2022-08-05T05:04:21-05:00 2021-09-30 861065772 Deloitte Tax LLP Two Jericho Plaza Jericho NY 11753 990 2020-10-01 042105803 Visiting Nurse Association & Hospice of Western New England Inc VISI 4137940000 30 Capital Drive Suite A West Springfield MA 01089 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 01107 46458846 0 X www.baystatehealth.org X 1914 MA The mission of the organization is to improve the health of the people in our communities every day, with quality and compassion. 18 14 320 63 0 0 1016036 2182650 28274532 26160225 62664 180971 0 0 29353232 28523846 0 0 0 0 21751665 22184961 0 0 0 7792486 7073133 29544151 29258094 -190919 -734248 15935325 13025434 18741745 14739453 -2806420 -1714019 The mission of the organization is to improve the health of the people in our communities every day, with quality and compassion. 0 0 19586261 17328006 Home Care: The Home Care Program of Visiting Nurse Association and Hospice of Western New England (VNAH) serves about 7000 patients annually. The services, aimed at allowing patients to recuperate while remaining in the comfort of their homes, include skilled nursing, rehabilitation therapy, medical social work and personal care. The organization assists patients with self-management of chronic disease, such as heart failure, through technology and teaching by incorporating telemonitoring into the plan of care. Currently, VNAH provides remote telemonitoring to approximately 500 patients. 4512244 8832219 Hospice: The Hospice and Palliative Care Program of Visiting Nurse Association and Hospice of Western New England provides end of life care for patients in the community, assisted living facilities and skilled nursing facilities. The program coordinates care for an average daily census of about 100 to 150 patients of all ages. Hospice has an interdisciplinary approach using nursing, social work, chaplains and hospice aides. A unique feature of hospice is its strong team of volunteers which number nearly a 100 and who provide such services as errands, respite and companionship as well as legal counsel from volunteer attorneys. 24098505 1 1 0 1 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 0 0 0 0 0 0 0 1 0 1 0 1 37 0 1 320 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 14 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 MA X Laurie Martin Baystate Health Inc 4137940000 759 Chestnut Street Springfield MA 01199 X Mark A Keroack MD Trustee/President & CEO, BH 1.00 49.00 X 0 2511656 39342 Kevin P Moriarty MD Trustee/Chief Ped Surgery 1.00 49.00 X 713152 0 39464 Akinyele K Lovelace DO Trustee/ Per Diem Internist 1.00 49.00 X 56330 0 845 Robert J Bacon Chair 1.00 6.00 X X 0 0 0 Adrian J Levsky Trustee (Thru 3/31/21) 1.00 4.00 X 0 0 0 Anne M Paradis Trustee (Thru 12/31/20) 1.00 5.00 X 0 0 0 Claudia R Coplein DO Trustee 1.00 4.00 X 0 0 0 Colleen W Holmes Trustee 1.00 4.00 X 0 0 0 Denise R Jordan Trustee 1.00 4.00 X 0 0 0 Edward J Noonan Trustee 1.00 4.00 X 0 0 0 Gregory L Braden MD Trustee 1.00 4.00 X 0 0 0 Harriet A Deverry Vice Chair/ Trustee 1.00 5.00 X 0 0 0 Hector F Toledo Trustee (Thru 12/31/20) 1.00 5.00 X 0 0 0 Irene Rodriguez Martin Trustee 1.00 4.00 X 0 0 0 James R Phaneuf Trustee 1.00 4.00 X 0 0 0 John F Maybury Trustee 1.00 6.00 X 0 0 0 Kathleen B Scoble Trustee 1.00 5.00 X 0 0 0 Maria P Goncalves Trustee 1.00 5.00 X 0 0 0 Paul C Picknelly Trustee 1.00 4.00 X 0 0 0 Paul R Murphy Trustee 1.00 4.00 X 0 0 0 William R Webber Trustee 1.00 4.00 X 0 0 0 Nancy Shendell-Falik President(Thru 5/21) /SVP Hospital OPS 7.00 43.00 X 0 1311383 46342 Raymond McCarthy Treasurer 1.00 49.00 X 0 668402 25713 Martin Degen Interim President (As of 5/21) 50.00 0.00 X 0 243428 38934 Kristin R Delaney Clerk 1.00 49.00 X 0 168346 40493 Nancy Remillard Assistant Clerk 1.00 49.00 X 0 60003 11278 Roxanna Harper Director, Clinical Ops 50.00 0.00 X 147972 0 28907 Wendy Drake Dir Quality & Compliance 50.00 0.00 X 157980 0 9133 Nicole Marie Boutilier Dir Of Finance Home/ Community 50.00 0.00 X 116180 0 33717 Jessica A Czerniak Case Mgr 50.00 0.00 X 127815 0 10102 Heather L Rising Medical Surgical RN 50.00 0.00 X 115793 0 10457 Dennis W Chalke Former Treasurer 0.00 0.00 X 0 898889 76373 1435222 5862107 411100 25 1 1 1 Baystate Administrative Services 759 Chestnut St Springfield MA 01079 Administrative Services 1785330 McBee Associates Inc PO Box 823519 Philadelphia PA 191823519 Administrative Services 531616 Shiftwise 1800 SW 1st Ave Suite 510 Portland OR 97201 Contracted Labor (RN/PT) 331948 Verizon Wireless PO Box 15108 Albany NY 212125108 Telephone Services 204870 Medtronic Care Management PO Box 1991 Minneapolis MN 55480 Administrative Services 143597 12 171172 2011478 2182650 Net Patient Services 621610 26160183 26160183 Copy of Medical Record 621610 42 42 26160225 48167 48167 18067804 17935000 132804 132804 132804 28523846 26160225 0 180971 17826294 15824906 2001388 615176 557485 57691 2451558 2451558 1291933 1170776 121157 1926716 35727 1890989 3872 3872 2449 2449 1646278 1161698 484580 43422 40094 3328 1337114 1261398 75716 823919 747843 76076 455064 280172 174892 494966 491925 3041 18143 6369 11774 13280 13280 176056 176056 72946 66105 6841 Temporally Help 58908 58908 29258094 24098505 5159589 0 7025649 3801686 3675644 3656870 281636 178584 6419421 6096392 490545 323029 4461851 5065265 15935325 13025434 7485203 9561937 6988675 3858913 4267867 1318603 18741745 14739453 X -4687392 -5421640 1880972 3707621 -2806420 -1714019 15935325 13025434 X -734248 1826649 X 0 1 X 1 0 X 192410 411752 608703 1016036 2182650 4411551 20160550 26077940 28354278 28274532 26160225 129027525 20352960 26489692 28962981 29290568 28342875 133439076 0 0 0 133439076 33105 62183 70607 62664 48167 276726 33105 62183 70607 62664 48167 276726 20386065 26551875 29033588 29353232 28391042 133715802 0.99790 0.99790 0.00210 0.00210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2449 2449 0 Part II-B, Line 1, Lobbying Activities: Line 1(i), Other activities: Lobbying expenditures are incurred through membership dues paid to home health care industry trade associations. Lobbying Expenses: Home Care Alliance of MA: Dues: $13,110 Lobbying amount: 14.10% = $1,849 National Assoc for Home Care & Hospice: Dues: $15,750 Lobbying amount: 3.81% = $600 Total lobbying amount = $2,449 151536 35466 116070 6267885 6060926 206959 323029 Beneficial Interest in Baystate Health Foundation 4718699 Pension Asset 346566 5065265 Malpractice Reserve 70513 Lease Liability 1248090 1318603 Schedule D, Part V: Additional Information: Part V: Certain endowments are held at Baystate Health Foundation (BHF), an affiliate, and are reported as temporarily restricted and permanently restricted but Part V has not been completed as it is already addressed on BHF's Form 990 (EIN 04-3549011). X X X X 0 1 0 0 0 0 0 0 0 Mark A Keroack MD Trustee/President & CEO, BH 0 1425333 0 677350 0 408973 0 12825 0 26517 0 2550998 0 0 Nancy Shendell-Falik President(Thru 5/21) /SVP Hospital O 0 744791 0 335013 0 231579 0 18525 0 27817 0 1357725 0 0 Dennis W Chalke Former Treasurer 0 406832 0 175603 0 316454 0 58691 0 17682 0 975262 0 0 Kevin P Moriarty MD Trustee/Chief Ped Surgery 569741 0 93081 0 50330 0 24225 0 15239 0 752616 0 0 0 Raymond McCarthy Treasurer 0 487508 0 154214 0 26680 0 21375 0 4338 0 694115 0 0 Martin Degen Interim President (As of 5/21) 0 208228 0 34096 0 1104 0 11000 0 27934 0 282362 0 0 Kristin R Delaney Clerk 0 151161 0 16435 0 750 0 15836 0 24657 0 208839 0 0 Roxanna Harper Director, Clinical Ops 133935 0 13411 0 626 0 13591 0 15316 0 176879 0 0 0 Wendy Drake Dir Quality & Compliance 142973 0 14581 0 426 0 7201 0 1932 0 167113 0 0 0 Part I, Line 3 The compensation 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 compensation committee of Baystate Health, Inc. and all such deliberations and decisions are documented contemporaneously. Part I, Line 4b Line 4b: Dennis W. Chalke - Supplemental Retirement of $146,809 is included in column B. This amount was earned and paid in 2020. Mark A. Keroack, MD - Supplemental Retirement of $363,205 is included in column B. This amount was earned in 2020. Kevin P. Moriarty, MD - Supplemental Retirement of $24,072 is included in column B. This amount was earned and paid in 2020. Raymond McCarthy - Supplemental Retirement of $187 is included in column B. This amount was earned in 2020. Nancy Shendell-Falik - Total Supplemental Retirement of $187,422 is included in column B. This amount was earned and paid in 2020. 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. 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. The following trustees, officers, or key employees have a business relationship: (1) Anne M. Paradis, Mark A. Keroack, MD and Paul R. Murphy (2) John F. Maybury and Mark A. Keroack, MD. Form 990, Part VI, Section A, line 3 Visiting Nurse Association & Hospice of WNE, 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 filing organization has one member, Baystate Health, Inc. (BH). Form 990, Part VI, Section A, line 7a The Board of Trustees of the filing organization are the same individuals serving as members of the Board of Trustees of Baystate Health, Inc. (BH). The Board of Trustees of BH are elected annually by the Board of Trustees of BH at their annual meeting. Form 990, Part VI, Section A, line 7b Under Massachusetts law, a voluntary dissolution of the organization is required to be approved by Baystate Health, Inc., as the sole member of the filing organization. As the sole member, Baystate Health also has the authority to amend the bylaws of the filing organization. Form 990, Part VI, Section A, line 8b: The Trustees of Visiting Nurse Association & Hospice of Western New England, Inc. meet during certain scheduled Baystate Health, Inc. (BH) board meetings. The BH Board of Trustees and its committees, including the Audit and Compliance Committee, contemporaneously document meetings and actions relative to Visiting Nurse Association & Hospice of Western New England, Inc. as well as the annual acceptance of the audited financial statements. 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), which is composed of trustees of the filing organization. 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 Board of Trustees prior to filing. Form 990, Part VI, Section B, line 12c Visiting Nurse Association & Hospice of WNE, 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), which 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 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 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 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: Minimum Pension Liability Adjustment 1,480,056. Interest in BHF -BINA 321,743. Transfer from BAS - Pension Credit 24,850. Baystate Health Inc 759 Chestnut Street Springfield MA 01199 042105941 Healthcare System Parent MA 501(c)(3) 7 0 Baystate Medical Center Inc 759 Chestnut Street Springfield MA 01199 042790311 Acute Care Teaching Hospital MA 501(c)(3) 3 Baystate Health Inc 0 Baystate Franklin Medical Center 164 High Street Greenfield MA 01301 042103575 Hospital MA 501(c)(3) 3 Baystate Health Inc 0 Baystate Wing Hospital Corporation 40 Wright Street Palmer MA 01069 222519813 Hospital MA 501(c)(3) 3 Baystate Health Inc 0 Baystate Total Home Care Inc 280 Chestnut Street Springfield MA 01104 203260764 Real Estate and Other MA 501(c)(3) 12B, II Baystate Medical Center Inc 0 Baystate Administrative Services Inc 759 Chestnut Street Springfield MA 01199 222747685 Administrative services MA 501(c)(3) 12C, III Baystate Health Inc 0 Baystate Health Foundation Inc 759 Chestnut Street Springfield MA 01199 043549011 Fundraising MA 501(c)(3) 7 Baystate Health Inc 0 Baystate Noble Hospital Corporation 115 West Silver Street Westfield MA 010861634 222537423 Hospital MA 501(c)(3) 3 Baystate Health Inc 0 Health New England Inc Monarch Place Suite 1500 Springfield MA 011441500 042864973 HMO/Insurance MA 501(c)(4) Baystate Health Inc 0 HNE of Connecticut Inc Monarch Place Suite 1500 Springfield MA 011441500 465190134 HMO/Insurance MA 501(c)(4) Health New England Inc 0 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 0 HNE Advisory Services Inc Monarch Place Suite 1500 Springfield MA 011441500 043012347 Administrative Services MA HNE Holding Corporation C 0 HNE Insurance Services Inc Monarch Place Suite 1500 Springfield MA 011441500 043183019 Ancilliary Insurance MA HNE Holding Corporation C 0 Ingraham Corporation 759 Chestnut Street Springfield MA 01199 043016257 Health care and other business activities MA Baystate Health Inc C 0 HNE Holding Corporation Monarch Place Suite 1500 Springfield MA 011441500 464620480 Holding shares in subsidiary corporations MA Health New England Inc C 0 HNE Insurance Company Inc Monarch Place Suite 1500 Springfield MA 011441500 454462433 Health Ins svcs for MA Medicare supplement members MA HNE Holding Corporation C 0 Baystate Health Insurance Company Ltd North Church St Georgetown CJ 980421413 Offshore captive insurance CJ Baystate Health Inc C 0 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 Health New England Inc L 2456212 Fair Market Value Baystate Health Foundation Inc C 171172 Fair Market Value