2015-08-11T12:44:30-05:00 2014-09-30 861065772 Deloitte Tax LLP Two Jericho Plaza Jericho NY 11753 990 2013-10-01 042105941 Baystate Health Inc BAYS 4137940000 759 Chestnut Street Springfield MA 01199 Dennis W Chalke SVP Finance, CFO & Treasurer 4137940000 2015-08-10 1 Christine Kawecki P00743140 5169187000 2013 2016-04-25 22:37:26Z Dennis W Chalke 759 Chestnut Street Springfield MA 01199 60640034 0 X www.baystatehealth.org X 1983 MA The mission of the organization is to improve the health of people in our communities every day, with quality and compassion. 21 10 0 21 1143469 746024 6536957 11882171 4639754 6526576 1485330 1612414 917939 904912 13579980 20926073 315000 315000 0 0 1176825 1343448 0 0 0 14078904 20512593 15570729 22171041 -1990749 -1244968 107070000 182232268 22027822 73585883 85042178 108646385 X The mission of the organization is to improve the health of the people in our communities every day, with quality and compassion. 0 0 16338568 315000 6526576 Baystate Health, Inc. (Baystate Health or BH) based in Springfield, Massachusetts is the parent corporation of an integrated health care delivery system with the mission "to improve the health of the people in our community every day, with quality and compassion." BH provides funding for strategic initiatives, as necessary, funding for research & education initiatives and support of community health, development, and outreach activities, mostly funded by BH board-designated funds. Partners for a Healthier Community is the primary recipient of BH support.Baystate Health currently includes the following:Baystate Medical Center, 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. 16338568 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 1 58 0 1 0 1 1 1 CJ UK 0 0 0 0 0 0 0 0 X 21 10 1 1 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MA NY FL X Peter Lyons Baystate Health Inc 4137940000 759 Chestnut Street Springfield MA 011990001 X Mark A Keroack MD PresDir 7/1-9/30/14; Exec VP/COO-BH in 2013 40.00 10.00 X X 0 776897 179311 Mark R Tolosky President 10/1/13 - 7/01/14 40.00 10.00 X X 0 1639060 87835 Victor Woolridge Chair 2.00 1.00 X X 0 0 0 James P Sadowsky Vice Chair 2.00 1.00 X X 0 0 0 Gregory L Braden MD Trustee 1.00 1.00 X 0 0 0 Ruth H Constantine Trustee 10/1/13 -2/04/14 1.00 1.00 X 0 0 0 John H Davis Trustee 1.00 1.00 X 0 0 0 John A Egelhofer MD Trustee 1.00 1.00 X 0 0 0 John E Kole Trustee 1.00 1.00 X 0 0 0 Grace P Makari-Judson MD Trustee/ Hematologist M. D 1.00 1.00 X 367726 0 80725 John F Maybury Trustee 1.00 1.00 X 0 0 0 Steven M Mitus Trustee 1.00 1.00 X 0 0 0 Edward J Noonan Trustee 9/09/14 - 9/30/14 1.00 1.00 X 0 0 0 John M O'Brien III Trustee 1.00 1.00 X 0 0 0 Anne M Paradis Trustee 1.00 1.00 X 0 0 0 James R Phaneuf CIC Trustee 9/09/14 - 9/30/14 1.00 1.00 X 0 0 0 Robert L Pura PhD Trustee 1.00 1.00 X 0 0 0 Katherine E Putnam Trustee 10/1/13 - 12/31/13 1.00 1.00 X 0 0 0 Timothy S Rice Trustee 1.00 1.00 X 0 0 0 Kathleen B Scoble Trustee 2/11/14 - 9/30/14 1.00 1.00 X 0 0 0 David C Southworth Trustee 1.00 1.00 X 0 0 0 Barbara W Stechenberg MD Trustee 10/1/-12/31/13/ Physician 1.00 1.00 X 156817 0 44388 Richard B Steele Jr Trustee 1.00 1.00 X 0 0 0 Katherine McG Sullivan Trustee 1.00 1.00 X 0 0 0 Howard G Trietsch MD Trustee 1.00 1.00 X 0 0 0 Dennis W Chalke Treasurer 40.00 10.00 X 0 769165 75032 Kristin R Delaney Clerk 40.00 10.00 X 0 103365 28954 Patricia A Sheldon Asst Clerk 10/1/3 - 4/18/14 40.00 10.00 X 0 65029 18760 Madeline Santos Asst Clerk 7/08/14 - 9/30/14 40.00 10.00 X 0 0 0 524543 3353516 515005 2 0 1 1 Baystate Administrative Services Inc 759 Chestnut Street Springfield MA 011990001 Management Services 1861570 Ropes & Gray LLP 800 Boylston Street Boston MA 02199 Legal Services 1440802 JKA LLC 3917 Kathleen Way Davenport IA 52807 Consulting Services 575574 PriceWaterhouseCoopers LLP PO Box 7247-8001 Philadelphia PA 19170 Consulting Services 509795 DGA PARTNERS Two Bala Plaza Suite 301 Bala Cynwyd PA 19004 Consulting Services 118651 6 11651250 230921 11882171 Premier Purchasing Partners, L.P. 525990 4844523 4844523 Ins and Prship UBI 525990 830588 830588 Misc (incl CPIP admin revenue) 524298 327950 22950 305000 Intercompany Rent 531120 269386 269386 Medical Staff Dues 524298 254129 254129 6526576 1035551 7881 1027670 40290824 39713961 576863 576863 576863 BHF/BH TRR & BINA INC 525990 904912 904912 904912 20926073 5390988 1143469 2509445 315000 315000 1343448 1343448 302665 302665 58352 58352 155000 155000 89119 89119 1169544 1039843 129701 33229 33229 20848 125 20723 43089 43089 58580 58580 29730 29730 10713 10713 1494224 792355 701869 2782 2782 62629 62629 STRATEGIC INITIATIVES 6830654 6830654 WING HOSPITAL ACQ.EXP 4369780 4369780 457b PENSION PLAN EXP 3111321 3111321 BAS ADMIN CHARGES 761558 548562 212996 1908776 819480 1089296 22171041 16338568 5832473 0 22282199 14289655 4590454 336152 11570 12115 332445 256213 95009 76232 31245045 32594754 7639504 43321963 41206219 91601397 107070000 182232268 1615988 2916525 305000 18500000 20411834 51864358 22027822 73585883 X 64239858 84338324 1210000 20802320 23098061 85042178 108646385 107070000 182232268 X -1244968 4101879 20747296 X 0 1 X 1 0 X 2268253 2440269 6531372 6536957 11882171 29659022 2268253 2440269 6531372 6536957 11882171 29659022 29659022 1166916 1022969 887897 987657 1035551 5100990 299456 62091 167675 833280 760524 2123026 1018209 955876 1069297 917939 904912 4866233 41749271 21020358 0.71040 0.66770 X Part II, line 10 activity TRR operations transactions TRR adjustment TRR adjustment: Unrestricted - BHF Development Office expense RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 210000 210000 0 Part II-B, Line 1: BH paid Rauschenbach Associates for lobbying activities related to healthcare policy, bills and appropriations-related activities. BH paid HospitalMax Associates, Inc. and Capital Consulting for technical and strategic advisory services including advice, public advocacy and interpretation of proposed and actual program and legislative changes. 19758115 100868 517626 20376609 18718148 170271 869696 19758115 17468653 79814 1169681 18718148 18056698 70532 -658577 17468653 17584865 60772 411061 18056698 1.00000 0 1 1 59124 59124 233233 225006 8227 18589 9708 8881 21295 21295 0 204 204 0 76232 Investments - Other Securities 43321963 C 43321963 Due from Affiliated Companies 3962424 Equity Investment in Subsidiaries (Ingraham & Wing) 49461733 Line of Credit -- Affiliate 1579997 Interest in Net Assets in BHF 22624093 Rounding 697 Deferred Expenses 13972453 91601397 -35331 Due to Affiliated Companies 1905444 Due to Board-Designated Funds 1055548 Insurance Reserves 13050000 Deferred Compensation Obligations 35888697 51864358 Part V, Line 4 Endowment assets are to provide funding to support programs that further Baystate Health's mission. Part X, Line 2 Baystate Health, Inc. did not have a FIN 48 footnote included in the audited financial statements. Caribbean Insurance 16525008 United Kingdom Investments 32992090 0 0 0 0 0 0 49517098 0 49517098 1 0 1 0 1 0 Part I, line 3 Total 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 investment 0 Partners for a Healthier Community Inc PO Box 15769 Springfield MA 01115 043342182 501(c)(3) 250000 To assist Partner's for a Healthier Community to narrow the gap in health disparities for some of Springfield's most vulnerable citizens, and to be a source of support for building civic leaders, creating strategies for change, and promoting policy actions to create healthier communities. Baystate Health Foundation Inc 759 Chestnut Street Springfield MA 01199 043549011 501(c)(3) 65000 To provide support for the Health Science Library and Medical Staff Pledge. 2 Part II, lines 1 Baystate Health, Inc. has a close relationship with its grantees, which includes Baystate Health Foundation (BHF). Through this close relationship, management is able to ensure the granted money is used for the intended purposes. For BHF, funds are accounted for and monitored in individual temporarily restricted purpose funds in accordance with the restrictions. Fund administrators of the related entity are assigned responsibility to assure that the fund purpose is met before releasing from restrictions. X X X X 0 1 0 0 0 0 0 0 0 Mark A Keroack MD PresDir 7/1-9/30/14; Exec VP/COO-BH in 2013 0 537949 0 223630 0 15318 0 165853 0 13458 0 956208 0 0 Mark R Tolosky President 10/1/13 - 7/01/14 0 728085 0 456876 0 454099 0 57333 0 30502 0 1726895 0 0 Grace P Makari-Judson MD Trustee/ Hematologist M. D 293165 0 48189 0 26372 0 51224 0 29501 0 448451 0 0 0 Barbara W Stechenberg MD Trustee 10/1/-12/31/13/ Physician 135195 0 21484 0 138 0 32533 0 11855 0 201205 0 0 0 Dennis W Chalke Treasurer 0 393944 0 159840 0 215381 0 53098 0 21934 0 844197 0 0 Part I, Line 3 The compensation of the President and CEO is reviewed and determined annually by the compensation committee of Baystate Health, Inc. This committee consists entirely of individuals serving on the board of the filing organization 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 4b Dennis 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. Baycare Health Partners Inc (BHP) Common Board Members or Officers 79100 See 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 619996 See 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 3471144 See 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 562990 See 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 5000000 See 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 144095 See 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 598087 See 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 362047 See 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 Form 990, Part VI, Section A, line 1 The filing organization has a standing executive committee, which is entitled to act between meetings of the Board, on all matters as to which the Board is entitled to act and permitted by law to delegate to a committee. 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 2 Gregory 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 3 Baystate Health, Inc. is affiliated with Baystate Administrative Services, Inc. (BAS) which is a 501(c) (3) organization. Information Technology, Human Resources, Finance, Treasury, Accounting and other management and support functions are delegated to BAS. Form 990, Part VI, Section A, line 4 The 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 7a Two of the Trustees of the filing organization are required to be members of the Board of Directors of BWH, an affiliated organization, and their election is subject to approval by the Board of Directors of BWH. Form 990, Part VI, Section B, line 11 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., 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 12c Baystate Health, Inc. and its affiliated entities have a comprehensive conflict of interest policy applicable to all of the affiliated entities. All directors, trustees, officers, key employees, and highest compensated employees of BH and its affiliates are asked to complete an annual "conflict of interest" form. We utilize an electronic database to receive and manage all conflict of interest submissions. This information is reviewed by the Chief Compliance Officer, Chief Executive Officer, Chair of the Board of Trustees, and the Chair of the Audit & Compliance Committee. A summary of the conflict of interest disclosures is provided to the Baystate Health Board of Trustees and the Tax Department and reviewed by outside counsel. Potential conflict of interest transactions are reviewed as appropriate under the policy, which provides for recusal from discussion and deliberation by any party with a potential conflict of interest. Form 990, Part VI, Section B, line 15 The compensation of the President and CEO 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 19 The organization makes its conflict of interest policy and financial statements available to the public at www.baystatehealth.org. Articles of organization and bylaws are generally available at the Commonwealth of Massachusetts website. Part VII, Section A, Line 5 Certain officers or trustees of the filing organization are paid by an entity, Baystate Medical Practices, Inc. (BMP) EIN 04-2888373, which is part of the health care system to which the filing organization belongs but does not meet the technical requirements as a "Related Organization" per Schedule R. Compensation from BMP to the officers and trustees of the filing organization, therefore, is reported as paid from an unrelated organization in Line 5 and according to the instructions reported as though paid by the filing organization. Form 990, Part 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. Baystate Administrative Services Inc 759 Chestnut Street Springfield MA 01199 222747685 Administrative services MA 501 (c ) (3) 11c, IIIc Baystate Health Inc 1 Baystate Franklin Medical Center 164 High Street Greenfield MA 01301 042103575 Hospital MA 501 (c ) (3) 3 Baystate Health Inc 1 Baystate Health Foundation Inc 759 Chestnut Street Springfield MA 01199 043549011 Fundraising MA 501 (c ) (3) 7 Baystate Health Inc 1 Baystate Health Systems Inc Health & Welfare Benefits Plan 759 Chestnut Street Springfield MA 01199 222531644 Voluntary Employees' Benefit Association MA 501 (c ) (9) Baystate Health Inc 1 Baystate Mary Lane Hospital Corporation 85 South Street Ware MA 01082 042103584 Hospital MA 501 (c ) (3) 3 Baystate Health Inc 1 Baystate Medical Center Inc 759 Chestnut Street Springfield MA 01199 042790311 Acute Care Teaching Hospital MA 501 (c ) (3) 3 Baystate Health Inc 1 Baystate Total Home Care Inc 280 Chestnut Street Springfield MA 01104 203260764 Real Estate and Other MA 501 (c ) (3) 11b, II Baystate Medical Center Inc 0 Baystate Wing Hospital Corporation 40 Wright Street Palmer MA 01069 222519813 Hospital MA 501 (c ) (3) 3 Baystate Health Inc 1 Health New England Inc Monarch Place Suite 1500 Springfield MA 011441500 042864973 HMO/Insurance MA 501 (c ) (4) Baystate Health Inc 1 HNE of Connecticut Inc Monarch Place Suite 1500 Springfield MA 011441500 455190134 HMO/Insurance CT 501 (c ) (4) Health New England Inc 0 Visiting Nurse Assn and Hospice of Western New England Inc 50 Maple Street Springfield MA 01199 042105803 Homehealth and Hospice care MA 501 (c ) (3) 9 Baystate Health Inc 1 Baystate Health Insurance Company Ltd North Church Street Georgetown Cayman Islands CJ 980421413 Offshore Captive Insurance CJ Baystate Health Inc 1 Baystate Health System Ambulance Inc 759 Chestnut Street Springfield MA 01199 043018550 Ambulance Svs MA Ingraham Corporation C 1.00000 0 HNE Advisory Services Inc Monarch Place Suite 1500 Springfield MA 011441500 043012347 Administrative Svs MA Health New England Inc C 1.00000 0 HNE Holding Corporation Monarch Place Suite 1500 Springfield MA 011441500 464620480 Dormant MA Health New England Inc C 1.00000 0 HNE Insurance Services Corporation Monarch Place Suite 1500 Springfield MA 011441500 043183019 Ancilliary Insurance MA Health New England Inc C 1.00000 0 HNE Insurance Company Inc Monarch Place Suite 1500 Springfield MA 011441500 454462433 Health Insurance Services for Mass Medicare Supplement Members MA Health New England Inc C 1.00000 0 Health New England of Connecticut Monarch Place Suite 1500 Springfield MA 011441500 061398662 Dormant CT Health New England Inc C 1.00000 0 Ingraham Corporation 759 Chestnut Street Springfield MA 01199 043016257 Health care and other business activities MA Baystate Health Inc C 1.00000 1 Frances Lutolf BO Wesson Hosp Bank of America 100 Federal St Boston MA 02110 046019056 Trust MA N/A T 1.00000 0 Daniel Wesson TUW W Maternity Bank of America 100 Federal St Boston MA 02110 046019096 Trust MA N/A T 1.00000 0 Daniel Wesson TUW W Memorial Bank of America 100 Federal St Boston MA 02110 046019097 Trust MA N/A T 1.00000 0 Louise G Pease BO Baystate Med Bank of America 100 Federal St Boston MA 02110 046019113 Trust MA N/A T 1.00000 0 Gertrude Hibbard TUW W Mem Bank of America 100 Federal St Boston MA 02110 046019230 Trust MA N/A T 1.00000 0 Herbert Thresher UW W Hosp Bank of America 100 Federal St Boston MA 02110 046088132 Trust MA N/A T 1.00000 0 Tr UW H Dexter FB Wesson M Bank of America 100 Federal St Boston MA 02110 046018707 Trust MA N/A T 1.00000 0 Tr UW H Dexter FB Wesson W Bank of America 100 Federal St Boston MA 02110 046018708 Trust MA N/A T 1.00000 0 L & F Tifft BO BSHS Tr UA Bank of America 100 Federal St Boston MA 02110 046046282 Trust MA N/A T 1.00000 0 TW D B Wesson FB W M H Bank of America 100 Federal St Boston MA 02110 046018682 Trust MA N/A T 1.00000 0 TW D B Wesson FB WWH Bank of America 100 Federal St Boston MA 02110 046018681 Trust MA N/A T 1.00000 0 1 1 1 1 0 0 0 0 0 0 1 1 1 0 0 1 0 1 1 Baystate Administrative Services Inc L 400 Baystate Administrative Services Inc M 3220110 Baystate Administrative Services Inc R 50016 Baystate Health Foundation Inc B 65000 Baystate Health Foundation Inc M 386000 Baystate Health Foundation Inc S 1160458 Baystate Medical Center Inc C 50106000 Baystate Medical Center Inc K 269386 Baystate Medical Center Inc L 11768117 Baystate Medical Center Inc M 952872 Baystate Medical Center Inc R 5620725 Baystate Franklin Medical Center Inc M 988 Baystate Franklin Medical Center Inc R 869140 Health New England Inc B 5000000 Ingraham Corporation D 144095 Baystate Mary Lane Hospital Inc B 1579000 Visiting Nurse Assn and Hospice of Western New England Inc P 216230 L & F Tifft BO BSHS Tr UA A 100867 BH Insurance Company Ltd P 3471144