BAYSTATE FRANKLIN MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BAYSTATE FRANKLIN MEDICAL CENTER (EIN 04-2103575)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-08
- IRS object ID
- 201402209349301250
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-08T13:55:08-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Two Jericho Plaza | AddressLine1 |
| City | Jericho | City |
| State | NY | State |
| ZIP Code | 11753 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042103575 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baystate Franklin Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BAYS | NameControl |
| Phone | 4137940000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 164 High Street | AddressLine1 |
| City | Greenfield | City |
| State | MA | State |
| ZIP Code | 01301 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Dennis W Chalke | Name |
| Title | CFO & Treasurer, Baystate Health | Title |
| Phone | 4137940000 | Phone |
| Date Signed | 2014-08-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Christine Kawecki | Name |
| PTIN | P00743140 | PTIN |
| Phone | 5169187000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Dennis W Chalke | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 759 Chestnut Street | AddressLine1 |
| City | Springfield | City |
| State | MA | State |
| ZIP Code | 01199 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 77669480 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.baystatehealth.org/fmc/ | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1895 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | The mission of the organization is to improve the health of the people in our communities every day, with quality and compassion. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 782 | TotalNbrEmployees |
| Total Nbr Volunteers | 369 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 89950 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 24750 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 79504590 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 73536339 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 227409 | InvestmentIncomePriorYear |
| Investment Income Current Year | 285218 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1249841 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3636453 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 81071790 | TotalRevenuePriorYear |
| Total Revenue Current Year | 77482760 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 42255014 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 41402907 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 38499650 | OtherExpensePriorYear |
| Other Expenses Current Year | 36983063 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 80754664 | TotalExpensesPriorYear |
| Total Expenses Current Year | 78385970 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 317126 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -903210 | RevenuesLessExpensesCY |
| Total Assets BOY | 69519808 | TotalAssetsBOY |
| Total Assets EOY | 70549574 | TotalAssetsEOY |
| Total Liabilities BOY | 33077315 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 27670006 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 36442493 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 42879568 | NetAssetsOrFundBalancesEOY |
| Mission Description | The mission of Baystate Franklin Medical Center is to improve the health of the people in our communities every day, with quality and compassion. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 32977282 | Expense |
| Revenue | 30973204 | Revenue |
| Description | Inpatient healthcare services - Providing inpatient community-based medicine and tertiary care to the surrounding region. Services are available to individuals regardless of their ability to pay. During FY13, Baystate Franklin Medical Center provided 16,476 patient days of inpatient services, with 4,330 discharges | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 26680538 | Expense |
| Revenue | 29179089 | Revenue |
| Description | Outpatient healthcare services - Providing outpatient clinical services to the surrounding region. Services are available to individuals regardless of their ability to pay. During FY13, Baystate Franklin Medical Center had 82,944 outpatient visits. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10427612 | Expense |
| Revenue | 10839581 | Revenue |
| Description | Emergency department services - Providing emergency department services to the surrounding region. Services are available to individuals regardless of their ability to pay. During FY13, Baystate Franklin Medical Center had 27,072 emergency department visits. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2488261 | Expense |
| Revenue | 5833901 | Revenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 2488261 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 5833901 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 72573693 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 68 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 782 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Peter Lyons Baystate Health Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4137940000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 759 Chestnut Street | AddressLine1 |
| City | Springfield | City |
| State | MA | State |
| ZIP Code | 01199 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (36 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| Victor Woolridge | ||||||||||
| Chair | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |||
| James P Sadowsky | ||||||||||
| Vice Chair | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |||
| Gregory L Braden MD | ||||||||||
| Trustee 1/1 - 9/30/13 | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Ruth H Constantine | ||||||||||
| Trustee 1/1 - 9/30/13 | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Charles L D'Amour | ||||||||||
| Trustee 10/1 - 12/31/12; Surgeon | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| John H Davis | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| John A Egelhofer MD | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| John E Kole | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Grace P Makari-Judson MD | ||||||||||
| Trustee/ Hematologist M. D | 1.00 | 49.00 | X | 329977 | 0 | 71041 | ||||
| John F Maybury | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Steven M Mitus | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Alan D McClelland MD | ||||||||||
| Trustee 10/1 - 12/31/12; Surgeon | 1.00 | 49.00 | X | 323654 | 0 | 43658 | ||||
| John M O'Brien III | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Anne M Paradis | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Robert L Pura PhD | ||||||||||
| Trustee 1/1 - 9/30/13 | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Katherine E Putnam | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Timothy S Rice | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Sara A Rourke MD | ||||||||||
| Trustee; Med Director BFMC | 1.00 | 49.00 | X | 197461 | 0 | 29390 | ||||
| David C Southworth | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Barbara W Stechenberg MD | ||||||||||
| Trustee/ Infectious Disease | 1.00 | 49.00 | X | 144720 | 0 | 32595 | ||||
| Richard B Steele Jr | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Katherine McG Sullivan | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Mark R Tolosky | ||||||||||
| Trustee; President & CEO, BH | 1.00 | 49.00 | X | 0 | 1555044 | 59300 | ||||
| Howard G Trietsch MD | ||||||||||
| Trustee | 1.00 | 1.00 | X | 0 | 0 | 0 | ||||
| Charles Gijanto | ||||||||||
| President, BFMC | 20.00 | 30.00 | X | 0 | 440593 | 104270 | ||||
| Dennis W Chalke | ||||||||||
| Treasurer | 1.00 | 49.00 | X | 0 | 723685 | 52277 | ||||
| Kristin R Delaney | ||||||||||
| Clerk | 1.00 | 49.00 | X | 0 | 98119 | 19540 | ||||
| Patricia A Sheldon | ||||||||||
| Assistant Clerk | 1.00 | 49.00 | X | 0 | 64790 | 15809 | ||||
| Gerda Maissel MD | ||||||||||
| CMO - Northern Region | 20.00 | 30.00 | 343151 | 0 | 51730 | X | ||||
| David M Farrick | ||||||||||
| COO BFMC | 50.00 | 0.00 | 168688 | 0 | 13273 | X | ||||
| Deborah A Palmeri | ||||||||||
| CNO/Dir Patient Care Servi | 50.00 | 157539 | 0 | 37473 | X | |||||
| Regina O Campbell | ||||||||||
| Dir Quality & Risk Managem | 50.00 | 132753 | 0 | 36469 | X | |||||
| Edward G Tessier | ||||||||||
| Pharmacist | 50.00 | 123553 | 0 | 18346 | X | |||||
| Brian P Joyce | ||||||||||
| Manager FMC Pharmacy | 50.00 | 122264 | 0 | 59668 | X | |||||
| Donald McCool | ||||||||||
| Pharmacist | 50.00 | 116082 | 0 | 25669 | X | |||||
| Keith C McLean-Shinaman | ||||||||||
| Former Treasurer | 0.00 | 0 | 298986 | 10208 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2159842 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3181217 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 680716 | TotalOtherCompensation |
| Number Individuals GT100 K | 18 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Baystate Administrative Services Inc | |||||
| 759 Chestnut Street | Springfield | MA | 01199 | Management/I.S, Services | 7749838 |
| Baystate Medical Practices Inc | |||||
| 759 Chestnut Street | Springfield | MA | 01199 | Physician Services/ Lab Services | 5665086 |
| Baystate Medical Center Inc | |||||
| 759 Chestnut Street | Springfield | MA | 01199 | Lab Services | 909225 |
| RTG Medical co Ready Tech-Go Inc | |||||
| 1005 E 23rd Street | Fremont | NE | 68025 | Nursing Physician Services | 139195 |
| Franklin MRI Center LLC | |||||
| PO Box 847997 | Boston | MA | 022847997 | Radiology Services | 122575 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Government Grants | 24750 | GovernmentGrants |
| Total Contributions | 24750 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Revenue | 900099 | 71533162 | 71533162 |
| CMS Elec Med Rec Fdg | 900099 | 1432549 | 1432549 |
| Rental Income From Related Organi | 532000 | 570628 | 570628 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 73536339 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 285218 | TotalRevenueColumn |
| Exclusion | $285,218 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 141269 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 186720 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -45451 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -45451 | TotalRevenueColumn |
| Exclusion | -$45,451 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Pharmacy Services | 900099 | 1623411 | 1623411 |
| Intercompany Charges | 900099 | 565000 | 565000 |
| Misc Revenue Deposits | 900099 | 403336 | 403336 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1090157 | TotalRevenueColumn |
| Related Or Exempt Function Income | 697689 | RelatedOrExemptFunctionIncome |
| Exclusion | $392,468 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3681904 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 77482760 | TotalRevenueColumn |
| Related Or Exempt Function Income | 76825775 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $632,235 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 353536 | Total |
| Program Services | 353536 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32274050 | Total |
| Program Services | 31048686 | ProgramServices |
| Management And General | 1225364 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2263630 | Total |
| Program Services | 2173085 | ProgramServices |
| Management And General | 90545 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4045700 | Total |
| Program Services | 3883341 | ProgramServices |
| Management And General | 162359 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2465991 | Total |
| Program Services | 2367351 | ProgramServices |
| Management And General | 98640 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5953502 | Total |
| Program Services | 2303966 | ProgramServices |
| Management And General | 3649536 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95249 | Total |
| Program Services | 95249 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36859 | Total |
| Management And General | 36859 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19105 | Total |
| Management And General | 19105 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23968 | Total |
| Program Services | 21086 | ProgramServices |
| Management And General | 2882 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21075826 | Total |
| Program Services | 20572601 | ProgramServices |
| Management And General | 503225 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3524188 | Total |
| Program Services | 3524188 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1407164 | Total |
| Program Services | 1407164 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84760 | Total |
| Program Services | 73738 | ProgramServices |
| Management And General | 11022 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58500 | Total |
| Program Services | 49671 | ProgramServices |
| Management And General | 8829 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133736 | Total |
| Program Services | 133736 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4231988 | Total |
| Program Services | 4228077 | ProgramServices |
| Management And General | 3911 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 338218 | Total |
| Program Services | 338218 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78385970 | Total |
| Program Services | 72573693 | ProgramServices |
| Management And General | 5812277 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10060311 | BOY |
| EOY | 10277472 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7652131 | BOY |
| EOY | 7832429 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1108680 | BOY |
| EOY | 1262883 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83592 | BOY |
| EOY | 117797 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 106415594 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 73576282 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33094876 | BOY |
| EOY | 32839312 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 566577 | BOY |
| EOY | 478144 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16953641 | BOY |
| EOY | 17741537 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69519808 | BOY |
| EOY | 70549574 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5925550 | BOY |
| EOY | 7299955 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6762950 | BOY |
| EOY | 6362276 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20388815 | BOY |
| EOY | 14007775 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33077315 | BOY |
| EOY | 27670006 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21656184 | BOY |
| EOY | 27258692 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6463576 | BOY |
| EOY | 7078678 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8322733 | BOY |
| EOY | 8542198 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36442493 | BOY |
| EOY | 42879568 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69519808 | BOY |
| EOY | 70549574 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -903210 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 7340285 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $19,105 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 19105 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part IV, Supplemental Information: | Identifier |
| Explanation | Baystate Franklin Medical Center pays membership dues to the Massachusetts Hospital Association (MHA) and the American Hospital Association (AHA). These organizations have advised us that portions of these dues are used for lobbying purposes for various healthcare matters at the state level. The portion of the dues listed as lobbying expenses for the year ending September 30, 2013 is $ 19105. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 261921 | OtherCostOrOtherBasis |
| Book Value | 261921 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 63614091 | OtherCostOrOtherBasis |
| Depreciation | 38541166 | Depreciation |
| Book Value | 25072925 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 38495530 | OtherCostOrOtherBasis |
| Depreciation | 31537240 | Depreciation |
| Book Value | 6958290 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4044052 | OtherCostOrOtherBasis |
| Depreciation | 3497876 | Depreciation |
| Book Value | 546176 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 32839312 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Funds Held By Bond Trustee | 72653 |
| Benefical Interest in Perpetual Trust BHF | 5035127 |
| Due from Affiliated Companies | 584444 |
| Estimated Final Settlement Receivable | 1463564 |
| Interest- Net assets of BHF | 10585749 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 17741537 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Affiliates | $2,094,291 |
| Estimated Final Settlement Payable | $3,750,651 |
| Insurance Liability Loss Reserve | $145,000 |
| Minimum Pension Liability | $8,017,833 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 14007775 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| ExplanationExplanation |
|---|
| Additional Information: Part V: Certain endowments are held at Baystate Health Foundation (BHF), an affiliate, and are reported as temporarily restricted and permanently restricted but Part V has not been completed as it is already addressed on BHF's Form 990 (EIN 04-3549011). |
| Part XIV: Baystate Franklin Medical Center did not have a FIN 48 footnote included in the audited financial statements. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2584453 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 847816 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1736637 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02220 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12949461 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9831598 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3117863 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03980 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2396557 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1791014 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 605543 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00770 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17930471 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12470428 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5460043 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06970 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 400494 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 400494 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4848009 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2947578 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1900431 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02420 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5073 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5073 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5253576 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2947578 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2305998 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02940 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23184047 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15418006 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7766041 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09910 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1819 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1819 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1819 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1819 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $692,019 | BadDebtExpenseAmount |
| Amount Attributable To | 93346 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 20665378 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 20899542 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -234164 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 3 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| Baystate Franklin Medical Center | ||||||||
| 1 | 164 High Street | Greenfield | MA | 01301 | X | X | X | |
| Baystate Rehabilitation Care at BFMC | ||||||||
| 2 | 48 Sanderson St Lev 1 Ste 3 | Greenfield | MA | 01301 | Rehabilitation Clinic | |||
| Outpatient Behavioral Health Srvcs | ||||||||
| 3 | 48 Sanderson St 2nd Flr | Greenfield | MA | 01301 | Partial Hospitalization Services | |||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baystate Franklin Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Other | X | Other |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 6a: Baystate Franklin Medical Center files an annual community benefit report electronically with the Massachusetts Attorney General's office via their website at http://www.cbsys.ago.state.ma.us/cbpublic/public/hccbindex.aspx. Baystate Franklin Medical Center's annual community benefit report is available to the public via the Massachusetts Attorney General's website (see above) and via Baystate Health's website http://www.baystatehealth.org/Baystate/Main+Nav/About+Us/Community+Programs /Community+Health+Planning/Community+Benefits+Program. Our community benefit report provides the Attorney General's Office and the general public important information about how Baystate Franklin Medical Center partners with our communities to identify and address unmet health needs of disadvantaged and vulnerable populations in support of our charitable mission. | ||
| Part I, Line 7: Line 7a (Charity Care) - community benefit expense was calculated by applying the ratio of patient care cost to charges, calculated on Worksheet 2, against total charity care gross patient charges from the audited financial statements.Line 7b (Unreimbursed Medicaid) - community benefit expense was derived using the organization's cost accounting system, which takes into account all hospital inpatients, outpatients and emergency room patients for whom services were provided and covered under Medicaid and Medicaid managed care plans.Line 7c (Other Means-Tested Programs) - community benefit expense was derived using the organization's cost accounting system, which takes into account all hospital inpatients, outpatients and emergency room patients for whom services were provided and covered under other means-tested government programs.Line 7g (Subsidized Programs) - community benefit expense was derived using the organization's cost accounting system. The expense relates to the inpatient behavioral health program. | ||
| Part I, Line 7g: There are no costs attributable to physician clinics reported as subsidized health services in Part I, line 7g. | ||
| Part I, L7 Col(f): In fiscal year 2013, the organization adopted the provisions of Accounting Standards Update 2011-07, Health Care Entities (Topic 954), Presentation and disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities on October 1, 2012. The update changed how the provision for bad debts is reported on the audited financial statements. In prior years it was included with total operating expenses, and subtracted from total expenses reported in Part IX, Line 25, column (A) for the purpose of calculating the percentages in Part I, Line 7, column (f). In 2013, the provision for bad debts was reported as a deduction to net patient service revenue. The 2013 provision for bad debts totalled $2,046,790 and is not included in total expenses reported in Part IX, LIne 25, column (A) for the purpose of calculating the percentages in Part 1, LIne 7, column (f). | ||
| Part II: Part II: Specific to Part II Baystate Franklin Medical Center paid dues to the Franklin County Chamber of Commerce in the amount of $1,574, to Shelburne Falls Business Association in the amount of $125 and to the Greenfield Business Association in the amount of $120 for FY13. Baystate Franklin Medical Center is a dues paying member of the local Franklin County Chamber of Commerce, and the Shelburne Falls and Greenfield Business Associations. BFMC participates in the Chamber and the local business associations as we are one of the largest local employers in our service area. The Chamber and its membership coordinate activities toward a common purpose of sustainability and economic growth for the region. The following description is not quantified specifically in Part II of Schedule H. Baystate Franklin Medical Center is committed to creating healthier communities and understands that many state and federally mandated community benefit programs and services are not sufficient to address ethnic, racial and economic health disparities. BFMC extends the traditional definition of "health" to include economic opportunity, affordable housing, quality education, safe neighborhoods, food security, arts/culture, and racism and homophobia free communities all elements that are needed for individuals, families and communities to thrive. In keeping with our commitment to improve health, Baystate Franklin Medical Center provides many valuable services, resources and programs beyond the walls of the hospital and into the communities and homes of the people we serve; including community sponsorships and involvement of hospital employees with not-for-profit boards that align with our mission. | ||
| Part III, Line 4: The cost of bad debts reported in Part III, line 2 was calculated by applying a ratio of cost to charges (based on the organization's cost accounting system including all hospital inpatients and outpatients) against total patient bad debt net of recoveries as reported in the audited financial statements. The portion of bad debt that reasonably could be attributable to patients who may qualify for financial assistance under the hospital's charity care program (reported in Part III line 3) was calculated by applying the percentage of bad debts by zip code (for which the average household income for each zip code is less than 200% of the federal poverty level) to the total cost of bad debt reported in Part III line 2. Since this portion of bad debt is attributable to patients residing in an area where the average income is less than 200% of the Federal poverty level, it is highly likely these patients would have qualified for the organization's charity care program had they applied. For this reason, we believe the amount, totaling $93,346, should be treated as community benefit expense in Part I. As noted above, the organization adopted Accounting Standards Update 2011-07 effective October 1, 2012, which changed the way entities report and disclose certain financial information including the provision for bad debts. See footnote #2 (Significant Accounting Policies) on page 12 of the audited financial statements under the caption "Allowance for Uncollectible Accounts" for a description of the organization's reporting of its provision for bad debts.If a patient is determined eligible for financial assistance, the appropriate adjustment is made to the patient account based on their income level. Once the necessary approvals are obtained, it then flows to the general ledger. Patients applying for a prompt payment discount will have this allowance entered after agreed upon payment is received. | ||
| Part III, Line 8: Line 6 - included all Medicare allowable costs as calculated in Worksheets D-1 Part II (inpatient) and D Part V (outpatient) of the hospital's 2013 Medicare cost report, based on Medicare costing principles. We believe the shortfall reported on line 20 should be treated as community benefit expense for tax reporting purposes because providing care for the elderly is a key component of our commitment to the community. The unreimbursed expenses should be treated similarly to unreimbursed Medicaid since the majority of the local elderly population is not affluent. | ||
| Part III, Line 9b: For patients who are known to qualify for Charity Care or Financial Assistance: The patient may have requested assistance up front at time of service with a Financial Counselor or the Patient could have asked for assistance after receiving their bill by contacting our Patient Billing Services Representatives. The Financial Counselor will assist the patient in applying for the appropriate type of assistance based on their income and circumstances. Once approved for a State Medicaid or other program, all billing and collection activity will stop (except for required co-payments or deductibles).For all other patients, our statements contain information regarding how to apply for financial assistance. Notices concerning availability for assistance are also posted at patient care sites. | ||
| Part V, Section B, Line 1j: The CHNA report also described collaborating organizations. BFMC collaborated with each of the hospital facilities that are members of the Coalition of Western Massachusetts Hospitals for its CHNA. BFMC also collaborated with organizations that participated in a "Design Team" established by the Coalition. Representatives from the Collaborative for Community Health, Inc., the Franklin Regional Council of Governments, the Massachusetts Department of Public Health, and the Springfield Department of Health and Human Services participated on this Team. Many individuals provided input for this assessment. Lists of interviewees are included in thereport. | Baystate Franklin Medical Center | |
| Part V, Section B, Line 3: Community input was gathered through interviews, a community survey, and community listening sessions. Interviews were conducted with public health experts, representatives of health, social services, or other departments or agencies, community leaders, health care providers, and persons representing the broad interests of the community. The interviews were structured to help identify the most pressing health status and access issues in the community. BFMC also sought input from the public regarding the health of the community through an online and paper-based survey. A website link to the survey (in both English and Spanish) was made available from January through February 2013. Paper copies of the survey were distributed at various local organizations and clinics in multiple languages. Efforts were made to reach those without internet access as well as vulnerable populations such as racial and ethnic minorities, low-income groups, individuals with low literacy levels, and non-English speakers. The survey was publicized via flyers, social media, human services organizations, boards of health, newspapers, email listservs, and other methods. A listening session was held during which community members reviewed and discussed preliminary findings from this assessment. Discussion at the listening session was helpful in that it validated assessment findings and contributed to the prioritization process. The survey consisted of 48 questions about a range of health status and access issues and respondent demographic characteristics. 679 residents from the Baystate Franklin community participated in the survey. Seventy-six percent of respondents were female and 53 percent were between the ages of 45 and 64. Ninety-one percent were White and 2 percent identified as Hispanic (or Latino). The majority of respondents reported being in good or very good overall health (74 percent), married (62 percent), employed full time (52 percent), privately insured (74 percent), and having an undergraduate degree or higher (72 percent). The majority (98 percent) of respondents speak English in the home. Two percent of respondents reported that they spoke multiple languages at home. Survey responses were received from residents of 29 of the Baystate Franklin community's 33 ZIP codes. Although the survey garnered many respondents, the sample is not representative of the community and the results are not generalizable to the community as a whole. 1,321 residents in Baystate's community responded to the community survey. Key informant interviews were conducted face-to-face and by telephone by Mark Rukavina, Principal at Community Health Advisors, LLC. The interviews were designed to gain perspective into health needs in the community served by Baystate. A total of 24 local key informants, including external and internal stakeholders (those affiliated or employed by Baystate Franklin Medical Center) were interviewed during December 2012 through February 2013. In addition, 11 staff members from the Massachusetts Department of Public Health regional office in Northampton also were interviewed as a part of thisassessment. These interviews were conducted using a structured questionnaire. Informants were asked to discuss community health issues and encouraged to look broadly at the social determinants of health. Interviewees were asked about issues related to health care access, changes in community population, prevalence of chronic health conditions, and health disparities. The frequency with which community health issues was mentioned and the interviewees' perceptions of the significance of each concern were assessed.The 35 interviewees were comprised of public health experts; individuals from health or other departments and agencies; leaders or representatives of medically underserved, low-income, and minority populations; and other community members. In addition, 11 community members participated in the CHNA listening sessions. The following organizations/community stakeholders were interviewed: Public Health Experts:- Tracy Osbahr, Director, Massachusetts Department of Public Health, Early Intervention Program- Ben Wood, Healthy Community Design Coordinator, Massachusetts Department of Public Health, Division of Prevention and Wellness- Donna Salloom, Community Liaison, Massachusetts Department of Public Health, Division of Prevention and Wellness- Ruth Jacobson-Hardy, Regional Manager, Massachusetts Department of Public Health, Substance Abuse Services- Molly Butler, Program Coordinator, Massachusetts Department of Public Health, Rural Health- Barbara Coughlin, Advisor, Massachusetts Department of Public Health, STD Program- Charles Kaniecki, District Health Officer, Massachusetts Department of Public Health, Western Mass Region- Ronnie Rom, Coordinator, Massachusetts Department of Public Health, Rural Hospital Program - Amy Waldman, Project Director, Massachusetts Department of Public Health, Rural Domestic and Sexual Violence Project- Cathy O'Connor, DirectorMassachusetts Department of Public Health, Office of Healthy Communities- William Doyle, MD, Member, Town of Greenfield Board of HealthHealth or Other Departments or Agencies:- Andrew Morehouse, Executive Director, Food Bank of Western Massachusetts- John Roberson, Vice-President of Children and Family Services, Center for Human Development- Kathy Wilson, President/CEO, Behavioral Health Network- Kristina Chapell, Development Officer, Alzheimer's Association- Nanyamka Hales, Director for Health Initiatives, American Cancer Association - Nikki Burnett, Regional Vice President for Health Equity, American Heart Association- Robert Marmor, President/CEO, Jewish Family Services - Kat Allen, Co-Coordinator, Franklin Regional Council of Governments Partnership for Youth- Lev Ben-Ezra, Youth Programs Director, Community Action Youth Programs- Rebecca Bialecki, Executive Director, North Quabbin Community Coalition- Seth Dunn, Director of Quality Management, ServiceNet- Clare Higgins, Executive Director, Community Action- Kate Kyros, Coalition Coordinator, Youth Service Council- Kirby Lecy, Project Coordinator, North Quabbin Community Coalition- Rosemary Martoccia, Executive Director, Franklin County Home Care Corporation- Phil Ringwood, Executive Director, DIAL/SELF youth and community services- Rachel Stoler, Co-Coordinator, Franklin Regional Council of Governments Partnership for Youth- Sharon Tracy, Board Member, North Quabbin Community Coalition (Quabbin Mediation)- Jeanette Voas, Evaluation Coordinator, Franklin Regional Council of Governments Partnership for Youth- Phoebe Walker, Director of Community Services, Franklin Regional Council of Governments- Amanda Doster, Prevention Strategies Coordinator, Franklin Regional Council of Governments Partnership for Youth- John Cremins, Case Manager, ServiceNet- Ann Darling, Development and Planning Director, Community ActionCommunity Leaders or Representatives Interviewed:- Russel Bradbury-Carlin, Executive Director, Center for New Americans- Judith Roberts, Executive Director, Literacy ProjectOther Interviewees Representing the Broad Interests of the Community:- Senator Stephen Brewer, State Senator, Massachusetts Legislature- Maria Bull, Member Services Coordinator, North Quabbin Community Coalition (No Quabbin Chamber of Commerce)- Marty Espinola, Director of Teaching & Learning, Gill-Montague Regional School District- Terence Lynn, Dean of Professional Studies, Greenfield Community College- Rosemary Mok, Transition Planner, Franklin County Sheriff's Department- Aria Sampson, Financial Counselor, Baystate Franklin Medical Center Financial Services- Karen Sims, Nurse, Baystate Franklin Medical Center Mental Health Unit - Amy Swisher, Regional Director of Public Affairs & Communications, Baystate Health Northern and Eastern Regions- Michelle Mortimer, Nurse Manager of Emergency Department, Baystate Franklin Medical Center Emergency Departme | Baystate Franklin Medical Center | |
| Part V, Section B, Line 4: Baystate Franklin Medical Center is a member of the Coalition of Western Massachusetts Hospitals, a partnership between seven (7) not-for-profit hospitals in western Massachusetts that includes: Baystate Medical Center, Baystate Franklin Medical Center, Baystate Mary Lane Hospital, Holyoke Medical Center, Cooley Dickinson Hospital, Mercy Medical Center (a member of Sisters of Providence Health System) and Wing Memorial Hospital and Medical Centers (a member of UMass Memorial Health Care), and Health New England, a local health insurer whose service areas covers the four counties of western Massachusetts. The Coalition, formed in 2012, put competition aside to conduct a regional community health needs assessment while sharing limited resources and enhancing the quality of data collection to benefit the community as a whole. | Baystate Franklin Medical Center | |
| Part V, Section B, Line 5c: Baystate Franklin Medical Center made its CHNA report widely available to the public via an email distribution, with links to the hospital's website, to all key informant interviewees, listening session participants and an internal communication to hospital employees. | Baystate Franklin Medical Center | |
| Part V, Section B, Line 6i: For more information about Baystate Franklin Medical Center's Community Benefit Implementation Strategy, as related to the hospitals 2013 CHNA, and adopted by the hospital's Board of Trustees, please visit:http://www.baystatehealth.org/StaticFiles/Baystate/About%20Us/Community%20Programs/Community%20Health%20Planning/Community%20Benefits%20Program/BFMC-Implementation-Strategy.pdf | Baystate Franklin Medical Center | |
| Part V, Section B, Line 7: No community hospital facility can address all of the health needs present in its community. BFMC is committed to adhering to its mission and remaining financially healthy so that it can continue to enhance its clinical excellence and to provide quality community benefit programs. The hospital's Implementation Strategy does not address the following priority community health needs identified in the 2013 CHNA due to no new funding or resources, other hospitals or community organizations within service area are already addressing the need or the need falls outside of the hospital's mission or capacity. These health priorities include basic needs insecurity (financial hardship, housing, and food access); child abuse; high obesity rate; high rates of asthma in schoolchildren; lack of access to dental care; pediatric disability; and smoking during pregnancy. | Baystate Franklin Medical Center | |
| None of the actions listed in Line 17 are permitted under the Hospital facility's policies and none of the actions were taken during the current tax year ended September 30, 2013. | Schedule H, Part V, Section B, line 18 | |
| Part VI, Line 2: In partnership with the Coalition of Western MA Hospitals, Baystate Franklin Medical Center conducted its most recent community health needs assessment (CHNA) in 2013 of the geographic areas served by the hospital pursuant to the requirements of the MA Attorney General's Community Benefit Guidelines and Section 501(r) of the Internal Revenue Code ("Section 501(r)"). The CHNA findings were made available on the hospital's website in September 2013. Per the Internal Revenue Service (IRS) and the Massachusetts Office of the Attorney General, each non-profit hospital must conduct a formal community health needs assessment (CHNA) every three-years in partnership with community organizations and individuals across the hospital's service area. The aim is to identify community assets as well as the critical gaps/needs in public health resources and the weak connections between medical care and community care. This "gaps analysis" assists Baystate Health's Board of Trustees and senior managers in developing community benefit policy, which targets our charitable resources in focused areas. These areas frame existing community benefit programs, assist in transforming community service activities to comply with the IRS and MA Attorney General's criteria, and set priorities in the design of new programs. The CHNA is the basis for developing accountable community benefit programs. In an ideal situation, an effective and large scale community benefit program will demonstrate measurable community impacts on the health status and quality of life for residents - effectively closing gaps when current data is compared to initial CHNA baseline indicators. At a more practical program level, the CHNA guides a "theory of change" - linking health needs to community benefit efforts to desired program and community outcomes. BFMC's CHNA began by identifying the communities served by the hospital. Findings are based on various quantitative analyses regarding health-related needs in those areas, a review of health assessments conducted by other organizations in recent years, information obtained from interviews, and findings from a community survey. Preliminary assessment findings were discussed with community stakeholders during a series of "listening sessions" and feedback from participants helped validate findings. Finally, Verite applied a ranking methodology to help prioritize the community health needs identified by the assessment. Including multiple data sources and stakeholder views is important when assessing the level of consensus that exists regarding priority community health needs. If alternative data sources including interviews support similar conclusions, then confidence is increased regarding the most problematic health needs in a community. Further information about the analytic methods and prioritization process and criteria can be found in the hospitals 2013 CHNA report. The list that follows describes the health needs identified throughout the assessment as priorities in the community served by Baystate Franklin Medical Center. These needs are presented in alphabetical order, by category. The prioritized list identifies the 13 most problematic community health needs found by this assessment. Needs were determined by synthesizing findings from multiple data sources.Access to Care: Lack of Affordable and Accessible Medical CareNeed for Care CoordinationHealth Literacy and Knowledge of Available Services Dental Health:Lack of Access to Dental Care Health Behaviors:High Rates of Alcohol, Tobacco, and Drug Use, and Need for Additional TreatmentMaternal and Child HealthSmoking during PregnancyChild AbusePediatric DisabilityMental Health:Lack of Access to Mental Health Services and Poor Mental Health StatusMorbidity and Mortality:High Obesity RateHigh Rates of Asthma in School childrenSocial and Economic Factors:Basic Needs Insecurity: Financial Hardship, Housing, and Food AccessPhysical and Social IsolationBaystate Franklin Medical Center's Community Benefit Advisory Council and the Baystate Health's Board of Trustees are actively involved in overseeing community benefit programs and expenditures. In July 2010, the Baystate Health Board of Trustees assigned oversight of community benefits to the Board's Governance Committee. Through its regular board meetings, internal hospital meetings and leadership activities, Baystate Health is actively involved in shaping community benefits provided by the system. For FY 2013 the system's Vice President for Government and Community Relations and Public Affairs, under the direction of the Sr. Vice President for Strategy & External Relations, supervised the Director of Community Health Planning and Manager of Community Relations and Community Benefit. In addition, the Director and Manager work collaboratively with the Regional Director of Public Affairs & Communications for Baystate Health Northern and Eastern Regions to oversee the hospitals' community benefit planning, community health needs assessments, annual program data collection, and state and federal reporting of community benefit.The Baystate Health Board Governance Committee meets minimally two times per year and is charged with advocating for community benefit at the Board level and throughout the health system; integrating the three (3) hospital-specific community benefit plans into the health system's strategic plan; periodic review of community health needs assessment data; approval of a community benefit mission statement and health priorities; review impact of community benefit programs in promoting health of the community; and ensure community benefit programs are in compliance with guidelines established by the MA Attorney General and IRS. Annually, Baystate Health's Vice President for Government and Community Relations and Public Affairs and the Director of Community Health Planning present a system-wide community benefit update to the full Board of Trustees. In 2013, Baystate Franklin Medical Center's Community Benefit Advisory Council (CBAC) continued to meet monthly and grow its membership. Through the community health initiatives funding and community health needs assessment, the hospital engaged more internal and community stakeholders who took a liking to the hospitals community benefit planning efforts. The CBAC continues to bring a community lens and filter for the hospital's health priorities. The CBAC provides a community perspective on how to increase wellness and resilience opportunities for optimal health for an entire population; guidance in matching Baystate Franklin Medical Center resources to community resources, thus making the most of what is possible with the goal to improve health status and quality of life; and policy advocacy to assure and restore health equity by targeting resources for residents. Participants on the CBAC for Baystate Franklin Medical Center represent Franklin County and the North Quabbin region's constituencies and communities that the hospital serves. CBAC members are responsible for reviewing community needs assessment data and use this analysis as a foundation for providing the hospital with input on its community benefit planning process. | ||
| Part VI, Line 3: Baystate Franklin Medical Center (BFMC) is committed to ensuring that patients in its community have access to quality health care services with fairness and respect without regard to the patients' ability to pay. BFMC recognizes that the cost of necessary health care services can impose a significant financial burden on patients who are uninsured or underinsured and acts affirmatively to lessen that burden by offering patients in need the opportunity to apply for free or reduced cost services. BFMC not only offers free and reduced cost care to the financially needy as required by law, but has also voluntarily established discount and financial assistance programs that provide additional free and reduced cost care to more patients residing within the communities served by BFMC. Baystate Franklin Medical Center recognizes that the billing and collection process can be bewildering and burdensome for patients and has implemented procedures to make the process understandable for patients; to inform patients about discount and financial assistance options; and to ensure that patients are not subject to aggressive collection activities. Consistent with its patient commitment BFMC is required to maintain a credit and collection policy that reflects its patient billing and collection procedures and complies with applicable state and federal laws and regulations. Baystate Franklin Medical Center has Financial Counselors available to help patients apply for available financial assistance programs that may cover unpaid hospital bills, including a variety of federal and state programs as well as financial assistance through Baystate Franklin Medical Center. BFMC Financial Counselors have all been trained and certified by the state as Certified Account Counselors to assist patients in applying for available state and federal programs. BFMC is committed to ensuring that patients or prospective patients in the community are aware of financial assistance programs. For uninsured or underinsured patients, BFMC will assist in applying for available financial assistance programs. To assist patients the hospital provides all patients with a general notice of the availability of programs in both the initial bill sent to patients as well as in general notices posted throughout the hospital. The goal of these notices is to assist patients in applying for coverage within a financial assistance program. When applicable, BFMC also assists patients in applying for coverage of services as a Medical Hardship based on the patient's documented income and allowable medical expenses. BFMC provides, upon request, specific information about the eligibility process to be a Low Income Patient under either the Massachusetts Health Safety Net Program or additional assistance for patients who are low income through BFMC's own internal financial assistance program. BFMC also notifies patients about available payment plans based on their family size and income. Signs are posted around the hospital to notify patients of the availability of financial assistance programs. Signs are clearly visible in the hospital's service area: they are 8-1/2 x 11 inches and the Header print font is 32 pts. Notice of availability of financial assistance programs are posted in the following locations; inpatient, clinic, emergency department admissions and/or registration areas, central admission/registration area, patient financial counselor areas and business office areas that are open to patients. Our Credit and Collection Policy is posted on the baystatehealth.org website. The goal of posting the Credit and Collection Policy is to ensure that patients or prospective patients in our community are aware of our financial assistance programs. Baystate Franklin Medical Center's Credit and Collection Policy was developed in partnership with Health Care For All, a Massachusetts non-profit organization dedicated to making adequate and affordable health care accessible to everyone, regardless of income, social or economic status. | ||
| Part VI, Line 4: Baystate Franklin Medical Center, located in Greenfield, Massachusetts, is a 90-bed acute care community hospital. Our top priority is giving Franklin County and the North Quabbin Region the clinical excellence, advanced technology, neighborly warmth and convenience of a community hospital. The community served by the hospital is defined based on the geographic origins of the hospital's discharges. The hospital's community is comprised of 33 ZIP codes covering 30 towns: Ashfield, Athol/Phillipston, Bernardston/Leyden, Buckland, Charlemont/Hawley, Colrain, Conway, Deerfield, Erving, Gill, Greenfield, Heath, Leverett, Monroe, Montague, New Salem, Northfield, Orange, Petersham, Rowe, Royalston, Shelburne Falls, Shutesbury, Sunderland, Warwick, Wendell, and Whately. The overall community includes Franklin County and the contiguous parts of northwestern Massachusetts and includes a total population of 87,984. In 2012, the community served by the hospital was comprised of 94.3% White residents, 1.1% African American residents, 3.4 % Latino residents and 2.1% Asian residents. The Latino community of Hampden County is concentrated in the cities of Holyoke and Springfield, while the African-American community is concentrated in Springfield. In all, 81% of all Latino residents of Hampden County live in either Springfield or Holyoke. Non-White populations are expected to grow faster than White populations in the community. The Asian, American Indian, Black, and Other are expected to have the fastest growth. The growing diversity of the community is important to recognize, given the presence of health disparities. For FY 2013 BFMC's ethnic mix of inpatient & outpatient patients included 94% White; 3.7% Hispanic; 1.6% Black; 0.8% Asian; 0.3% Native American; 1.4% Other. BFMC's payer mix of patients included 48.13% Medicare; 20.25% Medicaid; 26.97% Managed Care; 0.79% Non-Managed Care; 3.85% Other. In FY 2013 BFMC had 23,596 Emergency Department visits. Payer mix for ED visits included 17.47% Medicaid; 5.00% Free Care; 14.76% Healthnet; 4.48% Commonwealth Care; 58.29% Other.The towns of Greenfield, Orange and Montague (pop. 17,582, pop. 8,072 and pop. 8,501 respectively) make up nearly 40% of the Franklin County's population. The four Worcester County towns in the North Quabbin area are anchored by the town of Athol (pop. 13,272). In the past, these population centers were the "mill towns" of the region, supported by textiles and light manufacturing and surrounded by small farming communities. In the last thirty years the manufacturing base of the region has dissipated. Over the last three decades, Massachusetts has experienced a technology-based economic boom that completely bypassed the western part of the state. Unfortunately, the residents of the BFMC 30-town communities now suffer an economic downturn that has not bypassed them. Nationwide and in Massachusetts, poverty rates are higher in rural areas than in metropolitan areas. Rural-based adults have less formal schooling, and a greater share derive their livelihood from low-skill, low-wage jobs. The lower population density in our rural community makes it much more difficult to have all support services -- public transportation, education and job training, child care, emergency services, and health and mental health care -- available and easily accessible. Much of BFMC service area has Medically Underserved Area or Population (MUA/P) designation from the Health Resources and Services Administration (HRSA) while the major towns have Health Professional Shortage Area (HPSA) designation. | ||
| Part VI, Line 5: Baystate Franklin Medical Center has a responsibility to respond to health care needs unsupported by government programs. In exchange for this responsibility, BFMC qualifies for tax-exempt status under 501(c)(3). However, providing hospital care alone is not enough to qualify for tax-exempt status. Hospitals also must operate in the public interest and provide programs that benefit the community. Baystate Franklin Medical Center is fully committed to its role in the community and serves with pride and compassion for people in need.The charitable mission of Baystate Franklin Medical Center, a member hospital of Baystate Health (BH), is to improve the health of the people in our communities every day, with quality and compassion. Baystate Franklin Medical Center's Community Benefits Mission is to reduce health disparities, promote community wellness and improve access to care for vulnerable populations. BFMC is committed to meeting the identified health and wellness needs of constituencies and communities served through the combined efforts of Baystate Health's member organizations, affiliated providers, and community partners.Baystate Franklin Medical Center meets all of the factors required of medical facilities in order to maintain tax exemption, as first described in Revenue Ruling 69-545. In support of patient care and the medical needs of the communities served by Baystate Franklin Medical Center, medical staff membership and privileges are extended to all qualified physicians and practitioners in western Massachusetts who meet the requirements for credentialing and clinical privileges, whether employed by a related Baystate entity or community-based. Baystate Franklin Medical Center's emergency department is open to all in need of care and services; no one requiring emergency care is denied treatment. In addition, surplus funds from operations are generally applied, as permitted, to the following; improvements in patient care, expansion and renovation of existing facilities, purchase and replacement of equipment, debt service, expenses associated with training of physicians and other health care professionals, professional development of medical and other clinical staff, and the support of scientific, translational, and clinical research.Baystate Health's volunteer Board of Trustees, the governing body of the organization and its affiliates, is comprised of the President and Chief Executive Officer of Baystate Health and up to twenty-two (22) other elected Trustees who are representative of the broad range of interests which exist in the communities served by Baystate Health and its affiliates. The Governance Committee oversees the nomination of Trustees and submits recommendations to the Board of Trustees for membership on the various Board committees. In considering nominations or recommendations for trustees, directors, committee members or officers the Governance Committee select nominees who are representative of the various and diverse constituencies served by Baystate Health and its affiliates. In particular the Committee nominates persons who are representative of the community consumer interests of the various neighborhoods and localities which are served by Baystate Health and its affiliates in the carrying out of and pursuant to the charitable mission of the Baystate Health and its affiliates.The Patient and Family Advisory Council (PFAC) at Baystate Franklin Medical Center is a highly engaged group. The twelve member committee, representing a cross-section of our community, meets four times per year. Since the inaugural meeting of our PFAC in April 2010, the council has had the opportunity to learn about, provide feedback and advise the hospital on hospital policies, programs and services. The council provides hospital leadership with an enhanced understanding of how to improve quality, program development, service excellence, communications, patient safety, facility design, patient and family education, patient and family satisfaction and loyalty. Specific advice on varied matters such as the selection of patient beds, parking lot improvements, and the channel selections for our inpatient televisions have proved to be very beneficial. The council members have an obvious camaraderie and a deep respect and commitment to their roles and the hospital.Please refer to the section above in line 2 for additional examples of Baystate Franklin Medical Center's responsiveness to the community and opportunities for community involvement; including the Board of Trustees Governance Committee, Community Benefits Advisory Council, and Community Health Needs Assessment. For additional information, please see Line 6 below. | ||
| Part VI, Line 6: Baystate Health, Inc. is the parent entity of a multi-institutional integrated delivery system composed of three hospitals and other 501(c)(3) organizations. The three hospitals include Baystate Medical Center, Baystate Franklin Medical Center, and Baystate Mary Lane Hospital and the other 501(c)(3) organizations include Baystate Medical Practices, Visiting Nurse Association and Hospice of Western New England, Inc., and Baystate Health Foundation. In addition to its nearly10,000 employees, Baystate Health has 1,729 medical staff, 2,388 nurses and 2,251 new residents and fellows, medical students, nursing students, and allied health students who gained comprehensive medical education during the year. In addition, 1,044 volunteers and auxiliary members donated 101,162 hours to Baystate Medical Center, Baystate Franklin Medical Center, Baystate Mary Lane Hospital and Baystate Visiting Nurse Association & Hospice.Baystate Medical Center (BMC), the flagship 773-bed hospital (including Baystate Children's Hospital) based in Springfield, Massachusetts is Western New England's only tertiary care referral medical center, Level 1 trauma center and neonatal and pediatric intensive care units. BMC serves as a regional resource for specialty medical care and research, while providing comprehensive primary medical services to the community. BMC's community benefit efforts included providing assessment, treatment and crisis support to child abuse victims and their non-offending caretakers affected by child abuse and domestic violence in western Massachusetts, offering enrichment and career development programs for disadvantaged Springfield students, ensuring cohesive health care for school-aged children and the broader community, prevention of accidental childhood injuries and death through public awareness, safety education and distribution of safety devices, coordination of health education focus groups, community health forums and fairs, supporting transgender individuals, their allies and anyone from the broader community who identifies as LGBT through a peer lead and psychosocial support group, providing TB diagnosis and treatment to patients throughout western Massachusetts, and providing financial counseling services to inpatient and outpatient individuals who have concerns about how to pay for care. Baystate Franklin Medical Center (BFMC), a 90-bed facility located in Greenfield, Massachusetts (40 miles north of Springfield near the Vermont border) provides high quality inpatient and outpatient services to residents of rural Franklin county and the North Quabbin region. Inpatient services include behavioral health, intensive care, medical-surgical care, and obstetrics/midwifery. Outpatient services include cardiology, emergency medicine, gastroenterology, general surgery, neurology, oncology, ophthalmology, orthopedics, pediatrics, physical medicine & rehabilitation, pulmonology & sleep medicine, sports medicine, vascular surgery, wound care & hyperbaric medicine. BFMC's community benefit efforts included the ongoing support group through the Franklin County Postpartum Partnership - a partnership initiated by BFMC nurses; expanded senior outreach program to focus on persons most at-risk for hospital readmission due to issues with medication management; and continued the regionally recognized Blood & Guts program for youth, including an annual hospital-based event for high school students and three school-based events for elementary school students and their families. In addition, BFMC HealthBeat TV, a monthly 30-minute cable access talk show produced, directed and hosted by Baystate Franklin employees, engages the hospital's physicians, employees, patients and community leaders in discussions of interest to residents of Franklin County. Topics range from heart health, emergency response to senior outreach. The program runs more than 60 times a month on stations throughout the county.Baystate Mary Lane Hospital (BMLH), a 25-bed facility located in rural Ware, Massachusetts (20 miles east of Springfield) provides quality patient care services to communities in Hampshire, Hampden and Worcester counties. Inpatient services include critical care and medical-surgical care. Outpatient services include cancer care, cardiology, children's medicine, emergency medicine, endocrinology and diabetes, gastroenterology, infectious disease, obstetrics and gynecology, orthopedics, physical medicine and rehabilitation, pulmonary medicine, senior care, surgery, urology, and women's health. BMLH's community benefit efforts included a continued partnership with Quality EMT Educators of Worcester to offer Basic EMT Training to community members. To date over 100 community have taken the EMT Basic Course. BMLH physicians shared their expertise beyond the walls of the hospital by offering high quality training and continuing education programs at no cost to EMS providers in our communities. The close working relationship between Emergency Physicians and EMS providers is essential to ensuring that patients receive the highest quality care in the field. BMLH provided critical support and resources to the community at large through our Support Groups including; Alcoholic Anonymous, Caregivers Support Group, Quilting Support Group for those touched by Cancer, Diabetes Support Group, Grieving Support Group, Hepatitis C Support Group & WIC Sponsored Breast Feeding Support Group. In addition, BMLH and its staff offered over 100 outreach programs providing a variety of education and wellness seminars to the community at large at no cost. These programs were presented by physicians, nurses and staff that work at the hospital and addressed ways to live healthier by offering a variety of educational opportunities and health screening. Lectures and screenings were offered at the hospital and in community settings including area schools and senior centers, and promoted disease prevention, behavior change, and healthier lifestyles for community members of all ages. In addition, BMLH HealthBeat TV, a monthly 30-minute cable access talk show produced, directed and hosted by Baystate Mary Lane Hospital employees, engages the hospital's physicians, employees, patients and community leaders in discussions of interest to residents of the 15-town Quaboag Hills region. Topics range from winter health safety, cancer, Lyme disease to stroke awareness. The program runs more than 60 times a month.Baystate Medical Practices (BMP) is a tax-exempt, not-for-profit corporation organized to support and assist Baystate Health and its affiliate hospitals, including BMC, BFMC and BMLH, each of which is a Massachusetts not-for-profit corporation, in achieving the fulfillment of their clinical, teaching, research, and other missions related to health care. 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 and consistent with BH and BMP policy, BMP may provide such care free of charge or at amounts below its normal charges. In FY 2013 BMP provided $4,120,580 in charity care. 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. 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. | ||
| Visiting Nurse Association and Hospice of Western New England, Inc. (VNAH) based in Springfield, Massachusetts is a tax-exempt, not-for-profit corporation organized to support and assist Baystate Health and its affiliate hospitals, including BMC and BMLH, each of which is a Massachusetts not-for-profit corporation, in achieving the fulfillment of their clinical, teaching, research, and other missions related to health care. VNAH is a comprehensive home health care agency committed to providing the highest quality care to patients and families, primarily in the home setting. VNAH has the expertise to meet individual needs by bringing experienced nurses, rehabilitation therapists, social workers and home care aides to patients' homes. The Home Care Program of Baystate's Visiting Nurse Association and Hospice serves over 6,000 home health and hospice patients annually of which approximately 1,000 are on service daily. The services, aimed at allowing patients to recuperate while remaining in the comfort of their homes, includes skilled nursing, rehabilitation therapy, medical social work and homecare aides. The Hospice and Palliative Care Program of Baystate's Visiting Nurse Association and Hospice provides end of life care for patients in the community, assisted living facilities and skilled nursing facilities. The Hospice and Palliative Care program coordinates care for an average daily census of about 175 patients of all ages. In FY 2013 there were approximately 120,000 home health, hospice and palliative visits rendered by Baystate Visiting Nurse Association & Hospice nurses. Hospice has an interdisciplinary approach using nursing, social work, chaplains, hospice aides and volunteers to allow patients to meet goals related to comfort and symptom management. Baystate Health Foundation raised $1 million in 2013 for the Baystate Children's Specialty Clinic and an additional $3.1 through system wide annual fundraising efforts. Along with the Campaign for Baystate Children's Specialty Center, the Foundation actively engaged in annual fund, major gift, and event fundraising to ensure ongoing annual support for education, research, programs and capital needs throughout the health system that impact patient care throughout western Massachusetts.In addition to the brief descriptions of the affiliated entities above, this further information speaks to activities of Baystate Health and its affiliates regarding promotion of community health.In FY 2013 Baystate Health's Interpreter and Translation Services provided over 156,000 sessions in 49 languages to help deliver a positive patient care experience. In addition, nearly 4,000 pages of documents, signs and clinical research were translated for providers. Interpreter sessions included in person, telephonic and video interpreting for American Sign Language. Languages interpreted include Spanish, Russian, Vietnamese, Ukrainian, Mandarin (Chinese), American Sign Language, Arabic and Portuguese. Interpreters also translated the newest language to come into the area, Tigrinya, a language spoken in Ethiopia and Eritrea.Baystate Health contracts with local agencies to provide in-person interpreter services as needed for patients who come to the hospital for pre-scheduled appointments or for emergencies. The hospital has in place a telephonic interpreting system by which any staff member can pick up any house phone, dial an internal extension and be nearly immediately connected to a national telephonic interpreting agency that provides trained and competent interpreters for over 200 languages. BH also subscribes to software called Care Notes by Micromedex that provides information on illnesses for patients or their family members in 15 languages and the documents are written at a 5th grade reading level. Similarly, BH purchased software called Exit Writer from Krames that was integrated into the patient's electronic medical record. Information in 15 languages about illnesses and aftercare instructions can be provided to patients and their family members and be documented in the patient's electronic medical record as patient education automatically. Baystate Health Interpreter Services also assisted the City of Springfield Fire Department with the translation of fire safety documents and to provide fire safety education in Spanish, Russian, Vietnamese and Nepali. Immigrants and refugees were carrying over cooking practices from their home countries and kitchens were catching on fire, so it proved critical to provide fire safety information in native languages.Baystate Medical Center is recognized as a leading academic medical center. As the Western Campus of Tufts University School of Medicine since 1974, BMC offers clinical training and undergraduate and graduate medical student education across all specialties. In addition to BMC, Medical Residents and Fellows rotate through Baystate Franklin Medical Center and Baystate Mary Lane Hospital.Baystate Health is a nationally accredited provider of continuing education for health care professionals, including physicians, nurses, pharmacists, mental health counselors and psychologists. We also arrange credit for other health care professionals. Baystate provides both live and web based courses. Our educational activities are designed for Baystate staff and non Baystate health care professionals throughout Western New England. Our mission is to provide high-quality, evidence based continuing education to maintain and enhance the knowledge, expertise, and performance of health care professionals, to improve the health of the people in our communities every day, with quality and compassion. In 2013, Baystate Health provided 214 courses and series for a total of 1,239 hours of continuing education instruction. A total of 17,181 health care professionals attended these credit bearing activities. Our educational activities are a service to the community. Baystate Health's Midwifery Education Program is offered in collaboration with the Midwifery Institute of Philadelphia University. Through our affiliation with the Massachusetts College of Pharmacy and Health Science, we offer a one-year pharmacy residency. Baystate Health's educational partnerships allow us to offer allied health programs such as emergency medical technician (EMT), pharmacy technician and surgical technologist. For nursing we offer clinical practicums for baccalaureate, masters, or doctoral-level nursing students in affiliation with the University of Massachusetts, University of Connecticut, Yale University, and other schools of nursing. Baystate Medical Center's high quality nursing care earned re-designation as a Magnet Hospital for Nursing Excellence by the American Nurses Credentialing Center (ANCC) - one of 170 in the nation and only five in Massachusetts. As an academic teaching hospital and the Western Campus of Tufts University School of Medicine, Baystate Medical Center is a center for research. Strong partnerships with other research organizations allow BMC to further its institutional commitment to improve the health of the community through research and education. Collaborations enable Baystate Health to better support the innovative research of our investigators and to improve the lives of the people in the communities we serve. Baystate Medical Center is an active participant in the research communities of Massachusetts and a member institution of the state and regional organizations that also promote the goals of biomedical research. Its faculty and research staff are engaged in basic, clinical and biomedical research across a broad spectrum of medical and surgical specialties, with nationally-recognized research programs in quality of care. Baystate Medical Center serves as a regional resource for specialty medical care while providing comprehensive primary medical services to its community.Baystate Medical Center is also a research partner with University of Massachusetts through the Pioneer Valley Life Sciences Institute. Formed in 2003, PVLSI is a research institution which applies its translational research efforts in the areas of cancer, diabetes, obesity, and wound healing. Its scientists and technicians are committed to improving human health and reducing suffering from disease through creative strategies for early detection and preventive interventions. Other Baystate Health affiliations include Council of Teaching Hospitals and Health Systems (COTH) of the Association of American Medical Colleges (AAMC), Alliance of Independent Academic Medical Centers (AIAMC), and Group on Regional Medical Campuses (GRMC) of the Association of American Medical Colleges (AAMC), Joint Commission and Medical Library Association (MLA). | (Continued) | Form 990, Schedule H, Part VI, Line 6 |
| Baystate Health and its affiliates are committed to creating healthier communities and continue to partner with members of the community to ensure we are meeting the diverse needs of the community. Baystate Health extends the traditional definition of "health" to include economic opportunity, affordable housing, quality education, safe neighborhoods, food security, arts/culture and racism and homophobia free communities -- all elements that enable families and communities to thrive. In keeping with this commitment to improve health Baystate Health and its affiliates provide a range of community benefits including support groups, financial counseling and assistance and other health and wellness programs. As an integrated delivery system BH provides further benefits to the hospital's community by coordinating within and among its various entities.Baystate Health and its affiliates are committed to providing the communities they serve throughout western Massachusetts with the resources necessary to stay informed and healthy by providing both basic and extensive educational opportunities such as parent education classes, including our new program "Baystate's New Beginnings". Also offered are teen programs, including Teen CPR and Babysitter's Academy. Some classes are free while others are offered at a reasonable fee. No one is turned away due to inability to pay. Baystate Health offers many free parenting support groups (breastfeeding, new parents, and toddler groups) each month. In addition, Baystate Health has libraries and resource centers at Baystate Medical Center and Baystate Franklin Medical Center staffed by professionals who help patients, families and the general public access reliable health information.The Mini-Medical School program is an eight-part health education series offered at Baystate Medical Center featuring a different aspect of medicine each week. Designed for an adult audience, each course is taught by an energetic faculty member who will explain the science of medicine without resorting to complex terms. Mini-Medical School gives Baystate Health the opportunity to open our doors to the public and share our knowledge of medicine in a comfortable and friendly environment. Many of the students participate due to a general interest and later find that many of the things they learned over the semester are relevant to their own lives. The goal of this program is to help members of the public make more informed decisions about all aspects of their health care while receiving insight on what it's like to be a medical student. Tuition is $95 per person, $80 for Senior Class and Spirit of Women members. Baystate Health offers 50+ free programs to seniors and women. Baystate Health Senior Class is a loyalty program dedicated to health and wellness for men and women ages 55 and over. The 23,000 Senior Class members receive a quarterly newsletter with valuable health information, benefits and invitations to special events designed with their interests in mind. Baystate Spirit of Women Loyalty Program offers its 15,000 members 50+ monthly seminars with direct access to physicians, nurses and other medical professionals and the latest women's health information. The program is designed to increase knowledge of women's health issues so they are well prepared to make the best decisions regarding their health.The Baystate Neighbors Program, which began in 1999, was established to help employee first-time homebuyers purchase a home and to promote homeownership in neighborhoods around Baystate Medical Center, Baystate Franklin Medical Center, and Baystate Mary Lane Hospital. Employees were granted forgivable loans, which increased from $5,000 to $7,500 in 2006, that may be used towards a down payment or closing costs. In the past 13 years, the Baystate Neighbors Program has awarded 131 loans, a total of $898,473.08, to help employees become homeowners in communities served by Baystate Health hospitals, helping to stabilize housing in those communities. Specific to FY 2013, 15 neighbor loans were awarded, for a total of $112,500.Since 1994, Rays of Hope - A Walk & Run Toward the Cure of Breast Cancer has been committed to improving the breast health of people in our communities with quality and compassion. Through the Baystate Health Foundation, the Walk has grown from 500 participants to over 24,000. Now in its 21st year, Rays of Hope has raised nearly $12 million - all of which has been awarded locally throughout western Massachusetts. 2009 marked the first year the event expanded into Franklin County. Funding benefits programs through the Baystate Health Breast Network including Baystate Medical Center in Springfield, Baystate Franklin Medical Center in Greenfield, Baystate Mary Lane Hospital in Ware, outreach and education, and various community support projects and organizations. Funding also supports the Rays of Hope Center for Breast Cancer Research at the Pioneer Valley Life Sciences Institute, a collaboration between clinicians at Baystate Health and scientists at UMass-Amherst, to continue locally based breast cancer research on a broader scale.The United Way develops and supports programs that directly improve the lives of people in our communities, a mission proudly shared by Baystate Health. Baystate Health is a strong supporter of the United Way, and a major contributor to the organization with three workforce campaigns and thousands of employee donors and volunteers. Baystate Health's contributions help the United Way serve our families, friends, colleagues and others who seek help in different ways and at different times in their lives. Three community campaigns are held annually: Springfield workplace to support the United Way of Pioneer Valley, Greenfield workplace to support the United Way of Franklin County and Ware workplace to support the United Way of Hampshire County. Employees can direct their donations to one or all of the United Way's action areas: Education, Income and Health or designate to a qualified agency with a minimum contribution. Baystate employees also support the United Way by volunteering on work time to participate in a variety of community-based projects for the United Way Day of Caring. Baystate Health employees once again donated generously to the United Way of the Pioneer Valley in 2013, raising a total of $410,000. Baystate Franklin Medical Center employees raised $32,000 for the United Way of Franklin County. Baystate Mary Lane Hospital employees raised $15,769 for the United Way of Hampshire Country.See also additional information regarding Baystate Health, Inc. and its affiliates promotion of community health above in Line 5. | (Continued) | Form 990, Schedule H, Part VI, Line 6 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Grace P Makari-Judson MD | ||||||||||||||
| Trustee/ Hematologist M. D | 276505 | 0 | 30232 | 0 | 23240 | 0 | 44062 | 0 | 26979 | 0 | 401018 | 0 | 0 | 0 |
| Alan D McClelland MD | ||||||||||||||
| Trustee 10/1 - 12/31/12; Surgeon | 305681 | 0 | 14784 | 0 | 3189 | 0 | 27003 | 0 | 16655 | 0 | 367312 | 0 | 0 | 0 |
| Sara A Rourke MD | ||||||||||||||
| Trustee; Med Director BFMC | 163039 | 0 | 34068 | 0 | 354 | 0 | 8235 | 0 | 21155 | 0 | 226851 | 0 | 0 | 0 |
| Barbara W Stechenberg MD | ||||||||||||||
| Trustee/ Infectious Disease | 132412 | 0 | 12299 | 0 | 9 | 0 | 22132 | 0 | 10463 | 0 | 177315 | 0 | 0 | 0 |
| Mark R Tolosky | ||||||||||||||
| Trustee; President & CEO, BH | 0 | 697835 | 0 | 441536 | 0 | 415673 | 0 | 28089 | 0 | 31211 | 0 | 1614344 | 0 | 0 |
| Charles Gijanto | ||||||||||||||
| President, BFMC | 0 | 314191 | 0 | 82496 | 0 | 43906 | 0 | 80649 | 0 | 23621 | 0 | 544863 | 0 | 9037 |
| Dennis W Chalke | ||||||||||||||
| Treasurer | 0 | 365785 | 0 | 155550 | 0 | 202350 | 0 | 28000 | 0 | 24277 | 0 | 775962 | 0 | 0 |
| Gerda Maissel MD | ||||||||||||||
| CMO - Northern Region | 276504 | 0 | 45261 | 0 | 21386 | 0 | 35636 | 0 | 16094 | 0 | 394881 | 0 | 0 | 0 |
| David M Farrick | ||||||||||||||
| COO BFMC | 138696 | 0 | 29616 | 0 | 376 | 0 | 0 | 0 | 13273 | 0 | 181961 | 0 | 0 | 0 |
| Deborah A Palmeri | ||||||||||||||
| CNO/Dir Patient Care Servi | 139675 | 0 | 16605 | 0 | 1259 | 0 | 21126 | 0 | 16347 | 0 | 195012 | 0 | 0 | 0 |
| Regina O Campbell | ||||||||||||||
| Dir Quality & Risk Managem | 114598 | 0 | 13855 | 0 | 4300 | 0 | 22771 | 0 | 13698 | 0 | 169222 | 0 | 0 | 0 |
| Brian P Joyce | ||||||||||||||
| Manager FMC Pharmacy | 121765 | 0 | 0 | 0 | 499 | 0 | 41237 | 0 | 18431 | 0 | 181932 | 0 | 0 | 0 |
| Keith C McLean-Shinaman | ||||||||||||||
| Former Treasurer | 0 | 0 | 0 | 0 | 0 | 298986 | 0 | 0 | 0 | 10208 | 0 | 309194 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | The board of the filing organization has appointed the compensation committee of Baystate Health, Inc., a related organization and the parent organization of the health care system to which the filing organization belongs, as the compensation committee of the filing organization. The compensation committee consists entirely of individuals serving on the board of the filing organization. The compensation committee uses an independent compensation consultant and appropriate comparability data to establish the compensation of the organization's key officers, directors, and employees, which includes the filing organization's top management officials, and approves the compensation of those individuals. |
| Part I, Lines 4a-b | Line 4a: Keith McLean-Shinaman terminated employment effective 9/30/2011. The compensation numbers include various one time termination payments. Line 4b: Dennis W. Chalke - Supplemental Retirement of $127,250 is included in column E. This amount was earned in 2012. Charles Gijanto - Supplemental Retirement of $15,378 is included in column E. This amount consists of $6,341 that was earned in 2012 as well as $9,037 non-vested amounts that were earned in the previous 4 years and previously reported each year as deferred compensation, and now included again in accordance with reporting requirements. Gerda Maissel, MD- Supplemental Retirement of $8,687 is included in column E. This amount was earned in 2012. Grace Makari-Judson, MD- Supplemental Retirement of $8,900 is included in column E. This amount was earned in 2012. Allan McClelland, MD- Supplemental Retirement of $7,003 is included in column E. This amount was earned in 2012. Mark R. Tolosky - Supplemental Retirement of $351,665 is included in column E. This amount was earned in 2012. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MA Health and Educ Facil Auth - Ser M4 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 042546011 | IssuerEIN |
| Date Issued | 2005-02-11 | DateIssued |
| Issue Price | 9100000 | IssuePrice |
| Description Of Purpose | MHEFA Series M-4; See Part VI | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 1 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 2737724 | AmountRetired |
| Total Proceeds | 9766531 | TotalProceeds |
| Amount In Reserve Fund | 62986 | AmountInReserveFund |
| Issuance Costs From Proceeds | 45500 | IssuanceCostsFromProceeds |
| Capital Expenditures | 9630031 | CapitalExpenditures |
| Other Spent Proceeds | 28014 | OtherSpentProceeds |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | 1 | EngageBondCounselContracts |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00730 | PrcntgePrvtBusinessUseByOthers |
| Total Private Business Use | 0.00730 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 1 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 1 | NoRebateDue |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 1 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 1 | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Part I, Column (f) Description of Purpose (continued): Part I, Column (f) Description of Purpose (continued): A - MHEFA Capital Asset Program Series M-4 Per the Official Statement, the purpose of the bond are three projects ("The Project") all to be owned and operated by Franklin Medical Center, to be located at 164 High Street, Greenfield, Massachusetts, consisting of: (a) the renovation and expansion of the radiology department (including a CAT scan suite, three mammography rooms and one ultrasound room) and the emergency department; (b) acquisition of equipment for the radiology department (including one CAT scan and one mammography unit) and for the emergency department; and (c) the renovation of approximately 28,400 square feet of inpatient units. The HEFA indebtedness listed is a pool loan therefore Parts I, II, III, IV (Lines 5-7) are being answered with respect to Baystate Franklin Medical Center's pool loan alone rather than with respect to proceeds loaned to other conduit borrowers. The actual date of issue of the MHEFA Series M4 bonds that funded BFMC's loan was 11/4/2004, and the CUSIP number shown on Form 8038 was 57586CDX0. Part IV, Line 2c, The Issuing Authority engages an outside consultant to prepare rebate computations. As of the first computation date, 11/3/2009, no rebate was owed. The cumulative rebate amount is still zero as of the outside consultants' most recent report, dated 12/17/2013. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Baycare Health Partners Inc (BHP) | |||
| Common Board Members or Officers | 35000 | See Part V - The filing organization made payments to BHP for annual support fees. BHP is an affiliate corporation of the filing organization. | 0 |
| Baycare Health Partners Inc (BHP) | |||
| Common Board Members or Officers | 88355 | See Part V - The filing organization received payments from BHP for patient care services for which BHP is the intermediary between the filing organization. BHP is an affiliate corporation of the filing organization. | 0 |
| Baystate Health Insurance Company Ltd (BHIC) | |||
| Common Board Members or Officers | 115000 | See Part V - The filing organization made payments to BHIC for Retrospective pass-thru premiums. BHIC is an affiliate corporation of the filing organization. | 0 |
| Health New England Inc (HNE) | |||
| Common Board Members or Officers | 9819815 | See Part V - The filing organization received payments of $9,254,815 related to medical claims and $565,000 Surplus Sharing payments from HNE. HNE is an affiliate corporation of the filing organization. | 0 |
| Franklin MRI Center LLC (FMRI) | |||
| Common Board Members or Officers | 124409 | See Part V - Dennis W. Chalke, Treasurer and Charles Gijanoto, President of the filing organization are also on the board of directors of Franklin MRI Center, LLC. (FMRI). The filing organization paid FMRI for patient care services. FMRI is an affiliate entity of the filing organization. | 0 |
| Franklin MRI Center LLC (FMRI) | |||
| Common Board Members or Officers | 453900 | See Part V - Dennis W. Chalke, Treasurer and Charles Gijanto, President of the filing organization are also on the board of directors of Franklin MRI Center, LLC. (FMRI). The filing organization received $400,000 in partnership distributions, $53900 for rental of medical and office space. The filing organization received $166 representing refund for contractor services. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 1 | a. The filing organization has a standing executive committee, which is entitled to act between meetings of the Board, on all matters as to which the Board is entitled to act and permitted by law to delegate to a committee. The members of the executive committee are the same individuals serving on the executive committee of Baystate Health, Inc. b. Four members of the Board of Trustees of the filing organization are not considered independent as a result of their service on the board of an affiliate of the filing organization. | |
| Form 990, Part VI, Section A, line 2 | Gregory L. Braden, MD, Dennis W. Chalke, Ruth H. Constantine, Charles L. D'Amour, John H. Davis, Kristin R. Delaney, John A. Egelhofer, MD, Charles Gijanto, John E. Kole, Grace P. Makari-Judson, MD, John E. Maybury, Steven M. Mitus, John M. O'Brien, III, Ann M. Paradis,Robert L. Pura, PhD, Katherine E. Putnam, Timothy S. Rice, Sara Rourke, MD, James P. Sadowsky, Patricia A. Sheldon, David C. Southworth, Barbara W. Stechenberg, MD, Richard B. Steele, Jr., Katherine M. Sullivan, Mark R. Tolosky,, Howard G. Trietsch, MD, 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) Katherine E. Putnam and David Southworth (2) Richard B. Steele, Jr. and Katherine McG. Sullivan (3) Steven M. Mitus, Robert L. Pura, PhD and Richard B. Steele, Jr. (4) Charles D'Amour, John F. Maybury and Mark R. Tolosky (5) Dennis W. Chalke and Charles Gijanto (6) John M. O'Brien, III and Victor Woolridge | |
| Form 990, Part VI, Section A, line 3 | Baystate Franklin Medical Center is affiliated with Baystate Administrative Services, Inc. (BAS) which is a 501(c) (3) organization. Various management and support functions are delegated to BAS. | |
| Form 990, Part VI, Section A, line 6 | The filing organization has one member, Baystate Health, Inc. (BH). | |
| Form 990, Part VI, Section A, line 7a | The Board of Trustees of the filing organization are the same individuals serving as members of the Board of Trustees of BH with the addition of the president of the medical staff of the filing organization. The Board of Trustees of BH are elected annually by the Board of Trustees of BH at their annual meeting. | |
| Form 990, Part VI, Section B, line 11 | 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), 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 prior to filing by the Audit and Compliance Committee of Baystate Health, Inc., which also includes some of the officers and trustees of the filing organization. The Form 990 was provided to all members of the Board of Trustees prior to filing. | |
| Form 990, Part VI, Section B, line 12c | Baystate Health, Inc. (BH) has a comprehensive conflict of interest policy which has been adopted by the filing organization. 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 BH Chief Compliance Officer, the BH Chief Executive Officer, the Chair of the BH Board of Trustees, and the Chair of the Audit & Compliance Committee of BH. 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 15 | The compensation of the President, and all key officers and employees is reviewed and determined annually by the compensation committee of Baystate Health, Inc. (the parent organization of the health care system to which the filing organization belongs), which has been appointed as the compensation committee of the filing organization and consists entirely of individuals serving on the board of the filing organization. Form 990, Part VI, Section B, Line 16b: Baystate Health, Inc. has a joint venture policy that covers affiliated tax exempt entities including Baystate Franklin Medical Center. | |
| 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 1a, Column (B) | Individuals with reported compensation who have 10 or less average hours per week listed in Part VII, worked between 40 - 60 hours among all related entities. | Average hours per week: |
| Form 990, Part VII, Section A, Line 5 | Certain officers or trustees of the filing organization are paid by an entity, Baystate Medical Practices, Inc. (BMP) EIN 04-2888373, which is part of the health care system to which the filing organization belongs but does not meet the technical requirements as a "Related Organization" per Schedule R. Compensation from BMP to the officers and trustees of the filing organization therefore, is reported as paid from an unrelated organization in Line 5 and according to the instructions reported as though paid by the filing organization. | |
| Form 990, Part XI, line 9: | Transfer for the cost of Land, Bldg. and Equip from affiliated companies 598,708. Minimum Pension Liability adjustment 5,800,839. Change in value of benefical interest net assets BHF temporarily restricted 615,102. Change in value of benefical interest net assets BHF permanently restricted 219,464. PP & E Released from Restrictions - transfer from affiliate 106,172. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Baystate Administrative Services Inc | ||||||||||
| 759 Chestnut Street | Springfield | MA | 01199 | 222747685 | Administrative services | MA | 501 (c ) (3) | 11c, IIIc | Baystate Health Inc | 0 |
| Baystate Health Foundation Inc | ||||||||||
| 759 Chestnut Street | Springfield | MA | 01199 | 043549011 | Fundraising | MA | 501 (c ) (3) | 7 | Baystate Health Inc | 0 |
| Baystate Health Systems Inc Health & Welfare Benefits Plan | ||||||||||
| 759 Chestnut Street | Springfield | MA | 01199 | 222531644 | Voluntary Employees' Benefit Association | MA | 501 (c ) (9) | Baystate Health Inc | 0 | |
| Baystate Health Inc | ||||||||||
| 759 Chestnut Street | Springfield | MA | 01199 | 042105941 | Healthcare System Parent | MA | 501 (c ) (3) | 7 | Baystate Health Inc | 0 |
| Baystate Mary Lane Hospital Corporation | ||||||||||
| 85 South Street | Ware | MA | 01082 | 042103584 | Hospital | MA | 501 (c ) (3) | 3 | Baystate Health Inc | 0 |
| Baystate Medical Center Inc | ||||||||||
| 759 Chestnut Street | Springfield | MA | 01199 | 042790311 | Acute Care Teaching Hospital | MA | 501 (c ) (3) | 3 | Baystate Health Inc | 0 |
| Baystate Total Home Care Inc | ||||||||||
| 50 Maple Street | Springfield | MA | 01199 | 203260764 | Real Estate and Other | MA | 501 (c ) (3) | 11b, II | Baystate Health Inc | 0 |
| Visiting Nurse Assn and Hospice of Western New England Inc | ||||||||||
| 50 Maple Street | Springfield | MA | 01199 | 042105803 | Homehealth and Hospice care | MA | 501 (c ) (3) | 9 | Baystate Health Inc | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Franklin MRI Center LLC Year Ended 123112 | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 164 High Street | AddressLine1 |
| City | Greenfield | City |
| State | MA | State |
| ZIP Code | 01301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161766731 | EIN |
| Primary Activity | Management of Radiology Services | PrimaryActivity |
| Legal Domicile State | MA | LegalDomicileState |
| Share Of Total Income | 840290 | ShareOfTotalIncome |
| Share Of EOY Assets | 910224 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.50000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health New England Inc | ||||||||||||||
| Monarch Place Suite 1500 | Springfield | MA | 011441500 | 042864973 | HMO/Insurance | MA | Baystate Health Inc | C | 0 | |||||
| HNE Advisory Services | ||||||||||||||
| Monarch Place Suite 1500 | Springfield | MA | 011441500 | 043012347 | Administrative Svs | MA | Health New England Inc | C | 0 | |||||
| Health New England Insurance | ||||||||||||||
| Monarch Place Suite 1500 | Springfield | MA | 011441500 | 043183019 | Ancilliary Insurance | MA | Health New England Inc | C | 0 | |||||
| Health New England of Connecticut | ||||||||||||||
| Monarch Place Suite 1500 | Springfield | MA | 011441500 | 061398662 | Dormant | MA | Health New England Inc | C | 0 | |||||
| Ingraham Corporation | ||||||||||||||
| 759 Chestnut Street | Springfield | MA | 01199 | 043016257 | Health care and other business activities | MA | Baystate Health Inc | C | 0 | |||||
| Baystate Health System Ambulance Inc | ||||||||||||||
| 759 Chestnut Street | Springfield | MA | 01199 | 043018550 | Ambulance Svs | MA | Ingraham Corporation | C | 0 | |||||
| Tr UW John H Sanderson | ||||||||||||||
| 100 Federal Street | Boston | MA | 02110 | 046028223 | Trust | MA | T | 0 | 1.00000 | |||||
| Ada B Darling UW | ||||||||||||||
| 100 Federal Street | Boston | MA | 02110 | 046017199 | Trust | MA | T | 0 | 1.00000 | |||||
| BH Insurance Company Ltd | ||||||||||||||
| 980421413 | Offshore captive Insurance | Baystate Health Inc | 0 | North Church Street | Georgetown | CJ | CJ | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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