Form 990 for tax year 2023
Filed by COMMUNITY PHYSICIANS ASSOCIATES INC.
Totals
- Total revenue
- $5,028,668
- Total expenses
- $7,851,022
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $5,028,368
- Investment income
- $0
- Other revenue
- $300
- Total assets, end of year
- $2,189,651
- Total liabilities, end of year
- $5,213,921
- Net assets or fund balances, end of year
- -$3,024,270
- Program services expenses (Part IX)
- $7,850,517
- Management and general expenses
- $505
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $7,850,517
Program services were 100.0% 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 $5,028,368 · related or exempt $5,028,368
-
11a · Other revenue: PATIENT MEDICAL RECORD
total $300 · related or exempt $300
-
11e · Other revenue, total
$300
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $1,049,144 · program services $1,049,144
-
7 · Other salaries and wages
total $4,020,677 · program services $4,020,677
-
8 · Pension plan contributions
total $81,406 · program services $81,406
-
9 · Other employee benefits
total $254,717 · program services $254,717
-
10 · Payroll taxes
total $241,245 · program services $241,245
-
11g · Fees: other
total $1,696,159 · program services $1,696,159
-
13 · Office expenses
total $33,111 · program services $33,111
-
17 · Travel
total $197,308 · program services $197,283 · management and general $25
-
18 · Travel or entertainment for public officials
total $9,411 · program services $9,411
-
22 · Depreciation, depletion and amortization
total $9,316 · program services $8,850 · management and general $466
-
23 · Insurance
total $150,626 · program services $150,626
-
24a · Other expenses: PHARMACEUTICALS
total $38,712 · program services $38,712
-
24b · Other expenses: MEDICAL SUPPLIES
total $32,667 · program services $32,667
-
24c · Other expenses: LICENSES AND DUES
total $23,684 · program services $23,684
-
24d · Other expenses: OTHER EXPENSES
total $12,839 · program services $12,825 · management and general $14
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year -$157,779
-
4 · Accounts receivable
beginning of year $1,386,565 · end of year $1,779,705
-
8 · Inventories for sale or use
beginning of year $212 · end of year $212
-
9 · Prepaid expenses and deferred charges
beginning of year $111,686 · end of year $40,352
-
10a · Land, buildings and equipment: cost or other basis
$362,643
-
10b · Land, buildings and equipment: accumulated depreciation
$271,913
-
10c · Land, buildings and equipment, net
beginning of year $145,979 · end of year $90,730
-
14 · Intangible assets
beginning of year $25,915 · end of year $25,915
-
15 · Other assets
beginning of year -$31,528 · end of year $252,737
-
17 · Accounts payable and accrued expenses
beginning of year $1,162,966 · end of year $155,213
-
25 · Other liabilities
beginning of year $3,342,354 · end of year $5,058,708
-
27 · Net assets without donor restrictions
beginning of year -$3,024,270 · end of year -$3,024,270
-
28 · Net assets with donor restrictions
beginning of year $0 · end of year $0
Mission and programs · 2023
Mission
SEE SCHEDULE O
-
SEE SCHEDULE O
Expenses $7,850,517 · Revenue $5,028,688
-
SEE SCHEDULE O
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
ROWAN MICHAEL
TRUSTEE (EVP, HOS & AMB SVCS, BILH)
- Total calculated
- $4,703,895
- From this org
- $0
- From related orgs
- $2,302,117
- Other
- $2,401,778
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $1,190,402 related
- Bonus
- $0 + $617,208 related
- Other
- $0 + $494,507 related
- Deferred
- $0 + $2,372,445 related
- Nontaxable benefits
- $0 + $29,333 related
- Filer's total
- $0 + $4,703,895 related
-
SHORETT PETER
TTEE (SR EXECUTIVE VP & COO, BILH)
- Total calculated
- $1,607,722
- From this org
- $0
- From related orgs
- $1,559,476
- Other
- $48,246
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $902,677 related
- Bonus
- $0 + $453,262 related
- Other
- $0 + $203,537 related
- Deferred
- $0 + $14,020 related
- Nontaxable benefits
- $0 + $34,226 related
- Filer's total
- $0 + $1,607,722 related
-
BERRY MD MICHAEL
TRUSTEE
- Total calculated
- $1,049,144
- From this org
- $1,005,304
- From related orgs
- $0
- Other
- $43,840
- Hours/week
- 55 + 2 related
Schedule J breakdown matched by us
- Base
- $949,852
- Bonus
- $4,750
- Other
- $50,702
- Deferred
- $9,900
- Nontaxable benefits
- $33,940
- Filer's total
- $1,049,144
-
FERNANDEZ RICHARD
PRESIDENT & TRUSTEE
- Total calculated
- $670,099
- From this org
- $0
- From related orgs
- $623,289
- Other
- $46,810
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $454,480 related
- Bonus
- $0 + $96,478 related
- Other
- $0 + $72,331 related
- Deferred
- $0 + $15,545 related
- Nontaxable benefits
- $0 + $31,265 related
- Filer's total
- $0 + $670,099 related
-
ANDERSON MD JONATHAN
TRUSTEE (PRESIDENT, MEDICAL STAFF)
- Total calculated
- $632,691
- From this org
- $0
- From related orgs
- $548,847
- Other
- $83,844
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $361,907 related
- Bonus
- $0 + $168,990 related
- Other
- $0 + $17,950 related
- Deferred
- $0 + $39,600 related
- Nontaxable benefits
- $0 + $44,244 related
- Filer's total
- $0 + $632,691 related
-
O'CONNOR MD HEIDI
TTEE; PHYS INT MED/PULMONARY DISEASE
- Total calculated
- $415,897
- From this org
- $0
- From related orgs
- $364,058
- Other
- $51,839
- Hours/week
- 1 + 56 related
Schedule J breakdown matched by us
- Base
- $0 + $271,780 related
- Bonus
- $0 + $65,164 related
- Other
- $0 + $27,114 related
- Deferred
- $0 + $30,000 related
- Nontaxable benefits
- $0 + $21,839 related
- Filer's total
- $0 + $415,897 related
-
BRESNICK MD MORGAN
TRUSTEE; SURGEON
- Total calculated
- $356,376
- From this org
- $0
- From related orgs
- $296,766
- Other
- $59,610
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $292,756 related
- Bonus
- $0
- Other
- $0 + $4,010 related
- Deferred
- $0 + $21,469 related
- Nontaxable benefits
- $0 + $38,141 related
- Filer's total
- $0 + $356,376 related
-
SULLIVAN JOSEPH C
TRUSTEE
- Total calculated
- $252,610
- From this org
- $0
- From related orgs
- $211,350
- Other
- $41,260
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $210,477 related
- Bonus
- $0
- Other
- $0 + $873 related
- Deferred
- $0 + $9,145 related
- Nontaxable benefits
- $0 + $32,115 related
- Filer's total
- $0 + $252,610 related
-
CICHELLO ANTHONY
TRUSTEE & CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
LAURENCE ANDREW
TRUSTEE & VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
ALEXOPOULOS ALEXANDRA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
BURKE JOHN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
CARUCCI DEAN
TTEE (BILH DIV PRESIDENT, COMMUNITY)
- Total calculated
- $0
- Hours/week
- 1 + 12 related
-
COLLINS HARRIS E
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
DENNY STEPHEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
GAFFNEY THERESA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
GLYNN MAUREEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
LIANG JIMMY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
MARR JEFFREY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
OKARA EBI
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
O'NEIL ALISA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
PATHAK RAJU
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
RICE BRIDGET
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
SHIH DIN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
TABB MD KEVIN
CHIEF EXECUTIVE OFFICER (CEO, BILH)
- Total calculated
- $5,410,415
- From this org
- $0
- From related orgs
- $4,313,387
- Other
- $1,097,028
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $2,183,284 related
- Bonus
- $0 + $1,588,566 related
- Other
- $0 + $541,537 related
- Deferred
- $0 + $1,052,595 related
- Nontaxable benefits
- $0 + $44,433 related
- Filer's total
- $0 + $5,410,415 related
-
RIOS CINDY
TREAS (EXECUTIVE VP & CFO, BILH)
- Total calculated
- $1,689,163
- From this org
- $0
- From related orgs
- $1,471,427
- Other
- $217,736
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $926,412 related
- Bonus
- $0 + $523,188 related
- Other
- $0 + $21,827 related
- Deferred
- $0 + $182,509 related
- Nontaxable benefits
- $0 + $35,227 related
- Filer's total
- $0 + $1,689,163 related
-
KATZ ESQ JAMIE
CLERK; GENERAL COUNSEL, BILH
- Total calculated
- $1,302,177
- From this org
- $0
- From related orgs
- $1,270,175
- Other
- $32,002
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $820,540 related
- Bonus
- $0 + $322,850 related
- Other
- $0 + $126,785 related
- Deferred
- $0 + $23,170 related
- Nontaxable benefits
- $0 + $8,832 related
- Filer's total
- $0 + $1,302,177 related
-
RANGAVIZ SHEILAH
ASSISTANT TREASURER, CFO
- Total calculated
- $352,611
- From this org
- $0
- From related orgs
- $336,544
- Other
- $16,067
- Hours/week
- 1 + 60 related
Schedule J breakdown matched by us
- Base
- $0 + $270,890 related
- Bonus
- $0 + $41,723 related
- Other
- $0 + $23,931 related
- Deferred
- $0 + $9,392 related
- Nontaxable benefits
- $0 + $6,675 related
- Filer's total
- $0 + $352,611 related
-
GEE ESQ CARROLL
ASST CLERK (ASSOC GEN COUNSEL, BILH)
- Total calculated
- $222,210
- From this org
- $0
- From related orgs
- $180,814
- Other
- $41,396
- Hours/week
- 1 + 60 related
Schedule J breakdown matched by us
- Base
- $0 + $169,811 related
- Bonus
- $0 + $10,860 related
- Other
- $0 + $143 related
- Deferred
- $0 + $5,609 related
- Nontaxable benefits
- $0 + $35,787 related
- Filer's total
- $0 + $222,210 related
-
SNEVA JEB
CFO, BILH PRIMARY CARE NETWORK
- Total calculated
- $404,232
- From this org
- $0
- From related orgs
- $278,549
- Other
- $125,683
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $184,342 related
- Bonus
- $0 + $32,275 related
- Other
- $0 + $61,932 related
- Deferred
- $0 + $101,538 related
- Nontaxable benefits
- $0 + $24,145 related
- Filer's total
- $0 + $404,232 related
-
FENTON ANGELA
VP, AMBULATORY AND CLINICAL SERVICES
- Total calculated
- $276,155
- From this org
- $0
- From related orgs
- $237,499
- Other
- $38,656
- Hours/week
- 1 + 56 related
Schedule J breakdown matched by us
- Base
- $0 + $193,974 related
- Bonus
- $0 + $33,344 related
- Other
- $0 + $10,181 related
- Deferred
- $0 + $7,600 related
- Nontaxable benefits
- $0 + $31,056 related
- Filer's total
- $0 + $276,155 related
-
FISHMAN AARON
CHIEF FINANCIAL OFFICER, BILHPC
- Total calculated
- $271,757
- From this org
- $0
- From related orgs
- $239,571
- Other
- $32,186
- Hours/week
- 1 + 60 related
Schedule J breakdown matched by us
- Base
- $0 + $215,043 related
- Bonus
- $0 + $24,347 related
- Other
- $0 + $181 related
- Deferred
- $0 + $30,000 related
- Nontaxable benefits
- $0 + $2,186 related
- Filer's total
- $0 + $271,757 related
-
FREED-LOEW CHERYL
VP, HUMAN RESOURCES BUSINESS PARTNER
- Total calculated
- $233,526
- From this org
- $0
- From related orgs
- $210,487
- Other
- $23,039
- Hours/week
- 1 + 56 related
Schedule J breakdown matched by us
- Base
- $0 + $158,691 related
- Bonus
- $0 + $31,034 related
- Other
- $0 + $20,762 related
- Deferred
- $0 + $10,594 related
- Nontaxable benefits
- $0 + $12,445 related
- Filer's total
- $0 + $233,526 related
-
STANSKY KATHLEEN J
INTERIM CFO, BILH PRIMARY CARE
- Total calculated
- $214,853
- From this org
- $0
- From related orgs
- $177,400
- Other
- $37,453
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $176,707 related
- Bonus
- $0
- Other
- $0 + $693 related
- Deferred
- $0 + $11,342 related
- Nontaxable benefits
- $0 + $26,111 related
- Filer's total
- $0 + $214,853 related
-
BURKE MD DENNIS
ORTHOPEDIC SURGEON
- Total calculated
- $954,059
- From this org
- $916,187
- From related orgs
- $0
- Other
- $37,872
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $872,280
- Bonus
- $0
- Other
- $43,907
- Deferred
- $9,900
- Nontaxable benefits
- $27,972
- Filer's total
- $954,059
-
BARATZ MD MICHAEL D
ORTHOPEDIC SURGEON
- Total calculated
- $917,938
- From this org
- $844,468
- From related orgs
- $0
- Other
- $73,470
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $747,421
- Bonus
- $91,335
- Other
- $5,712
- Deferred
- $33,000
- Nontaxable benefits
- $40,470
- Filer's total
- $917,938
-
SHERVIN MD NINA
ORTHOPEDIC SURGEON
- Total calculated
- $727,797
- From this org
- $709,642
- From related orgs
- $0
- Other
- $18,155
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $681,598
- Bonus
- $0
- Other
- $28,044
- Deferred
- $9,900
- Nontaxable benefits
- $8,255
- Filer's total
- $727,797
-
MACROPOULOS JOHN
PHYSICIAN ASSISTANT, ORTHOPEDIC SURG
- Total calculated
- $232,895
- From this org
- $196,874
- From related orgs
- $0
- Other
- $36,021
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $169,881
- Bonus
- $20,000
- Other
- $6,993
- Deferred
- $6,054
- Nontaxable benefits
- $29,967
- Filer's total
- $232,895
-
KELLY MD CARMEL
PHYSICIAN, FAMILY MEDICINE
- Total calculated
- $207,265
- From this org
- $189,420
- From related orgs
- $0
- Other
- $17,845
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $181,234
- Bonus
- $0
- Other
- $8,186
- Deferred
- $5,764
- Nontaxable benefits
- $12,081
- Filer's total
- $207,265
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
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
Answered no
- 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 3
- COMMUNITY PHYSICIANS ASSOCIATES, INC.'S CHIEF EXECUTIVE OFFICER AND PRESIDENT ARE EMPLOYED THROUGH BETH ISRAEL LAHEY HEALTH (BILH), WHICH AS NOTED THROUGHOUT THIS FILING, IS THE DIRECT OR INDIRECT SOLE MEMBER OF COMMUNITY PHYSICIANS ASSOCIATES, INC. IN THIS CAPACITY, THE BILH COMPENSATION COMMITTEE SETS COMPENSATION FOR THE CEO AND PRESIDENT OF COMMUNITY PHYSICIANS ASSOCIATES, INC. AS NOTED IN RESPONSE TO THIS FORM 990 PART VI QUESTIONS 15A AND 15B, THE BILH COMPENSATION COMMITTEE ESTABLISHES THE POLICIES AND THE COMPENSATION STRUCTURE, INCLUDING BENEFITS, FOR THE BETH ISRAEL LAHEY HEALTH NETWORK OF AFFILIATES INCLUDING THE BILH CHIEF EXECUTIVE OFFICER AS WELL AS OTHER MEMBERS OF SENIOR MANAGEMENT AT BILH AND ITS AFFILIATES. THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR ASSURING THAT THE TOTAL COMPENSATION PROVIDED TO THESE INDIVIDUALS IS FAIR AND REASONABLE USING CURRENT AND CREDIBLE MARKET PRACTICE INFORMATION AND IS RESPONSIBLE FOR ENSURING COMPLIANCE WITH APPLICABLE LEGAL AND REGULATORY GUIDELINES. THE BILH COMPENSATION COMMITTEE IS COMPOSED OF INDEPENDENT MEMBERS OF ITS BOARD OF TRUSTEES IN SETTING COMPENSATION, THE COMPENSATION COMMITTEE RELIES UPON PUBLISHED COMPENSATION SURVEYS AND STUDIES PRODUCED BY INDEPENDENT COMPENSATION CONSULTING FIRMS THAT REGULARLY ASSESS EXECUTIVE COMPENSATION AND BENEFITS OF SUBSTANTIALLY SIMILAR ORGANIZATIONS. THE COMPENSATION COMMITTEE MEETS TO REVIEW THE COMPENSATION STRUCTURE OF THE INDIVIDUALS DESCRIBED ABOVE AND AT THAT TIME REVIEWS THE COMPENSATION SURVEY DETAILS PREPARED BY THE INDEPENDENT COMPENSATION CONSULTING FIRM. FOR SOME CATEGORIES OF POSITIONS, THE COMPENSATION COMMITTEE WILL REVIEW THE COMPENSATION STRUCTURE AND TARGETS AS A GROUP, RATHER THAN BY INDIVIDUAL. COMPENSATION FOR THE BILH CEO AND OTHER SENIOR EXECUTIVES IS REVIEWED ON AN INDIVIDUAL BASIS. THE COMPENSATION COMMITTEE THEN VOTES TO APPROVE THE COMPENSATION ARRANGEMENTS OF ALL INDIVIDUALS DESCRIBED ABOVE EXCEPT FOR THE BILH CEO. THE COMPENSATION PACKAGE FOR THE BILH CEO AS VOTED BY THE COMPENSATION COMMITTEE IS SUBMITTED TO THE FULL BILH BOARD OF TRUSTEES FOR APPROVAL. ALL DELIBERATIONS FOR BOTH THE COMPENSATION COMMITTEE AND THE BOARD OF TRUSTEES ARE CONTEMPORANEOUSLY DOCUMENTED IN MINUTES. THE COMPENSATION COMMITTEE PROCESSES AND PROCEDURES AS DESCRIBED ABOVE ARE DESIGNED TO MEET THE REQUIREMENTS OF TREASURY REGULATION SECTION 53.4958-6(C), REBUTTABLE PRESUMPTION THAT A TRANSACTION IS NOT AN EXCESS BENEFIT TRANSACTION.
- PART I, LINES 4A-B
- ONE OR MORE INDIVIDUALS LISTED IN THIS FORM 990, SCHEDULE J, COMPENSATION INFORMATION, RECEIVED SEVERANCE PAYMENTS. ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW.
- PART I, LINE 7
- AS NOTED ABOVE, THE BILH COMPENSATION COMMITTEE ESTABLISHES THE POLICIES AND THE COMPENSATION STRUCTURE, INCLUDING BENEFITS, FOR THE BETH ISRAEL LAHEY HEALTH NETWORK OF AFFILIATES INCLUDING THE BILH CHIEF EXECUTIVE OFFICER AS WELL AS OTHER MEMBERS OF SENIOR MANAGEMENT AT BILH AND ITS AFFILIATES. THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR ASSURING THAT THE TOTAL COMPENSATION PROVIDED TO THESE INDIVIDUALS IS FAIR AND REASONABLE USING CURRENT AND CREDIBLE MARKET PRACTICE INFORMATION AND IS RESPONSIBLE FOR ENSURING COMPLIANCE WITH APPLICABLE LEGAL AND REGULATORY GUIDELINES. THE BILH COMPENSATION COMMITTEE IS COMPOSED OF INDEPENDENT MEMBERS OF ITS BOARD OF TRUSTEES. DURING THE 2023 CALENDAR YEAR, BILH MAINTAINED 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 AND APPROVED BY THE COMPENSATION COMMITTEE, AND FOR THE BILH CEO AS NOTED ABOVE, THE FULL BILH BOARD OF TRUSTEES. ADDITIONAL INFORMATION IS INCLUDED IN THE EXPLANATORY NOTES TO THIS SCHEDULE J.
- SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES:
- DIRECTORS AND TRUSTEES SERVE WITHOUT COMPENSATION: 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. REPORTING PERIOD: AS REQUIRED BY FORM 990, COMPENSATION REPORTED IN THE FILING FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2024 IS CALENDAR YEAR 2023 COMPENSATION. COMPENSATION SOURCES: COMPENSATION REPORTED FOR INDIVIDUALS MAY INCLUDE COMPENSATION PAID BY THE REPORTING ENTITY, AN AFFILIATE OF THE REPORTING ENTITY AND IN SOME CASES UNRELATED ENTITIES AS REQUIRED BY FORM 990. REPORTABLE COMPENSATION: 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: 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: ORDINARY WAGES, EMPLOYEE DEFERRALS TO A 401(K) AND/OR 403(B) PLAN OTHER REPORTABLE COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED IN THIS RETURN BUT QUANTIFIED IN OTHER REPORTABLE COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: TAXABLE EMPLOYER SUBSIDIZED PARKING; TAXABLE LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE. 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. NON-TAXABLE BENEFITS: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN NON-TAXABLE BENEFITS INCLUDE, AMONG OTHER THINGS, AMOUNTS FROM ONE OR MORE OF THE FOLLOWING 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 ADDITIONAL INDIVIDUAL SPECIFIC INFORMATION IS INCLUDED BELOW.
- SCHEDULE J FOOTNOTES (CONTINUED):
- ANDERSON, M.D. JONATHAN TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. TRUSTEE (PRESIDENT, MEDICAL STAFF)- BETH ISRAEL DEACONESS MILTON PHYSICIAN ASSOCIATES, INC. TRUSTEE (PRESIDENT, MEDICAL STAFF)- COMMUNITY PHYSICIANS ASSOCIATES, INC. BARATZ, M.D., MICHAEL D ORTHOPEDIC SURGEON -COMMUNITY PHYSICIANS ASSOCIATES, INC. BERRY, M.D., MICHAEL TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. TRUSTEE - BETH ISRAEL DEACONESS MILTON PHYSICIAN ASSOCIATES, INC. TRUSTEE - COMMUNITY PHYSICIANS ASSOCIATES, INC. OTHER REPORTABLE COMPENSATION FOR DR. BERRY INCLUDES A PAYMENT TO CASH OUT PTO IN THE AMOUNT OF $36,923. BRESNICK, M.D., MORGAN TRUSTEE, SURGEON - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. TRUSTEE, SURGEON - BETH ISRAEL DEACONESS MILTON PHYSICIAN ASSOCIATES, INC. TRUSTEE, SURGEON - COMMUNITY PHYSICIANS ASSOCIATES, INC BURKE, M.D., DENNIS ORTHOPEDIC SURGEON - COMMUNITY PHYSICIANS ASSOCIATES, INC. OTHER REPORTABLE COMPENSATION FOR DR. BURKE INCLUDES A PAYMENT TO CASH OUT PTO IN THE AMOUNT OF $34,164. CARUCCI, DEAN MR. CARUCCI BEGAN SERVING IN THE FOLLOWING ROLES ON AUGUST 5, 2024, UNLESS OTHERWISE NOTED BELOW: DIVISIONAL PRESIDENT, COMMUNITY - BETH ISRAEL LAHEY HEALTH, INC. TERM BEGAN ON JULY 29, 2024 TRUSTEE - WINCHESTER HEALTHCARE MANAGEMENT, INC. TERM BEGAN ON AUGUST 4, 2024 TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC TRUSTEE - BID - MILTON PHYSICIAN ASSOCIATES, INC. TRUSTEE - COMMUNITY PHYSICIANS ASSOCIATES, INC. TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - EXETER HEALTH RESOURCES, INC. TRUSTEE - EXETER HOSPITAL, INC. TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - NORTHEAST HOSPITAL CORPORATION TRUSTEE - WINCHESTER HEALTHCARE MANAGEMENT, INC. TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - WINCHESTER HOSPITAL AS NOTED, MR. CARUCCI SERVED IN THE POSITIONS ABOVE DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2023 COMPENSATION. ACCORDINGLY, SINCE MR. CARUCCI DID NOT BEGIN SERVING IN HIS POSITIONS UNTIL CALENDAR YEAR 2024, THERE IS NO COMPENSATION TO REPORT IN THIS FILING. FENTON, ANGELA VICE PRESIDENT, AMBULATORY AND CLINICAL SERVICES - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. VICE PRESIDENT, AMBULATORY AND CLINICAL SERVICES - BID - MILTON PHYSICIAN ASSOCIATES, INC. VICE PRESIDENT, AMBULATORY AND CLINICAL SERVICES - COMMUNITY PHYSICIANS ASSOCIATES, INC. MS. FENTON SERVED IN THE POSITIONS ABOVE DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2023 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 MS. FENTON INCLUDES A CASH PAYMENT RELATED TO RETIREMENT IN THE AMOUNT OF $10,000. FERNANDEZ, RICHARD PRESIDENT AND TRUSTEE (EX-OFFICIO) BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. PRESIDENT AND TRUSTEE COMMUNITY PHYSICIANS ASSOCIATES, INC. PRESIDENT AND TRUSTEE BID-MILTON PHYSICIAN ASSOCIATES, INC. TRUSTEE BETH ISRAEL LAHEY HEALTH PHARMACY, INC. MR. FERNANDEZ SERVED IN THE POSITIONS ABOVE FOR THE FULL FISCAL YEAR ENDED SEPTEMBER 30, 2024. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2023 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. FERNANDEZ INCLUDES COMBINED PAYMENTS FROM NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $47,362. PART OR ALL OF THE PAYMENTS REPRESENT AMOUNTS REPORTED IN PRIOR YEARS AS OTHER REPORTABLE COMPENSATION OR DEFERRED COMPENSATION. FISHMAN, AARON UNLESS OTHERWISE NOTED MR. FISHMAN SERVED IN THE FOLLOWING ROLES DURING THE PERIOD ENDED SEPTEMBER 30, 2024: MR. FISHMAN'S TERM BEGAN IN THE FOLLOWING POSITIONS ON MARCH 10, 2024: CHIEF FINANCIAL OFFICER - NORTHEAST MEDICAL PRACTICE, INC. (NOW KNOWN AS BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC.) ASSISTANT TREASURER, TRUSTEE, & CHIEF FINANCIAL OFFICER - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. ASSISTANT TREASURER & TRUSTEE - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP CHIEF FINANCIAL OFFICER - COMMUNITY PHYSICIANS ASSOCIATES, INC. MR. FISHMAN'S TERM ENDED IN THE FOLLOWING POSITIONS ON MARCH 9, 2024 ASSISTANT TREASURER (EX-OFFICIO) & CHIEF FINANCIAL OFFICER - MOUNT AUBURN HOSPITAL ASSISTANT TREASURER (EX-OFFICIO) & CHIEF FINANCIAL OFFICER - MOUNT AUBURN PROFESSIONAL SERVICES, INC. AS REQUIRED IN FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2023 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 $30,000 IS INCLUDED IN THIS FILING FOR MR. FISHMAN. THAT AMOUNT RELATES TO A MILESTONE PAYMENT WHICH, AS OF DECEMBER 31, 2023, 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. FREED-LOEW, CHERYL VICE PRESIDENT, HUMAN RESOURCES BUSINESS PARTNER -BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. VICE PRESIDENT, HUMAN RESOURCES BUSINESS PARTNER BID - MILTON PHYSICIAN ASSOCIATES, INC. VICE PRESIDENT, HUMAN RESOURCES BUSINESS PARTNER - COMMUNITY PHYSICIANS ASSOCIATES, INC. GEE, ESQ., CARROLL ASSOCIATE GENERAL COUNSEL BETH ISRAEL LAHEY HEALTH MS. GEE BEGAN SERVING IN THE FOLLOWING ROLES AS OF SEPTEMBER 1, 2024: ASSISTANT CLERK- BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. ASSISTANT CLERK THE JORDAN HEALTH SYSTEMS, INC. ASSISTANT CLERK JORDAN PHYSICIAN ASSOCIATES, INC. ASSISTANT CLERK COMMUNITY PHYSICIANS ASSOCIATES, INC. ASSISTANT CLERK BID-MILTON PHYSICIAN ASSOCIATES, INC. ASSISTANT CLERK BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2023 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. KELLY, M.D. CARMEL PHYSICIAN, FAMILY MEDICINE COMMUNITY PHYSICIANS ASSOCIATES, INC.
- SCHEDULE J FOOTNOTES (CONTINUED):
- KATZ, J.D., JAMIE UNLESS OTHERWISE NOTED BELOW, MR. KATZ HELD THE FOLLOWING POSITIONS FOR THE FULL FISCAL PERIOD ENDED SEPTEMBER 30, 2024: 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 - BID - MILTON PHYSICIAN ASSOCIATES, INC. CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. CLERK - JORDAN PHYSICIAN ASSOCIATES, INC. CLERK - 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 AND CLERK (EX-OFFICIO) - ADDISON GILBERT SOCIETY, INC. TRUSTEE (EX-OFFICIO) AND CLERK (EX-OFFICIO) - NORTHEAST HEALTH SYSTEM, INC. TRUSTEE AND 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. TRUSTEE AND CLERK (EX-OFFICIO) - WINCHESTER HOSPITAL FOUNDATION, INC. CLERK - WINCHESTER HEALTHCARE MANAGEMENT, INC. CLERK (EX-OFFICIO) - LAHEY CLINIC FOUNDATION, INC. CLERK - LAHEY CLINIC, INC. CLERK - LAHEY CLINIC HOSPITAL, INC.D/B/A LAHEY HOSPITAL & MEDICAL CENTER CLERK (EX-OFFICIO) - NORTHEAST HOSPITAL CORPORATION TRUSTEE AND CLERK (EX-OFFICIO) - NORTHEAST MEDICAL PRACTICE INC. (NOW KNOWN AS BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC.) TRUSTEE AND CLERK - CAB HEALTH AND RECOVERY SERVICES, INC. TRUSTEE AND CLERK - HEALTH AND EDUCATION HOUSING SERVICES, INC. CLERK (EX-OFFICIO) - WINCHESTER HOSPITAL CLERK - 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 CLERK (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PHARMACY, INC. CLERK (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. CLERK (EX-OFFICIO) - EXETER HEALTH RESOURCES, INC. CLERK - EXETER HOSPITAL, INC. CLERK (EX-OFFICIO) - CORE PHYSICIANS, LLC AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2023 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 PAYMENTS FROM NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $76,930. IN ADDITION, MR. KATZ OTHER REPORTABLE COMPENSATION INCLUDES PAYMENTS FOR GROUP TERM LIFE INSURANCE IN THE AMOUNTS OF $29,355. MACROPOULOS, JOHN PHYSICIAN ASSISTANT, ORTHOPEDICS SURGEON - COMMUNITY PHYSICIANS ASSOCIATES, INC. O'CONNOR, M.D., HEIDI TRUSTEE, PHYSICIAN INTERNAL MEDICINE AND PULMONOLOGIST - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. TRUSTEE, PHYSICIAN INTERNAL MEDICINE AND PULMONOLOGIST - BETH ISRAEL DEACONESS MILTON PHYSICIAN ASSOCIATES, INC. TRUSTEE, PHYSICIAN INTERNAL MEDICINE AND PULMONOLOGIST - COMMUNITY PHYSICIANS ASSOCIATES, INC. RANGAVIZ, SHEILAH CHIEF FINANCIAL OFFICER AND ASSISTANT TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. CHIEF FINANCIAL OFFICER AND ASSISTANT TREASURER COMMUNITY PHYSICIANS ASSOCIATES, INC. CHIEF FINANCIAL OFFICER AND ASSISTANT TREASURER - BID-MILTON PHYSICIAN ASSOCIATES, INC. UNLESS OTHERWISE NOTED BELOW, MS. RANGAVIZ'S SERVED IN THE FOLLOWING ROLES BEGINNING MARCH 30, 2024 CHIEF FINANCIAL OFFICER AND ASSISTANT TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. TERM BEGAN ON MARCH 10, 2024 CHIEF FINANCIAL OFFICER AND ASSISTANT TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. CHIEF FINANCIAL OFFICER AND ASSISTANT TREASURER - JORDAN PHYSICIAN ASSOCIATES, INC. CHIEF FINANCIAL OFFICER AND ASSISTANT TREASURER - THE JORDAN HEALTH SYSTEMS, INC. MS. RANGAVIZ SERVED IN THE POSITIONS ABOVE DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024. 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.
- SCHEDULE J FOOTNOTES (CONTINUED):
- RIOS, CINDY MS. RIOS SERVED IN THE FOLLOWING POSITIONS FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2024: EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER & TREASURER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH, INC. TREASURER - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP TREASURER - 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 - 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. TREASURER - COMMUNITY PHYSICIANS ASSOCIATES, INC. TREASURER - JOSLIN CLINIC, INC. TREASURER (EX-OFFICIO) - JOSLIN DIABETES CENTER, INC. TREASURER - THE JORDAN HEALTH SYSTEMS, INC. TREASURER - JORDAN PHYSICIAN ASSOCIATES, INC. TREASURER (EX-OFFICIO) - LAHEY CLINIC FOUNDATION, INC. TREASURER - LAHEY CLINIC HOSPITAL, INC. D/B/A LAHEY HOSPITAL & MEDICAL CENTER TREASURER - 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 - SEACOAST AFFILIATED GROUP PRACTICE, INC. TRUSTEE & TREASURER (EX-OFFICIO) - WINCHESTER HOSPITAL FOUNDATION, INC. TREASURER - WINCHESTER HEALTHCARE MANAGEMENT, INC. TRUSTEE & TREASURER (EX-OFFICIO) ADDISON GILBERT SOCIETY, INC. TRUSTEE & TREASURER - HEALTH AND EDUCATION HOUSING SERVICES, INC. TRUSTEE & TREASURER - 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. (NOW KNOWN AS BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC.) TRUSTEE & TREASURER (EX-OFFICIO) - NORTHEAST SENIOR HEALTH CORPORATION TRUSTEE & TREASURER (EX-OFFICIO) - SEACOAST NURSING & REHABILITATION CENTER, INC. TREASURER (EX-OFFICIO) - WINCHESTER HOSPITAL TREASURER (EX-OFFICIO) - EXETER HEALTH RESOURCES, INC. TREASURER - EXETER HOSPITAL, INC. TREASURER - EXETER MED REAL, INC. TRUSTEE & TREASURER (EX-OFFICIO) - ROCKINGHAM VISITING NURSE ASSOC AND HOSPICE TREASURER (EX-OFFICIO) - CORE PHYSICIANS, LLC AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2023 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 $125,000 RELATES TO A MILESTONE PAYMENT WHICH, AS OF DECEMBER 31, 2023, 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. IN ADDITION, DEFERRED COMPENSATION INCLUDES AN UNVESTED CONTRIBUTION TO A NONQUALIFIED PLAN IN THE AMOUNT OF $52,757. ROWAN, MICHAEL MR. ROWAN SERVED IN THE FOLLOWING POSITIONS THROUGH HIS RETIREMENT ON DECEMBER 31, 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 - COMMUNITY PHYSICIANS ASSOCIATES, INC. TRUSTEE - THE JORDAN HEALTH SYSTEMS, INC. TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. TRUSTEE - 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. TRUSTEE (CEO DESIGNEE) - SEACOAST AFFILIATED GROUP PRACTICE, INC. TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - WINCHESTER HOSPITAL TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - WINCHESTER HEALTHCARE MANAGEMENT, INC. TRUSTEE (CEO DESIGNATE) - EXETER HOSPITAL, INC TRUSTEE (CEO DESIGNATE) - EXETER HEALTH RESOURCES, INC. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2023 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. ROWAN INCLUDES COMBINED PAYMENTS FROM NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $429,049. PART OR ALL OF THE PAYMENTS REPRESENT AMOUNTS REPORTED IN PRIOR YEARS AS OTHER REPORTABLE COMPENSATION OR DEFERRED COMPENSATION. IN ADDITION, MR. ROWAN'S OTHER REPORTABLE COMPENSATION INCLUDES PAYMENTS FOR GROUP TERM LIFE INSURANCE IN THE AMOUNTS OF $44,958. DEFERRED COMPENSATION FOR MR. ROWAN INCLUDES DEFERRED SEVERANCE PAYMENTS IN THE AMOUNT OF $2,353,850 TO BE PAID AFTER DECEMBER 31, 2023. SHERVIN, M.D. NINA ORTHOPEDICS SURGEON - COMMUNITY PHYSICIANS ASSOCIATES, INC. OTHER REPORTABLE COMPENSATION FOR DR. SHERVIN INCLUDES A PAYMENT TO CASH OUT PTO IN THE AMOUNT OF $26,294. SHORETT, PETER SENIOR EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER - BETH ISRAEL LAHEY HEALTH, INC. TERM BEGAN DECEMBER 10, 2023 EXECUTIVE VICE PRESIDENT AND CHIEF STRATEGY OFFICER - BETH ISRAEL LAHEY HEALTH, INC. TERM ENDED DECEMBER 9, 2023 TRUSTEE (EX-OFFICIO, CEO DESIGNATE) - MOUNT AUBURN HOSPITAL TERM ENDED ON JANUARY 31, 2024. TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - ANNA JAQUES HOSPITAL, INC. TERM BEGAN ON JANUARY 1, 2024 TRUSTEE - SEACOAST AFFILIATED GROUP PRACTICE, INC. TERM BEGAN ON JANUARY 1, 2024 TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. TERM BEGAN ON FEBRUARY 1, 2024 TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - LAHEY CLINIC FOUNDATION, INC. TERM BEGAN ON FEBRUARY 1, 2024 TRUSTEE - LAHEY CLINIC HOSPITAL, INC. D/B/A LAHEY HOSPITAL & MEDICAL CENTER TERM BEGAN ON FEBRUARY 1, 2024 TRUSTEE - LAHEY CLINIC, INC. TERM BEGAN ON FEBRUARY 1, 2024 TRUSTEE (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. TERM ENDED ON MARCH 29, 2024. TRUSTEE - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP TERM ENDED ON MARCH 29, 2024. IN ADDITION, MR. SHORETT SERVED IN THE FOLLOWING ROLES TERM DURING THE PERIOD JANUARY 1, 2024 AND ENDED AUGUST 4, 2024: TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. TRUSTEE - BID - MILTON PHYSICIAN ASSOCIATES, INC. TRUSTEE - COMMUNITY PHYSICIANS ASSOCIATES, INC. TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - EXETER HEALTH RESOURCES, INC. TRUSTEE - EXETER HOSPITAL, INC. TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - NORTHEAST HOSPITAL CORPORATION TRUSTEE - THE JORDAN HEALTH SYSTEMS, INC. TRUSTEE - WINCHESTER HEALTHCARE MANAGEMENT, INC. TRUSTEE (EX-OFFICIO, CEO DESIGNEE) - WINCHESTER HOSPITAL MR. SHORETT SERVED IN THE POSITIONS ABOVE DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2023 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J.
- SCHEDULE J FOOTNOTES (CONTINUED):
- SNEVA, JEB DURING THE FISCAL PERIOD ENDING SEPTEMBER 30, 2024, MR. SNEVA'S TERM ENDED IN THE FOLLOWING POSITONS ON NOVEMBER 17, 2023: CHIEF FINANCIAL OFFICER, ASSISTANT TREASURER & TRUSTEE (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. ASSISTANT TREASURER & TRUSTEE - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP CHIEF FINANCIAL OFFICER, BILHPC - COMMUNITY PHYSICIANS ASSOCIATES, INC. CHIEF FINANCIAL OFFICER, BILHPC - NORTHEAST MEDICAL PRACTICE, INC. (NOW KNOWN AS BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC.) CHIEF FINANCIAL OFFICER, BILHPC - SEACOAST AFFILIATED GROUP PRACTICE, INC. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2023 COMPENSATION OTHER REPORTABLE COMPENSATION FOR MR. SNEVA INCLUDES SEVERANCE PAYMENTS RECEIVED IN 2023 AND TEMPORARY HOUSING IN THE AMOUNT OF $18,462, AND $43,207, RESPECTIVELY. DEFERRED COMPENSATION FOR MR. SNEVA INCLUDES DEFERRED SEVERANCE PAYMENTS IN THE AMOUNT OF $101,538 TO BE PAID AFTER DECEMBER 31, 2023. STANSKY, KATHLEEN J. MS. STANSKY SERVED IN THE POSITIONS BELOW FROM NOVEMBER 20, 2023 TO MARCH 5, 2024 DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2024. INTERIM CHIEF FINANCIAL OFFICER, BILH PRIMARY CARE - COMMUNITY PHYSICIANS ASSOCIATES, INC. ASSISTANT TREASURER & TRUSTEE (EX-OFFICIO); INTERIM CHIEF FINANCIAL OFFICER; DIRECTOR, FINANCIAL PLANNING AND ANALYSIS - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. ASSISTANT TREASURER & TRUSTEE - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP INTERIM CHIEF FINANCIAL OFFICER, BILH PRIMARY CARE - NORTHEAST MEDICAL PRACTICE, INC. (NOW KNOWN AS BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC.) UNLESS OTHERWISE NOTED, MS. STANSKY SERVED IN THE POSITIONS ABOVE FOR THE FULL FISCAL YEAR ENDED SEPTEMBER 30, 2024. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2023 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. SULLIVAN, JOSEPH C. TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. TRUSTEE - BETH ISRAEL DEACONESS MILTON PHYSICIAN ASSOCIATES, INC. TRUSTEE - COMMUNITY PHYSICIANS ASSOCIATES, INC. TABB, M.D., KEVIN UNLESS OTHERWISE NOTED BELOW, DR. TABB HELD THE FOLLOWING POSITIONS FOR THE FULL FISCAL PERIOD ENDING SEPTEMBER 30, 2024: 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) ROLE ENDED ON JANUARY 31, 2024 AT WHICH TIME HE APPOINTED A DESIGNEE TO THIS ROLE TRUSTEE (EX OFFICIO) AND CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - LAHEY CLINIC HOSPITAL, INC. D/B/A LAHEY HOSPITAL & MEDICAL CENTER TRUSTEE (EX-OFFICIO) ROLE ENDED ON JANUARY 31, 2024 AT WHICH TIME HE APPOINTED A DESIGNEE TO THIS ROLE TRUSTEE (EX OFFICIO) AND CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - LAHEY CLINIC, INC. TRUSTEE (EX-OFFICIO) ROLE ENDED ON JANUARY 31, 2024 AT WHICH TIME HE APPOINTED A DESIGNEE TO THIS ROLE TRUSTEE (EX OFFICIO) AND CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - LAHEY CLINIC FOUNDATION, INC. TRUSTEE (EX-OFFICIO) ROLE ENDED ON JANUARY 31, 2024 AT WHICH TIME HE APPOINTED A DESIGNEE TO THIS ROLE 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 TRUSTEE AND PRESIDENT (EX-OFFICIO) - WINCHESTER HOSPITAL FOUNDATION, INC. CHIEF EXECUTIVE OFFICER - 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 TRUSTEE (EX-OFFICIO) ROLE ENDED ON OCTOBER 31, 2023 AT WHICH TIME HE APPOINTED A DESIGNEE TO THIS ROLE CHIEF EXECUTIVE OFFICER AND TRUSTEE - CAB HEALTH AND RECOVERY SERVICES, INC. TRUSTEE ROLE ENDED ON OCTOBER 31, 2023 AT WHICH TIME HE APPOINTED A DESIGNEE TO THIS ROLE CHIEF EXECUTIVE OFFICER AND TRUSTEE - HEALTH AND EDUCATION HOUSING SERVICES, INC. TRUSTEE ROLE ENDED ON OCTOBER 31, 2023 AT WHICH TIME HE APPOINTED A DESIGNEE TO THIS ROLE CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. CHIEF EXECUTIVE OFFICER - 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 - SEACOAST AFFILIATED GROUP PRACTICE, INC. CHIEF EXECUTIVE OFFICER - JOSLIN CLINIC, INC. CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - JOSLIN DIABETES CENTER, INC. CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - EXETER HEALTH RESOURCES, INC. CHIEF EXECUTIVE OFFICER - 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 DESIGNEE 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) 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. TRUSTEE (EX-OFFICIO) BETH ISRAEL DEACONESS MEDICAL CENTER, INC. TRUSTEE (EX-OFFICIO) LAHEY CLINIC FOUNDATION, INC. TRUSTEE (EX-OFFICIO) LAHEY CLINIC HOSPITAL, INC. D/B/A LAHEY HOSPITAL & MEDICAL CENTER TRUSTEE (EX-OFFICIO) LAHEY CLINIC, INC. TRUSTEE (EX-OFFICIO) CAB HEALTH AND RECOVERY SERVICES, INC. TRUSTEE (EX-OFFICIO) HEALTH AND EDUCATION HOUSING SERVICES, INC. TRUSTEE (EX-OFFICIO) NORTHEAST BEHAVIORAL HEALTH CORPORATION ALTHOUGH DR. TABB SERVED IN THE POSITIONS ABOVE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2024. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2023 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 DR. TABB INCLUDES COMBINED PAYMENTS FROM NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $497,673. PART OR ALL OF THE PAYMENTS REPRESENT AMOUNTS REPORTED IN PRIOR YEARS AS OTHER REPORTABLE COMPENSATION OR DEFERRED COMPENSATION. IN ADDITION, DR. TABB'S OTHER REPORTABLE COMPENSATION INCLUDES PAYMENTS FOR GROUP TERM LIFE INSURANCE IN THE AMOUNTS OF $23,364. DEFERRED COMPENSATION IN THE AMOUNT OF $1,034,000 IS INCLUDED IN THIS FILING FOR DR. TABB. THIS AMOUNT RELATES TO A MILESTONE PAYMENT WHICH, AS OF DECEMBER 31, 2023, 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.
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
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501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
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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
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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
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BETH ISRAEL COMMUNITY FOUNDATION INC
501(C)(3) · INACTIVE CORPORATION · MA
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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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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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BETH ISRAEL LAHEY HEALTH PRIMARY CARE
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
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501(C)(3) · MANAGEMENT PROFESSIONAL & IT SUPPORT SERVICES · MA
-
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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BID-MILTON PHYSICIAN ASSOCIATES INC
501(C)(3) · PROMOTE HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL DEACONESS HOSPITAL - MILTON
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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
-
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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501(C)(3) · TO IMPROVE PATIENT SAFETY AND HEALTH CARE QUALITY · MA · controlled entity
Directly controlled by BETH ISRAEL ANAESTHESIA FOUNDATION INC
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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
-
501(C)(3) · PHYSICIAN PRACTICES · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES INC
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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
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EXETER HEALTH RESOURCES SELF-INSURANCE TRUST
501(C)(3) · SELF-INSURANCE TRUST · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES 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
-
501(C)(25) · REAL ESTATE HOLDING COMPANY · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES INC
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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
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501(C)(3) · PREVENTION, TREATMENT, AND CURE OF DIABETES · MA · controlled entity
Directly controlled by JOSLIN DIABETES CENTER INC
-
501(C)(3) · PREVENTION, TREATMENT, AND CURE OF DIABETES · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
LAHEY CLINIC CANADIAN FOUNDATION
FUNDRAISING ORG · CA
-
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
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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
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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
-
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
-
ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICE
501(C)(3) · HOME CARE & HOSPICE · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES 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
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
-
COORDINATED SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC · MA
-
COORDINATED SAFE AND COST EFFECTIVE PATIENT CARE AT BILH · MA
-
BILH INVESTMENT PARTNERSHIP LLP
INVESTMENT PARTNERSHIP · MA
-
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
-
C · TO HOLD OWNERSHIP OF SUBTERRANEAN RIGHTS · DE
-
LAHEY CLINIC INSURANCE CO LTD
C · INSURANCE · BD
-
LEDGEWOOD HEALTH CARE CORPORATION
C · NURSING HOME · MA
-
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
- 2023
- Filed
- 14 August 2025
- IRS schema version
- 2023v6.0
- Source object
- 202512279349301871
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