Form 990 for tax year 2022
Filed by JORDAN PHYSICIAN ASSOCIATES INC.
Totals
- Total revenue
- $36,998,426
- Total expenses
- $52,121,400
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $36,960,030
- Investment income
- $0
- Other revenue
- $38,396
- Total assets, end of year
- $16,486,068
- Total liabilities, end of year
- $21,634,863
- Net assets or fund balances, end of year
- -$5,148,795
- Program services expenses (Part IX)
- $51,517,392
- Management and general expenses
- $604,008
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $51,517,392
Program services were 98.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
2a · Program service revenue: PATIENT CARE REVENUE
total $31,939,313 · related or exempt $31,939,313
-
2b · Program service revenue: SERVICES TO AFFILIATES
total $5,020,717 · related or exempt $5,020,717
-
11a · Other revenue: OTHER REVENUE
total $28,596 · related or exempt $28,596
-
11b · Other revenue: PRECEPTOR SERVICES
total $9,800 · related or exempt $9,800
-
11e · Other revenue, total
$38,396
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $34,824,771 · program services $34,824,771
-
8 · Pension plan contributions
total $152,278 · program services $152,278
-
9 · Other employee benefits
total $6,680,369 · program services $6,680,369
-
10 · Payroll taxes
total $250,222 · program services $250,222
-
11g · Fees: other
total $4,335,596 · program services $4,194,638 · management and general $140,958
-
13 · Office expenses
total $7,682 · program services $7,682
-
16 · Occupancy
total $2,488,871 · program services $2,488,871
-
22 · Depreciation, depletion and amortization
total $440,993 · program services $440,993
-
23 · Insurance
total $903,235 · program services $903,235
-
24a · Other expenses: MEDICAL SUPPLIES
total $1,268,377 · program services $1,268,377
-
24b · Other expenses: MAINTENANCE CONTRACTS
total $404,844 · program services $40,652 · management and general $364,192
-
24c · Other expenses: OTHER SUPPLIES
total $77,397 · program services $75,309 · management and general $2,088
-
24d · Other expenses: BILLING FEES
total $69,309 · program services $69,309
-
24e · All other expenses
total $217,456 · program services $120,686 · management and general $96,770
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $30,595 · end of year $751,066
-
4 · Accounts receivable
beginning of year $1,623,531 · end of year $2,061,381
-
7 · Other notes and loans receivable
beginning of year $0
-
8 · Inventories for sale or use
beginning of year $114,834
-
9 · Prepaid expenses and deferred charges
beginning of year $405,897 · end of year $89,495
-
10a · Land, buildings and equipment: cost or other basis
$6,648,702
-
10b · Land, buildings and equipment: accumulated depreciation
$3,026,586
-
10c · Land, buildings and equipment, net
beginning of year $2,522,546 · end of year $3,622,116
-
15 · Other assets
beginning of year $12,156,797 · end of year $9,962,010
-
17 · Accounts payable and accrued expenses
beginning of year $2,092,179 · end of year $3,774,055
-
25 · Other liabilities
beginning of year $18,363,330 · end of year $17,860,808
-
27 · Net assets without donor restrictions
beginning of year -$3,601,309 · end of year -$5,148,795
Mission and programs · 2022
Mission
SEE SCHEDULE O
Activities or mission (Part I)
SEE SCHEDULE O.
-
SPECIALTY CARE - SEE SCHEDULE O
Expenses $51,517,392 · Revenue $31,977,709
-
HOSPITAL BASED CARE - SEE SCHEDULE O
Revenue $5,020,717
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Rowan MichaelROWAN MICHAEL
TRUSTEE (EX-OFFICIO) (CEO DESIGNEE)
- Total calculated
- $1,335,874
- From this org
- $0
- From related orgs
- $1,298,835
- Other
- $37,039
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $1,190,783 related
- Bonus
- $0
- Other
- $0 + $108,052 related
- Deferred
- $0 + $9,371 related
- Nontaxable benefits
- $0 + $27,668 related
- Filer's total
- $0 + $1,335,874 related
-
Burns ErinBURNS ERIN
TRUSTEE
- Total calculated
- $635,649
- From this org
- $0
- From related orgs
- $560,180
- Other
- $75,469
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $526,559 related
- Bonus
- $0 + $25,000 related
- Other
- $0 + $8,621 related
- Deferred
- $0 + $30,500 related
- Nontaxable benefits
- $0 + $44,969 related
- Filer's total
- $0 + $635,649 related
-
Valsky MD EugeneVALSKY MD EUGENE
TTEE (EX-OFF) (PRES, MEDICAL STAFF)
- Total calculated
- $595,677
- From this org
- $0
- From related orgs
- $526,404
- Other
- $69,273
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $432,267 related
- Bonus
- $0 + $68,870 related
- Other
- $0 + $25,267 related
- Deferred
- $0 + $30,500 related
- Nontaxable benefits
- $0 + $38,773 related
- Filer's total
- $0 + $595,677 related
-
Coughlin KevinCOUGHLIN KEVIN
PRESIDENT AND TRUSTEE (EX OFFICIO)
- Total calculated
- $572,121
- From this org
- $0
- From related orgs
- $529,416
- Other
- $42,705
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $501,414 related
- Bonus
- $0
- Other
- $0 + $28,002 related
- Deferred
- $0 + $7,320 related
- Nontaxable benefits
- $0 + $35,385 related
- Filer's total
- $0 + $572,121 related
-
Kelly MD DavidKELLY MD DAVID
TRUSTEE
- Total calculated
- $415,567
- From this org
- $0
- From related orgs
- $365,765
- Other
- $49,802
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $301,252 related
- Bonus
- $0 + $61,666 related
- Other
- $0 + $2,847 related
- Deferred
- $0 + $28,050 related
- Nontaxable benefits
- $0 + $21,752 related
- Filer's total
- $0 + $415,567 related
-
Taylor LisaTAYLOR LISA
TRUSTEE
- Total calculated
- $312,319
- From this org
- $0
- From related orgs
- $279,849
- Other
- $32,470
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $270,573 related
- Bonus
- $0 + $2,250 related
- Other
- $0 + $7,026 related
- Deferred
- $0 + $26,787 related
- Nontaxable benefits
- $0 + $5,683 related
- Filer's total
- $0 + $312,319 related
-
Fosdick KennethFOSDICK KENNETH
CHAIR, TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Kapell JeffKAPELL JEFF
VICE CHAIR, TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Blair RaymondBLAIR RAYMOND
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Carr Allison GillmoreCARR ALLISON GILLMORE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Hewitt CharlesHEWITT CHARLES
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Horwitz-Willis NateHORWITZ-WILLIS NATE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
Johnson JohnJOHNSON JOHN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Kenniston MD JuliaKENNISTON MD JULIA
TTEE (EX-OFF) (PRES, MEDICAL STAFF)
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Kowaloff MD HarveyKOWALOFF MD HARVEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Marble Megan VayoMARBLE MEGAN VAYO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Marini AnnaMARINI ANNA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
McGrath JohnMCGRATH JOHN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
McKenna CatherineMCKENNA CATHERINE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Primavera DennisPRIMAVERA DENNIS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Shields MarySHIELDS MARY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Tabb MD KevinTABB MD KEVIN
CHIEF EXECUTIVE OFFICER
- Total calculated
- $2,807,152
- From this org
- $0
- From related orgs
- $2,507,235
- Other
- $299,917
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $2,103,982 related
- Bonus
- $0
- Other
- $0 + $403,253 related
- Deferred
- $0 + $257,320 related
- Nontaxable benefits
- $0 + $42,597 related
- Filer's total
- $0 + $2,807,152 related
-
Kerndl JohnKERNDL JOHN
TREAS (EX-OFF) (EVP & CFO, BILH)
- Total calculated
- $1,335,872
- From this org
- $0
- From related orgs
- $1,301,463
- Other
- $34,409
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $1,068,846 related
- Bonus
- $0 + $100,000 related
- Other
- $0 + $132,617 related
- Deferred
- $0 + $4,985 related
- Nontaxable benefits
- $0 + $29,424 related
- Filer's total
- $0 + $1,335,872 related
-
Rios CindyRIOS CINDY
TREAS (EX-OFF) (INTERIM CFO, BILH)
- Total calculated
- $1,022,982
- From this org
- $0
- From related orgs
- $802,046
- Other
- $220,936
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $574,544 related
- Bonus
- $0 + $174,475 related
- Other
- $0 + $53,027 related
- Deferred
- $0 + $188,510 related
- Nontaxable benefits
- $0 + $32,426 related
- Filer's total
- $0 + $1,022,982 related
-
Katz Esq JamieKATZ ESQ JAMIE
CLERK (EX-OFFICIO)
- Total calculated
- $914,057
- From this org
- $0
- From related orgs
- $898,193
- Other
- $15,864
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $794,826 related
- Bonus
- $0
- Other
- $0 + $103,367 related
- Deferred
- $0 + $7,320 related
- Nontaxable benefits
- $0 + $8,544 related
- Filer's total
- $0 + $914,057 related
-
Armstrong Esq EmilyARMSTRONG ESQ EMILY
ASST CLERK(EX-OFF), AVP,ASST DEP GC
- Total calculated
- $305,223
- From this org
- $0
- From related orgs
- $268,218
- Other
- $37,005
- Hours/week
- 1 + 63 related
Schedule J breakdown matched by us
- Base
- $0 + $244,171 related
- Bonus
- $0
- Other
- $0 + $24,047 related
- Deferred
- $0 + $7,915 related
- Nontaxable benefits
- $0 + $29,090 related
- Filer's total
- $0 + $305,223 related
-
Jenkins JimJENKINS JIM
ASST TREAS (EX-OFF) (HOSPITAL CFO)
- Total calculated
- $234,826
- From this org
- $0
- From related orgs
- $233,584
- Other
- $1,242
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $172,884 related
- Bonus
- $0 + $30,766 related
- Other
- $0 + $29,934 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $1,242 related
- Filer's total
- $0 + $234,826 related
-
Rutherford RonRUTHERFORD RON
VP, CIO, VP SUPPORT SERVICES
- Total calculated
- $266,092
- From this org
- $0
- From related orgs
- $247,877
- Other
- $18,215
- Hours/week
- 1 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $223,184 related
- Bonus
- $0
- Other
- $0 + $24,693 related
- Deferred
- $0 + $11,077 related
- Nontaxable benefits
- $0 + $7,138 related
- Filer's total
- $0 + $266,092 related
-
Barker AlexBARKER ALEX
COO, SOUTHERN REGION, BILHPC
- Total calculated
- $427,770
- From this org
- $0
- From related orgs
- $328,522
- Other
- $99,248
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $320,359 related
- Bonus
- $0 + $7,500 related
- Other
- $0 + $663 related
- Deferred
- $0 + $66,727 related
- Nontaxable benefits
- $0 + $32,521 related
- Filer's total
- $0 + $427,770 related
-
Teixeira Alex ATEIXEIRA ALEX A
PHYSICIAN, GASTROENTEROLOGY
- Total calculated
- $993,557
- From this org
- $0
- From related orgs
- $927,642
- Other
- $65,915
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $0 + $491,300 related
- Bonus
- $0 + $430,650 related
- Other
- $0 + $5,692 related
- Deferred
- $0 + $30,500 related
- Nontaxable benefits
- $0 + $35,415 related
- Filer's total
- $0 + $993,557 related
-
McLaughlin MichaelMCLAUGHLIN MICHAEL
CARDIOLOGIST
- Total calculated
- $812,076
- From this org
- $0
- From related orgs
- $731,714
- Other
- $80,362
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $0 + $643,009 related
- Bonus
- $0 + $78,320 related
- Other
- $0 + $10,385 related
- Deferred
- $0 + $33,550 related
- Nontaxable benefits
- $0 + $46,812 related
- Filer's total
- $0 + $812,076 related
-
Tierney MD MattTIERNEY MD MATT
GEN SURGEON; SURGERY CHIEF, BIDP
- Total calculated
- $655,621
- From this org
- $0
- From related orgs
- $584,084
- Other
- $71,537
- Hours/week
- 30 + 30 related
Schedule J breakdown matched by us
- Base
- $0 + $509,638 related
- Bonus
- $0 + $50,000 related
- Other
- $0 + $24,446 related
- Deferred
- $0 + $30,500 related
- Nontaxable benefits
- $0 + $41,037 related
- Filer's total
- $0 + $655,621 related
-
Muhlebach StephanMUHLEBACH STEPHAN
CARDIOLOGIST
- Total calculated
- $525,726
- From this org
- $0
- From related orgs
- $457,063
- Other
- $68,663
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $0 + $340,535 related
- Bonus
- $0 + $111,594 related
- Other
- $0 + $4,934 related
- Deferred
- $0 + $30,500 related
- Nontaxable benefits
- $0 + $38,163 related
- Filer's total
- $0 + $525,726 related
-
Koomey James MKOOMEY JAMES M
ONCOLOGIST
- Total calculated
- $520,105
- From this org
- $0
- From related orgs
- $450,831
- Other
- $69,274
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $0 + $440,267 related
- Bonus
- $0
- Other
- $0 + $10,564 related
- Deferred
- $0 + $30,500 related
- Nontaxable benefits
- $0 + $38,774 related
- Filer's total
- $0 + $520,105 related
-
Barnes Esq JaredBARNES ESQ JARED
FRMR ASST CLERK (ASSOC GC, BILH)
- Total calculated
- $152,786
- From this org
- $0
- From related orgs
- $135,849
- Other
- $16,937
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $118,706 related
- Bonus
- $0
- Other
- $0 + $17,143 related
- Deferred
- $0 + $2,826 related
- Nontaxable benefits
- $0 + $14,111 related
- Filer's total
- $0 + $152,786 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 4B
- AS REQUIRED BY THIS FORM 990, SCHEDULE J, COMPENSATION INFORMATION, AND AS NOTED ABOVE, THE COMPENSATION DETAIL INCLUDED IN JORDAN PHYSICIAN ASSOCIATES, INC. (JPA) FORM 990 FILING FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2023 IS CALENDAR YEAR 2022 DETAIL. ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW. DURING THE 2022 CALENDAR YEAR, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) WAS A PARTICIPATING EMPLOYER IN THE BETH ISRAEL DEACONESS MEDICAL CENTER EXECUTIVE RETIREMENT PROGRAM WHICH IS A NON-QUALIFIED DEFERRED COMPENSATION PLAN AND PURSUANT TO THE PLAN ELIGIBLE EMPLOYEES RECEIVE CERTAIN RETIREMENT BENEFITS. AMOUNTS RECEIVED BY PARTICIPANTS AND RELATED TO THIS PLAN ARE INCLUDED IN FORM 990 SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION AND/OR FORM 990, SCHEDULE J, PART II, COLUMN C, DEFERRED COMPENSATION IN ACCORDANCE WITH THE INSTRUCTIONS TO THIS FORM 990.
- PART I, LINE 7
- DURING THE 2022 CALENDAR YEAR, THE FILING ORGANIZATION MAINTAINS EXECUTIVE COMPENSATION PACKAGES WHICH INCLUDED OPPORTUNITIES TO EARN INCENTIVE COMPENSATION BASED ON A COMBINATION OF VARIOUS FACTORS, INCLUDING BUT NOT LIMITED TO, MEETING OR EXCEEDING THE EMPLOYING ENTITY'S OBJECTIVES FOR QUALITY AND PATIENT SAFETY, BUDGETED CONSOLIDATED OPERATING MARGIN, AND MEETING INDIVIDUAL GOALS AND OBJECTIVES. IN EACH CASE, INCENTIVE COMPENSATION WAS REVIEWED BY THE COMPENSATION COMMITTEE WHICH WAS FULLY STAFFED BY INDEPENDENT MEMBERS.
- SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES:
- ALL DIRECTORS/TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, DIRECTORS/TRUSTEES OR KEY EMPLOYEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF DIRECTOR/TRUSTEE, AS DENOTED BY THE LISTED TITLES IN THE NOTES BELOW AND WAS PAID FOR POSITIONS HELD DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED BY FORM 990, COMPENSATION REPORTED FOR THIS FISCAL YEAR IS CALENDAR YEAR 2022 COMPENSATION. COMPENSATION REPORTED FOR INDIVIDUALS MAY REFLECT AN ALLOCATION OF COMPENSATION PAID BY ENTITIES RELATED TO THE FILING ORGANIZATION AND WITHIN THE BETH ISRAEL LAHEY HEALTH NETWORK OR OTHER ENTITIES, AS REQUIRED. REPORTABLE COMPENSATION LISTED IN FORM 990 PART VII INCLUDES BASE COMPENSATION, INCENTIVE COMPENSATION AND OTHER REPORTABLE COMPENSATION AS REPORTED IN FORM 990 SCHEDULE J. OTHER COMPENSATION LISTED IN FORM 990 PART VII INCLUDES DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS AS REPORTED IN FORM 990 SCHEDULE J. BASE COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED IN THIS RETURN BUT QUANTIFIED IN BASE COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: REGULAR WAGES, EMPLOYEE DEFERRALS TO A 401(K) AND/OR 403(B) PLAN. OTHER REPORTABLE COMPENSATION: AMOUNTS QUANTIFIED IN OTHER REPORTABLE COMPENSATION WHICH MAY NOT BE SEPARATELY NOTED IN THIS FILING INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: TAXABLE EMPLOYER-SUBSIDIZED PARKING; TAXABLE MOVING EXPENSES; TAXABLE LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE; AMOUNTS DEFERRED BY THE EMPLOYEE (PLUS EARNINGS) UNDER FULLY VESTED 457(B) PLAN; DISTRIBUTIONS FROM A 457(B) PLAN; AMOUNTS INCLUDIBLE IN INCOME UNDER A 457(F) PLAN; INCREASE/DECREASE IN VALUE OF NONQUALIFIED RETIREMENT BENEFITS; OTHER TAXABLE RETIREMENT BENEFITS. DEFERRED COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN DEFERRED COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: EMPLOYER CONTRIBUTIONS TO 401(K) RETIREMENT PLAN, EMPLOYER CONTRIBUTIONS TO 403(B) RETIREMENT PLAN, EMPLOYER CONTRIBUTION TO PENSION PLAN AND/OR THE CHANGE IN ACTUARIAL VALUE OF THE PENSION PLAN BENEFIT, UNFUNDED AND UNVESTED AMOUNTS DEFERRED UNDER 457(F) PLAN. NON-TAXABLE BENEFITS: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN NON-TAXABLE BENEFITS INCLUDE AMOUNTS FROM ONE OR MORE OF THE NON-TAXABLE BENEFITS: EMPLOYEE CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYER CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYEE CONTRIBUTIONS TO FLEXIBLE SPENDING ACCOUNTS FOR DEPENDENT CARE AND/OR MEDICAL REIMBURSEMENT, ADOPTION ASSISTANCE, TUITION ASSISTANCE PURSUANT TO AN EMPLOYER PLAN, GROUP TERM LIFE INSURANCE, DISABILITY INSURANCE. COMPLETE TITLES AND ADDITIONAL EXPLANATORY INFORMATION FOR OFFICERS, DIRECTOR/TRUSTEES, KEY EMPLOYEES, AND THE ENTITIES FIVE HIGHEST PAID EMPLOYEES OTHER THAN ODTKH ARE LISTED BELOW ALPHABETICALLY: ARMSTRONG, ESQ., EMILY -ASSISTANT VICE PRESIDENT AND ASSISTANT DEPUTY GENERAL COUNSEL BETH ISRAEL LAHEY HEALTH -ASSISTANT CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. -ASSISTANT CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -ASSISTANT CLERK (EX-OFFICIO) - JOSLIN CLINIC, INC. -ASSISTANT CLERK (EX-OFFICIO) - JOSLIN DIABETES CENTER, INC. -ASSISTANT CLERK (EX-OFFICIO) (HOSPITAL ATTORNEY) - THE JORDAN HEALTH SYSTEMS, INC. -ASSISTANT CLERK (EX-OFFICIO) (HOSPITAL ATTORNEY) - JORDAN PHYSICIAN ASSOCIATES, INC. -CLERK (EX-OFFICIO) - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP - TERM ENDED MARCH 30, 2023 -CLERK (EX-OFFICIO) - BAIM INSTITUTE FOR CLINICAL RESEARCH, INC. -CLERK (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. - TERM ENDED MARCH 30, 2023 UNLESS OTHERWISE NOTED, MS. ARMSTRONG SERVED IN THE POSITIONS ABOVE FOR THE FULL FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE COMPENSATION INCLUDES A PAYMENT FOR PTO CASHED OUT IN THE AMOUNT OF $23,808. BARKER, ALEX -CHIEF OPERATING OFFICER, SOUTHERN REGION - BILH PRIMARY CARE - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP MR. BARKER SERVED IN THIS POSITION DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. DEFERRED COMPENSATION IN THE AMOUNT OF $59,850 IS INCLUDED IN THIS FILING FOR MR. BARKER. THAT AMOUNT RELATES TO A MILESTONE PAYMENT WHICH, AS OF DECEMBER 31, 2022, WAS NOT FUNDED, WAS NOT VESTED AND FOR WHICH THERE WAS NO GUARANTEE OF PAYMENT. THIS AMOUNT IS INCLUDED HERE AS DEFERRED COMPENSATION AS REQUIRED BASED ON THE INSTRUCTIONS TO THE FORM 990. BARNES, ESQ., JARED -ASSOCIATE GENERAL COUNSEL- BETH ISRAEL LAHEY HEALTH -ASSISTANT CLERK (EX-OFFICIO), ASSOCIATE GENERAL COUNSEL- BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH, INC. -FORMER ASSISTANT CLERK- JORDAN HEALTH SYSTEMS, INC. -FORMER ASSISTANT CLERK - JORDAN PHYSICIAN ASSOCIATES BLAIR, RAYMOND -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH, INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES BURNS, ERIN -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH, INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES CARR, ALLISON GILLMORE -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH, INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES COUGHLIN, KEVIN -PRESIDENT AND TRUSTEE (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH, INC. -PRESIDENT AND TRUSTEE (EX-OFFICIO) - THE JORDAN HEALTH SYSTEMS, INC. -PRESIDENT AND TRUSTEE (EX-OFFICIO) - JORDAN PHYSICIAN ASSOCIATES MR. COUGHLIN SERVED IN THE POSITIONS ABOVE DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. COUGHLIN INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $22,976. THIS AMOUNT INCLUDES A NET UNREALIZED LOSS IN THE AMOUNT OF $30,577 IMPACTING THE NONQUALIFIED BENEFIT AND A PAYOUT FROM A NONQUALIFIED PLAN IN THE AMOUNT OF $34,053. FOSDICK, KENNETH -TRUSTEE AND BOARD CHAIR - JORDAN HEALTH SYSTEMS, INC -TRUSTEE AND BOARD CHAIR - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH -TRUSTEE AND BOARD CHAIR - JORDAN PHYSICIAN ASSOCIATES HEWITT, CHARLES -TRUSTEE AND BOARD CHAIR - JORDAN HEALTH SYSTEMS, INC -TRUSTEE AND BOARD CHAIR - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH -TRUSTEE AND BOARD CHAIR - JORDAN PHYSICIAN ASSOCIATES HORWITZ-WILLIS, NATE -TRUSTEE - JORDAN HEALTH SYSTEMS, INC -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES -TRUSTEE - BETH ISRAEL LAHEY HEALTH PHARMACY, INC JENKINS, JIM -ASSISTANT TREASURER, EX OFFICIO (HOSPITAL CFO)- JORDAN HEALTH SYSTEMS, INC. -ASSISTANT TREASURER, EX OFFICIO (HOSPITAL CFO)- JORDAN PHYSICIAN ASSOCIATES, INC. -ASSISTANT TREASURER, EX OFFICIO (HOSPITAL CFO)- BETH ISRAEL DEACONESS HOSPITAL- PLYMOUTH, INC. JOHNSON, JOHN -TRUSTEE - JORDAN HEALTH SYSTEMS, INC -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES KAPELL, JEFF -TRUSTEE AND VICE CHAIR - JORDAN HEALTH SYSTEMS, INC -TRUSTEE AND VICE CHAIR - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH -TRUSTEE AND VICE CHAIR - JORDAN PHYSICIAN ASSOCIATES
- SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES:
- KATZ, ESQ., JAMIE UNLESS OTHERWISE NOTED BELOW, MR. KATZ HELD THE FOLLOWING POSITIONS FOR THE FULL FISCAL PERIOD ENDED SEPTEMBER 30, 2023: -GENERAL COUNSEL AND CLERK (EX-OFFICIO), - BETH ISRAEL LAHEY HEALTH, INC. -CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. -CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. -CLERK (EX-OFFICIO) - MOUNT AUBURN HOSPITAL -CLERK (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL -CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. -CLERK - COMMUNITY PHYSICIANS ASSOCIATES, INC. -CLERK (EX-OFFICIO) - BID - MILTON PHYSICIAN ASSOCIATES, INC. -CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -CLERK (EX-OFFICIO) - JORDAN PHYSICIAN ASSOCIATES, INC. -CLERK (EX-OFFICIO) - THE JORDAN HEALTH SYSTEMS, INC. -CLERK (EX-OFFICIO) - ANNA JAQUES HOSPITAL -CLERK - SEACOAST AFFILIATED GROUP PRACTICE, INC. -TRUSTEE AND CLERK (EX-OFFICIO) - LAHEY HEALTH SHARED SERVICES, INC. -TRUSTEE (EX-OFFICIO) AND CLERK (EX-OFFICIO) - ADDISON GILBERT SOCIETY, INC. -TRUSTEE (EX-OFFICIO) AND CLERK (EX-OFFICIO) - NORTHEAST HEALTH SYSTEM, INC. -TRUSTEE (EX-OFFICIO)RAND CLERK (EX-OFFICIO) - NORTHEAST SENIOR HEALTH CORPORATION -TRUSTEE (EX-OFFICIO) AND CLERK (EX-OFFICIO) - NORTHEAST BEHAVIORAL HEALTH CORPORATION -TRUSTEE AND CLERK (EX-OFFICIO) - SEACOAST NURSING AND REHABILITATION CENTER, INC. -DIRECTOR AND CLERK (EX-OFFICIO) - WINCHESTER HOSPITAL FOUNDATION, INC. -CLERK (EX-OFFICIO) - WINCHESTER HEALTHCARE MANAGEMENT, INC. -CLERK (EX-OFFICIO) - LAHEY CLINIC FOUNDATION, INC. -CLERK (EX-OFFICIO) - LAHEY CLINIC, INC. -CLERK (EX-OFFICIO) - LAHEY CLINIC HOSPITAL, INC.D/B/A LAHEY HOSPITAL & MEDICAL CENTER -CLERK (EX-OFFICIO) - NORTHEAST HOSPITAL CORPORATION -TRUSTEE (EX-OFFICIO) AND CLERK (EX-OFFICIO) - NORTHEAST MEDICAL PRACTICE INC. -TRUSTEE AND CLERK - CAB HEALTH AND RECOVERY SERVICES, INC. -TRUSTEE (EX-OFFICIO) AND CLERK (EX-OFFICIO) - HEALTH AND EDUCATION HOUSING SERVICES, INC. -CLERK (EX-OFFICIO) - WINCHESTER HOSPITAL -CLERK (EX-OFFICIO) - JOSLIN CLINIC, INC. -CLERK (EX-OFFICIO) - JOSLIN DIABETES CENTER, INC. -CLERK (EX-OFFICIO) - MOUNT AUBURN PROFESSIONAL SERVICES, INC. -CLERK - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP - TERM BEGAN ON MARCH 31, 2023 -CLERK (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PHARMACY, INC. -CLERK (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. - TERM BEGAN ON MARCH 31, 2023 EFFECTIVE JULY 1, 2023, BETH ISRAEL LAHEY HEALTH BECAME THE SOLE MEMBER OF EXETER HEALTH RESOURCES INC. WHICH IN TURN SERVES AS THE SOLE MEMBER OF EXETER HOSPITAL AND ADDITIONAL AFFILIATES. AS OF THAT DATE MR. KATZ ASSUMED THE FOLLOWING ADDITIONAL POSITIONS: -CLERK (EX-OFFICIO) - EXETER HEALTH RESOURCES, INC. -CLERK (EX-OFFICIO) - EXETER HOSPITAL, INC. -CLERK (EX-OFFICIO) - CORE PHYSICIANS, LLC -SECRETARY (EX-OFFICIO) - ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICE AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE COMPENSATION FOR MR. KATZ INCLUDES COMBINED CONTRIBUTIONS TO, PAYMENTS FROM AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $68,094. INCLUDED IN THIS AMOUNT IS A DISTRIBUTION FROM A NONQUALIFIED PLAN IN THE AMOUNT OF $72,875 AND AN UNREALIZED LOSS IN THE AMOUNT OF $24,281. KELLY, M.D., DAVID -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES KENNISTON, M.D., JULIA -TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH -TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) - JORDAN PHYSICIAN ASSOCIATES KERNDL, JOHN UNLESS OTHERWISE NOTED BELOW, MR. KERNDL HELD THE FOLLOWING POSITIONS THROUGH DECEMBER 31, 2023: -EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER AND TREASURER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH, INC. -TRUSTEE AND TREASURER - CAB HEALTH AND RECOVERY SERVICES, INC. -TREASURER - COMMUNITY PHYSICIANS ASSOCIATES, INC. -TREASURER - CAREGROUP PARMENTER HOME CARE & HOSPICE, INC. -TRUSTEE, TREASURER (EX-OFFICIO) - HEALTH AND EDUCATION HOUSING SERVICES, INC. -TREASURER (EX-OFFICIO) - THE JORDAN HEALTH SYSTEMS, INC. -TREASURER (EX-OFFICIO) - JORDAN PHYSICIAN ASSOCIATES, INC. -TREASURER (EX-OFFICIO) - LAHEY CLINIC, INC. -TREASURER (EX-OFFICIO) - LAHEY CLINIC FOUNDATION, INC. -TREASURER (EX-OFFICIO) - LAHEY CLINIC HOSPITAL, INC. D/B/A LAHEY HOSPITAL & MEDICAL CENTER -TRUSTEE AND TREASURER (EX-OFFICIO) - LAHEY HEALTH SHARED SERVICES, INC. -TREASURER (EX-OFFICIO) - MOUNT AUBURN HOSPITAL -TREASURER (EX-OFFICIO) MOUNT AUBURN PROFESSIONAL SERVICES -ASSISTANT TREASURER (EX-OFFICIO) - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP -TREASURER (EX-OFFICIO) - BID - MILTON PHYSICIAN ASSOCIATES, INC. -TREASURER (EX-OFFICIO) - NORTHEAST PROFESSIONAL REGISTRY OF NURSES, INC. -TREASURER (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL -TRUSTEE (EX-OFFICIO) AND TREASURER (EX-OFFICIO) - NORTHEAST BEHAVIORAL HEALTH CORPORATION -TRUSTEE (EX-OFFICIO) AND TREASURER (EX-OFFICIO) - NORTHEAST HEALTH SYSTEM, INC. -TREASURER (EX-OFFICIO) - NORTHEAST HOSPITAL CORPORATION -TRUSTEE (EX-OFFICIO), TREASURER(EX-OFFICIO) - NORTHEAST MEDICAL PRACTICE INC. -TRUSTEE (EX-OFFICIO), TREASURER (EX-OFFICIO) - NORTHEAST SENIOR HEALTH CORPORATION -TREASURER (EX-OFFICIO) - SEACOAST AFFILIATED GROUP PRACTICE, INC. -TRUSTEE AND TREASURER (EX-OFFICIO) - SEACOAST NURSING AND REHABILITATION CENTER, INC. -TREASURER (EX-OFFICIO) - WINCHESTER HEALTHCARE MANAGEMENT, INC. -TREASURER (EX-OFFICIO) - WINCHESTER HOSPITAL -DIRECTOR (EX-OFFICIO) AND TREASURER (EX-OFFICIO) - WINCHESTER HOSPITAL FOUNDATION, INC. -TRUSTEE (EX-OFFICIO), TREASURER (EX-OFFICIO) - ADDISON GILBERT SOCIETY, INC. -TREASURER (EX-OFFICIO) - ANNA JAQUES HOSPITAL, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PHARMACY, INC. -MANAGING DIRECTOR - BETH ISRAEL DEACONESS PHYSICIAN ORGANIZATION, LLC -MANAGING DIRECTOR, TREASURER - BETH ISRAEL LAHEY HEALTH PERFORMANCE NETWORK, LLC -TREASURER (EX-OFFICIO) - LAHEY CLINICAL PERFORMANCE ACCOUNTABLE CARE ORGANIZATION, LLC -TREASURER (EX-OFFICIO) - LAHEY CLINICAL PERFORMANCE NETWORK, LLC -ASSISTANT TREASURER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. -TREASURER (EX-OFFICIO) - JOSLIN CLINIC, INC. -TREASURER (EX-OFFICIO) - JOSLIN DIABETES CENTER, INC. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE COMPENSATION FOR MR. KERNDL INCLUDES COMBINED CONTRIBUTIONS TO, PAYMENTS FROM AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $109,434. OF THIS AMOUNT, $89,934 WAS UNVESTED AT SEPTEMBER 30, 2023. OTHER REPORTABLE COMPENSATION FOR MR. KERNDL ALSO INCLUDES $ 7,961 RELATED TO TEMPORARY HOUSING. KOOMEY, JAMES M -ONCOLOGIST- JORDAN PHYSICIAN ASSOCIATES -ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. KOWALOFF, M.D., HARVEY -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES MARBLE, MEGAN VAYO -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES MARINI, ANNA -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES MCGRATH, JOHN -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES MCKENNA, CATHERINE -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES MCLAUGHLIN, MICHAEL -CARDIOLOGIST - JORDAN PHYSICIAN ASSOCIATES MUHLEBACH, STEPHAN -CARDIOLOGIST - JORDAN PHYSICIAN ASSOCIATES.
- SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES:
- PRIMAVERA, DENNIS -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES MR. PRIMAVERA'S TERM AS VICE CHAIR ON THE JORDAN PHYSICIAN ASSOCIATES' BOARD BEGAN ON OCTOBER 1, 2021. RIOS, CINDY -TREASURER (EX-OFFICIO) AND INTERIM CHIEF FINANCIAL OFFICER BETH ISRAEL LAHEY HEALTH, INC. - TERM BEGAN JANUARY 1, 2023. -SENIOR VICE PRESIDENT AND OPERATIONS CHIEF FINANCIAL OFFICER BETH ISRAEL LAHEY HEALTH, INC. - TERM ENDED DECEMBER 31, 2022 UNLESS OTHERWISE NOTED, EFFECTIVE JANUARY 1, 2023, MS. RIOS ALSO ASSUMED THE FOLLOWING POSITIONS: -TREASURER - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP - TERM BEGAN MARCH 31, 2023 -TREASURER (EX-OFFICIO) - CAREGROUP PARMENTER HOME CARE & HOSPICE, INC. -TREASURER (EX-OFFICIO) - NORTHEAST PROFESSIONAL REGISTRY OF NURSES, INC. -TRUSTEE & TREASURER - CAB HEALTH AND RECOVERY SERVICES, INC. -TREASURER (EX-OFFICIO) - ANNA JAQUES HOSPITAL, INC. -TREASURER (EX-OFFICIO) BETH ISRAEL DEACONESS MEDICAL CENTER, INC. -TREASURER (EX-OFFICIO) BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. -TREASURER (EX-OFFICIO) - BID - MILTON PHYSICIAN ASSOCIATES, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PHARMACY, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. - TERM BEGAN MARCH 31, 2023 -TREASURER (EX-OFFICIO) - COMMUNITY PHYSICIANS ASSOCIATES, INC. -TREASURER (EX-OFFICIO) - JOSLIN CLINIC, INC. -TREASURER (EX-OFFICIO) - JOSLIN DIABETES CENTER, INC. -TREASURER (EX-OFFICIO) - THE JORDAN HEALTH SYSTEMS, INC. -TREASURER (EX-OFFICIO) - JORDAN PHYSICIAN ASSOCIATES, INC. -TREASURER (EX-OFFICIO) - LAHEY CLINIC FOUNDATION, INC. -TREASURER (EX-OFFICIO) - LAHEY CLINIC HOSPITAL, INC. D/B/A LAHEY HOSPITAL & MEDICAL CENTER -TREASURER (EX-OFFICIO) - LAHEY CLINIC, INC. -TREASURER (EX-OFFICIO) - MOUNT AUBURN HOSPITAL -TREASURER (EX-OFFICIO) - MOUNT AUBURN PROFESSIONAL SERVICES, INC. -TREASURER (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL -TREASURER (EX-OFFICIO) - NORTHEAST HOSPITAL CORPORATION -TREASURER (EX-OFFICIO) - SEACOAST AFFILIATED GROUP PRACTICE, INC. -DIRECTOR & TREASURER (EX-OFFICIO) - WINCHESTER HOSPITAL FOUNDATION, INC. -TREASURER (EX-OFFICIO) - WINCHESTER HEALTHCARE MANAGEMENT, INC. -TRUSTEE & TREASURER (EX-OFFICIO) ADDISON GILBERT SOCIETY, INC. -TRUSTEE & TREASURER (EX-OFFICIO) - HEALTH AND EDUCATION HOUSING SERVICES, INC. -TRUSTEE & TREASURER (EX-OFFICIO) - LAHEY HEALTH SHARED SERVICES, INC. -TRUSTEE & TREASURER (EX-OFFICIO) - NORTHEAST BEHAVIORAL HEALTH CORPORATION -TRUSTEE & TREASURER (EX-OFFICIO) - NORTHEAST HEALTH SYSTEM, INC. -TRUSTEE & TREASURER (EX-OFFICIO) - NORTHEAST MEDICAL PRACTICE, INC. -TRUSTEE & TREASURER (EX-OFFICIO) - NORTHEAST SENIOR HEALTH CORPORATION -TRUSTEE & TREASURER (EX-OFFICIO) - SEACOAST NURSING & REHABILITATION CENTER, INC. -TRUSTEE & TREASURER (EX-OFFICIO) - WINCHESTER HOSPITAL EFFECTIVE JULY 1, 2023, BETH ISRAEL LAHEY HEALTH BECAME THE SOLE MEMBER OF EXETER HEALTH RESOURCES INC. WHICH IN TURN SERVES AS THE SOLE MEMBER OF EXETER HOSPITAL AND ADDITIONAL AFFILIATES. AS OF THAT DATE MS. RIOS ASSUMED THE FOLLOWING ADDITIONAL POSITIONS: -TREASURER (EX-OFFICIO) - EXETER HEALTH RESOURCES, INC. -TREASURER (EX-OFFICIO) - EXETER HOSPITAL, INC. -TREASURER (EX-OFFICIO) - ROCKINGHAM VISITING NURSE ASSOC & HOSPICE MS. RIOS SERVED IN THE POSITIONS ABOVE DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE COMPENSATION INCLUDES PAYMENTS FOR TEMPORARY HOUSING AND MOVING EXPENSES IN THE AMOUNT OF $41,927 AND 9,904, RESPECTIVELY. DEFERRED COMPENSATION IN THE AMOUNT OF $187,500 INCLUDED IN THIS FILING FOR MS. RIOS RELATES TO A MILESTONE PAYMENT WHICH, AS OF DECEMBER 31, 2022, WAS NOT FUNDED, WAS NOT VESTED AND FOR WHICH THERE WAS NO GUARANTEE OF PAYMENT. THIS AMOUNT IS INCLUDED HERE AS DEFERRED COMPENSATION AS REQUIRED BASED ON THE INSTRUCTIONS TO THE FORM 990. ROWAN, MICHAEL UNLESS OTHERWISE NOTED BELOW, MR. ROWAN HELD THE FOLLOWING POSITIONS FOR THE FULL FISCAL PERIOD ENDED SEPTEMBER 30, 2023: -EXECUTIVE VICE PRESIDENT, HOSPITAL AND AMBULATORY SERVICES - BETH ISRAEL LAHEY HEALTH, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - BETH ISRAEL LAHEY HEALTH PHARMACY, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TRUSTEE (CEO DESIGNATE) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - NEW ENGLAND BAPTIST HOSPITAL -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - NORTHEAST HOSPITAL CORPORATION -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - COMMUNITY PHYSICIANS ASSOCIATES, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - THE JORDAN HEALTH SYSTEMS, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - JORDAN PHYSICIAN ASSOCIATES, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - BID - MILTON PHYSICIAN ASSOCIATES, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - JOSLIN CLINIC, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - JOSLIN DIABETES CENTER, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - ANNA JAQUES HOSPITAL, INC. - TERM BEGAN ON APRIL 1, 2023. -TRUSTEE (CEO DESIGNEE) - SEACOAST AFFILIATED GROUP PRACTICE, INC. - TERM BEGAN ON APRIL 1, 2023. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - WINCHESTER HOSPITAL - TERM BEGAN ON MARCH 10, 2023. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - WINCHESTER HEALTHCARE MANAGEMENT, INC. - TERM BEGAN ON MARCH 10, 2023. MR. ROWAN SERVED IN THE POSITIONS ABOVE DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. ROWAN INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $84,688. OF THIS AMOUNT, $65,188 IS UNVESTED AS OF SEPTEMBER 30, 2023. RUTHERFORD, RON -VICE PRESIDENT, CIO, VICE PRESIDENT SUPPORT SERVICES - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -VICE PRESIDENT, CIO, VICE PRESIDENT SUPPORT SERVICES - JORDAN PHYSICIAN ASSOCIATES, INC. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. RUTHERFORD INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $20,906. INCLUDED IN THIS AMOUNT IS AN UNREALIZED LOSS IN THE AMOUNT OF $12,794 IMPACTING THE NONQUALIFIED UNVESTED BALANCE. SHIELDS, MARY -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES
- SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES:
- TABB, M.D., KEVIN UNLESS OTHERWISE NOTED BELOW, DR. TABB HELD THE FOLLOWING POSITIONS FOR THE FULL FISCAL PERIOD ENDING SEPTEMBER 30, 2023: -PRESIDENT AND CHIEF EXECUTIVE OFFICER; TRUSTEE (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH, INC. -CHIEF EXECUTIVE OFFICER AND TRUSTEE (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. -TRUSTEE (EX OFFICIO) AND CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - LAHEY CLINIC HOSPITAL, INC. -TRUSTEE (EX OFFICIO) AND CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - LAHEY CLINIC, INC. -TRUSTEE (EX OFFICIO) AND CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - LAHEY CLINIC FOUNDATION, INC. -TRUSTEE (EX-OFFICIO), BOARD CHAIR (EX-OFFICIO), PRESIDENT AND CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - LAHEY HEALTH SHARED SERVICES, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PHARMACY, INC. -PRESIDENT (EX-OFFICIO) AND TRUSTEE (EX-OFFICIO) - ADDISON GILBERT SOCIETY, INC. -TRUSTEE (EX-OFFICIO), BOARD CHAIR (EX-OFFICIO) AND PRESIDENT (EX-OFFICIO) - NORTHEAST HEALTH SYSTEM, INC. -TRUSTEE (EX-OFFICIO), BOARD CHAIR (EX-OFFICIO) AND PRESIDENT (EX-OFFICIO) - NORTHEAST SENIOR HEALTH CORPORATION -TRUSTEE, BOARD CHAIR (EX-OFFICIO) AND PRESIDENT (EX-OFFICIO) - SEACOAST NURSING AND REHABILITATION CENTER, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - WINCHESTER HOSPITAL -DIRECTOR AND PRESIDENT (EX-OFFICIO) - WINCHESTER HOSPITAL FOUNDATION, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - WINCHESTER HEALTHCARE MANAGEMENT, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - NORTHEAST HOSPITAL CORPORATION -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) AND TRUSTEE (EX-OFFICIO) NORTHEAST BEHAVIORAL HEALTH CORPORATION -CHIEF EXECUTIVE OFFICER AND TRUSTEE - CAB HEALTH AND RECOVERY SERVICES, INC. -CHIEF EXECUTIVE OFFICER AND TRUSTEE - HEALTH AND EDUCATION HOUSING SERVICES, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - BID - MILTON PHYSICIAN ASSOCIATES, INC. -CHIEF EXECUTIVE OFFICER - COMMUNITY PHYSICIANS ASSOCIATES, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - MOUNT AUBURN HOSPITAL -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL -CHIEF EXECUTIVE OFFICER - THE JORDAN HEALTH SYSTEMS, INC. -CHIEF EXECUTIVE OFFICER - JORDAN PHYSICIAN ASSOCIATES, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - ANNA JAQUES HOSPITAL, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - SEACOAST AFFILIATED GROUP PRACTICE, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - JOSLIN CLINIC, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - JOSLIN DIABETES CENTER, INC. EFFECTIVE JULY 1, 2023, BETH ISRAEL LAHEY HEALTH BECAME THE SOLE MEMBER OF EXETER HEALTH RESOURCES INC. WHICH IN TURN SERVES AS THE SOLE MEMBER OF EXETER HOSPITAL AND ADDITIONAL AFFILIATES. AS OF THAT DATE DR. TABB ASSUMED THE FOLLOWING ADDITIONAL POSITIONS: -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - EXETER HEALTH RESOURCES, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - EXETER HOSPITAL, INC. IN ADDITION TO THE POSITIONS NOTED ABOVE, DR. TABB HELD THE FOLLOWING POSITIONS FOR WHICH HE WAS ENTITLED TO AND DID APPOINT A DESIGNATE WHO THEN BECAME THE VOTING TRUSTEE IN HIS PLACE: -TRUSTEE (EX-OFFICIO) NORTHEAST HOSPITAL CORPORATION -TRUSTEE (EX-OFFICIO) BETH ISRAEL DEACONESS HOSPITAL MILTON, BID-MILTON PHYSICIAN ASSOCIATES AND COMMUNITY PHYSICIANS ASSOCIATES -TRUSTEE (EX-OFFICIO) BETH ISRAEL DEACONESS HOSPITAL NEEDHAM -TRUSTEE (EX-OFFICIO) BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, THE JORDAN HEALTH SYSTEMS, INC AND JORDAN PHYSICIAN ASSOCIATES, INC. -TRUSTEE (EX-OFFICIO) BETH ISRAEL LAHEY HEALTH PHARMACY, INC. -TRUSTEE (EX-OFFICIO) MOUNT AUBURN HOSPITAL -TRUSTEE (EX-OFFICIO) NEW ENGLAND BAPTIST HOSPITAL -TRUSTEE (EX-OFFICIO) WINCHESTER HOSPITAL AND WINCHESTER HEALTHCARE MANAGEMENT -TRUSTEE (EX-OFFICIO) ANNA JAQUES HOSPITAL, INC. AND SEACOAST AFFILIATED GROUP PRACTICE -TRUSTEE (EX-OFFICIO) JOSLIN DIABETES CENTER -TRUSTEE (EX-OFFICIO) JOSLIN CLINIC -TRUSTEE (EX-OFFICIO) EXETER HEALTH RESOURCES, INC. -TRUSTEE (EX-OFFICIO) EXETER HOSPITAL, INC. ALTHOUGH DR. TABB SERVED IN THE POSITIONS ABOVE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR DR. TABB INCLUDES COMBINED CONTRIBUTIONS TO, PAYMENTS FROM AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $388,031. THIS AMOUNT INCLUDES A DISTRIBUTION FROM A NONQUALIFIED PLAN IN THE AMOUNT OF $453,944 AND UNREALIZED LOSSES IMPACTING HIS NONQUALIFIED BENEFIT IN THE AMOUNT OF $85,413. DEFERRED COMPENSATION IN THE AMOUNT OF $250,000 INCLUDED IN THIS FILING FOR DR. TABB RELATES TO A MILESTONE PAYMENT WHICH, AS OF DECEMBER 31, 2022, WAS NOT FUNDED, WAS NOT VESTED AND FOR WHICH THERE WAS NO GUARANTEE OF PAYMENT. THIS AMOUNT IS INCLUDED HERE AS DEFERRED COMPENSATION AS REQUIRED BASED ON THE INSTRUCTIONS TO THE FORM 990. TAYLOR, LISA -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES MS. TAYLOR'S TERM ON THE JORDAN PHYSICIAN ASSOCIATES' BOARD BEGAN ON OCTOBER 1, 2021. TEIXEIRA, ALEX A -PHYSICIAN, GASTROENTEROLOGY - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. -PHYSICIAN, GASTROENTEROLOGY - JORDAN PHYSICIAN ASSOCIATES, INC. TIERNEY, M.D., MATT -CHIEF OF SURGERY - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -GENERAL SURGEON - JORDAN PHYSICIAN ASSOCIATES, INC. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR DR. TIERNEY INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $16,228. INCLUDED IN THIS AMOUNT IS AN UNREALIZED LOSS IN THE AMOUNT OF $4,272 IMPACTING THE NONQUALIFIED UNVESTED BALANCE. VALSKY, M.D., EUGENE -TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) THE JORDAN HEALTH SYSTEMS, INC. -TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) - JORDAN PHYSICIAN ASSOCIATES, INC. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR DR. VALSKY INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $19,905. INCLUDED IN THIS AMOUNT IS AN UNREALIZED LOSS IN THE AMOUNT OF $595 IMPACTING THE NONQUALIFIED UNVESTED BALANCE.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
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501(C)(3) · PROFESSIONAL SERVICES & FINANCIAL SUPPORT · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
-
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
ASSOC PHYS HARVARD MED FAC PHY AT BIDMC
501(C)(3) · TO PROVIDE EMERGENCY MEDICAL SERVICES · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
-
BAIM INSTITUTE FOR CLINICAL RESEARCH INC DBA BAIM INSTITUTE
501(C)(3) · SCIENTIFIC & MEDICAL RESEARCH · MA
-
BETH ISRAEL ANAESTHESIA FOUNDATION INC
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
-
BETH ISRAEL COMMUNITY FOUNDATION INC
501(C)(3) · INACTIVE CORPORATION · MA
-
BETH ISRAEL DEACONESS DEPARTMENT OF EMERGENCY MEDICINE FOUNDATION INC
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
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BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION INC
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
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BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION INC
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
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BETH ISRAEL DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION INC
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
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BETH ISRAEL DEACONESS DEPARTMENT OF ORTHOPAEDIC SURGERY FOUNDATION INC
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
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BETH ISRAEL DEACONESS DEPARTMENT OF RADIATION ONCOLOGY FOUNDATION INC
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HMFP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
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BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION INC
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
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BETH ISRAEL DEACONESS HOSPITAL MILTON INC
501(C)(3) · HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
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BETH ISRAEL DEACONESS HOSPITAL NEEDHAM INC
501(C)(3) · HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
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BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC
501(C)(3) · HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
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BIDMC AND CHILDREN'S HOSPITAL MEDICAL CARE CORP
501(C)(3) · OUTPATIENT AMBULATORY CENTER - INACTIVE · MA
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BIDMC OBSTETRICS AND GYNECOLOGY FOUNDATION INC
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
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BETH ISRAEL DEACONESS MEDICAL CENTER INC
501(C)(3) · THE OPERATION OF A WORLD CLASS ACADEMIC MEDICAL CENTER IN BOSTON, MA · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
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BETH ISRAEL DERMATOLOGY FOUNDATION INC
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
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BETH ISRAEL LAHEY HEALTH PHARMACY INC
501(C)(3) · TO OPERATE A SPECIALTY PHARMACY AND 340B PROGRAM FOR BIDMC · MA · controlled entity
Directly controlled by BETH ISRAEL DEACONESS MEDICAL CENTER INC
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501(C)(3) · MANAGEMENT PROFESSIONAL & IT SUPPORT SERVICES · MA
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BETH ISRAEL LAHEY HEALTH PRIMARY CARE
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
-
BID-MILTON PHYSICIAN ASSOCIATES INC
501(C)(3) · PROMOTE HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL DEACONESS HOSPITAL - MILTON
-
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
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501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
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CAB HEALTH AND RECOVERY SERVICES INC
501(C)(3) · SUBSTANCE ABUSE - INACTIVE · MA · controlled entity
Directly controlled by NORTHEAST BEHAVIORAL HEALTH CORPORATION
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CPHCH INC DBA BILH AT HOME - WATERTOWN
501(C)(3) · HOME CARE & HOSPICE - INACTIVE · MA · controlled entity
Directly controlled by NORTHEAST SENIOR HEALTH CORPORATION
-
COMMUNITY PHYSICIANS ASSOCIATES INC
501(C)(3) · OUTPATIENT AND PRIMARY CARE SERVICES · MA · controlled entity
Directly controlled by BETH ISRAEL DEACONESS HOSPITAL - MILTON
-
CONTINUING EDU PROGRAM DBA BID DEPT OF PSYCH FDN
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
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HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC INC
501(C)(3) · GENERAL AND SPECIALIZED MEDICAL SERVICES TO THE PATIENTS OF BIDMC AND OTHERS · MA · controlled entity
Directly controlled by BETH ISRAEL DEACONESS MEDICAL CENTER INC
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HEALTH AND EDUCATION HOUSING SERVICES INC
501(C)(3) · HUD HOUSING - INACTIVE · MA · controlled entity
Directly controlled by NORTHEAST BEHAVIORAL HEALTH CORPORATION
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JORDAN PHYSICIAN ASSOCIATES INC
501(C)(3) · OUTPATIENT AND PRIMARY CARE SERVICES · MA · controlled entity
Directly controlled by BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH INC
-
LAHEY CLINIC CANADIAN FOUNDATION
FUNDRAISING ORG · CA
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501(C)(3) · FINANCIAL & OPERATIONAL SUPPORT TO LCI AND LCH · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
LAHEY CLINIC HOSPITAL INC DBA LAHEY HOSPITAL & MEDICAL CENTER AND LMC
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by LAHEY CLINIC FOUNDATION INC
-
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by LAHEY CLINIC FOUNDATION INC
-
LAHEY HEALTH SHARED SERVICES INC
501(C)(3) · ADMIN · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
LONGWOOD MEDICAL ENERGY COLLABORATIVE INC
501(C)(3) · COORDINATE AND PROVIDE STRATEGIC PLANNING OPP FOR HMS · MA
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LONGWOOD MEDICAL INTERNATIONAL FOUNDATION INC
501(C)(3) · INACTIVE CORPORATION · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
-
MED CARE OF BOSTON MGMT CORP DBA BILH PRIMARY CARE
501(C)(3) · OUTPATIENT, PRIMARY CARE AND SPECIALTY SERVICES · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH PRIMARY CARE
-
501(C)(3) · HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
MOUNT AUBURN PROFESSIONAL SERVICES INC
501(C)(3) · OFFERING MEDICAL CARE IN GENERAL AND SPECIALIZED PRACTICES · MA · controlled entity
Directly controlled by MOUNT AUBURN HOSPITAL
-
501(C)(3) · ORTHOPEDIC SPECIALTY HOSPITAL · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
NEW ENGLAND BAPTIST MEDICAL ASSOCIATES INC
501(C)(3) · OUTPATIENT MEDICAL SERVICES TO THE VARIOUS COMMUNITIES SERVICED BY NEBH · MA · controlled entity
Directly controlled by NEW ENGLAND BAPTIST HOSPITAL
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NORTHEAST BEHAVIORAL HEALTH CORP DBA BILH BEHAVIORAL HEALTH SERVICES
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
501(C)(3) · FINANCIAL & OPERATIONAL SUPPORT · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
-
NORTHEAST HOSPITAL CORPORATION
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
NORTHEAST MEDICAL PRACTICE INC
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by NORTHEAST HOSPITAL CORPORATION
-
NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC DBA BILH AT HOME
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by NORTHEAST SENIOR HEALTH CORPORATION
-
NORTHEAST SENIOR HEALTH CORPORATION
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
-
SEACOAST AFFILIATED GROUP PRACTICE INC
501(C)(3) · PHYSICIAN GROUP · MA · controlled entity
Directly controlled by ANNA JAQUES HOSPITAL INC
-
SEACOAST NURSING AND REHABILITATION CENTER INC
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
-
501(C)(3) · PROMOTE HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL DEACONESS MEDICAL CENTER INC
-
WINCHESTER COMMUNITY ACCOUNTABLE CARE ORGANIZATION INC
501(C)(3) · ACO - INACTIVE · MA · controlled entity
Directly controlled by WINCHESTER HEALTHCARE MANAGEMENT INC
-
WINCHESTER HEALTHCARE MANAGEMENT INC
501(C)(3) · MANAGEMENT · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
-
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
WINCHESTER HOSPITAL FOUNDATION INC
501(C)(3) · PROFESSIONAL SERVICES & FINANCIAL SUPPORT · MA · controlled entity
Directly controlled by WINCHESTER HEALTHCARE MANAGEMENT INC
-
501(C)(3) · PREVENTION, TREATMENT, AND CURE OF DIABETES · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
501(C)(3) · PREVENTION, TREATMENT, AND CURE OF DIABETES · MA · controlled entity
Directly controlled by JOSLIN DIABETES CENTER INC
-
501(C)(3) · SUPPORT COMMUNITY HEALTH & NETWORK MGMT SVCS · NH · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
501(C)(3) · HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES INC
-
ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICE
501(C)(3) · HOME CARE & HOSPICE · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES INC
-
501(C)(25) · REAL ESTATE HOLDING COMPANY · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES INC
-
501(C)(3) · PHYSICIAN PRACTICES · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES INC
-
EXETER HEALTH RESOURCES SELF-INSURANCE TRUST
501(C)(3) · SELF-INSURANCE TRUST · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES INC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
BETH ISRAEL LAHEY HEALTH SURGERY CENTER PLYMOUTH LLC
SURGERY CENTER · MA
-
BIDCO HOSPITAL LLC
COORDINATED SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC · MA
-
BIDCO PHYSICIAN LLC
COORDINATED SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC BILH · MA
-
BILH INVESTMENT PARTNERSHIP LLP
INVESTMENT PARTNERSHIP · MA
-
NEBSC HOSPITAL HOLDINGS LLC
INVESTMENT PARTNERSHIP · MA
-
NEW ENGLAND BAPTIST SURGERY CENTER LLC
AMBULATORY SURGERY CENTER · MA
-
PHYSICIANS PROFESSIONAL SERVICES LLP
TO PROVIDE MEDICAL BILLING SERVICES · MA
-
SHIELDS IMAGING AT ANNA JAQUES HOSPITAL LLC
MRI SERVICES · MA
-
WINCHESTER HOSPITALSHIELDS MRI LLC
MRI SERVICES · MA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
GREATER NEWBURYPORT MANAGEMENT SERVICES ORGANIZATION INC
C · MANAGEMENT SERVICES · MA
-
HUNTINGFIELD CORPORATION
C · TO HOLD OWNERSHIP OF SUBTERRANEAN RIGHTS · DE
-
LAHEY CLINIC INSURANCE CO LTD
C · INSURANCE · BD
-
LEDGEWOOD HEALTH CARE CORPORATION
C · NURSING HOME · MA
-
NORTHEAST PROPRIETARY CORP
C · MEDICAL SERVICES · MA
-
WINCHESTER HEALTHCARE ENTERPRISES INC
C · MANAGEMENT SERVICES · MA
-
WINCHESTER PHYSICIAN ASSOCIATES INC
C · MANAGEMENT SERVICES · MA
-
WINCHESTER PHYSICIAN HOSPITAL ORGANIZATION INC
C · INACTIVE · MA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 12 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202442279349303109
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