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Nonprofiteer
← COMMUNITY PHYSICIANS ASSOCIATES INC

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.

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.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
14 August 2025
IRS schema version
2023v6.0
Source object
202512279349301871

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