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        <Title>COO Baystate Medical Practices</Title>
        <AverageHoursPerWeek>38.40</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>449997</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>97227</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dennis Oh MD</NamePerson>
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        <AverageHoursPerWeek>60.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>734968</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>31614</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sherry Taylor MD</NamePerson>
        <Title>Chief Division Of Neurosurgery</Title>
        <AverageHoursPerWeek>60.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>671330</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>59079</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Aaron Kugelmass MD</NamePerson>
        <Title>Chief Cardio M Dir Vascular</Title>
        <AverageHoursPerWeek>60.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>638562</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>31400</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Marc J Schweiger MD</NamePerson>
        <Title>Medical Dir Cardiac Cath Lab</Title>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>161834</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>James R Cook MD</NamePerson>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>65080</OtherCompensation>
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          <NameBusiness>
            <BusinessNameLine1>Baystate Administrative Services Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
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            <City>Springfield</City>
            <State>MA</State>
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          <NameBusiness>
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          <NameBusiness>
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          <AddressUS>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Catuogno Court Reporting &amp; Sten-Tel Tran</BusinessNameLine1>
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          <AddressUS>
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            <City>Springfield</City>
            <State>MA</State>
            <ZIPCode>01144</ZIPCode>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Nuance communications</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 7247-6924</AddressLine1>
            <City>Philadelphia</City>
            <State>PA</State>
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          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Transcription services</DescriptionOfServices>
        <Compensation>244359</Compensation>
      </ContractorCompensation>
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        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>140855978</TotalRevenueColumn>
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      <ProgramServiceRevenue>
        <Description>BRL Gainshare</Description>
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        <TotalRevenueColumn>276651</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>276651</UnrelatedBusinessRevenue>
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      <ProgramServiceRevenue>
        <Description>BMC Support</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>20788</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>20788</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>141153417</TotalProgramServiceRevenue>
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        <ExclusionAmount>1540</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>7100</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>7100</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>7100</TotalRevenueColumn>
        <ExclusionAmount>7100</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <TotalRevenue>
        <TotalRevenueColumn>141162057</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>140855978</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>297439</UnrelatedBusinessRevenue>
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      <CompCurrentOfficersDirectors>
        <Total>6064615</Total>
        <ProgramServices>6064615</ProgramServices>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>95907826</Total>
        <ProgramServices>90987608</ProgramServices>
        <ManagementAndGeneral>4920218</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>5689113</Total>
        <ProgramServices>5389767</ProgramServices>
        <ManagementAndGeneral>299346</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>7165097</Total>
        <ProgramServices>6802224</ProgramServices>
        <ManagementAndGeneral>362873</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>5243829</Total>
        <ProgramServices>4988979</ProgramServices>
        <ManagementAndGeneral>254850</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>4570579</Total>
        <ManagementAndGeneral>4570579</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>192916</Total>
        <ManagementAndGeneral>192916</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>44070</Total>
        <ManagementAndGeneral>44070</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>2701939</Total>
        <ProgramServices>2701939</ProgramServices>
      </FeesForServicesOther>
      <Advertising>
        <Total>155486</Total>
        <ProgramServices>147712</ProgramServices>
        <ManagementAndGeneral>7774</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>1420316</Total>
        <ProgramServices>1307709</ProgramServices>
        <ManagementAndGeneral>112607</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>160134</Total>
        <ProgramServices>138595</ProgramServices>
        <ManagementAndGeneral>21539</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>2151383</Total>
        <ProgramServices>2048974</ProgramServices>
        <ManagementAndGeneral>102409</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>210498</Total>
        <ProgramServices>210498</ProgramServices>
      </Travel>
      <ConferencesMeetings>
        <Total>337623</Total>
        <ProgramServices>320742</ProgramServices>
        <ManagementAndGeneral>16881</ManagementAndGeneral>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>418667</Total>
        <ProgramServices>397734</ProgramServices>
        <ManagementAndGeneral>20933</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>4964920</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>Bad Debts</Description>
        <Total>3343503</Total>
        <ProgramServices>3343503</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Purchased Services Cler</Description>
        <Total>1396832</Total>
        <ProgramServices>1396832</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Professional Expense Ac</Description>
        <Total>1210172</Total>
        <ProgramServices>1210172</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Medical Supplies</Description>
        <Total>569263</Total>
        <ProgramServices>569263</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dues &amp; Memberships</Description>
        <Total>287546</Total>
        <ManagementAndGeneral>287546</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>473581</Total>
        <ProgramServices>465517</ProgramServices>
        <ManagementAndGeneral>8064</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>144679908</Total>
        <ProgramServices>133457303</ProgramServices>
        <ManagementAndGeneral>11222605</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1307218</BOY>
        <EOY>5140408</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
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        <EOY>14099095</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
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        <EOY>251666</EOY>
      </OtherNotesLoansReceivableNet>
      <PrepaidExpensesDeferredCharges>
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        <EOY>350106</EOY>
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      <LandBuildingsEquipmentBasis>17892015</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>14259517</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1518541</BOY>
        <EOY>3632498</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>4112277</BOY>
        <EOY>2137726</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
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        <EOY>25611499</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
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        <EOY>20651837</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
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        <EOY>109374</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>36826811</BOY>
        <EOY>42361508</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>52308857</BOY>
        <EOY>63122719</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-35193567</BOY>
        <EOY>-37511220</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-35193567</BOY>
        <EOY>-37511220</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>17115290</BOY>
        <EOY>25611499</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>112273481</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>120783166</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>127231314</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>135989036</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>140855978</CurrentTaxYear>
        <Total>637132975</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>112273481</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>120783166</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>127231314</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>135989036</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>140855978</CurrentTaxYear>
        <Total>637132975</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>637132975</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>121054</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>134321</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>93647</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>46568</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8640</CurrentTaxYear>
        <Total>404230</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>134321</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>93647</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>46568</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8640</CurrentTaxYear>
        <Total>404230</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
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        <CurrentTaxYearMinus3Years>464754</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>382925</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>309068</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>297439</CurrentTaxYear>
        <Total>1783445</Total>
      </NetIncomeFromOtherUBI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>112723794</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>121382241</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>127707886</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>136344672</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>141162057</CurrentTaxYear>
        <Total>639320650</Total>
      </TotalSupportTotal>
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      <PriorYearSupportPercentage>0.99630</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00060</InvestmentIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>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>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <Depreciation>377664</Depreciation>
        <BookValue>726263</BookValue>
      </Buildings>
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        <BookValue>-125354</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <Depreciation>12892924</Depreciation>
        <BookValue>3031589</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>3632498</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Due from Affiliated Companies</Description>
        <BookValue>585025</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Accounts Receivable, Other (net of MD loans)less 292 rounding</Description>
        <BookValue>1552701</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>2137726</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Due to Affiliated Companies</Description>
        <Amount>8258910</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Insurance IBNR Loss Reserves</Description>
        <Amount>6151308</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Accrued Pension Cost</Description>
        <Amount>26840613</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Line of credit, affiliate - less 292 rounding</Description>
        <Amount>1110677</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>42361508</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <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>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <TotalNumberOfOffices>0</TotalNumberOfOffices>
      <TotalNumberOfEmployees>0</TotalNumberOfEmployees>
      <TotalAmountSpent>0</TotalAmountSpent>
      <NoRecipientOver5K>X</NoRecipientOver5K>
      <GrantsToOrgsOutsideUS>
        <Region>Central America &amp; The Caribbean</Region>
        <AmountOfNonCashAssistance>20964</AmountOfNonCashAssistance>
        <DescriptionOfNonCashAssistance>Medical aid and disaster relief to Haitian citizens in need after the earthquake.</DescriptionOfNonCashAssistance>
      </GrantsToOrgsOutsideUS>
      <Form990ScheduleFPartIV>
        <Identifier>Schedule F, Part IV</Identifier>
        <ReturnReference>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>
      </Form990ScheduleFPartIV>
    </IRS990ScheduleF>
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      <WrittenEmploymentContract>X</WrittenEmploymentContract>
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      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>1</EquityBasedCompArrangement>
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      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
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      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Loring S Flint MD</BusinessNameLine1>
        </NameBusiness>
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        <BonusFilingOrg>203326</BonusFilingOrg>
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      </Form990ScheduleJPartII>
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          <BusinessNameLine1>Benjamin Liptzin MD</BusinessNameLine1>
        </NameBusiness>
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      </Form990ScheduleJPartII>
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          <BusinessNameLine1>Barry Sarvet MD</BusinessNameLine1>
        </NameBusiness>
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        <NameBusiness>
          <BusinessNameLine1>Gordon Josephson MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>323523</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>80087</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>46387</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>71275</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>25952</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>547224</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>21704</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Dennis Oh MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>521876</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>152307</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>60785</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12250</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19364</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>766582</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Sherry Taylor MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>667852</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>3478</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>48196</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10883</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>730409</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Aaron Kugelmass MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>456676</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>179000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2886</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12250</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19150</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>669962</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Marc J Schweiger MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>429580</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>47030</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>105333</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>140715</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21119</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>743777</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>50365</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>James R Cook MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>426325</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>28631</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>81907</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>43596</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21484</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>601943</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>29669</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Lines 4b-c:</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>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.</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>1016805</AmountOfTransaction>
        <DescriptionOfTransaction>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.</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>93400</AmountOfTransaction>
        <DescriptionOfTransaction>Schedule O - The filing organization made payments to BHP for physician membership dues. BHP is an affiliate corporation of the filing organization.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Baystate Health System Ambulance Inc (BHSA)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Common Board Members or Officers</Relationship>
        <AmountOfTransaction>10000</AmountOfTransaction>
        <DescriptionOfTransaction>Schedule O - The filing organization received payments from BHSA for patient care services. BHSA is an affiliate corporation of the filing organization.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Greater Springfield IPA GSIPA</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Board Overlap</Relationship>
        <AmountOfTransaction>800</AmountOfTransaction>
        <DescriptionOfTransaction>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.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Greater Springfield IPA GSIPA</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Board Overlap</Relationship>
        <AmountOfTransaction>59753</AmountOfTransaction>
        <DescriptionOfTransaction>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.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Health New England Inc (HNE)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Common Board Members or Officers</Relationship>
        <AmountOfTransaction>13287614</AmountOfTransaction>
        <DescriptionOfTransaction>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.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Ingraham Corporation (IC)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Common Board Members or Officers</Relationship>
        <AmountOfTransaction>304708</AmountOfTransaction>
        <DescriptionOfTransaction>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.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part III, line 2</Identifier>
        <ReturnReference>New Program Services</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 1</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>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. &amp; its affiliated entities.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 3</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 4</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>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</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <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. (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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>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 &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VII, Section A, Line 1a, Column (B)</Identifier>
        <ReturnReference>Average hours per week:</ReturnReference>
        <Explanation>All individuals with compensation who have 10 average hours per week listed in Part VII, worked between 40 - 60 hours among all related entities.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VII, Section A, Line 5</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baystate Health Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>759 Chestnut Street</AddressLine1>
          <City>Springfield</City>
          <State>MA</State>
          <ZIPCode>01199</ZIPCode>
        </AddressUS>
        <EIN>042105941</EIN>
        <PrimaryActivities>Healthcare System Parent</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501 (c ) (3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Baystate Health Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baystate Mary Lane Hospital Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>85 South Street</AddressLine1>
          <City>Ware</City>
          <State>MA</State>
          <ZIPCode>01082</ZIPCode>
        </AddressUS>
        <EIN>042103584</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501 (c ) (3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Baystate Health Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baystate Franklin Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>164 High Street</AddressLine1>
          <City>Greenfield</City>
          <State>MA</State>
          <ZIPCode>01301</ZIPCode>
        </AddressUS>
        <EIN>042103575</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501 (c ) (3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Baystate Health Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Baystate Medical Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>759 Chestnut Street</AddressLine1>
          <City>Springfield</City>
          <State>MA</State>
          <ZIPCode>01199</ZIPCode>
        </AddressUS>
        <EIN>042790311</EIN>
        <PrimaryActivities>Acute Care Teaching Hospital</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501 (c ) (3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Baystate Health Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Baystate Medical Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>41064292</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Baystate Franklin Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>3535618</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Baystate Mary Lane Hospital Corporation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>79869</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Baystate Health Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>192228</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Baystate Medical Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>4185500</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Baystate Medical Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>1533500</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Baystate Medical Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>1316292</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Baystate Health Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>113195</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>