2025-08-11T09:28:58-05:00 2024-09-30 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET SUITE 2800 MINNEAPOLIS MN 55402 990 2023-10-01 042105803 VISITING NURSE ASSOCIATION & HOSPICE OF WESTERN NEW ENGLAND INC VISI 4137940000 30 CAPITAL DRIVE SUITE A WEST SPRINGFIELD MA 01089 LAURIE MARTIN CFO & TREASURER 4137940000 2025-07-30 1 0 CHRIS MESKIMEN P01314196 6123974000 2023 2025-03-06 01:10:19Z RAYMOND MCCARTHY 759 CHESTNUT STREET SPRINGFIELD MA 01107 44679728 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. 20 16 282 53 0 0 2006534 2031537 25141055 25962286 71723 130905 0 0 27219312 28124728 0 0 0 0 23280047 21654655 0 0 0 6962953 8369345 30243000 30024000 -3023688 -1899272 9128384 9298064 15437894 16784645 -6309510 -7486581 THE MISSION OF THE ORGANIZATION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES EVERY DAY, WITH QUALITY AND COMPASSION. 0 0 18277562 14875644 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. 4861255 11086642 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 PROGRAMS COORDINATE CARE FOR AN AVERAGE DAILY CENSUS OF ABOUT 150 TO 250 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 WHO PROVIDE SUCH SERVICES AS ERRANDS, RESPITE, AND COMPANIONSHIP AS WELL AS LEGAL COUNSEL FROM VOLUNTEER ATTORNEYS. 23138817 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 0 0 0 0 0 0 0 1 0 1 0 1 36 0 1 282 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 16 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X LAURIE MARTIN BAYSTATE HEALTH INC 4137940000 759 CHESTNUT STREET SPRINGFIELD MA 01199 X MARK A KEROACK MD TRUSTEE (THRU 6/3/24)/PRES. & CEO - BH 1.00 49.00 X 0 2714007 44265 NICOLAS JABBOUR MD TRUSTEE(AS OF 1/1/24)/CHAIR DEPT. OF SURGERY 1.00 49.00 X 0 1026932 56490 KEVIN P MORIARTY MD TRUSTEE(THRU 12/31/23)/CHIEF PED SURGERY 1.00 49.00 X 772803 0 54493 AKINYELE K LOVELACE DO TRUSTEE/PER DIEM INTERNIST 1.00 49.00 X 102600 0 4617 SARA ROURKE MD TRUSTEE/PER DIEM URG. CARE PHYS. 1.00 49.00 X 31250 0 1719 COLLEEN W HOLMES VICE CHAIR/TRUSTEE 1.00 7.00 X X 0 0 0 HARRIET A DEVERRY CHAIR/TRUSTEE 1.00 7.00 X X 0 0 0 PETER D BANKO TRUSTEE(AS OF 6/4/24)/PRES & CEO-BH 1.00 49.00 X X 0 0 0 ANTONIO E DOS SANTOS TRUSTEE 1.00 5.00 X 0 0 0 CLAUDIA R COPLEIN DO TRUSTEE 1.00 5.00 X 0 0 0 DENISE R JORDAN TRUSTEE 1.00 5.00 X 0 0 0 ELIZABETH CARDONA TRUSTEE (THRU 12/31/23) 1.00 4.00 X 0 0 0 IRENE RODRIGUEZ-MARTIN TRUSTEE 1.00 5.00 X 0 0 0 JAMES R PHANEUF TRUSTEE (THRU 12/31/23) 1.00 4.00 X 0 0 0 JULIE QUINK TRUSTEE (AS OF 1/1/24) 1.00 5.00 X 0 0 0 LINDA THOMPSON TRUSTEE 1.00 5.00 X 0 0 0 MADELINE LANDRAU TRUSTEE (AS OF 1/1/24) 1.00 5.00 X 0 0 0 MARIA P GONCALVES TRUSTEE 1.00 6.00 X 0 0 0 MARK A O'CONNELL TRUSTEE 1.00 5.00 X 0 0 0 PAUL C PICKNELLY TRUSTEE 1.00 5.00 X 0 0 0 PAUL R MURPHY TRUSTEE (THRU 12/31/23) 1.00 4.00 X 0 0 0 RICHARD BOSSIE TRUSTEE 1.00 5.00 X 0 0 0 ROBERT J BACON TRUSTEE 1.00 5.00 X 0 0 0 RUTH H CONSTANTINE TRUSTEE 1.00 5.00 X 0 0 0 WILLIAM R WEBBER TRUSTEE 1.00 5.00 X 0 0 0 RAYMOND MCCARTHY TRUSTEE/SVP, CFO & TREASURER BH 1.00 49.00 X 0 1181243 29919 SAMUEL SKURA TRUSTEE/PRES BMC SVP 1.00 49.00 X 0 1016222 186721 KRISTIN R DELANEY CLERK/DIR CORP GOVERNANCE 1.00 49.00 X 0 176880 40432 NANCY REMILLARD ASST. CLERK OF THE CORP 1.00 49.00 X 0 63112 13612 ROXANNA HARPER DIRECTOR, CLINICAL OPS 50.00 0.00 X 178323 0 29120 WENDY COMEY DIR QUAL. & COMPLIANCE(THRU 3/29/24) 50.00 0.00 X 162705 0 8001 CYNTHIA FORTE HOSPICE REGISTERED NURSE 50.00 0.00 X 140131 0 30253 NICOLE MARIE BOUTILIER DIR OF FINANCE HOME/ COMMUNITY 50.00 0.00 X 119671 0 37776 AMY CHERRY-HATHAWAY MGR HOSPICE & PALLIATIVE CARE 50.00 0.00 X 111423 0 33898 DONNA MARIE KASABULA HOSPICE RN III 50.00 0.00 X 123223 0 17965 MARION MCGOWAN FORMER DIRECTOR/EVP, COO-BH 0.00 0.00 X 0 15619 380 1742129 6194015 589661 37 1 1 1 BYRAM HEALTH CARE CENTERS 120 BLOOMINGDALE RD STE 301 WHITE PLAINS NY 106051518 MEDICAL SUPPLIES 526918 OPTUM 4525 EXECUTIVE PARK DR MONTGOMERY AL 36116 MEDICAL SUPPLIES 427549 WITTKIEFFER INC 420 LEXINGTON AVE NEW YORK NY 10170 ADMINISTRATIVE SERVICES 356655 MCBEE ASSOCIATES 565 EAST SWEDESFORD RD SUITE 100 WAYNE PA 19087 ADMINISTRATIVE SERVICES 347738 73 STATE ST LLC 181 PARKE AVE STE 1 WEST SPRINGFIELD MA 01089 ADMINISTRATIVE SERVICES 298774 11 150790 1880747 2031537 NET PATIENT SERVICES 621610 25961156 25961156 COPY OF MEDICAL RECORD 621610 1130 1130 25962286 107986 107986 16577919 16555000 22919 22919 22919 28124728 25962286 0 130905 364889 364889 16774992 14856840 1918152 530459 468794 61665 2727916 2727916 1256399 1115242 141157 3158555 52652 3105903 7936 7044 892 1786122 1054435 731687 43359 2671 40688 1429319 1336370 92949 782023 548527 233496 455535 3915 451620 479954 477475 2479 31513 28644 2869 27734 15208 12526 73792 73792 93255 78195 15060 DUES & MEMBERSHIP 248 248 30024000 23138817 6885183 0 168220 471336 5124458 4567198 75433 72408 5571701 5450496 194997 121205 3733496 3897697 9128384 9298064 13280898 15646231 438392 358142 1718604 780272 15437894 16784645 X -8250264 -9711581 1940754 2225000 -6309510 -7486581 9128384 9298064 X -1899272 78762 643439 X 0 1 X 1 0 X 1016036 2182650 1753293 2006534 2031537 8990050 28274532 26160225 24792015 25141055 25962286 130330113 29290568 28342875 26545308 27147589 27993823 139320163 0 0 0 139320163 62664 48167 67997 93952 107986 380766 62664 48167 67997 93952 107986 380766 29353232 28391042 26613305 27241541 28101809 139700929 0.99730 0.99760 0.00270 0.00240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 151536 81894 69642 5420165 5368602 51563 121205 BENEFICIAL INTEREST IN BAYSTATE HEALTH FOUNDATION 2969766 DEFERRED EXPENSES - ROU ASSETS 900638 DUE FROM AFFILIATED ENTITIES 27293 3897697 MALPRACTICE RESERVE 70513 LEASE LIABILITY 709759 780272 0 1 0 0 0 0 0 0 0 MARK A KEROACK MD TRUSTEE (THRU 6/3/24)/PRES. & CEO - 0 1487185 0 683230 0 543592 0 24750 0 19515 0 2758272 0 4275 RAYMOND MCCARTHY TRUSTEE/SVP, CFO & TREASURER BH 0 709330 0 234559 0 237354 0 28050 0 1869 0 1211162 0 4275 SAMUEL SKURA TRUSTEE/PRES BMC SVP 0 718579 0 261625 0 36018 0 182910 0 3811 0 1202943 0 0 NICOLAS JABBOUR MD TRUSTEE(AS OF 1/1/24)/CHAIR DEPT. OF 0 772014 0 185418 0 69500 0 21450 0 35040 0 1083422 0 0 KEVIN P MORIARTY MD TRUSTEE(THRU 12/31/23)/CHIEF PED SUR 584263 0 127644 0 60896 0 28050 0 26443 0 827296 0 4275 0 KRISTIN R DELANEY CLERK/DIR CORP GOVERNANCE 0 158929 0 15361 0 2590 0 11919 0 28513 0 217312 0 0 ROXANNA HARPER DIRECTOR, CLINICAL OPS 162048 0 15579 0 696 0 11747 0 17373 0 207443 0 0 0 WENDY COMEY DIR QUAL. & COMPLIANCE(THRU 3/29/24) 148644 0 13614 0 447 0 6531 0 1470 0 170706 0 0 0 CYNTHIA FORTE HOSPICE REGISTERED NURSE 135389 0 0 0 4742 0 10384 0 19869 0 170384 0 0 0 NICOLE MARIE BOUTILIER DIR OF FINANCE HOME/ COMMUNITY 119441 0 0 0 230 0 6660 0 31116 0 157447 0 0 0 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: MARK A. KEROACK, MD - SUPPLEMENTAL RETIREMENT OF $431,905 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $427,630 EARNED AND PAID IN 2023 AND $4,275 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 $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. NICHOLAS JABBOUR, MD - SUPPLEMENTAL RETIREMENT OF 33,852 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2023. SUPPLEMENTAL RETIREMENT OF $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. KEVIN P. MORIARTY, MD - SUPPLEMENTAL RETIREMENT OF $29,104 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $24,829 EARNED AND PAID IN 2023 AND $4,275 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 $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. RAYMOND MCCARTHY - SUPPLEMENTAL RETIREMENT OF $190,955 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $186,680 EARNED AND PAID IN 2023 AND $4,275 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 $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. SAMUEL SKURA - SUPPLEMENTAL RETIREMENT OF $166,410 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. FORM 990, PART VI, SECTION A, LINE 1A 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) MARK A. KEROACK, MD AND PAUL R. MURPHY. 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 15 THE COMPENSATION OF THE PRESIDENT IS PAID BY BAYSTATE ADMINISTRATIVE SERVICES, INC., AN AFFILIATE AND RELATED ORGANIZATION OF THE FILING ORGANIZATION. THE COMPENSATION 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), 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 PAID BY BAYSTATE ADMINISTRATIVE SERVICES, INC., AN AFFILIATE AND RELATED ORGANIZATION OF THE FILING ORGANIZATION. THE COMPENSATION 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 COMPENSATION COMMITTEE OF BAYSTATE HEALTH, INC. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE FILING ORGANIZATION IS DETERMINED IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT, IN CONSULTATION WITH HUMAN RESOURCES, BASED ON THE BAYSTATE HEALTH BOARD APPROVED BUDGET AND WAGE PROGRAM FOR EACH FISCAL YEAR. 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 -6,449,835. INTEREST IN BHF -BINA 284,246. TRANSFER FROM BH 426,455. OPERATIONS TRANSFER - BHF -65,681. DB PENSION CREDIT - BMC 6,448,254. BAYSTATE ADMINISTRATIVE SERVICES INC 759 CHESTNUT STREET SPRINGFIELD MA 01199 222747685 ADMINISTRATIVE SERVICES MA 501(C)(3) 12C, III-FI 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 HEALTH FOUNDATION INC 759 CHESTNUT STREET SPRINGFIELD MA 01199 043549011 FUNDRAISING MA 501(C)(3) 7 BAYSTATE HEALTH INC 0 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 NOBLE HOSPITAL CORPORATION 115 WEST SILVER STREET WESTFIELD MA 010861634 222537423 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 WING HOSPITAL CORPORATION 40 WRIGHT STREET PALMER MA 01069 222519813 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 CT 501(C)(4) HEALTH NEW ENGLAND INC 0 AMSURG BMC LLC 1A BURTON HILLS BOULEVARD NASHVILLE TN 37125 843258572 MEDICAL SERVICES TN N/A 0 0 BAYSTATE HEALTH URGENT CARE LLC 700 CONGRESS STREET SUITE 204 QUINCY MA 02169 384059312 URGENT HEALTHCARE FACILITY MA N/A 0 0 BAYSTATE NEW ENGLAND ORTHOPEDIC SURGEONS ALLIANCE LLC 9131 ANSON WAY SUITE 304 RALEIGH NC 27615 881824108 MEDICAL SERVICES NC N/A 0 0 BAYSTATE HEALTH INSURANCE COMPANY LTD NORTH CHURCH ST GEORGETOWN CJ 980421413 OFFSHORE CAPTIVE INSURANCE CJ N/A C 0 HNE ADVISORY SERVICES INC MONARCH PLACE SUITE 1500 SPRINGFIELD MA 011441500 043012347 ADMINISTRATIVE SERVICES MA N/A C 0 HNE HOLDING CORPORATION MONARCH PLACE SUITE 1500 SPRINGFIELD MA 011441500 464620480 HOLDING SHARES IN SUBSIDIARY CORPORATIONS MA N/A C 0 HNE INSURANCE COMPANY INC MONARCH PLACE SUITE 1500 SPRINGFIELD MA 011441500 454462433 HEALTH INS SVCS FOR MASS MEDICARE SUPPLEMENT MEMBERS MA N/A C 0 HNE INSURANCE SERVICES INC MONARCH PLACE SUITE 1500 SPRINGFIELD MA 011441500 043183019 ANCILLARY INSURANCE MA N/A C 0 INGRAHAM CORPORATION 759 CHESTNUT STREET SPRINGFIELD MA 01199 043016257 HEALTH CARE AND OTHER BUSINESS ACTIVITIES MA N/A 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 3318714 FMV BAYSTATE HEALTH FOUNDATION INC C 153007 FMV