2022-08-05T04:57:34-05:00 2021-09-30 861065772 Deloitte Tax LLP Two Jericho Plaza Jericho NY 11753 990 2020-10-01 042888373 Baystate Medical Practices Inc BAYS 4137940000 759 Chestnut Street Springfield MA 01199 Raymond McCarthy SVP Finance, CFO & Treasurer 4137940000 2022-08-01 1 Raymond McCarthy 999009999 Christine Kawecki P00743140 5169187000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Raymond McCarthy 759 Chestnut Street Springfield MA 01199 390418446 0 X www.baystatehealth.org X 1985 MA 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. 23 1 2222 1 204085 0 7033332 5458009 334590607 384949397 -36710 11040 0 0 341587229 390418446 0 0 0 0 319327676 329260669 0 0 0 79983127 120596431 399310803 449857100 -57723574 -59438654 70580810 74830702 120560184 95686197 -49979374 -20855495 X 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. 0 0 428547405 384949397 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. 428547405 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 86 0 1 2222 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 23 1 1 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 MA X Laurie Martin Baystate Health Inc 4137940000 759 Chestnut Street Springfield MA 01199 Mark A Keroack MD Director/President & CEO (Thru 12/20) 1.00 0.00 X 2511656 0 39342 Andrew Artenstein MD President 40.00 0.00 X X 1178522 0 43817 Nicolas Jabbour MD Director 50.00 0.00 X 1029270 0 58788 Aaron Kugelmass MD Director 50.00 0.00 X 841742 0 55295 Abraham Thomas MD Director 50.00 0.00 X 720931 0 53130 Heather Sankey MD Director 50.00 0.00 X 679299 0 68458 Niels Rathlev MD Director 50.00 0.00 X 647439 0 53728 Raymond McCarthy Treasurer/Director 3.00 0.00 X X 668402 0 25713 Charlotte Boney MD Director 50.00 0.00 X 606893 0 44642 Ronald P Bryant Director/President BNH & BFMC 1.00 0.00 X 597706 0 47607 Kevin Hinchey MD Ex-Offico Director/ CAO 40.00 0.00 X 539310 0 83507 Ashraf Khan MD Director 50.00 0.00 X 559313 0 44889 Barry Sarvet MD Director 50.00 0.00 X 534119 0 63936 Amir Lotfi MD Director (Thru 1/24/21) 50.00 0.00 X 511150 0 54855 Wilson Mertens MD Director 50.00 0.00 X 519195 0 40540 Edward Feldman MD Director 50.00 0.00 X 516592 0 37506 Rakesh Talati MD Director (Thru 1/24/21) 40.00 0.00 X 492195 0 52170 Venkatro Medarametla MD Director (As Of 1/25/21) 50.00 0.00 X 499020 0 38989 Elizabeth Boyle MD Director 50.00 0.00 X 445129 0 62129 Cheryl Geoffrion MD Director (Thru 1/24/21) 50.00 0.00 X 331498 0 51111 Ramachandran Kuppuswamy MD Director (Thru 1/24/21) 50.00 0.00 X 348344 0 32943 Benjamin Freda Do Director (As Of 1/25/21) 50.00 0.00 X 318202 0 39862 Angela Martagon Villamil MD Director (As Of 1/25/21) 50.00 0.00 X 311261 0 24047 Scott Barnett MD Director (As Of 1/25/21) 50.00 0.00 X 269670 0 55682 Sundeep M Shukla MD Director (As Of 1/25/21) 50.00 0.00 X 225918 0 28748 Kimberly Bucknor MD Director (Thru 1/24/21) 50.00 0.00 X 217802 0 34480 Paula Brooks Dnp Director (As Of 12/1/20) 50.00 0.00 X 87518 0 7707 Kathleen B Scoble Director 1.00 0.00 X 0 0 0 Kristin R Delaney Clerk 1.00 0.00 X 168346 0 40493 Betty K Larue COO 40.00 0.00 X 536991 0 72100 Dennis Oh MD Chief Div Of Neurosurgery 50.00 0.00 X 1825795 0 55585 Anthony Rousou MD Cardiac Surgeon 50.00 0.00 X 959722 0 43557 Thomas A Schwann MD Chief Cardiac Surgery 50.00 0.00 X 943181 0 50936 Robert Schapiro MD Neurosurgeon 50.00 0.00 X 887837 0 45971 Leslee Dyness Do Neurosurgeon 50.00 0.00 X 870187 0 44094 Dennis W Chalke Former Treasurer 3.00 0.00 X 898889 0 76373 23299044 0 1672730 895 1 1 1 Valley Medical Group 329 Conway St Greenfield MA 01301 Physician services 34491000 Baystate ObGyn Group 354 Birnie Ave Ste 202 Springfield MA 01107 Physician Services 9696014 Springfield Medical Associates 2150 Main St Springfield MA 01104 Physician Services 8957576 Baystate Administrative Services 759 Chestnut St Springfield MA 01199 Management services 6611604 Baystate Medical Center 759 Chestnut St Springfield MA 01199 Physician support services 5444436 42 381586 5076423 5458009 Physician Practice Fee 621110 192188701 192188701 Hospital reimb program 621110 96752645 96752645 Practice lease agreeme 621110 53009873 53009873 Funding-strategic grow 621110 16884027 16884027 Aff. contract service 621110 8502383 8502383 17611768 17407683 204085 384949397 11040 11040 390418446 384745312 204085 11040 X 12338952 11754085 584867 1322814 1260113 62701 267542483 257995203 9547280 14762541 14234415 528126 18354071 17696579 657492 14939808 14398889 540919 7586512 7586512 185120 185120 48800 48800 80467122 79972639 494483 2027751 1954333 73418 1371504 1321847 49657 8496180 8188563 307617 143200 138015 5185 33549 32334 1215 884 884 1729583 1666961 62622 10798775 10407789 390986 Medical Supplies 2670725 2670725 Physician Exp Allowance 2382023 2295778 86245 Recruitment 1187572 1144574 42998 Dues & Memberships 1148263 1106688 41575 318868 307875 10993 449857100 428547405 21309695 0 10674599 10016646 23626902 30101505 20141140 11854983 35138964 25637582 10657355 9501382 193503 5998491 5287311 7357695 70580810 74830702 57711883 60676942 4720000 627722 58128301 34381533 120560184 95686197 X -49979374 -20855495 -49979374 -20855495 70580810 74830702 X -59438654 88562533 X 0 1 X 1 0 X 442650 704205 7033332 5461159 13641346 288416270 306594325 329056490 334291783 384742162 1643101030 288416270 307036975 329760695 341325115 390203321 1656742376 0 0 0 1656742376 43854 39162 24315 25717 11040 144088 43854 39162 24315 25717 11040 144088 288460124 307076137 329785010 341350832 390214361 1656886464 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1103927 643838 460089 12097965 5883766 6214199 21902942 19109978 2792964 34130 34130 9501382 Due from Affiliated Companies 7357695 7357695 Due to Affiliated companies 13720537 Lease Liability 9240672 Insurance Liability Loss Reserve 11420324 34381533 0 1 0 0 0 0 0 0 0 Mark A Keroack MD Director/President & CEO (Thru 12/20 1425333 0 677350 0 408973 0 12825 0 26517 0 2550998 0 0 0 Dennis Oh MD Chief Div Of Neurosurgery 1435354 0 282000 0 108441 0 21375 0 34210 0 1881380 0 0 0 Andrew Artenstein MD President 715415 0 253425 0 209682 0 18525 0 25292 0 1222339 0 0 0 Nicolas Jabbour MD Director 701957 0 232725 0 94588 0 18525 0 40263 0 1088058 0 53799 0 Anthony Rousou MD Cardiac Surgeon 774162 0 182500 0 3060 0 18525 0 25032 0 1003279 0 0 0 Thomas A Schwann MD Chief Cardiac Surgery 758632 0 155080 0 29469 0 18525 0 32411 0 994117 0 0 0 Dennis W Chalke Former Treasurer 406832 0 175603 0 316454 0 58691 0 17682 0 975262 0 0 0 Robert Schapiro MD Neurosurgeon 738702 0 97386 0 51749 0 21375 0 24596 0 933808 0 0 0 Leslee Dyness Do Neurosurgeon 793223 0 73150 0 3814 0 17268 0 26826 0 914281 0 0 0 Aaron Kugelmass MD Director 641305 0 142310 0 58127 0 21375 0 33920 0 897037 0 0 0 Abraham Thomas MD Director 545480 0 151138 0 24313 0 18525 0 34605 0 774061 0 0 0 Heather Sankey MD Director 497459 0 139100 0 42740 0 32111 0 36347 0 747757 0 0 0 Niels Rathlev MD Director 466485 0 131075 0 49879 0 17100 0 36628 0 701167 0 0 0 Raymond McCarthy Treasurer/Director 487508 0 154214 0 26680 0 21375 0 4338 0 694115 0 0 0 Charlotte Boney MD Director 426388 0 142845 0 37660 0 18525 0 26117 0 651535 0 0 0 Ronald P Bryant Director/President BNH & BFMC 429758 0 120375 0 47573 0 18525 0 29082 0 645313 0 0 0 Kevin Hinchey MD Ex-Offico Director/ CAO 410061 0 90950 0 38299 0 56802 0 26705 0 622817 0 0 0 Betty K Larue COO 414268 0 108338 0 14385 0 53125 0 18975 0 609091 0 0 0 Ashraf Khan MD Director 408988 0 115025 0 35300 0 14250 0 30639 0 604202 0 0 0 Barry Sarvet MD Director 409764 0 109675 0 14680 0 34032 0 29904 0 598055 0 0 0 Amir Lotfi MD Director (Thru 1/24/21) 460481 0 8734 0 41935 0 21375 0 33480 0 566005 0 0 0 Wilson Mertens MD Director 390576 0 87740 0 40879 0 21375 0 19165 0 559735 0 0 0 Edward Feldman MD Director 411837 0 87740 0 17015 0 18525 0 18981 0 554098 0 0 0 Rakesh Talati MD Director (Thru 1/24/21) 404445 0 58048 0 29702 0 21375 0 30795 0 544365 0 0 0 Venkatro Medarametla MD Director (As Of 1/25/21) 459567 0 11023 0 28430 0 14444 0 24545 0 538009 0 0 0 Elizabeth Boyle MD Director 335611 0 93625 0 15893 0 30117 0 32012 0 507258 0 0 0 Cheryl Geoffrion MD Director (Thru 1/24/21) 309076 0 17997 0 4425 0 21375 0 29736 0 382609 0 0 0 Ramachandran Kuppuswamy MD Director (Thru 1/24/21) 314621 0 24563 0 9160 0 18525 0 14418 0 381287 0 2606 0 Benjamin Freda Do Director (As Of 1/25/21) 286662 0 27639 0 3901 0 12825 0 27037 0 358064 0 0 0 Angela Martagon Villamil MD Director (As Of 1/25/21) 306260 0 3506 0 1495 0 20908 0 3139 0 335308 0 0 0 Scott Barnett MD Director (As Of 1/25/21) 243283 0 25520 0 867 0 26495 0 29187 0 325352 0 0 0 Sundeep M Shukla MD Director (As Of 1/25/21) 170225 0 48198 0 7495 0 19875 0 8873 0 254666 0 0 0 Kimberly Bucknor MD Director (Thru 1/24/21) 204743 0 12620 0 439 0 13904 0 20576 0 252282 0 0 0 Kristin R Delaney Clerk 151161 0 16435 0 750 0 15836 0 24657 0 208839 0 0 0 Part I, Line 3 The compensation of President is reviewed and determined annually by the compensation committee of Baystate Health, Inc. (the parent organization of the health care system to which the filing organization belongs). This committee consists entirely of individuals serving on the board of Baystate Health, Inc. 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 compensation committee of Baystate Health, Inc. and all such deliberations and decisions are documented contemporaneously. Part I, Line 4b Andrew Artenstein, MD - Supplemental Retirement of $168,822 included in column B. This amount was earned and paid in 2020. Charlotte Boney, MD - Supplemental Retirement of $10,769 is included in column B. This amount was earned and paid in 2020. Elizabeth Boyle, MD - Supplemental Retirement of $4,833 is included in column B. This amount was earned and paid in 2020. Ronald P. Bryant- Supplemental Retirement of $11,163 is included in column B. This amount was earned and paid in 2020. Dennis W. Chalke - Supplemental Retirement of $146,809 is included in column B. This amount was earned and paid in 2020. Cheryl Geoffrion, MD - Supplemental Retirement of $1,088 is included in column B. This amount was earned in 2020. Kevin Hinchey, MD - Supplemental Retirement of $18,219 is included in column B. This amount was earned and paid in 2020. Nicolas Jabbour, MD - Supplemental Retirement of $63,574 is included in column B. This amount consists of $9,775 earned and paid in 2020 and $ 53,799 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. Mark A. Keroack, MD - Supplemental Retirement of $363,205 is included in column B. This amount was earned in 2020. Ramachandran Kuppuswamy, MD Supplemental Retirement of $4,904 is included in column B. This amount consists of $2,298 earned and paid in 2020 and $2,606 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. Aaron Kugelmass, MD- Supplemental Retirement of $25,079 is included in column B. This amount was earned and paid in 2020. Betty K. Larue - Supplemental Retirement of $15,634 is included in column B. This amount was earned in 2020. Amir Lofti, MD - Supplemental Retirement of $14,741 is included in column B. This amount was earned in 2020. Raymond McCarthy - Supplemental Retirement of $187 is included in column B. This amount was earned in 2020. Marion McGowan - Supplemental Retirement of $70,834 is included in column C. This amount was earned and paid in 2020. Venkatrao Medarametla, MD - Supplemental Retirement of $8,347 is included in column B. This amount was earned and paid in 2020. Wilson Mertens, MD - Supplemental Retirement of $9,831 is included in column B. This amount was earned and paid in 2020. Dennis Oh, MD - Supplemental Retirement of $85,296 is included in column B. This amount was earned and paid in 2020. Neils K. Rathlev, MD - Supplemental Retirement of $16,110 is included in column B. This amount was earned paid in 2020. Heather Sankey, MD - Supplemental Retirement of $17,935 is included in column B. This amount was earned paid in 2020. Barry Sarvet, MD - Supplemental Retirement of $10,544 is included in column B. This amount was earned paid in 2020. Robert Schapiro, MD - Supplemental Retirement of $29,638 is included in column B. This amount was earned paid in 2020. Sundeep Shukla, MD - Supplemental Retirement of $76 is included in column B. This amount was earned paid in 2020. Rakesh Talati, MD - Supplemental Retirement of $4,156 is included in column B. This amount was earned paid in 2020. Scott Barnett MD Family member of Sc 306184 See Part V - Family member of Scott Barnett, MD is employed by the filing organization. 0 Angela Martagon Villamil MD Family member of An 360379 See Part V - Family member of Angela Martagon Villamil, MD is employed by the filing organization. 0 Wilson Mertens MD Family member of Wi 214189 See Part V - Family member of Wilson Mertens, MD is employed by the filing organization. 0 Form 990, Part VI, Section A, line 1 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 compensation committee of Baystate Health, Inc. (the parent organization of the health care system to which the filing organization belongs). This committee consists entirely of individuals serving on the board of Baystate Health, Inc. 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 compensation committee of Baystate Health, Inc. The compensation of the Senior Vice President, Finance, CFO and Treasurer is reviewed and determined annually by the compensation committee of Baystate Health, Inc. (the parent organization of the health care system to which the filing organization belongs). This committee consists entirely of individuals serving on the board of Baystate Health, Inc. 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 compensation 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. Form 990, 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 22-2747685, 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 71,186,406. Management and general expenses 0. Fundraising expenses 0. Total expenses 71,186,406. Purchased Services, NP: Program service expenses 994,422. Management and general expenses 0. Fundraising expenses 0. Total expenses 994,422. Billing/Collection: Program service expenses 0. Management and general expenses 409,379. Fundraising expenses 0. Total expenses 409,379. Transcription/Access Services: Program service expenses 5,526,423. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,526,423. P/S-Clerical/Temp Help: Program service expenses 550,370. Management and general expenses 20,676. Fundraising expenses 0. Total expenses 571,046. Other Healthcare Contractors: Program service expenses 1,715,018. Management and general expenses 64,428. Fundraising expenses 0. Total expenses 1,779,446. Form 990, Part XI, line 9: Current Year Acquisitions from Other Entities 51,902. Net Transfers (to)/from Affiliates 60,995,054. Minimum Pension Liability adjustment 27,515,577.