BAYSTATE MEDICAL PRACTICES INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BAYSTATE MEDICAL PRACTICES INC (EIN 04-2888373)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-09
- IRS object ID
- 201802219349301155
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-09T13:11:27-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO JERICHO PLAZA | AddressLine1Txt |
| City | JERICHO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042888373 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baystate Medical Practices Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAYS | BusinessNameControlTxt |
| Phone | 4137940000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 759 Chestnut Street | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01199 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dennis W Chalke | PersonNm |
| Person Title | SVP Finance, CFO & Treasurer | PersonTitleTxt |
| Phone | 4137943290 | PhoneNum |
| Signature | 2018-08-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Christine Kawecki | PreparerPersonNm |
| PTIN | P00743140 | PTIN |
| Phone | 5169187000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dennis W Chalke | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 759 Chestnut Street | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01199 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $288,663,779 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | baystatehealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | The mission of the organization is to improve the health of the people in our communities every day, with quality and compassion. Baystate Medical Practice's vision states it will be the multi-specialty group practice of choice, known for exceptional service, quality, value, and academic leadership. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 1914 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $526,581 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$100,540 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $262,962,964 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $288,619,925 | CYProgramServiceRevenueAmt |
| PY Investment Income | $62,147 | PYInvestmentIncomeAmt |
| CY Investment Income | $43,854 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $263,025,111 | PYTotalRevenueAmt |
| CY Total Revenue | $288,663,779 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $256,690,319 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $272,958,172 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,226,780 | PYOtherExpensesAmt |
| CY Other Expenses | $57,260,132 | CYOtherExpensesAmt |
| PY Total Expenses | $297,917,099 | PYTotalExpensesAmt |
| CY Total Expenses | $330,218,304 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$34,891,988 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$41,554,525 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $43,356,086 | TotalAssetsBOYAmt |
| Total Assets EOY | $50,023,885 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $97,518,736 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $91,598,914 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$54,162,650 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$41,575,029 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of the organization is to improve the health of the people in our communities every day, with quality and compassion. Baystate Medical Practices' vision states it will be the multi-specialty group practice of choice, known for exception service, quality, value and academic leadership. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $316,009,613 | ExpenseAmt |
| Revenue | $288,093,344 | RevenueAmt |
| Desc | Baystate Medical Practices, Inc. provides physician services, medical education and research programs to people in the community within its geographic location. BMP's policy is to provide care to any patient in need of medical care, regardless of the patient's ability to pay for such care. Dependent upon the patient's financial capability to pay, BMP may provide such care free of charge or at amounts below its normal charges. Because BMP does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. In addition to the charity care provided to patients, BMP's physicians participate in many and varied ongoing community outreach initiatives in the areas of education, employment, safety and health. For example, the BMP physicians in the Department of Pediatrics, in collaboration with the Springfield School Department, staff six school-based clinics that enhance school health education programs, provide professional development courses for teachers and administrators and establish a school-to-work program.BMP has also taken a leadership role in strengthening the health of disadvantaged citizens in surrounding communities including specific focus on AIDS and HIV and by providing physician staffing for three community-based health centers through Baystate Medical Center.Part VI, Section A, Line 1b:Baystate Medical Practices, Inc. (BMP) is part of an integrated delivery system including not for profit community hospitals, which have community boards. BMP is a physician organization, which supports Baystate Health and its affiliates and is comprised primarily of BMP employees. This board structure has not changed significantly since the organization applied for exempt status. | Desc |
| Total Program Service Expenses | $316,009,613 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 119 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1914 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Peter Lyons Baystate Health Inc | PersonNm |
| Phone | 4137940000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 759 Chestnut Street | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01199 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Andrew Artenstein MD | ||||||||||
| President/Director | 40.00 | 6.00 | Yes (X) | Yes (X) | $768,854 | $0 | $62,074 | |||
| Dennis Chalke | ||||||||||
| Treasurer/Director | 1.00 | 50.00 | Yes (X) | Yes (X) | $935,201 | $0 | $89,071 | |||
| Aaron Kugelmass MD | ||||||||||
| Director | 50.00 | 0.00 | Yes (X) | $736,873 | $0 | $37,582 | ||||
| Barry Sarvet MD | ||||||||||
| Director | 50.00 | 0.00 | Yes (X) | $463,047 | $0 | $55,839 | ||||
| Charlotte Boney MD | ||||||||||
| Director | 50.00 | 0.00 | Yes (X) | $460,163 | $0 | $59,200 | ||||
| Cheryl Geoffrion MD | ||||||||||
| Director (as of 2/1/17) | 50.00 | 0.00 | Yes (X) | $295,817 | $0 | $35,193 | ||||
| Daniel Grow MD | ||||||||||
| Director (Through 4/1/17) | 50.00 | 0.00 | Yes (X) | $593,305 | $0 | $67,072 | ||||
| David Maguire MD | ||||||||||
| Director (Through 1/1/17) | 49.00 | 1.00 | Yes (X) | $308,877 | $0 | $26,787 | ||||
| Dennis Oh MD | ||||||||||
| Director | 50.00 | 0.00 | Yes (X) | $908,786 | $0 | $41,066 | ||||
| Edward Feldman MD | ||||||||||
| Director | 50.00 | 0.00 | Yes (X) | $399,557 | $0 | $43,795 | ||||
| Elizabeth Boyle MD | ||||||||||
| Director | 50.00 | 0.00 | Yes (X) | $357,901 | $0 | $54,595 | ||||
| Evan Benjamin MD | ||||||||||
| Director (through 6/26/17) | 49.00 | 1.00 | Yes (X) | $781,965 | $0 | $75,088 | ||||
| Heather Sankey MD | ||||||||||
| Director (as of 5/3/17) | 50.00 | 0.00 | Yes (X) | $384,551 | $0 | $47,659 | ||||
| Joseph Schmidt MD | ||||||||||
| Director | 50.00 | 0.00 | Yes (X) | $366,187 | $0 | $53,311 | ||||
| Kathleen B Scoble | ||||||||||
| Director | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kevin Hinchey MD | ||||||||||
| Ex-Offico Director/ CAO | 40.00 | 10.00 | Yes (X) | $445,363 | $0 | $74,624 | ||||
| Kimberly Bucknor MD | ||||||||||
| Director (as of 3/1/17) | 50.00 | 0.00 | Yes (X) | $268,276 | $0 | $27,546 | ||||
| Lisa Erickson MD | ||||||||||
| Director (as of 9/6/17) | 50.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark A Keroack MD | ||||||||||
| Director | 1.00 | 49.00 | Yes (X) | $2,182,220 | $0 | $38,487 | ||||
| Nicolas Jabbour MD | ||||||||||
| Director (as of 2/1/17) | 50.00 | 0.00 | Yes (X) | $340,475 | $0 | $48,486 | ||||
| Reginald Alouidor MD | ||||||||||
| Director | 50.00 | 0.00 | Yes (X) | $513,238 | $0 | $36,245 | ||||
| Richard Friedberg MD | ||||||||||
| Director | 50.00 | 0.00 | Yes (X) | $577,259 | $0 | $71,609 | ||||
| Sara A Rourke MD | ||||||||||
| Director (through 5/3/17) | 40.00 | 10.00 | Yes (X) | $293,951 | $0 | $36,959 | ||||
| Sarah Haessler MD | ||||||||||
| Director | 50.00 | 0.00 | Yes (X) | $258,172 | $0 | $40,524 | ||||
| Susan DeJoy CNM | ||||||||||
| Director (through 12/31/16) | 50.00 | 0.00 | Yes (X) | $160,529 | $0 | $35,809 | ||||
| Ronald P Bryant | ||||||||||
| Director (as of 8/2/17) | 1.00 | 49.00 | Yes (X) | $545,819 | $0 | $44,592 | ||||
| Thomas L Higgins MD | ||||||||||
| Director (through 3/31/17) | 10.00 | 40.00 | Yes (X) | $477,746 | $0 | $65,927 | ||||
| Timothy Lepore MD | ||||||||||
| Director (as of 6/7/17) | 50.00 | 0.00 | Yes (X) | $267,106 | $0 | $39,958 | ||||
| Wilson Mertens MD | ||||||||||
| Director | 50.00 | 0.00 | Yes (X) | $457,790 | $0 | $67,559 | ||||
| Kristin R Delaney | ||||||||||
| Clerk | 1.00 | 40.00 | Yes (X) | $137,437 | $0 | $37,010 | ||||
| Betty K Larue | ||||||||||
| COO, BMP | 40.00 | 10.00 | $410,690 | $0 | $70,865 | Yes (X) | ||||
| Farhad Bahrassa MD | ||||||||||
| Neurosurgeon | 50.00 | 0.00 | $742,248 | $0 | $52,103 | Yes (X) | ||||
| Kevin P Moriarty MD | ||||||||||
| Chief Pediatric Surgery | 50.00 | 0.00 | $699,348 | $0 | $45,950 | Yes (X) | ||||
| Thomas L Kaye MD | ||||||||||
| Chief Division Of Neurosurgery | 50.00 | 0.00 | $675,840 | $0 | $34,240 | Yes (X) | ||||
| Richard J Hicks MD | ||||||||||
| Chair Radiology | 50.00 | 0.00 | $637,294 | $0 | $66,419 | Yes (X) | ||||
| John A Rousou MD | ||||||||||
| Cardiac Surgeon | 50.00 | 0.00 | $635,790 | $0 | $43,002 | Yes (X) | ||||
| John Schreiber MD | ||||||||||
| Chair/President (Thru 7/15) | 1.00 | 40.00 | $1,516,773 | $0 | $36,585 | Yes (X) | ||||
| Mohammed S Ahmed MD | ||||||||||
| Obstetrician/Gynecologist | 10.00 | 41.00 | $658,788 | $0 | $36,566 | Yes (X) | ||||
| Douglas D Muehlberg | ||||||||||
| Business Consultant | 40.00 | 10.00 | $185,159 | $0 | $58,121 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $20,848,395 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,857,518 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 702 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Springfield Medical Associates | |||||
| 2150 Main St | Springfield | MA | 01104 | Contracted MD services | $8,626,900 |
| Baystate Administrative Services Inc | |||||
| 759 Chestnut Street | Springfield | MA | 01199 | Management services | $5,715,404 |
| Baystate Medical Center Inc | |||||
| 759 Chestnut Street | Springfield | MA | 01199 | MD scheduling service | $4,001,910 |
| Western Mass Medical Group | |||||
| 100 Wason Ave Suite 230 | Springfield | MA | 01107 | Contracted MD services | $1,043,000 |
| Cardiology & Internal Medicine Associate | |||||
| 222 Carew St 4th Fl | Springfield | MA | 01104 | Contracted MD services | $670,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 38 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Physician Practice Fees | 621110 | $160,500,524 | $160,500,524 |
| Hospital reimb programs | 621110 | $89,298,298 | $89,298,298 |
| practice lease agreement-SMA | 621110 | $8,100,000 | $8,100,000 |
| Funding for strategic growth proj | 621110 | $7,802,695 | $7,802,695 |
| Physician services for affiliates | 621110 | $5,100,219 | $5,100,219 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,818,189 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,291,608 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $526,581 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $288,619,925 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,854 | TotalRevenueColumnAmt |
| Exclusion | $43,854 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $288,663,779 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $288,093,344 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $526,581 | UnrelatedBusinessRevenueAmt |
| Exclusion | $43,854 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,637,703 | TotalAmt |
| Program Services | $12,637,703 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,002,262 | TotalAmt |
| Program Services | $215,973,736 | ProgramServicesAmt |
| Management And General | $5,028,526 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,097,586 | TotalAmt |
| Program Services | $13,774,848 | ProgramServicesAmt |
| Management And General | $322,738 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,407,538 | TotalAmt |
| Program Services | $13,108,035 | ProgramServicesAmt |
| Management And General | $299,503 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,813,083 | TotalAmt |
| Program Services | $11,557,466 | ProgramServicesAmt |
| Management And General | $255,617 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,112,554 | TotalAmt |
| Management And General | $6,112,554 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,749 | TotalAmt |
| Management And General | $359,749 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,917 | TotalAmt |
| Management And General | $44,917 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,984,902 | TotalAmt |
| Program Services | $19,586,034 | ProgramServicesAmt |
| Management And General | $398,868 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,906 | TotalAmt |
| Program Services | $24,611 | ProgramServicesAmt |
| Management And General | $1,295 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,629,590 | TotalAmt |
| Program Services | $1,548,110 | ProgramServicesAmt |
| Management And General | $81,480 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,029 | TotalAmt |
| Program Services | $234,678 | ProgramServicesAmt |
| Management And General | $12,351 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,151,857 | TotalAmt |
| Program Services | $6,794,264 | ProgramServicesAmt |
| Management And General | $357,593 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,720 | TotalAmt |
| Program Services | $298,984 | ProgramServicesAmt |
| Management And General | $15,736 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,950 | TotalAmt |
| Program Services | $75,952 | ProgramServicesAmt |
| Management And General | $3,998 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,423 | TotalAmt |
| Management And General | $5,423 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,525,840 | TotalAmt |
| Program Services | $1,449,548 | ProgramServicesAmt |
| Management And General | $76,292 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,307,420 | TotalAmt |
| Program Services | $7,892,049 | ProgramServicesAmt |
| Management And General | $415,371 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Svcs Clerical | $4,821,571 | $4,580,492 | $241,079 |
| Medical Supplies | $3,062,761 | $3,062,761 | |
| Prof'l Exp Acct | $2,355,176 | $2,237,417 | $117,759 |
| Dues & Memberships | $928,643 | $882,211 | $46,432 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,124 | TotalAmt |
| Program Services | $290,714 | ProgramServicesAmt |
| Management And General | $11,410 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $330,218,304 | TotalAmt |
| Program Services | $316,009,613 | ProgramServicesAmt |
| Management And General | $14,208,691 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,507,109 | BOYAmt |
| EOY | $2,140,940 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,295,560 | BOYAmt |
| EOY | $17,281,627 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,454,153 | BOYAmt |
| EOY | $2,934,419 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,702,171 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,002,286 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,877,580 | BOYAmt |
| EOY | $9,699,885 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,221,684 | BOYAmt |
| EOY | $17,967,014 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,356,086 | BOYAmt |
| EOY | $50,023,885 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,161,018 | BOYAmt |
| EOY | $40,754,708 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,833 | BOYAmt |
| EOY | $15,833 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,341,885 | BOYAmt |
| EOY | $50,828,373 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,518,736 | BOYAmt |
| EOY | $91,598,914 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$54,162,650 | BOYAmt |
| EOY | -$41,575,029 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$54,162,650 | BOYAmt |
| EOY | -$41,575,029 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,356,086 | BOYAmt |
| EOY | $50,023,885 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$41,554,525 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $54,142,146 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $218,759,374 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $235,830,282 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $250,588,760 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $262,304,309 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $288,416,270 | CurrentTaxYearAmt |
| Total | $1,255,898,995 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $218,759,374 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $235,830,282 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $250,588,760 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $262,304,309 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $288,416,270 | CurrentTaxYearAmt |
| Total | $1,255,898,995 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,255,898,995 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,934 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,390 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $37,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,147 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,854 | CurrentTaxYearAmt |
| Total | $162,040 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,934 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,390 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $37,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,147 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,854 | CurrentTaxYearAmt |
| Total | $162,040 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $218,763,308 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $235,844,672 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $250,626,475 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $262,366,456 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $288,460,124 | CurrentTaxYearAmt |
| Total | $1,256,061,035 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,103,927 | OtherCostOrOtherBasisAmt |
| Depreciation | $542,186 | DepreciationAmt |
| Book Value | $561,741 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,334,449 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,818,474 | DepreciationAmt |
| Book Value | $6,515,975 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,263,795 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,641,626 | DepreciationAmt |
| Book Value | $2,622,169 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,699,885 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Affiliated Companies | $11,468,115 |
| Accounts Receivable, Other | $6,498,899 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,967,014 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliated Companies | $28,265,714 |
| Insurance IBNR Loss Reserves | $10,257,739 |
| Accrued Pension Cost | $11,868,458 |
| Line of credit, affiliate | $436,462 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $50,828,373 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (37 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Andrew Artenstein MD | ||||||||||||||
| President/Director | $526,339 | $0 | $173,565 | $0 | $68,950 | $0 | $36,897 | $0 | $25,177 | $0 | $830,928 | $0 | $0 | $0 |
| Dennis Chalke | ||||||||||||||
| Treasurer/Director | $489,983 | $0 | $162,064 | $0 | $283,154 | $0 | $63,576 | $0 | $25,495 | $0 | $1,024,272 | $0 | $0 | $0 |
| Aaron Kugelmass MD | ||||||||||||||
| Director | $586,323 | $0 | $111,923 | $0 | $38,627 | $0 | $19,875 | $0 | $17,707 | $0 | $774,455 | $0 | $0 | $0 |
| Barry Sarvet MD | ||||||||||||||
| Director | $359,119 | $0 | $90,125 | $0 | $13,803 | $0 | $34,797 | $0 | $21,042 | $0 | $518,886 | $0 | $0 | $0 |
| Charlotte Boney MD | ||||||||||||||
| Director | $361,521 | $0 | $95,206 | $0 | $3,436 | $0 | $38,488 | $0 | $20,712 | $0 | $519,363 | $0 | $0 | $0 |
| Cheryl Geoffrion MD | ||||||||||||||
| Director (as of 2/1/17) | $278,656 | $0 | $15,192 | $0 | $1,969 | $0 | $19,875 | $0 | $15,318 | $0 | $331,010 | $0 | $0 | $0 |
| Daniel Grow MD | ||||||||||||||
| Director (Through 4/1/17) | $454,464 | $0 | $108,581 | $0 | $30,260 | $0 | $43,723 | $0 | $23,349 | $0 | $660,377 | $0 | $0 | $0 |
| David Maguire MD | ||||||||||||||
| Director (Through 1/1/17) | $256,278 | $0 | $48,270 | $0 | $4,329 | $0 | $25,175 | $0 | $1,612 | $0 | $335,664 | $0 | $0 | $0 |
| Dennis Oh MD | ||||||||||||||
| Director | $594,191 | $0 | $273,007 | $0 | $41,588 | $0 | $21,200 | $0 | $19,866 | $0 | $949,852 | $0 | $0 | $0 |
| Edward Feldman MD | ||||||||||||||
| Director | $356,925 | $0 | $39,263 | $0 | $3,369 | $0 | $28,416 | $0 | $15,379 | $0 | $443,352 | $0 | $0 | $0 |
| Elizabeth Boyle MD | ||||||||||||||
| Director | $276,184 | $0 | $69,946 | $0 | $11,771 | $0 | $28,819 | $0 | $25,776 | $0 | $412,496 | $0 | $0 | $0 |
| Evan Benjamin MD | ||||||||||||||
| Director (through 6/26/17) | $455,882 | $0 | $146,718 | $0 | $179,365 | $0 | $53,947 | $0 | $21,141 | $0 | $857,053 | $0 | $0 | $0 |
| Heather Sankey MD | ||||||||||||||
| Director (as of 5/3/17) | $330,246 | $0 | $43,631 | $0 | $10,674 | $0 | $32,208 | $0 | $15,451 | $0 | $432,210 | $0 | $0 | $0 |
| Joseph Schmidt MD | ||||||||||||||
| Director | $310,312 | $0 | $45,875 | $0 | $10,000 | $0 | $35,033 | $0 | $18,278 | $0 | $419,498 | $0 | $0 | $0 |
| Kevin Hinchey MD | ||||||||||||||
| Ex-Offico Director/ CAO | $352,267 | $0 | $61,661 | $0 | $31,435 | $0 | $56,901 | $0 | $17,723 | $0 | $519,987 | $0 | $0 | $0 |
| Kimberly Bucknor MD | ||||||||||||||
| Director (as of 3/1/17) | $205,703 | $0 | $36,208 | $0 | $26,365 | $0 | $13,698 | $0 | $13,848 | $0 | $295,822 | $0 | $0 | $0 |
| Mark A Keroack MD | ||||||||||||||
| Director | $876,848 | $0 | $401,474 | $0 | $903,898 | $0 | $19,875 | $0 | $18,612 | $0 | $2,220,707 | $0 | $562,123 | $0 |
| Nicolas Jabbour MD | ||||||||||||||
| Director (as of 2/1/17) | $247,639 | $0 | $50,000 | $0 | $42,836 | $0 | $42,000 | $0 | $6,486 | $0 | $388,961 | $0 | $0 | $0 |
| Reginald Alouidor MD | ||||||||||||||
| Director | $414,376 | $0 | $87,167 | $0 | $11,695 | $0 | $18,550 | $0 | $17,695 | $0 | $549,483 | $0 | $0 | $0 |
| Richard Friedberg MD | ||||||||||||||
| Director | $410,009 | $0 | $111,376 | $0 | $55,874 | $0 | $44,725 | $0 | $26,884 | $0 | $648,868 | $0 | $0 | $0 |
| Sara A Rourke MD | ||||||||||||||
| Director (through 5/3/17) | $249,818 | $0 | $42,077 | $0 | $2,056 | $0 | $16,301 | $0 | $20,658 | $0 | $330,910 | $0 | $0 | $0 |
| Sarah Haessler MD | ||||||||||||||
| Director | $219,626 | $0 | $37,206 | $0 | $1,340 | $0 | $22,067 | $0 | $18,457 | $0 | $298,696 | $0 | $0 | $0 |
| Susan DeJoy CNM | ||||||||||||||
| Director (through 12/31/16) | $149,898 | $0 | $7,299 | $0 | $3,332 | $0 | $24,771 | $0 | $11,038 | $0 | $196,338 | $0 | $0 | $0 |
| Ronald P Bryant | ||||||||||||||
| Director (as of 8/2/17) | $422,431 | $0 | $97,708 | $0 | $25,680 | $0 | $19,875 | $0 | $24,717 | $0 | $590,411 | $0 | $0 | $0 |
| Thomas L Higgins MD | ||||||||||||||
| Director (through 3/31/17) | $373,414 | $0 | $70,838 | $0 | $33,494 | $0 | $55,495 | $0 | $10,432 | $0 | $543,673 | $0 | $0 | $0 |
| Timothy Lepore MD | ||||||||||||||
| Director (as of 6/7/17) | $244,107 | $0 | $22,481 | $0 | $518 | $0 | $17,225 | $0 | $22,733 | $0 | $307,064 | $0 | $0 | $0 |
| Wilson Mertens MD | ||||||||||||||
| Director | $381,860 | $0 | $50,582 | $0 | $25,348 | $0 | $49,010 | $0 | $18,549 | $0 | $525,349 | $0 | $0 | $0 |
| Kristin R Delaney | ||||||||||||||
| Clerk | $122,188 | $0 | $14,668 | $0 | $581 | $0 | $18,742 | $0 | $18,268 | $0 | $174,447 | $0 | $0 | $0 |
| Betty K Larue | ||||||||||||||
| COO, BMP | $317,744 | $0 | $77,350 | $0 | $15,596 | $0 | $52,306 | $0 | $18,559 | $0 | $481,555 | $0 | $0 | $0 |
| Farhad Bahrassa MD | ||||||||||||||
| Neurosurgeon | $653,982 | $0 | $86,922 | $0 | $1,344 | $0 | $44,287 | $0 | $7,816 | $0 | $794,351 | $0 | $0 | $0 |
| Kevin P Moriarty MD | ||||||||||||||
| Chief Pediatric Surgery | $537,664 | $0 | $124,279 | $0 | $37,405 | $0 | $26,500 | $0 | $19,450 | $0 | $745,298 | $0 | $0 | $0 |
| Thomas L Kaye MD | ||||||||||||||
| Chief Division Of Neurosurgery | $626,979 | $0 | $0 | $0 | $48,861 | $0 | $19,875 | $0 | $14,365 | $0 | $710,080 | $0 | $0 | $0 |
| Richard J Hicks MD | ||||||||||||||
| Chair Radiology | $531,405 | $0 | $99,338 | $0 | $6,551 | $0 | $46,851 | $0 | $19,568 | $0 | $703,713 | $0 | $0 | $0 |
| John A Rousou MD | ||||||||||||||
| Cardiac Surgeon | $490,795 | $0 | $116,400 | $0 | $28,595 | $0 | $29,150 | $0 | $13,852 | $0 | $678,792 | $0 | $0 | $0 |
| John Schreiber MD | ||||||||||||||
| Chair/President (Thru 7/15) | $383,268 | $0 | $29,400 | $0 | $1,104,105 | $0 | $19,875 | $0 | $16,710 | $0 | $1,553,358 | $0 | $0 | $0 |
| Mohammed S Ahmed MD | ||||||||||||||
| Obstetrician/Gynecologist | $159,167 | $0 | $50,000 | $0 | $449,621 | $0 | $27,299 | $0 | $9,267 | $0 | $695,354 | $0 | $0 | $0 |
| Douglas D Muehlberg | ||||||||||||||
| Business Consultant | $127,970 | $0 | $0 | $0 | $57,189 | $0 | $51,699 | $0 | $6,422 | $0 | $243,280 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The compensation of President is reviewed and determined annually by the compensation committee of Baystate Health, Inc. (the parent organization of the health care system to which the filing organization belongs). This committee consists entirely of individuals serving on the board of Baystate Health, Inc. The individuals responsible for deliberating the compensation arrangement for the President would be those individuals who do not have a conflict of interest with respect to the compensation arrangement and would be considered independent for compensation deliberation purposes. The compensation of the President is established based on information provided by independent third party consultants for reasonableness and appropriate comparability data. The compensation is then established, reviewed and approved by the duly authorized compensation committee of Baystate Health, Inc. and all such deliberations and decisions are documented contemporaneously. |
| Part I, Lines 4a-b | Line 4a: John Schreiber, MD received $1,060,197 in 2016. Mohammed Ahmed, MD received $374,900 in 2016. Line 4b: Mohammed Shafeeq Ahmed, MD - Supplemental Retirement of $14,156 is included in column E. This amount was earned and paid in 2016. Reginald Alouidor, MD - Supplemental Retirement of $10,124 is included in column E. This amount was earned and paid in 2016. Andrew Artenstein, MD - Supplemental Retirement of $78,433 is included in column E. This amount was earned and paid in 2016. Farhad Bahrassa, MD - Supplemental Retirement of $28,387 is included in column E. This amount was earned in 2016. Evan Benjamin, MD - Supplemental Retirement of $67,182 is included in column E. This amount was earned and paid in 2016. Charlotte Boney, MD - Supplemental Retirement of $18,613 is included in column E. This amount was earned in 2016. Elizabeth Boyle, MD - Supplemental Retirement of $6,434 is included in column E. This amount was earned and paid in 2016. Ronald P. Bryant - Supplemental Retirement of $12,000 is included in column E. This amount was earned and paid in 2016. Dennis W. Chalke - Supplemental Retirement of $257,706 is included in column E. This amount was earned and paid in 2016. Edward Feldmann, MD - Supplemental Retirement of $8,541 is included in column E. This amount was earned in 2016. Richard Friedberg, MD - Supplemental Retirement of $30,539 is included in column E. This amount was earned in 2016. Cheryl Geoffrion, MD - Supplemental Retirement of $377 is included in column E. This amount was earned in 2016. Daniel R. Grow, MD - Supplemental Retirement of $26,633 is included in column E. This amount was earned and paid in 2016. Thomas Higgins, MD - Supplemental Retirement of $26,889 is included in column E. This amount was earned and paid in 2016. Kevin Hinchey, MD - Supplemental Retirement of $27,947 is included in column E. This amount was earned and paid in 2016. Richard Hicks, MD - Supplemental Retirement of $26,976 is included in column E. This amount was earned in 2016. Nicholas Jabbour, MD - Supplemental Retirement of $23,450 is included in column E. This amount was earned in 2016. Thomas Kaye, MD- Supplemental Retirement of $37,488 is included in column E. This amount was earned and paid in 2016. Mark A. Keroack, MD - Total Supplemental Retirement of $881,458 is included in column E. This amount consists of $264,321 earned and paid in 2016 and $562,123 that was previously reported as deferred compensation in prior years Forms 990, and that is currently reported as taxable income. This also includes $55,014 of investment earnings on prior year contributions. The amount is listed in Column F in accordance with reporting requirements. Aaron Kugelmass, MD- Supplemental Retirement of $32,276 is included in column E. This amount was earned and paid in 2016. Wilson Mertens, MD - Supplemental Retirement of $21,445 is included in column E. This amount was earned and paid in 2016. Kevin P. Moriarty, MD - Supplemental Retirement of $33,542 is included in column E. This amount was earned and paid in 2016. Dennis Oh, MD - Supplemental Retirement of $39,877 is included in column E. This amount was earned and paid in 2016. John Rousou, MD - Supplemental Retirement of $13,103 is included in column E. This amount was earned paid in 2016. Heather Sankey, MD - Supplemental Retirement of $8,581 is included in column E. This amount was earned paid in 2016. Barry Sarvet, MD - Supplemental Retirement of $11,951 is included in column E. This amount was earned paid in 2016. Joseph Schmidt, MD - Supplemental Retirement of $8,167 is included in column E. This amount was earned and paid in 2016. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| David Maguire MD | |||
| Family member of David Maguire, MD | $55,145 | See Part V - Family member of David Maguire, MD employed by the filing organization. | 0 |
| Wilson Mertens MD | |||
| Family member of Wilson Mertens, MD | $154,038 | See Part V - Family member of Wilson Mertens, MD is employed by the filing organization. | 0 |
| Reginald Alouidor MD | |||
| Family member of Reginald Alouidor, MD | $196,130 | See Part V - Family member of Reginald Alouidor, MD employed by the filing organization. | 0 |
| Sarah Haessler MD | |||
| Family member of Sarah Haessler, MD | $423,733 | See Part V - Family member of Sarah Haessler, MD employed by the filing organization. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| Form 990, Part VI, Section A, line 3 | Baystate Medical Practices, Inc. is affiliated with Baystate Administrative Services, Inc. (BAS) which is a 501(c) (3) organization. Information Technology, Human Resources, Finance, Treasury, Accounting and other management and support functions are delegated to BAS. |
| Form 990, Part VI, Section A, line 6 | The members of the filing organization are physicians, all of whom who have medical staff appointments at a Baystate Health, Inc. (BH) hospital affiliate, provide at least 1,000 hours of professional service annually on behalf of the filing organization, and are parties to a membership agreement with the filing organization approved by the Board of Directors. |
| Form 990, Part VI, Section A, line 7a | The Board of Directors consists of 23 Directors, 7 of whom were either appointed by BH or serve ex officio based on positions they hold with BH, and 16 of whom are at large directors elected by the members of the filing organization. |
| Form 990, Part VI, Section A, line 7b | The bylaws of the filing organization provide that the following matters approved by the Board of Directors are also subject to the approval of BH: (1) the filing organization's annual budget, (2) the form and content of agreements with members and other employees of the filing organization for their compensation and benefits, (3) policies regarding personal time, sick time, leaves of absence, hours of work, and number of working days, (4) the establishment of reserves to meet any unusual expense, loss, or anticipated year-end expense or a discretionary fund to support the filing organization's educational and research programs, (5) any pledge of the filing organization's credit, the borrowing of any money, or the execution of any promissory note by the filing organization, (6) amendments to the bylaws of the filing organization, with the exception of certain technical amendments. |
| Form 990, Part VI, Section B, line 11b | Prior to the filing of this return appropriate parts of this Form 990 were reviewed by representatives from the Tax, Finance, and Human Resources Departments of Baystate Health, Inc. (the parent organization of the health care system to which the filing organization belongs) and by outside legal counsel. The entire return was reviewed by a tax expert from an outside accounting firm. In addition, this return was provided to and reviewed by the Audit and Compliance Committee of Baystate Health, Inc. This committee also reviews the audited financial statements for the health system. This return was also provided prior to filing to the Baystate Health, Inc. Board of Trustees. |
| Form 990, Part VI, Section B, line 12c | Baystate Medical Practices, Inc. is an affiliate of Baystate Health, Inc. Baystate Health, Inc. 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 reviewed and determined annually by the compensation committee of Baystate Health, Inc. (the parent organization of the health care system to which the filing organization belongs). This committee consists entirely of individuals serving on the board of Baystate Health, Inc. The individuals responsible for deliberating the compensation arrangement for the President would be those individuals who do not have a conflict of interest with respect to the compensation arrangement and would be considered independent for compensation deliberation purposes. The compensation of the President is established based on information provided by independent third party consultants for reasonableness and appropriate comparability data. The compensation is then established, reviewed and approved by the duly authorized compensation committee of Baystate Health, Inc. The compensation of other officers and key employees is administered under the Executive Compensation Philosophy Statement, in consultation with Human Resources, based on information provided by independent third party consultants for reasonableness including appropriate comparability data or the Baystate Health Board approved budget and wage program for each fiscal year. Line 15a has been answered No because the President is paid by Baystate Administrative Services, Inc., an affiliate and related organization of the filing organization. |
| Form 990, Part VI, Section C, line 19 | The organization makes its conflict of interest policy and financial statements available to the public at www.baystatehealth.org. Articles of organization and bylaws are generally available at the Commonwealth of Massachusetts website. Form 990, Part VII, Section A, Line 5 Certain officers or directors of the filing organization are paid by other entities which are 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. The entities are Baystate Administrative Services, Inc. (BAS) EIN 22-2747685 and Baystate Wing Hospital Corporation (BWH) EIN 22-2519813. Compensation from BAS and BWH to the officers and directors of the filing organization therefore, is reported as paid from an unrelated organization in Line 5 and according to the instructions reported as though paid by the filing organization. |
| Form 990, Part XI, line 9: | Current year acquisitions from other entities 495,531. Transfer to/from affiliate, net 43,338,000. Minimum pension liability adjustment 9,947,102. Property,plant & equipment released from restrictions 38,585. Net assets released from restrictions for operations 322,926. ROUNDING 2. |
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