BAYSTATE MEDICAL PRACTICES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BAYSTATE MEDICAL PRACTICES INC (EIN 04-2888373)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-12
- IRS object ID
- 202302249349300600
- Schema version
- 2021v4.2
- 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 | 2023-08-12T06:40:29-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | 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 | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 ROCKEFELLER PLAZA | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 101120015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | 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 | BusinessNameLine1Txt |
| 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 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01199 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RAYMOND MCCARTHY | PersonNm |
| Person Title | SVP FINANCE, CFO & TREASURER | PersonTitleTxt |
| Phone | 4137940000 | PhoneNum |
| Signature | 2023-07-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RAYMOND | PersonFirstNm |
| Person Last | MCCARTHY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TODD P TERESCO | PreparerPersonNm |
| PTIN | P00247720 | PTIN |
| Phone | 2124367613 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RAYMOND MCCARTHY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 759 CHESTNUT STREET | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01199 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $409,876,278 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.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 PRACTICES' VISION STATES IT WILL BE THE MULTI-SPECIALTY GROUP PRACTICE OF CHOICE, KNOWN FOR EXCEPTION SERVICE, QUALITY, VALUE AND ACADEMIC LEADERSHIP. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 2236 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $208,757 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,458,009 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,197,100 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $384,949,397 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $403,567,371 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,040 | PYInvestmentIncomeAmt |
| CY Investment Income | -$58,084 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $390,418,446 | PYTotalRevenueAmt |
| CY Total Revenue | $409,706,387 | 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 | $329,260,669 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $355,772,134 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $120,596,431 | PYOtherExpensesAmt |
| CY Other Expenses | $134,619,901 | CYOtherExpensesAmt |
| PY Total Expenses | $449,857,100 | PYTotalExpensesAmt |
| CY Total Expenses | $490,392,035 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$59,438,654 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$80,685,648 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $74,830,702 | TotalAssetsBOYAmt |
| Total Assets EOY | $65,911,204 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $95,686,197 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $114,095,639 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$20,855,495 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$48,184,435 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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 PRACTICES' VISION STATES IT WILL BE THE MULTI-SPECIALTY GROUP PRACTICE OF CHOICE, KNOWN FOR EXCEPTIONAL SERVICE, QUALITY, VALUE AND ACADEMIC LEADERSHIP. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $464,774,987 | ExpenseAmt |
| Revenue | $403,567,371 | RevenueAmt |
| Desc | BAYSTATE MEDICAL PRACTICES, INC. (BMP) 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. | Desc |
| Total Program Service Expenses | $464,774,987 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 74 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2236 | 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAURIE MARTIN BAYSTATE HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4137940000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 759 CHESTNUT STREET | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01199 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARION MCGOWAN | |||||||||
| DIRECTOR | 1.00 | 49.00 | Yes (X) | $1,417,231 | $0 | $228,343 | |||
| ANDREW ARTENSTEIN MD | |||||||||
| PRESIDENT | 40.00 | 10.00 | Yes (X) | $1,104,510 | $0 | $37,319 | Yes (X) | ||
| RAYMOND MCCARTHY | |||||||||
| TREASURER/DIRECTOR | 3.00 | 47.00 | Yes (X) | $1,045,794 | $0 | $26,405 | Yes (X) | ||
| NICOLAS JABBOUR MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $997,626 | $0 | $52,831 | |||
| AARON KUGELMASS MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $849,817 | $0 | $56,271 | |||
| ABRAHAM THOMAS MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $719,203 | $0 | $66,063 | |||
| HEATHER SANKEY MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $684,082 | $0 | $65,631 | |||
| VENKATRO MEDARAMETLA MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $666,501 | $0 | $45,169 | |||
| NIELS RATHLEV MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $652,232 | $0 | $52,084 | |||
| CHARLOTTE BONEY MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $610,132 | $0 | $38,859 | |||
| RONALD P BRYANT | |||||||||
| DIRECTOR/PRESIDENT BNH & BFMC | 1.00 | 49.00 | Yes (X) | $600,324 | $0 | $41,869 | |||
| KEVIN HINCHEY MD | |||||||||
| EX-OFFICO DIRECTOR/ CAO | 40.00 | 10.00 | Yes (X) | $539,940 | $0 | $73,769 | |||
| ASHRAF KHAN MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $567,119 | $0 | $45,295 | |||
| BARRY SARVET MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $547,782 | $0 | $60,116 | |||
| EDWARD FELDMAN MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $527,067 | $0 | $40,060 | |||
| WILSON MERTENS MD | |||||||||
| DIRECTOR (THRU 4/6/22) | 50.00 | 0.00 | Yes (X) | $521,238 | $0 | $44,980 | |||
| ELIZABETH BOYLE MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $454,508 | $0 | $65,674 | |||
| SUNDEEP M SHUKLA MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $446,344 | $0 | $48,304 | |||
| ANGELA MARTAGON VILLAMIL MD | |||||||||
| DIRECTOR (THRU 6/10/22) | 50.00 | 0.00 | Yes (X) | $402,094 | $0 | $25,043 | |||
| BENJAMIN FREDA DO | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $317,368 | $0 | $41,880 | |||
| SCOTT BARNETT MD | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $272,572 | $0 | $55,446 | |||
| PAULA BROOKS DNP | |||||||||
| DIRECTOR | 50.00 | 0.00 | Yes (X) | $177,727 | $0 | $34,388 | |||
| KATHLEEN B SCOBLE | |||||||||
| DIRECTOR | 1.00 | 49.00 | Yes (X) | $0 | $0 | $0 | |||
| KRISTIN R DELANEY | |||||||||
| CLERK | 1.00 | 49.00 | $168,920 | $0 | $42,432 | Yes (X) | |||
| BETTY K LARUE | |||||||||
| COO | 40.00 | 10.00 | $535,565 | $0 | $63,913 | Yes (X) | |||
| DENNIS OH MD | |||||||||
| CHIEF DIV OF NEUROSURGERY | 50.00 | 0.00 | $2,426,422 | $0 | $57,559 | Yes (X) | |||
| THOMAS A SCHWANN MD | |||||||||
| CHIEF CARDIAC SURGERY | 50.00 | 0.00 | $1,039,768 | $0 | $85,974 | Yes (X) | |||
| ROBERT SCHAPIRO MD | |||||||||
| NEUROSURGEON | 50.00 | 0.00 | $883,699 | $0 | $47,686 | Yes (X) | |||
| RICHARD J HICKS MD | |||||||||
| CHAIR RADIOLOGY | 50.00 | 0.00 | $846,386 | $0 | $43,151 | Yes (X) | |||
| KAMAL KALIA MD | |||||||||
| NEUROSURGEON | 50.00 | 0.00 | $810,103 | $0 | $51,662 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $20,832,074 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,638,176 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 911 | 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/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VALLEY MEDICAL GROUP | |||||
| 329 CONWAY ST | GREENFIELD | MA | 01301 | PHYSICIAN SERVICES | $45,673,594 |
| BAYSTATE OBGYN GROUP | |||||
| 354 BIRNIE AVE STE 202 | SPRINGFIELD | MA | 01107 | PHYSICIAN SERVICES | $11,042,213 |
| SPRINGFIELD MEDICAL ASSOCIATES | |||||
| 2150 MAIN ST | SPRINGFIELD | MA | 01104 | PHYSICIAN SERVICES | $10,235,314 |
| BAYSTATE ADMINISTRATIVE SERVICES INC | |||||
| 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | MANAGEMENT SERVICES | $6,776,893 |
| BAYSTATE MEDICAL CENTER | |||||
| 759 CHESTNUT ST | SPRINGFIELD | MA | 01199 | PHYSICIAN SUPPORT SERVICES | $5,580,550 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 43 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,284,128 | RelatedOrganizationsAmt |
| Government Grants | $4,912,972 | GovernmentGrantsAmt |
| Total Contributions | $6,197,100 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHYSICIAN PRACTICE FEE | 621110 | $192,792,254 | $192,792,254 |
| HOSPITAL REIMB PROGRAM | 621110 | $113,629,602 | $113,629,602 |
| PRACTICE LEASE AGRMNTS | 621110 | $65,006,662 | $65,006,662 |
| AFF. CONTRACT SERVICES | 621110 | $8,855,694 | $8,855,694 |
| FUNDING-STRTGIC GROWTH | 621110 | $7,918,001 | $7,918,001 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,365,158 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,156,401 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $208,757 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $403,567,371 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,807 | TotalRevenueColumnAmt |
| Exclusion | $11,807 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $100,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $169,891 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$69,891 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$69,891 | TotalRevenueColumnAmt |
| Exclusion | -$69,891 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $409,706,387 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $403,358,614 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $208,757 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$58,084 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,865,216 | TotalAmt |
| Program Services | $10,472,014 | ProgramServicesAmt |
| Management And General | $393,202 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $742,963 | TotalAmt |
| Program Services | $716,076 | ProgramServicesAmt |
| Management And General | $26,887 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,766,436 | TotalAmt |
| Program Services | $281,207,689 | ProgramServicesAmt |
| Management And General | $10,558,747 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,804,414 | TotalAmt |
| Program Services | $16,196,278 | ProgramServicesAmt |
| Management And General | $608,136 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,509,632 | TotalAmt |
| Program Services | $18,803,597 | ProgramServicesAmt |
| Management And General | $706,035 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,083,473 | TotalAmt |
| Program Services | $15,501,428 | ProgramServicesAmt |
| Management And General | $582,045 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,206,837 | TotalAmt |
| Management And General | $7,206,837 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,057 | TotalAmt |
| Management And General | $322,057 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,200 | TotalAmt |
| Management And General | $49,200 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,635,263 | TotalAmt |
| Program Services | $90,542,275 | ProgramServicesAmt |
| Management And General | $4,092,988 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,372,393 | TotalAmt |
| Program Services | $2,286,555 | ProgramServicesAmt |
| Management And General | $85,838 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $994,889 | TotalAmt |
| Program Services | $958,885 | ProgramServicesAmt |
| Management And General | $36,004 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,277,820 | TotalAmt |
| Program Services | $7,978,254 | ProgramServicesAmt |
| Management And General | $299,566 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,825 | TotalAmt |
| Program Services | $259,096 | ProgramServicesAmt |
| Management And General | $9,729 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,089 | TotalAmt |
| Program Services | $37,674 | ProgramServicesAmt |
| Management And General | $1,415 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,669,990 | TotalAmt |
| Program Services | $1,609,555 | ProgramServicesAmt |
| Management And General | $60,435 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,130,509 | TotalAmt |
| Program Services | $9,763,896 | ProgramServicesAmt |
| Management And General | $366,613 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,893,884 | $2,893,884 | |
| PHYSICIAN EXP ALLOWANCE | $2,514,948 | $2,423,934 | $91,014 |
| RECRUITMENT | $1,859,122 | $1,791,842 | $67,280 |
| DUES/MEMBERSHIPS | $1,116,942 | $1,073,626 | $43,316 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,133 | TotalAmt |
| Program Services | $258,429 | ProgramServicesAmt |
| Management And General | $9,704 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $490,392,035 | TotalAmt |
| Program Services | $464,774,987 | ProgramServicesAmt |
| Management And General | $25,617,048 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,016,646 | BOYAmt |
| EOY | $6,148 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,101,505 | BOYAmt |
| EOY | $30,366,906 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,854,983 | BOYAmt |
| EOY | $15,931,932 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,188,759 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $25,350,565 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,501,382 | BOYAmt |
| EOY | $8,838,194 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,998,491 | BOYAmt |
| EOY | $193,503 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,357,695 | BOYAmt |
| EOY | $10,574,521 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,830,702 | BOYAmt |
| EOY | $65,911,204 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,676,942 | BOYAmt |
| EOY | $65,751,117 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $627,722 | BOYAmt |
| EOY | $23,496 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,381,533 | BOYAmt |
| EOY | $48,321,026 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,686,197 | BOYAmt |
| EOY | $114,095,639 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$20,855,495 | BOYAmt |
| EOY | -$48,184,435 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$20,855,495 | BOYAmt |
| EOY | -$48,184,435 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,830,702 | BOYAmt |
| EOY | $65,911,204 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$80,685,648 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $53,356,708 | OtherChangesInNetAssetsAmt |
| 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 |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $442,650 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $704,205 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,033,332 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,458,009 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,197,100 | CurrentTaxYearAmt |
| Total | $19,835,296 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $306,594,325 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $329,056,490 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $334,291,783 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $384,949,397 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $403,567,371 | CurrentTaxYearAmt |
| Total | $1,758,459,366 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $307,036,975 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $329,760,695 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $341,325,115 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $390,407,406 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $409,764,471 | CurrentTaxYearAmt |
| Total | $1,778,294,662 | 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 | $1,778,294,662 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,162 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,315 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,717 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,040 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,807 | CurrentTaxYearAmt |
| Total | $112,041 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,162 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,315 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,717 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,040 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,807 | CurrentTaxYearAmt |
| Total | $112,041 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $307,076,137 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $329,785,010 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $341,350,832 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $390,418,446 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $409,776,278 | CurrentTaxYearAmt |
| Total | $1,778,406,703 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,180,624 | OtherCostOrOtherBasisAmt |
| Depreciation | $670,375 | DepreciationAmt |
| Book Value | $510,249 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,489,657 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,696,200 | DepreciationAmt |
| Book Value | $5,793,457 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,450,220 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,983,990 | DepreciationAmt |
| Book Value | $2,466,230 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $68,258 | OtherCostOrOtherBasisAmt |
| Book Value | $68,258 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,838,194 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM AFFILIATED COMPANIES | Desc |
| Book Value | $10,574,521 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,574,521 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATED COMPANIES | $22,811,205 |
| LEASE LIABILITY | $6,936,473 |
| INSURANCE LIABILITY LOSS RESERVE | $11,213,016 |
| ACCRUED PENSION | $7,360,332 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $48,321,026 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DENNIS OH MD | ||||||||||||||
| CHIEF DIV OF NEUROSURGERY | $1,203,395 | $0 | $1,106,061 | $0 | $116,966 | $0 | $21,750 | $0 | $35,809 | $0 | $2,483,981 | $0 | $4,125 | $0 |
| MARION MCGOWAN | ||||||||||||||
| DIRECTOR | $761,240 | $0 | $611,713 | $0 | $44,278 | $0 | $203,721 | $0 | $24,622 | $0 | $1,645,574 | $0 | $0 | $0 |
| ANDREW ARTENSTEIN MD | ||||||||||||||
| PRESIDENT | $651,619 | $0 | $236,600 | $0 | $216,291 | $0 | $18,850 | $0 | $18,469 | $0 | $1,141,829 | $0 | $4,125 | $0 |
| THOMAS A SCHWANN MD | ||||||||||||||
| CHIEF CARDIAC SURGERY | $740,452 | $0 | $265,503 | $0 | $33,813 | $0 | $52,003 | $0 | $33,971 | $0 | $1,125,742 | $0 | $0 | $0 |
| RAYMOND MCCARTHY | ||||||||||||||
| TREASURER/DIRECTOR | $621,140 | $0 | $224,219 | $0 | $200,435 | $0 | $24,650 | $0 | $1,755 | $0 | $1,072,199 | $0 | $0 | $0 |
| NICOLAS JABBOUR MD | ||||||||||||||
| DIRECTOR | $708,254 | $0 | $222,938 | $0 | $66,434 | $0 | $18,850 | $0 | $33,981 | $0 | $1,050,457 | $0 | $4,125 | $0 |
| ROBERT SCHAPIRO MD | ||||||||||||||
| NEUROSURGEON | $658,931 | $0 | $160,920 | $0 | $63,848 | $0 | $21,750 | $0 | $25,936 | $0 | $931,385 | $0 | $4,125 | $0 |
| AARON KUGELMASS MD | ||||||||||||||
| DIRECTOR | $647,992 | $0 | $136,325 | $0 | $65,500 | $0 | $21,750 | $0 | $34,521 | $0 | $906,088 | $0 | $4,125 | $0 |
| RICHARD J HICKS MD | ||||||||||||||
| CHAIR RADIOLOGY | $622,348 | $0 | $163,013 | $0 | $61,025 | $0 | $18,850 | $0 | $24,301 | $0 | $889,537 | $0 | $4,125 | $0 |
| KAMAL KALIA MD | ||||||||||||||
| NEUROSURGEON | $666,120 | $0 | $136,325 | $0 | $7,658 | $0 | $18,850 | $0 | $32,812 | $0 | $861,765 | $0 | $0 | $0 |
| ABRAHAM THOMAS MD | ||||||||||||||
| DIRECTOR | $550,880 | $0 | $144,781 | $0 | $23,542 | $0 | $37,667 | $0 | $28,396 | $0 | $785,266 | $0 | $4,125 | $0 |
| HEATHER SANKEY MD | ||||||||||||||
| DIRECTOR | $501,959 | $0 | $133,250 | $0 | $48,873 | $0 | $35,761 | $0 | $29,870 | $0 | $749,713 | $0 | $4,125 | $0 |
| VENKATRO MEDARAMETLA MD | ||||||||||||||
| DIRECTOR | $609,886 | $0 | $15,714 | $0 | $40,901 | $0 | $18,850 | $0 | $26,319 | $0 | $711,670 | $0 | $0 | $0 |
| NIELS RATHLEV MD | ||||||||||||||
| DIRECTOR | $475,421 | $0 | $126,788 | $0 | $50,023 | $0 | $21,750 | $0 | $30,334 | $0 | $704,316 | $0 | $4,125 | $0 |
| CHARLOTTE BONEY MD | ||||||||||||||
| DIRECTOR | $429,948 | $0 | $136,838 | $0 | $43,346 | $0 | $18,850 | $0 | $20,009 | $0 | $648,991 | $0 | $4,125 | $0 |
| RONALD P BRYANT | ||||||||||||||
| DIRECTOR/PRESIDENT BNH & BFMC | $433,515 | $0 | $115,313 | $0 | $51,496 | $0 | $18,850 | $0 | $23,019 | $0 | $642,193 | $0 | $4,125 | $0 |
| KEVIN HINCHEY MD | ||||||||||||||
| EX-OFFICO DIRECTOR/ CAO | $408,597 | $0 | $87,125 | $0 | $44,218 | $0 | $46,593 | $0 | $27,176 | $0 | $613,709 | $0 | $4,125 | $0 |
| ASHRAF KHAN MD | ||||||||||||||
| DIRECTOR | $420,974 | $0 | $112,338 | $0 | $33,807 | $0 | $18,850 | $0 | $26,445 | $0 | $612,414 | $0 | $0 | $0 |
| BARRY SARVET MD | ||||||||||||||
| DIRECTOR | $414,257 | $0 | $113,063 | $0 | $20,462 | $0 | $39,225 | $0 | $20,891 | $0 | $607,898 | $0 | $4,125 | $0 |
| BETTY K LARUE | ||||||||||||||
| COO | $389,546 | $0 | $103,781 | $0 | $42,238 | $0 | $42,710 | $0 | $21,203 | $0 | $599,478 | $0 | $4,125 | $0 |
| EDWARD FELDMAN MD | ||||||||||||||
| DIRECTOR | $414,183 | $0 | $84,050 | $0 | $28,834 | $0 | $18,850 | $0 | $21,210 | $0 | $567,127 | $0 | $4,125 | $0 |
| WILSON MERTENS MD | ||||||||||||||
| DIRECTOR (THRU 4/6/22) | $395,563 | $0 | $84,050 | $0 | $41,625 | $0 | $24,650 | $0 | $20,330 | $0 | $566,218 | $0 | $4,125 | $0 |
| ELIZABETH BOYLE MD | ||||||||||||||
| DIRECTOR | $340,855 | $0 | $90,563 | $0 | $23,090 | $0 | $30,798 | $0 | $34,876 | $0 | $520,182 | $0 | $4,125 | $0 |
| SUNDEEP M SHUKLA MD | ||||||||||||||
| DIRECTOR | $365,182 | $0 | $45,210 | $0 | $35,952 | $0 | $21,750 | $0 | $26,554 | $0 | $494,648 | $0 | $0 | $0 |
| ANGELA MARTAGON VILLAMIL MD | ||||||||||||||
| DIRECTOR (THRU 6/10/22) | $355,268 | $0 | $36,421 | $0 | $10,405 | $0 | $21,750 | $0 | $3,293 | $0 | $427,137 | $0 | $0 | $0 |
| BENJAMIN FREDA DO | ||||||||||||||
| DIRECTOR | $286,168 | $0 | $21,203 | $0 | $9,997 | $0 | $13,050 | $0 | $28,830 | $0 | $359,248 | $0 | $4,125 | $0 |
| SCOTT BARNETT MD | ||||||||||||||
| DIRECTOR | $220,698 | $0 | $22,969 | $0 | $28,905 | $0 | $26,629 | $0 | $28,817 | $0 | $328,018 | $0 | $0 | $0 |
| PAULA BROOKS DNP | ||||||||||||||
| DIRECTOR | $159,283 | $0 | $16,810 | $0 | $1,634 | $0 | $7,631 | $0 | $26,757 | $0 | $212,115 | $0 | $0 | $0 |
| KRISTIN R DELANEY | ||||||||||||||
| CLERK | $151,546 | $0 | $15,990 | $0 | $1,384 | $0 | $16,223 | $0 | $26,209 | $0 | $211,352 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. (THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS) HAS BEEN APPOINTED THROUGH BOARD RESOLUTION AS THE COMPENSATION COMMITTEE OF THE FILING ORGANIZATION. THIS COMMITTEE CONSISTS ENTIRELY OF INDIVIDUALS SERVING ON THE BOARD OF THE FILING ORGANIZATION. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE PRESIDENT WOULD BE THOSE INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AND WOULD BE CONSIDERED INDEPENDENT FOR COMPENSATION DELIBERATION PURPOSES. THE COMPENSATION OF THE PRESIDENT IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE DULY AUTHORIZED HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. AND ALL SUCH DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY. |
| PART I, LINE 4B: | ANDREW ARTENSTEIN, MD - TOTAL SUPPLEMENTAL RETIREMENT OF $175,376 INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $171,251 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. ABRAHAM THOMAS, MD - SUPPLEMENTAL RETIREMENT OF $14,467 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $10,342 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. ANGELA MARTAGON-VILLAMIL, MD - SUPPLEMENTAL RETIREMENT OF $5,501 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2021. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. ASHRAF KHAN, MD - SUPPLEMENTAL RETIREMENT OF $4,404 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2021. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. BARRY SARVET, MD - SUPPLEMENTAL RETIREMENT OF $15,390 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $11,265 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. BENJAMIN FREDA, MD - SUPPLEMENTAL RETIREMENT OF $5,851 INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $1,726 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. CHARLOTTE BONEY, MD - SUPPLEMENTAL RETIREMENT OF $16,577 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $12,452 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. EDWARD FELDMANN, MD - SUPPLEMENTAL RETIREMENT OF $14,059 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $9,934 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. ELIZABETH BOYLE, MD - SUPPLEMENTAL RETIREMENT OF $10,846 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $6,721 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. RONALD P. BRYANT - SUPPLEMENTAL RETIREMENT OF $15,522 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $11,397 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. KEVIN HINCHEY, MD - SUPPLEMENTAL RETIREMENT OF $18,198 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $14,073 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. HEATHER SANKEY, MD - SUPPLEMENTAL RETIREMENT OF $23,981 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $19,856 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. MARION MCGOWAN - SUPPLEMENTAL RETIREMENT OF $189,221 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. NICOLAS JABBOUR, MD - SUPPLEMENTAL RETIREMENT OF $35,544 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $31,419 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. AARON KUGELMASS, MD - SUPPLEMENTAL RETIREMENT OF $35,290 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $31,165 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. BETTY K. LARUE - SUPPLEMENTAL RETIREMENT OF $16,445 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $12,320 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. RAYMOND MCCARTHY - SUPPLEMENTAL RETIREMENT OF $160,096 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2021. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. SCOTT BARNETT, MD - SUPPLEMENTAL RETIREMENT OF $4,695 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2021. SUPPLEMENTAL RETIREMENT OF $3,766 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. VENKATRAO MEDARAMETLA, MD - SUPPLEMENTAL RETIREMENT OF $18,512 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2021. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. WILSON MERTENS, MD - SUPPLEMENTAL RETIREMENT OF $15,796 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $11,671 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. THIS AMOUNT WAS EARNED AND PAID IN 2021. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. DENNIS OH, MD - SUPPLEMENTAL RETIREMENT OF $93,956 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $89,831 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. NEILS K. RATHLEV, MD - SUPPLEMENTAL RETIREMENT OF $20,857 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $16,732 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. KAMAL KALIA, MD - SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. |
| ROBERT SCHAPIRO, MD - SUPPLEMENTAL RETIREMENT OF $41,644 IS INCLUDED IN | COLUMN B. THIS AMOUNT CONSISTS OF $37,519 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. THOMAS A. SCHWANN, MD - SUPPLEMENTAL RETIREMENT OF $37,503 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. RICHARD J. HICKS, MD - SUPPLEMENTAL RETIREMENT OF $29,892 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $25,767 EARNED AND PAID IN 2021 AND $4,125 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. SUNDEEP SHUKLA, MD - SUPPLEMENTAL RETIREMENT OF $13,287 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2021. SUPPLEMENTAL RETIREMENT OF $4,350 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2021. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SCOTT BARNETT MD | |||
| FAMILY MEMBER OF SCOTT BARNETT, MD | $310,159 | FAMILY MEMBER OF SCOTT BARNETT, MD IS EMPLOYED BY THE FILING ORGANIZATION. | 0 |
| ANGELA MARTAGON VILLAMIL MD | |||
| FAMILY MEMBER OF ANGELA MARTAGON VILLAMIL, MD | $390,128 | FAMILY MEMBER OF ANGELA MARTAGON VILLAMIL, MD IS EMPLOYED BY THE FILING ORGANIZATION. | 0 |
| WILSON MERTENS MD | |||
| FAMILY MEMBER OF WILSON MERTENS, MD | $62,925 | FAMILY MEMBER OF WILSON MERTENS, MD IS EMPLOYED BY THE FILING ORGANIZATION. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | 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. |
| FORM 990, PART VI, SECTION A, LINE 2 | TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR MORE BOARDS OF DIRECTORS OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP WITH ONE OR MORE ENTITIES IN THE BAYSTATE GROUP OF AFFILIATED ENTITIES AND IN THE COMMUNITY. |
| 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 23 DIRECTORS, 7 OF WHOM ARE EITHER APPOINTED BY BAYSTATE HEALTH, INC. (BH) OR SERVE EX OFFICIO BASED ON POSITIONS THEY HOLD WITH BH, AND 16 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 BAYSTATE HEALTH, INC. (BH): (1) THE FILING ORGANIZATION'S 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 ORGANIZATION'S EDUCATIONAL AND RESEARCH PROGRAMS, (5) ANY PLEDGE OF THE FILING ORGANIZATION'S 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 11B | PRIOR TO FILING THE FORM 990, APPROPRIATE SECTIONS WERE REVIEWED BY THE TAX, FINANCE, AND HUMAN RESOURCES AREAS OF BAYSTATE HEALTH, INC. (THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS) AND BY OUTSIDE LEGAL COUNSEL. THE FORM 990 WAS ALSO REVIEWED BY TAX EXPERTS FROM AN INDEPENDENT ACCOUNTING FIRM AND SIGNED-OFF AS A PAID PREPARER. THE PROCESS, KEY AREAS AND ANY NEW CHANGES WERE REVIEWED PRIOR TO FILING WITH THE BAYSTATE HEALTH AUDIT AND COMPLIANCE COMMITTEE (ACC). THE ACC MEMBERS HAD AN OPPORTUNITY TO ASK QUESTIONS REGARDING THE TAX COMPLIANCE PROCESS AND THE TAX FILINGS IN GENERAL. THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BAYSTATE HEALTH BOARD OF TRUSTEES PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BAYSTATE MEDICAL PRACTICES, INC IS AN AFFILIATE OF BAYSTATE HEALTH, INC (BH). BH AND ITS AFFILIATED ENTITIES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES. ALL DIRECTORS, TRUSTEES, OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES OF BH AND ITS AFFILIATES ARE ASKED TO COMPLETE AN ANNUAL "CONFLICT OF INTEREST" FORM. WE UTILIZE AN ELECTRONIC DATABASE TO RECEIVE AND MANAGE ALL CONFLICT OF INTEREST SUBMISSIONS. THIS INFORMATION IS REVIEWED BY THE CHIEF COMPLIANCE OFFICER, CHIEF EXECUTIVE OFFICER, CHAIR OF THE BOARD OF TRUSTEES, CHIEF GENERAL COUNSEL AND THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. A SUMMARY OF THE CONFLICT OF INTEREST DISCLOSURES IS PROVIDED TO THE BAYSTATE HEALTH BOARD OF TRUSTEES AND THE TAX DEPARTMENT. POTENTIAL CONFLICT OF INTEREST TRANSACTIONS ARE REVIEWED AS APPROPRIATE UNDER THE POLICY, WHICH PROVIDES FOR RECUSAL FROM DISCUSSION AND DELIBERATION BY ANY PARTY WITH A POTENTIAL CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE COMPENSATION OF THE PRESIDENT IS REVIEWED AND DETERMINED ANNUALLY BY THE HUMAN RESOURCES 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. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE PRESIDENT WOULD BE THOSE INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AND WOULD BE CONSIDERED INDEPENDENT FOR COMPENSATION DELIBERATION PURPOSES. THE COMPENSATION OF THE PRESIDENT IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE DULY AUTHORIZED HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. THE COMPENSATION OF THE SENIOR VICE PRESIDENT, FINANCE, CFO AND TREASURER IS REVIEWED AND DETERMINED ANNUALLY BY THE HUMAN RESOURCES 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. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE SENIOR VICE PRESIDENT, FINANCE, CFO AND TREASURER AND OF OTHER OFFICERS WOULD BE THOSE INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AND WOULD BE CONSIDERED INDEPENDENT FOR COMPENSATION DELIBERATION PURPOSES. THE COMPENSATION OF THE SENIOR VICE PRESIDENT, FINANCE, CFO AND TREASURER IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE DULY AUTHORIZED HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE FILING ORGANIZATION IS DETERMINED BY THE PRESIDENT OF THE FILING ORGANIZATION IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT, IN CONSULTATION WITH HUMAN RESOURCES, BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS FOR REASONABLENESS INCLUDING APPROPRIATE COMPARABILITY DATA OR THE BAYSTATE HEALTH BOARD APPROVED BUDGET AND WAGE PROGRAM FOR EACH FISCAL YEAR. LINE 15A HAS BEEN ANSWERED NO BECAUSE THE PRESIDENT IS PAID BY BAYSTATE ADMINISTRATIVE SERVICES, INC., AN AFFILIATE AND RELATED ORGANIZATION OF THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT WWW.BAYSTATEHEALTH.ORG. ARTICLES OF ORGANIZATION AND BYLAWS ARE GENERALLY AVAILABLE AT THE COMMONWEALTH OF MASSACHUSETTS WEBSITE. |
| PART VII, SECTION A, LINE 5: | CERTAIN OFFICERS OR DIRECTORS OF THE FILING ORGANIZATION ARE PAID BY AN ENTITY, BAYSTATE ADMINISTRATIVE SERVICES, INC. (BAS) EIN 22-27447685, 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 BAS TO THE OFFICERS AND DIRECTORS OF THE FILING ORGANIZATION THEREFORE, IS REPORTED AS PAID FROM AN UNRELATED ORGANIZATION IN LINE 5 AND ACCORDING TO THE INSTRUCTIONS REPORTED AS THOUGH PAID BY THE FILING ORGANIZATION. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES-MD: PROGRAM SERVICE EXPENSES 79,414,522. MANAGEMENT AND GENERAL EXPENSES 2,981,846. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,396,368. PURCHASED SERVICES-NURSE PRACTITIONERS: PROGRAM SERVICE EXPENSES 453,940. MANAGEMENT AND GENERAL EXPENSES 17,044. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 470,984. BILLING/COLLECTION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 693,319. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 693,319. TRANSCRIPTION/ACCESS SERVICES: PROGRAM SERVICE EXPENSES 5,394,077. MANAGEMENT AND GENERAL EXPENSES 202,536. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,596,613. PURCHASED SERVICES-CLERICAL/TEMP HELP: PROGRAM SERVICE EXPENSES 586,056. MANAGEMENT AND GENERAL EXPENSES 22,005. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 608,061. PURCHASED SERVICES-OTHER HEALTH: PROGRAM SERVICE EXPENSES 4,693,680. MANAGEMENT AND GENERAL EXPENSES 176,238. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,869,918. |
| FORM 990, PART XI, LINE 9: | CURRENT YEAR ACQUISITIONS FROM OTHER ENTITIES 12,850. NET TRANSFERS (TO)/FROM AFFILIATES 65,902,163. MINIMUM PENSION LIABILITY ADJUSTMENT -12,558,320. ROUNDING 15. |
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