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BAYSTATE HEALTH INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
BAYSTATE HEALTH INC (EIN 04-2105941)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-11
IRS object ID
201542239349301654
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

FieldValueIRS element (for citing)
Return2015-08-11T12:44:30-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1Two Jericho PlazaAddressLine1
CityJerichoCity
StateNYState
ZIP Code11753ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042105941EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Baystate Health IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlBAYSBusinessNameControlTxt
Phone4137940000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1
CitySpringfieldCity
StateMAState
ZIP Code01199ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDennis W ChalkePersonNm
Person TitleSVP Finance, CFO & TreasurerPersonTitleTxt
Phone4137940000PhoneNum
Signature2015-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonChristine KaweckiPreparerPersonNm
PTINP00743140PTIN
Phone5169187000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDennis W ChalkePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1
CitySpringfieldCity
StateMAState
ZIP Code01199ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$60,640,034GrossReceiptsAmt
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 Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers21TotalVolunteersCnt
Total Gross UBI$1,143,469TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$746,024NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,536,957PYContributionsGrantsAmt
CY Contributions Grants$11,882,171CYContributionsGrantsAmt
PY Program Service Revenue$4,639,754PYProgramServiceRevenueAmt
CY Program Service Revenue$6,526,576CYProgramServiceRevenueAmt
PY Investment Income$1,485,330PYInvestmentIncomeAmt
CY Investment Income$1,612,414CYInvestmentIncomeAmt
PY Other Revenue$917,939PYOtherRevenueAmt
CY Other Revenue$904,912CYOtherRevenueAmt
PY Total Revenue$13,579,980PYTotalRevenueAmt
CY Total Revenue$20,926,073CYTotalRevenueAmt
PY Grants And Similar Paid$315,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$315,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,176,825PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,343,448CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,078,904PYOtherExpensesAmt
CY Other Expenses$20,512,593CYOtherExpensesAmt
PY Total Expenses$15,570,729PYTotalExpensesAmt
CY Total Expenses$22,171,041CYTotalExpensesAmt
PY Revenues Less Expenses-$1,990,749PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,244,968CYRevenuesLessExpensesAmt
Total Assets BOY$107,070,000TotalAssetsBOYAmt
Total Assets EOY$182,232,268TotalAssetsEOYAmt
Total Liabilities BOY$22,027,822TotalLiabilitiesBOYAmt
Total Liabilities EOY$73,585,883TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$85,042,178NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$108,646,385NetAssetsOrFundBalancesEOYAmt
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$16,338,568ExpenseAmt
Grant$315,000GrantAmt
Revenue$6,526,576RevenueAmt
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. Partners for a Healthier Community is the primary recipient of BH support.Baystate Health currently includes the following:Baystate Medical Center, Inc. (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 653 bed, tax exempt, not-for-profit, academic teaching hospital that serves as the western campus of Tufts University School of Medicine.Baystate Franklin Medical Center (BFMC) located in Greenfield, Massachusetts, is a 90-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 Mary Lane Hospital Corporation (BMLH) located in Ware, Massachusetts, is a 31-bed, tax exempt, not-for-profit, acute care community hospital. BMLH provides services to more than sixteen central Massachusetts communities.Baystate Medical Practices(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.Baystate Visiting Nurse Association & Hospice (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 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.Desc
Total Program Service Expenses$16,338,568TotalProgramServiceExpensesAmt
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 EntYes (1)BusinessRlnWithOfficerEntInd
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 Document58IRPDocumentCnt
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
Foreign CountryUKForeignCountryCd
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 Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPeter Lyons Baystate Health IncPersonNm
Phone4137940000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1
CitySpringfieldCity
StateMAState
ZIP Code011990001ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Mark A Keroack MD PresDir
7/1-9/30/14; Exec VP/COO-BH in 201340.0010.00Yes (X)Yes (X)$0$776,897$179,311
Mark R Tolosky
President 10/1/13 - 7/01/1440.0010.00Yes (X)Yes (X)$0$1,639,060$87,835
Victor Woolridge
Chair2.001.00Yes (X)Yes (X)$0$0$0
James P Sadowsky
Vice Chair2.001.00Yes (X)Yes (X)$0$0$0
Gregory L Braden MD
Trustee1.001.00Yes (X)$0$0$0
Ruth H Constantine
Trustee 10/1/13 -2/04/141.001.00Yes (X)$0$0$0
John H Davis
Trustee1.001.00Yes (X)$0$0$0
John A Egelhofer MD
Trustee1.001.00Yes (X)$0$0$0
John E Kole
Trustee1.001.00Yes (X)$0$0$0
Grace P Makari-Judson MD
Trustee/ Hematologist M. D1.001.00Yes (X)$367,726$0$80,725
John F Maybury
Trustee1.001.00Yes (X)$0$0$0
Steven M Mitus
Trustee1.001.00Yes (X)$0$0$0
Edward J Noonan
Trustee 9/09/14 - 9/30/141.001.00Yes (X)$0$0$0
John M O'Brien III
Trustee1.001.00Yes (X)$0$0$0
Anne M Paradis
Trustee1.001.00Yes (X)$0$0$0
James R Phaneuf CIC
Trustee 9/09/14 - 9/30/141.001.00Yes (X)$0$0$0
Robert L Pura PhD
Trustee1.001.00Yes (X)$0$0$0
Katherine E Putnam
Trustee 10/1/13 - 12/31/131.001.00Yes (X)$0$0$0
Timothy S Rice
Trustee1.001.00Yes (X)$0$0$0
Kathleen B Scoble
Trustee 2/11/14 - 9/30/141.001.00Yes (X)$0$0$0
David C Southworth
Trustee1.001.00Yes (X)$0$0$0
Barbara W Stechenberg MD
Trustee 10/1/-12/31/13/ Physician1.001.00Yes (X)$156,817$0$44,388
Richard B Steele Jr
Trustee1.001.00Yes (X)$0$0$0
Katherine McG Sullivan
Trustee1.001.00Yes (X)$0$0$0
Howard G Trietsch MD
Trustee1.001.00Yes (X)$0$0$0
Dennis W Chalke
Treasurer40.0010.00Yes (X)$0$769,165$75,032
Kristin R Delaney
Clerk40.0010.00Yes (X)$0$103,365$28,954
Patricia A Sheldon
Asst Clerk 10/1/3 - 4/18/1440.0010.00Yes (X)$0$65,029$18,760
Madeline Santos
Asst Clerk 7/08/14 - 9/30/1440.0010.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$524,543TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,353,516TotReportableCompRltdOrgAmt
Total Other Compensation$515,005TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Baystate Administrative Services Inc
759 Chestnut StreetSpringfieldMA011990001Management Services$1,861,570
Ropes & Gray LLP
800 Boylston StreetBostonMA02199Legal Services$1,440,802
JKA LLC
3917 Kathleen WayDavenportIA52807Consulting Services$575,574
PriceWaterhouseCoopers LLP
PO Box 7247-8001PhiladelphiaPA19170Consulting Services$509,795
DGA PARTNERS
Two Bala Plaza Suite 301Bala CynwydPA19004Consulting Services$118,651
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Related Organizations$11,651,250RelatedOrganizationsAmt
All Other Contributions$230,921AllOtherContributionsAmt
Total Contributions$11,882,171TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Premier Purchasing Partners, L.P.525990$4,844,523$4,844,523
Ins and Prship UBI525990$830,588$830,588
Misc (incl CPIP admin revenue)524298$327,950$22,950$305,000
Intercompany Rent531120$269,386$269,386
Medical Staff Dues524298$254,129$254,129
FieldValueIRS element (for citing)
Total Program Service Revenue$6,526,576TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,035,551TotalRevenueColumnAmt
Unrelated Business Revenue$7,881UnrelatedBusinessRevenueAmt
Exclusion$1,027,670ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$40,290,824SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$39,713,961SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$576,863SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$576,863TotalRevenueColumnAmt
Exclusion$576,863ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescBHF/BH TRR & BINA INCDesc
Business525990BusinessCd
Total Revenue Column$904,912TotalRevenueColumnAmt
Exclusion$904,912ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$904,912OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,926,073TotalRevenueColumnAmt
Related Or Exempt Func Income$5,390,988RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,143,469UnrelatedBusinessRevenueAmt
Exclusion$2,509,445ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$315,000TotalAmt
Program Services$315,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,343,448TotalAmt
Program Services$1,343,448ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$302,665TotalAmt
Management And General$302,665ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$58,352TotalAmt
Management And General$58,352ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$155,000TotalAmt
Program Services$155,000ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$89,119TotalAmt
Management And General$89,119ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,169,544TotalAmt
Program Services$1,039,843ProgramServicesAmt
Management And General$129,701ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$33,229TotalAmt
Program Services$33,229ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,848TotalAmt
Program Services$125ProgramServicesAmt
Management And General$20,723ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$43,089TotalAmt
Management And General$43,089ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$58,580TotalAmt
Program Services$58,580ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$29,730TotalAmt
Program Services$29,730ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,713TotalAmt
Management And General$10,713ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$1,494,224TotalAmt
Program Services$792,355ProgramServicesAmt
Management And General$701,869ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,782TotalAmt
Program Services$2,782ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$62,629TotalAmt
Management And General$62,629ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
STRATEGIC INITIATIVES$6,830,654$6,830,654
WING HOSPITAL ACQ.EXP$4,369,780$4,369,780
457b PENSION PLAN EXP$3,111,321$3,111,321
BAS ADMIN CHARGES$761,558$548,562$212,996

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,908,776TotalAmt
Program Services$819,480ProgramServicesAmt
Management And General$1,089,296ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,171,041TotalAmt
Program Services$16,338,568ProgramServicesAmt
Management And General$5,832,473ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,282,199BOYAmt
EOY$14,289,655EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,590,454BOYAmt
EOY$336,152EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,570BOYAmt
EOY$12,115EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$332,445LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$256,213LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$95,009BOYAmt
EOY$76,232EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$31,245,045BOYAmt
EOY$32,594,754EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$7,639,504BOYAmt
EOY$43,321,963EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$41,206,219BOYAmt
EOY$91,601,397EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$107,070,000BOYAmt
EOY$182,232,268EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,615,988BOYAmt
EOY$2,916,525EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$18,500,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,411,834BOYAmt
EOY$51,864,358EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,027,822BOYAmt
EOY$73,585,883EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$64,239,858BOYAmt
EOY$84,338,324EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$1,210,000EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,802,320BOYAmt
EOY$23,098,061EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$85,042,178BOYAmt
EOY$108,646,385EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$107,070,000BOYAmt
EOY$182,232,268EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,244,968ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,101,879NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$20,747,296OtherChangesInNetAssetsAmt
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$2,268,253CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,440,269CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,531,372CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,536,957CurrentTaxYearMinus1YearAmt
Current Tax Year$11,882,171CurrentTaxYearAmt
Total$29,659,022TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,268,253CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,440,269CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,531,372CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,536,957CurrentTaxYearMinus1YearAmt
Current Tax Year$11,882,171CurrentTaxYearAmt
Total$29,659,022TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$29,659,022PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,166,916CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,022,969CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$887,897CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$987,657CurrentTaxYearMinus1YearAmt
Current Tax Year$1,035,551CurrentTaxYearAmt
Total$5,100,990TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$299,456CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$62,091CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$167,675CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$833,280CurrentTaxYearMinus1YearAmt
Current Tax Year$760,524CurrentTaxYearAmt
Total$2,123,026TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,018,209CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$955,876CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,069,297CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$917,939CurrentTaxYearMinus1YearAmt
Current Tax Year$904,912CurrentTaxYearAmt
Total$4,866,233TotalAmt
FieldValueIRS element (for citing)
Total Support$41,749,271TotalSupportAmt
Gross Receipts Rltd Activities$21,020,358GrossReceiptsRltdActivitiesAmt
Public Support CY1700.71040PublicSupportCY170Pct
Public Support PY1700.66770PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart II, line 10 activityFormAndLineReferenceDesc
ExplanationTRR operations transactions TRR adjustment TRR adjustment: Unrestricted - BHF Development Office expenseExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$210,000OtherActivitiesAmt
Total Lobbying Expenditures$210,000TotalLobbyingExpendituresAmt
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. and Capital Consulting for technical and strategic advisory services including advice, 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$19,758,115BeginningYearBalanceAmt
Contributions$100,868ContributionsAmt
Investment Earnings Or Losses$517,626InvestmentEarningsOrLossesAmt
End Year Balance$20,376,609EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,718,148BeginningYearBalanceAmt
Contributions$170,271ContributionsAmt
Investment Earnings Or Losses$869,696InvestmentEarningsOrLossesAmt
End Year Balance$19,758,115EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,468,653BeginningYearBalanceAmt
Contributions$79,814ContributionsAmt
Investment Earnings Or Losses$1,169,681InvestmentEarningsOrLossesAmt
End Year Balance$18,718,148EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,056,698BeginningYearBalanceAmt
Contributions$70,532ContributionsAmt
Investment Earnings Or Losses-$658,577InvestmentEarningsOrLossesAmt
End Year Balance$17,468,653EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,584,865BeginningYearBalanceAmt
Contributions$60,772ContributionsAmt
Investment Earnings Or Losses$411,061InvestmentEarningsOrLossesAmt
End Year Balance$18,056,698EndYearBalanceAmt
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$225,006DepreciationAmt
Book Value$8,227BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,589OtherCostOrOtherBasisAmt
Depreciation$9,708DepreciationAmt
Book Value$8,881BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,295OtherCostOrOtherBasisAmt
Depreciation$21,295DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$204OtherCostOrOtherBasisAmt
Depreciation$204DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$76,232TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescInvestments - Other SecuritiesDesc
Book Value$43,321,963BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$43,321,963TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Due from Affiliated Companies$3,962,424
Equity Investment in Subsidiaries (Ingraham & Wing)$49,461,733
Line of Credit -- Affiliate$1,579,997
Interest in Net Assets in BHF$22,624,093
Rounding$697
Deferred Expenses$13,972,453
FieldValueIRS element (for citing)
Total Book Value Other Assets$91,601,397TotalBookValueOtherAssetsAmt
Federal Income Tax Liability-$35,331FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Due to Affiliated Companies$1,905,444
Due to Board-Designated Funds$1,055,548
Insurance Reserves$13,050,000
Deferred Compensation Obligations$35,888,697
FieldValueIRS element (for citing)
Total Liability$51,864,358TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4Endowment assets are to provide funding to support programs that further Baystate Health's mission.
Part X, Line 2Baystate Health, Inc. did not have a FIN 48 footnote included in the audited financial statements.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CaribbeanInsurance$16,525,008
United KingdomInvestments$32,992,090
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$49,517,098SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$49,517,098TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, line 3FormAndLineReferenceDesc
ExplanationTotal expenditures of $16,525,008 in the Caribbean are comprised of insurance related cash transfers of $16,405,008 and Baystate Health's book value of $120,000 BHIC investmentExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Partners for a Healthier Community Inc
PO Box 15769SpringfieldMA01115043342182501(c)(3)$250,000To 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 StreetSpringfieldMA01199043549011501(c)(3)$65,000To provide support for the Health Science Library and Medical Staff Pledge.
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II, lines 1FormAndLineReferenceDesc
ExplanationBaystate 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.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 PresDir
7/1-9/30/14; Exec VP/COO-BH in 2013$0$537,949$0$223,630$0$15,318$0$165,853$0$13,458$0$956,208$0$0
Mark R Tolosky
President 10/1/13 - 7/01/14$0$728,085$0$456,876$0$454,099$0$57,333$0$30,502$0$1,726,895$0$0
Grace P Makari-Judson MD
Trustee/ Hematologist M. D$293,165$0$48,189$0$26,372$0$51,224$0$29,501$0$448,451$0$0$0
Barbara W Stechenberg MD
Trustee 10/1/-12/31/13/ Physician$135,195$0$21,484$0$138$0$32,533$0$11,855$0$201,205$0$0$0
Dennis W Chalke
Treasurer$0$393,944$0$159,840$0$215,381$0$53,098$0$21,934$0$844,197$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 and these individuals 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 independent compensation committee of Baystate Health, Inc and all such deliberations and decisions are documented contemporaneously.
Part I, Line 4bDennis W. Chalke - Supplemental Retirement of $135,242 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. Grace Makari-Judson, MD- Supplemental Retirement of $10,989 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Baycare Health Partners Inc (BHP)
Common Board Members or Officers$79,100See Part V - The filing organization received payments from BHP of $71,975 for Interest on PVAC Loan, and $7,125 for Patient Care Services. BHP is a Physician Hospital Organization and an affiliate corporation of the filing organization.0
Baycare Health Partners Inc (BHP)
Common Board Members or Officers$619,996See Part V - The filing organization made payments to BHP for physician membership dues of $219,996 and Patient Centered Medical Home Pilot of $200,000. The filing organization made payments of $200,000 to BHP for consultant fees. BHP is a Physician Hospital Organization and an affiliate corporation of the filing organization.0
Baystate Health Insurance Company Ltd (BHIC)
Common Board Members or Officers$3,471,144See Part V - The filing organization made payments for Indemnity pass-thru premiums. BHIC is an affiliate organization of the filing organization.0
Baystate OBGYN Group (BOG)
Partnership - Owned more than 5% by Dr. Howard Trietsch, Board Member$562,990See Part V - The filing organization received pass through payments from BOG for community physician insurance premiums due Baystate Health Insurance Company, Ltd.0
Health New England Inc
Common Board Members or Officers$5,000,000See Part V - The filing organization paid $5,000,000 for HNE growth as part of the Health System Strategic Plan. HNE is an affiliate corporation of the filing organization.0
Ingraham Corporation (IC)
Common Board Members or Officers$144,095See Part V - The filing organization received principal and interest payments from IC related to the line of credit. IC is an affiliate corporation of the filing organization.0
Mass Mutual Financial Group (MMFG)
Board Overlap$598,087See Part V - Victor Woolridge, Board Member of the filing organization is also the Vice President of Cornerstone Real Estate Advisors, LLC, a subsidiary of MMFG. The filing organization purchases investment management & administrative services from MMFG and its subsidiaries.0
Western New England Renal & Transplant (WNERTA)
Board Overlap$362,047See Part V - Gregory L. Braden, MD, Board Member of the filing organization is also a Member of the Board of Directors of WNERTA. The filing organization received payments from WNERTA for community physicians insurance premiums due to Baystate Health Insurance Company, Ltd. of $354,047 and memberships of $8,000.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 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. Part VI, Line 1b explanation: Three members of the Board of Trustees of the filing organization are not considered independent as a result of their service on the Board of an affiliate of the filing organization.
Form 990, Part VI, Section A, line 2Gregory L. Braden, MD, Dennis W. Chalke, Ruth H. Constantine, John H. Davis, Kristin R. Delaney, John A. Egelhofer, MD, Mark A. Keroack, MD, John E. Kole, Grace P. Makari-Judson, MD, John E. Maybury, Steven M. Mitus, Edward Noonan, John M. OBrien, III, Ann M. Paradis, James Phaneuf, CIC, Robert L. Pura, PhD, Katherine E. Putnam, Timothy S. Rice, James P. Sadowsky, Madeline Santos, Kathleen B. Scoble, Patricia A. Sheldon, David C. Southworth, Barbara W. Stechenberg, MD, Richard B. Steele, Jr., Katherine McG. Sullivan, Mark R. Tolosky, Howard G. Trietsch, MD, and Victor Woolridge are also officers or trustees of its affiliated entities. The following trustees, officers, or key employees serve on a common board of a non-affiliated entity: (1) Katherine E. Putnam and David Southworth (2) Richard B. Steele, Jr. and Katherine McG. Sullivan (3) Steven M. Mitus, Robert L. Pura, PhD and Richard B. Steele, Jr.; (4)John F. Maybury, David C. Southworth and Mark R. Tolosky (5) John M. O'Brien, III, James Phaneuf, CIC and Victor Woolridge (6) John E. Kole and Richard B. Steele, Jr. (7) Steven M. Mitus and David C. Southworth (8) John H. Davis and James P. Sadowsky
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 4The filing organization amended its bylaws to increase the number of trustees serving on its board by two and to provide that two of the trustees shall be members of the Board of Directors of Baystate Wing Hospital Corporation (BWH), an affiliate of the organization, approved by the Board of Directors of BWH.
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 11Prior 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., 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 prior to 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 prior to filing.
Form 990, Part VI, Section B, line 12cBaystate 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 15The compensation of the President and CEO and of other officers 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 and these individuals would be considered independent for compensation deliberation purposes. The compensation of the President and CEO and of other officers 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. Line 15a and 15b have been answered No because the CEO and other officers are 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.
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 to Affiliated Companies, Net 23,273,705. Property, Plant & Equipment Transfers -9,260,641. Equity Gain / (Loss) in Baycare 11,060. Equity Gain / (Loss) in Ingraham 1,198,675. Equity Gain / (Loss) in Wing 859,596. Inherent Contribution in Wing (PURCHASE ACCOUNTING) 2,163,580. Change in Interest of Net Assets of BHF -38,259. Net Assets in Wing acquisition - temp restricted (PURCHASE ACCOUNTING) 1,210,000. Net Assets in Wing acquisition - perm restricted (PURCHASE ACCOUNTING) 2,334,000. SPF capital equipment transfer -4,842. Premier Purchasing Partners, L.P. - Interest -15,006. Premier Purchasing Partners, L.P. - Net long-term capital gain / (loss) -153,973. K-1 UBIT NET LOSS 48,816. BHIC UBTI -879,404. Rounding -11.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
Baystate Administrative Services Inc
759 Chestnut StreetSpringfieldMA01199222747685Administrative servicesMA501 (c ) (3)11c, IIIcBaystate Health IncYes (1)
Baystate Franklin Medical Center
164 High StreetGreenfieldMA01301042103575HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Baystate Health Foundation Inc
759 Chestnut StreetSpringfieldMA01199043549011FundraisingMA501 (c ) (3)7Baystate Health IncYes (1)
Baystate Health Systems Inc Health & Welfare Benefits Plan
759 Chestnut StreetSpringfieldMA01199222531644Voluntary Employees' Benefit AssociationMA501 (c ) (9)Baystate Health IncYes (1)
Baystate Mary Lane Hospital Corporation
85 South StreetWareMA01082042103584HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Baystate Medical Center Inc
759 Chestnut StreetSpringfieldMA01199042790311Acute Care Teaching HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Baystate Total Home Care Inc
280 Chestnut StreetSpringfieldMA01104203260764Real Estate and OtherMA501 (c ) (3)11b, IIBaystate Medical Center Inc0
Baystate Wing Hospital Corporation
40 Wright StreetPalmerMA01069222519813HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Health New England Inc
Monarch Place Suite 1500SpringfieldMA011441500042864973HMO/InsuranceMA501 (c ) (4)Baystate Health IncYes (1)
HNE of Connecticut Inc
Monarch Place Suite 1500SpringfieldMA011441500455190134HMO/InsuranceCT501 (c ) (4)Health New England Inc0
Visiting Nurse Assn and Hospice of Western New England Inc
50 Maple StreetSpringfieldMA01199042105803Homehealth and Hospice careMA501 (c ) (3)9Baystate Health IncYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1ForeignAddress/AddressLine1CityForeignAddress/CityProvince Or StateForeignAddress/ProvinceOrStateCountryForeignAddress/CountryEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
Baystate Health Insurance Company Ltd
North Church StreetGeorgetownCayman IslandsCJ980421413Offshore Captive InsuranceCJBaystate Health IncYes (1)
Baystate Health System Ambulance Inc
043018550Ambulance SvsIngraham Corporation0759 Chestnut StreetSpringfieldMA01199MAC1.00000
HNE Advisory Services Inc
043012347Administrative SvsHealth New England Inc0Monarch Place Suite 1500SpringfieldMA011441500MAC1.00000
HNE Holding Corporation
464620480DormantHealth New England Inc0Monarch Place Suite 1500SpringfieldMA011441500MAC1.00000
HNE Insurance Services Corporation
043183019Ancilliary InsuranceHealth New England Inc0Monarch Place Suite 1500SpringfieldMA011441500MAC1.00000
HNE Insurance Company Inc
454462433Health Insurance Services for Mass Medicare Supplement MembersHealth New England Inc0Monarch Place Suite 1500SpringfieldMA011441500MAC1.00000
Health New England of Connecticut
061398662DormantHealth New England Inc0Monarch Place Suite 1500SpringfieldMA011441500CTC1.00000
Ingraham Corporation
043016257Health care and other business activitiesBaystate Health IncYes (1)759 Chestnut StreetSpringfieldMA01199MAC1.00000
Frances Lutolf BO Wesson Hosp
046019056Trust0Bank of America 100 Federal StBostonMA02110MAT1.00000N/A
Daniel Wesson TUW W Maternity
046019096Trust0Bank of America 100 Federal StBostonMA02110MAT1.00000N/A
Daniel Wesson TUW W Memorial
046019097Trust0Bank of America 100 Federal StBostonMA02110MAT1.00000N/A
Louise G Pease BO Baystate Med
046019113Trust0Bank of America 100 Federal StBostonMA02110MAT1.00000N/A
Gertrude Hibbard TUW W Mem
046019230Trust0Bank of America 100 Federal StBostonMA02110MAT1.00000N/A
Herbert Thresher UW W Hosp
046088132Trust0Bank of America 100 Federal StBostonMA02110MAT1.00000N/A
Tr UW H Dexter FB Wesson M
046018707Trust0Bank of America 100 Federal StBostonMA02110MAT1.00000N/A
Tr UW H Dexter FB Wesson W
046018708Trust0Bank of America 100 Federal StBostonMA02110MAT1.00000N/A
L & F Tifft BO BSHS Tr UA
046046282Trust0Bank of America 100 Federal StBostonMA02110MAT1.00000N/A
TW D B Wesson FB W M H
046018682Trust0Bank of America 100 Federal StBostonMA02110MAT1.00000N/A
TW D B Wesson FB WWH
046018681Trust0Bank of America 100 Federal StBostonMA02110MAT1.00000N/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
L$400
Baystate Administrative Services Inc
M$3,220,110
Baystate Administrative Services Inc
R$50,016
Baystate Health Foundation Inc
B$65,000
Baystate Health Foundation Inc
M$386,000
Baystate Health Foundation Inc
S$1,160,458
Baystate Medical Center Inc
C$50,106,000
Baystate Medical Center Inc
K$269,386
Baystate Medical Center Inc
L$11,768,117
Baystate Medical Center Inc
M$952,872
Baystate Medical Center Inc
R$5,620,725
Baystate Franklin Medical Center Inc
M$988
Baystate Franklin Medical Center Inc
R$869,140
Health New England Inc
B$5,000,000
Ingraham Corporation
D$144,095
Baystate Mary Lane Hospital Inc
B$1,579,000
Visiting Nurse Assn and Hospice of Western New England Inc
P$216,230
L & F Tifft BO BSHS Tr UA
A$100,867
BH Insurance Company Ltd
P$3,471,144