2025-08-11T09:17:25-05:00 2024-09-30 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET SUITE 2800 MINNEAPOLIS MN 55402 990 2023-10-01 043549011 BAYSTATE HEALTH FOUNDATION INC BAYS 4137940000 759 CHESTNUT STREET SPRINGFIELD MA 01199 LAURIE MARTIN CFO & TREASURER 4137940000 2025-07-31 1 0 CHRIS MESKIMEN P01314196 6123974000 2023 2025-03-06 01:10:19Z LAURIE MARTIN 759 CHESTNUT STREET SPRINGFIELD MA 01199 15645793 0 X WWW.BAYSTATEHEALTH.ORG/GIVING X 2000 MA THE MISSION OF BAYSTATE HEALTH FOUNDATION IS TO INSPIRE A "CULTURE OF PHILANTHROPY AND ENCOURAGE PHILANTHROPIC RELATIONSHIPS THAT WILL SUPPORT THE MISSION AND VISION OF BAYSTATE HEALTH WHICH IS TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES EVERY DAY, WITH QUALITY AND COMPASSION. 18 13 22 15 0 0 10390021 6908707 2200000 2000000 6632236 4735577 8738 85317 19230995 13729601 5312289 8450278 0 0 2409515 2381886 0 0 2805536 767637 798017 8489441 11630181 10741554 2099420 158241695 180784452 3469815 2804061 154771880 177980391 X THE MISSION OF BAYSTATE HEALTH FOUNDATION IS TO INSPIRE A "CULTURE OF PHILANTHROPY AND ENCOURAGE PHILANTHROPIC RELATIONSHIPS THAT WILL SUPPORT THE MISSION AND VISION OF BAYSTATE HEALTH WHICH IS TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES EVERY DAY, WITH QUALITY AND COMPASSION. 0 0 8450278 8450278 2000000 THE PRIMARY AREAS OF SUPPORT IN 2024 INCLUDE BAYSTATE HEALTH FAMILY MEDICINE RESIDENCE PROGRAM, MOBILE HEALTH, CANCER RESEARCH AND OTHER PATIENT CENTERED PROGRAMS AND SERVICES, BAYSTATE CHILDREN'S HOSPITAL, BAYSTATE WING HOSPITAL, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE HOME, HEALTH AND HOSPICE (F.K. A. BAYSTATE VISITNG NURSES ASSOCIATION & HOPSICE OF WESTERN NEW ENGLAND, INC.) 8450278 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 25 0 1 22 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 13 1 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 FL MA MN NH X LAURIE MARTIN BAYSTATE HEALTH INC 4137940000 759 CHESTNUT STREET SPRINGFIELD MA 01199 MARK A KEROACK MD TRUSTEE (THRU 6/3/24)/PRESIDENT & CEO - BH 1.00 49.00 X X 0 2714007 44265 ANDREW ARTENSTEIN MD TRUSTEE/PRES-BMP/CPE, CAO 1.00 49.00 X 0 1284349 44386 RAYMOND MCCARTHY TRUSTEE/SVP, CFO & TREASURER BH 1.00 49.00 X X 0 1181243 29919 SAMUEL SKURA TRUSTEE/PRES BMC SVP 1.00 49.00 X 0 1016222 186721 SCOTT BERG TRUSTEE/VP PHILANTHROPY 50.00 0.00 X 0 344660 20676 MARK W TEED CHAIR/TRUSTEE 1.00 X X 0 0 0 PETER D BANKO TRUSTEE (AS OF 6/4/24)/PRESIDENT & CEO - BH 1.00 49.00 X X 0 0 0 ARAM VARTANIAN TRUSTEE 1.00 X 0 0 0 CHRISTOPHER ORSZULAK TRUSTEE 1.00 X 0 0 0 DENA M HALL TRUSTEE (AS OF 1/1/24) 1.00 X 0 0 0 JACQUELINE RODRIQUEZ TRUSTEE 1.00 X 0 0 0 JAMES P SADOWSKY TRUSTEE (THRU 12/31/23) 1.00 X 0 0 0 JEFFREY A AMANTI TRUSTEE 1.00 X 0 0 0 JOHN F MAYBURY TRUSTEE 1.00 X 0 0 0 MADELINE LANDRAU TRUSTEE 1.00 5.00 X 0 0 0 MAUREEN JAMES VICE CHAIR (AS OF 1/1/24)/TRUSTEE 1.00 X X 0 0 0 MICHELE MEGAS-DITOMASSI TRUSTEE 1.00 X 0 0 0 MICHELLE DWYER TRUSTEE 1.00 X 0 0 0 SAMUEL HANMER TRUSTEE 1.00 X 0 0 0 STEVEN M DANE TRUSTEE (THRU 12/31/23) 1.00 X 0 0 0 VINCENT J CARDILLO TRUSTEE 1.00 X 0 0 0 KRISTIN R DELANEY CLERK/DIR CORP GOVERNANCE 1.00 49.00 X 0 176880 40432 NANCY REMILLARD ASST. CLERK OF THE CORP 1.00 49.00 X 0 63112 13612 KATHLEEN L TOBIN MARTIN DIRECTOR ANNUAL FUND & EVENTS 50.00 X 148423 0 18426 KYLIE H JOHNSON PLANNED GIVING DIRECTOR 50.00 X 123335 0 35995 TERESA GROVE PHILANTHROPY OFFICER 50.00 X 100294 0 23910 MARION MCGOWAN FORMER DIRECTOR/EVP, COO-BH 0.00 0.00 X 0 15619 380 372052 6796092 458722 3 1 1 0 0 1395 877945 127155 5902212 569721 6908707 FOUNDATION ASSESSMENT 900099 2000000 2000000 2000000 2166954 2166954 3991760 1423137 2568623 2568623 2568623 442731 877945 493055 -50324 -50324 VENDING MACHINE 900099 90650 90650 PENSION ADJUSTMENT 900099 44366 44366 MISC INCOME 900099 625 625 135641 13729601 2000000 0 4820894 8450278 8450278 1942980 1942980 53789 53789 261146 261146 123971 123971 159638 159638 37523 37523 139652 138877 775 30863 30863 87421 30561 56860 163751 163751 12189 12189 3792 3792 -240 -240 3154 3154 DUES & MEMBERSHIP 95633 95633 PRESIDENT'S DONOR EVENT 60027 60027 TAXES & LICENSES 4614 4614 11630181 8450278 374367 2805536 80702 76566 17016622 15704998 9520924 8485291 161036 164472 99943 117559 252684 252684 37 0 63462061 71295618 27889731 37128067 40010639 47811881 158241695 180784452 2139020 1630129 1330795 1173932 3469815 2804061 X 14418457 16327691 140353423 161652700 154771880 177980391 158241695 180784452 X 2099420 13670549 1463 7437079 X 0 1 X 1 0 X 8534596 6609823 10439073 10390021 6908707 42882220 8534596 6609823 10439073 10390021 6908707 42882220 11391760 31490460 599030 526248 794472 1650876 2166954 5737580 314377 747675 637548 530670 533381 2763651 51383451 12618938 0.61290 0.60880 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: 2019 AMOUNT: $314,377 2020 AMOUNT: $747,675 2021 AMOUNT : $637,548 2022 AMOUNT: $530,670 2023 AMOUNT $533,381 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 76372051 1985000 15846000 3905000 90298051 70405051 2491000 7781000 4305000 76372051 84080051 1215000 -11969000 2921000 70405051 68344051 2883000 15499000 2646000 84080051 64165842 3474862 3140179 2436832 68344051 0.13855 0.28461 0.57684 0 0 252684 252684 0 0 INVESTMENTS-SECURITIES OTHER 33699955 C INVESTMENTS-SECURITIES REAL ESTATE 3428112 C 37128067 PERPETUAL TRUST INVESTMENTS 47807988 PENSION 3893 47811881 DUE TO AFFILIATED COMPANIES 1120407 CHARITABLE GIFT ANNUITY LONG-TERM 53525 1173932 PART V, LINE 4: ENDOWMENT FUNDS ARE TO PROVIDE FUNDING TO SUPPORT PROGRAMS THAT FURTHER BAYSTATE HEALTH'S MISSION. ROH WALK 551841 487302 64539 37198 98491 4643 50195 CMN RADIOTHON 293430 150567 142863 10394 2820 325 700 10782 4 475405 240076 235329 37486 153027 52279 5232 29483 1320676 877945 442731 85078 254338 57247 5932 90460 493055 -50324 1 BAYSTATE MEDICAL CENTER 759 CHESNTUT STREET SPRINGFIELD MA 011990001 042790311 501(C)(3) 5732405 0 TO SUPPORT EDUCATION, RESEARCH, CLINICAL AND HEALTHCARE PROGRAMS. BAYSTATE MEDICAL PRACTICES 759 CHESNTUT STREET SPRINGFIELD MA 011990001 042888373 501(C)(3) 985459 0 TO SUPPORT EDUCATION, RESEARCH, CLINICAL AND HEALTHCARE PROGRAMS. BAYSTATE FRANKLIN MEDICAL CENTER 164 HIGH STREET GREENFIELD MA 01301 042103575 501(C)(3) 525293 0 TO SUPPORT EDUCATION, RESEARCH, CLINICAL AND HEALTHCARE PROGRAMS. BAYSTATE HEALTH INC 759 CHESNTUT STREET SPRINGFIELD MA 011990001 042105941 501(C)(3) 678528 0 TO SUPPORT EDUCATION, RESEARCH, CLINICAL AND HEALTHCARE PROGRAMS. BAYSTATE NOBLE HOSPITAL CORPORATION 115 WEST SILVER STREET WESTFIELD MA 010861634 222537423 501(C)(3) 309975 0 TO SUPPORT EDUCATION, RESEARCH, CLINICAL AND HEALTHCARE PROGRAMS. BAYSTATE WING HOSPITAL CORPORATION 40 WRIGHT STREET PALMER MA 01069 222519813 501(C)(3) 59778 0 TO SUPPORT EDUCATION, RESEARCH, CLINICAL AND HEALTHCARE PROGRAMS. VISITING NURSE ASSOCIATION AND HOSPICE OF WESTERN NEW ENGLAND INC 30 CAPITAL DRIVE WEST SPRINGFIELD MA 01089 042105803 501(C)(3) 153007 0 TO SUPPORT EDUCATION, RESEARCH, CLINICAL AND HEALTHCARE PROGRAMS. BAYSTATE ADMINISTRATIVE SERVICES 759 CHESNTUT STREET SPRINGFIELD MA 011990001 222747685 501(C)(3) 5833 0 TO SUPPORT EDUCATION, RESEARCH, CLINICAL AND HEALTHCARE PROGRAMS. 8 0 PART I, LINE 2: GIFTS WHOSE USE ARE RESTRICTED BY DONORS FOR A SPECIFIC PURPOSE ARE ACCUMULATED AND RECORDED AT BAYSTATE HEALTH FOUNDATION (BHF) IN TEMPORARILY RESTRICTED FUNDS (TRFS) BY DONOR INTENT. UTILIZATION OF THE TRFS REQUIRE BAYSTATE HEALTH (BH) DEPARTMENT CHAIRMAN'S AND/OR SERVICE LINE LEADER'S SIGN OFF AND ASSIGNED INDIVIDUALS TO SUBMIT REQUESTS FOR A PARTICULAR TRF BY COMPLETING AND SUBMITTING A "REQUEST FOR FUNDING" VIA THE BHF TRF INTRANET SITE ON MICROSOFT SHAREPOINT, AN ONLINE SYSTEM WHICH TRACKS REQUESTS. AFTER REVIEWS TO ENSURE DONOR RESTRICTIONS ARE MET AND EXPENSES HAVE BEEN INCURRED IN THE ENTITY'S OPERATING COST CENTER, BHF AWARDS FUNDING FROM THE TRF TO THE BENEFITING ENTITY. OVERSIGHT AND AUTHORIZATION TO RELEASE FUNDS FROM RESTRICTIONS ARE THE RESPONSIBILITY OF THE DIRECTOR OF FINANCE, BHF AND REQUESTS OVER $50,000 ARE SUBJECT TO AUTHORIZATION OF THE EXECUTIVE DIRECTOR, BHF PER BH POLICY. 0 1 0 0 0 0 0 0 0 MARK A KEROACK MD TRUSTEE (THRU 6/3/24)/PRESIDENT & CE 0 1487185 0 683230 0 543592 0 24750 0 19515 0 2758272 0 4275 ANDREW ARTENSTEIN MD TRUSTEE/PRES-BMP/CPE, CAO 0 737819 0 245372 0 301158 0 24750 0 19636 0 1328735 0 4275 RAYMOND MCCARTHY TRUSTEE/SVP, CFO & TREASURER BH 0 709330 0 234559 0 237354 0 28050 0 1869 0 1211162 0 4275 SAMUEL SKURA TRUSTEE/PRES BMC SVP 0 718579 0 261625 0 36018 0 182910 0 3811 0 1202943 0 0 SCOTT BERG TRUSTEE/VP PHILANTHROPY 0 273976 0 62748 0 7936 0 17976 0 2700 0 365336 0 0 KRISTIN R DELANEY CLERK/DIR CORP GOVERNANCE 0 158929 0 15361 0 2590 0 11919 0 28513 0 217312 0 0 KATHLEEN L TOBIN MARTIN DIRECTOR ANNUAL FUND & EVENTS 131783 0 12422 0 4218 0 6994 0 11432 0 166849 0 0 0 KYLIE H JOHNSON PLANNED GIVING DIRECTOR 116661 0 6250 0 424 0 6403 0 29592 0 159330 0 0 0 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: ANDREW ARTENSTEIN, MD - SUPPLEMENTAL RETIREMENT OF $194,107 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $189,832 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. SCOTT BERG - SUPPLEMENTAL RETIREMENT OF $5,365 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2023. SUPPLEMENTAL RETIREMENT OF $4,148 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. 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. SAMUEL SKURA - SUPPLEMENTAL RETIREMENT OF $166,410 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. X 7 115365 COST OR SELLING PRICE X LIFE INSURANCE POLICY 1 454356 COST OR SELLING PRIC 0 1 0 PART I, COLUMN (B): THE AMOUNTS REPRESENT THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 1A THE FILING ORGANIZATION HAS A STANDING EXECUTIVE COMMITTEE, WHICH IS ENTITLED TO ACT BETWEEN MEETINGS OF THE BOARD, ON ALL MATTERS AS TO WHICH THE BOARD IS ENTITLED TO ACT AND PERMITTED BY LAW TO DELEGATE TO A COMMITTEE. FORM 990, PART VI, SECTION A, LINE 2 TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR MORE BOARDS OF DIRECTORS OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP WITH ONE OR MORE ENTITIES IN THE BAYSTATE GROUP OF AFFILIATED ENTITIES AND IN THE COMMUNITY. THE FOLLOWING TRUSTEES, OFFICERS, OR KEY EMPLOYEES HAVE A BUSINESS RELATIONSHIP: (1) MARK A. KEROACK, MD, MARK W. TEED AND SAMUEL HANMER. FORM 990, PART VI, SECTION A, LINE 3 BAYSTATE HEALTH FOUNDATION IS AFFILIATED WITH BAYSTATE ADMINISTRATIVE SERVICES, INC. (BAS) WHICH IS A 501(C) (3) ORGANIZATION. INFORMATION TECHNOLOGY, HUMAN RESOURCES, FINANCE, TREASURY, ACCOUNTING AND OTHER MANAGEMENT AND SUPPORT FUNCTIONS ARE DELEGATED TO BAS. FORM 990, PART VI, SECTION A, LINE 6 THE FILING ORGANIZATION HAS ONE MEMBER, BAYSTATE HEALTH, INC. (BH). FORM 990, PART VI, SECTION A, LINE 7A SIX OF THE TRUSTEES OF THE FILING ORGANIZATION SERVE EX OFFICIO BASED ON POSITIONS THEY HOLD WITH BH OR THE FILING ORGANIZATION, AND THE REMAINING TRUSTEES ARE ELECTED BY THE BOARD, SUBJECT TO APPROVAL BY BAYSTATE HEALTH, INC. (BH), AS MEMBER. FORM 990, PART VI, SECTION A, LINE 7B AS DESCRIBED IN THE RESPONSE TO QUESTION 7A, ABOVE, THE ELECTION OF THE BOARD OF TRUSTEES OF THE FILING ORGANIZATION IS SUBJECT TO THE APPROVAL OF BAYSTATE HEALTH, INC. (BH), AS MEMBER. IN ADDITION, THE BYLAWS OF THE FILING ORGANIZATION PROVIDE THAT THE FOLLOWING MATTERS APPROVED BY THE BOARD OF TRUSTEES ARE ALSO SUBJECT TO THE APPROVAL OF BH, AS MEMBER: (1) THE FILING ORGANIZATION'S ANNUAL OPERATING BUDGET AND ALL CAPITAL BUDGETS, (2) THE BORROWING OF ANY SUM IN EXCESS OF $1,000,000, (3) ANY AMENDMENT TO THE ARTICLES OF ORGANIZATION AND BYLAWS OF THE FILING ORGANIZATION, (4) VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION, OR SALE OF ALL OR SUBSTANTIALLY OF THE ASSETS OF THE FILING ORGANIZATION, (5) THE CREATION OR ACQUISITION BY THE FILING ORGANIZATION OF ANY SUBSIDIARY OR AFFILIATE, AND (6) SIGNIFICANT CONTRACTS, CONSISTENT WITH POLICIES ESTABLISHED BY BH. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING THE FORM 990, APPROPRIATE SECTIONS WERE REVIEWED BY THE TAX, FINANCE, AND HUMAN RESOURCES AREAS OF BAYSTATE HEALTH, INC. (THE SOLE MEMBER OF THE FILING ORGANIZATION AND THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS) AND BY OUTSIDE LEGAL COUNSEL.THE FORM 990 WAS ALSO REVIEWED BY TAX EXPERTS FROM AN INDEPENDENT ACCOUNTING FIRM AND SIGNED-OFF AS A PAID PREPARER. THE PROCESS, KEY AREAS AND ANY NEW CHANGES WERE REVIEWED PRIOR TO FILING WITH THE BAYSTATE HEALTH AUDIT AND COMPLIANCE COMMITTEE (ACC). THE ACC MEMBERS HAD AN OPPORTUNITY TO ASK QUESTIONS REGARDING THE TAX COMPLIANCE PROCESS AND THE TAX FILINGS IN GENERAL. THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BAYSTATE HEALTH BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BAYSTATE HEALTH FOUNDATION IS AN AFFILIATE OF BAYSTATE HEALTH, INC (BH). BH AND ITS AFFILIATED ENTITIES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES. 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 CHIEF COMPLIANCE OFFICER, CHIEF EXECUTIVE OFFICER, CHAIR OF THE BOARD OF TRUSTEES, CHIEF GENERAL COUNSEL AND THE CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. A SUMMARY OF THE CONFLICT OF INTEREST DISCLOSURES IS PROVIDED TO THE BAYSTATE HEALTH BOARD OF TRUSTEES AND THE TAX DEPARTMENT. POTENTIAL CONFLICT OF INTEREST TRANSACTIONS ARE REVIEWED AS APPROPRIATE UNDER THE POLICY, WHICH PROVIDES FOR RECUSAL FROM DISCUSSION AND DELIBERATION BY ANY PARTY WITH A POTENTIAL CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE PRESIDENT AND CEO IS PAID BY BAYSTATE ADMINISTRATIVE SERVICES, INC., AN AFFILIATE AND RELATED ORGANIZATION OF THE FILING ORGANIZATION. THE COMPENSATION IS REVIEWED AND DETERMINED ANNUALLY BY THE HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. (THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS). THIS COMMITTEE CONSISTS ENTIRELY OF INDIVIDUALS SERVING ON THE BOARD OF BAYSTATE HEALTH, INC. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE PRESIDENT AND CEO 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 AND CEO 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 COMPENSATION COMMITTEE OF BAYSTATE HEALTH, INC. THE COMPENSATION OF THE SENIOR VICE PRESIDENT, FINANCE, CFO AND TREASURER IS PAID BY BAYSTATE ADMINISTRATIVE SERVICES, INC., AN AFFILIATE AND RELATED ORGANIZATION OF THE FILING ORGANIZATION. THE COMPENSATION IS REVIEWED AND DETERMINED ANNUALLY BY THE HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. (THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS). THIS COMMITTEE CONSISTS ENTIRELY OF INDIVIDUALS SERVING ON THE BOARD OF BAYSTATE HEALTH, INC. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE SENIOR VICE PRESIDENT, FINANCE, CFO AND TREASURER AND OF OTHER OFFICERS 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 SENIOR VICE PRESIDENT, FINANCE, CFO AND TREASURER 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 COMPENSATION COMMITTEE OF BAYSTATE HEALTH, INC. THE COMPENSATION OF OTHER OFFICERS OF THE FILING ORGANIZATION IS DETERMINED IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT, IN CONSULTATION WITH HUMAN RESOURCES, BASED ON THE BAYSTATE HEALTH BOARD APPROVED BUDGET AND WAGE PROGRAM FOR EACH FISCAL YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT WWW.BAYSTATEHEALTH.ORG. ARTICLES OF ORGANIZATION AND BYLAWS ARE GENERALLY AVAILABLE AT THE COMMONWEALTH OF MASSACHUSETTS WEBSITE. FORM 990, PART XI, LINE 9: PERPETUAL TRUST 7,797,349. NEW LIFE INSURANCE ANNUITY -455,344. BMC TRANS TO AFFIL INCL FUNC EXP 109,967. ADJ NA FOR INTERFUND XFER -14,893. 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