BAYSTATE HEALTH INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
BAYSTATE HEALTH INC (EIN 04-2105941)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-13
IRS object ID
202142259349303059
Schema version
2019v5.2
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

FieldValueIRS element (for citing)
Return2021-08-13T16:37:43-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1Two Jericho PlazaAddressLine1Txt
CityJerichoCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11753ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042105941EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Baystate Health IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBAYSBusinessNameControlTxt
Phone4137940000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01199ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRaymond McCarthyPersonNm
Person TitleSVP, Finance, CFO & TreasurerPersonTitleTxt
Phone4137940000PhoneNum
Signature2021-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonChristine KaweckiPreparerPersonNm
PTINP00743140PTIN
Phone5169187000PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRaymond McCarthyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01199ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$73,597,357GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.baystatehealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionThe mission of the organization is to improve the health of the people in our communities every day, with quality and compassion.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$1,087,731TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$731,263NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,117,934PYContributionsGrantsAmt
CY Contributions Grants$24,077,413CYContributionsGrantsAmt
PY Program Service Revenue$6,539,967PYProgramServiceRevenueAmt
CY Program Service Revenue$13,588,852CYProgramServiceRevenueAmt
PY Investment Income$1,735,327PYInvestmentIncomeAmt
CY Investment Income$1,720,724CYInvestmentIncomeAmt
PY Other Revenue$1,469,224PYOtherRevenueAmt
CY Other Revenue$737,473CYOtherRevenueAmt
PY Total Revenue$28,862,452PYTotalRevenueAmt
CY Total Revenue$40,124,462CYTotalRevenueAmt
PY Grants And Similar Paid$493,843PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$406,925CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,735,932PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,593,874CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$27,130,499PYOtherExpensesAmt
CY Other Expenses$32,727,342CYOtherExpensesAmt
PY Total Expenses$29,360,274PYTotalExpensesAmt
CY Total Expenses$34,728,141CYTotalExpensesAmt
PY Revenues Less Expenses-$497,822PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,396,321CYRevenuesLessExpensesAmt
Total Assets BOY$237,936,537TotalAssetsBOYAmt
Total Assets EOY$239,302,322TotalAssetsEOYAmt
Total Liabilities BOY$137,202,441TotalLiabilitiesBOYAmt
Total Liabilities EOY$134,640,587TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$100,734,096NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$104,661,735NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of the organization is to improve the health of the people in our communities every day, with quality and compassion.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$24,812,863ExpenseAmt
Grant$406,925GrantAmt
Revenue$14,232,209RevenueAmt
DescBaystate Health, Inc. (Baystate Health or BH) based in Springfield, Massachusetts is the parent corporation of an integrated health care delivery system with the mission "to improve the health of the people in our community every day, with quality and compassion."BH provides funding for strategic initiatives, as necessary, funding for research & education initiatives and support of community health, development, and outreach activities, mostly funded by BH board-designated funds. Public Health Institute of Western Massachusetts, formerly Partners for a Healthier Community, is the primary recipient of BH support.Baystate Health currently includes the following:Baystate Medical Center (BMC), located in Springfield, Massachusetts, is the largest of the four hospitals in the Baystate Health system. BMC, the leading health facility in western Massachusetts, is the only tertiary care referral medical center and Level I trauma center in the region. It is also home to western New England's only neonatal and pediatric intensive care units. BMC is a 734-bed, tax-exempt, not-for-profit, academic teaching hospital.Baystate Franklin Medical Center (BFMC), located in Greenfield, Massachusetts, is a 89-bed, tax-exempt, not-for-profit, acute care community hospital. BFMC serves the northern tier of northwestern Massachusetts and southern Vermont.Baystate Wing Hospital Corporation (BWH), located in Palmer, Massachusetts, is a 68-bed, tax-exempt, not-for-profit, acute care community hospital.Baystate Total Home Care, Inc. (BTHC), located in Springfield, Massachusetts, is a tax-exempt, not-for-profit corporation organized to benefit, support and further the charitable activities of BMC.Baystate Noble Hospital, Inc. (BNH), located in Westfield, Massachusetts, is a 97-bed tax-exempt, not-for-profit acute care community hospital. BNH provides inpatient, outpatient and emergency care services for residents in the greater Westfield community. Baystate Medical Practices, Inc. (BMP) is a multi-specialty academic group practice established as a tax-exempt, not-for-profit organization to support the educational and research programs of Baystate Health as well as numerous community primary care and outreach services.Visiting Nurse Association and Hospice of Western New England, Inc. (BVNAH) is a tax-exempt, not-for-profit organization that provides comprehensive home health care committed to providing the highest quality care to patients and families, primarily in the home setting. BVNAH meets individual needs by bringing experienced nurses, rehabilitation therapists, social workers, and home care aides to patients' homes.Health New England, Inc. (HNE) is a tax-exempt, not-for-profit health maintenance organization. It is located in Springfield, Massachusetts. HNE's service area in Massachusetts includes Franklin, Berkshire, Hampden and Hampshire counties and part of Worcester county. HNE also serves Hartford, Litchfield and Tolland counties in Connecticut.Baystate Administrative Services, Inc. (BAS) is a tax-exempt, not-for-profit corporation that provides management support for the BH subsidiaries, including human resources, marketing, strategic planning, information services and financial services.Baystate Health Foundation, Inc. (BHF) is a tax-exempt, charitable organization established for the purpose of fund-raising for healthcare related activities, in support, and for the benefit, of BH and those subsidiaries of BH that are tax-exempt, not-for-profit corporations, and to hold endowment, charitable donations, and other funds for their benefit.Ingraham Corporation (IC) is a for-profit, taxable corporation whose main purpose is facility support services.Baystate Health Insurance Company, Ltd. (BHIC) is a captive insurance company organized and licensed in the Cayman Islands, British West Indies. BHIC provides professional liability and other insurance coverage to BH and its corporate affiliates and their employees. BHIC also offers malpractice insurance to members of BH's medical staff who meet criteria for participation.Desc
Total Program Service Expenses$24,812,863TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document56IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Laurie Martin Baystate Health IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4137940000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01199ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Mark A Keroack MD
President, CEO & Trustee35.0015.00Yes (X)Yes (X)$0$2,412,139$38,835
Dennis W Chalke
Treasurer (Through 03/01/20)32.0018.00Yes (X)$0$1,133,942$89,624
Kevin P Moriarty MD
Trustee/Chief Ped Surgery1.0049.00Yes (X)$666,339$0$38,840
Raymond McCarthy
SVP, Finance, CFO & Treasurer10.0040.00Yes (X)$0$353,818$24,190
Kristin R Delaney
Clerk34.0016.00Yes (X)$0$159,414$38,701
Nancy Remillard
Assistant Clerk1.0049.00Yes (X)$0$56,181$10,673
John F Maybury
Chair2.006.00Yes (X)Yes (X)$0$0$0
Robert J Bacon
Vice Chair2.005.00Yes (X)Yes (X)$0$0$0
Adrian J Levsky
Trustee1.004.00Yes (X)$0$0$0
Akinyele K Lovelace Do
Trustee (As of 01/01/20)1.004.00Yes (X)$0$0$0
Anne M Paradis
Trustee2.004.00Yes (X)$0$0$0
Claudia R Coplein Do
Trustee1.004.00Yes (X)$0$0$0
Colleen W Holmes
Trustee1.004.00Yes (X)$0$0$0
Denise R Jordan
Trustee (As of 01/01/20)1.004.00Yes (X)$0$0$0
Edward J Noonan
Trustee1.004.00Yes (X)$0$0$0
Gregory L Braden MD
Trustee1.004.00Yes (X)$0$0$0
Harriet A Deverry
Trustee1.004.00Yes (X)$0$0$0
Hector F Toledo
Trustee1.005.00Yes (X)$0$0$0
Irene Rodriguez Martin
Trustee1.004.00Yes (X)$0$0$0
James R Phaneuf
Trustee1.004.00Yes (X)$0$0$0
Kathleen B Scoble
Trustee1.005.00Yes (X)$0$0$0
Maria P Goncalves
Trustee1.004.00Yes (X)$0$0$0
Melissa D Cragg
Trustee (Through 08/10/20)1.004.00Yes (X)$0$0$0
Paul C Picknelly
Trustee (As of 01/01/20)1.004.00Yes (X)$0$0$0
Paul R Murphy
Trustee1.004.00Yes (X)$0$0$0
William R Webber
Trustee1.004.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$666,339TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,115,494TotReportableCompRltdOrgAmt
Total Other Compensation$240,863TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Baystate Administrative Services Inc
759 Chestnut StreetSpringfieldMA01199Management Services$2,008,912
McDermott Will and Emery LLP
444 West Lake StreetChicagoIL60606Legal Services$1,118,672
Premier Inc
13034 Ballantyne Corporate PlaceCharlotteNC28277IT Consulting Services$859,866
Marketing Doctor Inc
55 Damon Road Suite OneNorthamptonMA01060Marketing Services$486,784
VLink Inc
701 John Fitch BlvdWindsorCT06074IT Consulting Services$387,250
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Related Organizations$23,937,502RelatedOrganizationsAmt
All Other Contributions$139,911AllOtherContributionsAmt
Total Contributions$24,077,413TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Subpart F Inc-Captive525990$10,404,349$10,404,349
Premier Invest Income525990$1,087,624$993,478$94,146
BHIC E&P UBIT525990$760,103$760,103
MD Dues/Fees621110$745,704$745,704
CPIP Admin Revenue524298$305,000$305,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$286,072TotalRevenueColumnAmt
Related Or Exempt Func Income$286,072RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,588,852TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,288,794TotalRevenueColumnAmt
Unrelated Business Revenue-$71,518UnrelatedBusinessRevenueAmt
Exclusion$1,360,312ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,787TotalRevenueColumnAmt
Exclusion$28,787ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,904,825SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$33,472,895SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$431,930SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$431,930TotalRevenueColumnAmt
Exclusion$431,930ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Fed. Tax Ref. & Res. A621110$598,141$598,141
Loans-Principal Pmts561499$64,751$64,751
MA State Tax Refund621110$45,216$45,216

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$578TotalRevenueColumnAmt
Exclusion$578ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$708,686OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,124,462TotalRevenueColumnAmt
Related Or Exempt Func Income$2,668,611RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,087,731UnrelatedBusinessRevenueAmt
Exclusion$12,290,707ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$406,925TotalAmt
Program Services$406,925ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,593,874TotalAmt
Program Services$1,593,874ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,207,490TotalAmt
Management And General$1,207,490ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,703TotalAmt
Management And General$47,703ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$334,500TotalAmt
Program Services$334,500ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$53,145TotalAmt
Management And General$53,145ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,385,607TotalAmt
Program Services$3,385,607ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$94,720TotalAmt
Program Services$94,720ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$48,050TotalAmt
Program Services$2,725ProgramServicesAmt
Management And General$45,325ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$30,570TotalAmt
Program Services$30,570ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,316TotalAmt
Program Services$21,316ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$70,428TotalAmt
Program Services$48,721ProgramServicesAmt
Management And General$21,707ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$690,570TotalAmt
Management And General$690,570ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$2,493,464TotalAmt
Program Services$1,875,304ProgramServicesAmt
Management And General$618,160ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,086TotalAmt
Management And General$7,086ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$37,119TotalAmt
Management And General$37,119ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Strategic Initiatives$16,571,463$16,571,463
457b Pension Plan Expen$6,600,738$6,600,738
Membership Dues/Fees$376,018$376,018
Federal Tax Provision$199,928$199,928

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$457,427TotalAmt
Program Services$447,138ProgramServicesAmt
Management And General$10,289ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$34,728,141TotalAmt
Program Services$24,812,863ProgramServicesAmt
Management And General$9,915,278ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,229,799BOYAmt
EOY$12,270,586EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,306,335BOYAmt
EOY$267,576EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$21,391,474BOYAmt
EOY$23,614,717EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$353,590LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$285,209LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$70,323BOYAmt
EOY$68,381EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$19,813,176BOYAmt
EOY$17,804,550EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$125,594,094BOYAmt
EOY$132,539,032EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,132,000BOYAmt
EOY$4,132,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$54,399,336BOYAmt
EOY$48,605,480EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$237,936,537BOYAmt
EOY$239,302,322EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,926,884BOYAmt
EOY$1,946,378EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$305,000BOYAmt
EOY$1,434,760EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$39,487,166BOYAmt
EOY$31,725,011EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,483,391BOYAmt
EOY$99,534,438EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$137,202,441BOYAmt
EOY$134,640,587EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$69,905,471BOYAmt
EOY$72,755,931EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,828,625BOYAmt
EOY$31,905,804EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$100,734,096BOYAmt
EOY$104,661,735EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$237,936,537BOYAmt
EOY$239,302,322EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,396,321ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$7,932,482NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$9,401,164OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,427,115CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,468,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,863,186CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,117,934CurrentTaxYearMinus1YearAmt
Current Tax Year$24,077,413CurrentTaxYearAmt
Total$81,954,363TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,427,115CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,468,715CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,863,186CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,117,934CurrentTaxYearMinus1YearAmt
Current Tax Year$24,077,413CurrentTaxYearAmt
Total$81,954,363TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$81,954,363PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$992,385CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,384,810CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,412,504CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,670,583CurrentTaxYearMinus1YearAmt
Current Tax Year$1,408,932CurrentTaxYearAmt
Total$6,869,214TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,033,540CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$110,186CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$187,625CurrentTaxYearMinus1YearAmt
Current Tax Year$731,263CurrentTaxYearAmt
Total$2,062,614TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$955,072CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$71,455CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,051,263CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,468,232CurrentTaxYearMinus1YearAmt
Current Tax Year$708,686CurrentTaxYearAmt
Total$4,254,708TotalAmt
FieldValueIRS element (for citing)
Total Support$95,140,899TotalSupportAmt
Gross Receipts Rltd Activities$28,293,119GrossReceiptsRltdActivitiesAmt
Public Support CY1700.86140PublicSupportCY170Pct
Public Support PY1700.83620PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationOther Income - 2015 Amount: $ 955,072. 2016 Amount: $ 71,455. 2017 Amount: $ 1,051,263. 2018 Amount: $ 1,468,232. 2019 Amount: $ 708,686.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$334,500OtherActivitiesAmt
Total Lobbying Expenditures$334,500TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationBH paid Rauschenbach Associates for lobbying activities related to healthcare policy, bills and appropriations-related activities. BH paid Philip W. Johnston Associates, Capitol Counsel, LLC, Buoniconti & McCary, LLC and Brian P. Lees for technical and strategic advisory services including public advocacy and interpretation of proposed and actual program and legislative changes.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,660,762BeginningYearBalanceAmt
Contributions$89,825ContributionsAmt
Investment Earnings Or Losses$238,628InvestmentEarningsOrLossesAmt
End Year Balance$21,989,215EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,985,078BeginningYearBalanceAmt
Contributions$84,917ContributionsAmt
Investment Earnings Or Losses-$409,233InvestmentEarningsOrLossesAmt
End Year Balance$21,660,762EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,340,210BeginningYearBalanceAmt
Contributions$98,063ContributionsAmt
Investment Earnings Or Losses$546,805InvestmentEarningsOrLossesAmt
End Year Balance$21,985,078EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,873,475BeginningYearBalanceAmt
Contributions$93,080ContributionsAmt
Investment Earnings Or Losses$1,373,655InvestmentEarningsOrLossesAmt
End Year Balance$21,340,210EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,868,167BeginningYearBalanceAmt
Contributions$98,310ContributionsAmt
Investment Earnings Or Losses$906,998InvestmentEarningsOrLossesAmt
End Year Balance$19,873,475EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,124OtherCostOrOtherBasisAmt
Book Value$59,124BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$233,233OtherCostOrOtherBasisAmt
Depreciation$233,233DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,589OtherCostOrOtherBasisAmt
Depreciation$17,143DepreciationAmt
Book Value$1,446BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,499OtherCostOrOtherBasisAmt
Depreciation$34,833DepreciationAmt
Book Value$2,666BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,145OtherCostOrOtherBasisAmt
Book Value$5,145BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$68,381TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
457B Plan Assets$74,617,491F
Investments - Other Securities$7,837,297C
Investment in Unconsolidated Affiliates$1,697,318C
Investment in Subsidiaries (Ingraham, Wing and Noble)$48,386,926C
FieldValueIRS element (for citing)
Total Book Value Securities$132,539,032TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Due from Affiliated Companies$3,574,199
Affiliate Line of Credit$20,467,504
Interest in Net Assets of BHF$24,563,777
FieldValueIRS element (for citing)
Total Book Value Other Assets$48,605,480TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$76,392FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Due to Affiliated Companies$3,088,040
Due to Board-Designated Funds$1,107,623
Insurance Reserves$20,644,892
Deferred Compensation Obligations$74,617,491
FieldValueIRS element (for citing)
Total Liability$99,534,438TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4FormAndLineReferenceDesc
ExplanationEndowment assets are to provide funding to support programs that further Baystate Health's mission.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean00Insurance$22,798,439
Europe (Including Iceland & Greenland)00Investments$49,974,883
Central America and the Caribbean00Investments$33,557,428
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$106,330,750SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$106,330,750TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, line 3:Actual Cash transfers for Unrelated Insurance Activity and MV for Investment Capital balances.
Part III Accounting Method:
Part I, Line 3Expenditures of $22,798,439 in the Caribbean are comprised of insurance related cash transfers of $22,678,439 and Baystate Health's book value of the $120,000 BHIC investment.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Public Health Institute of Western Massachusetts
PO Box 4895SpringfieldMA01101043342182501(c)(3)$250,000To assist the Public Health Institute of Western Massachusetts, formerly Partners for a Healthier Community, in narrowing the gap in health disparities for some of Springfield's most vulnerable citizens, and to be a source of support for building civic leaders, creating strategies for change, and promoting policy actions to create healthier communities.
Baystate Medical Center Inc
759 Chestnut StreetSpringfieldMA01199042790311501(c)(3)$22,592To advance community health through education.
Baystate Health Foundation Inc
759 Chestnut StreetSpringfieldMA01199043549011501(c)(3)$98,333To support the Health Science Library and wellness of practicing MDs and other medical staff.
Boys & Girls Club of Greater Westfield
28 West Silver StreetWestfieldMA01085042464259501(c)(3)$10,000To provide youth support, programs and activities and foster their development.
Greater Westfield Emergency Food Pantry Inc
101 Meadow StreetWestfieldMA01085043049616501(c)(3)$10,000To provide food to needy people in the community and address causes of hunger with the objective of providing long-term solutions.
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, line 2Grantees are selected that promote or support healthcare advancement objectives and community revitalization. Proposed candidates go through a management approval process.
Part II, Line 1, Column (h)Baystate Health, Inc. maintains a close relationship with its grantees, which include Baystate Health Foundation, Inc. (BHF) and Baystate Medical Center, Inc. (BMC). Through this close relationship, management is able to ensure the granted money is used for the intended purposes. For BHF, funds are accounted for and monitored in individual temporarily restricted purpose funds in accordance with the restrictions. Fund administrators of the related entity are assigned responsibility to assure that the fund purpose is met before releasing from restrictions.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mark A Keroack MD
President, CEO & Trustee$0$1,201,545$0$815,540$0$395,054$0$14,000$0$24,835$0$2,450,974$0$0
Dennis W Chalke
Treasurer (Through 03/01/20)$0$595,403$0$290,718$0$247,821$0$57,216$0$32,408$0$1,223,566$0$0
Kevin P Moriarty MD
Trustee/Chief Ped Surgery$537,240$0$77,623$0$51,476$0$23,800$0$15,040$0$705,179$0$0$0
Raymond McCarthy
SVP, Finance, CFO & Treasurer$0$267,781$0$67,856$0$18,181$0$21,000$0$3,190$0$378,008$0$0
Kristin R Delaney
Clerk$0$143,121$0$15,567$0$726$0$15,203$0$23,498$0$198,115$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The compensation of the President and CEO is reviewed and determined annually by the compensation committee of Baystate Health, Inc. This committee consists entirely of individuals serving on the board of the filing organization. The individuals responsible for deliberating the compensation arrangement for the President and CEO 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 and CEO is established based on information provided by independent third party consultants for reasonableness and appropriate comparability data. The compensation is then established, reviewed and approved by the duly authorized compensation committee of Baystate Health, Inc. and all such deliberations and decisions are documented contemporaneously.
Part I, Line 4b:Dennis W. Chalke - Supplemental Retirement of $168,412 is included in column B. This amount was earned and paid in 2019. Mark A. Keroack, MD - Supplemental Retirement of $338,646 is included in column B. This amount was earned in 2019. Kevin P. Moriarty, MD - Supplemental Retirement of $25,319 is included in column B. This amount was earned and paid in 2019.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1The 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 2Two 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 and Paul R. Murphy, (2) John F. Maybury and Mark A. Keroack, MD.
Form 990, Part VI, Section A, line 3Baystate Health, Inc. is affiliated with Baystate Administrative Services, Inc. (BAS) which is a 501(c)(3) organization. Information Technology, Human Resources, Finance, Treasury, Accounting and other management and support functions are delegated to BAS.
Form 990, Part VI, Section A, line 7aTwo of the Trustees of the filing organization are required to be members of the Board of Directors of Baystate Wing Hospital Corporation (BWH), an affiliated organization, and their election is subject to approval by the Board of Directors of BWH.
Form 990, Part VI, Section B, line 11bPrior 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 Baystate Health Board of Trustees prior to filing.
Form 990, Part VI, Section B, line 12cBaystate Health, Inc. (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 15bThe compensation of the President and CEO is reviewed and determined annually by the compensation committee of Baystate Health, Inc. This committee consists entirely of individuals serving on the board of the filing organization. The individuals responsible for deliberating the compensation arrangement for the President and CEO 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 and CEO is established based on information provided by independent third party consultants for reasonableness and appropriate comparability data. The compensation is then established, reviewed and approved by the duly authorized compensation committee. The compensation of the Senior Vice President, Finance, CFO and Treasurer is reviewed and determined annually by the compensation committee of Baystate Health, Inc. 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 and CEO is paid by Baystate Administrative Services, Inc., an affiliate and related organization of the filing organization.
Form 990, Part VI, Section C, line 19The 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:Property, Plant & Equipment Transfers 3,058,406. Equity Gain / (Loss) in Baycare -804,443. Equity Gain / (Loss) in Ingraham -29,770. Equity Gain / (Loss) in Shields -458,257. BHIC UBTI -760,103. Subpart F Income from Captive Insurance Company -10,404,349. Net Assets Released from Restrictions - BHF -2,648.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Baystate Medical Center Inc
759 Chestnut StreetSpringfieldMA01199042790311Acute Care Teaching HospitalMA501(c)(3)3Baystate Health IncYes (1)
Baystate Franklin Medical Center
164 High StreetGreenfieldMA01301042103575HospitalMA501(c)(3)3Baystate Health IncYes (1)
Baystate Wing Hospital Corporation
40 Wright StreetPalmerMA01069222519813HospitalMA501(c)(3)3Baystate Health IncYes (1)
Visiting Nurse Assn & Hospice of Western New England Inc
30 Capital Drive Suite AWest SpringfieldMA01089042105803Homehealth and Hospice CareMA501(c)(3)10Baystate Health IncYes (1)
Baystate Total Home Care Inc
280 Chestnut StreetSpringfieldMA01104203260764Real Estate and OtherMA501(c)(3)12B, IIBaystate Medical Center IncYes (1)
Baystate Administrative Services Inc
759 Chestnut StreetSpringfieldMA01199222747685Administrative servicesMA501(c)(3)12C, IIIBaystate Health IncYes (1)
Baystate Health Foundation Inc
759 Chestnut StreetSpringfieldMA01199043549011FundraisingMA501(c)(3)7Baystate Health IncYes (1)
Baystate Noble Hospital Corporation
115 West Silver StreetWestfieldMA010861634222537423HospitalMA501(c)(3)3Baystate Health IncYes (1)
Health New England Inc
Monarch Place Suite 1500SpringfieldMA011441500042864973HMO/InsuranceMA501(c)(4)Baystate Health IncYes (1)
HNE of Connecticut Inc
Monarch Place Suite 1500SpringfieldMA011441500465190134HMO/InsuranceCT501(c)(4)Health New England IncYes (1)
Baystate Health Systems Inc Health & Welfare Benefits Plan
759 Chestnut StreetSpringfieldMA01199222531644Voluntary Employees' Benefit AssociationMA501(c)(9)Baystate Health IncYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
Baystate Health Insurance Company Ltd
North Church StGeorgetownCJ980421413Offshore Captive InsuranceCJBaystate Health IncC$35,167,916$148,673,6841.00000Yes (1)
HNE Advisory Services Inc
043012347Administrative ServicesHNE Holding CorporationCYes (1)Monarch Place Suite 1500SpringfieldMA011441500MA
HNE Holding Corporation
464620480Holding shares in subsidiary corporationsHealth New England IncCYes (1)Monarch Place Suite 1500SpringfieldMA011441500MA
HNE Insurance Company Inc
454462433Health Ins svcs for Mass Medicare supplement membersHNE Holdings CorporationCYes (1)Monarch Place Suite 1500SpringfieldMA011441500MA
HNE Insurance Services Inc
043183019Ancillary InsuranceHNE Holding CorporationCYes (1)Monarch Place Suite 1500SpringfieldMA011441500MA
Ingraham Corporation
043016257Health care and other business activitiesBaystate Health IncC$591,780$4,737,3961.00000Yes (1)759 Chestnut StreetSpringfieldMA01199MA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
Baystate Medical Center Inc
C$23,248,638
Baystate Medical Center Inc
K$277,197
Baystate Medical Center Inc
M$1,059,739
Baystate Medical Center Inc
S$62,129,546
Baystate Franklin Medical Center
S$1,500,000
Baystate Wing Hospital Corporation
S$50,719
Baystate Noble Hospital Corporation
D$162,091
Baystate Noble Hospital Corporation
R$11,036,333
Baystate Administrative Services Inc
M$2,016,975
Baystate Health Foundation Inc
B$65,000
Baystate Health Foundation Inc
M$483,489
Baystate Health Foundation Inc
S$953,311
Ingraham Corporation
D$140,520
Baystate Health Insurance Company Ltd
P$3,471,572
Health New England Inc
D$297,589

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