BAYSTATE MEDICAL PRACTICES INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- BAYSTATE MEDICAL PRACTICES INC (EIN 04-2888373)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-11
- IRS object ID
- 201522239349301652
- Schema version
- 2013v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-11T12:44:30-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Two Jericho Plaza | AddressLine1 |
| City | Jericho | City |
| State | NY | State |
| ZIP Code | 11753 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042888373 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baystate Medical Practices Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAYS | BusinessNameControlTxt |
| Phone | 4137940000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 759 Chestnut Street | AddressLine1 |
| City | Springfield | City |
| State | MA | State |
| ZIP Code | 01199 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dennis W Chalke | PersonNm |
| Person Title | SVP Finance, CFO & Treasurer | PersonTitleTxt |
| Phone | 4137943290 | PhoneNum |
| Signature | 2015-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Christine Kawecki | PreparerPersonNm |
| PTIN | P00743140 | PTIN |
| Phone | 5169187000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dennis W Chalke | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 759 Chestnut Street | AddressLine1 |
| City | Springfield | City |
| State | MA | State |
| ZIP Code | 01199 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $236,573,335 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | baystatehealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | The mission of the organization is to improve the health of the people in our communities every day, with quality and compassion. Baystate Medical Practice's vision states it will be the multi-specialty group practice of choice, known for exceptional service, quality, value, and academic leadership. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 1587 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $728,665 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$177,138 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $219,743,167 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $236,558,945 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,934 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,390 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $219,747,101 | PYTotalRevenueAmt |
| CY Total Revenue | $236,573,335 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $197,473,601 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $216,928,371 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $43,375,752 | PYOtherExpensesAmt |
| CY Other Expenses | $46,140,594 | CYOtherExpensesAmt |
| PY Total Expenses | $240,849,353 | PYTotalExpensesAmt |
| CY Total Expenses | $263,068,965 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$21,102,252 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$26,495,630 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $34,504,128 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,248,222 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $69,241,657 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $87,481,931 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$34,737,529 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$46,233,709 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To deliver excellent patient care, provide innovative medical education and pursue meaningful research. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $249,566,538 | ExpenseAmt |
| Revenue | $235,830,280 | RevenueAmt |
| Desc | Baystate Medical Practices, Inc. provides physician services, medical education and research programs to people in the community within its geographic location. BMP's policy is to provide care to any patient in need of medical care, regardless of the patient's ability to pay for such care. Dependent upon the patient's financial capability to pay, BMP may provide such care free of charge or at amounts below its normal charges. Because BMP does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. In addition to the charity care provided to patients, BMP's physicians participate in many and varied ongoing community outreach initiatives in the areas of education, employment, safety and health. For example, the BMP physicians in the Department of Pediatrics, in collaboration with the Springfield School Department, staff six school-based clinics that enhance school health education programs, provide professional development courses for teachers and administrators and establish a school-to-work program.BMP has also taken a leadership role in strengthening the health of disadvantaged citizens in surrounding communities including specific focus on AIDS and HIV and by providing physician staffing for three community-based health centers through Baystate Medical Center.Part VI, Section A, Line 1b:Baystate Medical Practices, Inc. (BMP) is part of an integrated delivery system including not for profit community hospitals, which have community boards. BMP is a physician organization, which supports Baystate Health and its affiliates and is comprised primarily of BMP employees. This board structure has not changed significantly since the organization applied for exempt status. | Desc |
| Total Program Service Expenses | $249,566,538 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 136 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1587 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Peter Lyons Baystate Health Inc | PersonNm |
| Phone | 4137940000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 759 Chestnut Street | AddressLine1 |
| City | Springfield | City |
| State | MA | State |
| ZIP Code | 01199 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Gordon Josephson MD | |||||||||
| Chair/President 10/1/13 - 2/03/14 | 40.00 | 10.00 | Yes (X) | Yes (X) | $529,869 | $0 | $62,659 | ||
| John Schrieber MD | |||||||||
| Chair/President 2/03/14 - 9/30/14 | 40.00 | 10.00 | Yes (X) | Yes (X) | $5,036 | $0 | $0 | ||
| Benjamin Liptzin MD | |||||||||
| Vice Chair/Director | 40.00 | 10.00 | Yes (X) | Yes (X) | $527,947 | $0 | $53,291 | ||
| Dennis W Chalke | |||||||||
| Treasurer/Director | 1.00 | 49.00 | Yes (X) | Yes (X) | $769,165 | $0 | $75,032 | ||
| Evan Benjamin MD | |||||||||
| Director 7/1/-9/30/14/ Sr VP Quality | 1.00 | 49.00 | Yes (X) | $656,389 | $0 | $63,030 | |||
| Elizabeth Boyle MD | |||||||||
| Director/ Medical Dir-Health Ctr | 49.00 | 1.00 | Yes (X) | $234,047 | $0 | $46,812 | |||
| Wayne Duke MD | |||||||||
| Director/ Vice Chair Pathology | 49.00 | 1.00 | Yes (X) | $369,538 | $0 | $51,804 | |||
| Oz Harmanli MD | |||||||||
| Director / Chief Urology | 49.00 | 1.00 | Yes (X) | $356,987 | $0 | $48,619 | |||
| Thomas Higgins MD | |||||||||
| Director/ Vice Chair Clinical Affairs | 49.00 | 1.00 | Yes (X) | $458,665 | $0 | $90,008 | |||
| Kevin Hinchey MD | |||||||||
| Director/ Chief Academic Affairs | 49.00 | 1.00 | Yes (X) | $490,558 | $0 | $66,584 | |||
| M Dale Janes | |||||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mark A Keroack MD | |||||||||
| Director/ Exec VP/COO-BH | 1.00 | 49.00 | Yes (X) | $776,897 | $0 | $179,311 | |||
| Aaron Kugelmass MD | |||||||||
| Director 10/2/13 -9/30/14 VP Chief Cardio | 49.00 | 1.00 | Yes (X) | $914,683 | $0 | $35,853 | |||
| Sivakumar Natanasapathy MD | |||||||||
| Director 10/2/13-9/30/14 Med Dir Adult HMP | 49.00 | 1.00 | Yes (X) | $423,613 | $0 | $44,610 | |||
| Michael Picchioni MD | |||||||||
| Director/ Internist | 49.00 | 1.00 | Yes (X) | $237,937 | $0 | $46,393 | |||
| Sara Rourke MD | |||||||||
| Director/ Med Dir BFMC | 49.00 | 1.00 | Yes (X) | $233,357 | $0 | $27,009 | |||
| Joseph Schmidt MD | |||||||||
| Director/ Vice Chair Emergency Med | 49.00 | 1.00 | Yes (X) | $341,817 | $0 | $52,656 | |||
| Scott Siege MD | |||||||||
| Director/Med Dir BMLH Peds Prac | 49.00 | 1.00 | Yes (X) | $202,608 | $0 | $31,290 | |||
| Mark R Tolosky | |||||||||
| Director 10/1/13-7/01/14 President & CEO BH | 1.00 | 49.00 | Yes (X) | $1,639,060 | $0 | $87,835 | |||
| Kelly Tyler MD | |||||||||
| Director/ General Surgeon | 49.00 | 1.00 | Yes (X) | $312,156 | $0 | $21,193 | |||
| Richard Wait MD | |||||||||
| Director/ Chairman, Dept of Surgery | 49.00 | 1.00 | Yes (X) | $882,995 | $0 | $100,434 | |||
| Jackson William MD | |||||||||
| Director / Chief Pedi HMP | 49.00 | 1.00 | Yes (X) | $207,653 | $0 | $23,042 | |||
| Kristin R Delaney | |||||||||
| Clerk | 1.00 | 49.00 | Yes (X) | $103,365 | $0 | $28,954 | |||
| Andrew Artenstein MD | |||||||||
| Chairman, Department of Medicine | 50.00 | 0.00 | $406,462 | $0 | $46,592 | Yes (X) | |||
| Gerda Maissel MD | |||||||||
| CMO Northern Region | 50.00 | 0.00 | $576,659 | $0 | $42,963 | Yes (X) | |||
| Douglas D Muehlberg | |||||||||
| COO Baystate Medical Practices | 50.00 | 0.00 | $390,905 | $0 | $58,028 | Yes (X) | |||
| M Shafeeq Ahmed MD | |||||||||
| COO/CMO Eastern Region | 30.00 | 20.00 | $283,562 | $0 | $115,751 | Yes (X) | |||
| Dennis Oh MD | |||||||||
| Neurosurgeon | 50.00 | $774,522 | $0 | $30,102 | Yes (X) | ||||
| David Refermat MD | |||||||||
| Chief Plastic Surgery | 50.00 | $716,412 | $0 | $31,177 | Yes (X) | ||||
| Sherry Taylor MD | |||||||||
| Chief Division Of Neurosurgery | 50.00 | $708,431 | $0 | $33,044 | Yes (X) | ||||
| Niels K Rathlev MD | |||||||||
| Chairman Emergency Services | 50.00 | $595,582 | $0 | $39,860 | Yes (X) | ||||
| Kevin P Moriarty MD | |||||||||
| Chief Pediatric Surgery | 50.00 | $585,835 | $0 | $44,922 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $15,712,712 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,678,858 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 499 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Baystate Administrative Services Inc | |||||
| 759 Chestnut Street | Springfield | MA | 01199 | Management services | $4,961,168 |
| Baystate Medical Center Inc | |||||
| 759 Chestnut Street | Springfield | MA | 01199 | MD scheduling service | $3,714,692 |
| Radiology & Imaging Inc | |||||
| 1350 Main St 10th Floor | Springfield | MA | 011031628 | MD services | $554,550 |
| Croes Olivia Group Inc | |||||
| 2222 Prospect Street Suite 6 | Belmont | MA | 02478 | Consulting services | $447,659 |
| Hayes Locums LLC | |||||
| 6700 North Andrews Ave Ste 6 | Fort Lauderdale | FL | 33309 | MD services | $432,037 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Physician Practice Fees | 621110 | $149,339,663 | $149,339,663 |
| Hospital reimb programs | 621110 | $61,283,804 | $61,283,804 |
| BH Strategic Initiative funding | 621110 | $5,260,759 | $5,260,759 |
| MD performance incentives | 621110 | $4,639,728 | $4,639,728 |
| EHR incentive Medicare/Medicaid | 621110 | $3,652,029 | $3,652,029 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,382,962 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,654,297 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $728,665 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $236,558,945 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,390 | TotalRevenueColumnAmt |
| Exclusion | $14,390 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $236,573,335 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $235,830,280 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $728,665 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,390 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,622,649 | TotalAmt |
| Program Services | $9,622,649 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,359,563 | TotalAmt |
| Program Services | $172,484,762 | ProgramServicesAmt |
| Management And General | $3,874,801 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,852,762 | TotalAmt |
| Program Services | $11,596,626 | ProgramServicesAmt |
| Management And General | $256,136 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,622,607 | TotalAmt |
| Program Services | $9,410,592 | ProgramServicesAmt |
| Management And General | $212,015 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,470,790 | TotalAmt |
| Program Services | $9,273,473 | ProgramServicesAmt |
| Management And General | $197,317 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,361,164 | TotalAmt |
| Management And General | $5,361,164 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $573,689 | TotalAmt |
| Management And General | $573,689 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,393 | TotalAmt |
| Management And General | $80,393 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,178,079 | TotalAmt |
| Program Services | $7,016,379 | ProgramServicesAmt |
| Management And General | $1,161,700 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,849 | TotalAmt |
| Program Services | $107,207 | ProgramServicesAmt |
| Management And General | $5,642 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,501,620 | TotalAmt |
| Program Services | $2,269,232 | ProgramServicesAmt |
| Management And General | $232,388 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,640 | TotalAmt |
| Program Services | $44,793 | ProgramServicesAmt |
| Management And General | $55,847 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,292,375 | TotalAmt |
| Program Services | $5,977,756 | ProgramServicesAmt |
| Management And General | $314,619 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,355 | TotalAmt |
| Program Services | $240,355 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,341 | TotalAmt |
| Program Services | $165,876 | ProgramServicesAmt |
| Management And General | $7,465 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,536 | TotalAmt |
| Management And General | $6,536 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,320,564 | TotalAmt |
| Program Services | $1,254,536 | ProgramServicesAmt |
| Management And General | $66,028 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,210,326 | TotalAmt |
| Program Services | $10,684,172 | ProgramServicesAmt |
| Management And General | $526,154 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Svcs Clerical | $3,695,875 | $3,695,875 | |
| Medical Supplies | $3,065,914 | $3,065,914 | |
| Prof'l Exp Acct | $1,889,490 | $1,889,490 | |
| Dues & Memberships | $562,962 | $562,962 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $774,422 | TotalAmt |
| Program Services | $766,851 | ProgramServicesAmt |
| Management And General | $7,571 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,068,965 | TotalAmt |
| Program Services | $249,566,538 | ProgramServicesAmt |
| Management And General | $13,502,427 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,126,924 | BOYAmt |
| EOY | $1,986,545 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,482,939 | BOYAmt |
| EOY | $17,521,889 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,444 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,531,906 | BOYAmt |
| EOY | $1,992,715 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,744,264 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,763,625 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,584,602 | BOYAmt |
| EOY | $9,980,639 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,680,313 | BOYAmt |
| EOY | $9,766,434 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,504,128 | BOYAmt |
| EOY | $41,248,222 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,104,905 | BOYAmt |
| EOY | $34,761,893 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,625 | BOYAmt |
| EOY | $280,208 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,846,127 | BOYAmt |
| EOY | $52,439,830 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,241,657 | BOYAmt |
| EOY | $87,481,931 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$34,737,529 | BOYAmt |
| EOY | -$46,233,709 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$34,737,529 | BOYAmt |
| EOY | -$46,233,709 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,504,128 | BOYAmt |
| EOY | $41,248,222 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$26,495,630 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $14,999,450 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $140,855,978 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $206,929,699 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $219,827,643 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $218,759,374 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $235,830,282 | CurrentTaxYearAmt |
| Total | $1,022,202,976 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $140,855,978 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $206,929,699 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $219,827,643 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $218,759,374 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $235,830,282 | CurrentTaxYearAmt |
| Total | $1,022,202,976 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,022,202,976 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,640 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,831 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,428 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,934 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,390 | CurrentTaxYearAmt |
| Total | $34,223 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,640 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,831 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,428 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,934 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,390 | CurrentTaxYearAmt |
| Total | $34,223 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $297,439 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $379,972 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $796,421 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $983,793 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $728,665 | CurrentTaxYearAmt |
| Total | $3,186,290 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $141,162,057 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $207,313,502 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $220,627,492 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $219,747,101 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $236,573,337 | CurrentTaxYearAmt |
| Total | $1,025,423,489 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99690 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99690 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,103,927 | OtherCostOrOtherBasisAmt |
| Depreciation | $465,983 | DepreciationAmt |
| Book Value | $637,944 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,543,469 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,567,082 | DepreciationAmt |
| Book Value | $5,976,387 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,074,243 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,730,560 | DepreciationAmt |
| Book Value | $3,343,683 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,625 | OtherCostOrOtherBasisAmt |
| Book Value | $22,625 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,980,639 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Affiliated Companies | $3,096,234 |
| Accounts Receivable, Other | $6,670,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,766,434 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliated Companies | $22,602,683 |
| Insurance IBNR Loss Reserves | $9,044,184 |
| Accrued Pension Cost | $20,071,187 |
| Line of credit, affiliate | $721,776 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $52,439,830 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gordon Josephson MD | ||||||||||||||
| Chair/President 10/1/13 - 2/03/14 | $340,675 | $0 | $152,412 | $0 | $36,782 | $0 | $45,150 | $0 | $17,509 | $0 | $592,528 | $0 | $0 | $0 |
| Benjamin Liptzin MD | ||||||||||||||
| Vice Chair/Director | $366,793 | $0 | $114,369 | $0 | $46,785 | $0 | $35,800 | $0 | $17,491 | $0 | $581,238 | $0 | $0 | $0 |
| Dennis W Chalke | ||||||||||||||
| Treasurer/Director | $393,944 | $0 | $159,840 | $0 | $215,381 | $0 | $53,098 | $0 | $21,934 | $0 | $844,197 | $0 | $0 | $0 |
| Evan Benjamin MD | ||||||||||||||
| Director 7/1/-9/30/14/ Sr VP Quality | $390,694 | $0 | $138,302 | $0 | $127,393 | $0 | $42,213 | $0 | $20,817 | $0 | $719,419 | $0 | $0 | $0 |
| Elizabeth Boyle MD | ||||||||||||||
| Director/ Medical Dir-Health Ctr | $197,816 | $0 | $35,220 | $0 | $1,011 | $0 | $25,797 | $0 | $21,015 | $0 | $280,859 | $0 | $0 | $0 |
| Wayne Duke MD | ||||||||||||||
| Director/ Vice Chair Pathology | $312,754 | $0 | $40,512 | $0 | $16,272 | $0 | $33,167 | $0 | $18,637 | $0 | $421,342 | $0 | $0 | $0 |
| Oz Harmanli MD | ||||||||||||||
| Director / Chief Urology | $277,700 | $0 | $65,434 | $0 | $13,853 | $0 | $30,626 | $0 | $17,993 | $0 | $405,606 | $0 | $0 | $0 |
| Thomas Higgins MD | ||||||||||||||
| Director/ Vice Chair Clinical Affair | $342,123 | $0 | $64,937 | $0 | $51,605 | $0 | $71,760 | $0 | $18,248 | $0 | $548,673 | $0 | $0 | $0 |
| Kevin Hinchey MD | ||||||||||||||
| Director/ Chief Academic Affairs | $335,131 | $0 | $119,204 | $0 | $36,223 | $0 | $43,345 | $0 | $23,239 | $0 | $557,142 | $0 | $0 | $0 |
| Mark A Keroack MD | ||||||||||||||
| Director/ Exec VP/COO-BH | $537,949 | $0 | $223,630 | $0 | $15,318 | $0 | $165,853 | $0 | $13,458 | $0 | $956,208 | $0 | $0 | $0 |
| Aaron Kugelmass MD | ||||||||||||||
| Director 10/2/13 -9/30/14 VP Chief C | $540,375 | $0 | $222,866 | $0 | $151,442 | $0 | $16,575 | $0 | $19,278 | $0 | $950,536 | $0 | $103,513 | $0 |
| Sivakumar Natanasapathy MD | ||||||||||||||
| Director 10/2/13-9/30/14 Med Dir Adu | $371,209 | $0 | $38,294 | $0 | $14,110 | $0 | $26,962 | $0 | $17,648 | $0 | $468,223 | $0 | $0 | $0 |
| Michael Picchioni MD | ||||||||||||||
| Director/ Internist | $202,998 | $0 | $34,274 | $0 | $665 | $0 | $30,261 | $0 | $16,132 | $0 | $284,330 | $0 | $0 | $0 |
| Sara Rourke MD | ||||||||||||||
| Director/ Med Dir BFMC | $185,557 | $0 | $46,422 | $0 | $1,378 | $0 | $11,729 | $0 | $15,280 | $0 | $260,366 | $0 | $0 | $0 |
| Joseph Schmidt MD | ||||||||||||||
| Director/ Vice Chair Emergency Med | $295,036 | $0 | $32,881 | $0 | $13,900 | $0 | $33,709 | $0 | $18,947 | $0 | $394,473 | $0 | $0 | $0 |
| Scott Siege MD | ||||||||||||||
| Director/Med Dir BMLH Peds Prac | $175,226 | $0 | $26,802 | $0 | $580 | $0 | $13,455 | $0 | $17,835 | $0 | $233,898 | $0 | $0 | $0 |
| Mark R Tolosky | ||||||||||||||
| Director 10/1/13-7/01/14 President & | $728,085 | $0 | $456,876 | $0 | $454,099 | $0 | $57,333 | $0 | $30,502 | $0 | $1,726,895 | $0 | $0 | $0 |
| Kelly Tyler MD | ||||||||||||||
| Director/ General Surgeon | $304,773 | $0 | $3,432 | $0 | $3,951 | $0 | $12,750 | $0 | $8,443 | $0 | $333,349 | $0 | $0 | $0 |
| Richard Wait MD | ||||||||||||||
| Director/ Chairman, Dept of Surgery | $602,783 | $0 | $209,100 | $0 | $71,112 | $0 | $78,413 | $0 | $22,021 | $0 | $983,429 | $0 | $0 | $0 |
| Jackson William MD | ||||||||||||||
| Director / Chief Pedi HMP | $177,641 | $0 | $29,669 | $0 | $343 | $0 | $17,457 | $0 | $5,585 | $0 | $230,695 | $0 | $0 | $0 |
| Andrew Artenstein MD | ||||||||||||||
| Chairman, Department of Medicine | $320,073 | $0 | $59,142 | $0 | $27,247 | $0 | $28,145 | $0 | $18,447 | $0 | $453,054 | $0 | $0 | $0 |
| Gerda Maissel MD | ||||||||||||||
| CMO Northern Region | $447,169 | $0 | $129,240 | $0 | $250 | $0 | $22,913 | $0 | $20,050 | $0 | $619,622 | $0 | $0 | $0 |
| Douglas D Muehlberg | ||||||||||||||
| COO Baystate Medical Practices | $281,811 | $0 | $70,659 | $0 | $38,435 | $0 | $42,403 | $0 | $15,625 | $0 | $448,933 | $0 | $0 | $0 |
| M Shafeeq Ahmed MD | ||||||||||||||
| COO/CMO Eastern Region | $224,916 | $0 | $41,891 | $0 | $16,755 | $0 | $98,047 | $0 | $17,704 | $0 | $399,313 | $0 | $0 | $0 |
| Dennis Oh MD | ||||||||||||||
| Neurosurgeon | $614,730 | $0 | $133,440 | $0 | $26,352 | $0 | $12,750 | $0 | $17,352 | $0 | $804,624 | $0 | $0 | $0 |
| David Refermat MD | ||||||||||||||
| Chief Plastic Surgery | $517,308 | $0 | $157,267 | $0 | $41,837 | $0 | $12,750 | $0 | $18,427 | $0 | $747,589 | $0 | $23,849 | $0 |
| Sherry Taylor MD | ||||||||||||||
| Chief Division Of Neurosurgery | $669,193 | $0 | $0 | $0 | $39,238 | $0 | $20,400 | $0 | $12,644 | $0 | $741,475 | $0 | $0 | $0 |
| Niels K Rathlev MD | ||||||||||||||
| Chairman Emergency Services | $396,424 | $0 | $98,655 | $0 | $100,503 | $0 | $20,400 | $0 | $19,460 | $0 | $635,442 | $0 | $61,669 | $0 |
| Kevin P Moriarty MD | ||||||||||||||
| Chief Pediatric Surgery | $472,845 | $0 | $80,916 | $0 | $32,074 | $0 | $26,775 | $0 | $18,147 | $0 | $630,757 | $0 | $8,021 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The compensation of 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. and these individuals would be considered independent for compensation deliberation purposes as related to the filing organization. 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 independent compensation committee of Baystate Health, Inc. and all such deliberations and decisions are documented contemporaneously. |
| Part I, Line 4b | Mohammed Shafeeq Ahmed, MD - Supplemental Retirement of $15,187 is included in column E. This amount was earned in 2013. Andrew Artenstein, MD Supplemental Retirement of $22,913 is included in column E. This amount was earned in 2013. Evan B. Benjamin, MD - Supplemental Retirement of $110,597 is included in column E. This amount was earned in 2013. Dennis W. Chalke - Supplemental Retirement of $135,242 is included in column E. This amount was earned in 2013. Wayne Duke, MD - Supplemental Retirement of $14,289 is included in column E. This amount was earned in 2013. Oz Harmanli, MD - Supplemental Retirement of $12,020 is included in column E. This amount was earned in 2013. Thomas Higgins, MD - Supplemental Retirement of $33,423 is included in column E. This amount was earned in 2013. Kevin Hinchey, MD Supplemental Retirement of $17,905 is included in column E. This amount was earned in 2013. Gordon Josephson, MD - Supplemental Retirement of $26,718 is included in column E. This amount was earned in 2013. Mark A. Keroack, MD- Supplemental Retirement of $145,453 is included in column E. This amount was earned in 2013. Aaron Kugelmass, MD- Supplemental Retirement of $148,280 is included in column E. This amount consists of $44,767 earned in 2013 and $103,513 non-vested amounts that were earned in the previous 4 years and previously reported each year as deferred compensation, and now included again in accordance with reporting requirements. Benjamin Liptzin, MD - Supplemental Retirement of $32,135 is included in column E. This amount was earned in 2013. Gerda Maissel, MD Supplemental Retirement of $11,015 is included in column E. This amount was earned in 2013. Kevin Moriarty, MD- Supplemental Retirement of $29,460 is included in column E. This amount consists of $21,439 earned in 2013 and $8,021 non-vested amounts that were earned in the previous 4 years and previously reported each year as deferred compensation, and now included again in accordance with reporting requirements. Sivakumar Natanasapathy, MD - Supplemental Retirement of $13,280 is included in column E. This amount was earned in 2013. Dennis Oh, MD - Supplemental Retirement of $24,633 is included in column E. This amount was earned in 2013. Neils K. Rathlev, MD Supplemental Retirement of $88,291 is included in column E. This amount consists of $26,622 earned in 2013 and $61,669 non-vested amounts that were earned in the previous 4 years and previously reported each year as deferred compensation, and now included again in accordance with reporting requirements. David Refermat, MD Supplemental Retirement of $40,730 is included in column E. This amount consists of $16,881 earned in 2013 and $23,849 non-vested amounts that were earned in the previous 4 years and previously reported each year as deferred compensation, and now included again in accordance with reporting requirements. Joseph Schmidt, MD - Supplemental Retirement of $11,427 is included in column E. This amount was earned in 2013. Sherry Taylor, MD - Supplemental Retirement of $32,757 is included in column E. This amount was earned in 2013. Mark R. Tolosky - Supplemental Retirement of $387,879 is included in column E. This amount was earned in 2013. Kelly Tyler, MD Supplemental Retirement of $3,281 is included in column E. This amount was earned in 2013. Richard B. Wait, MD - Supplemental Retirement of $70,812 is included in column E. This amount was earned in 2013. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| American Excess Insurance Exchange (AEIX) | |||
| Board Overlap | $1,876,951 | See Part V - Mark Tolosky, President of the filing organization is also Chairman of the Board of Directors of AEIX. The filing organization purchases general & professional liability insurance from AEIX. | 0 |
| Baycare Health Partners Inc (BHP) | |||
| Common Board Members or Officers | $419,425 | See Part V - The filing organization made payments to BHP for physician membership dues. BHP is an affiliate corporation of the filing organization. | 0 |
| Baystate Radiology & Imaging LLC | |||
| Common Board Members or Officers | $28,385 | See Part V - The filing organization made payments to BRI for patient and medical care services. BRI is an affiliate corporation of the filing organization. | 0 |
| Baystate Radiology & Imaging LLC | |||
| Common Board Members or Officers | $143,822 | See Part V - The filing organization received rent payments from BRI. BRI is an affiliate corporation of the filing organization. | 0 |
| Greater Springfield Independent Practice Association (GSIPA) | |||
| Board Overlap | $104,988 | See Part V - Benjamin Liptzin, MD, Vice Chair of the filing organization is also a Board Member of GSIPA. The filing organization makes dues/membership payments to GSIPA. | 0 |
| Health New England Inc (HNE) | |||
| Common Board Members or Officers | $18,096,053 | See Part V - The filing organization received $17,075,543 related to medical claims, $450,000 for medical consulting services and $570,510 in Surplus Sharing payments from HNE. HNE is an affiliate corporation of the filing organization. | 0 |
| Ingraham Corporation (IC) | |||
| Common Board Members or Officers | $609,485 | See Part V - The filing organization made payments to IC for rental of medical office space. IC is an affiliate corporation of the filing organization. | 0 |
| Baycare Health Partners Inc (BHP) | |||
| Common Board Members or Officers | $5,147,234 | See Part V - The filing organization received payments from BHP of 5,147,234 for patient care services which BMP is the intermediary between the filing organization and third party payers | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | M. Shafeeq Ahmed, Dennis W. Chalke, Kristin R. Delaney, Gordon Josephson, MD, Mark A. Keroack, MD, Benjamin Liptzin, MD, Gerda Maissel, MD, John Schreiber, MD, Scott Siege, MD, Mark R. Tolosky, are also officers or trustees of Baystate Health, Inc. & its affiliated entities. |
| Form 990, Part VI, Section A, line 3 | Baystate Medical Practices, 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 6 | The members of the filing organization are physicians, all of whom who have medical staff appointments at a Baystate Health, Inc. (BH) hospital affiliate, provide at least 1,000 hours of professional service annually on behalf of the filing organization, and are parties to a membership agreement with the filing organization approved by the Board of Directors. |
| Form 990, Part VI, Section A, line 7a | The Board of Directors consists of 20 Directors, seven of whom are either appointed by BH or serve ex officio based on positions they hold with BH, and 14 of whom are at large directors elected by the members of the filing organization. |
| Form 990, Part VI, Section A, line 7b | The bylaws of the filing organization provide that the following matters approved by the Board of Directors are also subject to the approval of BH: (1) the filing organizations annual budget, (2) the form and content of agreements with members and other employees of the filing organization for their compensation and benefits, (3) policies regarding personal time, sick time, leaves of absence, hours of work, and number of working days, (4) the establishment of reserves to meet any unusual expense, loss, or anticipated year-end expense or a discretionary fund to support the filing organizations educational and research programs, (5) any pledge of the filing organizations credit, the borrowing of any money, or the execution of any promissory note by the filing organization, (6) amendments to the bylaws of the filing organization, with the exception of certain technical amendments. |
| Form 990, Part VI, Section B, line 11 | Prior 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. (the parent organization of the health care system to which the filing organization belongs), 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. In addition, this return was provided to and reviewed by the Audit and Compliance Committee of Baystate Health, Inc. This committee also reviews the audited financial statements for the health system. This return was also provided prior to filing to the Baystate Health, Inc. Board of Trustees. |
| Form 990, Part VI, Section B, line 12c | Form 990, Part VI, Section B, Line 12c Baystate Health, Inc. (BH) has a comprehensive conflict of interest policy which has been adopted by the filing organization. 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 BH Chief Compliance Officer, the BH Chief Executive Officer, the Chair of the BH Board of Trustees, and the Chair of the Audit & Compliance Committee of BH. 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 15b | The compensation of the President and of other officers and key employees 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. and these individuals would be considered independent for compensation deliberation purposes as related to the filing organization. The compensation of the President and CEO and of other officers and key employees 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 independent compensation committee of Baystate Health, Inc. Line 15a has been answered No because the President and other officers are paid by Baystate Administrative Services, Inc., an affiliate organization of the filing organization. Key Employees are paid by the filing organization. |
| Form 990, Part VI, Section C, line 19 | 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 VII, Section A, Line 5 Certain officers or trustees of the filing organization are paid by an entity,Baystate Administrative Services, Inc. (BAS) EIN 22-2747685, who is part of the health care system to which the filing organization belongs but one that does not meet the technical requirements as a "Related Organization" per Schedule R. Compensation from BAS 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: | Current year acquisitions from other entities 2,785,121. Transfer to/from affiliate, net 20,143,500. Minimum pension liability adjustment -7,929,172. rounding 1. |
| 990 Part XII, line 2c | The process has not changed from the prior year. |