TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) NICOLAS JABBOUR MD...................................................................... TRUSTEE (AS OF 1/1/24)/CHAIR DEPT. OF SURGERY	1.00 ................. 49.00	X		0	1,026,932	56,490
(2) KRISTIN MORALES-LEMIEUX...................................................................... DIRECTOR (THRU 10/1/23)/SVP/CHRO	1.00 ................. 49.00	X		0	756,402	25,851
(3) KELLY GALSTER DO...................................................................... TRUSTEE / SURGEON	50.00 ................. 0.00	X		411,659	0	44,922
(4) EDISON BOND...................................................................... DIRECTOR/DIR PAT RELATIONS	45.00 ................. 5.00	X		0	130,580	9,919
(5) AKINYELE K LOVELACE DO...................................................................... TRUSTEE (AS OF 10/1/23)/PER DIEM INTERNIST	1.00 ................. 49.00	X		102,600	0	4,617
(6) SARA ROURKE MD...................................................................... TRUSTEE (AS OF 10/1/23/PER DIEM URGENT CARE PHYS	1.00 ................. 49.00	X		31,250	0	1,719
(7) COLLEEN W HOLMES...................................................................... VICE CHAIR/TRUSTEE	1.00 ................. 7.00	X	X	0	0	0
(8) HARRIET A DEVERRY...................................................................... CHAIR/TRUSTEE	1.00 ................. 7.00	X	X	0	0	0
(9) JULIE QUINK...................................................................... TRUSTEE	1.00 ................. 5.00	X	X	0	0	0
(10) KARA NOONAN PEAR...................................................................... CHAIR/DIRECTOR (THRU 10/1/23)	1.00 ................. 0.00	X	X	0	0	0
(11) PETER D BANKO...................................................................... TRUSTEE (AS OF 6/4/24)/PRESIDENT & CEO - BH	1.00 ................. 49.00	X	X	0	0	0
(12) ANTONIO E DOS SANTOS...................................................................... TRUSTEE (AS OF 10/1/23)	1.00 ................. 5.00	X		0	0	0
(13) CLAUDIA R COPLEIN DO...................................................................... TRUSTEE (AS OF 10/1/23)	1.00 ................. 5.00	X		0	0	0
(14) DENISE R JORDAN...................................................................... TRUSTEE (AS OF 10/1/23)	1.00 ................. 5.00	X		0	0	0
(15) DEREK GARIEPY...................................................................... DIRECTOR (THRU 10/1/23)	1.00 ................. 0.00	X		0	0	0
(16) IRENE RODRIGUEZ-MARTIN...................................................................... TRUSTEE (AS OF 10/1/23)	1.00 ................. 5.00	X		0	0	0
(17) LINDA THOMPSON...................................................................... TRUSTEE (AS OF 10/1/23)	1.00 ................. 5.00	X		0	0	0

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MARIA P GONCALVES........................................................................ TRUSTEE (AS OF 10/1/23)	1.00 .......................6.00	X				0	0	0
(19) MARK A O'CONNELL........................................................................ TRUSTEE	1.00 .......................5.00	X				0	0	0
(20) MIRIAM SIEGEL........................................................................ DIRECTOR (THRU 10/1/23)	1.00 .......................0.00	X				0	0	0
(21) PAUL C PICKNELLY........................................................................ TRUSTEE (AS OF 10/1/23)	1.00 .......................5.00	X				0	0	0
(22) RICHARD BOSSIE........................................................................ TRUSTEE (AS OF 10/1/23)	1.00 .......................5.00	X				0	0	0
(23) ROBERT J BACON........................................................................ TRUSTEE (AS OF 10/1/23)	1.00 .......................5.00	X				0	0	0
(24) ROBERT LOGAN........................................................................ DIRECTOR (THRU 10/1/23)	1.00 .......................0.00	X				0	0	0
(25) RUTH H CONSTANTINE........................................................................ TRUSTEE (AS OF 10/1/23)	1.00 .......................5.00	X				0	0	0
(26) SHEILA CUDDY........................................................................ DIRECTOR (THRU 10/1/23)	1.00 .......................0.00	X				0	0	0
(27) WILLIAM R WEBBER........................................................................ TRUSTEE (AS OF 10/1/23)	1.00 .......................5.00	X				0	0	0
(28) RAYMOND MCCARTHY........................................................................ TRUSTEE/SVP, CFO & TREASURER BH	5.00 .......................45.00		X			0	1,181,243	29,919
(29) RONALD P BRYANT........................................................................ TRUSTEE/PRESIDENT, BH COMM HOSPITALS	16.00 .......................34.00		X			0	690,386	49,163
(30) KRISTIN R DELANEY........................................................................ SECRETARY/DIR CORP GOVERNANCE	1.00 .......................49.00		X			0	176,880	40,432
(31) NANCY REMILLARD........................................................................ ASST. CLERK OF THE CORP	1.00 .......................49.00		X			0	63,112	13,612
(32) JANICE MAYFORTH........................................................................ CFO - REGIONAL COMMUNITY HOSPITALS	20.00 .......................30.00			X		238,656	0	42,043
(33) KARLI BARRETT........................................................................ CNO/CHIEF ADMINISTRATIVE OFFICER	50.00 .......................0.00				X	265,436	0	45,141
(34) PAUL FULLER........................................................................ RESPIRATORY THERAPIST REG	50.00 .......................0.00				X	212,787	0	30,252
(35) LORI J REED PUFF........................................................................ DIR PATIENT CARE SVCS	50.00 .......................0.00				X	179,198	0	25,159
(36) GEORGE D NOLAN........................................................................ DIRECTOR, SUPPORT SERVICES (THRU 1/5/24)	50.00 .......................0.00				X	163,727	0	32,367
(37) ANDRENE LAING........................................................................ REGISTERED NURSE PER DIEM	50.00 .......................0.00				X	163,019	0	23,700

(A) Name and business address	(B) Description of services	(C) Compensation
BAYSTATE MEDICAL PRACTICES, 759 CHESTNUT STREET SPRINGFIELD,MA01199	PHYSICIAN SERVICES	10,565,862
BAYSTATE ADMINISTRATIVE SERVICES 759 CHESTNUT STREET SPRINGFIELD,MA01199	MANAGEMENT SERVICES	10,177,968
SHIFTWISE 1800 SW 1ST AVENUE SUITE 510 PORTLAND,OR97201	TEMPORARY HELP	4,511,044
UNITEX TEXTILE SERVICES 155 SHEPHARD STREES LAWRENCE,MA01843	LINEN SERVICES	608,471
GQR GLOBAL MARKETS 10388 PRINCETON DRIVE MARINA DEL REY,CA90292	TEMPORARY HELP	518,056
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 16

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

BAYSTATE WING HOSPITAL CORPORATION

Employer identification number

22-2519813

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

BAYSTATE WING HOSPITAL CORPORATION

Employer identification number

22-2519813

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization BAYSTATE WING HOSPITAL CORPORATION

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization BAYSTATE WING HOSPITAL CORPORATION		Employer identification number 22-2519813

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization BAYSTATE WING HOSPITAL CORPORATION			Employer identification number 22-2519813
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

BAYSTATE WING HOSPITAL CORPORATION

Employer identification number

22-2519813

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2022

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

18,707

Total. Add lines 1c through 1i ....................................................................................................

18,707

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	BAYSTATE WING HOSPITAL CORPORATION (BWH) PAYS MEMBERSHIP DUES TO THE MASSACHUSETTS HOSPITAL ASSOCIATION (MHA) $13,245, THE AMERICAN HOSPITAL ASSOCIATION (AHA) $5,462. THESE ORGANIZATIONS HAVE ADVISED US THAT PORTIONS OF THESE DUES ARE USED FOR LOBBYING PURPOSES FOR VARIOUS HEALTHCARE MATTERS AT THE STATE LEVEL. THE PORTION OF DUES LISTED AS LOBBYING EXPENSES FOR THE YEAR ENDING SEPTEMBER 30, 2024 IS $18,707.

Return Reference

Explanation

PART II-B, LINE 1:

BAYSTATE WING HOSPITAL CORPORATION (BWH) PAYS MEMBERSHIP DUES TO THE MASSACHUSETTS HOSPITAL ASSOCIATION (MHA) $13,245, THE AMERICAN HOSPITAL ASSOCIATION (AHA) $5,462. THESE ORGANIZATIONS HAVE ADVISED US THAT PORTIONS OF THESE DUES ARE USED FOR LOBBYING PURPOSES FOR VARIOUS HEALTHCARE MATTERS AT THE STATE LEVEL. THE PORTION OF DUES LISTED AS LOBBYING EXPENSES FOR THE YEAR ENDING SEPTEMBER 30, 2024 IS $18,707.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

BAYSTATE WING HOSPITAL CORPORATION

Employer identification number

22-2519813

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	7,413,403	6,813,813	11,876,688	10,172,477	9,616,469
b	Contributions ...
c	Net investment earnings, gains, and losses	-6,016,787	599,590	-5,062,875	1,704,211	556,008
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	1,396,616	7,413,403	6,813,813	11,876,688	10,172,477

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

100.000 %

Term endowment right arrow

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

Yes

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	247,842		247,842
b	Buildings ....	79,724,098	37,533,692	42,190,406
c	Leasehold improvements	978,182	978,182	0
d	Equipment ....	40,765,831	31,705,059	9,060,772
e	Other .....	1,602,049	925,856	676,193
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				52,175,213

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)SERIES A - BOND INDENTURE AGREEMENT				6,389,716
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				6,389,716

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
CONTRACTUAL ADJUSTMENT PAYABLE	1,298,310
DUE TO AFFILIATED COMPANIES	29,021,346
MALPRATICE RESERVE	190,049
EMPLOYER TAX DEFERRAL	606,531
LONG-TERM PORTION OPERATING LEASES	52,710




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	31,168,946
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	ENDOWMENT ASSETS ARE TO PROVIDE FUNDING TO SUPPORT PROGRAMS THAT FURTHER BAYSTATE WING HOSPITAL CORPORATION'S MISSION.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

BAYSTATE WING HOSPITAL CORPORATION

Employer identification number

22-2519813

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	1,180,892	361,513	819,379	0.790 %
b	Medicaid (from Worksheet 3, column a) . . . . .	16,913,702	17,111,301	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	1,192,524	1,196,394	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	19,287,118	18,669,208	819,379	0.790 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	159,963		159,963	0.150 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	15,966,323	6,859,858	9,106,465	8.760 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	53,767		53,767	0.050 %
j	Total. Other Benefits . .	16,180,053	6,859,858	9,320,195	8.960 %
k	Total. Add lines 7d and 7j .	35,467,171	25,529,066	10,139,574	9.750 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development			1,600	0	1,600	0 %
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total			1,600		1,600	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,881,821

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

25,038

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

23,920,044

Enter Medicare allowable costs of care relating to payments on line 5.....

19,025,836

Subtract line 6 from line 5. This is the surplus (or shortfall)........

4,894,208

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	BAYSTATE WING HOSPITAL CORPORATION 40 WRIGHT STREET PALMER,MA01069 LICENSE #2181	X	X	X

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BAYSTATE WING HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): BAYSTATEHEALTH.ORG/CHNA

Other website (list url): PUBLICHEALTHWM.ORG

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): BAYSTATEHEALTH.ORG/CHNA

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	BAYSTATE WING HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 150.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	BAYSTATE WING HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	BAYSTATE WING HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
BAYSTATE WING HOSPITAL CORPORATION	PART V, SECTION B, LINE 5: BAYSTATE HEALTH HOSPITALS SERVE AS PART OF THE COALITION OF WESTERN MASSACHUSETTS HOSPITALS/INSURER (COALITION). THE COALITION IS A PARTNERSHIP BETWEEN TEN NON-PROFIT HOSPITALS AND ONE HEALTH INSURER IN WESTERN MASSACHUSETTS: BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE NOBLE HOSPITAL, BAYSTATE WING HOSPITAL, BERKSHIRE MEDICAL CENTER, COOLEY DICKINSON HOSPITAL, FAIRVIEW HOSPITAL, HOLYOKE MEDICAL CENTER, MERCY MEDICAL CENTER (A MEMBER OF TRINITY HEALTH NEW ENGLAND), NORTH ADAMS REGIONAL HOSPITAL, AND HEALTH NEW ENGLAND, A LOCAL HEALTH INSURER OWNED BY BAYSTATE HEALTH WHOSE SERVICE AREAS COVERS THE FOUR COUNTIES OF WESTERN MASSACHUSETTS. THE COALITION WAS FORMED IN 2012 TO BRING HOSPITALS WITHIN WESTERN MASSACHUSETTS TOGETHER TO SHARE RESOURCES AND WORK IN PARTNERSHIP TO CONDUCT THEIR TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) AND ADDRESS REGIONAL NEEDS IDENTIFIED THROUGH THE CHNA. THE INPUT OF THE COMMUNITY AND OTHER IMPORTANT REGIONAL STAKEHOLDERS WAS AN IMPORTANT PART OF THE CHNA PROCESS. A WIDE RANGE OF STAKEHOLDERS TOOK PART IN THE 2022 CHNA PROCESS, INCLUDING LOCAL AND REGIONAL PUBLIC HEALTH AND HEALTH DEPARTMENTS, OTHER LOCAL MUNICIPAL AGENCIES, DIVERSE COMMUNITY-BASED ORGANIZATIONS, ADVOCACY ORGANIZATIONS, HEALTHCARE PROVIDERS, AND COMMUNITY RESIDENTS. THESE STAKEHOLDERS PROVIDED INPUT THROUGH A CHNA REGIONAL ADVISORY COUNCIL (RAC), FOCUS GROUPS, KEY INFORMANT INTERVIEWS, COMMUNITY CHATS, AND HOSPITAL COMMUNITY BENEFITS ADVISORY COUNCILS. ADDITIONALLY, COMMUNITY FORUMS WERE CONDUCTED TOWARDS THE END OF THE CHNA PROCESS TO VET PRELIMINARY FINDINGS WITH COMMUNITY MEMBERS. PLEASE REFER TO THE HOSPITALS' CHNA APPENDIX I FOR A COMPLETE LISTING OF PUBLIC HEALTH, COMMUNITY REPRESENTATIVES, AND OTHER STAKEHOLDERS INCLUDED IN THE PROCESS. THE CHNA RAC INCLUDED REPRESENTATIVES FROM EACH COALITION MEMBER HOSPITAL/INSURER, AS WELL AS PUBLIC HEALTH AND COMMUNITY STAKEHOLDERS FROM EACH HOSPITAL SERVICE AREA. STAKEHOLDERS ON THE RAC INCLUDED LOCAL AND REGIONAL PUBLIC HEALTH AND HEALTH DEPARTMENT REPRESENTATIVES; REPRESENTATIVES FROM LOCAL AND REGIONAL ORGANIZATIONS SERVING OR REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME OR POPULATIONS OF COLOR; AND INDIVIDUALS FROM ORGANIZATIONS THAT REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. IN DECEMBER 2020 PREVIOUS RAC MEMBERS CONDUCTED A NEW STAKEHOLDER ANALYSIS TO ENSURE GEOGRAPHIC, SECTOR (E.G., SCHOOLS, COMMUNITY SERVICE ORGANIZATIONS, HEALTHCARE PROVIDERS, PUBLIC HEALTH, AND HOUSING), AND RACIAL/ETHNIC DIVERSITY OF RAC. THE RAC MET IN WORKGROUPS (DATA AND REPORTS, ENGAGEMENT AND DISSEMINATION, AND HEALTH EQUITY) TO GUIDE THE CONSULTANTS IN THE PROCESS OF CONDUCTING THE CHNA, PRIORITIZING COMMUNITY HEALTH NEEDS, CHNA FINDINGS, AND DISSEMINATION OF INFORMATION. ASSESSMENT METHODS AND FINDINGS WERE MODIFIED BASED ON THE RAC'S FEEDBACK. THE RAC CONSISTED OF ABOUT FIFTY PARTICIPANTS, INCLUDING COALITION MEMBERS AND CONSULTANTS. THE RAC MET MONTHLY FROM FEBRUARY 2021 THROUGH JULY 2022. KEY INFORMANT INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED TO GATHER INFORMATION USED TO IDENTIFY PRIORITY HEALTH NEEDS AND ENGAGE THE COMMUNITY. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH HEALTH CARE PROVIDERS, HEALTH CARE ADMINISTRATORS, LOCAL AND REGIONAL PUBLIC HEALTH OFFICIALS, AND LOCAL LEADERS THAT REPRESENT THE INTERESTS OF THE COMMUNITY OR THAT SERVE MEDICALLY UNDERSERVED, LOW-INCOME, OR POPULATIONS OF COLOR IN THE SERVICE AREA. INTERVIEWS WITH LOCAL AND REGIONAL PUBLIC HEALTH OFFICIALS IDENTIFIED PRIORITY HEALTH AREAS AND COMMUNITY FACTORS THAT CONTRIBUTE TO HEALTH NEEDS. FOCUS GROUP PARTICIPANTS INCLUDED COMMUNITY ORGANIZATION REPRESENTATIVES, COMMUNITY MEMBERS (LOW SOCIO-ECONOMIC STATUS, PEOPLE OF COLOR, AND OTHERS), AND OTHER COMMUNITY STAKEHOLDERS. TOPICS INCLUDED, BUT WERE NOT LIMITED TO, ACCESS TO BASIC NEEDS, HEALTHCARE LANDSCAPE AND ACCESS, MENTAL HEALTH, AND DOMESTIC VIOLENCE. KEY INFORMANT INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED FROM FEBRUARY 2022 THROUGH MAY 2022. FOCUS GROUPS AND KEY INFORMANT INTERVIEWS ENGAGED RESIDENTS PRIMARILY IN HAMPDEN COUNTY, BUT ALSO ACROSS THE REGION. THE CHNA ALSO USED QUALITATIVE DATA FROM OTHER HOSPITAL SERVICE AREAS AS APPROPRIATE. BAYSTATE HEALTH HELD TWENTY-TWO CHATS, A COMMUNITY ENGAGEMENT APPROACH DEVELOPED DURING THE 2019 CHNA ITERATION. DURING COMMUNITY CHATS, RAC MEMBERS BROUGHT INFORMATION ABOUT THE CHNA AND GATHERED PRIORITIES IN REGULAR MEETINGS OF SERVICE PROVIDERS, COMMUNITY-BASED ORGANIZATIONS, AND HOSPITAL CLINICAL STAFF AND ADMINISTRATORS. WHILE THESE OUTREACH EFFORTS WERE SPEARHEADED BY BAYSTATE HEALTH, THE ENGAGEMENT AND FINDINGS BENEFITTED ALL COALITION MEMBER HOSPITALS/INSURER. CHATS WERE HELD FROM JANUARY 2022 THROUGH APRIL 2022 AND ENGAGED APPROXIMATELY THREE HUNDRED INDIVIDUALS.
BAYSTATE WING HOSPITAL CORPORATION	PART V, SECTION B, LINE 6A: THE COALITION OF WESTERN MASSACHUSETTS HOSPITALS/INSURER (COALITION) IS A PARTNERSHIP BETWEEN TEN NON-PROFIT HOSPITALS AND ONE HEALTH INSURER IN WESTERN MASSACHUSETTS: BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE NOBLE HOSPITAL, BAYSTATE WING HOSPITAL, BERKSHIRE MEDICAL CENTER, COOLEY DICKINSON HOSPITAL, FAIRVIEW HOSPITAL, HOLYOKE MEDICAL CENTER, MERCY MEDICAL CENTER (A MEMBER OF TRINITY HEALTH NEW ENGLAND), NORTH ADAMS REGIONAL HOSPITAL, AND HEALTH NEW ENGLAND, A LOCAL HEALTH INSURER OWNED BY BAYSTATE HEALTH WHOSE SERVICE AREAS COVERS THE FOUR COUNTIES OF WESTERN MASSACHUSETTS.
BAYSTATE WING HOSPITAL CORPORATION	PART V, SECTION B, LINE 6B: THE COALITION OF WESTERN MA HOSPITALS/ INSURER ENGAGED THE PUBLIC HEALTH INSTITUTE OF WESTERN MA (PHIWM), BASED IN SPRINGFIELD, MA, AS THE LEAD CONSULTANT TO CONDUCT THE CHNAS. PHIWM WAS SUPPORTED BY THREE OTHER CONSULTANT TEAMS: COMMUNITY HEALTH SOLUTIONS (CES), BASED IN NORTHAMPTON, MA; FRANKLIN REGIONAL COUNCIL OF GOVERNMENTS (FRCOG), BASED IN GREENFIELD, MA; AND PIONEER VALLEY PLANNING COMMISSION (PVPC), BASED IN SPRINGFIELD, MA. THE COALITION INCLUDES HEALTH NEW ENGLAND, A LOCAL HEALTH INSURER OWNED BY BAYSTATE HEALTH WHOSE SERVICE AREA COVERS THE FOUR COUNTIES OF WESTERN MASSACHUSETTS.
BAYSTATE WING HOSPITAL CORPORATION	PART V, SECTION B, LINE 7D: THE HOSPITAL FACILITY MADE ITS CHNA REPORT WIDELY AVAILABLE TO THE PUBLIC VIA AN EMAIL DISTRIBUTION (WITH LINKS TO THE HOSPITAL'S WEBSITE) TO COMMUNITY PARTNERS, AND ORGANIZATIONS. IN ADDITION, THE CHNA REPORTS HAVE INFORMED THE IMPLEMENTATION OF COUNTY WIDE COMMUNITY HEALTH IMPROVEMENT PLANS IN FRANKLIN AND HAMPDEN COUNTIES AS WELL AS THE QUABOAG HILLS REGION (AN AREA THAT INTERSECTS PARTS OF HAMPSHIRE, HAMPDEN, AND WORCESTER COUNTIES). HOSPITAL AND CHNA CONSULTANT STAFF HAVE BEEN INVITED TO VARIOUS VENUES AND AUDIENCES TO PRESENT ON THE CHNA PROCESS AND KEY FINDINGS. ALL COALITION CHNAS WERE POSTED TO THE HEALTH SYSTEM WEBSITE AND SHARED VIA THE OFFICE OF GOVERNMENT AND COMMUNITY RELATIONS NEWSLETTER TO OVER 1,200 RECIPIENTS.
BAYSTATE WING HOSPITAL CORPORATION	PART V, SECTION B, LINE 11: BAYSTATE HEALTH AND ITS FOUR HOSPITALS ANTICIPATE HEALTH NEEDS AND AVAILABLE RESOURCES MAY CHANGE; THEREFORE, A FLEXIBLE APPROACH IS ADOPTED IN THE DEVELOPMENT OF ITS IMPLEMENTATION STRATEGY. FOR EXAMPLE, CERTAIN COMMUNITY HEALTH NEEDS MAY BECOME MORE PRONOUNCED AND REQUIRE CHANGES TO THE INITIATIVES IDENTIFIED BY THE HOSPITAL IN THE STRATEGY. OTHER COMMUNITY ORGANIZATIONS MAY ADDRESS CERTAIN NEEDS, INDICATING THAT THE HOSPITAL'S STRATEGIES SHOULD BE REFOCUSED ON ALTERNATIVE COMMUNITY HEALTH NEEDS OR ASSUME A DIFFERENT FOCUS ON THE NEEDS IDENTIFIED IN THE 2022 CHNA.THE HOSPITAL FACILITY VIEWS A COMMUNITY BENEFITS IMPLEMENTATION STRATEGY AS A "LIVING" DOCUMENT. BAYSTATE HOSPITALS HAVE ADOPTED THE TERM STRATEGIC IMPLEMENTATION PLAN (SIP), IN LIEU OF IMPLEMENTATION STRATEGY. THE SIGNIFICANT HEALTH NEEDS TO BE ADDRESSED BY THE HOSPITAL ARE REFERRED TO AS PRIORITY FOCUS AREAS IN THE SIP. DUE TO THE EVOLVING CLIMATE IN HEALTH CARE, THE HOSPITAL'S FINANCIAL HEALTH YEAR TO YEAR REMAINS UNKNOWN; THEREFORE, HOSPITAL RESOURCES AND INPUTS MAY INCREASE, DECREASE, OR NEED TO BE MODIFIED. THE HOSPITAL'S SIP WORK PLAN PROVIDES AN OPPORTUNITY FOR THE HOSPITAL TO BE STRATEGIC AND FOCUSED, YET FLEXIBLE IN ITS COMMUNITY HEALTH PLANNING AND IMPROVEMENT EFFORTS. THE HOSPITAL FACILITY, IN PARTNERSHIP WITH ITS COMMUNITY BENEFITS ADVISORY COUNCILS REVIEWS THE WORK PLANS QUARTERLY AND THE HOSPITAL UPDATES THE WORK PLANS ON THE HOSPITAL WEBSITE ANNUALLY. NO HEALTH CARE SYSTEM OR HOSPITAL FACILITY CAN ADDRESS ALL THE SIGNIFICANT HEALTH NEEDS PRESENT IN ITS COMMUNITY. THE HOSPITAL FACILITY IS COMMITTED TO ADHERING TO ITS MISSION AND REMAINING FINANCIALLY HEALTHY SO THAT IT CAN CONTINUE TO ENHANCE ITS CLINICAL EXCELLENCE AND PATIENT EXPERIENCE, AS WELL AS ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA. THE HOSPITAL FACILITY'S IMPLEMENTATION STRATEGY DOES NOT EXPLICITLY ADDRESS ALL SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA DUE TO: 1. LIMITED RESOURCES (TIME, TALENT, AND FINANCIAL RESOURCES), 2. THE HOSPITAL IS A STAKEHOLDER AND/OR PARTNER IN ADDRESSING THE NEED DIRECTLY OR INDIRECTLY THROUGH OTHER HOSPITAL CLINICAL AND SERVICE LINES AND COMMUNITY PARTNERSHIPS, 3. OTHER HOSPITALS OR COMMUNITY ORGANIZATIONS WITHIN THE SERVICE AREA ARE ADDRESSING THE NEED; 4. THE NEED FALLS OUTSIDE OF THE HOSPITAL'S MISSION OR LIMITED RESOURCE CAPACITY. SIGNIFICANT HEALTH NEEDS, REFERRED TO BY THE HOSPITAL AS PRIORITY FOCUS AREAS, BEING ADDRESSED BY THE HOSPITAL INCLUDE MENTAL HEALTH WITH A SUB-FOCUS ON YOUTH, SUBSTANCE USE, FINANCIAL HEALTH AND WELL-BEING, VIOLENCE AND TRAUMA, AND ACCESS TO BASIC NEEDS. SIGNIFICANT HEALTH NEEDS NOT TO BE ADDRESSED INCLUDE, CLIMATE CRISIS, BARRIERS TO HEALTH CARE ACCESS, CHRONIC CONDITIONS, INFANT AND PERINATAL HEALTH AND ALZHEIMER'S DISEASE. BWH AND ITS CBAC CONTINUE TO PARTNER WITH BETTER TOGETHER GRANTEES AND LOCAL PARTNERS TO FOLLOW UP ON THE FINANCIAL AND WORKFORCE LANDSCAPE IN THE AREA. ACCESS TO WORKFORCE PIPELINE PROGRAMS, ESPECIALLY FOR YOUTH AND YOUNG ADULTS, LEADS TO OVERALL INCREASE IN FINANCIAL HEALTH LITERACY AND INDEPENDENCE. MANY PARTNERS IN THIS WORK INCLUDE HOLYOKE COMMUNITY COLLEGE, QUABOAG VALLEY COMMUNITY DEVELOPMENT CORPORATION, QUABOAG HILLS COMMUNITY COALITION, EMS TRAINING PROGRAMS, LOCAL SCHOOL DISTRICTS AND MORE.
BAYSTATE WING HOSPITAL CORPORATION	PART V, SECTION B, LINE 13B: ALL PATIENTS WITH ACCOUNT BALANCES (OTHER THAN BALANCES RESULTING FROM CO-PAYMENTS OR DEDUCTIBLES ON INSURED SERVICES) ARE ELIGIBLE TO RECEIVE A PROMPT PAY DISCOUNT OF 20% OF THE BALANCE FOR CLAIMS PAID IN FULL AT TIME OF SERVICE OR WITHIN 60 DAYS OF THE DATE OF THE INITIAL BILL. PATIENTS MUST REQUEST THE DISCOUNT. THE DISCOUNT CANNOT BE COMBINED WITH THE HOSPITAL SUPPLEMENTAL FINANCIAL ASSISTANCE PROGRAM. BAYSTATE WING HOSPITAL OFFERS A CO-PAYMENT DISCOUNT PROGRAM FOR PATIENTS RECEIVING SERVICES IN THE EMERGENCY DEPARTMENT OF THE HOSPITAL. THIS DISCOUNT PROGRAM IS AVAILABLE TO ALL HOSPITAL EMERGENCY DEPARTMENT PATIENTS WITH CO-PAYMENT OBLIGATIONS UNDER PRIVATE OR GOVERNMENT HEALTH INSURANCE (UNLESS PROHIBITED BY LAW OR A BAYSTATE WING HOSPITAL CONTRACT WITH A PRIVATE INSURER OR GOVERNMENT AUTHORITY). THESE PATIENTS MAY REDUCE THE OTHERWISE APPLICABLE EMERGENCY DEPARTMENT SERVICE CO-PAYMENT BY 10% IF THE PATIENT ELECTS TO PAY THE CO-PAYMENT AT THE CONCLUSION OF THE PATIENT'S EMERGENCY DEPARTMENT VISIT.
BAYSTATE WING HOSPITAL CORPORATION	PART V, SECTION B, LINE 15E: BAYSTATE WING HOSPITAL PROVIDES PATIENTS WITH INFORMATION ABOUT THE AVAILABILITY OF STATE PROGRAMS, HEALTH SAFETY NET, OR THE HOSPITAL SUPPLEMENTAL FINANCIAL ASSISTANCE PROGRAM WHICH MAY COVER ALL OR SOME OF THEIR UNPAID BAYSTATE WING HOSPITAL BILLS AS WELL AS ABOUT BAYSTATE WING HOSPITAL DISCOUNT PROGRAMS. FOR THOSE PATIENTS WHO REQUEST SUCH ASSISTANCE, THE HOSPITAL ASSISTS PATIENTS BY SCREENING THEM FOR ELIGIBILITY IN AVAILABLE STATE PROGRAMS AND ASSISTING THEM IN APPLYING FOR SUCH PROGRAMS. WHEN APPLICABLE, BAYSTATE WING HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THE PATIENT'S DOCUMENTED INCOME AND ALLOWABLE MEDICAL EXPENSES. BAYSTATE WING HOSPITAL HAS CONTRACTED WITH THE EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES AND THE COMMONWEALTH HEALTH INSURANCE CONNECTOR AUTHORITY TO SERVE AS A CERTIFIED APPLICATION COUNSELOR ORGANIZATION. AS A CERTIFIED APPLICATION COUNSELOR (CAC), APPROPRIATE STAFF WILL INFORM A PATIENT OF THE FUNCTIONS AND RESPONSIBILITY OF A CAC, SEEK THAT THE PATIENT SIGN A CERTIFIED APPLICATION COUNSELOR DESIGNATION FORM, AND ASSIST THE PATIENT IN FINDING APPLICABLE FINANCIAL ASSISTANCE.
BAYSTATE WING HOSPITAL CORPORATION	PART V, SECTION B, LINE 16J: PAPER COPIES OF OUR FINANCIAL ASSISTANCE POLICY (FAP) AND THE FAP APPLICATION, AND A FAP PLAIN LANGUAGE SUMMARY AS WELL AS THE BILLING AND COLLECTIONS POLICY ARE AVAILABLE UPON REQUEST, IN ENGLISH, SPANISH, AND RUSSIAN, AND FREE OF CHARGE IN THE HOSPITAL AND BY MAIL, AS WELL AS THE HOSPITAL FACILITIES WEBSITE. HTTPS://WWW.BAYSTATEHEALTH.ORG/PATIENTS-AND-VISITORS/HEALTHCARE-PRICES-AND-BILLING. A PLAIN LANGUAGE SUMMARY OF THE FAP IS OFFERED TO ALL PATIENTS AT ALL REGISTRATION SITES INCLUDING THE FULL SERVICE HEALTH CENTERS IN THE COMMUNITY - BAYSTATE BRIGHTWOOD HEALTH CENTER AND BAYSTATE MASON SQUARE NEIGHBORHOOD HEALTH CENTER. IN ADDITION, COPIES OF THE FULL FAP, FAP APPLICATION AND BILLING AND COLLECTIONS POLICY ARE ALSO AVAILABLE AT ALL REGISTRATION SITES. COPIES OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT ARE AVAILABLE FOR VIEWING AND DOWNLOAD ON OUR WEBSITE AT HTTPS://WWW.BAYSTATEHEALTH.ORG/ABOUT-US/COMMUNITY-PROGRAMS/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. HARD COPIES OF OUR CHNA ARE AVAILABLE UPON REQUEST FREE OF CHARGE. WE HAVE ALSO SHARED OUR CHNA WITH ALL THE COMMUNITY MEMBERS WHO WERE INVOLVED WITH CHNA AS WELL AS EACH HOSPITALS COMMUNITY BENEFITS ADVISORY COUNCIL (CBAC). THE HOSPITAL IS COMMITTED TO ONGOING EFFORTS TO WIDELY PUBLICIZE OUR FAP AND CHNA TO THE COMMUNITY, SPECIFICALLY, TO LOW-INCOME POPULATIONS. ADDITIONAL EFFORTS WILL INCLUDE PROMOTION VIA OUR HOSPITALS VARIOUS SOCIAL MEDIA PLATFORMS AND PROVIDING PRINTED MATERIALS TO KEY SOCIAL SERVICE AGENCIES AND EDUCATING THEIR STAFF THAT WORK WITH LOW INCOME POPULATIONS IN THE HOSPITALS SERVICE AREA.
BAYSTATE WING HOSPITAL CORPORATION	PART V, LINE 16A, FAP WEBSITE: HTTPS://WWW.BAYSTATEHEALTH.ORG/PATIENTS-AND-VISITORS/HEALTHCARE-PRICES-AND-BILLING
BAYSTATE WING HOSPITAL CORPORATION	PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://WWW.BAYSTATEHEALTH.ORG/PATIENTS-AND-VISITORS/HEALTHCARE-PRICES-AND-BILLING
BAYSTATE WING HOSPITAL CORPORATION	PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.BAYSTATEHEALTH.ORG/PATIENTS-AND-VISITORS/HEALTHCARE-PRICES-AND-BILLING
PART V, SECTION B, LINE 20F	WE WOULD PERFORM THESE ACTIONS IF NEEDED BUT DID NOT HAVE ANY PATIENT DURING THE TAX YEAR WHERE AN ECA WAS INITIATED.

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address		Type of Facility (describe)
1	1 - BAYSTATE WING HOSPITAL - GRISWOLD CENTER 42 WRIGHT STREET PALMER,MA01069	OUTPATIENT FACILITY
2	2 - BAYSTATE MARY LANE OUTPATIENT CENTER 85 SOUTH STREET WARE,MA01082	OUTPATIENT FACILITY
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 6A:	THE HOSPITAL FACILITY FILES AN ANNUAL COMMUNITY BENEFITS REPORT ELECTRONICALLY WITH THE MASSACHUSETTS OFFICE OF THE ATTORNEY GENERAL'S VIA THEIR WEBSITE AT HTTPS://WWW.MASS.GOV/NONPROFIT-HOSPITAL-AND-HMO-COMMUNITY-BENEFITS. THE HOSPITAL FACILITY'S ANNUAL COMMUNITY BENEFITS REPORT IS ALSO PUBLISHED ON THE BAYSTATE HEALTH WEBSITE AT HTTPS://WWW.BAYSTATEHEALTH.ORG/ABOUT-US/COMMUNITY-PROGRAMS/ COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. THE HOSPITAL'S COMMUNITY BENEFITS REPORT PROVIDES THE OFFICE OF THE ATTORNEY GENERAL AND THE GENERAL PUBLIC IMPORTANT INFORMATION ABOUT HOW THE HOSPITAL PARTNERS WITH THE COMMUNITY TO IDENTIFY AND ADDRESS HEALTH NEEDS.
PART I, LINE 7:	LINE 7A (CHARITY CARE) - COMMUNITY BENEFIT EXPENSE WAS CALCULATED BY APPLYING THE RATIO OF PATIENT CARE COST TO CHARGES, CALCULATED ON WORKSHEET 2, AGAINST TOTAL CHARITY CARE GROSS PATIENT CHARGES FROM THE AUDITED FINANCIAL STATEMENTS. LINE 7B (UNREIMBURSED MEDICAID) - COMMUNITY BENEFIT EXPENSE WAS DERIVED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM, WHICH TAKES INTO ACCOUNT ALL HOSPITAL INPATIENTS, OUTPATIENTS AND EMERGENCY ROOM PATIENTS FOR WHOM SERVICES WERE PROVIDED AND COVERED UNDER MEDICAID AND MEDICAID MANAGED CARE PLANS.LINE 7C (OTHER MEANS-TESTED PROGRAMS) - COMMUNITY BENEFIT EXPENSE WAS DERIVED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM, WHICH TAKES INTO ACCOUNT ALL HOSPITAL INPATIENTS, OUTPATIENTS AND EMERGENCY ROOM PATIENTS FOR WHOM SERVICES WERE PROVIDED AND COVERED UNDER OTHER MEANS-TESTED GOVERNMENT PROGRAMS.LINE 7E (COMMUNITY HEALTH IMPROVEMENT SERVICES & BENEFIT OPERATIONS) -COMMUNITY HEALTH IMPROVEMENT SERVICES CALCULATIONS ARE DERIVED FROM DIRECT AND INDIRECT COSTS ASSOCIATED WITH COMMUNITY BENEFIT ACTIVITIES THAT ARE ALIGNED WITH THE HOSPITAL'S 2021 COMMUNITY HEALTH NEEDS ASSESSMENT. THESEACTIVITIES ARE CARRIED OUT TO IMPROVE COMMUNITY HEALTH AND WELLNESS AND EXTEND BEYOND PATIENT CARE, BEYOND THE WALLS OF THE HOSPITAL.COMMUNITY BENEFIT OPERATIONS CALCULATIONS ARE DERIVED FROM COSTS ASSOCIATED WITH ASSIGNED STAFF AND COMMUNITY HEALTH NEEDS AND/OR ASSETS ASSESSMENT, AS WELL AS OTHER COSTS ASSOCIATED WITH COMMUNITY BENEFIT STRATEGY AND OPERATIONS.LINE 7G (SUBSIDIZED PROGRAMS) - COMMUNITY BENEFIT EXPENSE WAS DERIVED USING THE ORGANIZATION'S COST ACCOUNTING SYSTEM. THE EXPENSE RELATES TO THE INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH, CHEMICAL DEPENDENCY PROGRAMS AND TO SPECIFIC OUTPATIENT PROGRAMS. THERE ARE NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS REPORTED AS SUBSIDIZED HEALTH SERVICES.PART I, LINE 7, COLUMN (F):IN FISCAL YEAR 2020, THE ORGANIZATION ADOPTED THE PROVISIONS OF ACCOUNTING STANDARDS UPDATE 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) ("ASU 2014-09"). THE UPDATE RESULTED IN CHANGES IN THE PRESENTATION AND DISCLOSURE OF REVENUE PRIMARILY RELATED TO UNINSURED AND UNDERINSURED PATIENTS. UNDER ASU 2014-09 THE ESTIMATED UNCOLLECTIBLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET OPERATING REVENUES. IN 2024, THESE IMPLICIT PRICE CONCESSIONS, FORMERLY KNOWN AS PROVISION FOR BAD DEBTS, TOTALED $6,277,977 AND IS NOT INCLUDED IN TOTAL EXPENSES REPORTED IN PART IX, LINE 25, COLUMN (A) FOR THE PURPOSE OF CALCULATING THE PERCENTAGES IN PART 1, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:	THE HOSPITAL FACILITY IS COMMITTED TO CREATING HEALTHIER COMMUNITIES AND UNDERSTANDS THAT MANY STATE AND FEDERALLY MANDATED COMMUNITY BENEFIT PROGRAMS AND SERVICES ARE NOT SUFFICIENT TO ADDRESS ETHNIC, RACIAL, AND ECONOMIC HEALTH DISPARITIES AND INEQUITIES. THE HOSPITAL EMBRACES THE TRADITIONAL DEFINITION OF "HEALTH" TO INCLUDE ECONOMIC OPPORTUNITY, AFFORDABLE HOUSING, QUALITY EDUCATION, SAFE NEIGHBORHOODS, FOOD SECURITY, SOCIAL JUSTICE, AND THE ARTS/CULTURE ALL ELEMENTS THAT ARE NEEDED FOR INDIVIDUALS, FAMILIES, AND COMMUNITIES TO THRIVE. THE HOSPITAL PROVIDES MANY VALUABLE SERVICES, RESOURCES, PROGRAMS, AND FINANCIAL SUPPORT - BEYOND THE WALLS OF THE HOSPITAL AND INTO THE COMMUNITIES AND HOMES OF THE PEOPLE IT SERVES; INCLUDING GRANTS AND SPONSORSHIP OF LOCAL COMMUNITY-BASED ORGANIZATIONS AND THE INVOLVEMENT OF BAYSTATE HEALTH LEADERSHIP WITH VARIOUS COMMUNITY BOARDS THAT ALIGN WITH ITS MISSION. FOR FY24, BWH PAID DUES TO THE QUABOAG HILLS CHAMBER OF COMMERCE TOTALING $1,600. THE HOSPITAL PARTICIPATES IN THE CHAMBER AS IT IS ONE OF THE LARGEST LOCAL EMPLOYERS IN THE SERVICE AREA. THE CHAMBER AND ITS MEMBERS COORDINATE ACTIVITIES TOWARD A COMMON PURPOSE OF SUSTAINABILITY AND ECONOMIC GROWTH FOR THE REGION.
PART III, LINE 2:	THE COST OF BAD DEBTS REPORTED WAS CALCULATED BY APPLYING A RATIO OF COST TO CHARGES (BASED ON THE ORGANIZATION'S COST ACCOUNTING SYSTEM INCLUDING ALL HOSPITAL INPATIENTS AND OUTPATIENTS) AGAINST TOTAL IMPLICIT PRICE CONCESSIONS AS REFLECTED IN THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 3:	THE PORTION OF BAD DEBT THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE PROGRAM WAS CALCULATED BY APPLYING THE PERCENTAGE OF BAD DEBTS BY ZIP CODE (FOR WHICH THE AVERAGE HOUSEHOLD INCOME FOR EACH ZIP CODE IS LESS THAN 150% OF THE FEDERAL POVERTY LEVEL) TO THE TOTAL COST OF BAD DEBT REPORTED IN PART III LINE 2. SINCE THIS PORTION OF BAD DEBT IS ATTRIBUTABLE TO PATIENTS RESIDING IN AN AREA WHERE THE AVERAGE INCOME IS LESS THAN 150% OF THE FEDERAL POVERTY LEVEL, IT IS HIGHLY LIKELY THESE PATIENTS WOULD HAVE QUALIFIED FOR THE ORGANIZATION'S CHARITY CARE PROGRAM HAD THEY APPLIED. FOR THIS REASON, WE BELIEVE THE AMOUNT, TOTALING $25,038, SHOULD BE TREATED AS COMMUNITY BENEFIT EXPENSE IN PART I.
PART III, LINE 4:	AS NOTED ABOVE, THE ORGANIZATION ADOPTED ACCOUNTING STANDARDS UPDATE 2014-09 EFFECTIVE OCTOBER 1, 2018, WHICH CHANGED THE WAY ENTITIES REPORT AND DISCLOSE CERTAIN FINANCIAL INFORMATION INCLUDING IMPLICIT PRICE CONCESSION (FORMERLY THE PROVISION FOR BAD DEBTS). SEE AUDITED FINANCIAL STATEMENTS, FOOTNOTE #2 (SIGNIFICANT ACCOUNTING POLICIES) ON PAGES 14 AND 15 UNDER THE CAPTION "NET PATIENT SERVICE REVENUE" FOR A DESCRIPTION OF THE ORGANIZATION'S REPORTING OF ITS IMPLICIT PRICE CONCESSIONS (FORMERLY PROVISION FOR BAD DEBTS). IF A PATIENT IS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE, THE APPROPRIATE ADJUSTMENT IS MADE TO THE PATIENT ACCOUNT BASED ON THEIR INCOME LEVEL. ONCE THE NECESSARY APPROVALS ARE OBTAINED, IT THEN FLOWS TO THE GENERAL LEDGER. PATIENTS APPLYING FOR A PROMPT PAYMENT DISCOUNT WILL HAVE THIS ALLOWANCE ENTERED AFTER AGREED UPON PAYMENT IS RECEIVED.
PART III, LINE 8:	LINE 6 - INCLUDED ALL MEDICARE ALLOWABLE COSTS AS CALCULATED IN WORKSHEETS D-1 PART II (INPATIENT) AND D PART V (OUTPATIENT) OF THE HOSPITAL'S 2024 MEDICARE COST REPORT, NET OF MEDICARE COSTS REPORTED IN PART I, LINE 7.G, BASED ON MEDICARE COSTING PRINCIPLES. THERE IS NO SHORTFALL REPORTED ON LINE 7.
PART III, LINE 9B:	FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE: THE PATIENT MAY HAVE REQUESTED ASSISTANCE UP FRONT AT TIME OF SERVICE WITH A FINANCIAL COUNSELOR OR THE PATIENT COULD HAVE ASKED FOR ASSISTANCE AFTER RECEIVING THEIR BILL BY CONTACTING OUR PATIENT BILLING SERVICES REPRESENTATIVES. THE FINANCIAL COUNSELOR WILL ASSIST THE PATIENT IN APPLYING FOR THE APPROPRIATE TYPE OF ASSISTANCE BASED ON THEIR INCOME AND CIRCUMSTANCES. ONCE APPROVED FOR A STATE MEDICAID OR OTHER PROGRAM, ALL BILLING AND COLLECTION ACTIVITY WILL STOP (EXCEPT FOR REQUIRED CO-PAYMENTS OR DEDUCTIBLES). FOR ALL OTHER PATIENTS, OUR STATEMENTS CONTAIN INFORMATION REGARDING HOW TO APPLY FOR FINANCIAL ASSISTANCE. NOTICES CONCERNING AVAILABILITY FOR ASSISTANCE ARE ALSO POSTED AT PATIENT CARE SITES.
PART VI, LINE 2:	THE BAYSTATE BOARD CONVENES ITS COMMITTEES AT LEAST TWICE A YEAR (STRATEGY AND GOVERNANCE) AND IS CHARGED WITH ADVOCATING FOR COMMUNITY BENEFITS AT THE BOARD LEVEL AND THROUGHOUT THE HEALTH SYSTEM AND BROADER COMMUNITY; ALIGNING THE SYSTEM'S FOUR (4) HOSPITAL-SPECIFIC COMMUNITY BENEFITS IMPLEMENTATION STRATEGIES WITH THE HEALTH SYSTEM'S STRATEGIC PLAN; REVIEWING CHNA REPORTS; APPROVING OF THE COMMUNITY BENEFITS MISSION STATEMENT AND HEALTH PRIORITIES; REVIEWING IMPACTS OF COMMUNITY BENEFITS ACTIVITIES AND INVESTMENTS; AND ENSURING BAYSTATE HEALTH'S COMMUNITY BENEFITS ARE IN COMPLIANCE WITH GUIDELINES ESTABLISHED BY THE MA ATTORNEY GENERAL AND IRS. AS OF THIS YEAR, THE OFFICE OF DIVERSITY, EQUITY, AND INCLUSION IS NOW TASKED WITH PROVIDING UPDATES TO THE BAYSTATE BOARD OF TRUSTEES, BAYSTATE PRESIDENT'S COUNCIL, AND OTHER BAYSTATE LEADERSHIP TEAMS, AS REQUESTED. THE HOSPITAL COMMUNITY BENEFITS ADVISORY COUNCIL (CBAC) CONTINUES TO BRING A COMMUNITY LENS AND FILTER FOR THE HOSPITAL'S HEALTH PRIORITIES. THE CBAC PROVIDES A COMMUNITY PERSPECTIVE ON HOW TO INCREASE WELLNESS AND RESILIENCE OPPORTUNITIES FOR OPTIMAL HEALTH FOR AN ENTIRE POPULATION, AS WELL AS PROVIDES GUIDANCE IN MATCHING HOSPITAL RESOURCES TO COMMUNITY RESOURCES, THUS MAKING THE MOST OF WHAT IS POSSIBLE WITH THE GOAL TO IMPROVE HEALTH STATUS, QUALITY IN CARE, POLICY ADVOCACY AND HEALTH EQUITY FOR RESIDENTS. PARTICIPANTS ON THE HOSPITAL CBAC REPRESENT CONSTITUENCIES AND COMMUNITIES SERVED BY THE HOSPITAL. CBAC MEMBERS ARE RESPONSIBLE FOR REVIEWING COMMUNITY NEEDS ASSESSMENT DATA AND USING THIS ANALYSIS AS A FOUNDATION FOR PROVIDING THE HOSPITAL WITH INPUT ON ITS COMMUNITY BENEFITS PLANNING PROCESS.BAYSTATE HEALTH PATIENT & FAMILY ADVISORY COUNCIL (PFAC) MEMBERS PROVIDE VALUABLE INPUT IN ENHANCING CARE AT BAYSTATE HEALTH BASED ON THE KNOWLEDGE OF THE UNIQUE NEEDS OF PATIENTS AND FAMILIES. INFORMATION FROM PFAC PROVIDES HOSPITAL LEADERSHIP WITH AN ENHANCED UNDERSTANDING OF HOW TO IMPROVE QUALITY, PROGRAM DEVELOPMENT, SERVICE EXCELLENCE, COMMUNICATIONS, PATIENT SAFETY, FACILITY DESIGN, PATIENT AND FAMILY EDUCATION, PATIENT AND FAMILY SATISFACTION, AND LOYALTY. PFAC IS MADE UP OF A DIVERSE GROUP OF PATIENTS, FAMILY MEMBERS, AND COMMUNITY MEMBERS WHO REPRESENT THE COLLECTIVE VOICE OF THE PATIENTS AND FAMILIES AT BAYSTATE MEDICAL CENTER, BAYSTATE CHILDREN'S HOSPITAL, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE NOBLE HOSPITAL, BAYSTATE WING HOSPITAL, THE D'AMOUR CENTER FOR CANCER CARE, AND THE BEHEALTHY ACCOUNTABLE CARE ORGANIZATION (ACO) IN BAYSTATE MANAGED HEALTH CENTERS. BAYSTATE HOSPITALS ADDITIONALLY ENGAGE WITH OTHER REGIONAL AND COUNTY-BASED HEALTH IMPROVEMENT PLAN NETWORKS TO UNDERSTAND HOW THE HOSPITAL CAN ADVANCE LARGER, REGIONAL-BASED PUBLIC HEALTH INITIATIVES. A BAYSTATE EMPLOYEE PARTICIPATES IN EACH OF THREE NETWORKS THAT CURRENTLY CONVENE IN OUR SERVICE AREAS TO ENSURE THE HOSPITAL IS STAYING APPRISED AND ENGAGED IN THE DEVELOPMENT OF THIS WORK. THE NETWORKS INCLUDE FRANKLIN COUNTY HEALTH IMPROVEMENT PLAN, HAMPDEN COUNTY HEALTH IMPROVEMENT PLAN, AND THE QUABOAG HILLS COMMUNITY HEALTH IMPROVEMENT PLAN.
PART VI, LINE 3:	THE HOSPITAL IS COMMITTED TO ENSURING THAT PATIENTS IN ITS COMMUNITY HAVE ACCESS TO QUALITY HEALTH CARE SERVICES WITH FAIRNESS AND RESPECT WITHOUT REGARD TO THE PATIENTS' ABILITY TO PAY. THE HOSPITAL RECOGNIZES THAT THE COST OF NECESSARY HEALTH CARE SERVICES CAN IMPOSE A SIGNIFICANT FINANCIAL BURDEN ON PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND ACTS AFFIRMATIVELY TO LESSEN THAT BURDEN BY OFFERING ELIGIBLE PATIENTS THE OPPORTUNITY TO APPLY FOR FREE OR REDUCED COST SERVICES. THE HOSPITAL NOT ONLY OFFERS FREE AND REDUCED COST CARE AS REQUIRED BY LAW BUT HAS ALSO VOLUNTARILY ESTABLISHED DISCOUNT AND FINANCIAL ASSISTANCE PROGRAMS THAT PROVIDE ADDITIONAL FREE AND REDUCED COST CARE TO MORE PATIENTS RESIDING WITHIN THE COMMUNITIES SERVED BY THE HOSPITAL.THE HOSPITAL RECOGNIZES THE BILLING AND COLLECTION PROCESS CAN BE BEWILDERING AND BURDENSOME FOR PATIENTS AND HAS IMPLEMENTED PROCEDURES TO MAKE THE PROCESS UNDERSTANDABLE FOR PATIENTS; TO INFORM PATIENTS ABOUT DISCOUNT AND FINANCIAL ASSISTANCE OPTIONS; AND TO ENSURE THAT PATIENTS ARE NOT SUBJECT TO AGGRESSIVE COLLECTION ACTIVITIES. CONSISTENT WITH ITS PATIENT COMMITMENT, THE HOSPITAL IS REQUIRED TO MAINTAIN A FINANCIAL ASSISTANCE POLICY AND A BILLING AND COLLECTION POLICY THAT REFLECTS ITS FINANCIAL ASSISTANCE OPTIONS AND PATIENT BILLING AND COLLECTION PROCEDURES AND COMPLIES WITH APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS.THE HOSPITAL HAS FINANCIAL COUNSELORS AVAILABLE TO HELP PATIENTS APPLY FOR FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER UNPAID HOSPITAL BILLS, INCLUDING A VARIETY OF FEDERAL AND STATE PROGRAMS AS WELL AS FINANCIAL ASSISTANCE THROUGH THE HOSPITAL. HOSPITAL FINANCIAL COUNSELORS HAVE ALL BEEN TRAINED AND CERTIFIED BY THE STATE AS CERTIFIED ACCOUNT COUNSELORS TO ASSIST PATIENTS IN APPLYING FOR AVAILABLE STATE PROGRAMS. THE HOSPITAL IS COMMITTED TO ENSURING THAT PATIENTS OR PROSPECTIVE PATIENTS IN THE COMMUNITY ARE AWARE OF FINANCIAL ASSISTANCE PROGRAMS. FOR UNINSURED OR UNDERINSURED PATIENTS, THE HOSPITAL WILL ASSIST IN APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS. THE HOSPITAL NOTIFIES PATIENTS OF THE AVAILABILITY OF ASSISTANCE IN BOTH THE INITIAL BILL SENT TO PATIENTS, AS WELL AS IN GENERAL NOTICES POSTED THROUGHOUT THE HOSPITAL.THE HOSPITAL PROVIDES, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE A LOW-INCOME PATIENT UNDER EITHER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM OR ADDITIONAL ASSISTANCE FOR PATIENTS WHO ARE LOW INCOME THROUGH BAYSTATE'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO NOTIFIES PATIENTS ABOUT AVAILABLE PAYMENT PLANS BASED ON THEIR FAMILY SIZE AND INCOME. BAYSTATE HEALTH'S FINANCIAL ASSISTANCE POLICY AND BILLING AND COLLECTION POLICY ARE POSTED ON THE BAYSTATEHEALTH.ORG WEBSITE AT HTTPS://WWW.BAYSTATEHEALTH.ORG/PATIENTS-AND-VISITORS/HEALTHCARE-PRICES-AND-BILLING. THE GOAL OF POSTING THE FINANCIAL ASSISTANCE POLICY AND THE BILLING AND COLLECTION POLICY IS TO ENSURE THAT PATIENTS OR PROSPECTIVE PATIENTS IN THE COMMUNITY ARE AWARE OF THE FINANCIAL ASSISTANCE PROGRAMS. SIGNS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS AT THE HOSPITAL ARE TRANSLATED INTO SPANISH AND RUSSIAN AS THESE LANGUAGES ARE PRIMARILY SPOKEN BY MORE THAN 1,000 OR 1% OF THE RESIDENTS IN THE HOSPITAL'S SERVICE AREA. SIGNS ARE LARGE AND CLEARLY VISIBLE. HOSPITAL SIGNS ARE 8.5 X 11 INCHES, AND THE HEADER PRINT FONT IS 24 POINTS. NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS ARE POSTED IN THE FOLLOWING LOCATIONS: INPATIENT, CLINIC, EMERGENCY DEPARTMENT ADMISSIONS AND/OR REGISTRATION AREAS, CENTRAL ADMISSION/REGISTRATION AREA, PATIENT FINANCIAL COUNSELOR AREAS, AND BUSINESS OFFICE AREAS THAT ARE OPEN TO PATIENTS.
PART VI, LINE 4:	BAYSTATE WING HOSPITAL (BAYSTATE WING) LOCATED IN PALMER, MASSACHUSETTS, IS A 46-BED ACUTE CARE COMMUNITY HOSPITAL THAT OFFERS EMERGENCY CARE, PRIMARY CARE, SURGERY, GASTROENTEROLOGY, HEART AND VASCULAR, REHABILITATION, PHYSICAL THERAPY, AND AUDIOLOGY SERVICES. THE HOSPITAL ALSO HAS LAB AND IMAGING SERVICES. BAYSTATE WING IS A MEMBER OF BAYSTATE HEALTH, A NOT-FOR-PROFIT, MULTI-INSTITUTIONAL, INTEGRATED HEALTH CARE ORGANIZATION SERVING MORE THAN 800,000 PEOPLE THROUGHOUT WESTERN MASSACHUSETTS. BAYSTATE HEALTH, WITH A WORKFORCE OF 13,000 EMPLOYEES, IS THE LARGEST EMPLOYER IN THE REGION AND INCLUDES BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE WING HOSPITAL, BAYSTATE NOBLE HOSPITAL, BAYSTATE MEDICAL PRACTICES, BAYSTATE HOME HEALTH, AND BAYSTATE HEALTH FOUNDATION. BAYSTATE WING HAS MORE THAN 750 EMPLOYEES, INCLUDING OVER 140 NURSES AND OVER 45 PHYSICIANS ON ACTIVE AND COURTESY STAFF. BAYSTATE WING SEES 35,000 EMERGENCY DEPARTMENT VISITS ANNUALLY AND ADMITS 3,600 PATIENTS. BAYSTATE WING'S EXPANDED EMERGENCY DEPARTMENT (ED) PROVIDES COMPREHENSIVE EMERGENCY SERVICES FOR ADULTS AND CHILDREN AROUND THE CLOCK. THE ED INCLUDES A SIX-BED CRITICAL CARE UNIT AND IS A PRIMARY STROKE CENTER DESIGNATED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (MDPH). BAYSTATE WING OFFERS COMPREHENSIVE, PERSONALIZED, AND HIGH-QUALITY INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH AND ADDICTION TREATMENT SERVICES THROUGH THE GRISWOLD BEHAVIORAL HEALTH CENTER AND THE CENTER FOR GERIATRIC PSYCHIATRY.THE COMMUNITIES SERVED BY BAYSTATE WING INCLUDE 17 MOSTLY SMALL RURAL TOWNS IN THE CENTRAL PIONEER VALLEY AND QUABOAG HILLS REGION. THE GEOGRAPHIC AREA OF THE COMMUNITIES SERVED IS 30 MILES NORTHEAST OF SPRINGFIELD AND REPRESENTS A 440-SQUARE-MILE REGION IN WEST-CENTRAL MASSACHUSETTS THAT SPANS PARTS OF HAMPDEN, HAMPSHIRE, AND WORCESTER COUNTIES. THE LARGEST TOWNS IN THIS SERVICE AREA ARE LUDLOW, BELCHERTOWN, WILBRAHAM, AND PALMER. THIRTEEN OF THE 17 TOWNS HAVE POPULATIONS OF LESS THAN 10,000, AND 15 OF THE 17 TOWNS MEET THE STATE DEFINITION OF "RURAL," DEFINED AS "A MUNICIPALITY IN WHICH THERE ARE FEWER THAN 500 PEOPLE PER SQUARE MILE." THE GEOGRAPHIC AREA IS HOME TO 118,760 PEOPLE. DEMOGRAPHICALLY, THE REGION IS PRIMARILY WHITE RESIDENTS (MORE THAN 90%), WITH 5% LATINO/A/E RESIDENTS, 1% BLACK RESIDENTS, AND 3% OF RESIDENTS DEFINED AS "OTHER." THE MEDIAN FAMILY INCOME IS $90,067, WHICH IS LOWER THAN MASSACHUSETTS' AVERAGE FAMILY INCOME AT $103,126.5 AT LEAST 7% OF THE SERVICE AREA POPULATION IS LIVING IN POVERTY, AND 13% OF RESIDENTS ARE CONSIDERED "LOW INCOME." THE MEDIAN AGE IN THE SERVICE AREA IS 44, WHICH IS ABOVE THE NATIONAL AVERAGE OF 38. CHILDREN UNDER FIVE MAKE UP 5% OF THE POPULATION, CHILDREN UNDER 18 MAKE UP 20% OF THE POPULATION, AND ADULTS 65+ MAKE UP 18% OF THE POPULATION. LIFE EXPECTANCY IN THE AREA IS SLIGHTLY LOWER THAN THE STATE. IN THE 2022 ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH STATE RANKINGS REPORT, HAMPDEN COUNTY RANKS LAST (14TH OF 14 COUNTIES), WORCESTER COUNTY RANKS 11TH, AND HAMPSHIRE COUNTY RANKS 5TH. THIS REPORT FOCUSES ON HOW LONG AND HOW WELL PEOPLE LIVE BASED ON THEIR LOCATION IN EACH STATE AND LOOKS AT INDICATORS SUCH AS ECONOMIC SECURITY AND CHRONIC HEALTH OUTCOMES. THESE RANKINGS DO NOT SHOW DIFFERENCES IN HEALTH WITHIN A COUNTY OR THE MAGNITUDE OF THE DIFFERENCES IN HEALTH. THE QUABOAG CONNECTOR, A LOCAL TRANSIT SERVICE, SERVES TEN COMMUNITIES ACROSS THE REGION AND CONNECTS SUBURBAN AND RURAL AREAS TO URBAN AREAS AND SERVICES. COMMUNITY-BASED ORGANIZATIONS, RESOURCES, AND COLLABORATIONS; ARTS AND CULTURE CENTERS; EDUCATION, HEALTH, AND CORPORATE INSTITUTIONS; AND OTHER ASSETS CONTRIBUTE TO THE SERVICE AREA'S STATUS AS A DESTINATION TO LIVE, WORK, AND PLAY. THERE IS NO OTHER MAJOR HOSPITAL IN THE SERVICE AREA OUTSIDE OF BAYSTATE WING AND BAYSTATE MEDICAL CENTER IN SPRINGFIELD. THIRTY-FIVE PERCENT OF THE INSURED POPULATION IN HAMPDEN COUNTY, AND A SMALLER PROPORTION IN HAMPSHIRE (16%) AND WORCESTER (24%) COUNTIES, ARE MEDICAID BENEFICIARIES COMPARED WITH THE STATEWIDE PERCENTAGE OF 23%. THE PERCENTAGE OF THE POPULATION THAT IS UNINSURED IN HAMPDEN COUNTY IS 3.14%, WHICH IS 15% HIGHER THAN THE STATEWIDE AVERAGE OF 2.72%.
PART VI, LINE 5:	THE HOSPITAL FACILITY HAS A RESPONSIBILITY TO RESPOND TO HEALTH CARE NEEDS UNSUPPORTED BY GOVERNMENT PROGRAMS. IN EXCHANGE FOR THIS RESPONSIBILITY, THE HOSPITAL QUALIFIES FOR TAX-EXEMPT STATUS UNDER 501(C)(3). HOWEVER, PROVIDING HOSPITAL CARE ALONE IS NOT ENOUGH TO QUALIFY FOR TAX-EXEMPT STATUS. HOSPITALS ALSO MUST OPERATE IN THE PUBLIC INTEREST AND PROVIDE PROGRAMS THAT BENEFIT THE COMMUNITY.THE CHARITABLE MISSION OF THE HOSPITAL FACILITY, A MEMBER HOSPITAL OF BAYSTATE HEALTH, IS TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES EVERY DAY, WITH QUALITY AND COMPASSION. THE HOSPITAL'S COMMUNITY BENEFITS MISSION IS TO REDUCE HEALTH DISPARITIES, PROMOTE COMMUNITY WELLNESS, AND IMPROVE ACCESS TO CARE FOR VULNERABLE POPULATIONS. THE HOSPITAL IS COMMITTED TO MEETING THE IDENTIFIED HEALTH AND WELLNESS NEEDS OF CONSTITUENCIES AND COMMUNITIES SERVED THROUGH THE COMBINED EFFORTS OF BAYSTATE HEALTH'S MEMBER ORGANIZATIONS, AFFILIATED PROVIDERS, AND COMMUNITY PARTNERS.THE HOSPITAL FACILITY MEETS ALL THE FACTORS REQUIRED OF MEDICAL FACILITIES TO MAINTAIN TAX EXEMPTION, AS FIRST DESCRIBED IN REVENUE RULING 69-545. IN SUPPORT OF PATIENT CARE AND THE MEDICAL NEEDS OF THE COMMUNITIES SERVED BY THE HOSPITAL, MEDICAL STAFF MEMBERSHIP AND PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS AND PRACTITIONERS IN WESTERN MASSACHUSETTS WHO MEET THE REQUIREMENTS FOR CREDENTIALING AND CLINICAL PRIVILEGES, WHETHER EMPLOYED BY A RELATED BAYSTATE HEALTH OR COMMUNITY-BASED ENTITY. THE HOSPITAL'S EMERGENCY DEPARTMENT IS OPEN TO ALL IN NEED OF CARE AND SERVICES; NO ONE REQUIRING EMERGENCY CARE IS DENIED TREATMENT. IN ADDITION, SURPLUS FUNDS FROM OPERATIONS ARE GENERALLY APPLIED, AS PERMITTED, TO THE FOLLOWING: IMPROVEMENTS IN PATIENT CARE, EXPANSION AND RENOVATION OF EXISTING FACILITIES, PURCHASE AND REPLACEMENT OF EQUIPMENT, DEBT SERVICE, EXPENSES ASSOCIATED WITH TRAINING OF PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS, PROFESSIONAL DEVELOPMENT OF MEDICAL AND OTHER CLINICAL STAFF, AND THE SUPPORT OF SCIENTIFIC, TRANSLATIONAL, AND CLINICAL RESEARCH.BAYSTATE HEALTH'S VOLUNTEER BOARD OF TRUSTEES, THE GOVERNING BODY OF THE ORGANIZATION AND ITS AFFILIATES, IS COMPRISED OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BAYSTATE HEALTH AND UP TO TWENTY-TWO (22) OTHER ELECTED TRUSTEES WHO ARE REPRESENTATIVE OF THE BROAD RANGE OF INTERESTS WHICH EXIST IN THE COMMUNITIES SERVED BY BAYSTATE HEALTH AND ITS AFFILIATES. THE GOVERNANCE COMMITTEE OVERSEES THE NOMINATION OF TRUSTEES AND SUBMITS RECOMMENDATIONS TO THE BOARD OF TRUSTEES FOR MEMBERSHIP ON THE VARIOUS BOARD COMMITTEES. IN CONSIDERING NOMINATIONS OR RECOMMENDATIONS FOR TRUSTEES, DIRECTORS, COMMITTEE MEMBERS, OR OFFICERS, THE GOVERNANCE COMMITTEE SELECTS NOMINEES WHO ARE REPRESENTATIVE OF THE VARIOUS AND DIVERSE CONSTITUENCIES SERVED BY BAYSTATE HEALTH AND ITS AFFILIATES. THE COMMITTEE NOMINATES PERSONS WHO ARE REPRESENTATIVE OF THE COMMUNITY CONSUMER INTERESTS OF THE VARIOUS NEIGHBORHOODS AND LOCALITIES WHICH ARE SERVED BY BAYSTATE HEALTH AND ITS AFFILIATES IN THE CARRYING OUT OF AND PURSUANT TO THE CHARITABLE MISSION OF THE BAYSTATE HEALTH AND ITS AFFILIATES.GIVEN ITS LIMITED RESOURCES, BAYSTATE HEALTH HAS CONTINUED TO ENGAGE IN STRATEGIC AND THOUGHTFUL PROCESSES REGARDING FINANCIAL INVESTMENTS IN LOCAL INITIATIVES THAT ADDRESS NEEDS IDENTIFIED IN THE CHNA. THESE INVESTMENTS BOTH ALIGN TO LOCAL NEEDS OF EACH HOSPITAL SERVICE AREA, AS WELL AS REGIONAL NEEDS THAT APPLY TO ALL COMMUNITIES SERVED. MANY OF THESE INVESTMENTS ENGAGE COMMUNITY INPUT FROM CBAC MEMBERS AND OTHER LOCAL STAKEHOLDERS TO PROMOTE THE INITIATIVE'S LOCAL IMPACT AND ENCOURAGE OTHER STAKEHOLDERS AND FUNDERS TO PARTICIPATE IN THE ADVANCEMENT OF THE COMMUNITY HEALTH TRANSFORMATION.
PART VI, LINE 6:	BAYSTATE HEALTH IS A NOT-FOR-PROFIT INTEGRATED HEALTHCARE SYSTEM SERVING OVER 800,000 PEOPLE THROUGHOUT WESTERN MASSACHUSETTS. NATIONALLY RECOGNIZED AS A LEADER IN HEALTHCARE QUALITY AND SAFETY, BAYSTATE HEALTH HAS MORE THAN 13,000 EMPLOYEES AND SERVES A DIVERSE POPULATION OF PATIENTS AT ITS TEACHING HOSPITAL, BAYSTATE MEDICAL CENTER IN SPRINGFIELD, AS WELL AS AT BAYSTATE CHILDREN'S HOSPITAL, ITS THREE COMMUNITY HOSPITALS, SEVERAL URBAN HEALTH CENTERS, HOME CARE AND HOSPICE SERVICES, AND A NETWORK OF OVER 80 MEDICAL PRACTICES. THE FOUR HOSPITALS INCLUDE BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE NOBLE HOSPITAL, AND BAYSTATE WING HOSPITAL; THE OTHER 501(C)(3) ORGANIZATIONS INCLUDE BAYSTATE MEDICAL PRACTICES, VISITING NURSE ASSOCIATION AND HOSPICE OF WESTERN NEW ENGLAND, BAYSTATE ADMINISTRATIVE SERVICES, AND BAYSTATE HEALTH FOUNDATION. BAYSTATE MEDICAL CENTER (BAYSTATE MEDICAL) IS A 716-BED INDEPENDENT ACADEMIC MEDICAL CENTER AND HOME TO THE UMASS CHAN MEDICAL SCHOOL BAYSTATE. BAYSTATE MEDICAL HAS ONE OF NEW ENGLAND'S BUSIEST EMERGENCY ROOMS AND IS THE REGION'S ONLY LEVEL 1 TRAUMA CENTER. THE HOSPITAL ALSO OFFERS PRE- AND POST-NATAL CARE FOR MOTHERS GIVING BIRTH AT ITS WESSON WOMEN & INFANTS' UNIT, WHICH IS HOME TO THE REGION'S ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU). IN ADDITION, THE MEDICAL CENTER OFFERS THE BAYSTATE HEART & VASCULAR PROGRAM AND THE BAYSTATE REGIONAL CANCER PROGRAM, AMONG OTHER ADVANCED SPECIALTY MEDICAL, DIAGNOSTIC, AND SURGICAL SERVICEBAYSTATE CHILDREN'S HOSPITAL, PART OF BAYSTATE MEDICAL, IS THE ONLY ACCREDITED FULL-SERVICE CHILDREN'S HOSPITAL AND PEDIATRIC-SPECIFIC EMERGENCY DEPARTMENT IN WESTERN MASSACHUSETTS. IT PROVIDES PRIMARY AND ADVANCED MEDICAL CARE TO BABIES, CHILDREN, ADOLESCENTS, AND THEIR FAMILIES.BAYSTATE FRANKLIN MEDICAL CENTER (BAYSTATE FRANKLIN) IS AN 89-BED FACILITY LOCATED IN GREENFIELD, MASSACHUSETTS, WHICH PROVIDES HIGH-QUALITY INPATIENT AND OUTPATIENT SERVICES TO RESIDENTS OF RURAL FRANKLIN COUNTY AND NORTH QUABBIN. INPATIENT SERVICES INCLUDE BEHAVIORAL HEALTH, INTENSIVE CARE, MEDICAL-SURGICAL CARE, AND OBSTETRICS/ MIDWIFERY. OUTPATIENT SERVICES INCLUDE 3D MAMMOGRAPHY, BEHAVIORAL HEALTH, CANCER CARE AND INFUSION, CARDIAC REHABILITATION AND WELLNESS, EMERGENCY CARE, HEART AND VASCULAR PRACTICE AND CLINICAL SERVICES, INTENSIVE CARE, LABORATORY SERVICES, ORTHOPEDIC SURGERY, PAIN MANAGEMENT, ENDOSCOPY AND MINOR PROCEDURES, PULMONARY REHABILITATION, RADIOLOGY, SLEEP MEDICINE, WOUND CARE, AND HYPERBARIC MEDICINE. ADDITIONALLY, THROUGH A PARTNERSHIP WITH THE COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY (CHCFC), A DENTAL CLINIC IS LOCATED ONSITE, ADJACENT TO THE BAYSTATE FRANKLIN EMERGENCY DEPARTMENT.BAYSTATE NOBLE HOSPITAL (BAYSTATE NOBLE) IS AN 85-BED ACUTE CARE COMMUNITY HOSPITAL HELPING PEOPLE IN THE GREATER WESTFIELD COMMUNITY, OFFERING DIRECT ACCESS TO WORLD-CLASS TECHNOLOGY, DIAGNOSTICS, AND SPECIALISTS. THE HOSPITAL WORKS TO ENSURE THAT PATIENTS HAVE ACCESS TO EXCEPTIONAL HEALTHCARE, CLOSE TO HOME. SKILLED AND COMPASSIONATE NURSES AND MEDICAL SUPPORT STAFF OFFER AN IDEAL COMBINATION OF "HIGH TECH AND "HIGH TOUCH," COMPLEMENTING AN OUTSTANDING TEAM OF DOCTORS. SERVICES INCLUDE OBSTETRICS AND GYNECOLOGY, EMERGENCY, LABORATORY, GASTROENTEROLOGY, SURGERY, CARDIOPULMONARY SERVICES AND REHABILITATION, CANCER CARE, UROLOGY, NEUROLOGY, INPATIENT REHABILITATION, AND DIAGNOSTIC IMAGING, INCLUDING 3D MAMMOGRAPHY.BAYSTATE WING HOSPITAL (BAYSTATE WING) IS A 46-BED FACILITY LOCATED IN PALMER, MASSACHUSETTS SERVING PEOPLE THROUGHOUT THE QUABOAG HILLS AND THE PIONEER VALLEY. THE HOSPITAL OFFERS A BROAD RANGE OF MEDICAL AND SURGICAL SERVICES. OUR EXPANDED EMERGENCY DEPARTMENT (ED) OFFERS TWENTY TREATMENT BAYS, INCLUDING TWO BAYS DESIGNATED FOR THE CARE OF TRAUMA PATIENTS AND THREE BAYS FOR PATIENTS WITH BEHAVIORAL HEALTH NEEDS. THE ED PROVIDES COMPREHENSIVE EMERGENCY SERVICES FOR ADULTS AND CHILDREN AROUND THE CLOCK. BAYSTATE WING IS A PRIMARY STROKE CENTER DESIGNATED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, AND OUR ED IS RECOGNIZED WITH A GET WITH THE GUIDELINES GOLD PLUS QUALITY AWARD FOR STROKE CARE FROM THE AMERICAN HEART ASSOCIATION.BAYSTATE MEDICAL PRACTICES (BMP) IS A HEALTH CARE ORGANIZATION CONSISTING OF 769 PHYSICIANS IN A VARIETY OF DISCIPLINES, INCLUDING BUT NOT LIMITED TO PRIMARY, COMMUNITY, SPECIALTY, URGENT AND SURGICAL CARE. OUR FOOTPRINT EXPANDS ACROSS WESTERN MASS WITH OVER 120 DIFFERENT PRACTICES IN FIFTY-FIVE RURAL AND SUBURBAN LOCATIONS. MANY SITES ARE DESIGNATED HEALTH AND WELLNESS CENTERS, SIGNIFYING OUR EMPHASIS ON CONVENIENT, ONE STOP CARE, EMPHASIZING COLLABORATION AMONG PROVIDERS, BETTER COMMUNICATION, AND CONTINUITY OF CARE. BMP'S MISSION IS TO PROVIDE HIGH VALUE CARE TO ANY PATIENT IN NEED, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR SUCH CARE. DEPENDING ON THE PATIENT'S FINANCIAL ABILITY TO PAY AND CONSISTENT WITH BAYSTATE HEALTH AND BMP GUIDELINES, BMP MAY PROVIDE CARE FREE OF CHARGE OR AT A SIGNIFICANTLY REDUCED RATE. IN TAX YEAR 2023 (FY2024) BMP PROVIDED $1,509,566 IN CHARITY CARE. IN ADDITION TO THE CHARITY CARE PROVIDED TO PATIENTS, BMP'S PHYSICIANS PARTICIPATE IN MANY VARIOUS AND ONGOING COMMUNITY OUTREACH INITIATIVES IN AREAS OF EDUCATION, EMPLOYMENT, SAFETY, AND HEALTH. BMP HAS ALSO TAKEN A LEADERSHIP ROLE IN STRENGTHENING THE HEALTH OF DISADVANTAGED CITIZENS IN SURROUNDING COMMUNITIES, INCLUDING SPECIFIC FOCUS ON HIV/AIDS AND THE UNDERSERVED POPULATION AREAS. MANY OF THESE PROGRAMS ARE STAFFED WITH PHYSICIANS WITHIN THE THREE COMMUNITY-BASED HEALTH CENTERS. BAYSTATE HOME HEALTH, HOSPICE AND PEDIATRIC PALLIATIVE CARE PROVIDES COMPASSIONATE, RESPECTFUL CARE TO PATIENTS AND FAMILIES WHEREVER THEY CALL HOME. EACH PATIENT AND FAMILY ARE CARED FOR BY LICENSED AND EXPERIENCED NURSES, THERAPISTS, SOCIAL WORKERS, HOME HEALTH AND HOSPICE AIDES, SPIRITUAL AND BEREAVEMENT COUNSELORS, AND VOLUNTEERS IN COLLABORATION WITH THEIR PRIMARY CARE PHYSICIANS AND/OR OTHER PROVIDERS. THE HOME HEALTH TEAM WORKS TOGETHER TO ENSURE A SAFE AND SWIFT RECOVERY FROM ILLNESS, ACCIDENT, OR SURGERY IN THE COMFORT OF PATIENTS' HOME. BAYSTATE HOME HEALTH MANAGES OVER 130,000 VISITS ANNUALLY. UNDER THE DIRECTION OF A BOARD-CERTIFIED HOSPICE AND PALLIATIVE CARE MEDICAL DIRECTOR, THE INTERDISCIPLINARY TEAM OFFERS MEDICAL, SPIRITUAL, AND OTHER SUPPORT SERVICES THROUGH ITS EXTENSIVE NETWORK OF CAREGIVERS TO SUPPORT PATIENTS FACING A SERIOUS OR LIFE LIMITING ILLNESS. THIS CARE TEAM WORKS TOGETHER, WITH BOTH THE PATIENT AND FAMILY, TO BRING UNDERSTANDING, COMFORT, DIGNITY, AND A SENSE OF PEACE, AS EACH PATIENT JOURNEYS TOWARDS THE FINAL STAGE OF LIFE. HOSPICE HAS WORKED WITH BMC TO CREATE AN INPATIENT HOSPICE PROGRAM FOR PATIENTS AT END OF LIFE WITH SYMPTOMS THAT ARE DIFFICULT TO MANAGE OUTSIDE OF THE HOSPITAL ALLOWING HOSPICE LEVEL OF CARE IN AN ACUTE SETTING. BAYSTATE HOSPICE CARES FOR OVER 1,200 PATIENTS EACH YEAR. THE PEDIATRIC PALLIATIVE CARE TEAM OF NURSES, SOCIAL WORKERS, SPIRITUAL CARE COUNSELOR, CHILD LIFE SPECIALISTS, MUSIC THERAPISTS, MASSAGE THERAPISTS AND VOLUNTEERS LED BY A BOARD-CERTIFIED PEDIATRICIAN CARE FOR ALMOST ONE HUNDRED PATIENTS AND THEIR FAMILIES EVERY DAY. THEIR PATIENTS RANGE FROM BIRTH TO 19 YEARS OF AGE AND SUFFER WITH LIFE-LIMITING CONDITIONS AND DISEASES. BASED IN SPRINGFIELD, MASSACHUSETTS, HEALTH NEW ENGLAND (HNE) IS A NOT-FOR-PROFIT HEALTH PLAN SERVING MEMBERS IN MASSACHUSETTS AND CONNECTICUT. A WHOLLY OWNED SUBSIDIARY OF BAYSTATE HEALTH, HNE OFFERS A RANGE OF HEALTH CARE PLANS INCLUDING COMMERCIAL, MEDICAID, AND MEDICARE SUPPLEMENTAL COVERAGE. FOR OVER 30 YEARS, HNE HAS BEEN MEETING THE HEALTH CARE NEEDS OF OUR MEMBERS AND CONTINUE TO BE THE MOST TRUSTED AND VALUED HEALTH PLAN IN OUR COMMUNITY. HNE AND BAYSTATE HEALTH PARTNER ON VARIOUS COMMUNITY BENEFIT INITIATIVES INCLUDING HOSTING ANNUAL FORUMS THAT CONVENE COMMUNITY MEMBERS TO SHARE CHNA OUTCOMES, STRATEGIC IMPLEMENTATION PLAN GOALS, INSTITUTIONAL UPDATES, AND CREATE SPACE FOR COMMUNITY INPUT AND DISCUSSION.
BAYSTATE HEALTH'S MEDICAID ACCOUNTABLE CARE ORGANIZATION (ACO),	THE BEHEALTHY PARTNERSHIP (BHP) IN PARTNERSHIP WITH HEALTH NEW ENGLAND, INCLUDES PRIMARY CARE PROVIDERS (PCPS) WHO ARE BASED AT BAYSTATE HEALTH'S NEARBY HEALTH CENTERS IN SPRINGFIELD, MASSACHUSETTS, AND AT BAYSTATE MEDICAL PRACTICES PRIMARY CARE OFFICES LOCATED IN HAMPDEN, HAMPSHIRE AND FRANKLIN COUNTIES IN WESTERN MASSACHUSETTS. BHP SERVES OVER 48,000 PEOPLE IN THE REGION. IN ITS SEVENTH YEAR, BHP FOCUSED ON CONTINUING TO BUILD OUT ITS CLINICAL INNOVATION STRATEGIES, INTEROPERABILITY INFRASTRUCTURE, AS WELL AS MEET ITS QUALITY STANDARDS. IN ADDITION, HEALTH EQUITY WORK WAS PRIORITIZED IN THE CLINICAL AND DATA ARENAS. THE ACO ALSO DEEPENED COMMUNITY LINKAGE EFFORTS TO BETTER SUPPORT OUR MEMBERS THROUGH THE HEALTH-RELATED SOCIAL NEEDS (HRSN) PROGRAM. COMMUNITY OUTREACH EFFORTS ARE INTRICATELY LINKED TO FUTURE STRATEGIES OF TELEHEALTH, FLEXIBLE SERVICES PROGRAMMING, AND BALANCING MEDICAL AND SOCIAL SUPPORTS FOR BETTER HEALTH OUTCOMES AND REDUCTION OF TOTAL COST OF CARE. A PRIMARY FOCUS OF BHP THIS YEAR WAS STRENGTHENING OUR QUALITY AND HEALTH EQUITY EFFORTS, CONTINUING TO IMPLEMENT CARE DELIVERY INNOVATIONS, AND EXTENDING THE REACH OF OUR CARE MANAGEMENT PROGRAM.IN ADDITION TO THE BRIEF DESCRIPTIONS OF THE AFFILIATED ENTITIES ABOVE, THE INFORMATION BELOW SPEAKS TO ACTIVITIES OF BAYSTATE HEALTH AND ITS AFFILIATES REGARDING PROMOTION OF COMMUNITY HEALTH.HEALTHCARE AND MEDICAL EDUCATION IN ADDITION TO ITS 13,000 EMPLOYEES, BAYSTATE HEALTH HAS MEDICAL STAFF, NURSES, RESIDENTS AND FELLOWS, MEDICAL STUDENTS, NURSING STUDENTS, AND ALLIED HEALTH STUDENTS WHO GAIN COMPREHENSIVE MEDICAL EDUCATION DURING THE YEAR. A RECOGNIZED LEADER IN EDUCATIONAL INNOVATION, BAYSTATE HEALTH HAS BEEN TRAINING DOCTORS SINCE 1914. HUNDREDS OF RESIDENTS AND FELLOWS IN 11 RESIDENCY AND 20+ FELLOWSHIP PROGRAMS TRAIN AT BAYSTATE HEALTH. IN ADDITION, BAYSTATE HEALTH PROVIDED TRAINING TO OVER 150 MEDICAL STUDENTS COMPLETING CLERKSHIPS AND ELECTIVES IN VARIOUS SPECIALTIES. HUNDREDS OF NURSING AND ALLIED HEALTH STUDENTS FROM LOCAL COLLEGES AND UNIVERSITIES COMPLETE CLINICAL TRAINING EACH YEAR AS PART OF THEIR ASSOCIATE, BACCALAUREATE, MASTER'S, AND POST-DOCTORAL WORK. BAYSTATE HEALTH IS A NATIONALLY ACCREDITED PROVIDER OF CONTINUING EDUCATION FOR THE ENTIRE TEAM OF HEALTH CARE PROFESSIONALS. CONTINUING EDUCATION IS PROVIDED THROUGH REGIONAL CONFERENCES, GRAND ROUNDS, AND INTERNET COURSES. BAYSTATE HEALTH CONTINUES TO OFFER A ROBUST NURSE RESIDENCY PROGRAM. THE PROGRAM IS A 10-MONTH LONG PROGRAM FOR REGISTERED NURSES WITH LESS THAN 10 MONTHS EXPERIENCE, OFFERING PRACTICE-BASED EXPERIENCE, IN-DEPTH LEARNING, AND ONGOING PROFESSIONAL DEVELOPMENT. BAYSTATE HEALTH'S NURSE RESIDENCY PROGRAM SUCCESSFULLY ACHIEVED REACCREDITATION IN JULY 2021 AS A PRACTICE TRANSITION PROGRAM BY THE AMERICAN NURSES CREDENTIALING CENTER'S (ANCC) COMMISSION ON ACCREDITATION WITH A PLAN TO REACCREDIT IN 2025. BAYSTATE HEALTH CONTINUES TO PROVIDE A SUBSET OF NURSES WITH FORGIVABLE NURSING LOANS TOWARDS EARNING THEIR ADN, BSN, MASTERS, DNP, OR PHD IN NURSING. THE PROGRAM WAS ESTABLISHED IN 2002 AND TO DATE HAS SUPPORTED MORE THAN 1,782 RNS AND STUDENT NURSES PROVIDING MORE THAN $2.8M IN FORGIVABLE LOANS. IN EARLY 2024, THE DECISION WAS REACHED TO CONSOLIDATE THE NURSING FORGIVABLE LOAN PROGRAM WITH AN ENHANCED TUITION ASSISTANCE PROGRAM. EMPLOYEES WORKING 30 HOURS, OR MORE ARE ELIGIBLE FOR THE MAX IRS ALLOWED BENEFIT OF $5,250 PER CALENDAR YEAR WITH PART-TIME EMPLOYEES PRORATED. BAYSTATE HEALTH CONTRIBUTES $300,000 PER YEAR IN TUITION ASSISTANCE FOR EMPLOYEES. THE BAYSTATE MEDICAL CENTER'S MIDWIFERY EDUCATION PROGRAM GRADUATED FOUR STUDENTS IN 2024. ALL FOUR STUDENTS HAVE SUCCESSFULLY PASSED THEIR CERTIFICATION BOARD EXAM AND ARE EMPLOYED AS CERTIFIED NURSE-MIDWIVES IN BOSTON, PITTSFIELD, AND WORCESTER, MA; AND HARTFORD, CT. THE BAYSTATE MEDICAL CENTER MIDWIFERY EDUCATION PROGRAM CONTINUES TO SUPPORT AREA WORKFORCE, WITH PROGRAM ALUMNI COMPRISING 30% OF CNMS EMPLOYED IN PRACTICES IN SPRINGFIELD AND SURROUNDING AREAS. IN PARTNERSHIP WITH THE UNIVERSITY OF MASSACHUSETTS CHAN MEDICAL SCHOOL, BAYSTATE HEALTH IS THE REGIONAL CAMPUS FOR AN INNOVATIVE CURRICULUM TRACK CALLED POPULATION-BASED URBAN AND RURAL COMMUNITY HEALTH (PURCH). THE PURCH TRACK IS AN INNOVATIVE, COMMUNITY-CENTERED, EQUITY-FOCUSED, EXPERIENTIAL CURRICULUM TO HELP STUDENTS DEVELOP INTO PHYSICIANS WHO WILL BE TRANSFORMATIVE LEADERS WITH KNOWLEDGE, SKILLS, AND MINDSET TO ADVOCATE FOR AND PROVIDE EQUITABLE, HIGH-QUALITY CARE TO COMMUNITIES FACING SYSTEMIC HEALTH DISPARITIES. THE PURCH TRACK IS DESIGNED TO EQUIP STUDENTS THE SKILLS NECESSARY TO PROVIDE HIGH-QUALITY CARE TO BAYSTATE HEALTH'S DIVERSE PATIENT POPULATIONS. THE PURCH TRACK INTEGRATES COMMUNITY IDENTIFIED PRINCIPLES, IMMERSES STUDENTS IN SURROUNDING COMMUNITIES, AND CULTIVATES A COMMUNITY OF PRACTICE. THROUGH A COMBINATION OF CLASSROOM LEARNING AND HANDS-ON CLINICAL EXPERIENCES ACROSS VARIOUS SETTINGS, STUDENTS ARE GUIDED BY EXPERT FACULTY WITH SPECIALIZED EXPERTISE IN POPULATION HEALTH AND MEDICAL EDUCATION. THE GOALS OF THE PROGRAM ARE TO INCREASE ACCESS TO STUDENTS IN MASSACHUSETTS SEEKING AN AFFORDABLE MEDICAL EDUCATION; TO RESPOND TO THE HEALTH CARE NEEDS OF THE COMMONWEALTH BY INCREASING THE NUMBER OF MASSACHUSETTS PHYSICIANS TRAINED IN URBAN AND RURAL PRIMARY CARE; AND TO IMPROVE POPULATION HEALTH AND CREATE FUTURE PHYSICIANS WITH THE SKILLS NEEDED TO IMPACT HEALTH DISPARITIES. AS OF 2024 PURCH HAS GRADUATED NINETY-ONE STUDENTS, 71% HAVE PURSUED PRIMARY CARE RESIDENCIES, 11% HAVE STAYED AT BAYSTATE TO PURSUE RESIDENCY TRAINING. TWO PURCH GRADUATES HAVE STAYED IN OUR REGION AS A FELLOW AND FACULTY. FOR THE GRADUATING CLASS OF 2024, 32% OF STUDENTS STAYED IN MASSACHUSETTS. UNIQUE TO THE PURCH PROGRAM IS OUR BAYSTATE COMMUNITY FACULTY. THESE TEN INDIVIDUALS ARE NON-PHYSICIANS WHO ARE DEEPLY CONNECTED TO THE COMMUNITIES SERVED BY BAYSTATE HEALTH. THEY BRING VALUABLE REAL-WORLD EXPERIENCE FROM THEIR ROLES AS RESIDENTS OF THOSE COMMUNITIES, CONTRIBUTING TO THE EDUCATION OF MEDICAL STUDENTS. THEY WORK TO ADDRESS HEALTH, SOCIAL, AND ECONOMIC DISPARITIES BY SHARING THEIR LIFE EXPERIENCES AND LEADERSHIP IN VARIOUS FIELDS, HELPING STUDENTS DEVELOP SKILLS TO IMPROVE SOCIAL OUTCOMES. THROUGH THEIR INVOLVEMENT, THEY ENRICH THE ACADEMIC SETTING BY INTEGRATING PRACTICAL KNOWLEDGE WITH MEDICAL EDUCATION. IN 2024, OVER 285,000 SPOKEN AND SIGNED LANGUAGE INTERPRETER SESSIONS HELPED PATIENTS AND FAMILIES BETTER UNDERSTAND THEIR CARE RESULTING IN BETTER ACCESS TO AND EQUITY IN THEIR HEALTHCARE. BAYSTATE PROVIDES IN-PERSON INTERPRETERS AS WELL AS TELEPHONIC AND VIDEO INTERPRETERS OFF-SITE. OUR NATIONALLY CERTIFIED TRANSLATORS TRANSLATED MORE THAN 11,000 PAGES OF PATIENT-RELATED INFORMATION AND INSTRUCTIONS, HELPING TO ENSURE THAT OUR PATIENTS WERE WELL-INFORMED ABOUT THEIR HEALTH CONDITION(S) AND HOW TO CARE FOR THOSE CONDITIONS IN SIMPLE TERMS AND IN A LANGUAGE THEY PREFER. MATERNAL HEALTH AND PARENTAL EDUCATION BAYSTATE HEALTH AND ITS AFFILIATES ARE COMMITTED TO PROVIDING THE COMMUNITIES THEY SERVE THROUGHOUT WESTERN MASSACHUSETTS WITH THE RESOURCES NECESSARY TO STAY INFORMED AND HEALTHY BY PROVIDING BOTH BASIC AND EXTENSIVE EDUCATIONAL OPPORTUNITIES SUCH AS PARENT EDUCATION CLASSES, INCLUDING "BAYSTATE'S BABIES" AT BAYSTATE MEDICAL CENTER, A PERINATAL EDUCATION AND SUPPORT PROGRAM. ALSO OFFERED ARE BREASTFEEDING CLASSES, PRENATAL/POSTNATAL CHILDBIRTH EDUCATION CLASSES, AND INFANT SAFETY CLASSES. SOME CLASSES ARE FREE WHILE OTHERS ARE OFFERED AT A REASONABLE FEE. NO ONE IS TURNED AWAY DUE TO INABILITY TO PAY.THE MOMS DO CARE EMPOWER PROGRAM AT BAYSTATE FRANKLIN WAS INITIALLY DESIGNED TO HELP PREGNANT WOMEN WITH OPIOID USE DISORDER (OUD) HAVE HEALTHY BABIES AND PURSUE HEALTHIER FUTURES. MDC-E IS SUPPORTED BY STATE OPIOID RESPONSE FUNDING THROUGH 2028 FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICE ADMINISTRATION (SAMHSA) AND THE MA DEPARTMENT OF PUBLIC HEALTH, BUREAU OF SUBSTANCE ADDICTION SERVICES. THE PROGRAM'S EXPANDED ELIGIBILITY CRITERIA INCLUDE OPIOIDS, STIMULANTS, THC AND ALCOHOL. MDC-E PROVIDES A MEDICAL/BEHAVIORAL HEALTH HOME, OFFERING PEER SUPPORT THROUGH RECOVERY COACHES AND DOULAS WHO PARTNER WITH WOMEN IN PREGNANCY AND UP TO 3 YEARS POSTPARTUM. DOULAS COMPLEMENT THE EXPERT CARE PROVIDED BY THE FRANKLIN MEDICAL CENTER BIRTHPLACE TO SUPPORT ROOMING IN, BREASTFEEDING AND THE IMPLEMENTATION OF EAT-SLEEP-CONSOLE TO ENSURE THE MOST FAVORABLE OUTCOMES FOR NEONATES EXPERIENCING NEONATAL ABSTINENCE SYNDROME (NAS) OR NEONATAL OPIOID WITHDRAWAL SYNDROME (NOWS) AND THEIR MOTHER'S CARE COORDINATION AND SERVICE NAVIGATION ARE ALSO PROVIDED THROUGH OBSTETRIC AND MIDWIFERY PROVIDERS AS WELL AS A LICENSED SOCIAL WORKER. THE EMPOWER PROGRAM CURRENTLY SERVES APPROXIMATELY THIRTY WOMEN AND FAMILIES IN FRANKLIN COUNTY EACH YEAR.
BAYSTATE MEDICAL CONTINUES IMPLEMENTATION OF AN ENHANCED WAY	TO CARE FOR NEWBORNS PHYSIOLOGICALLY DEPENDENT ON OPIOIDS AND THEIR MOTHERS CALLED THE ROOMING-IN PROGRAM.PREVIOUSLY, BABIES IMPACTED BY MATERNAL OUD WERE ADMITTED TO THE NEONATAL INTENSIVE CARE UNIT IF THEY REQUIRED PHARMACOLOGICAL TREATMENT FOR NEONATAL ABSTINENCE SYNDROME. PARENTS UNDERSTOOD LITTLE ABOUT THE PROCESS AND LENGTH OF STAY AVERAGED SEVERAL WEEKS. WITH THE ROOMING-IN PROGRAM, ELIGIBLE BABIES REMAIN WITH THEIR MOTHERS IN A PRIVATE ROOM THROUGHOUT TREATMENT, ENCOURAGING BREASTFEEDING AND BONDING. MOTHERS RECEIVE PRENATAL AND POSTNATAL EDUCATION TO BETTER UNDERSTAND THE PROCESS AND HOW TO CARE FOR THEIR BABIES, LEAVING THEM EMPOWERED WHILE SIGNIFICANTLY DECREASING LENGTH OF STAY FOR THESE BABIES. IN FY2024 BAYSTATE HEALTH OFFERED FREE EDUCATION PROGRAMS TO WOMEN AND SENIORS 55+. BAYSTATE HEALTH SENIOR CLASS IS A FREE LOYALTY PROGRAM DEDICATED TO HEALTH AND WELLNESS OFFERED EXCLUSIVELY FOR MEN AND WOMEN AGES FIFTY-FIVE AND OVER. THE 21,000+ SENIOR CLASS MEMBERS RECEIVED A QUARTERLY NEWSLETTER AND BI-MONTHLY ENEWS WITH VALUABLE HEALTH INFORMATION, BENEFITS, AND INVITATIONS TO UNIQUE EVENTS, INCLUDING VIRTUAL EVENTS DESIGNED WITH THEIR INTERESTS IN MIND. THE FREE BAYSTATE HEALTH EVERY WOMAN LOYALTY PROGRAM OFFERS ITS 15,000+ MEMBERS THE LATEST WOMEN'S HEALTH INFORMATION THROUGH SEMINARS WITH PHYSICIANS, NURSES, AND OTHER MEDICAL PROFESSIONALS IN A COMFORTABLE AND LIVELY SETTING AS WELL AS VIRTUAL EVENTS. MEMBERS RECEIVE A QUARTERLY NEWSLETTER AND MONTHLY ENEWS. THE PROGRAM IS DESIGNED TO INCREASE KNOWLEDGE OF WOMEN'S HEALTH ISSUES, AND IN TURN, PROVIDE WOMEN WITH THE INFORMATION THEY NEED TO MAKE THE BEST DECISIONS REGARDING THEIR HEALTH.SINCE ITS INCEPTION IN 1994, RAYS OF HOPE HAS BEEN HELPING PEOPLE IN THE FIGHT AGAINST BREAST CANCER BY WALKING ALONGSIDE THEM ON THEIR CANCER JOURNEY. THROUGH THE BAYSTATE HEALTH BREAST NETWORK, RAYS OF HOPE CARES FOR THE WHOLE PERSON FROM DIAGNOSIS, THROUGHOUT TREATMENT, AND BEYOND BY SUPPORTING RESEARCH AT THE RAYS OF HOPE CENTER FOR BREAST CANCER RESEARCH, PROVIDING FUNDING FOR STATE-OF-THE-ART EQUIPMENT, BREAST HEALTH PROGRAMS, AND OUTREACH AND EDUCATION THROUGHOUT BAYSTATE HEALTH AS WELL AS PROVIDING GRANTS FOR COMPLEMENTARY THERAPIES AND CANCER PROGRAMS TO OUR COMMUNITY PARTNERS THROUGHOUT WESTERN MASSACHUSETTS. RAYS OF HOPE HAS RAISED MORE THAN $17.7 MILLION IN FUNDS, TO DATE, WITH EVERY DOLLAR REMAINING IN WESTERN MASSACHUSETTS.THE UNITED WAY DEVELOPS AND SUPPORTS PROGRAMS THAT DIRECTLY IMPROVE THE LIVES OF PEOPLE IN OUR COMMUNITIES, A MISSION PROUDLY SHARED BY BAYSTATE HEALTH. BAYSTATE HEALTH IS A LONG-TIME SUPPORTER OF THE UNITED WAY, AND A MAJOR CONTRIBUTOR TO THE ORGANIZATION WITH WORKFORCE CAMPAIGNS AND THOUSANDS OF EMPLOYEE DONORS AND VOLUNTEERS. BAYSTATE HEALTH'S CONTRIBUTIONS HELP THE UNITED WAY SERVE OUR FAMILIES, FRIENDS, COLLEAGUES, AND OTHERS WHO SEEK HELP IN DIFFERENT WAYS AND AT VARIOUS TIMES IN THEIR LIVES. THREE COMMUNITY CAMPAIGNS ARE HELD ANNUALLY: SPRINGFIELD, WESTFIELD, AND PALMER WORKPLACE TO SUPPORT THE UNITED WAY OF PIONEER VALLEY, GREENFIELD WORKPLACE TO SUPPORT THE UNITED WAY OF FRANKLIN COUNTY, AND WARE WORKPLACE TO SUPPORT THE UNITED WAY OF HAMPSHIRE COUNTY. EMPLOYEES CAN DIRECT THEIR DONATIONS TO ONE OR ALL THE UNITED WAY'S ACTION AREAS: EDUCATION, INCOME, AND HEALTH, OR DESIGNATE TO A QUALIFIED AGENCY WITH A MINIMUM CONTRIBUTION.SEE ALSO ADDITIONAL INFORMATION REGARDING BAYSTATE HEALTH, INC. AND ITS AFFILIATE'S PROMOTION OF COMMUNITY HEALTH ABOVE IN LINE 4.PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT:MA

Schedule H (Form 990) 2023

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
BAYSTATE WING HOSPITAL CORPORATION

Employer identification number
22-2519813

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) QUABOAG VALLEY COMMUNITY DEVELOPMENT CORPORATION 23 WEST MAIN STREET SUITE 1 WARE,MA01082	04-3370097	501(C)(3)	30,000	0			BWH COMMUNITY BENEFIT GRANT SUPPORT OF QUABOAG CONNECTOR
(2) GROWING A NEW HEART 97 CHURCH STREET WARE,MA01082	46-1274329	501(C)(3)	7,000	0			BWH COMMUNITY BENEFIT GRANT SUPPORT OF A CALL FOR CHANGE HELPLINE (DOMESTIC VIOLENCE PREVENTION)

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	BAYSTATE WING HOSPITAL CORPORATION MAINTAINS A CLOSE RELATIONSHIP WITH ITS GRANTEES. THROUGH THIS CLOSE RELATIONSHIP, MANAGEMENT IS ABLE TO ENSURE THE GRANTED MONEY IS USED FOR THE INTENDED PURPOSES.

Schedule I (Form 990) 2023

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

BAYSTATE WING HOSPITAL CORPORATION

Employer identification number

22-2519813

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1RAYMOND MCCARTHY TRUSTEE/SVP, CFO & TREASURER BH	(i) (ii)	0 ------------- 709,330	0 ------------- 234,559	0 ------------- 237,354	0 ------------- 28,050	0 ------------- 1,869	0 ------------- 1,211,162	0 ------------- 4,275
2NICOLAS JABBOUR MD TRUSTEE (AS OF 1/1/24)/CHAIR DEPT. O	(i) (ii)	0 ------------- 772,014	0 ------------- 185,418	0 ------------- 69,500	0 ------------- 21,450	0 ------------- 35,040	0 ------------- 1,083,422	0 ------------- 0
3KRISTIN MORALES-LEMIEUX DIRECTOR (THRU 10/1/23)/SVP/CHRO	(i) (ii)	0 ------------- 453,469	0 ------------- 152,893	0 ------------- 150,040	0 ------------- 21,450	0 ------------- 4,401	0 ------------- 782,253	0 ------------- 4,275
4RONALD P BRYANT TRUSTEE/PRESIDENT, BH COMM HOSPITALS	(i) (ii)	0 ------------- 491,814	0 ------------- 119,799	0 ------------- 78,773	0 ------------- 24,750	0 ------------- 24,413	0 ------------- 739,549	0 ------------- 4,275
5KELLY GALSTER DO TRUSTEE / SURGEON	(i) (ii)	343,749 ------------- 0	39,072 ------------- 0	28,838 ------------- 0	21,450 ------------- 0	23,472 ------------- 0	456,581 ------------- 0	0 ------------- 0
6KARLI BARRETT CNO/CHIEF ADMINISTRATIVE OFFICER	(i) (ii)	222,735 ------------- 0	42,178 ------------- 0	523 ------------- 0	17,302 ------------- 0	27,839 ------------- 0	310,577 ------------- 0	0 ------------- 0
7JANICE MAYFORTH CFO - REGIONAL COMMUNITY HOSPITALS	(i) (ii)	174,022 ------------- 0	28,242 ------------- 0	36,392 ------------- 0	15,524 ------------- 0	26,519 ------------- 0	280,699 ------------- 0	0 ------------- 0
8PAUL FULLER RESPIRATORY THERAPIST REG	(i) (ii)	208,651 ------------- 0	0 ------------- 0	4,136 ------------- 0	14,561 ------------- 0	15,691 ------------- 0	243,039 ------------- 0	0 ------------- 0
9KRISTIN R DELANEY SECRETARY/DIR CORP GOVERNANCE	(i) (ii)	0 ------------- 158,929	0 ------------- 15,361	0 ------------- 2,590	0 ------------- 11,919	0 ------------- 28,513	0 ------------- 217,312	0 ------------- 0
10LORI J REED PUFF DIR PATIENT CARE SVCS	(i) (ii)	154,430 ------------- 0	22,417 ------------- 0	2,351 ------------- 0	6,191 ------------- 0	18,968 ------------- 0	204,357 ------------- 0	0 ------------- 0
11GEORGE D NOLAN DIRECTOR, SUPPORT SERVICES (THRU 1/5	(i) (ii)	147,383 ------------- 0	13,931 ------------- 0	2,413 ------------- 0	9,514 ------------- 0	22,853 ------------- 0	196,094 ------------- 0	0 ------------- 0
12ANDRENE LAING REGISTERED NURSE PER DIEM	(i) (ii)	149,149 ------------- 0	13,800 ------------- 0	70 ------------- 0	7,677 ------------- 0	16,023 ------------- 0	186,719 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

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 $30,616 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $26,341 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. KELLY GALSTER, MD - SUPPLEMENTAL RETIREMENT OF $7,428 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. 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. 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. 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. KRISTIN MORALES-LEMIEUX - SUPPLEMENTAL RETIREMENT OF $114,540 IS INCLUDED IN COLUMN B THIS AMOUNT CONSISTS OF $110,265 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. KARLI BARRETT - SUPPLEMENTAL RETIREMENT OF $3,460 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED AND PAID IN 2023.

Schedule J (Form 990) 2023

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
BAYSTATE WING HOSPITAL CORPORATION

Employer identification number
22-2519813

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MA DEVELOPMENT FINANCE AGENCY	04-3431814	000000000	04-13-2017	14,700,000	MDFA SERIES A - SEE PART VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,683,581
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	14,832,594
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	14,832,594
11 Other spent proceeds .............
12 Other unspent proceeds .............
13 Year of substantial completion .............	2018
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %
6 Total of lines 4 and 5 .............	0 %
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........		X
c No rebate due? .........	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: MA DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/04/2020
FORM 990 SCHEDULE K, PART I:	A MDFA SERIES A PART I, DESCRIPTION OF PURPOSE THE PURPOSE OF THE BOND PROCEEDS IS FOR: (I) THE CONSTRUCTION, RENOVATION, AND EQUIPPING OF THE EMERGENCY DEPARTMENT LOCATED AT THE BORROWER'S CAMPUS AT 40 WRIGHT STREET IN PALMER, MASSACHUSETTS (THE "CAMPUS"); AND (II) OTHER ROUTINE CAPITAL EXPENDITURES OF THE BORROWER AT THE CAMPUS AND AT 20 DANIEL SHAYS HIGHWAY, BELCHERTOWN, MASSACHUSETTS 01007, 42 WRIGHT STREET, PALMER, MASSACHUSETTS 01069, 34 HUBBARD STREET, LUDLOW, MASSACHUSETTS 01056, 2 MAIN STREET, MONSON, MASSACHUSETTS 01057, 2034-2040 BOSTON ROAD, SUITE 16, WILBRAHAM, MASSACHUSETTS 01095, 2344 BOSTON ROAD, WILBRAHAM, MASSACHUSETTS 01095, 4 SPRINGFIELD STREET, PALMER, MASSACHUSETTS 01080 AND OTHER ROUTINE CAPITAL EXPENDITURES AND EQUIPMENT INCLUDED IN THE FISCAL YEAR 2017 AND FISCAL YEAR 2018 CAPITAL BUDGETS. PART I AND PART II: DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:	(A) ISSUER NAME: MA DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/04/2020

Schedule K (Form 990) 2023

Additional Data

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Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

BAYSTATE WING HOSPITAL CORPORATION

Employer identification number

22-2519813

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	BAYSTATE WING HOSPITAL 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 4	THERE WAS AN AMENDMENT TO THE CORPORATE BYLAWS OF BAYSTATE WING HOSPITAL CORPORATION (BWH): TO MAKE SUCH BYLAWS CONSISTENT WITH THE BYLAWS OF THE OTHER HOSPITAL AFFILIATES OF BAYSTATE HEALTH, INC. ("BH"), INCLUDING CHANGING THE COMPOSITION OF THE BOARD OF DIRECTORS OF BWH SO THAT THE BOARD CONSISTS OF THE SAME INDIVIDUALS SERVING ON THE BOARD OF TRUSTEES OF BH WITH THE ADDITION OF THE PRESIDENT OF THE BWH MEDICAL STAFF.
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	THE BOARD OF TRUSTEES OF THE FILING ORGANIZATION ARE THE SAME INDIVIDUALS SERVING AS MEMBERS OF THE BOARD OF TRUSTEES OF BAYSTATE HEALTH, INC. (BH) WITH THE ADDITION OF THE PRESIDENT OF THE MEDICAL STAFF OF THE FILING ORGANIZATION. THE BOARD OF TRUSTEES OF BH ARE ELECTED ANNUALLY BY THE BOARD OF TRUSTEES OF BH AT THEIR ANNUAL MEETING.
FORM 990, PART VI, SECTION A, LINE 7B	THE BYLAWS OF THE FILING ORGANIZATION PROVIDE THAT THE FOLLOWING MATTERS ARE SUBJECT TO THE APPROVAL OF BAYSTATE HEALTH, INC. (BH) AS A MEMBER: (1) THE APPOINTMENT OR REMOVAL OF THE PRESIDENT AND TREASURER OF THE CORPORATION, (2) THE ADOPTION OR AMENDMENT OF ANNUAL OPERATING AND CAPITAL BUDGETS, (3) APPROVAL OF ANY UNBUDGETED EXPENDITURE IN EXCESS OF $250,000, (4) THE ISSUANCE OF INDEBTEDNESS, LOANS, GUARANTEES OR OTHER ENCUMBRANCES IN EXCESS OF $1,000,000, (5) ADOPTION OF THE ORGANIZATION'S STRATEGIC PLAN AND SIGNIFICANT CHANGES THERETO, (6) AN AMENDMENT OF THE ORGANIZATION'S MEDICAL STAFF BYLAWS, (7) THE MAKING OF ANY SIGNIFICANT CHANGE TO CLINICAL SERVICES PROVIDED BY THE ORGANIZATION, (8) THE FILING OF A DETERMINATION OF NEED APPLICATION UNDER MASSACHUSETTS LAW, (9) THE CREATION OF A CORPORATE AFFILIATION WITH A HEALTH CARE PROVIDER NOT AFFILIATED WITH BH, (10) ENGAGING THE SERVICES OF A CERTIFIED PUBLIC ACCOUNTANT OR ATTORNEY, AND (11) ANY MERGER, CONSOLIDATION, CHANGE IN CONTROL, DISSOLUTION, LIQUIDATION, OR TRANSFER OF INTEREST IN ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S ASSETS OR OPERATIONS.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO THE FILING FORM 990, APPROPRIATE SECTIONS WERE REVIEWED BY THE TAX, FINANCE, AND HUMAN RESOURCES AREAS OF BAYSTATE HEALTH, INC. (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), WHICH INCLUDES SOME OF THE TRUSTEES OF THE FILING ORGANIZATION. 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 BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	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 GENERAL COUNSEL, THE BH CHIEF EXECUTIVE OFFICER, THE CHAIR OF THE BH BOARD OF TRUSTEES, AND THE CHAIR OF THE AUDIT & 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. 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. CONFLICT OF INTEREST DISCLOSURES ARE ALSO REVIEWED BY THE BAYSTATE WING HOSPITAL CORPORATION BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE PRESIDENT 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 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 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 AND KEY EMPLOYEE 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 VII, SECTION A, LINE 5:	CERTAIN OFFICERS OR DIRECTORS OF THE FILING ORGANIZATION ARE PAID BY AN ENTITY, BAYSTATE MEDICAL PRACTICES, INC. (BMP) EIN 04-2888373, WHICH IS PART OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS BUT DOES NOT MEET THE TECHNICAL REQUIREMENTS AS A "RELATED ORGANIZATION" PER SCHEDULE R. COMPENSATION FROM BMP TO THE OFFICERS AND DIRECTORS 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.
FORM 990, PART IX, LINE 11G	SUPPLEMENTARY SERVICES: PROGRAM SERVICE EXPENSES 1,514,194. MANAGEMENT AND GENERAL EXPENSES 8,438. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,522,632. TEMPORARY HELP- W MED/SURG 3RD (CC224): PROGRAM SERVICE EXPENSES 163,842. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163,842. TEMPORARY HELP- W GERI INPATIENT (CC411): PROGRAM SERVICE EXPENSES 900,531. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 900,531. TEMPORARY HELP- W EMERGENCY ROOM PALMER (CC413): PROGRAM SERVICE EXPENSES 4,587,358. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,587,358. TEMPORARY HELP - OTHER: PROGRAM SERVICE EXPENSES 374,099. MANAGEMENT AND GENERAL EXPENSES 163,842. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 537,941. PHYSICIAN FEES- W EMERGENCY ROOM PALMER (CC413): PROGRAM SERVICE EXPENSES 5,360,617. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,360,617. PHYSICIAN FEES- W HOSPITAL MEDICINE (CC828): PROGRAM SERVICE EXPENSES 3,047,706. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,047,706. PHYSICIAN FEES - OTHER: PROGRAM SERVICE EXPENSES 1,868,532. MANAGEMENT AND GENERAL EXPENSES 150,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,018,532. PROGRAM SUPPORT: PROGRAM SERVICE EXPENSES 1,565,002. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,565,002. ALL OTHER: PROGRAM SERVICE EXPENSES 944,313. MANAGEMENT AND GENERAL EXPENSES 346,556. FUNDRAISING EXPENSES 159. TOTAL EXPENSES 1,291,028.
FORM 990, PART XI, LINE 9:	PENSION ADJUSTMENT 7,231,989.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

BAYSTATE WING HOSPITAL CORPORATION

Employer identification number

22-2519813

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)BAYSTATE ADMINISTRATIVE SERVICES INC 759 CHESTNUT STREET SPRINGFIELD,MA01199 22-2747685	ADMINISTRATIVE SERVICES	MA	501(C)(3)	12C, III-FI	BAYSTATE HEALTH INC		No
(2)BAYSTATE FRANKLIN MEDICAL CENTER 164 HIGH STREET GREENFIELD,MA01301 04-2103575	HOSPITAL	MA	501(C)(3)	3	BAYSTATE HEALTH INC		No
(3)BAYSTATE HEALTH FOUNDATION INC 759 CHESTNUT STREET SPRINGFIELD,MA01199 04-3549011	FUNDRAISING	MA	501(C)(3)	7	BAYSTATE HEALTH INC		No
(4)BAYSTATE HEALTH INC 759 CHESTNUT STREET SPRINGFIELD,MA01199 04-2105941	HEALTHCARE SYSTEM PARENT	MA	501(C)(3)	7			No
(5)BAYSTATE MEDICAL CENTER INC 759 CHESTNUT STREET SPRINGFIELD,MA01199 04-2790311	ACUTE CARE TEACHING HOSPITAL	MA	501(C)(3)	3	BAYSTATE HEALTH INC		No
(6)BAYSTATE NOBLE HOSPITAL CORPORATION 115 WEST SILVER STREET WESTFIELD,MA010861634 22-2537423	HOSPITAL	MA	501(C)(3)	3	BAYSTATE HEALTH INC		No
(7)BAYSTATE TOTAL HOME CARE INC 280 CHESTNUT STREET SPRINGFIELD,MA01104 20-3260764	REAL ESTATE AND OTHER	MA	501(C)(3)	12B, II	BAYSTATE MEDICAL CENTER INC		No
(8)HEALTH NEW ENGLAND INC MONARCH PLACE SUITE 1500 SPRINGFIELD,MA011441500 04-2864973	HMO/INSURANCE	MA	501(C)(4)		BAYSTATE HEALTH INC		No
(9)HNE OF CONNECTICUT INC MONARCH PLACE SUITE 1500 SPRINGFIELD,MA011441500 46-5190134	HMO/INSURANCE	CT	501(C)(4)		HEALTH NEW ENGLAND INC		No
(10)VISITING NURSE ASSN AND HOSPICE OF WESTERN NEW ENGLAND INC 30 CAPITAL DRIVE SUITE A WEST SPRINGFIELD,MA01089 04-2105803	HOMEHEALTH AND HOSPICE CARE	MA	501(C)(3)	10	BAYSTATE HEALTH INC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) AMSURG BMC LLC 1A BURTON HILLS BOULEVARD NASHVILLE,TN37125 84-3258572	MEDICAL SERVICES	TN	N/A				No			No
(2) BAYSTATE HEALTH URGENT CARE LLC 700 CONGRESS STREET SUITE 204 QUINCY,MA02169 38-4059312	URGENT HEALTHCARE FACILITY	MA	N/A				No			No
(3) BAYSTATE NEW ENGLAND ORTHOPEDIC SURGEONS ALLIANCE LLC 9131 ANSON WAY SUITE 304 RALEIGH,NC27615 88-1824108	MEDICAL SERVICES	NC	N/A				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) BAYSTATE HEALTH INSURANCE COMPANY LTD NORTH CHURCH ST GEORGETOWN CJ 98-0421413	OFFSHORE CAPTIVE INSURANCE	CJ	N/A	C					No
(2) HNE ADVISORY SERVICES INC MONARCH PLACE SUITE 1500 SPRINGFIELD,MA011441500 04-3012347	ADMINISTRATIVE SERVICES	MA	N/A	C					No
(3) HNE HOLDING CORPORATION MONARCH PLACE SUITE 1500 SPRINGFIELD,MA011441500 46-4620480	HOLDING SHARES IN SUBSIDIARY CORPORATIONS	MA	N/A	C					No
(4) HNE INSURANCE COMPANY INC MONARCH PLACE SUITE 1500 SPRINGFIELD,MA011441500 45-4462433	HEALTH INS SVCS FOR MASS MEDICARE SUPPLEMENT MEMBERS	MA	N/A	C					No
(5) HNE INSURANCE SERVICES INC MONARCH PLACE SUITE 1500 SPRINGFIELD,MA011441500 04-3183019	ANCILLARY INSURANCE	MA	N/A	C					No
(6) INGRAHAM CORPORATION 759 CHESTNUT STREET SPRINGFIELD,MA01199 04-3016257	HEALTH CARE AND OTHER BUSINESS ACTIVITIES	MA	N/A	C					No

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) BAYSTATE HEALTH FOUNDATION INC	C	59,778	FAIR MARKET VALUE
(2) HEALTH NEW ENGLAND INC	Q	15,942,688	FAIR MARKET VALUE

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF THE ORGANIZATION IS TO IMPROVE THE HEALTH OF THE PEOPLE IN OUR COMMUNITIES EVERY DAY, WITH QUALITY AND COMPASSION.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	21
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	890
6	Total number of volunteers (estimate if necessary) .............	6	59
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,699,680	188,304
9	Program service revenue (Part VIII, line 2g) .........	101,961,717	98,854,699
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-84,835	1,086,121
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	716,552	1,447,226
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	106,293,114	101,576,350
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	53,767
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	45,312,257	49,034,208
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 146
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	62,906,791	54,819,391
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	108,219,048	103,907,366
19	Revenue less expenses. Subtract line 18 from line 12.......	-1,925,934	-2,331,016
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	89,509,846	86,414,742
21	Total liabilities (Part X, line 26).............	63,676,805	66,410,038
22	Net assets or fund balances. Subtract line 21 from line 20.....	25,833,041	20,004,704

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 34,473,364 including grants of $ 53,767 ) (Revenue $ 36,268,456 )
	INPATIENT HEALTHCARE SERVICES - PROVIDING INPATIENT COMMUNITY-BASED MEDICINE AND TERTIARY CARE TO THE SURROUNDING REGION. SERVICES ARE AVAILABLE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. DURING FY24, BAYSTATE WING HOSPITAL CORPORATION PROVIDED 15,583 PATIENT DAYS OF INPATIENT SERVICES, WITH 3,663 DISCHARGES.

4b	(Code: ) (Expenses $ 39,650,084 including grants of $ ) (Revenue $ 32,959,296 )
	OUTPATIENT HEALTHCARE SERVICES - PROVIDING OUTPATIENT CLINICAL SERVICES TO THE SURROUNDING REGION. SERVICES ARE AVAILABLE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. DURING FY24, BAYSTATE WING HOSPITAL CORPORATION HAD 71,045 OUTPATIENT VISITS.

4c	(Code: ) (Expenses $ 19,692,083 including grants of $ ) (Revenue $ 25,458,070 )
	EMERGENCY DEPARTMENT SERVICES - PROVIDING EMERGENCY DEPARTMENT SERVICES TO THE SURROUNDING REGION. SERVICES ARE AVAILABLE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. DURING FY24, BAYSTATE WING HOSPITAL CORPORATION HAD 39,070 EMERGENCY SERVICE VISITS.

	(Code: ) (Expenses $ 3,200,504 including grants of $ ) (Revenue $ 5,180,289 )
	PROVIDING PHARMACY AND SUPPORT SERVICES TO THE SURROUNDING REGION. SERVICES AVAILABLE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 3,200,504 including grants of $ ) (Revenue $ 5,180,289 )
4e	Total program service expenses97,016,035

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,768,332	4,025,535	475,306

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	59,778
e	Government grants (contributions)		1e	128,526

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		188,304

		Business Code
2a	OUTPATIENT REVENUE	621990	56,956,963	56,956,963
b	INPATIENT REVENUE	621990	41,598,848	41,598,848
c	INTERCOMPANY RENT	621990	298,888	298,888
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		98,854,699

3 Investment income (including dividends, interest, and othersimilar amounts) ......			531,865			531,865
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	229,281
b	Less: rental expenses	6b	227,301
c	Rental income or (loss)	6c	1,980
d	Net rental income or (loss).......			1,980			1,980
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	1,108,512
b	Less: cost or other basis and sales expenses	7b	554,256
c	Gain or (loss)	7c	554,256
d	Net gain or (loss).........			554,256			554,256
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	MED RECORDS ABSR		621990	864,343	864,343
b	CAFETERIA INCOME		722514	433,834			433,834
c	INTERCOMPANY CHARGES		621990	147,069	147,069
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,445,246
12	Total revenue. See instructions.....			101,576,350	99,866,111	0	1,521,935

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	53,767	53,767
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	280,700		280,700
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	39,094,166	38,099,329	994,837
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,096,475	1,077,126	19,349
9	Other employee benefits .......	5,647,938	5,496,505	151,433
10	Payroll taxes ...........	2,914,929	2,823,516	91,413
11	Fees for services (non-employees):
a	Management ......	4,263,053	480,582	3,782,471
b	Legal .........	68,518	63,722	4,796
c	Accounting ...........	33,436		33,436
d	Lobbying ...........	18,707		18,707
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	20,995,189	20,326,194	668,836	159
12	Advertising and promotion ....
13	Office expenses .......	4,036,395	3,344,234	692,174	-13
14	Information technology ......	7,166,557	7,166,557
15	Royalties ..
16	Occupancy ...........	1,699,587	1,688,666	10,921
17	Travel ............	31,137	31,014	123
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	82,182	62,948	19,234
20	Interest ...........	1,029,073	1,029,073
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	4,218,780	4,218,780
23	Insurance ...	399,552	276,797	122,755
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	10,777,225	10,777,225
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	103,907,366	97,016,035	6,891,185	146
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			4,957,526	1	7,989,737
2	Savings and temporary cash investments .........			8,423,699	2	6,258,322
3	Pledges and grants receivable, net ......			61,305	3	61,305
4	Accounts receivable, net .............			14,220,808	4	11,952,083
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			1,184,126	8	1,079,699
9	Prepaid expenses and deferred charges ......			334,408	9	508,667
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	123,318,002
b	Less: accumulated depreciation	10b	71,142,789	49,610,089	10c	52,175,213
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			10,717,885	15	6,389,716
16	Total assets. Add lines 1 through 15 (must equal line 33)...			89,509,846	16	86,414,742

17	Accounts payable and accrued expenses .....	15,452,294	17	13,355,471
18	Grants payable ...		18
19	Deferred revenue .........	102,322	19	100,803
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	22,681,294	24	21,784,818
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	25,440,895	25	31,168,946
26	Total liabilities. Add lines 17 through 25..	63,676,805	26	66,410,038

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	15,817,330	27	14,535,244
28	Net assets with donor restrictions ...........	10,015,711	28	5,469,460
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	25,833,041	32	20,004,704
33	Total liabilities and net assets/fund balances ........	89,509,846	33	86,414,742