Form 990 for tax year 2022
Filed by BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC.
Totals
- Total revenue
- $369,118,399
- Total expenses
- $365,010,307
- Contributions and grants received
- $4,388,076
- Grants paid
- $0
- Program services expenses (Part IX)
- $327,014,033
- Management and general expenses
- $36,794,044
- Fundraising expenses
- $1,202,230
- Program service expenses (Part III)
- $327,014,033
Program services were 89.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
ROWAN MICHAEL
TRUSTEE (EX-OFFICIO) (CEO DESIGNEE)
- Total calculated
- $1,335,874
- From this org
- $0
- From related orgs
- $1,298,835
- Other
- $37,039
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $1,190,783 related
- Bonus
- $0
- Other
- $0 + $108,052 related
- Deferred
- $0 + $9,371 related
- Nontaxable benefits
- $0 + $27,668 related
- Filer's total
- $0 + $1,335,874 related
-
BURNS ERIN
TRUSTEE
- Total calculated
- $635,649
- From this org
- $0
- From related orgs
- $560,180
- Other
- $75,469
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $526,559 related
- Bonus
- $0 + $25,000 related
- Other
- $0 + $8,621 related
- Deferred
- $0 + $30,500 related
- Nontaxable benefits
- $0 + $44,969 related
- Filer's total
- $0 + $635,649 related
-
VALSKY MD EUGENE
TTEE (EX-OFF) (PRES, MEDICAL STAFF)
- Total calculated
- $595,677
- From this org
- $0
- From related orgs
- $526,404
- Other
- $69,273
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $432,267 related
- Bonus
- $0 + $68,870 related
- Other
- $0 + $25,267 related
- Deferred
- $0 + $30,500 related
- Nontaxable benefits
- $0 + $38,773 related
- Filer's total
- $0 + $595,677 related
-
COUGHLIN KEVIN
TRUSTEE (EX-OFFICIO), PRESIDENT
- Total calculated
- $572,121
- From this org
- $0
- From related orgs
- $529,416
- Other
- $42,705
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $501,414 related
- Bonus
- $0
- Other
- $0 + $28,002 related
- Deferred
- $0 + $7,320 related
- Nontaxable benefits
- $0 + $35,385 related
- Filer's total
- $0 + $572,121 related
-
KELLY MD DAVID
TRUSTEE
- Total calculated
- $415,567
- From this org
- $0
- From related orgs
- $365,765
- Other
- $49,802
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $301,252 related
- Bonus
- $0 + $61,666 related
- Other
- $0 + $2,847 related
- Deferred
- $0 + $28,050 related
- Nontaxable benefits
- $0 + $21,752 related
- Filer's total
- $0 + $415,567 related
-
TAYLOR LISA
TRUSTEE
- Total calculated
- $312,319
- From this org
- $0
- From related orgs
- $279,849
- Other
- $32,470
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $270,573 related
- Bonus
- $0 + $2,250 related
- Other
- $0 + $7,026 related
- Deferred
- $0 + $26,787 related
- Nontaxable benefits
- $0 + $5,683 related
- Filer's total
- $0 + $312,319 related
-
FOSDICK KENNETH
CHAIR, TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
KAPELL JEFF
TRUSTEE, VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
BLAIR RAYMOND
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
CARR ALLISON GILLMORE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
HEWITT CHARLES
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
HORWITZ-WILLIS NATE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
JOHNSON JOHN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
KENNISTON MD JULIA
TTEE (EX-OFF) (PRES, MEDICAL STAFF)
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
KOWALOFF MD HARVEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
MARBLE MEGAN VAYO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
MARINI ANNA
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
MCGRATH JOHN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
MCKENNA CATHERINE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
PRIMAVERA DENNIS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
SHIELDS MARY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
TABB MD KEVIN
CHIEF EXECUTIVE OFFICER (EX-OFFICIO)
- Total calculated
- $2,807,152
- From this org
- $0
- From related orgs
- $2,507,235
- Other
- $299,917
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $2,103,982 related
- Bonus
- $0
- Other
- $0 + $403,253 related
- Deferred
- $0 + $257,320 related
- Nontaxable benefits
- $0 + $42,597 related
- Filer's total
- $0 + $2,807,152 related
-
KERNDL JOHN
TREAS (EX-OFF) (EVP & CFO, BILH)
- Total calculated
- $1,335,872
- From this org
- $0
- From related orgs
- $1,301,463
- Other
- $34,409
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $1,068,846 related
- Bonus
- $0 + $100,000 related
- Other
- $0 + $132,617 related
- Deferred
- $0 + $4,985 related
- Nontaxable benefits
- $0 + $29,424 related
- Filer's total
- $0 + $1,335,872 related
-
RIOS CINDY
TREAS (EX-OFF) (INTERIM CFO, BILH)
- Total calculated
- $1,022,982
- From this org
- $0
- From related orgs
- $802,046
- Other
- $220,936
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $574,544 related
- Bonus
- $0 + $174,475 related
- Other
- $0 + $53,027 related
- Deferred
- $0 + $188,510 related
- Nontaxable benefits
- $0 + $32,426 related
- Filer's total
- $0 + $1,022,982 related
-
KATZ ESQ JAMIE
CLERK (EX-OFFICIO)
- Total calculated
- $914,057
- From this org
- $0
- From related orgs
- $898,193
- Other
- $15,864
- Hours/week
- 1 + 64 related
Schedule J breakdown matched by us
- Base
- $0 + $794,826 related
- Bonus
- $0
- Other
- $0 + $103,367 related
- Deferred
- $0 + $7,320 related
- Nontaxable benefits
- $0 + $8,544 related
- Filer's total
- $0 + $914,057 related
-
ARMSTRONG ESQ EMILY
ASST CLERK(EX-OFF), AVP,ASST DEP GC
- Total calculated
- $305,223
- From this org
- $24
- From related orgs
- $268,194
- Other
- $37,005
- Hours/week
- 1 + 63 related
Schedule J breakdown matched by us
- Base
- $24 + $244,147 related
- Bonus
- $0
- Other
- $0 + $24,047 related
- Deferred
- $0 + $7,915 related
- Nontaxable benefits
- $0 + $29,090 related
- Filer's total
- $24 + $305,199 related
-
JENKINS JIM
ASST TREAS (EX-OFF), CFO
- Total calculated
- $234,826
- From this org
- $0
- From related orgs
- $233,584
- Other
- $1,242
- Hours/week
- 1 + 57 related
Schedule J breakdown matched by us
- Base
- $0 + $172,884 related
- Bonus
- $0 + $30,766 related
- Other
- $0 + $29,934 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $1,242 related
- Filer's total
- $0 + $234,826 related
-
TIERNEY MD MATT
CHIEF OF SURGERY
- Total calculated
- $655,621
- From this org
- $0
- From related orgs
- $584,084
- Other
- $71,537
- Hours/week
- 30 + 30 related
Schedule J breakdown matched by us
- Base
- $0 + $509,638 related
- Bonus
- $0 + $50,000 related
- Other
- $0 + $24,446 related
- Deferred
- $0 + $30,500 related
- Nontaxable benefits
- $0 + $41,037 related
- Filer's total
- $0 + $655,621 related
-
THOMAS MD TENNY
CHIEF MEDICAL OFFICER
- Total calculated
- $580,603
- From this org
- $0
- From related orgs
- $440,671
- Other
- $139,932
- Hours/week
- 1 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $435,537 related
- Bonus
- $0
- Other
- $0 + $5,134 related
- Deferred
- $0 + $96,500 related
- Nontaxable benefits
- $0 + $43,432 related
- Filer's total
- $0 + $580,603 related
-
CHAPIN RN MS MARY
VP, AMBULATORY SVS & PROCESS IMPROVE
- Total calculated
- $379,037
- From this org
- $334,377
- From related orgs
- $0
- Other
- $44,660
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $268,194
- Bonus
- $0
- Other
- $66,183
- Deferred
- $12,140
- Nontaxable benefits
- $32,520
- Filer's total
- $379,037
-
DOHERTY RN DONNA
CNO & SVP, PATIENT CARE SERVICES
- Total calculated
- $356,433
- From this org
- $322,313
- From related orgs
- $0
- Other
- $34,120
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $299,311
- Bonus
- $0
- Other
- $23,002
- Deferred
- $12,776
- Nontaxable benefits
- $21,344
- Filer's total
- $356,433
-
ABOU RJEILY MD CHARBEL
CHIEF OF MEDICINE
- Total calculated
- $342,764
- From this org
- $0
- From related orgs
- $279,514
- Other
- $63,250
- Hours/week
- 1 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $256,987 related
- Bonus
- $0 + $4,244 related
- Other
- $0 + $18,283 related
- Deferred
- $0 + $25,961 related
- Nontaxable benefits
- $0 + $37,289 related
- Filer's total
- $0 + $342,764 related
-
BAKER WENDY
VP, HUMAN RESOURCES BUSINESS PARTNER
- Total calculated
- $277,877
- From this org
- $0
- From related orgs
- $223,375
- Other
- $54,502
- Hours/week
- 1 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $172,016 related
- Bonus
- $0 + $37,921 related
- Other
- $0 + $13,438 related
- Deferred
- $0 + $40,840 related
- Nontaxable benefits
- $0 + $13,662 related
- Filer's total
- $0 + $277,877 related
-
RUTHERFORD RON
VP, CIO, VP SUPPORT SERVICES
- Total calculated
- $266,092
- From this org
- $247,877
- From related orgs
- $0
- Other
- $18,215
- Hours/week
- 55 + 1 related
Schedule J breakdown matched by us
- Base
- $223,184
- Bonus
- $0
- Other
- $24,693
- Deferred
- $11,077
- Nontaxable benefits
- $7,138
- Filer's total
- $266,092
-
GORSUCH W BRIAN
CHIEF PHYSICIAN ASSISTANT
- Total calculated
- $355,566
- From this org
- $311,288
- From related orgs
- $0
- Other
- $44,278
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $308,502
- Bonus
- $0
- Other
- $2,786
- Deferred
- $12,256
- Nontaxable benefits
- $32,022
- Filer's total
- $355,566
-
HEBERT RICHARD
NURSE PRACTITIONER
- Total calculated
- $321,232
- From this org
- $295,223
- From related orgs
- $0
- Other
- $26,009
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $271,920
- Bonus
- $100
- Other
- $23,203
- Deferred
- $4,936
- Nontaxable benefits
- $21,073
- Filer's total
- $321,232
-
SODERSTROM JADE
REGISTERED NURSE
- Total calculated
- $314,922
- From this org
- $276,942
- From related orgs
- $0
- Other
- $37,980
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $273,364
- Bonus
- $0
- Other
- $3,578
- Deferred
- $9,018
- Nontaxable benefits
- $28,962
- Filer's total
- $314,922
-
GERENIA DARLENE
REGISTERED NURSE
- Total calculated
- $292,346
- From this org
- $284,859
- From related orgs
- $0
- Other
- $7,487
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $276,173
- Bonus
- $100
- Other
- $8,586
- Deferred
- $7,395
- Nontaxable benefits
- $92
- Filer's total
- $292,346
-
NDUNGU VIRGINIA
PHYSICIAN ASSISTANT, ICU
- Total calculated
- $270,589
- From this org
- $242,551
- From related orgs
- $0
- Other
- $28,038
- Hours/week
- 55
Schedule J breakdown matched by us
- Base
- $236,856
- Bonus
- $0
- Other
- $5,695
- Deferred
- $9,340
- Nontaxable benefits
- $18,698
- Filer's total
- $270,589
-
DWYER MARY
INTM ASST TREAS EXOFF/CFO;CONTROLLER
- Total calculated
- $246,782
- From this org
- $215,598
- From related orgs
- $0
- Other
- $31,184
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $204,815
- Bonus
- $0
- Other
- $10,783
- Deferred
- $10,525
- Nontaxable benefits
- $20,659
- Filer's total
- $246,782
-
BARNES ESQ JARED
FRMR ASST CLERK (EX-OFF) (ASSOC GC)
- Total calculated
- $152,786
- From this org
- $0
- From related orgs
- $135,849
- Other
- $16,937
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $118,706 related
- Bonus
- $0
- Other
- $0 + $17,143 related
- Deferred
- $0 + $2,826 related
- Nontaxable benefits
- $0 + $14,111 related
- Filer's total
- $0 + $152,786 related
-
BROWNING MD THOMAS
FORMER CHIEF OF MEDICINE
- Total calculated
- $299,073
- From this org
- $0
- From related orgs
- $245,021
- Other
- $54,052
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $235,284 related
- Bonus
- $0
- Other
- $0 + $9,737 related
- Deferred
- $0 + $24,650 related
- Nontaxable benefits
- $0 + $29,402 related
- Filer's total
- $0 + $299,073 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — 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
- 1a · Tax indemnification and gross-up payments
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 4B
- AS REQUIRED BY THIS FORM 990, SCHEDULE J, COMPENSATION INFORMATION, AND AS NOTED ABOVE, THE COMPENSATION DETAIL INCLUDED IN BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH'S (BIDP OR BID-PLYMOUTH) FORM 990 FILING FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2023 IS CALENDAR YEAR 2022 DETAIL. ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW. DURING THE 2022 CALENDAR YEAR, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) WAS A PARTICIPATING EMPLOYER IN THE BETH ISRAEL DEACONESS MEDICAL CENTER EXECUTIVE RETIREMENT PROGRAM WHICH IS A NON-QUALIFIED DEFERRED COMPENSATION PLAN AND PURSUANT TO THE PLAN ELIGIBLE EMPLOYEES RECEIVE CERTAIN RETIREMENT BENEFITS. AMOUNTS RECEIVED BY PARTICIPANTS AND RELATED TO THIS PLAN ARE INCLUDED IN FORM 990 SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION AND/OR FORM 990, SCHEDULE J, PART II, COLUMN C, DEFERRED COMPENSATION IN ACCORDANCE WITH THE INSTRUCTIONS TO THIS FORM 990. IN ADDITION, DURING THE 2022 CALENDAR YEAR, SEVERAL ENTITIES WITHIN THE LAHEY HEALTH SYSTEM WERE PARTICIPATING EMPLOYERS IN THE LAHEY CLINIC 457(F) NON-QUALIFIED DEFINED CONTRIBUTION PLAN AND THE LAHEY CLINIC 457(B) RETIREMENT SAVINGS PLAN. PURSUANT TO THESE PLANS, ELIGIBLE EMPLOYEES RECEIVED CERTAIN RETIREMENT BENEFITS AND/OR COULD DEFER PART OF THEIR COMPENSATION. UNDER THE DEFINITIONS TO THIS FORM 990, THESE PLANS ARE CONSIDERED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS. AMOUNTS DEFERRED BY PARTICIPANTS OR CONTRIBUTIONS RECEIVED BY PARTICIPANTS AND RELATED TO THESE PLANS ARE INCLUDED IN FORM 990 SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION AND/OR FORM 990, SCHEDULE J, PART II, COLUMN C, DEFERRED COMPENSATION IN ACCORDANCE WITH THE INSTRUCTIONS TO THIS FORM 990. ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW.
- SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES
- ALL DIRECTORS/TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, DIRECTORS/TRUSTEES OR KEY EMPLOYEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF DIRECTOR/TRUSTEE, AS DENOTED BY THE LISTED TITLES IN THE NOTES BELOW AND WAS PAID FOR POSITIONS HELD DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED BY FORM 990, COMPENSATION REPORTED FOR THIS FISCAL YEAR IS CALENDAR YEAR 2022 COMPENSATION. COMPENSATION REPORTED FOR INDIVIDUALS MAY REFLECT AN ALLOCATION OF COMPENSATION PAID BY ENTITIES RELATED TO THE FILING ORGANIZATION AND WITHIN THE BETH ISRAEL LAHEY HEALTH NETWORK OR OTHER ENTITIES, AS REQUIRED. REPORTABLE COMPENSATION LISTED IN FORM 990 PART VII INCLUDES BASE COMPENSATION, INCENTIVE COMPENSATION AND OTHER REPORTABLE COMPENSATION AS REPORTED IN FORM 990 SCHEDULE J. OTHER COMPENSATION LISTED IN FORM 990 PART VII INCLUDES DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS AS REPORTED IN FORM 990 SCHEDULE J. BASE COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED IN THIS RETURN BUT QUANTIFIED IN BASE COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: REGULAR WAGES, EMPLOYEE DEFERRALS TO A 401(K) AND/OR 403(B) PLAN. OTHER REPORTABLE COMPENSATION: AMOUNTS QUANTIFIED IN OTHER REPORTABLE COMPENSATION WHICH MAY NOT BE SEPARATELY NOTED IN THIS FILING INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: TAXABLE EMPLOYER-SUBSIDIZED PARKING; TAXABLE MOVING EXPENSES; TAXABLE LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE; AMOUNTS DEFERRED BY THE EMPLOYEE (PLUS EARNINGS) UNDER FULLY VESTED 457(B) PLAN; DISTRIBUTIONS FROM A 457(B) PLAN; AMOUNTS INCLUDIBLE IN INCOME UNDER A 457(F) PLAN; INCREASE/DECREASE IN VALUE OF NONQUALIFIED RETIREMENT BENEFITS; OTHER TAXABLE RETIREMENT BENEFITS. DEFERRED COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN DEFERRED COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: EMPLOYER CONTRIBUTIONS TO 401K RETIREMENT PLAN, EMPLOYER CONTRIBUTIONS TO 403B RETIREMENT PLAN, EMPLOYER CONTRIBUTION TO PENSION PLAN AND/OR THE CHANGE IN ACTUARIAL VALUE OF THE PENSION PLAN BENEFIT, UNFUNDED AND UNVESTED AMOUNTS DEFERRED UNDER 457(F) PLAN. NON-TAXABLE BENEFITS: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN NON-TAXABLE BENEFITS INCLUDE AMOUNTS FROM ONE OR MORE OF THE NON-TAXABLE BENEFITS: EMPLOYEE CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYER CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYEE CONTRIBUTIONS TO FLEXIBLE SPENDING ACCOUNTS FOR DEPENDENT CARE AND/OR MEDICAL REIMBURSEMENT, ADOPTION ASSISTANCE, TUITION ASSISTANCE PURSUANT TO AN EMPLOYER PLAN, GROUP TERM LIFE INSURANCE, DISABILITY INSURANCE. COMPLETE TITLES AND ADDITIONAL EXPLANATORY INFORMATION FOR OFFICERS, DIRECTOR/TRUSTEES, KEY EMPLOYEES AND THE ENTITIES FIVE HIGHEST PAID EMPLOYEES OTHER THAN ODTKH ARE LISTED BELOW ALPHABETICALLY: ABOU RJEILY, M.D., CHARBEL -CHIEF OF MEDICINE BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. ABOU INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $14,183. INCLUDED IN THIS AMOUNT IS AN UNREALIZED LOSS IN THE AMOUNT OF $3,817 IMPACTING THE NONQUALIFIED UNVESTED BALANCE. ARMSTRONG, ESQ., EMILY -ASSISTANT VICE PRESIDENT AND ASSISTANT DEPUTY GENERAL COUNSEL BETH ISRAEL LAHEY HEALTH -ASSISTANT CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. -ASSISTANT CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -ASSISTANT CLERK (EX-OFFICIO) - JOSLIN CLINIC, INC. -ASSISTANT CLERK (EX-OFFICIO) - JOSLIN DIABETES CENTER, INC. -ASSISTANT CLERK (EX-OFFICIO) (HOSPITAL ATTORNEY) - THE JORDAN HEALTH SYSTEMS, INC. -ASSISTANT CLERK (EX-OFFICIO) (HOSPITAL ATTORNEY) - JORDAN PHYSICIAN ASSOCIATES, INC. , INC. -CLERK (EX-OFFICIO) - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP -TERM ENDED MARCH 30, 2023 -CLERK (EX-OFFICIO) - BAIM INSTITUTE FOR CLINICAL RESEARCH, INC. -CLERK (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. -TERM ENDED MARCH 30, 2023 UNLESS OTHERWISE NOTED, MS. ARMSTRONG SERVED IN THE POSITIONS ABOVE FOR THE FULL FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE COMPENSATION INCLUDES A PAYMENT FOR PTO CASHED OUT IN THE AMOUNT OF $23,808. BAKER, WENDY -VICE PRESIDENT, HUMAN RESOURCES BUSINESS PARTNER - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. MS. BAKER SERVED IN THIS POSITION DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MS. BAKER INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $13,049. INCLUDED IN THE AMOUNT IS AN UNREALIZED LOSS OF $398 IMPACTING HER UNVESTED NONQUALIFIED BENEFIT. DEFERRED COMPENSATION IN THE AMOUNT OF $34,200 IS INCLUDED IN THIS FILING FOR MS. BAKER. THAT AMOUNT RELATES TO A MILESTONE PAYMENT WHICH, AS OF DECEMBER 31, 2022, WAS NOT FUNDED, WAS NOT VESTED AND FOR WHICH THERE WAS NO GUARANTEE OF PAYMENT. THIS AMOUNT IS INCLUDED HERE AS DEFERRED COMPENSATION AS REQUIRED BASED ON THE INSTRUCTIONS TO THE FORM 990. BARNES, ESQ., JARED -ASSOCIATE GENERAL COUNSEL- BETH ISRAEL LAHEY HEALTH -ASSISTANT CLERK (EX-OFFICIO), ASSOCIATE GENERAL COUNSEL- BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH, INC. -FORMER ASSISTANT CLERK- JORDAN HEALTH SYSTEMS, INC. -FORMER ASSISTANT CLERK - JORDAN PHYSICIAN ASSOCIATES BLAIR, RAYMOND -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. BROWNING, M.D., THOMAS -FORMER CHIEF OF MEDICINE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC., INC. BURNS, ERIN -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC., INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. CARR, ALLISON GILLMORE -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC., INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. CHAPIN, RN, MS, MARY -VICE PRESIDENT OF AMBULATORY SERVICES & PROCESS IMPROVEMENT - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MS. CHAPIN INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $63,358. THIS AMOUNT IS A DISTRIBUTION FROM A NONQUALIFIED PLAN IN THE AMOUNT OF $63,358. COUGHLIN, KEVIN -PRESIDENT AND TRUSTEE (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC., INC. -PRESIDENT AND TRUSTEE (EX-OFFICIO) - THE JORDAN HEALTH SYSTEMS, INC. -PRESIDENT AND TRUSTEE (EX-OFFICIO) - JORDAN PHYSICIAN ASSOCIATES, INC. MR. COUGHLIN SERVED IN THE POSITIONS ABOVE DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. COUGHLIN INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $22,976.. THIS AMOUNT INCLUDES A NET UNREALIZED LOSS IN THE AMOUNT OF $30,577 IMPACTING THE NONQUALIFIED BENEFIT AND A PAYOUT FROM A NONQUALIFIED PLAN IN THE AMOUNT OF $34,053. DOHERTY, R.N., DONNA -CHIEF NURSING OFFICER AND SENIOR VICE PRESIDENT, PATIENT CARE SERVICES - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MS. DOHERTY INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $18,217. DWYER, MARY -INTERIM ASSISTANT TREASURER (EX-OFFICIO)/ CHIEF FINANCIAL OFFICER, CONTROLLER - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. FOSDICK, KENNETH -TRUSTEE AND BOARD CHAIR - JORDAN HEALTH SYSTEMS, INC -TRUSTEE AND BOARD CHAIR - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH -TRUSTEE AND BOARD CHAIR - JORDAN PHYSICIAN ASSOCIATES, INC. MR. FOSDICK'S TERM AS CHAIR ON THE BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH'S BOARD BEGAN ON OCTOBER 1, 2021. GERENIA, DARLENE -REGISTERED NURSE- BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH
- SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES
- GORSUCH, W BRIAN -CHIEF PHYSICIAN ASSISTANT - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH HEBERT, RICHARD -NURSE PRACTITIONER - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH HEWITT, CHARLES -TRUSTEE AND BOARD CHAIR - JORDAN HEALTH SYSTEMS, INC -TRUSTEE AND BOARD CHAIR - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH -TRUSTEE AND BOARD CHAIR - JORDAN PHYSICIAN ASSOCIATES, INC. HORWITZ-WILLIS, NATE -TRUSTEE - JORDAN HEALTH SYSTEMS, INC -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. -TRUSTEE - BETH ISRAEL LAHEY HEALTH PHARMACY, INC JENKINS, JIM -ASSISTANT TREASURER, EX OFFICIO (HOSPITAL CFO)- JORDAN HEALTH SYSTEMS, INC. -ASSISTANT TREASURER, EX OFFICIO (HOSPITAL CFO)- JORDAN PHYSICIAN ASSOCIATES, INC. -ASSISTANT TREASURER, EX OFFICIO (HOSPITAL CFO)- BETH ISRAEL DEACONESS HOSPITAL- PLYMOUTH, INC. JOHNSON, JOHN -TRUSTEE - JORDAN HEALTH SYSTEMS, INC -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. KAPELL, JEFF -TRUSTEE AND VICE CHAIR - JORDAN HEALTH SYSTEMS, INC -TRUSTEE AND VICE CHAIR - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH -TRUSTEE AND VICE CHAIR - JORDAN PHYSICIAN ASSOCIATES, INC. KATZ, ESQ., JAMIE UNLESS OTHERWISE NOTED BELOW, MR. KATZ HELD THE FOLLOWING POSITIONS FOR THE FULL FISCAL PERIOD ENDED SEPTEMBER 30, 2023: -GENERAL COUNSEL AND CLERK (EX-OFFICIO), - BETH ISRAEL LAHEY HEALTH, INC. -CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. -CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. -CLERK (EX-OFFICIO) - MOUNT AUBURN HOSPITAL -CLERK (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL -CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. -CLERK - COMMUNITY PHYSICIANS ASSOCIATES, INC. -CLERK (EX-OFFICIO) - BID - MILTON PHYSICIAN ASSOCIATES, INC. -CLERK (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -CLERK (EX-OFFICIO) - JORDAN PHYSICIAN ASSOCIATES, INC. , INC. -CLERK (EX-OFFICIO) - THE JORDAN HEALTH SYSTEMS, INC. -CLERK (EX-OFFICIO) - ANNA JAQUES HOSPITAL -CLERK - SEACOAST AFFILIATED GROUP PRACTICE, INC. -TRUSTEE AND CLERK (EX-OFFICIO) - LAHEY HEALTH SHARED SERVICES, INC. -TRUSTEE (EX-OFFICIO) AND CLERK (EX-OFFICIO) - ADDISON GILBERT SOCIETY, INC. -TRUSTEE (EX-OFFICIO) AND CLERK (EX-OFFICIO) - NORTHEAST HEALTH SYSTEM, INC. -TRUSTEE (EX-OFFICIO)RAND CLERK (EX-OFFICIO) - NORTHEAST SENIOR HEALTH CORPORATION -TRUSTEE (EX-OFFICIO) AND CLERK (EX-OFFICIO) - NORTHEAST BEHAVIORAL HEALTH CORPORATION -TRUSTEE AND CLERK (EX-OFFICIO) - SEACOAST NURSING AND REHABILITATION CENTER, INC. -DIRECTOR AND CLERK (EX-OFFICIO) - WINCHESTER HOSPITAL FOUNDATION, INC. -CLERK (EX-OFFICIO) - WINCHESTER HEALTHCARE MANAGEMENT, INC. -CLERK (EX-OFFICIO) - LAHEY CLINIC FOUNDATION, INC. -CLERK (EX-OFFICIO) - LAHEY CLINIC, INC. -CLERK (EX-OFFICIO) - LAHEY CLINIC HOSPITAL, INC.D/B/A LAHEY HOSPITAL & MEDICAL CENTER -CLERK (EX-OFFICIO) - NORTHEAST HOSPITAL CORPORATION -TRUSTEE (EX-OFFICIO) AND CLERK (EX-OFFICIO) - NORTHEAST MEDICAL PRACTICE INC. -TRUSTEE AND CLERK - CAB HEALTH AND RECOVERY SERVICES, INC. -TRUSTEE (EX-OFFICIO) AND CLERK (EX-OFFICIO) - HEALTH AND EDUCATION HOUSING SERVICES, INC. -CLERK (EX-OFFICIO) - WINCHESTER HOSPITAL -CLERK (EX-OFFICIO) - JOSLIN CLINIC, INC. -CLERK (EX-OFFICIO) - JOSLIN DIABETES CENTER, INC. -CLERK (EX-OFFICIO) - MOUNT AUBURN PROFESSIONAL SERVICES, INC. -CLERK - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP - TERM BEGAN ON MARCH 31, 2023 -CLERK (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PHARMACY, INC. -CLERK (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. - TERM BEGAN ON MARCH 31, 2023 EFFECTIVE JULY 1, 2023, BETH ISRAEL LAHEY HEALTH BECAME THE SOLE MEMBER OF EXETER HEALTH RESOURCES INC. WHICH IN TURN SERVES AS THE SOLE MEMBER OF EXETER HOSPITAL AND ADDITIONAL AFFILIATES. AS OF THAT DATE MR. KATZ ASSUMED THE FOLLOWING ADDITIONAL POSITIONS: -CLERK (EX-OFFICIO) - EXETER HEALTH RESOURCES, INC. -CLERK (EX-OFFICIO) - EXETER HOSPITAL, INC. -CLERK (EX-OFFICIO) - CORE PHYSICIANS, LLC -SECRETARY (EX-OFFICIO) - ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICE AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE COMPENSATION FOR MR. KATZ INCLUDES COMBINED CONTRIBUTIONS TO, PAYMENTS FROM AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $68,094. INCLUDED IN THIS AMOUNT IS A DISTRIBUTION FROM A NONQUALIFIED PLAN IN THE AMOUNT OF $72,875 AND AN UNREALIZED LOSS IN THE AMOUNT OF $24,281. KELLY, M.D., DAVID -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. KENNISTON, M.D., JULIA -TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH -TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) - JORDAN PHYSICIAN ASSOCIATES
- SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES
- KERNDL, JOHN UNLESS OTHERWISE NOTED BELOW, MR. KERNDL HELD THE FOLLOWING POSITIONS THROUGH DECEMBER 31, 2023: -EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER AND TREASURER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH, INC. -TRUSTEE AND TREASURER - CAB HEALTH AND RECOVERY SERVICES, INC. -TREASURER - COMMUNITY PHYSICIANS ASSOCIATES, INC. -TREASURER - CAREGROUP PARMENTER HOME CARE & HOSPICE, INC. -TRUSTEE, TREASURER (EX-OFFICIO) - HEALTH AND EDUCATION HOUSING SERVICES, INC. -TREASURER (EX-OFFICIO) - THE JORDAN HEALTH SYSTEMS, INC. -TREASURER (EX-OFFICIO) - JORDAN PHYSICIAN ASSOCIATES, INC. , INC. -TREASURER (EX-OFFICIO) - LAHEY CLINIC, INC. -TREASURER (EX-OFFICIO) - LAHEY CLINIC FOUNDATION, INC. -TREASURER (EX-OFFICIO) - LAHEY CLINIC HOSPITAL, INC. D/B/A LAHEY HOSPITAL & MEDICAL CENTER -TRUSTEE AND TREASURER (EX-OFFICIO) - LAHEY HEALTH SHARED SERVICES, INC. -TREASURER (EX-OFFICIO) - MOUNT AUBURN HOSPITAL -TREASURER (EX-OFFICIO) MOUNT AUBURN PROFESSIONAL SERVICES -ASSISTANT TREASURER (EX-OFFICIO) - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP -TREASURER (EX-OFFICIO) - BID - MILTON PHYSICIAN ASSOCIATES, INC. -TREASURER (EX-OFFICIO) - NORTHEAST PROFESSIONAL REGISTRY OF NURSES, INC. -TREASURER (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL -TRUSTEE (EX-OFFICIO) AND TREASURER (EX-OFFICIO) - NORTHEAST BEHAVIORAL HEALTH CORPORATION -TRUSTEE (EX-OFFICIO) AND TREASURER (EX-OFFICIO) - NORTHEAST HEALTH SYSTEM, INC. -TREASURER (EX-OFFICIO) - NORTHEAST HOSPITAL CORPORATION -TRUSTEE (EX-OFFICIO), TREASURER(EX-OFFICIO) - NORTHEAST MEDICAL PRACTICE INC. -TRUSTEE (EX-OFFICIO), TREASURER (EX-OFFICIO) - NORTHEAST SENIOR HEALTH CORPORATION -TREASURER (EX-OFFICIO) - SEACOAST AFFILIATED GROUP PRACTICE, INC. -TRUSTEE AND TREASURER (EX-OFFICIO) - SEACOAST NURSING AND REHABILITATION CENTER, INC. -TREASURER (EX-OFFICIO) - WINCHESTER HEALTHCARE MANAGEMENT, INC. -TREASURER (EX-OFFICIO) - WINCHESTER HOSPITAL -DIRECTOR (EX-OFFICIO) AND TREASURER (EX-OFFICIO) - WINCHESTER HOSPITAL FOUNDATION, INC. -TRUSTEE (EX-OFFICIO), TREASURER (EX-OFFICIO) - ADDISON GILBERT SOCIETY, INC. -TREASURER (EX-OFFICIO) - ANNA JAQUES HOSPITAL, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PHARMACY, INC. -MANAGING DIRECTOR - BETH ISRAEL DEACONESS PHYSICIAN ORGANIZATION, LLC -MANAGING DIRECTOR, TREASURER - BETH ISRAEL LAHEY HEALTH PERFORMANCE NETWORK, LLC -TREASURER (EX-OFFICIO) - LAHEY CLINICAL PERFORMANCE ACCOUNTABLE CARE ORGANIZATION, LLC -TREASURER (EX-OFFICIO) - LAHEY CLINICAL PERFORMANCE NETWORK, LLC -ASSISTANT TREASURER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. -TREASURER (EX-OFFICIO) - JOSLIN CLINIC, INC. -TREASURER (EX-OFFICIO) - JOSLIN DIABETES CENTER, INC. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE COMPENSATION FOR MR. KERNDL INCLUDES COMBINED CONTRIBUTIONS TO, PAYMENTS FROM AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $109,434. OF THIS AMOUNT, $89,934 WAS UNVESTED AT SEPTEMBER 30, 2023. OTHER REPORTABLE COMPENSATION FOR MR. KERNDL ALSO INCLUDES $ 7,961 RELATED TO TEMPORARY HOUSING. KOWALOFF, M.D., HARVEY -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. MARBLE, MEGAN VAYO -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. MARINI, ANNA -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. MCGRATH, JOHN -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. MCKENNA, CATHERINE -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. NDUNGU, VIRGINIA -PHYSICIAN ASSISTANT, ICU - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. PRIMAVERA, DENNIS -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. MR. PRIMAVERA'S TERM AS VICE CHAIR ON THE JORDAN PHYSICIAN ASSOCIATES' BOARD BEGAN ON OCTOBER 1, 2021.
- SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES
- RIOS, CINDY -TREASURER (EX-OFFICIO) AND INTERIM CHIEF FINANCIAL OFFICER BETH ISRAEL LAHEY HEALTH, INC. - TERM BEGAN JANUARY 1, 2023. -SENIOR VICE PRESIDENT AND OPERATIONS CHIEF FINANCIAL OFFICER BETH ISRAEL LAHEY HEALTH, INC. - TERM ENDED DECEMBER 31, 2022 UNLESS OTHERWISE NOTED, EFFECTIVE JANUARY 1, 2023, MS. RIOS ALSO ASSUMED THE FOLLOWING POSITIONS: -TREASURER - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL LAHEY HEALTH PRIMARY CARE A/K/A AFFILIATED PHYSICIANS GROUP - TERM BEGAN MARCH 31, 2023 -TREASURER (EX-OFFICIO) - CAREGROUP PARMENTER HOME CARE & HOSPICE, INC. -TREASURER (EX-OFFICIO) - NORTHEAST PROFESSIONAL REGISTRY OF NURSES, INC. -TRUSTEE & TREASURER - CAB HEALTH AND RECOVERY SERVICES, INC. -TREASURER (EX-OFFICIO) - ANNA JAQUES HOSPITAL, INC. -TREASURER (EX-OFFICIO) BETH ISRAEL DEACONESS MEDICAL CENTER, INC. -TREASURER (EX-OFFICIO) BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. -TREASURER (EX-OFFICIO) - BID - MILTON PHYSICIAN ASSOCIATES, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PHARMACY, INC. -TREASURER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. - TERM BEGAN MARCH 31, 2023 -TREASURER (EX-OFFICIO) - COMMUNITY PHYSICIANS ASSOCIATES, INC. -TREASURER (EX-OFFICIO) - JOSLIN CLINIC, INC. -TREASURER (EX-OFFICIO) - JOSLIN DIABETES CENTER, INC. -TREASURER (EX-OFFICIO) - THE JORDAN HEALTH SYSTEMS, INC. -TREASURER (EX-OFFICIO) - JORDAN PHYSICIAN ASSOCIATES, INC. , INC. -TREASURER (EX-OFFICIO) - LAHEY CLINIC FOUNDATION, INC. -TREASURER (EX-OFFICIO) - LAHEY CLINIC HOSPITAL, INC. D/B/A LAHEY HOSPITAL & MEDICAL CENTER -TREASURER (EX-OFFICIO) - LAHEY CLINIC, INC. -TREASURER (EX-OFFICIO) - MOUNT AUBURN HOSPITAL -TREASURER (EX-OFFICIO) - MOUNT AUBURN PROFESSIONAL SERVICES, INC. -TREASURER (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL -TREASURER (EX-OFFICIO) - NORTHEAST HOSPITAL CORPORATION -TREASURER (EX-OFFICIO) - SEACOAST AFFILIATED GROUP PRACTICE, INC. -DIRECTOR & TREASURER (EX-OFFICIO) - WINCHESTER HOSPITAL FOUNDATION, INC. -TREASURER (EX-OFFICIO) - WINCHESTER HEALTHCARE MANAGEMENT, INC. -TRUSTEE & TREASURER (EX-OFFICIO) ADDISON GILBERT SOCIETY, INC. -TRUSTEE & TREASURER (EX-OFFICIO) - HEALTH AND EDUCATION HOUSING SERVICES, INC. -TRUSTEE & TREASURER (EX-OFFICIO) - LAHEY HEALTH SHARED SERVICES, INC. -TRUSTEE & TREASURER (EX-OFFICIO) - NORTHEAST BEHAVIORAL HEALTH CORPORATION -TRUSTEE & TREASURER (EX-OFFICIO) - NORTHEAST HEALTH SYSTEM, INC. -TRUSTEE & TREASURER (EX-OFFICIO) - NORTHEAST MEDICAL PRACTICE, INC. -TRUSTEE & TREASURER (EX-OFFICIO) - NORTHEAST SENIOR HEALTH CORPORATION -TRUSTEE & TREASURER (EX-OFFICIO) - SEACOAST NURSING & REHABILITATION CENTER, INC. -TRUSTEE & TREASURER (EX-OFFICIO) - WINCHESTER HOSPITAL EFFECTIVE JULY 1, 2023, BETH ISRAEL LAHEY HEALTH BECAME THE SOLE MEMBER OF EXETER HEALTH RESOURCES INC. WHICH IN TURN SERVES AS THE SOLE MEMBER OF EXETER HOSPITAL AND ADDITIONAL AFFILIATES. AS OF THAT DATE MS. RIOS ASSUMED THE FOLLOWING ADDITIONAL POSITIONS: -TREASURER (EX-OFFICIO) - EXETER HEALTH RESOURCES, INC. -TREASURER (EX-OFFICIO) - EXETER HOSPITAL, INC. -TREASURER (EX-OFFICIO) - ROCKINGHAM VISITING NURSE ASSOC & HOSPICE MS. RIOS SERVED IN THE POSITIONS ABOVE DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE COMPENSATION INCLUDES PAYMENTS FOR TEMPORARY HOUSING AND MOVING EXPENSES IN THE AMOUNT OF $41,927 AND 9,904, RESPECTIVELY. DEFERRED COMPENSATION IN THE AMOUNT OF $187,500 INCLUDED IN THIS FILING FOR MS. RIOS RELATES TO A MILESTONE PAYMENT WHICH, AS OF DECEMBER 31, 2022, WAS NOT FUNDED, WAS NOT VESTED AND FOR WHICH THERE WAS NO GUARANTEE OF PAYMENT. THIS AMOUNT IS INCLUDED HERE AS DEFERRED COMPENSATION AS REQUIRED BASED ON THE INSTRUCTIONS TO THE FORM 990. ROWAN, MICHAEL UNLESS OTHERWISE NOTED BELOW, MR. ROWAN HELD THE FOLLOWING POSITIONS FOR THE FULL FISCAL PERIOD ENDED SEPTEMBER 30, 2023: -EXECUTIVE VICE PRESIDENT, HOSPITAL AND AMBULATORY SERVICES - BETH ISRAEL LAHEY HEALTH, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - BETH ISRAEL LAHEY HEALTH PHARMACY, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TRUSTEE (CEO DESIGNATE) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - NEW ENGLAND BAPTIST HOSPITAL -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - NORTHEAST HOSPITAL CORPORATION -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - COMMUNITY PHYSICIANS ASSOCIATES, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - THE JORDAN HEALTH SYSTEMS, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - JORDAN PHYSICIAN ASSOCIATES, INC. , INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - BID - MILTON PHYSICIAN ASSOCIATES, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - JOSLIN CLINIC, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - JOSLIN DIABETES CENTER, INC. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - ANNA JAQUES HOSPITAL, INC. - TERM BEGAN ON APRIL 1, 2023. -TRUSTEE (CEO DESIGNEE) - SEACOAST AFFILIATED GROUP PRACTICE, INC. - TERM BEGAN ON APRIL 1, 2023. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - WINCHESTER HOSPITAL - TERM BEGAN ON MARCH 10, 2023. -TRUSTEE (EX-OFFICIO) (CEO DESIGNATE) - WINCHESTER HEALTHCARE MANAGEMENT, INC. -TERM BEGAN ON MARCH 10, 2023. MR. ROWAN SERVED IN THE POSITIONS ABOVE DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. ROWAN INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $84,688. OF THIS AMOUNT, $65,188 IS UNVESTED AS OF SEPTEMBER 30, 2023. RUTHERFORD, RON -VICE PRESIDENT, CIO, VICE PRESIDENT SUPPORT SERVICES - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -VICE PRESIDENT, CIO, VICE PRESIDENT SUPPORT SERVICES - JORDAN PHYSICIAN ASSOCIATES, INC. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. RUTHERFORD INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $20,906. INCLUDED IN THIS AMOUNT IS AN UNREALIZED LOSS IN THE AMOUNT OF $12,794 IMPACTING THE NONQUALIFIED UNVESTED BALANCE. SHIELDS, MARY -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. SODERSTROM, JADE -REGISTERED NURSE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC.
- SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES
- TABB, M.D., KEVIN UNLESS OTHERWISE NOTED BELOW, DR. TABB HELD THE FOLLOWING POSITIONS FOR THE FULL FISCAL PERIOD ENDING SEPTEMBER 30, 2023: -PRESIDENT AND CHIEF EXECUTIVE OFFICER; TRUSTEE (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH, INC. -CHIEF EXECUTIVE OFFICER AND TRUSTEE (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. -TRUSTEE (EX OFFICIO) AND CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - LAHEY CLINIC HOSPITAL, INC. -TRUSTEE (EX OFFICIO) AND CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - LAHEY CLINIC, INC. -TRUSTEE (EX OFFICIO) AND CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - LAHEY CLINIC FOUNDATION, INC. -TRUSTEE (EX-OFFICIO), BOARD CHAIR (EX-OFFICIO), PRESIDENT AND CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - LAHEY HEALTH SHARED SERVICES, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - BETH ISRAEL LAHEY HEALTH PHARMACY, INC. -PRESIDENT (EX-OFFICIO) AND TRUSTEE (EX-OFFICIO) - ADDISON GILBERT SOCIETY, INC. -TRUSTEE (EX-OFFICIO), BOARD CHAIR (EX-OFFICIO) AND PRESIDENT (EX-OFFICIO) - NORTHEAST HEALTH SYSTEM, INC. -TRUSTEE (EX-OFFICIO), BOARD CHAIR (EX-OFFICIO) AND PRESIDENT (EX-OFFICIO) - NORTHEAST SENIOR HEALTH CORPORATION -TRUSTEE, BOARD CHAIR (EX-OFFICIO) AND PRESIDENT (EX-OFFICIO) - SEACOAST NURSING AND REHABILITATION CENTER, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - WINCHESTER HOSPITAL -DIRECTOR AND PRESIDENT (EX-OFFICIO) - WINCHESTER HOSPITAL FOUNDATION, INC. CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - WINCHESTER HEALTHCARE MANAGEMENT, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - NORTHEAST HOSPITAL CORPORATION -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) AND TRUSTEE (EX-OFFICIO) NORTHEAST BEHAVIORAL HEALTH CORPORATION -CHIEF EXECUTIVE OFFICER AND TRUSTEE - CAB HEALTH AND RECOVERY SERVICES, INC. -CHIEF EXECUTIVE OFFICER AND TRUSTEE - HEALTH AND EDUCATION HOUSING SERVICES, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - BID - MILTON PHYSICIAN ASSOCIATES, INC. -CHIEF EXECUTIVE OFFICER - COMMUNITY PHYSICIANS ASSOCIATES, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - MOUNT AUBURN HOSPITAL -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL -CHIEF EXECUTIVE OFFICER - THE JORDAN HEALTH SYSTEMS, INC. -CHIEF EXECUTIVE OFFICER - JORDAN PHYSICIAN ASSOCIATES, INC. , INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - ANNA JAQUES HOSPITAL, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - SEACOAST AFFILIATED GROUP PRACTICE, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - JOSLIN CLINIC, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - JOSLIN DIABETES CENTER, INC. EFFECTIVE JULY 1, 2023, BETH ISRAEL LAHEY HEALTH BECAME THE SOLE MEMBER OF EXETER HEALTH RESOURCES INC. WHICH IN TURN SERVES AS THE SOLE MEMBER OF EXETER HOSPITAL AND ADDITIONAL AFFILIATES. AS OF THAT DATE DR. TABB ASSUMED THE FOLLOWING ADDITIONAL POSITIONS: -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - EXETER HEALTH RESOURCES, INC. -CHIEF EXECUTIVE OFFICER (EX-OFFICIO) - EXETER HOSPITAL, INC. IN ADDITION TO THE POSITIONS NOTED ABOVE, DR. TABB HELD THE FOLLOWING POSITIONS FOR WHICH HE WAS ENTITLED TO AND DID APPOINT A DESIGNATE WHO THEN BECAME THE VOTING TRUSTEE IN HIS PLACE: -TRUSTEE (EX-OFFICIO) NORTHEAST HOSPITAL CORPORATION -TRUSTEE (EX-OFFICIO) BETH ISRAEL DEACONESS HOSPITAL MILTON, BID-MILTON PHYSICIAN ASSOCIATES AND COMMUNITY PHYSICIANS ASSOCIATES -TRUSTEE (EX-OFFICIO) BETH ISRAEL DEACONESS HOSPITAL NEEDHAM -TRUSTEE (EX-OFFICIO) BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, THE JORDAN HEALTH SYSTEMS, INC AND JORDAN PHYSICIAN ASSOCIATES, INC. , INC. -TRUSTEE (EX-OFFICIO) BETH ISRAEL LAHEY HEALTH PHARMACY, INC. -TRUSTEE (EX-OFFICIO) MOUNT AUBURN HOSPITAL -TRUSTEE (EX-OFFICIO) NEW ENGLAND BAPTIST HOSPITAL -TRUSTEE (EX-OFFICIO) WINCHESTER HOSPITAL AND WINCHESTER HEALTHCARE MANAGEMENT -TRUSTEE (EX-OFFICIO) ANNA JAQUES HOSPITAL, INC. AND SEACOAST AFFILIATED GROUP PRACTICE -TRUSTEE (EX-OFFICIO) JOSLIN DIABETES CENTER -TRUSTEE (EX-OFFICIO) JOSLIN CLINIC -TRUSTEE (EX-OFFICIO) EXETER HEALTH RESOURCES, INC. -TRUSTEE (EX-OFFICIO) EXETER HOSPITAL, INC. ALTHOUGH DR. TABB SERVED IN THE POSITIONS ABOVE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR DR. TABB INCLUDES COMBINED CONTRIBUTIONS TO, PAYMENTS FROM AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $388,031. THIS AMOUNT INCLUDES A DISTRIBUTION FROM A NONQUALIFIED PLAN IN THE AMOUNT OF $453,944 AND UNREALIZED LOSSES IMPACTING HIS NONQUALIFIED BENEFIT IN THE AMOUNT OF $85,413. DEFERRED COMPENSATION IN THE AMOUNT OF $250,000 INCLUDED IN THIS FILING FOR DR. TABB RELATES TO A MILESTONE PAYMENT WHICH, AS OF DECEMBER 31, 2022, WAS NOT FUNDED, WAS NOT VESTED AND FOR WHICH THERE WAS NO GUARANTEE OF PAYMENT. THIS AMOUNT IS INCLUDED HERE AS DEFERRED COMPENSATION AS REQUIRED BASED ON THE INSTRUCTIONS TO THE FORM 990. TAYLOR, LISA -TRUSTEE - JORDAN HEALTH SYSTEMS, INC. -TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TRUSTEE - JORDAN PHYSICIAN ASSOCIATES, INC. MS. TAYLOR'S TERM ON THE JORDAN PHYSICIAN ASSOCIATES' BOARD BEGAN ON OCTOBER 1, 2021. THOMAS, M.D., TENNY -CHIEF MEDICAL OFFICER - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. DR. TENNY SERVED IN THIS POSITION DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED HERE IS CALENDAR YEAR 2022 COMPENSATION. BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER REPORTABLE COMPENSATION, DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS ARE REPORTED AS REQUIRED IN FORM 990, SCHEDULE J. DEFERRED COMPENSATION IN THE AMOUNT OF $66,000 INCLUDED IN THIS FILING FOR DR. TENNY RELATES TO A MILESTONE PAYMENT WHICH, AS OF DECEMBER 31, 2022, WAS NOT FUNDED, WAS NOT VESTED AND FOR WHICH THERE WAS NO GUARANTEE OF PAYMENT. THIS AMOUNT IS INCLUDED HERE AS DEFERRED COMPENSATION AS REQUIRED BASED ON THE INSTRUCTIONS TO THE FORM 990. TIERNEY, M.D., MATT -CHIEF OF SURGERY - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -GENERAL SURGEON - JORDAN PHYSICIAN ASSOCIATES, INC. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR DR. TIERNEY INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $16,228. INCLUDED IN THIS AMOUNT IS AN UNREALIZED LOSS IN THE AMOUNT OF $4,272 IMPACTING THE NONQUALIFIED UNVESTED BALANCE. VALSKY, M.D., EUGENE -TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) - BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. -TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) THE JORDAN HEALTH SYSTEMS, INC. -TRUSTEE (EX-OFFICIO) (PRESIDENT, MEDICAL STAFF) - JORDAN PHYSICIAN ASSOCIATES, INC. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR DR. VALSKY INCLUDES COMBINED CONTRIBUTIONS TO, AND CHANGE IN VALUE OF, NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $19,905. INCLUDED IN THIS AMOUNT IS AN UNREALIZED LOSS IN THE AMOUNT OF $595 IMPACTING THE NONQUALIFIED UNVESTED BALANCE.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
CARE ACCESS AND/OR TO ADDRESS OTHER IDENTIFIED COMMUNITY HEALTH NEEDS
-
$12,500
CARE ACCESS AND/OR TO ADDRESS OTHER IDENTIFIED COMMUNITY HEALTH NEEDS
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.
-
501(C)(3) · PROFESSIONAL SERVICES & FINANCIAL SUPPORT · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
-
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
ASSOC PHYS HARVARD MED FAC PHY AT BIDMC
501(C)(3) · TO PROVIDE EMERGENCY MEDICAL SERVICES · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
-
BAIM INSTITUTE FOR CLINICAL RESEARCH INC DBA BAIM INSTITUTE
501(C)(3) · SCIENTIFIC & MEDICAL RESEARCH · MA
-
BETH ISRAEL ANAESTHESIA FOUNDATION INC
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
-
BETH ISRAEL COMMUNITY FOUNDATION INC
501(C)(3) · INACTIVE CORPORATION · MA
-
BETH ISRAEL DEACONESS DEPARTMENT OF EMERGENCY MEDICINE FOUNDATION INC
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
BIDMC AND CHILDREN'S HOSPITAL MEDICAL CARE CORP
501(C)(3) · OUTPATIENT AMBULATORY CENTER - INACTIVE · MA
-
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
-
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
-
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
-
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
-
501(C)(3) · MANAGEMENT PROFESSIONAL & IT SUPPORT SERVICES · MA
-
BETH ISRAEL LAHEY HEALTH PRIMARY CARE
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
-
BID-MILTON PHYSICIAN ASSOCIATES INC
501(C)(3) · PROMOTE HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL DEACONESS HOSPITAL - MILTON
-
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
-
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
-
CAB HEALTH AND RECOVERY SERVICES INC
501(C)(3) · SUBSTANCE ABUSE - INACTIVE · MA · controlled entity
Directly controlled by NORTHEAST BEHAVIORAL HEALTH CORPORATION
-
CPHCH INC DBA BILH AT HOME - WATERTOWN
501(C)(3) · HOME CARE & HOSPICE - INACTIVE · MA · controlled entity
Directly controlled by NORTHEAST SENIOR HEALTH CORPORATION
-
COMMUNITY PHYSICIANS ASSOCIATES INC
501(C)(3) · OUTPATIENT AND PRIMARY CARE SERVICES · MA · controlled entity
Directly controlled by BETH ISRAEL DEACONESS HOSPITAL - MILTON
-
CONTINUING EDU PROGRAM DBA BID DEPT OF PSYCH FDN
501(C)(3) · SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
-
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
-
HEALTH AND EDUCATION HOUSING SERVICES INC
501(C)(3) · HUD HOUSING - INACTIVE · MA · controlled entity
Directly controlled by NORTHEAST BEHAVIORAL HEALTH CORPORATION
-
JORDAN PHYSICIAN ASSOCIATES INC
501(C)(3) · OUTPATIENT AND PRIMARY CARE SERVICES · MA · controlled entity
Directly controlled by BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH INC
-
LAHEY CLINIC CANADIAN FOUNDATION
FUNDRAISING ORG · CA
-
501(C)(3) · FINANCIAL & OPERATIONAL SUPPORT TO LCI AND LCH · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
LAHEY CLINIC HOSPITAL INC DBA LAHEY HOSPITAL & MEDICAL CENTER AND LMC
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by LAHEY CLINIC FOUNDATION INC
-
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by LAHEY CLINIC FOUNDATION INC
-
LAHEY HEALTH SHARED SERVICES INC
501(C)(3) · ADMIN · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
LONGWOOD MEDICAL ENERGY COLLABORATIVE INC
501(C)(3) · COORDINATE AND PROVIDE STRATEGIC PLANNING OPP FOR HMS · MA
-
LONGWOOD MEDICAL INTERNATIONAL FOUNDATION INC
501(C)(3) · INACTIVE CORPORATION · MA · controlled entity
Directly controlled by HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
-
MED CARE OF BOSTON MGMT CORP DBA BILH PRIMARY CARE
501(C)(3) · OUTPATIENT, PRIMARY CARE AND SPECIALTY SERVICES · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH PRIMARY CARE
-
501(C)(3) · HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
MOUNT AUBURN PROFESSIONAL SERVICES INC
501(C)(3) · OFFERING MEDICAL CARE IN GENERAL AND SPECIALIZED PRACTICES · MA · controlled entity
Directly controlled by MOUNT AUBURN HOSPITAL
-
501(C)(3) · ORTHOPEDIC SPECIALTY HOSPITAL · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
NEW ENGLAND BAPTIST MEDICAL ASSOCIATES INC
501(C)(3) · OUTPATIENT MEDICAL SERVICES TO THE VARIOUS COMMUNITIES SERVICED BY NEBH · MA · controlled entity
Directly controlled by NEW ENGLAND BAPTIST HOSPITAL
-
NORTHEAST BEHAVIORAL HEALTH CORP DBA BILH BEHAVIORAL HEALTH SERVICES
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
501(C)(3) · FINANCIAL & OPERATIONAL SUPPORT · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
-
NORTHEAST HOSPITAL CORPORATION
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
NORTHEAST MEDICAL PRACTICE INC
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by NORTHEAST HOSPITAL CORPORATION
-
NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC DBA BILH AT HOME
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by NORTHEAST SENIOR HEALTH CORPORATION
-
NORTHEAST SENIOR HEALTH CORPORATION
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
-
SEACOAST AFFILIATED GROUP PRACTICE INC
501(C)(3) · PHYSICIAN GROUP · MA · controlled entity
Directly controlled by ANNA JAQUES HOSPITAL INC
-
SEACOAST NURSING AND REHABILITATION CENTER INC
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
-
501(C)(3) · PROMOTE HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL DEACONESS MEDICAL CENTER INC
-
WINCHESTER COMMUNITY ACCOUNTABLE CARE ORGANIZATION INC
501(C)(3) · ACO - INACTIVE · MA · controlled entity
Directly controlled by WINCHESTER HEALTHCARE MANAGEMENT INC
-
WINCHESTER HEALTHCARE MANAGEMENT INC
501(C)(3) · MANAGEMENT · MA · controlled entity
Directly controlled by LAHEY HEALTH SHARED SERVICES INC
-
501(C)(3) · HEALTHCARE · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
WINCHESTER HOSPITAL FOUNDATION INC
501(C)(3) · PROFESSIONAL SERVICES & FINANCIAL SUPPORT · MA · controlled entity
Directly controlled by WINCHESTER HEALTHCARE MANAGEMENT INC
-
501(C)(3) · PREVENTION, TREATMENT, AND CURE OF DIABETES · MA · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
501(C)(3) · PREVENTION, TREATMENT, AND CURE OF DIABETES · MA · controlled entity
Directly controlled by JOSLIN DIABETES CENTER INC
-
501(C)(3) · SUPPORT COMMUNITY HEALTH & NETWORK MGMT SVCS · NH · controlled entity
Directly controlled by BETH ISRAEL LAHEY HEALTH INC
-
501(C)(3) · HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES INC
-
ROCKINGHAM VISITING NURSE ASSOCIATION AND HOSPICE
501(C)(3) · HOME CARE & HOSPICE · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES INC
-
501(C)(25) · REAL ESTATE HOLDING COMPANY · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES INC
-
501(C)(3) · PHYSICIAN PRACTICES · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES INC
-
EXETER HEALTH RESOURCES SELF-INSURANCE TRUST
501(C)(3) · SELF-INSURANCE TRUST · NH · controlled entity
Directly controlled by EXETER HEALTH RESOURCES INC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 12 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202432279349303113
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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