Form 990 for tax year 2022
Filed by BAYSTATE NOBLE HOSPITAL CORPORATION.
Totals
- Total revenue
- $84,758,266
- Total expenses
- $80,972,738
- Contributions and grants received
- $2,660,709
- Grants paid
- $0
- Program service revenue
- $79,528,242
- Investment income
- $182,347
- Other revenue
- $2,386,968
- Total assets, end of year
- $42,811,777
- Total liabilities, end of year
- $17,622,705
- Net assets or fund balances, end of year
- $25,189,072
- Program services expenses (Part IX)
- $79,658,861
- Management and general expenses
- $1,313,877
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $79,658,861
Program services were 98.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
MARK A KEROACK MD
TRUSTEE/PRESIDENT & CEO - BH
- Total calculated
- $2,632,878
- From this org
- $0
- From related orgs
- $2,590,235
- Other
- $42,643
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $1,542,937 related
- Bonus
- $0 + $619,496 related
- Other
- $0 + $427,802 related
- Deferred
- $0 + $22,875 related
- Nontaxable benefits
- $0 + $19,768 related
- Filer's total
- $0 + $2,632,878 related
-
KEVIN P MORIARTY MD
TRUSTEE/CHIEF PED SURGERY
- Total calculated
- $793,811
- From this org
- $751,828
- From related orgs
- $0
- Other
- $41,983
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $571,989
- Bonus
- $122,013
- Other
- $57,826
- Deferred
- $25,925
- Nontaxable benefits
- $16,058
- Filer's total
- $793,811
-
SUNDEEP SHUKLA MD
TRUSTEE (AS OF 1/1/23)/CES
- Total calculated
- $537,267
- From this org
- $486,694
- From related orgs
- $0
- Other
- $50,573
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $406,681
- Bonus
- $44,984
- Other
- $35,029
- Deferred
- $22,875
- Nontaxable benefits
- $27,698
- Filer's total
- $537,267
-
DENZIL M REID MD
TRUSTEE (THRU 12/31/22)/MED DR PLMNG
- Total calculated
- $487,191
- From this org
- $432,782
- From related orgs
- $0
- Other
- $54,409
- Hours/week
- 49 + 1 related
Schedule J breakdown matched by us
- Base
- $368,969
- Bonus
- $38,196
- Other
- $25,617
- Deferred
- $22,875
- Nontaxable benefits
- $31,534
- Filer's total
- $487,191
-
AKINYELE K LOVELACE DO
TRUSTEE/PER DIEM INTERNIST
- Total calculated
- $67,279
- From this org
- $66,500
- From related orgs
- $0
- Other
- $779
- Hours/week
- 1 + 49 related
-
SARA ROURKE MD
TRUSTEE/PER DIEM URGENT CARE PHYSCN
- Total calculated
- $12,743
- From this org
- $12,555
- From related orgs
- $0
- Other
- $188
- Hours/week
- 1 + 49 related
-
COLLEEN W HOLMES
VICE CHAIR (AS OF 1/1/23)/TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 6 related
-
HARRIET A DEVERRY
CHAIR (AS OF 1/1/23)/ TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 6 related
-
ANTONIO E DOS SANTOS
TRUSTEE (AS OF 1/1/23)
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
CLAUDIA R COPLEIN DO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
DENISE R JORDAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
ELIZABETH CARDONA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
IRENE RODRIGUEZ-MARTIN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
JAMES R PHANEUF
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
JOHN F MAYBURY
TRUSTEE (THRU 12/31/22)
- Total calculated
- $0
- Hours/week
- 1 + 5 related
-
KATHLEEN B SCOBLE
TRUSTEE (THRU 12/31/22)
- Total calculated
- $0
- Hours/week
- 1 + 5 related
-
LINDA THOMPSON
TRUSTEE (AS OF 1/1/23)
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
MARIA P GONCALVES
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 5 related
-
MARK A O'CONNELL
TRUSTEE (AS OF 1/1/23)
- Total calculated
- $0
- Hours/week
- 1 + 5 related
-
PAUL C PICKNELLY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
PAUL R MURPHY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
RICHARD BOSSIE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
ROBERT J BACON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 5 related
-
RUTH H CONSTANTINE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
WILLIAM R WEBBER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
RAYMOND MCCARTHY
TRUSTEE/SVP, CFO & TREASURER BH
- Total calculated
- $1,160,077
- From this org
- $0
- From related orgs
- $1,132,360
- Other
- $27,717
- Hours/week
- 5 + 45 related
Schedule J breakdown matched by us
- Base
- $0 + $700,431 related
- Bonus
- $0 + $215,579 related
- Other
- $0 + $216,350 related
- Deferred
- $0 + $25,925 related
- Nontaxable benefits
- $0 + $1,792 related
- Filer's total
- $0 + $1,160,077 related
-
RONALD P BRYANT
PRESIDENT, BH COMM HOSPITALS
- Total calculated
- $663,328
- From this org
- $0
- From related orgs
- $617,217
- Other
- $46,111
- Hours/week
- 16 + 34 related
Schedule J breakdown matched by us
- Base
- $0 + $457,537 related
- Bonus
- $0 + $106,088 related
- Other
- $0 + $53,592 related
- Deferred
- $0 + $22,875 related
- Nontaxable benefits
- $0 + $23,236 related
- Filer's total
- $0 + $663,328 related
-
KRISTIN R DELANEY
CLERK/DIR CORP GOVERNANCE
- Total calculated
- $219,573
- From this org
- $0
- From related orgs
- $171,356
- Other
- $48,217
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $154,852 related
- Bonus
- $0 + $15,079 related
- Other
- $0 + $1,425 related
- Deferred
- $0 + $21,673 related
- Nontaxable benefits
- $0 + $26,544 related
- Filer's total
- $0 + $219,573 related
-
NANCY REMILLARD
ASST. CLERK OF THE CORP
- Total calculated
- $72,736
- From this org
- $0
- From related orgs
- $60,294
- Other
- $12,442
- Hours/week
- 1 + 49 related
-
T BRITTON PERCY MD
VP/CMO
- Total calculated
- $414,032
- From this org
- $363,250
- From related orgs
- $0
- Other
- $50,782
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $276,036
- Bonus
- $56,281
- Other
- $30,933
- Deferred
- $22,875
- Nontaxable benefits
- $27,907
- Filer's total
- $414,032
-
LISSETTE GRIMALDI
VP/CNO
- Total calculated
- $273,147
- From this org
- $255,737
- From related orgs
- $0
- Other
- $17,410
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $215,025
- Bonus
- $39,606
- Other
- $1,106
- Deferred
- $8,032
- Nontaxable benefits
- $9,378
- Filer's total
- $273,147
-
JANICE MAYFORTH
CFO - REGIONAL COMMUNITY HOSPITALS
- Total calculated
- $261,664
- From this org
- $0
- From related orgs
- $212,170
- Other
- $49,494
- Hours/week
- 15 + 35 related
Schedule J breakdown matched by us
- Base
- $0 + $162,441 related
- Bonus
- $0 + $26,550 related
- Other
- $0 + $23,179 related
- Deferred
- $0 + $24,200 related
- Nontaxable benefits
- $0 + $25,294 related
- Filer's total
- $0 + $261,664 related
-
ANGELA M COTTI
REGISTERED NURSE
- Total calculated
- $218,884
- From this org
- $211,019
- From related orgs
- $0
- Other
- $7,865
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $210,617
- Bonus
- $0
- Other
- $402
- Deferred
- $4,751
- Nontaxable benefits
- $3,114
- Filer's total
- $218,884
-
PAMELA FOURNIER
REGISTERED NURSE
- Total calculated
- $191,821
- From this org
- $176,566
- From related orgs
- $0
- Other
- $15,255
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $176,321
- Bonus
- $0
- Other
- $245
- Deferred
- $6,250
- Nontaxable benefits
- $9,005
- Filer's total
- $191,821
-
CAROLINE FORTIER
REGISTERED NURSE
- Total calculated
- $186,358
- From this org
- $160,714
- From related orgs
- $0
- Other
- $25,644
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $160,403
- Bonus
- $180
- Other
- $131
- Deferred
- $4,094
- Nontaxable benefits
- $21,550
- Filer's total
- $186,358
-
ALISSA HEATH
REGISTERED NURSE
- Total calculated
- $182,650
- From this org
- $164,362
- From related orgs
- $0
- Other
- $18,288
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $164,242
- Bonus
- $0
- Other
- $120
- Deferred
- $6,755
- Nontaxable benefits
- $11,533
- Filer's total
- $182,650
-
CHARILOU FAJARDO
REGISTERED NURSE
- Total calculated
- $172,397
- From this org
- $147,630
- From related orgs
- $0
- Other
- $24,767
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $142,618
- Bonus
- $4,860
- Other
- $152
- Deferred
- $0
- Nontaxable benefits
- $24,767
- Filer's total
- $172,397
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. (THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS) HAS BEEN APPOINTED THROUGH BOARD RESOLUTION AS THE HUMAN RESOURCES COMMITTEE OF THE FILING ORGANIZATION. THIS COMMITTEE CONSISTS ENTIRELY OF INDIVIDUALS SERVING ON THE BOARD OF THE FILING ORGANIZATION. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE PRESIDENT WOULD BE THOSE INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AND WOULD BE CONSIDERED INDEPENDENT FOR COMPENSATION DELIBERATION PURPOSES. THE COMPENSATION OF THE PRESIDENT IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE DULY AUTHORIZED HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. AND ALL SUCH DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY.
- PART I, LINE 4B:
- RONALD P. BRYANT - SUPPLEMENTAL RETIREMENT OF $14,818 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $10,618 EARNED AND PAID IN 2022 AND $4,200 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. LISSETTE GRIMALDI - SUPPLEMENTAL RETIREMENT OF $3,870 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. MARK A. KEROACK, MD - SUPPLEMENTAL RETIREMENT OF $382,689 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $378,489 EARNED AND PAID IN 2022 AND $4,200 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. RAYMOND MCCARTHY - SUPPLEMENTAL RETIREMENT OF $175,124 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $170,924 EARNED AND PAID IN 2022 AND $4,200 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. KEVIN P. MORIARTY, MD - SUPPLEMENTAL RETIREMENT OF $24,115 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $19,915 EARNED AND PAID IN 2022 AND $4,200 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. T. BRITTON PERCY, MD - SUPPLEMENTAL RETIREMENT OF $4,927 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2022. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. DENZIL REID, MD - SUPPLEMENTAL RETIREMENT OF $5,813 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2022. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022. SUNDEEP M. SHUKLA, MD - SUPPLEMENTAL RETIREMENT OF $11,534 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2022. SUPPLEMENTAL RETIREMENT OF $4,575 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2022.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HEALTHCARE SYSTEM PARENT · MA
Directly controlled by BAYSTATE HEALTH INC
-
501(C)(3) · ACUTE CARE TEACHING HOSPITAL · MA
Directly controlled by BAYSTATE HEALTH INC
-
BAYSTATE FRANKLIN MEDICAL CENTER
501(C)(3) · HOSPITAL · MA
Directly controlled by BAYSTATE HEALTH INC
-
BAYSTATE WING HOSPITAL CORPORATION
501(C)(3) · HOSPITAL · MA
Directly controlled by BAYSTATE HEALTH INC
-
VISITING NURSE ASSN AND HOSPICE OF WESTERN NEW ENGLAND INC
501(C)(3) · HOMEHEALTH AND HOSPICE CARE · MA
Directly controlled by BAYSTATE HEALTH INC
-
501(C)(3) · REAL ESTATE AND OTHER · MA
Directly controlled by BAYSTATE MEDICAL CENTER INC
-
BAYSTATE ADMINISTRATIVE SERVICES INC
501(C)(3) · ADMINISTRATIVE SERVICES · MA
Directly controlled by BAYSTATE HEALTH INC
-
BAYSTATE HEALTH FOUNDATION INC
501(C)(3) · FUNDRAISING · MA
Directly controlled by BAYSTATE HEALTH INC
-
501(C)(4) · HMO/INSURANCE · MA
Directly controlled by BAYSTATE HEALTH INC
-
501(C)(4) · HMO/INSURANCE · CT
Directly controlled by HEALTH NEW ENGLAND
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · ADMINISTRATIVE SERVICES · MA
-
C · ANCILLIARY INSURANCE · MA
-
C · HEALTH CARE AND OTHER BUSINESS ACTIVITIES · MA
-
C · HOLDING SHARES IN SUBSIDIARY CORPORATIONS · MA
-
C · HEALTH INS SVCS FOR MASS MEDICARE SUPPLEMENT MEMBERS · MA
-
BAYSTATE HEALTH INSURANCE COMPANY LTD
C · OFFSHORE CAPTIVE INSURANCE · CJ
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 9 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202412269349300406
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