BAYSTATE MEDICAL PRACTICES INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- BAYSTATE MEDICAL PRACTICES INC (EIN 04-2888373)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-10
- IRS object ID
- 201102239349300620
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-10T15:25:59-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ernst & Young LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Clarendon Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02116 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042888373 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baystate Medical Practices Inc | 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 | 759 Chestnut Street | AddressLine1 |
| City | Springfield | City |
| State | MA | State |
| ZIP Code | 01199 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Dennis W Chalke | Name |
| Title | CFO & Treasurer | Title |
| Phone | 4137943290 | Phone |
| Date Signed | 2011-08-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Ernst Young LLP | Name |
| Phone | 6172662000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 | 141162057 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | To deliver excellent patient care, provide innovative medical education and pursue meaningful research. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 921 | TotalNbrEmployees |
| Total Nbr Volunteers | 1 | TotalNbrVolunteers |
| Total Gross UBI | 297439 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -157391 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 136298104 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 141153417 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3970 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1540 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 42598 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7100 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 136344672 | TotalRevenuePriorYear |
| Total Revenue Current Year | 141162057 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 114152618 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 120070480 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 23820517 | OtherExpensePriorYear |
| Other Expenses Current Year | 24609428 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 137973135 | TotalExpensesPriorYear |
| Total Expenses Current Year | 144679908 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1628463 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3517851 | RevenuesLessExpensesCY |
| Total Assets BOY | 17115290 | TotalAssetsBOY |
| Total Assets EOY | 25611499 | TotalAssetsEOY |
| Total Liabilities BOY | 52308857 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 63122719 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -35193567 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -37511220 | NetAssetsOrFundBalancesEOY |
| Mission Description | To deliver excellent patient care, provide innovative medical education and pursue meaningful research. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 133457303 | Expense |
| Revenue | 140855978 | Revenue |
| Description | Baystate Medical Practices, Inc. provides physician services, medical education and research programs to people in the community within its geographic location. BMP's policy is to provide care to any patient in need of medical care, regardless of the patient's ability to pay for such care. Dependent upon the patient's financial capability to pay, BMP may provide such care free of charge or at amounts below its normal charges. Because BMP does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue. In addition to the charity care provided to patients, BMP's physicians participate in many and varied ongoing community outreach initiatives in the areas of education, employment, safety and health. For example, the BMP physicians in the Department of Pediatrics, in collaboration with the Springfield School Department, staff six school-based clinics that enhance school health education programs, provide professional development courses for teachers and administrators and establish a school-to-work program.BMP has also taken a leadership role in strengthening the health of disadvantaged citizens in surrounding communities including specific focus on AIDS and HIV and by providing physician staffing for three community-based health centers through Baystate Medical Center. | Description |
| Total Program Service Expense | 133457303 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 | 1 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| 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 | 1 | 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 | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 111 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 921 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| 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 |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | 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 | 0 | 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 | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Peter Lyons Baystate Health Inc | NamePerson |
| 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 |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Loring S Flint MD | ||||||||
| Chair/Director | 10.00 | X | X | 879897 | 0 | 92113 | ||
| Benjamin Liptzin MD | ||||||||
| Vice Chair/Dir 3/3/10 - 9/30/10 | 10.00 | X | X | 515204 | 0 | 127677 | ||
| Barry Sarvet MD | ||||||||
| Sec/Treas/Dir 10/1/09 - 2/18/10 | 10.00 | X | X | 278222 | 0 | 45103 | ||
| Dennis W Chalke | ||||||||
| Treasurer/Dir 3/3/10 - 9/30/10 | 10.00 | X | X | 336282 | 0 | 59584 | ||
| Mohammed Shafeeq Ahmed MD | ||||||||
| Director 2/18/10 - 9/30/10 | 10.00 | X | 515137 | 0 | 39210 | |||
| Maura Brennan MD | ||||||||
| Director 10/1/09 - 2/18/10 | 10.00 | X | 232753 | 0 | 42551 | |||
| Jeffrey Cossin MD | ||||||||
| Director 2/18/10 - 9/30/10 | 10.00 | X | 234854 | 0 | 68088 | |||
| Wayne Duke MD | ||||||||
| Director 2/18/10 - 9/30/10 | 10.00 | X | 316652 | 0 | 51631 | |||
| Robert Goulart MD | ||||||||
| Director 10/1/09 - 12/31/09 | 10.00 | X | 344200 | 0 | 51397 | |||
| Lindsey Grossman MD | ||||||||
| Director 10/1/09 - 2/18/10 | 10.00 | X | 377200 | 0 | 36227 | |||
| Daniel Grow MD | ||||||||
| Director 1/15/09 - 9/30/09 | 10.00 | X | 499792 | 0 | 59467 | |||
| Mark K Hirko MD | ||||||||
| Director 2/18/10 - 9/30/10 | 10.00 | X | 566285 | 0 | 33747 | |||
| M Dale Janes | ||||||||
| Director 2/18/10 - 9/30/10 | 10.00 | X | 0 | 0 | 0 | |||
| Hal B Jenson MD | ||||||||
| Director | 10.00 | X | 444075 | 0 | 54428 | |||
| Laura Koenigs MD | ||||||||
| Director | 10.00 | X | 130402 | 0 | 41905 | |||
| Harvey Lederman MD | ||||||||
| Director 2/18/10 - 9/30/10 | 10.00 | X | 129362 | 0 | 36747 | |||
| Michael Lemanski MD | ||||||||
| Director 10/1/09 - 2/18/10 | 10.00 | X | 257414 | 0 | 65910 | |||
| David L Longworth MD | ||||||||
| Director 2/18/10 - 9/30/10 | 10.00 | X | 572528 | 0 | 60777 | |||
| Keith C McLean-Shinaman | ||||||||
| Director 10/1/09 - 2/18/10 | 10.00 | X | 753809 | 0 | 152022 | |||
| Christie L Miller MD | ||||||||
| Director 2/18/10 - 9/30/10 | 10.00 | X | 232675 | 0 | 40948 | |||
| Michael Picchioni MD | ||||||||
| Director | 10.00 | X | 201657 | 0 | 40507 | |||
| Joseph Schmidt MD | ||||||||
| Director | 10.00 | X | 256553 | 0 | 48047 | |||
| Joseph Shin MD | ||||||||
| Director 2/18/10 - 9/30/10 | 10.00 | X | 438379 | 0 | 22658 | |||
| Roy Sittig MD | ||||||||
| Director 2/18/10 - 9/30/10 | 10.00 | X | 252485 | 0 | 38908 | |||
| Mark R Tolosky | ||||||||
| Director | 10.00 | X | 1803826 | 0 | 104518 | |||
| Richard B Wait MD | ||||||||
| Director 10/1/09 - 2/18/10 | 10.00 | X | 871965 | 0 | 77839 | |||
| Kristin R Delaney | ||||||||
| Clerk 3/3/10 - 9/30/10 | 10.00 | X | 87909 | 0 | 27679 | |||
| Gordon Josephson MD | ||||||||
| COO Baystate Medical Practices | 38.40 | 449997 | 0 | 97227 | X | |||
| Dennis Oh MD | ||||||||
| Neurosurgeon | 60.00 | 734968 | 0 | 31614 | X | |||
| Sherry Taylor MD | ||||||||
| Chief Division Of Neurosurgery | 60.00 | 671330 | 0 | 59079 | X | |||
| Aaron Kugelmass MD | ||||||||
| Chief Cardio M Dir Vascular | 60.00 | 638562 | 0 | 31400 | X | |||
| Marc J Schweiger MD | ||||||||
| Medical Dir Cardiac Cath Lab | 60.00 | 581943 | 0 | 161834 | X | |||
| James R Cook MD | ||||||||
| Staff Electrophysiology | 60.00 | 536863 | 0 | 65080 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 15143180 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1965922 | TotalOtherCompensation |
| Number Individuals GT100 K | 296 | NumberIndividualsGT100K |
| Formers Listed | 0 | 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 services | 4170579 |
| Baystate Medical Center Inc | |||||
| 759 Chestnut Street | Springfield | MA | 01199 | Patient schedule svcs & rent | 2849799 |
| Ingraham Corporation | |||||
| 759 Chestnut Street | Springfield | MA | 01199 | Rent-Physician offices | 304781 |
| Catuogno Court Reporting & Sten-Tel Tran | |||||
| One Monarch Place Ste 600 | Springfield | MA | 01144 | Transcription services | 295015 |
| Nuance communications | |||||
| PO Box 7247-6924 | Philadelphia | PA | 197106924 | Transcription services | 244359 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 14 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Physician Practice Fee | 621110 | 140855978 | 140855978 | |
| BRL Gainshare | 900099 | 276651 | 276651 | |
| BMC Support | 900099 | 20788 | 20788 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 141153417 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1540 | TotalRevenueColumn |
| Exclusion | $1,540 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 7100 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 7100 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7100 | TotalRevenueColumn |
| Exclusion | $7,100 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 141162057 | TotalRevenueColumn |
| Related Or Exempt Function Income | 140855978 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 297439 | UnrelatedBusinessRevenue |
| Exclusion | $8,640 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6064615 | Total |
| Program Services | 6064615 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95907826 | Total |
| Program Services | 90987608 | ProgramServices |
| Management And General | 4920218 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5689113 | Total |
| Program Services | 5389767 | ProgramServices |
| Management And General | 299346 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7165097 | Total |
| Program Services | 6802224 | ProgramServices |
| Management And General | 362873 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5243829 | Total |
| Program Services | 4988979 | ProgramServices |
| Management And General | 254850 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4570579 | Total |
| Management And General | 4570579 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192916 | Total |
| Management And General | 192916 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44070 | Total |
| Management And General | 44070 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2701939 | Total |
| Program Services | 2701939 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155486 | Total |
| Program Services | 147712 | ProgramServices |
| Management And General | 7774 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1420316 | Total |
| Program Services | 1307709 | ProgramServices |
| Management And General | 112607 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 160134 | Total |
| Program Services | 138595 | ProgramServices |
| Management And General | 21539 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2151383 | Total |
| Program Services | 2048974 | ProgramServices |
| Management And General | 102409 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210498 | Total |
| Program Services | 210498 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 337623 | Total |
| Program Services | 320742 | ProgramServices |
| Management And General | 16881 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 418667 | Total |
| Program Services | 397734 | ProgramServices |
| Management And General | 20933 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4964920 | Total |
| Program Services | 4964920 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debts | 3343503 | 3343503 | |
| Purchased Services Cler | 1396832 | 1396832 | |
| Professional Expense Ac | 1210172 | 1210172 | |
| Medical Supplies | 569263 | 569263 | |
| Dues & Memberships | 287546 | 287546 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 473581 | Total |
| Program Services | 465517 | ProgramServices |
| Management And General | 8064 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144679908 | Total |
| Program Services | 133457303 | ProgramServices |
| Management And General | 11222605 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1307218 | BOY |
| EOY | 5140408 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9996433 | BOY |
| EOY | 14099095 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123750 | BOY |
| EOY | 251666 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57071 | BOY |
| EOY | 350106 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 17892015 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 14259517 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1518541 | BOY |
| EOY | 3632498 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4112277 | BOY |
| EOY | 2137726 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17115290 | BOY |
| EOY | 25611499 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15305471 | BOY |
| EOY | 20651837 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 176575 | BOY |
| EOY | 109374 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36826811 | BOY |
| EOY | 42361508 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52308857 | BOY |
| EOY | 63122719 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -35193567 | BOY |
| EOY | -37511220 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -35193567 | BOY |
| EOY | -37511220 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17115290 | BOY |
| EOY | 25611499 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 112273481 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 120783166 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 127231314 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 135989036 | CurrentTaxYearMinus1Year |
| Current Tax Year | 140855978 | CurrentTaxYear |
| Total | 637132975 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 112273481 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 120783166 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 127231314 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 135989036 | CurrentTaxYearMinus1Year |
| Current Tax Year | 140855978 | CurrentTaxYear |
| Total | 637132975 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 637132975 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 121054 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 134321 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 93647 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 46568 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8640 | CurrentTaxYear |
| Total | 404230 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 121054 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 134321 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 93647 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 46568 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8640 | CurrentTaxYear |
| Total | 404230 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 329259 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 464754 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 382925 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 309068 | CurrentTaxYearMinus1Year |
| Current Tax Year | 297439 | CurrentTaxYear |
| Total | 1783445 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 112723794 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 121382241 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 127707886 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 136344672 | CurrentTaxYearMinus1Year |
| Current Tax Year | 141162057 | CurrentTaxYear |
| Total | 639320650 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99660 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99630 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00060 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | Schedule A, Part IV, Supplemental Information: Schedule A, Section C, line 16 - Public support percentage from 2008 Schedule A: Baystate Medical Practices, Inc. (BMP) filed as a 509(a)(3) Type 3 Functionally Integrated organization for its fiscal year 2009 or tax year 2008. BMP received a Determination Letter from the IRS dated June 21, 2010 that changed BMP's organization status to 509(a)(2). If BMP had filed as a 509(a)(2) organization for its fiscal year 2009 or tax year 2008 the public support percentage would have been 99.63%. | GeneralExplanation |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1103927 | OtherCostOrOtherBasis |
| Depreciation | 377664 | Depreciation |
| Book Value | 726263 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 863575 | OtherCostOrOtherBasis |
| Depreciation | 988929 | Depreciation |
| Book Value | -125354 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15924513 | OtherCostOrOtherBasis |
| Depreciation | 12892924 | Depreciation |
| Book Value | 3031589 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3632498 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from Affiliated Companies | 585025 |
| Accounts Receivable, Other (net of MD loans)less 292 rounding | 1552701 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2137726 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Affiliated Companies | $8,258,910 |
| Insurance IBNR Loss Reserves | $6,151,308 |
| Accrued Pension Cost | $26,840,613 |
| Line of credit, affiliate - less 292 rounding | $1,110,677 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 42361508 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Schedule D, Part X, Line 2: Baystate Medical Practices, Inc. does not have a FIN 48 footnote included in its audited financial statements. | Explanation |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintained |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Total Amount Spent | 0 | TotalAmountSpent |
| No Recipient Over5 K | X | NoRecipientOver5K |
Grants To Orgs Outside US GrantsToOrgsOutsideUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America & The Caribbean | Region |
| Amount Of Non Cash Assistance | 20964 | AmountOfNonCashAssistance |
| Description Of Non Cash Assistance | Medical aid and disaster relief to Haitian citizens in need after the earthquake. | DescriptionOfNonCashAssistance |
Form990 Schedule F Part IV Form990ScheduleFPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule F, Part IV | Identifier |
| Return Reference | Other Information | ReturnReference |
| Explanation | Six employees of Baystate Medical Practices, Inc. including doctors and other medical staff voluntarily donated their services to the humanitarian aid in Haiti for several weeks. All the employees were paid from their personal vacation allotments in their regular paychecks from Baystate Medical Practices, Inc. The number of employees was tabulated by Baystate Health's Human Resource Dept. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 1 | 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 (31 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Loring S Flint MD | |||||||||||||
| 448201 | 0 | 203326 | 0 | 228370 | 0 | 65764 | 0 | 26349 | 0 | 972010 | 0 | 52636 | 0 |
| Benjamin Liptzin MD | |||||||||||||
| 347628 | 0 | 89750 | 0 | 77826 | 0 | 99410 | 0 | 28267 | 0 | 642881 | 0 | 30113 | 0 |
| Barry Sarvet MD | |||||||||||||
| 240527 | 0 | 31684 | 0 | 6011 | 0 | 26084 | 0 | 19019 | 0 | 323325 | 0 | 3340 | 0 |
| Dennis W Chalke | |||||||||||||
| 229098 | 0 | 67920 | 0 | 39264 | 0 | 36667 | 0 | 22917 | 0 | 395866 | 0 | 8859 | 0 |
| Mohammed Shafeeq Ahmed MD | |||||||||||||
| 354596 | 0 | 123749 | 0 | 36792 | 0 | 19300 | 0 | 19910 | 0 | 554347 | 0 | 27205 | 0 |
| Maura Brennan MD | |||||||||||||
| 185840 | 0 | 38254 | 0 | 8659 | 0 | 33854 | 0 | 8697 | 0 | 275304 | 0 | 0 | 0 |
| Jeffrey Cossin MD | |||||||||||||
| 184575 | 0 | 39015 | 0 | 11264 | 0 | 45214 | 0 | 22874 | 0 | 302942 | 0 | 1383 | 0 |
| Wayne Duke MD | |||||||||||||
| 247038 | 0 | 55862 | 0 | 13752 | 0 | 25662 | 0 | 25969 | 0 | 368283 | 0 | 0 | 0 |
| Robert Goulart MD | |||||||||||||
| 273230 | 0 | 39228 | 0 | 31742 | 0 | 29175 | 0 | 22222 | 0 | 395597 | 0 | 9894 | 0 |
| Lindsey Grossman MD | |||||||||||||
| 300172 | 0 | 73810 | 0 | 3218 | 0 | 15925 | 0 | 20302 | 0 | 413427 | 0 | 0 | 0 |
| Daniel Grow MD | |||||||||||||
| 372311 | 0 | 77338 | 0 | 50143 | 0 | 35593 | 0 | 23874 | 0 | 559259 | 0 | 0 | 0 |
| Mark K Hirko MD | |||||||||||||
| 493600 | 0 | 71044 | 0 | 1641 | 0 | 12250 | 0 | 21497 | 0 | 600032 | 0 | 0 | 0 |
| Hal B Jenson MD | |||||||||||||
| 351949 | 0 | 84113 | 0 | 8013 | 0 | 28299 | 0 | 26129 | 0 | 498503 | 0 | 0 | 0 |
| Laura Koenigs MD | |||||||||||||
| 123498 | 0 | 6280 | 0 | 624 | 0 | 21815 | 0 | 20090 | 0 | 172307 | 0 | 0 | 0 |
| Harvey Lederman MD | |||||||||||||
| 103720 | 0 | 25151 | 0 | 491 | 0 | 18568 | 0 | 18179 | 0 | 166109 | 0 | 0 | 0 |
| Michael Lemanski MD | |||||||||||||
| 219667 | 0 | 24700 | 0 | 13047 | 0 | 46087 | 0 | 19823 | 0 | 323324 | 0 | 2814 | 0 |
| David L Longworth MD | |||||||||||||
| 404513 | 0 | 104832 | 0 | 63183 | 0 | 31205 | 0 | 29572 | 0 | 633305 | 0 | 30286 | 0 |
| Keith C McLean-Shinaman | |||||||||||||
| 367882 | 0 | 181104 | 0 | 204823 | 0 | 116742 | 0 | 35280 | 0 | 905831 | 0 | 50922 | 0 |
| Christie L Miller MD | |||||||||||||
| 209847 | 0 | 15148 | 0 | 7680 | 0 | 19066 | 0 | 21882 | 0 | 273623 | 0 | 1011 | 0 |
| Michael Picchioni MD | |||||||||||||
| 190331 | 0 | 10545 | 0 | 781 | 0 | 20742 | 0 | 19765 | 0 | 242164 | 0 | 0 | 0 |
| Joseph Schmidt MD | |||||||||||||
| 226793 | 0 | 24700 | 0 | 5060 | 0 | 26359 | 0 | 21688 | 0 | 304600 | 0 | 2873 | 0 |
| Joseph Shin MD | |||||||||||||
| 384636 | 0 | 51981 | 0 | 1762 | 0 | 12250 | 0 | 10408 | 0 | 461037 | 0 | 0 | 0 |
| Roy Sittig MD | |||||||||||||
| 218606 | 0 | 27405 | 0 | 6474 | 0 | 18493 | 0 | 20415 | 0 | 291393 | 0 | 3574 | 0 |
| Mark R Tolosky | |||||||||||||
| 668117 | 0 | 446775 | 0 | 688934 | 0 | 67614 | 0 | 36904 | 0 | 1908344 | 0 | 127326 | 0 |
| Richard B Wait MD | |||||||||||||
| 581260 | 0 | 174493 | 0 | 116212 | 0 | 46100 | 0 | 31739 | 0 | 949804 | 0 | 56004 | 0 |
| Gordon Josephson MD | |||||||||||||
| 323523 | 0 | 80087 | 0 | 46387 | 0 | 71275 | 0 | 25952 | 0 | 547224 | 0 | 21704 | 0 |
| Dennis Oh MD | |||||||||||||
| 521876 | 0 | 152307 | 0 | 60785 | 0 | 12250 | 0 | 19364 | 0 | 766582 | 0 | 0 | 0 |
| Sherry Taylor MD | |||||||||||||
| 667852 | 0 | 0 | 0 | 3478 | 0 | 48196 | 0 | 10883 | 0 | 730409 | 0 | 0 | 0 |
| Aaron Kugelmass MD | |||||||||||||
| 456676 | 0 | 179000 | 0 | 2886 | 0 | 12250 | 0 | 19150 | 0 | 669962 | 0 | 0 | 0 |
| Marc J Schweiger MD | |||||||||||||
| 429580 | 0 | 47030 | 0 | 105333 | 0 | 140715 | 0 | 21119 | 0 | 743777 | 0 | 50365 | 0 |
| James R Cook MD | |||||||||||||
| 426325 | 0 | 28631 | 0 | 81907 | 0 | 43596 | 0 | 21484 | 0 | 601943 | 0 | 29669 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Lines 4b-c: | Mohammed Shafeeq Ahmed, MD - Supplemental Retirement of $35,906 is included in column E. This amount consists of $8,701 earned in 2009 as well as $27,205 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Dennis W. Chalke - Supplemental Retirement of $15,618 is included in column E. This amount consists of $6,759 earned in 2009 as well as $8,859 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. James R. Cook, MD - Supplemental Retirement of $62,183 is included in column E. This amount consists of $32,514earned in 2009 as well as $29,669 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Jeffrey Cossin, MD - Supplemental Retirement of $1,383 is included in column E. This amount was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Wayne Duke, MD - Supplemental Retirement of $12,820 is included in column E. This amount consists of $5,660 earned in 2009 as well as $7,160 that was earned in 2008. Loring S. Flint, MD - Supplemental Retirement of $191,414 is included in column E. This amount consists of $138,778 earned in 2009 as well as $52,636 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Robert A. Goulart, MD - Supplemental Retirement of $18,288 is included in column E. This amount consists of $8,394 earned in 2009 as well as $9,894 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Daniel Grow, MD - Supplemental Retirement of $33,738 is included in column E. This amount consists of $15,969 earned in 2009 as well as $17,769 that was earned in 2008. Hal B. Jenson, MD - Supplemental Retirement of $11,399 is included in column E. This amount was earned in 2009. Gordon Josephson, MD - Supplemental Retirement of $41,309 is included in column E. This amount consists of $19,604 earned in 2009 as well as $21,704 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Michael J. Lemanski, MD - Supplemental Retirement of $3,528 is included in column E. This amount consists of $714earned in 2009 as well as $2,814 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Benjamin Liptzin, MD - Supplemental Retirement of $57,826 is included in column E. This amount consists of $27,713 earned in 2009 as well as $30,113 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. David L. Longworth, MD- Supplemental Retirement of $58,771 is included in column E. This amount consists of $28,486 earned in 2009 as well as $30,286 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Keith C. McLean Shinaman - Supplemental Retirement of $192,048 is included in column E. This amount consists of $141,126 earned in 2009 as well as $50,922 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Christie Miller, MD - Supplemental Retirement of $1,011 is included in column E. This amount was earned in 2008. This amount was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Dennis Oh, MD - Supplemental Retirement of $59,238 is included in column E. This amount was earned in 2009. Barry Sarvet, MD- Supplemental Retirement of $5,180 is included in column E. This amount consists of $1,840 earned in 2009 as well as $3,340 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Marc J. Schweiger, MD Supplemental Retirement of $98,030 is included in column E. . This amount consists of $47,665earned in 2009 as well as $50,365 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Joseph Schmidt, MD Supplemental Retirement of $4,246 is included in column E. . This amount consists of $1,373 earned in 2009 as well as $2,873 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Roy Sittig, MD - Supplemental Retirement of $5,948 is included in column E. This amount consists of $2,374 earned in 2009 as well as $3,574 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Mark R. Tolosky - Supplemental Retirement of $547,851 is included in column E. This amount consists of $420,526 earned in 2009 as well as $127,326 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Richard B. Wait, MD - Supplemental Retirement of $110,207 is included in column E. This amount consists of $54,204earned in 2008 as well as $56,004 that was earned in 2008 and previously reported last year, and now included again in accordance with new reporting requirements. Line 4c The supplemental retirement plan offered to Mr. Tolosky from 1997-2002 provided the right to purchase mutual fund shares at a specified price, with the rights expiring at the end of the 10 years. The 2009 compensation of $85,283 was based on the difference between the fair market value at the date of exercise and the exercise price. | |
| Part III | Part 1, Line 3 Baystate Health, Inc., a related organization and the parent organization of the health care system to which the filing organization belongs, 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, which includes the filing organization's top management official. | Supplemental Information |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Baycare Health Partners Inc (BHP) | |||
| Common Board Members or Officers | 1016805 | Schedule O - The filing organization received payments from BHP of $880,880 for patient care services for which BHP is the intermediary between the filing organization and third party payers and $135,925 for medical services. BHP is an affiliate corporation of the filing organization. | 0 |
| Baycare Health Partners Inc (BHP) | |||
| Common Board Members or Officers | 93400 | Schedule O - The filing organization made payments to BHP for physician membership dues. BHP is an affiliate corporation of the filing organization. | 0 |
| Baystate Health System Ambulance Inc (BHSA) | |||
| Common Board Members or Officers | 10000 | Schedule O - The filing organization received payments from BHSA for patient care services. BHSA is an affiliate corporation of the filing organization. | 0 |
| Greater Springfield IPA GSIPA | |||
| Board Overlap | 800 | Schedule O - Benjamin Liptzin, MD, Board Member of the filing organization is also a Board Member of GSIPA. The filing organization received payments from GSIPA for other services. | 0 |
| Greater Springfield IPA GSIPA | |||
| Board Overlap | 59753 | Schedule O - Benjamin Liptzin, MD, Board Member of the filing organization is also a Board Member of GSIPA. The filing organization made payments to GSIPA for physician membership dues. | 0 |
| Health New England Inc (HNE) | |||
| Common Board Members or Officers | 13287614 | Schedule O - The filing organization received payments from HNE of $13,252,476 related to medical claims and $35,138 for medical consulting services. HNE is an affiliate corporation of the filing organization. | 0 |
| Ingraham Corporation (IC) | |||
| Common Board Members or Officers | 304708 | Schedule O - The filing organization made payments to IC of $288,757 for rent and $15,951 for reimbursement of capital expenses. IC is an affiliate corporation of the filing organization. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part III, line 2 | New Program Services | The merger of Baystate Affiliated Practices, Inc.(BAPO) and Baystate Vascular Services, Inc. (BVS) into Baystate Medical Practices, Inc. (BMP) brought several new program services to BMP including primary care practices from BAPO and vascular surgery specialists from BVS. The merger also increased the geographical scope of BMP into the areas of Greenfield, Ware and Belchertown Massachusetts and within the Greater Springfield area. |
| Form 990, Part VI, Section A, line 1 | 990 Part VI line 1A: Baystate Medical Practices, Inc. (BMP) is part of an integrated delivery system including not for profit community hospitals, which have community boards. BMP is a physician organization, which supports Baystate Health and its affiliates and is comprised mostly of BMP employees. This board structure has not changed significantly since the organization applied for exempt status. | |
| Form 990, Part VI, Section A, line 2 | Mohammed S. Ahmed, MD, Dennis W. Chalke, Jeffery R. Cossin, MD, Kristin R. Delaney, Loring S. Flint, MD, Mark K. Hirko, MD, M. Dale Janes, Hal B. Jenson, MD, Harvey Lederman, MD, Benjaman Liptzin, MD, David Longworth, MD, Christie Miller, MD, Roy Sittig, MD and Mark R. Tolosky are also officers or trustees of Baystate Health, Inc. & its affiliated entities. | |
| Form 990, Part VI, Section A, line 3 | Baystate Medical Practices, Inc. is affiliated with Baystate Administrative Services, Inc. (BAS) which is a 501(c) (3) organization. Various management and support functions are delegated to BAS. | |
| Form 990, Part VI, Section A, line 4 | Articles of Merger for the merger of Baystate Affiliated Practice Organization, Inc. and Baystate Vascular Services, Inc. with and into the filing organization were filed with the Secretary of the Commonwealth. The filing organization also amended its bylaws to change the title of the ex officio position serving as Chair and a member of the Board of Directors.. The filing organization approved and adopted the Baystate Health, Inc. Conflict of Interest Policy, Joint Venture Policy, Record Retention Policy and Whistleblower Policy as policies of the filing organization. | |
| Form 990, Part VI, Section A, line 6 | The members of the filing organization are physicians, all of whom who have medical staff appointments at a Baystate Health, Inc. (BH) hospital affiliate, provide at least 1,000 hours of professional service annually on behalf of the filing organization, and are parties to a membership agreement with the filing organization approved by the Board of Directors | |
| Form 990, Part VI, Section A, line 7a | The Board of Directors consists of 21 Directors: 19 active and 2 vacant Director positions, seven of whom are either appointed by BH or serve ex officio based on positions they hold with BH, and 14 of whom are at large directors elected by the members of the filing organization. | |
| Form 990, Part VI, Section A, line 7b | The bylaws of the filing organization provide that the following matters approved by the Board of Directors are also subject to the approval of BH: (1) the filing organization's annual budget, (2) the form and content of agreements with members and other employees of the filing organization for their compensation and benefits, (3) policies regarding personal time, sick time, leaves of absence, hours of work, and number of working days, (4) the establishment of reserves to meet any unusual expense, loss, or anticipated year-end expense or a discretionary fund to support the filing organization's educational and research programs, (5) any pledge of the filing organization's credit, the borrowing of any money, or the execution of any promissory note by the filing organization, (6) amendments to the bylaws of the filing organization, with the exception of certain technical amendments. | |
| Form 990, Part VI, Section B, line 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. In addition, this return was provided to and reviewed by the Audit and Compliance Committee of Baystate Health, Inc. This committee also reviews the audited financial statements for the health system. This return was also provided prior to filing to the Baystate Health, Inc. Board of Trustees. | |
| Form 990, Part VI, Section B, line 12c | Baystate 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 CEO, and of other key officers and key 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. (the parent organization of the health care system to which the filing organization belongs) and all such deliberations and decisions are documented contemporaneously. | |
| Form 990, Part VI, Section C, line 19 | 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) | Average hours per week: | All individuals with compensation who have 10 average hours per week listed in Part VII, worked between 40 - 60 hours among all related entities. |
| Form 990, Part VII, Section A, Line 5 | Certain officers or trustees of the filing organization are paid by entities (Baystate Administrative Services, Inc. 22-2747685, Baystate Affiliated Practice Organization, Inc. 04-3124541, or Baystate Vascular Services, Inc. 26-0193173) who are part of the health care system to which the filing organization belongs but one that does not meet the technical requirements as a "Related Organization" per Schedule R. Compensation from BAS 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 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 |
|---|---|---|---|---|---|---|---|---|---|
| Baystate Health Inc | |||||||||
| 759 Chestnut Street | Springfield | MA | 01199 | 042105941 | Healthcare System Parent | MA | 501 (c ) (3) | 7 | Baystate Health Inc |
| Baystate Mary Lane Hospital Corporation | |||||||||
| 85 South Street | Ware | MA | 01082 | 042103584 | Hospital | MA | 501 (c ) (3) | 3 | Baystate Health Inc |
| Baystate Franklin Medical Center | |||||||||
| 164 High Street | Greenfield | MA | 01301 | 042103575 | Hospital | MA | 501 (c ) (3) | 3 | Baystate Health Inc |
| Baystate Medical Center Inc | |||||||||
| 759 Chestnut Street | Springfield | MA | 01199 | 042790311 | Acute Care Teaching Hospital | MA | 501 (c ) (3) | 3 | Baystate Health Inc |
| 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 |
| 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | 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 | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Baystate Medical Center Inc | |
| K | 41064292 |
| Baystate Franklin Medical Center | |
| K | 3535618 |
| Baystate Mary Lane Hospital Corporation | |
| K | 79869 |
| Baystate Health Inc | |
| K | 192228 |
| Baystate Medical Center Inc | |
| R | 4185500 |
| Baystate Medical Center Inc | |
| J | 1533500 |
| Baystate Medical Center Inc | |
| L | 1316292 |
| Baystate Health Inc | |
| Q | 113195 |
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