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      <Description>Baystate Health, Inc. (Baystate Health or BH) based in Springfield, Massachusetts is the parent corporation of an integrated health care delivery system with the mission "to improve the health of the people in our community every day, with quality and compassion." BH provides funding for strategic initiatives, as necessary, funding for research &amp; education initiatives and support of community health, development, and outreach activities, mostly funded by BH board-designated funds. Partners for a Healthier Community is the primary recipient of BH support.Baystate Health currently includes the following:Baystate Medical Center (BMC) located in Springfield, Massachusetts, is the largest of the three hospitals in the Baystate Health system. BMC, the leading health facility in western Massachusetts is the only tertiary care referral medical center and level I trauma center in the region. It is also home to western New England's only neonatal and pediatric intensive care units. BMC is a 653 bed, tax exempt, not-for-profit, academic teaching hospital that serves as the western campus of Tufts University School of Medicine.Baystate Franklin Medical Center (BFMC) located in Greenfield, Massachusetts, is a 90-bed, tax exempt, not-for-profit, acute care community hospital. BFMC serves the northern tier of northwestern Massachusetts and southern Vermont.Baystate Mary Lane Hospital Corporation (BMLH) located in Ware, Massachusetts, is a 31-bed, tax exempt, not-for-profit, acute care community hospital. BMLH provides services to more than sixteen central Massachusetts communities.Baystate Medical Practices(BMP)is a multi-specialty academic group practice established as a tax exempt, not-for-profit foundation to support the educational and research programs of Baystate Health as well as numerous community primary care and outreach services.Baystate Visiting Nurse Association &amp; Hospice (BVNAH) is a tax exempt, not-for-profit organization that provides comprehensive home health care committed to providing the highest quality care to patients and families, primarily in the home setting. BVNAH meets individual needs by bringing experienced nurses, rehabilitation therapists, social workers, and home care aides to patients' homes. Health New England, Inc. (HNE) is a health maintenance organization that converted from a taxable for profit corporation to a non-profit corporation as of January 1, 2013. It is located in Springfield, Massachusetts. HNE's service area in Massachusetts includes Franklin, Berkshire, Hampden and Hampshire counties and part of Worcester county. HNE also serves Hartford, Litchfield and Tolland counties in Connecticut.Ingraham Corporation (IC) is a for-profit, taxable corporation that currently serves as a holding company for Baystate Health Ambulance, Inc.Baystate Health Ambulance, Inc. (BHA) is a for-profit, taxable corporation that delivers the latest in mobile critical care providing 24-hour service throughout western New England.Baystate Administrative Services, Inc. (BAS) is a tax exempt, not-for-profit corporation that provides management support for the BH subsidiaries, including human resources, marketing, strategic planning, information services and financial services.Baystate Health Foundation, Inc. (BHF) is a tax exempt, charitable organization established for the purpose of fund-raising for healthcare related activities, in support, and for the benefit, of BH and those subsidiaries of BH that are tax exempt, not-for-profit corporations, and to hold endowment, charitable donations, and other funds for their benefit.Baystate Health Insurance Company, Ltd. (BHIC) is a captive insurance company organized and licensed in the Cayman Islands, British West Indies. BHIC provides professional liability and other insurance coverage to BH and its corporate affiliates and their employees. In 2004, BHIC began offering malpractice insurance to members of BH's medical staff who meet criteria for participation.</Description>
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        <NamePerson>Katherine McG Sullivan</NamePerson>
        <Title>Trustee</Title>
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        <OtherCompensation>0</OtherCompensation>
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      <Form990PartVIISectionA>
        <NamePerson>Howard G Trietsch MD</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.00</AverageHoursPerWeekRelated>
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        <OtherCompensation>0</OtherCompensation>
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      <Form990PartVIISectionA>
        <NamePerson>Richard B Steele Jr</NamePerson>
        <Title>Trustee</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
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        <OtherCompensation>0</OtherCompensation>
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        <NamePerson>Dennis W Chalke</NamePerson>
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        <NamePerson>Kristin R Delaney</NamePerson>
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        <NamePerson>Patricia A Sheldon</NamePerson>
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          <NameBusiness>
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          <AddressUS>
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            <State>MA</State>
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          <AddressUS>
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        <NameOfContractor>
          <NameBusiness>
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        <NameOfContractor>
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            <BusinessNameLine1>University of MASS</BusinessNameLine1>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>315000</ProgramServices>
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        <Total>1176825</Total>
        <ProgramServices>1176825</ProgramServices>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>310312</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>-13410</ManagementAndGeneral>
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        <ProgramServices>90000</ProgramServices>
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        <ManagementAndGeneral>38299</ManagementAndGeneral>
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        <ManagementAndGeneral>10750</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>BAD DEBT</Description>
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        <ProgramServices>3000000</ProgramServices>
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      <OtherExpenses>
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        <Description>BAS ADMIN CHARGES</Description>
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        <EOY>85042178</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>107070000</EOY>
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        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
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        <Explanation>BH paid 90,000 to Rauschenbach Associates as reported on Massachusetts Public Records Division Lobbyist Disclosures for lobbying activities related to healthcare policy, bills and appropriations-related activities.</Explanation>
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      </CurrentYearMinus4Years>
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      </Land>
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      </LeaseholdImprovements>
      <Equipment>
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      </Equipment>
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      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>95009</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>Investments - Other Securities</Description>
        <BookValue>7639504</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
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      <OtherAssets>
        <Description>Due from Affiliated Companies</Description>
        <BookValue>4521950</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Equity Investment in For-Profit Subsidiary (Ingraham Corporation)</Description>
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      </OtherAssets>
      <OtherAssets>
        <Description>Line of Credit -- Affiliate</Description>
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      </OtherAssets>
      <OtherAssets>
        <Description>Interest in Net Assets in BHF</Description>
        <BookValue>22605495</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Rounding</Description>
        <BookValue>-1</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Deferred Expenses</Description>
        <BookValue>11072453</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>41206219</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>-132561</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Due to Affiliated Companies</Description>
        <Amount>9365914</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Board-Designated Funds</Description>
        <Amount>1028486</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Insurance Reserves</Description>
        <Amount>10150000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>rounding</Description>
        <Amount>-5</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>20411834</TotalOfAmounts>
      <Form990ScheduleDPartXIII>
        <Explanation>Part V, line 4: Endowment assets are to provide funding to support programs that further Baystate Health's mission.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Explanation>Part X, Line 2: Baystate Health, Inc. did not have a FIN 48 footnote included in the audited financial statements.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <AcctsActvsOutUSTable>
        <Region>Caribbean</Region>
        <TypeOfActivitiesConducted>Insurance</TypeOfActivitiesConducted>
        <TotalExpenditures>12693198</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Europe</Region>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>12000000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <SubtotalNumberOfOffices>0</SubtotalNumberOfOffices>
      <SubtotalNumberOfEmployees>0</SubtotalNumberOfEmployees>
      <ContNumberOfOffices>0</ContNumberOfOffices>
      <ContNumberOfEmployees>0</ContNumberOfEmployees>
      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <SubtotalAmountSpent>24693198</SubtotalAmountSpent>
      <ContAmountSpent>0</ContAmountSpent>
      <TotalAmountSpent>24693198</TotalAmountSpent>
      <TransferToForeignCorp>1</TransferToForeignCorp>
      <InterestInForeignTrust>0</InterestInForeignTrust>
      <OwnForeignCorp>1</OwnForeignCorp>
      <PassiveForeignInvestCo>0</PassiveForeignInvestCo>
      <ForeignPartnership>1</ForeignPartnership>
      <BoycottCountries>0</BoycottCountries>
      <Form990ScheduleFPartV>
        <Identifier>itemization</Identifier>
        <ReturnReference>Part 1, line 3</ReturnReference>
        <Explanation>total expenditures of $12,693,198 in the Caribbean are comprised of insurance related cash transfers of $12,573,198 and Baystate Health's book value of $120,000 BHIC investment contributions of $12,000,000 were made to an investment partnership fund domiciled in Edinburgh, UK</Explanation>
      </Form990ScheduleFPartV>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>0</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Partners for a Healthier Community Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 15769</AddressLine1>
          <City>Springfield</City>
          <State>MA</State>
          <ZIPCode>01115</ZIPCode>
        </AddressUS>
        <EINOfRecipient>043342182</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>250000</AmountOfCashGrant>
        <PurposeOfGrant>To assist Partner's for a Healthier Community to narrow the gap in health disparities for some of Springfield's most vulnerable citizens, and to be a source of support for building civic leaders, creating strategies for change, and promoting policy actions to create healthier communities.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Baystate Health Foundation Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>759 Chestnut Street</AddressLine1>
          <City>Springfield</City>
          <State>MA</State>
          <ZIPCode>01199</ZIPCode>
        </AddressUS>
        <EINOfRecipient>043549011</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>65000</AmountOfCashGrant>
        <PurposeOfGrant>To provide support for the Health Science Library and Medical Staff Pledge.</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>Part II, lines 1</Identifier>
        <Explanation>Baystate Health, Inc. has a close relationship with its grantees, which includes Baystate Health Foundation (BHF). Through this close relationship, management is able to ensure the granted money is used for the intended purposes. For BHF, funds are accounted for and monitored in individual temporarily restricted purpose funds in accordance with the restrictions. Fund administrators of the related entity are assigned responsibility to assure that the fund purpose is met before releasing from restrictions.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>1</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Mark R Tolosky</NamePerson>
        <Title>President, CEO &amp; Trustee</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>697835</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>441536</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>415673</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>28089</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>31211</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1614344</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Grace P Makari-Judson MD</NamePerson>
        <Title>Trustee/ Hematologist M. D</Title>
        <BaseCompensationFilingOrg>276505</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>30232</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>23240</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>44062</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>26979</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>401018</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Barbara W Stechenberg MD</NamePerson>
        <Title>Trustee/ Infectious Disease</Title>
        <BaseCompensationFilingOrg>132412</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>12299</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>9</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>22132</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10463</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>177315</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dennis W Chalke</NamePerson>
        <Title>Treasurer</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>365785</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>155550</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>202350</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>28000</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>24277</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>775962</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Keith C McLean-Shinaman</NamePerson>
        <Title>Former Treasurer</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>298986</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10208</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>309194</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 3</ReturnReference>
        <Explanation>Baystate Health, Inc uses an independent compensation committee, an independent compensation consultant, and appropriate comparability data and approval by the compensation committee to establish the compensation of its key officers, directors, and employees.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Lines 4a-b</ReturnReference>
        <Explanation>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. Grace Makari-Judson, MD- Supplemental Retirement of $8,900 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Baycare Health Partners Inc (BHP)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Common Board Members or Officers</Relationship>
        <AmountOfTransaction>9625</AmountOfTransaction>
        <DescriptionOfTransaction>See Part V - The filing organization received payments from BHP for reimbursement of expenses. BHP is a Physician Hospital Organization and an affiliate corporation of the filing organization.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Baycare Health Partners Inc (BHP)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Common Board Members or Officers</Relationship>
        <AmountOfTransaction>533330</AmountOfTransaction>
        <DescriptionOfTransaction>See Part V - The filing organization made payments to BHP for physician membership dues of $183,330 and Patient Centered Medical Home Pilot of $200,000. The filing organization made payments of $150,000 to BHP for consultant fees. BHP is a Physician Hospital Organization and an affiliate corporation of the filing organization.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Baystate Health Insurance Company Ltd (BHIC)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Common Board Members or Officers</Relationship>
        <AmountOfTransaction>3788603</AmountOfTransaction>
        <DescriptionOfTransaction>See Part V - The filing organization made payments of $3,747,603 for Indemnity pass-thru premiums and $41,000 for Retrospective pass-thru premiums to BHIC. BHIC is an affiliate organization of the filing organization.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Baystate OBGYN Group (BOG)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Partnership - Owned more than 5% by Dr. Howard Trietsch, Board Member</Relationship>
        <AmountOfTransaction>420532</AmountOfTransaction>
        <DescriptionOfTransaction>See Part V - The filing organization received pass through payments from BOG for community physician insurance premiums due Baystate Health Insurance Company, Ltd.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Health New England Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Common Board Members or Officers</Relationship>
        <AmountOfTransaction>166668</AmountOfTransaction>
        <DescriptionOfTransaction>See Part V - The filing organization received $166,668 in Surplus Sharing payments from HNE. HNE is an affiliate corporation of the filing organization.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Ingraham Corporation (IC)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Common Board Members or Officers</Relationship>
        <AmountOfTransaction>144549</AmountOfTransaction>
        <DescriptionOfTransaction>See Part V - The filing organization received principal and interest payments from IC related to the line of credit. IC is an affiliate corporation of the filing organization.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Mass Mutual Financial Group (MMFG)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Board Overlap</Relationship>
        <AmountOfTransaction>515401</AmountOfTransaction>
        <DescriptionOfTransaction>See Part V - Victor Woolridge, Board Member of the filing organization is also the Vice President of Cornerstone Real Estate Advisors, LLC, a subsidiary of MMFG. The filing organization purchases investment management &amp; administrative services from MMFG and its subsidiaries.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Pioneer Valley Accountable Care LLC (PVAC)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Common Board Members or Officers</Relationship>
        <AmountOfTransaction>3021000</AmountOfTransaction>
        <DescriptionOfTransaction>See Part V - The filing organization made payments to PVAC for an increase in loan principal of $3,000,000 to assist with a Medicare Shared Savings program in the Pioneer Valley. The filing organization received payments of $21,000 from PVAC for interest in connection with the original loan principal. PVAC is an Accountable Care Organization and is a subsidary partnership of Baycare Health Partners, a Physician Hospital Organization and an affiliate corporation of the filing organization.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Western New England Renal &amp; Transplant (WNERTA)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Board Overlap</Relationship>
        <AmountOfTransaction>348486</AmountOfTransaction>
        <DescriptionOfTransaction>See Part V - Gregory L. Braden, MD, Board Member of the filing organization is also a Member of the Board of Directors of WNERTA. The filing organization received payments from WNERTA for community physicians insurance premiums due to Baystate Health Insurance Company, Ltd. of $344,986 and memberships of $3,500.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI</ReturnReference>
        <Explanation>Governing Body and Management Part VI, Line 1b 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 2</ReturnReference>
        <Explanation>Gregory L. Braden, MD, Dennis W. Chalke, Ruth H. Constantine, Charles L. D'Amour, John H. Davis, Kristin R. Delaney, John A. Egelhofer, MD, 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, 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) John M. O'Brien, III and Victor Woolridge. Form 990, Part VI, Section A, Line 1a The filing organization has a standing executive committee, which is entitled to act between meetings of the Board, on all matters as to which the Board is entitled to act and permitted by law to delegate to a committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 3</ReturnReference>
        <Explanation>Form 990, Part VI, Section A, Line 3 Baystate Health, Inc. is affiliated with Baystate Administrative Services, Inc. (BAS) which is a 501(c)(3) organization. Management and support functions for the BH subsidiaries, including human resources, marketing, strategic planning, information services and financial services, are delegated to BAS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 4</ReturnReference>
        <Explanation>The filing organization amended the section of its bylaws describing its Audit and Compliance Committee to clarify the language regarding the Committee's authority with respect to Health New England, Inc. ("HNE"), an affiliate of the filing organization. This amendment was in connection with HNE's conversion from a for profit corporation to a non-profit corporation under state law, which resulted in the filing organization becoming the sole corporate member of HNE, where it had previously been the majority shareholder.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>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., 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 of the filing organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Baystate Health, Inc. and its affiliated entities have a comprehensive conflict of interest policy applicable to all of the affiliated entities. All directors, trustees, officers, key employees, and highest compensated employees of BH and its affiliates are asked to complete an annual "conflict of interest" form. We utilize an electronic database to receive and manage all conflict of interest submissions. This information is reviewed by the Chief Compliance Officer, Chief Executive Officer, Chair of the Board of Trustees, and the Chair of the Audit &amp; Compliance Committee. A summary of the conflict of interest disclosures is provided to the Baystate Health Board of Trustees and the Tax Department and reviewed by outside counsel. Potential conflict of interest transactions are reviewed as appropriate under the policy, which provides for recusal from discussion and deliberation by any party with a potential conflict of interest.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The compensation of the President and CEO and of other key officers and employees is established based on information provided by independent third party consultants for reasonableness and appropriate comparability data. The compensation is then established, reviewed and approved by the independent compensation committee of Baystate Health, Inc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>persons from unrelated organizations</Identifier>
        <ReturnReference>Part VII, Section A, Line 5</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
        <Explanation>Transfers to Affiliated Companies, Net 14,885,687. Property, Plant &amp; Equipment Transfers -10,803,553. Health New England Investment Elimination -61,783,798. Equity Gain / (Loss) in Baycare -77,213. Equity Gain / (Loss) in Ingraham 922,970. Change in Interest of Net Assets of BHF 383,182. Premier Purchasing Partners, L.P. - Unrelated Business Gain/Loss -70,465. Premier Purchasing Partners, L.P. - Interest -10,638. Fidelity Real Estate Growth Fund III LP 110,445. Harbourvest Partners VI - Buyout Partnership Fund, L.P. 945. Harbourvest Partners VI - Partnership Fund, L.P. 1,080. Mesirow Financial Capital Partners IX, L.P. 972. Mesirow Financial Private Equity Partnership Fund III, L.P. 4,827. Metropolitan Real Estate Partners, III-A, L.P. 5,825. Metropolitan Real Estate Partners IV-B, L.P. 49,792. Metropolitan Real Estate Partners V, L.P. 7,613. Pantheon USA III Fund, L.P. -887. Park Street Capital Private Equity Fund IX, LP -209. Tower Square Capital Partners III, L.P. 1,734. Truebridge-Kauffman Endowment Fund II, L.P. -9. Wilshire Asia Private Markets Fund VII, L.P. -1,701. Wilshire European Private Markets Fund VII, L.P. 1,699. Wilshire U.S. Private Markets Fund VII, L.P. -121. BHIC UBTI -1,039,225. Rounding 163.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baystate Administrative Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>759 Chestnut Street</AddressLine1>
          <City>Springfield</City>
          <State>MA</State>
          <ZIPCode>01199</ZIPCode>
        </AddressUS>
        <EIN>222747685</EIN>
        <PrimaryActivities>Administrative services</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501 (c ) (3)</ExemptCodeSection>
        <PublicCharityStatus>11c, IIIc</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Baystate Health Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baystate Franklin Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
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