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        <OtherCompensationAmt>39575</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAQUEL BELFORTI DO</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>29123</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAWAD ELIAS MD</PersonNm>
        <TitleTxt>DIRECTOR/VP MED DIR CANCER SVS</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>55215</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND MCCARTHY</PersonNm>
        <TitleTxt>SVP, CFO &amp; TREASURER BH (THRU 4/25)</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>47.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD P BRYANT</PersonNm>
        <TitleTxt>DIRECTOR/PRESIDENT AND COO - BMC</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>57978</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SAMUEL SKURA</PersonNm>
        <TitleTxt>DIRECTOR (THRU 12/4/24)/INTERIM COO</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>54739</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH HAESSLER MD</PersonNm>
        <TitleTxt>DIRECTOR/CHAIR DPT MED BH/UMMS</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>61242</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT BARNETT MD</PersonNm>
        <TitleTxt>DIRECTOR/MED DIR MEADOWS MEDICAL ASC</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>54519</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SETH GEMME MD</PersonNm>
        <TitleTxt>DIRECTOR/CHAIR EMERG SVCS</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>61136</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTIN R DELANEY</PersonNm>
        <TitleTxt>CLERK/DIRECTOR STRATEGY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>49.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURIE MARTIN</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>47.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BETTY K LARUE</PersonNm>
        <TitleTxt>COO BMP/VP BH AMB OPS (THRU 1/31/25)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CRYSTAL RUSSELL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY ROUSOU MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID DEATON MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS OH MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT SCHAPIRO MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SIAVASH SAADAT MD</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>GREENFIELD</CityNm>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BAYSTATE ADMINISTRATIVE SERVICES</PersonNm>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BAYSTATE MEDICAL CENTER</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>759 CHESTNUT ST</AddressLine1Txt>
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      <TotalContributionsAmt>850436</TotalContributionsAmt>
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        <BusinessCd>621110</BusinessCd>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>AFF.CONTRACT SERVICES</Desc>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>20209791</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>561008</UnrelatedBusinessRevenueAmt>
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      <TotalProgramServiceRevenueAmt>508165311</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>149343</TotalRevenueColumnAmt>
        <ExclusionAmt>149343</ExclusionAmt>
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        <SecuritiesAmt>4207973</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>77</SecuritiesAmt>
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        <TotalRevenueColumnAmt>77</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>561008</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>149420</ExclusionAmt>
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        <ProgramServicesAmt>9508345</ProgramServicesAmt>
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        <ProgramServicesAmt>1300243</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57580</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>370828860</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16421714</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>19280772</ProgramServicesAmt>
        <ManagementAndGeneralAmt>853826</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>26521214</ProgramServicesAmt>
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        <ProgramServicesAmt>20677580</ProgramServicesAmt>
        <ManagementAndGeneralAmt>915682</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>7759931</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>349754</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>51140</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>87644405</ProgramServicesAmt>
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        <ProgramServicesAmt>1776972</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78691</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>137233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6077</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>7734027</ProgramServicesAmt>
        <ManagementAndGeneralAmt>342492</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>181789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8060</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>222195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9840</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1369299</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60638</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8408868</ProgramServicesAmt>
        <ManagementAndGeneralAmt>372377</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PHYSICIAN EXPENSE ALLOW</Desc>
        <TotalAmt>2780934</TotalAmt>
        <ProgramServicesAmt>2663006</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117928</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>2390520</TotalAmt>
        <ProgramServicesAmt>2390520</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DUES/MEMBERSHIPS</Desc>
        <TotalAmt>2241421</TotalAmt>
        <ProgramServicesAmt>2146371</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95050</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
        <TotalAmt>1052760</TotalAmt>
        <ProgramServicesAmt>1008117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44643</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>390455</TotalAmt>
        <ProgramServicesAmt>373907</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16548</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>597981319</TotalAmt>
        <ProgramServicesAmt>564173723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33807596</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>8187086</BOYAmt>
        <EOYAmt>3871008</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>47608037</BOYAmt>
        <EOYAmt>53219940</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>13850551</BOYAmt>
        <EOYAmt>17672911</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>29838855</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>24083286</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>7120835</BOYAmt>
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        <NontaxableBenefitsFilingOrgAmt>16886</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>210033</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CRYSTAL RUSSELL</PersonNm>
        <TitleTxt>VP OF AMBULATORY OPS (AS OF 6/1/25)</TitleTxt>
        <BaseCompensationFilingOrgAmt>168207</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>14073</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>504</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1151</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>183935</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BAYSTATE MAINTAINS A VARIABLE COMPENSATION PROGRAM FOR CERTAIN SENIOR LEADERS THAT INCLUDES A PERFORMANCE-BASED COMPONENT TIED IN PART TO ORGANIZATIONAL MARGIN. THE PROGRAM IS ADMINISTERED UNDER AN ESTABLISHED FORMULA THAT IS APPLIED CONSISTENTLY TO DETERMINE AWARDS. ALTHOUGH THE COMPENSATION ARRANGEMENT IS NOT SET FORTH IN INDIVIDUAL EMPLOYMENT CONTRACTS, THE VARIABLE COMPENSATION IS CONTINGENT UPON ACHIEVEMENT OF SPECIFIED PERFORMANCE OBJECTIVES, INCLUDING MARGIN-RELATED TARGETS, AND IS DETERMINED IN WHOLE OR IN PART BY THE NET EARNINGS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BAYSTATE PROVIDES VARIABLE COMPENSATION TO CERTAIN LISTED PERSONS UNDER AN ESTABLISHED COMPENSATION PROGRAM. THE AMOUNT OF VARIABLE COMPENSATION IS DETERMINED USING PRE-ESTABLISHED FORMULAS AND PERFORMANCE CRITERIA APPLIED CONSISTENTLY BY THE ORGANIZATION; HOWEVER, THE COMPENSATION ARRANGEMENTS ARE GENERALLY NOT SET FORTH IN INDIVIDUAL EMPLOYMENT CONTRACTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ANDREW ARTENSTEIN, MD SUPPLEMENTAL RETIREMENT OF $219,065 INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $214,715 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. SCOTT BARNETT, MD - SUPPLEMENTAL RETIREMENT OF $4,293 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $528 EARNED AND PAID IN 2024 AND $3,765 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. THIS AMOUNT WAS EARNED AND PAID IN 2024. SUPPLEMENTAL RETIREMENT OF $4,433 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. RAQUEL BELFORTI, MD - SAMUEL SKURA - SUPPLEMENTAL RETIREMENT OF $3,992 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2024. CHARLOTTE BONEY, MD - SUPPLEMENTAL RETIREMENT OF $15,687 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $11,337 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. ELIZABETH BOYLE, MD - SUPPLEMENTAL RETIREMENT OF $8,242 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $3,892 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. DAVID BULL, MD - SUPPLEMENTAL RETIREMENT OF $3,703 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2024. SUPPLEMENTAL RETIREMENT OF $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. RONALD P. BRYANT - SUPPLEMENTAL RETIREMENT OF $19,514 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $15,164 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. DAVID DEATON, MD - SUPPLEMENTAL RETIREMENT OF $33,881 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2024. SUPPLEMENTAL RETIREMENT OF $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. RAWAD ELIAS, MD - SUPPLEMENTAL RETIREMENT OF $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. BENJAMIN FREDA, MD - SUPPLEMENTAL RETIREMENT OF $6,763 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $2,413 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. SETH GEMME, MD - SUPPLEMENTAL RETIREMENT OF $7,546 INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2024. SUPPLEMENTAL RETIREMENT OF $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. SARAH HAESSLER, MD - SUPPLEMENTAL RETIREMENT OF $17,023 INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2024. SUPPLEMENTAL RETIREMENT OF $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. NICHOLAS JABBOUR, MD - SUPPLEMENTAL RETIREMENT OF $49,500 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $45,150 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. KEISHA JONES, MD - SUPPLEMENTAL RETIREMENT OF $4,890 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2024. SUPPLEMENTAL RETIREMENT OF $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. ASHRAF KHAN, MD - SUPPLEMENTAL RETIREMENT OF $14,594 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $10,244 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. BETTY K. LARUE - SUPPLEMENTAL RETIREMENT OF $14,303 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $9,953 EARNED AND PAID IN 2024 AND $4,350 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. LAURIE MARTIN - SUPPLEMENTAL RETIREMENT OF $5,108 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. RAYMOND MCCARTHY - SUPPLEMENTAL RETIREMENT OF $194,402 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $190,052 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. AMRUTA MULEY, MD - SUPPLEMENTAL RETIREMENT OF $3,777 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2024. SUPPLEMENTAL RETIREMENT OF $4,759 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. DENNIS OH, MD - SUPPLEMENTAL RETIREMENT OF $77,312 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $72,962 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. ANTHONY ROUSOU, MD - SUPPLEMENTAL RETIREMENT OF $35,168 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $30,818 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. SIAVASH SAADAT, MD - SUPPLEMENTAL RETIREMENT OF $23,144 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2024. SUPPLEMENTAL RETIREMENT OF $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. HEATHER SANKEY, MD - SUPPLEMENTAL RETIREMENT OF $23,606 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $19,256 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. BARRY SARVET, MD - SUPPLEMENTAL RETIREMENT OF $13,309 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $8,959 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. ROBERT SCHAPIRO, MD - SUPPLEMENTAL RETIREMENT OF $33,069 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $28,719 EARNED AND PAID IN 2024 AND $4,350 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 $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. ANANT SHENOY, MD - SUPPLEMENTAL RETIREMENT OF $949 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. SAMUEL SKURA - SUPPLEMENTAL RETIREMENT OF $26,128 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SCOTT BARNETT MD</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>491705</TransactionAmt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SARAH HAESSLER MD</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>527993</TransactionAmt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>AMRUTA MULEY MD</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>338124</TransactionAmt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) NAME OF INTERESTED PERSON: SCOTT BARNETT, MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: FAMILY MEMBER OF SCOTT BARNETT, MD(C) AMOUNT OF TRANSACTION: $491,705(D) DESCRIPTION OF TRANSACTION: FAMILY MEMBER OF SCOTT BARNETT, MD IS EMPLOYED BY THE FILING ORGANIZATION.(E) SHARING OF ORGANIZATION REVENUES? = NO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) NAME OF INTERESTED PERSON: SARAH HAESSLER, MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: FAMILY MEMBER OF SARAH HAESSLER, MD(C) AMOUNT OF TRANSACTION: $527,993(D) DESCRIPTION OF TRANSACTION: FAMILY MEMBER OF SARAH HAESSLER, MD IS EMPLOYED BY THE FILING ORGANIZATION.(E) SHARING OF ORGANIZATION REVENUES? = NO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:</FormAndLineReferenceDesc>
        <ExplanationTxt>(A) NAME OF INTERESTED PERSON: AMRUTA MULEY, MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: FAMILY MEMBER OF AMRUTA MULEY, MD(C) AMOUNT OF TRANSACTION: $338,124(D) DESCRIPTION OF TRANSACTION: FAMILY MEMBER OF AMRUTA MULEY, MD IS EMPLOYED BY THE FILING ORGANIZATION.(E) SHARING OF ORGANIZATION REVENUES? = NO</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>BAYSTATE MEDICAL PRACTICES, INC. (BMP) IS PART OF AN INTEGRATED DELIVERY SYSTEM INCLUDING NOT FOR PROFIT COMMUNITY HOSPITALS, WHICH HAVE COMMUNITY BOARDS. BMP IS A PHYSICIAN ORGANIZATION, WHICH SUPPORTS BAYSTATE HEALTH AND ITS AFFILIATES AND IS COMPRISED PRIMARILY OF BMP EMPLOYEES. THIS BOARD STRUCTURE HAS NOT CHANGED SIGNIFICANTLY SINCE THE ORGANIZATION APPLIED FOR EXEMPT STATUS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR MORE BOARDS OF DIRECTORS OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP WITH ONE OR MORE ENTITIES IN THE BAYSTATE GROUP OF AFFILIATED ENTITIES AND IN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BAYSTATE MEDICAL PRACTICES, INC 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS OF THE FILING ORGANIZATION ARE PHYSICIANS, ALL OF WHOM WHO HAVE MEDICAL STAFF APPOINTMENTS AT A BAYSTATE HEALTH, INC. (BH) HOSPITAL AFFILIATE, PROVIDE AT LEAST 1,000 HOURS OF PROFESSIONAL SERVICE ANNUALLY ON BEHALF OF THE FILING ORGANIZATION, AND ARE PARTIES TO A MEMBERSHIP AGREEMENT WITH THE FILING ORGANIZATION APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS CONSISTS OF 23 DIRECTORS, 7 OF WHOM ARE EITHER APPOINTED BY BAYSTATE HEALTH, INC. (BH) OR SERVE EX OFFICIO BASED ON POSITIONS THEY HOLD WITH BH, AND 16 OF WHOM ARE AT LARGE DIRECTORS ELECTED BY THE MEMBERS OF THE FILING ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS OF THE FILING ORGANIZATION PROVIDE THAT THE FOLLOWING MATTERS APPROVED BY THE BOARD OF DIRECTORS ARE ALSO SUBJECT TO THE APPROVAL OF BAYSTATE HEALTH, INC. (BH): (1) THE FILING ORGANIZATION'S ANNUAL BUDGET, (2) THE FORM AND CONTENT OF AGREEMENTS WITH MEMBERS AND OTHER EMPLOYEES OF THE FILING ORGANIZATION FOR THEIR COMPENSATION AND BENEFITS, (3) POLICIES REGARDING PERSONAL TIME, SICK TIME, LEAVES OF ABSENCE, HOURS OF WORK, AND NUMBER OF WORKING DAYS, (4) THE ESTABLISHMENT OF RESERVES TO MEET ANY UNUSUAL EXPENSE, LOSS, OR ANTICIPATED YEAR-END EXPENSE OR A DISCRETIONARY FUND TO SUPPORT THE FILING ORGANIZATION'S EDUCATIONAL AND RESEARCH PROGRAMS, (5) ANY PLEDGE OF THE FILING ORGANIZATION'S CREDIT, THE BORROWING OF ANY MONEY, OR THE EXECUTION OF ANY PROMISSORY NOTE BY THE FILING ORGANIZATION, (6) AMENDMENTS TO THE BYLAWS OF THE FILING ORGANIZATION, WITH THE EXCEPTION OF CERTAIN TECHNICAL AMENDMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING THE 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). THE ACC MEMBERS HAD AN OPPORTUNITY TO ASK QUESTIONS REGARDING THE TAX COMPLIANCE PROCESS AND THE TAX FILINGS IN GENERAL. THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BAYSTATE HEALTH BOARD OF TRUSTEES PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BAYSTATE MEDICAL PRACTICES, INC IS AN AFFILIATE OF BAYSTATE HEALTH, INC (BH). BH AND ITS AFFILIATED ENTITIES HAVE A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL OF THE AFFILIATED ENTITIES. ALL DIRECTORS, TRUSTEES, OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES OF BH AND ITS AFFILIATES ARE ASKED TO COMPLETE AN ANNUAL "CONFLICT OF INTEREST" FORM. WE UTILIZE AN ELECTRONIC DATABASE TO RECEIVE AND MANAGE ALL CONFLICT OF INTEREST SUBMISSIONS. THIS INFORMATION IS REVIEWED BY THE CHIEF COMPLIANCE OFFICER, CHIEF EXECUTIVE OFFICER, CHAIR OF THE BOARD OF TRUSTEES, CHIEF GENERAL COUNSEL AND THE CHAIR OF THE AUDIT &amp; COMPLIANCE COMMITTEE. A SUMMARY OF THE CONFLICT OF INTEREST DISCLOSURES IS PROVIDED TO THE BAYSTATE HEALTH BOARD OF TRUSTEES AND THE TAX DEPARTMENT. POTENTIAL CONFLICT OF INTEREST TRANSACTIONS ARE REVIEWED AS APPROPRIATE UNDER THE POLICY, WHICH PROVIDES FOR RECUSAL FROM DISCUSSION AND DELIBERATION BY ANY PARTY WITH A POTENTIAL CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE PRESIDENT IS PAID BY BAYSTATE ADMINISTRATIVE SERVICES, INC., AN AFFILIATE ORGANIZATION OF THE FILING ORGANIZATION. THE COMPENSATION IS REVIEWED AND DETERMINED ANNUALLY BY THE HUMAN RESOURCES COMMITTEE OF BAYSTATE HEALTH, INC. (THE PARENT ORGANIZATION OF THE HEALTH CARE SYSTEM TO WHICH THE FILING ORGANIZATION BELONGS). THIS COMMITTEE CONSISTS ENTIRELY OF INDIVIDUALS SERVING ON THE BOARD OF BAYSTATE HEALTH, INC. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE PRESIDENT 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 COMMITTEE DOCUMENTS ITS DELIBERATIONS AND COMPENSATION DECISIONS CONTEMPORANEOUSLY AT THE TIME SUCH DECISIONS ARE MADE. THE COMPENSATION OF THE CFO &amp; TREASURER IS PAID BY BAYSTATE ADMINISTRATIVE SERVICES, INC., AN AFFILIATE 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 CFO &amp; 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 CFO &amp; 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 COMMITTEE DOCUMENTS ITS DELIBERATIONS AND COMPENSATION DECISIONS CONTEMPORANEOUSLY AT THE TIME SUCH DECISIONS ARE MADE. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES 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. THE HUMAN RESOURCES COMMITTEE REVIEWED, DETERMINED, AND APPROVED COMPENSATION FOR THE EXECUTIVES ON NOVEMBER 25, 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VII, SECTION A, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN OFFICERS OR TRUSTEES OF THE FILING ORGANIZATION ARE PAID BY BAYSTATE ADMINISTRATIVE SERVICES (BAS), EIN 22-2747685, 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 BAS TO THE OFFICERS AND TRUSTEES OF THE FILING ORGANIZATION IS THEREFORE REPORTED IN LINE 5 AS PAID BY AN UNRELATED ORGANIZATION AND, ACCORDING TO THE INSTRUCTIONS, IS REPORTED AS THOUGH PAID BY THE FILING ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES-MD: PROGRAM SERVICE EXPENSES 78,156,065. MANAGEMENT AND GENERAL EXPENSES 3,461,048. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,617,113. PURCHASED SERVICES-NURSE PRACTITIONERS: PROGRAM SERVICE EXPENSES 74,404. MANAGEMENT AND GENERAL EXPENSES 3,295. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,699. BILLING/COLLECTION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 768,870. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 768,870. TRANSCRIPTION/ACCESS SERVICES: PROGRAM SERVICE EXPENSES 5,844,088. MANAGEMENT AND GENERAL EXPENSES 258,799. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,102,887. PURCHASED SERVICES-CLERICAL/TEMP HELP: PROGRAM SERVICE EXPENSES 1,347,432. MANAGEMENT AND GENERAL EXPENSES 59,669. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,407,101. PURCHASED SERVICES-OTHER HEALTH: PROGRAM SERVICE EXPENSES 2,222,416. MANAGEMENT AND GENERAL EXPENSES 98,417. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,320,833.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET TRANSFERS (TO)/FROM AFFILIATES 75,000,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>