365. I/C CATERING / A/V EVENT: Program service expenses 0. Management and general expenses 28,871. Fundraising expenses 0. Total expenses 28,871. PROFESSIONAL DEVELOPMENT: Program service expenses 24,203. Management and general expenses 0. Fundraising expenses 0. Total expenses 24,203. MISC EXP - R/E: Program service expenses 0. Management and general expenses 14,685. Fundraising expenses 0. Total expenses 14,685. INTERCOMPANY EXP: Program service expenses 0. Management and general expenses 7,672. Fundraising expenses 0. Total expenses 7,672. BANK CHARGES: Program service expenses 0. Management and general expenses 6,000. Fundraising expenses 0. Total expenses 6,000. INDIRECT COST TRANSFER: Program service expenses 0. Management and general expenses 2,851. Fundraising expenses 0. Total expenses 2,851. RECRUITMENT EXP: Program service expenses 1,511. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,511. MINOR EQUIPMENT: Program service expenses 1,344. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,344. MINOR EQUIP, FURNISHINGS: Program service expenses 1,307. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,307. RECORDS-DATA STORAGE: Program service expenses 0. Management and general expenses 901. Fundraising expenses 0. Total expenses 901. FREIGHT: Program service expenses 0. Management and general expenses 154. Fundraising expenses 0. Total expenses 154. PEA NON-TAXABLE: Program service expenses 150. Management and general expenses 0. Fundraising expenses 0. Total expenses 150. DONATIONS: Program service expenses 109. Management and general expenses 0. Fundraising expenses 0. Total expenses 109. ACCRUED EXP: Program service expenses 75. Management and general expenses 0. Fundraising expenses 0. Total expenses 75. EQUIP CONTRACTS, MAINT: Program service expenses 26. Management and general expenses 0. Fundraising expenses 0. Total expenses 26. EXP REDUCTION: Program service expenses 0. Management and general expenses -53,305. Fundraising expenses 0. Total expenses -53,305. Form 990, Part XI, line 9: Transfers from/to Affiliated Companies, Net 5,068,747. Transfer BHSA Net Assets to BH - BHSA dissolved in FY15 4,637,678. BHSA Minimum Pension Liability - BHSA dissolved in FY15 -2,130,994. Property, Plant & Equipment Transfers -6,422,948. Equity Gain / (Loss) in Baycare -340,571. Equity Gain / (Loss) in Ingraham -2,144,717. Equity Gain / (Loss) in Wing Inherent Contribution in Wing (PURCHASE ACCOUNTING) Net Assets in Noble acquisition - temp restricted (PURCHASE ACCOUNTING) 4,024,000. Net Assets in Noble acquisition - perm restricted (PURCHASE ACCOUNTING) 881,000. Change in Interest of Net Assets of BHF -1,748,338. Net Assets in Wing acquisition - temp restricted (PURCHASE ACCOUNTING) Net Assets in Wing acquisition - perm restricted (PURCHASE ACCOUNTING) SPF capital equipment transfer Premier Purchasing Partners, L.P. - Interest (incl in part VIII, ln 3D) -26,024. Premier Purchasing Partners, L.P. - Net long-term capital gain / (loss) 0. K-1 UBIT NET GAIN -513,159. BHIC UBTI -825,394. Rounding 1,001. Baystate Administrative Services Inc 759 Chestnut Street Springfield MA 01199 222747685 Administrative services MA 501 (c ) (3) 11c, IIIc Baystate Health Inc 1 Baystate Franklin Medical Center 164 High Street Greenfield MA 01301 042103575 Hospital MA 501 (c ) (3) 3 Baystate Health Inc 1 Baystate Health Foundation Inc 759 Chestnut Street Springfield MA 01199 043549011 Fundraising MA 501 (c ) (3) 7 Baystate Health Inc 1 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 1 Baystate Mary Lane Hospital Corporation 85 South Street Ware MA 01082 042103584 Hospital MA 501 (c ) (3) 3 Baystate Health Inc 1 Baystate Medical Center Inc 759 Chestnut Street Springfield MA 01199 042790311 Acute Care Teaching Hospital MA 501 (c ) (3) 3 Baystate Health Inc 1 Baystate Total Home Care Inc 280 Chestnut Street Springfield MA 01104 203260764 Real Estate and Other MA 501 (c ) (3) 11b, 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 1 Health New England Inc Monarch Place Suite 1500 Springfield MA 011441500 042864973 HMO/Insurance MA 501 (c ) (4) Baystate Health Inc 1 HNE of Connecticut Inc Monarch Place Suite 1500 Springfield MA 011441500 455190134 HMO/Insurance CT 501 (c ) (4) Health New England Inc 0 Visiting Nurse Assn and Hospice of Western New England Inc 50 Maple Street Springfield MA 01199 042105803 Homehealth and Hospice care MA 501 (c ) (3) 9 Baystate Health Inc 1 Baystate Noble Hospital Corporation 115 West Silver Street PO Box 1634 Westfield MA 010861634 222537423 Hospital MA 501 (c ) (3) 3 Baystate Health Inc 1 Westfield Medical Corporation 115 West Silver Street PO Box 1634 Westfield MA 010861634 043127730 Physician Services MA 501 (c ) (3) 11a, I Baystate Noble Hospital Corporation 0 Noble Visiting Nurse and Hospice Services Inc 77 Mill Street Westfield MA 01085 222757446 Homehealth and Hospice care MA 501 (c ) (3) 9 Baystate Noble Hospital Corporation 0 Baystate Health Insurance Company Ltd North Church Street Georgetown Cayman Islands CJ 980421413 Offshore Captive Insurance CJ Baystate Health Inc 1 Baystate Health System Ambulance Inc 759 Chestnut Street Springfield MA 01199 043018550 Ambulance Svs MA Ingraham Corporation C 1.00000 0 HNE Advisory Services Inc Monarch Place Suite 1500 Springfield MA 011441500 043012347 Administrative Svs MA Health New England Inc 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 Services Corporation Monarch Place Suite 1500 Springfield MA 011441500 043183019 Ancillary Insurance MA Health New England Inc C 0 HNE Insurance Company Monarch Place Suite 1500 Springfield MA 011441500 454462433 Health Insurance Services for Mass Medicare Supplement Members MA Health New England Inc C 1.00000 0 Ingraham Corporation 759 Chestnut Street Springfield MA 01199 043016257 Health care and other business activities MA Baystate Health Inc C 1.00000 1 Frances Lutolf BO Wesson Hosp Bank of America 100 Federal St Boston MA 02110 046019056 Trust MA N/A T 1.00000 0 Daniel Wesson TUW W Maternity Bank of America 100 Federal St Boston MA 02110 046019096 Trust MA N/A T 1.00000 0 Daniel Wesson TUW W Memorial Bank of America 100 Federal St Boston MA 02110 046019097 Trust MA N/A T 1.00000 0 Louise G Pease BO Baystate Med Bank of America 100 Federal St Boston MA 02110 046019113 Trust MA N/A T 1.00000 0 Gertrude Hibbard TUW W Mem Bank of America 100 Federal St Boston MA 02110 046019230 Trust MA N/A T 1.00000 0 Herbert Thresher UW W Hosp Bank of America 100 Federal St Boston MA 02110 046088132 Trust MA N/A T 1.00000 0 Tr UW H Dexter FB Wesson M Bank of America 100 Federal St Boston MA 02110 046018707 Trust MA N/A T 1.00000 0 Tr UW H Dexter FB Wesson W Bank of America 100 Federal St Boston MA 02110 046018708 Trust MA N/A T 1.00000 0 L & F Tifft BO BSHS Tr UA Bank of America 100 Federal St Boston MA 02110 046046282 Trust MA N/A T 1.00000 0 TW D B Wesson FB W M H Bank of America 100 Federal St Boston MA 02110 046018682 Trust MA N/A T 1.00000 0 TW D B Wesson FB WWH Bank of America 100 Federal St Boston MA 02110 046018681 Trust MA N/A T 1.00000 0 1 1 1 1 0 0 0 0 0 0 1 1 1 0 0 1 0 1 0 Baystate Administrative Services Inc M 2235657 Baystate Health Foundation Inc B 65000 Baystate Health Foundation Inc M 386000 Baystate Health Foundation Inc S Baystate Medical Center Inc C 47485000 Baystate Medical Center Inc K 277197 Baystate Medical Center Inc L 11609667 Baystate Medical Center Inc M 1930569 Baystate Medical Center Inc R 2690685 Health New England Inc B Ingraham Corporation D 144049 Baystate Mary Lane Hospital Inc B 883000 Visiting Nurse Assn and Hospice of Western New England Inc B 771000 Visiting Nurse Assn and Hospice of Western New England Inc P 204020 L & F Tifft BO BSHS Tr UA A 103225 BH Insurance Company Ltd P 3412128 Baystate Noble Hospital B 2300000