Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $462,545

• 1e · Government grants (contributions)

  $4,794,049

• 2a · Program service revenue: NET PATIENT REVENUE

  total $115,290,577 · related or exempt $115,290,577

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

  total $1,305,780 · related or exempt $1,305,780

• 2c · Program service revenue: RELATED ORG RENTAL INC

  total $246,778 · related or exempt $246,778

• 3 · Investment income

  total $720,673 · excluded $720,673

• 6a · Gross rents

  real property $90,242

• 6b · Less rental expenses

  real property $130,123

• 6c · Rental income or loss

  real property -$39,881

• 6d · Net rental income or loss

  total -$39,881 · excluded -$39,881

• 7a · Gross sales of assets other than inventory

  securities $1,340,382

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

  securities $1,613,717

• 7c · Gain or loss

  securities -$273,335

• 7d · Net gain or loss

  total -$273,335 · excluded -$273,335

• 11a · Other revenue: PHARMACY SERVICES

  total $4,621,427 · related or exempt $4,621,427

• 11b · Other revenue: INTERCOMPANY SERVICES

  total $960,953 · related or exempt $960,953

• 11c · Other revenue: CAFETERIA INCOME

  total $389,634 · excluded $389,634

• 11d · All other revenue

  total $62,833 · related or exempt $62,833

• 11e · Other revenue, total

  $6,034,847

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $439,560 · program services $439,560

• 7 · Other salaries and wages

  total $41,638,967 · program services $40,988,810 · management and general $650,157

• 8 · Pension plan contributions

  total $1,216,299 · program services $1,167,464 · management and general $48,835

• 9 · Other employee benefits

  total $5,718,053 · program services $5,488,529 · management and general $229,524

• 10 · Payroll taxes

  total $3,068,053 · program services $2,945,331 · management and general $122,722

• 11a · Fees: management

  total $7,447,001 · program services $2,426,051 · management and general $5,020,950

• 11b · Fees: legal

  total -$15,342 · program services -$15,724 · management and general $382

• 11c · Fees: accounting

  total $59,655 · management and general $59,655

• 11d · Fees: lobbying

  total $19,814 · management and general $19,814

• 11g · Fees: other

  total $2,888,187 · program services $2,888,187

• 12 · Advertising and promotion

  total $168 · program services $168

• 13 · Office expenses

  total $37,690,920 · program services $33,906,293 · management and general $3,784,627

• 14 · Information technology

  total $4,462,678 · program services $4,462,678

• 16 · Occupancy

  total $2,317,444 · program services $2,317,444

• 17 · Travel

  total $54,037 · program services $54,037

• 19 · Conferences, conventions and meetings

  total $124,952 · program services $107,305 · management and general $17,647

• 20 · Interest

  total $747,460 · program services $747,460

• 22 · Depreciation, depletion and amortization

  total $4,635,999 · program services $4,202,385 · management and general $433,614

• 23 · Insurance

  total $397,868 · program services $397,868

• 24a · Other expenses: MEDICAL SUPPLIES

  total $14,444,120 · program services $14,393,552 · management and general $50,568

• 24b · Other expenses: EQUIPMENT RENTAL

  total $779,953 · program services $759,165 · management and general $20,788

• 24c · Other expenses: RECRUITMENT EXPENSES

  total $22,433 · program services $22,433

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $2,445,850 · end of year $1,693,297

• 4 · Accounts receivable

  beginning of year $13,086,065 · end of year $15,874,343

• 8 · Inventories for sale or use

  beginning of year $2,241,030 · end of year $2,248,882

• 9 · Prepaid expenses and deferred charges

  beginning of year $542,211 · end of year $324,009

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

  $166,646,624

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

  $119,697,570

• 10c · Land, buildings and equipment, net

  beginning of year $45,802,551 · end of year $46,949,054

• 12 · Investments: other securities

  beginning of year $334,384 · end of year $374,522

• 15 · Other assets

  beginning of year $15,647,811 · end of year $17,044,769

• 17 · Accounts payable and accrued expenses

  beginning of year $13,027,807 · end of year $12,404,770

• 19 · Deferred revenue

  beginning of year $15,750 · end of year $87,907

• 20 · Tax-exempt bond liabilities

  beginning of year $20,028,806 · end of year $18,704,525

• 25 · Other liabilities

  beginning of year $7,153,791 · end of year $9,184,550

• 27 · Net assets without donor restrictions

  beginning of year $24,709,157 · end of year $27,565,269

• 28 · Net assets with donor restrictions

  beginning of year $15,164,591 · end of year $16,561,855

The filer's explanations (Part III)

PART I, LINE 1A

HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE - ONE KEY EMPLOYEE WAS PROVIDED WITH REIMBURSEMENT FOR HOUSING EXPENSES REQUIRING A TAX GROSS UP. THIS WAS TREATED AS TAXABLE COMPENSATION AS APPROPRIATE IN ACCORDANCE WITH BAYSTATE'S WRITTEN POLICIES WHICH REQUIRE COMPLIANCE WITH THE IRS'S ACCOUNTABLE PLAN.

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:

THAMPI K. AMPADI, MD - SUPPLEMENTAL RETIREMENT OF $10,442 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. 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. 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. KINAN HREIB, MD - SUPPLEMENTAL RETIREMENT OF $10,314 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2022. DEBORAH A. PROVOST - SUPPLEMENTAL RETIREMENT OF $4,251 IS INCLUDED IN COLUMN C. THIS AMOUNT CONSISTS OF $222 EARNED AND PAID IN 2022 AND $4,029 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.

Related corporations and trusts

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

• HNE ADVISORY SERVICES INC

  C · ADMINISTRATIVE SERVICES · MA

• HNE INSURANCE SERVICES INC

  C · ANCILLIARY INSURANCE · MA

• INGRAHAM CORPORATION

  C · HEALTH CARE AND OTHER BUSINESS ACTIVITIES · 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

• BAYSTATE HEALTH INSURANCE COMPANY LTD

  C · OFFSHORE CAPTIVE INSURANCE · CJ