efile Public Visual Render
ObjectId: 201602249349302325 - Submission: 2016-08-11
TIN: 04-2790311
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
Attach to Form 990.
Information about Schedule J (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
14
Open to Public Inspection
Name of the organization
Baystate Medical Center Inc
Employer identification number
04-2790311
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in 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)
b
If any of the boxes in 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
.........
1b
2
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 in line 1a?
..
2
3
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
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment?
................
4a
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan?
.........
4b
Yes
c
Participate in, or receive payment from, an equity-based compensation arrangement?
.........
4c
No
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.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization?
...........................
5a
No
b
Any related organization?
5b
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
No
b
Any related organization?
.........................
6b
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III
............
7
No
8
Were any amounts reported in 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
.............................
8
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)?
.........................
9
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014
Page 2
Schedule J (Form 990) 2014
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 in 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 and/or 1099-MISC compensation
(C)
Retirement and other deferred compensation
(D)
Nontaxable
benefits
(E)
Total of columns
(B)(i)-(D)
(F)
Compensation in column(B) reported as deferred in prior Form 990
(i)
Base compensation
(ii)
Bonus & incentive compensation
(iii)
Other reportable compensation
1
Mark A Keroack
President, CEO, Trustee
(i)
(ii)
0
.................
658,452
0
.................
301,313
0
.................
20,465
0
.................
185,350
0
.................
18,006
0
.................
1,183,586
0
.................
0
2
Grace P Makari-Judson MD
Trustee/ Hematologist, MD
(i)
(ii)
300,766
.................
0
36,984
.................
0
32,094
.................
0
53,652
.................
0
31,839
.................
0
455,335
.................
0
0
.................
0
3
William McGee MD
Trustee 1/1-9/30/15/ Intensivist
(i)
(ii)
290,385
.................
0
52,751
.................
0
31,199
.................
0
55,260
.................
0
2,462
.................
0
432,057
.................
0
0
.................
0
4
Kevin P Moriarty MD
Trustee1/1-9/30/15 Chief Ped Surgery
(i)
(ii)
467,406
.................
0
92,796
.................
0
34,106
.................
0
27,300
.................
0
16,350
.................
0
637,958
.................
0
0
.................
0
5
Dennis W Chalke
Treasurer
(i)
(ii)
0
.................
432,876
0
.................
264,360
0
.................
231,815
0
.................
55,591
0
.................
24,054
0
.................
1,008,696
0
.................
0
6
Nancy Shendell-Falik
CNO BMC
(i)
(ii)
0
.................
393,609
0
.................
131,480
0
.................
15,593
0
.................
120,137
0
.................
18,584
0
.................
679,403
0
.................
0
7
Michael F Moran
VP Facilities & Guest Svcs
(i)
(ii)
213,921
.................
0
44,670
.................
0
705
.................
0
32,414
.................
0
14,181
.................
0
305,891
.................
0
0
.................
0
8
Deborah A Provost
VP Surg, Anes, Emerg Svcs
(i)
(ii)
203,177
.................
0
38,299
.................
0
9,830
.................
0
81,947
.................
0
8,064
.................
0
341,317
.................
0
0
.................
0
9
Betty K Larue
VP Heart & Vascular/Neuro
(i)
(ii)
194,969
.................
0
32,185
.................
0
9,824
.................
0
65,931
.................
0
15,379
.................
0
318,288
.................
0
0
.................
0
10
Douglas Salvador MD
VP Medical Affairs
(i)
(ii)
272,037
.................
0
61,833
.................
0
86,519
.................
0
14,250
.................
0
13,289
.................
0
447,928
.................
0
0
.................
0
11
Peter Lindenauer MD
Med Dir & Quality & Safety Res
(i)
(ii)
250,175
.................
0
35,534
.................
0
20,667
.................
0
35,597
.................
0
18,737
.................
0
360,710
.................
0
0
.................
0
12
David Y Chin PhD
Rad Oncology Med Physics Chief
(i)
(ii)
227,750
.................
0
14,705
.................
0
24,381
.................
0
26,423
.................
0
12,069
.................
0
305,328
.................
0
0
.................
0
13
Michael R Favreau
Senior Dir, Business Dev
(i)
(ii)
177,393
.................
0
33,819
.................
0
18,839
.................
0
16,733
.................
0
13,792
.................
0
260,576
.................
0
0
.................
0
14
Jason M Newmark
VP Diagnostic Services
(i)
(ii)
190,463
.................
0
36,730
.................
0
400
.................
0
11,441
.................
0
19,218
.................
0
258,252
.................
0
0
.................
0
15
Mark R Tolosky
President Emeritus
(i)
(ii)
0
.................
571,202
0
.................
306,472
0
.................
211,359
0
.................
202,614
0
.................
31,386
0
.................
1,323,033
0
.................
0
Schedule J (Form 990) 2014
Page 3
Schedule J (Form 990) 2014
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 compensation of the President and CEO is reviewed and determined annually by the compensation committee of Baystate Health, Inc. (the parent organization of the health care system to which the filing organization belongs), which has been appointed through board resolution as the compensation 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 and CEO would be those individuals who do not have a conflict of interest with respect to the compensation arrangement and would be considered independent for compensation deliberation purposes. The compensation of the President and CEO is established based on information provided by independent third party consultants for reasonableness and appropriate comparability data. The compensation is then established, reviewed and approved by the duly authorized compensation committee of Baystate Health, Inc. and all such deliberations and decisions are documented contemporaneously.
Part I, Line 4b
Dennis W. Chalke - Supplemental Retirement of $146,489 is included in column E. This amount was earned and paid in 2014. Mark A. Keroack, MD - Supplemental Retirement of $164,550 is included in column E. This amount was earned in 2014. Peter Lindenauer, MD - Supplemental Retirement of $6,700 is included in column E. This amount was earned and paid in 2014. Grace Makari-Judson, MD- Supplemental Retirement of $15,889 is included in column E. This amount was earned and paid in 2014. William T. McGee, MD - Supplemental Retirement of $16,588 is included in column E. This amount was earned and paid in 2014. Kevin P. Moriarty, MD - Supplemental Retirement of $31,163 is included in column E. This amount was earned and paid in 2014. Douglas Salvador, MD- Supplemental Retirement of $1,250 is included in column E. This amount was earned in 2014. Nancy Shendell-Falik- Supplemental Retirement of $103,237 is included in column E. This amount was earned in 2014. Mark R. Tolosky - Supplemental Retirement of $150,900 is included in column E. This amount was earned and paid in 2014.
Schedule J (Form 990) 2014
Additional Data
Software ID:
Software Version: