Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $5,732,403

• 1e · Government grants (contributions)

  $11,844,476

• 1f · All other contributions, gifts and grants

  $1,380,827

• 2a · Program service revenue: INPATIENT REVENUE

  total $884,481,411 · related or exempt $884,481,411

• 2b · Program service revenue: OUTPATIENT REVENUE

  total $760,175,200 · related or exempt $726,022,731 · unrelated business $34,152,469

• 2c · Program service revenue: SPONSORED PROGRAM REV.

  total $17,293,101 · related or exempt $17,293,101

• 2d · Program service revenue: MCD WAIVER SAFETY NET

  total $16,988,754 · related or exempt $16,988,754

• 2e · Program service revenue: INTERCOMPANY REVENUE

  total $5,163,261 · related or exempt $5,163,261

• 2f · All other program service revenue

  total $2,228,489 · related or exempt $2,228,489

• 3 · Investment income

  total $17,138,978 · excluded $17,138,978

• 6a · Gross rents

  real property $159,688

• 6b · Less rental expenses

  real property $348,854

• 6c · Rental income or loss

  real property -$189,166

• 6d · Net rental income or loss

  total -$189,166 · excluded -$189,166

• 7a · Gross sales of assets other than inventory

  securities $493,000,000 · other assets $45,494,598

• 7b · Less cost or other basis and sales expenses

  securities $497,528,412 · other assets $41,156,508

• 7c · Gain or loss

  securities -$4,528,412 · other assets $4,338,090

• 7d · Net gain or loss

  total -$190,322 · excluded -$190,322

• 11a · Other revenue: INTERCOMPANY CHARGES

  total $23,854,424 · related or exempt $23,854,424

• 11b · Other revenue: PHARMACY SERVICE

  total $18,765,830 · related or exempt $18,765,830

• 11c · Other revenue: CAFETERIA INCOME

  total $6,762,704 · excluded $6,762,704

• 11d · All other revenue

  total $43,636,653 · related or exempt $43,618,296 · unrelated business $18,337 · excluded $20

• 11e · Other revenue, total

  $93,019,611

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $8,887,935 · program services $8,887,935

• 6 · Compensation of disqualified persons

  total $77,614 · program services $77,614

• 7 · Other salaries and wages

  total $584,114,177 · program services $532,699,324 · management and general $51,414,853

• 8 · Pension plan contributions

  total $29,051,664 · program services $26,494,479 · management and general $2,557,185

• 9 · Other employee benefits

  total $73,696,152 · program services $67,210,096 · management and general $6,486,056

• 10 · Payroll taxes

  total $42,728,162 · program services $38,967,623 · management and general $3,760,539

• 11a · Fees: management

  total $72,847,217 · program services $70,974,264 · management and general $1,872,953

• 11b · Fees: legal

  total $279,353 · management and general $279,353

• 11c · Fees: accounting

  total $663,336 · management and general $663,336

• 11d · Fees: lobbying

  total $76,077 · management and general $76,077

• 11g · Fees: other

  total $227,860,080 · program services $215,017,413 · management and general $12,842,667

• 12 · Advertising and promotion

  total $109,256 · program services $107,981 · management and general $1,275

• 13 · Office expenses

  total $38,620,002 · program services $35,342,549 · management and general $3,277,453

• 14 · Information technology

  total $109,387,827 · program services $108,346,470 · management and general $1,041,357

• 16 · Occupancy

  total $22,503,014 · program services $14,056,411 · management and general $8,446,603

• 17 · Travel

  total $765,850 · program services $706,872 · management and general $58,978

• 19 · Conferences, conventions and meetings

  total $2,058,776 · program services $1,851,241 · management and general $207,535

• 20 · Interest

  total $19,224,527 · program services $19,224,527

• 22 · Depreciation, depletion and amortization

  total $69,445,698 · program services $50,271,547 · management and general $19,174,151

• 23 · Insurance

  total $7,648,719 · program services $6,464,282 · management and general $1,184,437

• 24a · Other expenses: MEDICAL SUPPLIES

  total $461,501,343 · program services $455,932,087 · management and general $5,569,256

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $91,755,342 · end of year $106,209,407

• 4 · Accounts receivable

  beginning of year $271,360,952 · end of year $312,628,943

• 8 · Inventories for sale or use

  beginning of year $40,180,899 · end of year $38,584,007

• 9 · Prepaid expenses and deferred charges

  beginning of year $7,477,004 · end of year $5,992,282

• 10a · Land, buildings and equipment: cost or other basis

  $1,796,359,031

• 10b · Land, buildings and equipment: accumulated depreciation

  $1,116,780,468

• 10c · Land, buildings and equipment, net

  beginning of year $713,719,014 · end of year $679,578,563

• 11 · Investments: publicly traded securities

  beginning of year $289,263,212 · end of year $318,247,324

• 12 · Investments: other securities

  beginning of year $148,418,003 · end of year $148,638,564

• 14 · Intangible assets

  beginning of year $1,550,832 · end of year $1,550,827

• 15 · Other assets

  beginning of year $44,222,990 · end of year $57,243,473

• 17 · Accounts payable and accrued expenses

  beginning of year $173,340,414 · end of year $180,135,786

• 19 · Deferred revenue

  beginning of year $3,179,933 · end of year $4,551,620

• 20 · Tax-exempt bond liabilities

  beginning of year $479,500,624 · end of year $467,716,905

• 23 · Secured mortgages and notes payable

  beginning of year $53,630,641 · end of year $58,636,361

• 25 · Other liabilities

  beginning of year $138,663,330 · end of year $17,371,734

• 27 · Net assets without donor restrictions

  beginning of year $743,682,241 · end of year $921,746,939

• 28 · Net assets with donor restrictions

  beginning of year $15,951,065 · end of year $18,514,045

The filer's explanations (Part III)

PART I, LINE 3:

THE COMPENSATION 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:

WAYNE DUKE, MD - SUPPLEMENTAL RETIREMENT OF $12,100 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2023. SUPPLEMENTAL RETIREMENT OF $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. PETER FRIEDMANN, MD - SUPPLEMENTAL RETIREMENT OF $14,436 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $5,211 EARNED AND PAID IN 2023 AND $4,275 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 $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. MARK A. KEROACK, MD - SUPPLEMENTAL RETIREMENT OF $431,905 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $427,630 EARNED AND PAID IN 2023 AND $4,275 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 $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. NICHOLAS JABBOUR, MD - SUPPLEMENTAL RETIREMENT OF 33,852 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2023. SUPPLEMENTAL RETIREMENT OF $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. CHRISTIAN LAGIER - SUPPLEMENTAL RETIREMENT OF $4,761 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2023. PETER LINDENAUER, MD - SUPPLEMENTAL RETIREMENT OF $4,932 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2023. SUPPLEMENTAL RETIREMENT OF $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. JOANNE MILLER - SUPPLEMENTAL RETIREMENT OF $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. AARON MICHELUCCI - SUPPLEMENTAL RETIREMENT OF $4,003 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. KEVIN P. MORIARTY, MD - SUPPLEMENTAL RETIREMENT OF $29,104 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $24,829 EARNED AND PAID IN 2023 AND $4,275 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 $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. RAYMOND MCCARTHY - SUPPLEMENTAL RETIREMENT OF $190,955 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $186,680 EARNED AND PAID IN 2023 AND $4,275 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 $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. DOUGLAS SALVADOR, MD - SUPPLEMENTAL RETIREMENT OF $128,870 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $124,595 EARNED AND PAID IN 2023 AND $4,275 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 $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. SAMUEL SKURA - SUPPLEMENTAL RETIREMENT OF $166,410 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• PIONEER VALLEY INFORMATION EXCHANGE LLC

  OPERATION OF A HEALTH INFORMATION EXCHANGE AND RELATED ACTIVITIES · MA · income $0 · assets $333

  Directly controlled by BAYSTATE MEDICAL CENTER INC

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• AMSURG BMC LLC

  MEDICAL SERVICES · TN · 51% owned · share of income $45,930 · share of assets $4,382,744

  Directly controlled by BAYSTATE MEDICAL CENTER INC

• BAYSTATE NEW ENGLAND ORTHOPEDIC SURGEONS ALLIANCE LLC

  MEDICAL SERVICES · NC · 60% owned · share of income -$2,034,770 · share of assets $825,479

  Directly controlled by BAYSTATE MEDICAL CENTER INC

• BAYSTATE HEALTH URGENT CARE LLC

  URGENT HEALTHCARE FACILITY · MA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• BAYSTATE HEALTH INSURANCE COMPANY LTD

  C · OFFSHORE CAPTIVE INSURANCE · CJ

• HNE ADVISORY SERVICES INC

  C · ADMINISTRATIVE SERVICES · MA

• HNE HOLDING CORPORATION

  C · HOLDING SHARES IN SUBSIDIARY CORPORATIONS · MA

• HNE INSURANCE COMPANY INC

  C · HEALTH INS SVCS FOR MASS MEDICARE SUPPLEMENT MEMBERS · MA

• HNE INSURANCE SERVICES INC

  C · ANCILLARY INSURANCE · MA

• INGRAHAM CORPORATION

  C · HEALTH CARE AND OTHER BUSINESS ACTIVITIES · MA