BAYSTATE HEALTH INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BAYSTATE HEALTH INC (EIN 04-2105941)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-07
IRS object ID
201742199349300984
Schema version
2015v3.0
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

FieldValueIRS element (for citing)
Return2017-08-07T13:17:41-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

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 Begin2015-10-01TaxPeriodBeginDt

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)
PersonDennis W ChalkePersonNm
Person TitleSVP Finance, CFO & TreasurerPersonTitleTxt
Phone4137940000PhoneNum
Signature2017-08-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonChristine KaweckiPreparerPersonNm
PTINP00743140PTIN
Phone5169187000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDennis W ChalkePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01199ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$63,357,304GrossReceiptsAmt
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 people in our communities every day, with quality and compassion.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers21TotalVolunteersCnt
Total Gross UBI$1,410,817TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,033,540NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,809,195PYContributionsGrantsAmt
CY Contributions Grants$11,427,115CYContributionsGrantsAmt
PY Program Service Revenue$3,517,911PYProgramServiceRevenueAmt
CY Program Service Revenue$3,442,489CYProgramServiceRevenueAmt
PY Investment Income$1,647,853PYInvestmentIncomeAmt
CY Investment Income$2,259,218CYInvestmentIncomeAmt
PY Other Revenue$922,061PYOtherRevenueAmt
CY Other Revenue$2,157,030CYOtherRevenueAmt
PY Total Revenue$17,897,020PYTotalRevenueAmt
CY Total Revenue$19,285,852CYTotalRevenueAmt
PY Grants And Similar Paid$315,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$664,289CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$914,472PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,167,944CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,455,930PYOtherExpensesAmt
CY Other Expenses$21,353,490CYOtherExpensesAmt
PY Total Expenses$19,685,402PYTotalExpensesAmt
CY Total Expenses$23,185,723CYTotalExpensesAmt
PY Revenues Less Expenses-$1,788,382PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,899,871CYRevenuesLessExpensesAmt
Total Assets BOY$180,011,969TotalAssetsBOYAmt
Total Assets EOY$306,469,723TotalAssetsEOYAmt
Total Liabilities BOY$74,153,002TotalLiabilitiesBOYAmt
Total Liabilities EOY$197,147,445TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$105,858,967NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$109,322,278NetAssetsOrFundBalancesEOYAmt
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$15,803,242ExpenseAmt
Grant$664,289GrantAmt
Revenue$3,238,180RevenueAmt
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. 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 five 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 718-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 74-bed, tax-exempt, not-for-profit, acute care community hospital acquired in 2014.Baystate Mary Lane Hospital Corporation (BMLH), located in Ware, Massachusetts, was a 25-bed, tax-exempt, not-for-profit, acute care community hospital. BMLH was merged into BWH as of September 10, 2016, and BMLH no longer provides inpatient services.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 by holding, leasing, improving and managing real estate held by, or acquired on behalf of, BMC. BTHC serves as the operating entity in connection with the new markets tax credit (NMTC) financing for the BMC Expansion Project.Baystate Noble Hospital, Inc. and affiliates consists of three tax-exempt, not-for-profit corporations located in Westfield, Massachusetts, acquired in 2015: Baystate Noble Hospital, Inc. (BNH) 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. BNH is the sole corporate member of the two following organizations: Westfield Medical Corporation (WMC) is a tax-exempt, not-for-profit physician practice that provides medical services to residents of the greater Westfield community. Baystate Noble Visiting Nurse and Hospice Services, Inc. (BNVNAH) is a tax-exempt,not-for-profit community-based home health care and hospice agency, whose primary purpose is to provide home health care services and promote and maintain community health to the city of Westfield and surrounding communities.Baystate Medical Practices, Inc.(BMP)is a multi-specialty academic group practice established as a tax exempt, not-for-profit foundation to support the educational and research programs of Baystate Health as well as numerous community primary care and outreach services.Baystate 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 health maintenance organization that converted from a taxable for profit corporation to a non-profit corporation as of January 1, 2013. 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.Ingraham Corporation (IC) is a for-profit, taxable corporation that served as a holding company for Baystate Health Ambulance, Inc.Baystate Health System Ambulance, Inc. (BHA) was a for-profit, taxable corporation that delivered the latest in mobile critical care, providing 24-hour service throughout western New England. On May 24, 2014, BH exited this business line through a sale of all BHA's fixed assets to a third party and was dissolved during 2015.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.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. In 2004, BHIC began offering malpractice insurance to members of BH's medical staff who meet criteria for participation.Desc
Total Program Service Expenses$15,803,242TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document75IRPDocumentCnt
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
Foreign CountryUKForeignCountryCd
Foreign CountryBDForeignCountryCd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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 Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPeter Lyons Baystate Health IncPersonNm
Phone4137940000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1759 Chestnut StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP011990001ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Adrian J Levsky
Trustee (as of 1/1/16)1.001.00Yes (X)$0$0$0
Anne M Paradis
Vice Chair2.001.00Yes (X)$0$0$0
David C Southworth
Trustee1.001.00Yes (X)$0$0$0
Edward J Noonan
Trustee1.001.00Yes (X)$0$0$0
Grace Makari-Judson MD
Trustee/ Hematologist1.0040.00Yes (X)$395,012$0$91,314
Gregory L Braden MD
Trustee1.001.00Yes (X)$0$0$0
Harriet A DeVerry
Trustee1.001.00Yes (X)$0$0$0
Hector Toledo
Trustee1.001.00Yes (X)$0$0$0
James P Sadowsky
Chair2.001.00Yes (X)$0$0$0
James R Phaneuf
Trustee1.001.00Yes (X)$0$0$0
John A Egelhofer MD
Trustee1.001.00Yes (X)$0$0$0
John F Maybury
Trustee1.001.00Yes (X)$0$0$0
John H Davis
Trustee1.001.00Yes (X)$0$0$0
John M O'Brien III
Trustee (Through 12/31/15)1.001.00Yes (X)$0$0$0
Katherine McG Sullivan
Trustee (Through 12/31/15)1.001.00Yes (X)$0$0$0
Kathleen B Scoble
Trustee1.001.00Yes (X)$0$0$0
Kevin P Moriarty MD
Trustee/ Chief Ped Surgery1.0040.00Yes (X)$634,583$0$46,896
Mark A Keroack MD
President, CEO & Trustee38.0012.00Yes (X)$0$1,258,998$213,008Yes (X)
Paul R Murphy
Trustee1.001.00Yes (X)$0$0$0
Richard B Steele Jr
Trustee (Through 12/31/15)1.001.00Yes (X)$0$0$0
Robert J Bacon
Trustee1.001.00Yes (X)$0$0$0
Robert L Pura PhD
Trustee1.001.00Yes (X)$0$0$0
Steven M Mitus
Trustee1.001.00Yes (X)$0$0$0
Victor Woolridge
Trustee1.001.00Yes (X)$0$0$0
Dennis Chalke
Treasurer1.0050.00$0$1,085,400$89,529Yes (X)
Kristin R Delaney
Clerk39.001.00$0$109,755$31,677Yes (X)
Madeline Torres
Assistant Clerk1.0040.00$0$53,103$16,597Yes (X)
Mark R Tolosky
President Emeritus0.000.00$0$745,184$80,519Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,029,595TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,252,440TotReportableCompRltdOrgAmt
Total Other Compensation$569,540TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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 StreetSpringfieldMA011990001Management Services$1,907,949
Dell Marketing LP
2300 West Plano ParkwayPlanoTX75075IT Products and Services$887,380
Premier Inc
13034 Ballantyne Corporate PlaceCharlotteNC28277IT Services$841,577
Kaufman Hall & Associates LLC
8610 Solution CenterChicagoIL60677Consulting Services$522,657
Market Mentors LLC
30 Capital Drive Suite CWest SpringfieldMA01089Promotional Services$210,891
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Related Organizations$11,263,000RelatedOrganizationsAmt
All Other Contributions$164,115AllOtherContributionsAmt
Total Contributions$11,427,115TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Premier Purchasing Partners, L.P.525990$1,322,184$1,322,184
Ins and Prship UBI525990$1,099,309$1,099,309
Misc (incl CPIP admin revenue)524298$433,891$128,891$305,000
Medical Staff Dues524298$309,908$309,908
Intercompany Rent531120$277,197$277,197
FieldValueIRS element (for citing)
Total Program Service Revenue$3,442,489TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$992,385TotalRevenueColumnAmt
Unrelated Business Revenue$6,508UnrelatedBusinessRevenueAmt
Exclusion$985,877ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,958TotalRevenueColumnAmt
Exclusion$1,958ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$45,338,285SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$44,071,452SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,266,833SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,266,833TotalRevenueColumnAmt
Exclusion$1,266,833ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PVAC I/C loan principal recovery561499$1,200,000$1,200,000
BHF/BH TRR & BINA INC525990$955,072$955,072
FieldValueIRS element (for citing)
Other Revenue Total$2,155,072OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,285,852TotalRevenueColumnAmt
Related Or Exempt Func Income$3,238,180RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,410,817UnrelatedBusinessRevenueAmt
Exclusion$3,209,740ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$664,289TotalAmt
Program Services$664,289ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,167,944TotalAmt
Program Services$1,167,944ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$284,307TotalAmt
Management And General$284,307ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$29,763TotalAmt
Management And General$29,763ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$296,000TotalAmt
Program Services$296,000ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$64,594TotalAmt
Management And General$64,594ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,328,284TotalAmt
Program Services$1,301,247ProgramServicesAmt
Management And General$27,037ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$371,131TotalAmt
Program Services$371,131ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$44,946TotalAmt
Program Services$787ProgramServicesAmt
Management And General$44,159ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,412TotalAmt
Management And General$2,412ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$33,642TotalAmt
Program Services$33,642ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$82,581TotalAmt
Program Services$55,973ProgramServicesAmt
Management And General$26,608ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$410,669TotalAmt
Management And General$410,669ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$2,352,661TotalAmt
Program Services$1,171,728ProgramServicesAmt
Management And General$1,180,933ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,782TotalAmt
Program Services$2,782ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$28,366TotalAmt
Management And General$28,366ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
STRATEGIC INITIATIVES$9,838,342$9,838,342
457b PENSION PLAN EXP$4,270,462$4,270,462
INCOME TAX PROVISION$624,100$624,100
RESEARCH INITIATIVES$588,716$588,716

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$699,732TotalAmt
Program Services$310,661ProgramServicesAmt
Management And General$389,071ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,185,723TotalAmt
Program Services$15,803,242ProgramServicesAmt
Management And General$7,382,481ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,168,456BOYAmt
EOY$30,222,098EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$295,000BOYAmt
EOY$316,684EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$29,581BOYAmt
EOY$27,900EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,245,219LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$261,776LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$119,989BOYAmt
EOY$1,983,443EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$27,694,788BOYAmt
EOY$14,421,379EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$46,109,448BOYAmt
EOY$54,656,739EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$82,462,707BOYAmt
EOY$200,709,480EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$180,011,969BOYAmt
EOY$306,469,723EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,973,986BOYAmt
EOY$2,474,757EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$600,000BOYAmt
EOY$305,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$17,760,000BOYAmt
EOY$54,261,101EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,819,016BOYAmt
EOY$140,106,587EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$74,153,002BOYAmt
EOY$197,147,445EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$78,394,244BOYAmt
EOY$81,083,109EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,234,000BOYAmt
EOY$5,234,000EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,230,723BOYAmt
EOY$23,005,169EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$105,858,967BOYAmt
EOY$109,322,278EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$180,011,969BOYAmt
EOY$306,469,723EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,899,871ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,751,289NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$2,611,893OtherChangesInNetAssetsAmt
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$6,531,372CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,536,957CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,882,171CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,809,195CurrentTaxYearMinus1YearAmt
Current Tax Year$11,427,115CurrentTaxYearAmt
Total$48,186,810TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,531,372CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,536,957CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,882,171CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,809,195CurrentTaxYearMinus1YearAmt
Current Tax Year$11,427,115CurrentTaxYearAmt
Total$48,186,810TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$48,186,810PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$887,897CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$987,657CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,035,551CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,073,789CurrentTaxYearMinus1YearAmt
Current Tax Year$992,385CurrentTaxYearAmt
Total$4,977,279TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$167,675CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$833,280CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$760,524CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,312,952CurrentTaxYearMinus1YearAmt
Current Tax Year$1,033,540CurrentTaxYearAmt
Total$4,107,971TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,069,297CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$917,939CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$904,912CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$921,681CurrentTaxYearMinus1YearAmt
Current Tax Year$955,072CurrentTaxYearAmt
Total$4,768,901TotalAmt
FieldValueIRS element (for citing)
Total Support$62,040,961TotalSupportAmt
Gross Receipts Rltd Activities$21,044,851GrossReceiptsRltdActivitiesAmt
Public Support CY1700.77670PublicSupportCY170Pct
Public Support PY1700.75220PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePart II, Section B, line 10FormAndLineReferenceDesc
ExplanationTRR (Total Rate of Return) and BINA (Beneficial Interest) IncomeExplanationTxt

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$296,000OtherActivitiesAmt
Total Lobbying Expenditures$296,000TotalLobbyingExpendituresAmt
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 HospitalMax Associates, Inc., Philip W. Johnston Associates and Lisa Andoscia (Rosewood Consulting)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$18,868,167BeginningYearBalanceAmt
Contributions$98,310ContributionsAmt
Investment Earnings Or Losses$906,998InvestmentEarningsOrLossesAmt
End Year Balance$19,873,475EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,376,609BeginningYearBalanceAmt
Contributions$103,225ContributionsAmt
Investment Earnings Or Losses-$1,611,667InvestmentEarningsOrLossesAmt
End Year Balance$18,868,167EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,758,115BeginningYearBalanceAmt
Contributions$100,868ContributionsAmt
Investment Earnings Or Losses$517,626InvestmentEarningsOrLossesAmt
End Year Balance$20,376,609EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,718,148BeginningYearBalanceAmt
Contributions$170,271ContributionsAmt
Investment Earnings Or Losses$869,696InvestmentEarningsOrLossesAmt
End Year Balance$19,758,115EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,468,653BeginningYearBalanceAmt
Contributions$79,814ContributionsAmt
Investment Earnings Or Losses$1,169,681InvestmentEarningsOrLossesAmt
End Year Balance$18,718,148EndYearBalanceAmt
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$228,091DepreciationAmt
Book Value$5,142BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,589OtherCostOrOtherBasisAmt
Depreciation$12,186DepreciationAmt
Book Value$6,403BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,499OtherCostOrOtherBasisAmt
Depreciation$21,499DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,912,774OtherCostOrOtherBasisAmt
Book Value$1,912,774BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,983,443TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescInvestments - Other SecuritiesDesc
Book Value$54,656,739BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$54,656,739TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Due from Affiliated Companies$111,296,056
Equity Investment in Subsidiaries (Ingraham, Wing and Noble)$48,213,036
Line of Credit -- Affiliate$1,115,903
Interest in Net Assets in BHF$21,662,032
Deferred Expenses$18,422,453
FieldValueIRS element (for citing)
Total Book Value Other Assets$200,709,480TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Due to Affiliated Companies$1,913,325
Due to Board-Designated Funds$1,018,569
Insurance Reserves$90,975,000
Deferred Compensation Obligations$46,199,693
FieldValueIRS element (for citing)
Total Liability$140,106,587TotalLiabilityAmt

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
Caribbean00Insurance$7,763,770
United Kingdom00Investments$18,740,714
Bermuda00Investments$42,731
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$26,547,215SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$26,547,215TotalSpentAmt
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationExpenditures of $7,763,770 in the Caribbean are comprised of insurance related cash transfers of $7,643,770 and Baystate Health's book value of $120,000 BHIC investment. Baystate Health's capital balance of an investment fund domiciled in the UK is $18,740,714 Baystate Health's capital balance of an investment fund domiciled in Bermuda is $42,731ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Partners for a Healthier Community Inc
PO Box 4895SpringfieldMA011014895043342182501(c)(3)$250,000To assist Partners for a Healthier Community to narrow 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 Health Foundation Inc
759 Chestnut StreetSpringfieldMA01199043549011501(c)(3)$65,000To provide support for the Health Science Library and Medical Staff Pledge.
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II, line 1, Column (h):FormAndLineReferenceDesc
ExplanationBaystate Health, Inc. has a close relationship with its grantees, which include Baystate Health Foundation (BHF). 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.ExplanationTxt

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 PaymentYes (1)SeverancePaymentInd
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
Grace Makari-Judson MD
Trustee/ Hematologist$299,974$0$64,558$0$30,480$0$56,254$0$35,060$0$486,326$0$0$0
Kevin P Moriarty MD
Trustee/ Chief Ped Surgery$502,996$0$96,018$0$35,569$0$27,825$0$19,071$0$681,479$0$0$0
Mark A Keroack MD
President, CEO & Trustee$0$760,075$0$310,077$0$188,846$0$192,620$0$20,388$0$1,472,006$0$90,766
Dennis Chalke
Treasurer$0$466,083$0$357,889$0$261,428$0$64,000$0$25,529$0$1,174,929$0$0
Mark R Tolosky
President Emeritus$0$263,594$0$150,000$0$331,590$0$66,319$0$14,200$0$825,703$0$138,300

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, Lines 4a-b4a Mark R. Tolosky received $138,300. 4b Dennis W. Chalke - Supplemental Retirement of $171,159 is included in column E. This amount was earned and paid in 2015. Mark A. Keroack, MD - Supplemental Retirement of $328,081 is included in column E. This amount consists of $237,315 earned and paid in 2015 and $90,766 that was previously reported as deferred compensation in prior years Forms 990, and that is currently reported as taxable income. The amount is listed in Column F in accordance with reporting requirements. Grace Makari-Judson, MD- Supplemental Retirement of $14,673 is included in column E. This amount was earned in 2015. Kevin P. Moriarty, MD - Supplemental Retirement of $32,279 is included in column E. This amount was earned and paid in 2015. Mark R. Tolosky - Supplemental Retirement of $101,139 is included in column E. This amount was earned and paid in 2015.

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 2Robert J. Bacon, Gregory L. Braden, MD, Dennis W. Chalke, John H. Davis, Kristin R. Delaney, Harriet A. Deverry, John A. Egelhofer, MD, Mark A. Keroack, MD, Adrian Levsky, Grace P. Makari-Judson, MD, John E. Maybury, Steven M. Mitus, Kevin P. Moriarity MD, Paul R. Murphy, Edward Noonan, John M. O'Brien, III, Ann M. Paradis, James Phaneuf, CIC, Robert L. Pura, PhD, James P. Sadowsky, Kathleen B. Scoble, David C. Southworth, Richard B. Steele, Jr., Katherine McG. Sullivan, Hector Toledo, Madeline Torres, and Victor Woolridge are also officers or trustees of its affiliated entities. The following trustees, officers, or key employees serve on a common board of a non-affiliated entity: (1) Richard B. Steele, Jr., James P. Sadowsky and John H. Davis (2) Robert L. Pura, PhD. and Richard B. Steele, Jr. (3)John F. Maybury and Mark A. Keroack MD 4) John M. O'Brien, III and Victor Woolridge (5) John F. Maybury and Anne M. Paradis
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 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 11Before 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., some of whom are officers or trustees of the filing organization and by outside legal counsel. The entire return was reviewed by a tax expert from an outside accounting firm. The entire return was also reviewed before filing by the Audit and Compliance Committee of Baystate Health, Inc., which also includes some of the officers of the filing organization. The Form 990 was provided to all members of the Board of Trustees before filing.
Form 990, Part VI, Section B, line 12cBaystate 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, 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 and reviewed by outside counsel. 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 15The 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 other officers is administered under the Executive Compensation Philosophy Statement 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 5Certain 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:Transfers from/to Affiliated Companies, Net 6,868,100. Property, Plant & Equipment Transfers -4,080,429. Equity Gain / (Loss) in Baycare 80,817. Equity Gain / (Loss) in Ingraham 123,021. Change in Interest of Net Assets of BHF 774,448. Premier Purchasing Partners, L.P. - Interest (incl in part VIII, ln 3D) -54,755. K-1 UBIT NET GAIN -934,460. BHIC UBTI -164,849.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Baystate Administrative Services Inc
759 Chestnut StreetSpringfieldMA01199222747685Administrative servicesMA501 (c ) (3)11c, IIIcBaystate Health IncYes (1)
Baystate Franklin Medical Center
164 High StreetGreenfieldMA01301042103575HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Baystate Health Foundation Inc
759 Chestnut StreetSpringfieldMA01199043549011FundraisingMA501 (c ) (3)7Baystate Health IncYes (1)
Baystate Health Systems Inc Health & Welfare Benefits Plan
759 Chestnut StreetSpringfieldMA01199222531644Voluntary Employees' Benefit AssociationMA501 (c ) (9)Baystate Health IncYes (1)
Baystate Mary Lane Hospital Corporation
85 South StreetWareMA01082042103584HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Baystate Medical Center Inc
759 Chestnut StreetSpringfieldMA01199042790311Acute Care Teaching HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Baystate Total Home Care Inc
280 Chestnut StreetSpringfieldMA01104203260764Real Estate and OtherMA501 (c ) (3)11b, IIBaystate Medical Center IncYes (1)
Baystate Wing Hospital Corporation
40 Wright StreetPalmerMA01069222519813HospitalMA501 (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 1500SpringfieldMA011441500455190134HMO/InsuranceCT501 (c ) (4)Health New England IncYes (1)
Visiting Nurse Assn and Hospice of Western New England Inc
50 Maple StreetSpringfieldMA01199042105803Homehealth and Hospice careMA501 (c ) (3)9Baystate Health IncYes (1)
Baystate Noble Hospital Corporation
115 West Silver Street PO Box 1634WestfieldMA010861634222537423HospitalMA501 (c ) (3)3Baystate Health IncYes (1)
Westfield Medical Corporation
115 West Silver Street PO Box 1634WestfieldMA010861634043127730Physician ServicesMA501 (c ) (3)11a, IBaystate Noble Hospital CorporationYes (1)
Noble Visiting Nurse Services Inc
77 Mill StreetWestfieldMA01085222757446Home Health Care and HospiceMA501 (c ) (3)9Baystate Noble Hospital CorporationYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (29 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtDirect Controlling NADirectControllingNACd
Baystate Health Insurance Company Ltd
North Church StreetGeorgetownCayman IslandsCJ980421413Offshore Captive InsuranceCJBaystate Health Inc1.00000Yes (1)
HNE Advisory Services Inc
043012347Administrative ServicesHealth New England IncYes (1)Monarch Place Suite 1500SpringfieldMA011441500MAC
HNE Holding Corporation
464620480Holding shares in subsidiary corporationsHealth New England IncYes (1)Monarch Place Suite 1500SpringfieldMA011441500MAC
HNE Insurance Services Corporation
043183019Ancillary InsuranceHealth New England IncYes (1)Monarch Place Suite 1500SpringfieldMA011441500MAC
HNE Insurance Company Inc
454462433Health Services for Mass Medicare Supplement MembersHealth New England IncYes (1)Monarch Place Suite 1500SpringfieldMA011441500MAC
Ingraham Corporation
043016257Health care and other business activitiesBaystate Health Inc1.00000Yes (1)759 Chestnut StreetSpringfieldMA01199MAC
Frances Lutolf BO Wesson Hosp
046019056Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Daniel Wesson TUW W Maternity
046019096Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Daniel Wesson TUW W Memorial
046019097Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Louise G Pease BO Baystate Med
046019113Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Gertrude Hibbard TUW W Mem
046019230Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Herbert Thresher UW W Hosp
046088132Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Tr UW H Dexter FB Wesson M
046018707Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
Tr UW H Dexter FB Wesson W
046018708Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
L & F Tifft BO BSHS Tr UA
046046282Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
TW D B Wesson FB W M H
046018682Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
TW D B Wesson FB WWH
046018681Trust1.00000Yes (1)Bank of America 100 Federal StBostonMA02110MATN/A
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
(no name)
Yes (1)
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 OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (24 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
Baystate Administrative Services Inc
M$2,378,451
Baystate Administrative Services Inc
D$9,000,000
Baystate Health Foundation Inc
B$65,000
Baystate Health Foundation Inc
M$436,000
Baystate Health Foundation Inc
R$331,900
Baystate Health Foundation Inc
S$1,115,832
Baystate Medical Center Inc
C$53,543,000
Baystate Medical Center Inc
K$277,197
Baystate Medical Center Inc
L$11,263,000
Baystate Medical Center Inc
M$1,675,464
Baystate Medical Center Inc
R$1,271,799
Health New England Inc
D$20,000,000
Health New England Inc
L$183,390
Health New England Inc
Q$53,946
Ingraham Corporation
D$143,986
Visiting Nurse Assn and Hospice of Western New England Inc
B$1,472,000
Visiting Nurse Assn and Hospice of Western New England Inc
P$222,830
Baystate Wing Memorial Hospital Corporation
R$318,323
L & F Tifft BO BSHS Tr UA
A$98,310
BH Insurance Company Ltd
P$3,295,257
Baystate Noble Hospital
B$1,000,000
Baystate Noble Hospital
D$6,791,101
Baystate Noble Hospital
R$1,727,031
Noble Visiting Nurse and Hospice Services
D$1,435,233

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