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Nonprofiteer
← LIFESPAN PHYSICIAN GROUP INC

Form 990 for tax year 2022

Filed by LIFESPAN PHYSICIAN GROUP INC.

Totals

Total revenue
$260,023,583
Total expenses
$315,204,850
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$273,475,438
Management and general expenses
$41,729,412
Fundraising expenses
$0
Program service expenses (Part III)
$273,475,438

Program services were 86.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Timothy J Babineau

    Fmr. Chair

    Total calculated
    $6,836,842
    From this org
    $0
    From related orgs
    $6,453,503
    Other
    $383,339
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    not reported + $1,010,777 related
    Bonus
    not reported + $3,000,000 related
    Other
    not reported + $2,442,726 related
    Deferred
    not reported + $358,564 related
    Nontaxable benefits
    not reported + $24,775 related
    Filer's total
    not reported + $6,836,842 related

  • Ziya L Gokaslan MD

    Physician

    Total calculated
    $1,721,056
    From this org
    $1,671,096
    From related orgs
    $0
    Other
    $49,960
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,511,572
    Bonus
    $152,000
    Other
    $7,524
    Deferred
    $18,300
    Nontaxable benefits
    $31,660
    Filer's total
    $1,721,056

  • Gildasio S Oliveira Jr MD

    Treas./Secty.

    Total calculated
    $1,184,674
    From this org
    $1,134,714
    From related orgs
    $0
    Other
    $49,960
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $933,573
    Bonus
    $200,000
    Other
    $1,141
    Deferred
    $18,300
    Nontaxable benefits
    $31,660
    Filer's total
    $1,184,674

  • Curtis E Doberstein MD

    Trustee

    Total calculated
    $1,151,432
    From this org
    $1,101,472
    From related orgs
    $0
    Other
    $49,960
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,096,570
    Bonus
    not reported
    Other
    $4,902
    Deferred
    $18,300
    Nontaxable benefits
    $31,660
    Filer's total
    $1,151,432

  • Athena Poppas MD

    Int. President

    Total calculated
    $977,791
    From this org
    $928,455
    From related orgs
    $0
    Other
    $49,336
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $743,501
    Bonus
    $177,430
    Other
    $7,524
    Deferred
    $18,300
    Nontaxable benefits
    $31,036
    Filer's total
    $977,791

  • Steven A Toms MD

    Physician

    Total calculated
    $938,869
    From this org
    $899,188
    From related orgs
    $0
    Other
    $39,681
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $894,285
    Bonus
    not reported
    Other
    $4,903
    Deferred
    $18,300
    Nontaxable benefits
    $21,381
    Filer's total
    $938,869

  • Paul Y Liu MD

    Trustee

    Total calculated
    $881,580
    From this org
    $831,620
    From related orgs
    $0
    Other
    $49,960
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $726,946
    Bonus
    $96,750
    Other
    $7,924
    Deferred
    $18,300
    Nontaxable benefits
    $31,660
    Filer's total
    $881,580

  • David A Kirshner

    Treas.- 11/22

    Total calculated
    $877,827
    From this org
    $0
    From related orgs
    $857,218
    Other
    $20,609
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    not reported + $662,492 related
    Bonus
    not reported
    Other
    not reported + $194,726 related
    Deferred
    not reported + $12,141 related
    Nontaxable benefits
    not reported + $8,468 related
    Filer's total
    not reported + $877,827 related

  • Kenneth E Wood DO

    Chair thru 4/23

    Total calculated
    $845,835
    From this org
    $0
    From related orgs
    $804,648
    Other
    $41,187
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    not reported + $666,872 related
    Bonus
    not reported
    Other
    not reported + $137,776 related
    Deferred
    not reported + $18,300 related
    Nontaxable benefits
    not reported + $22,887 related
    Filer's total
    not reported + $845,835 related

  • Daniel K Kwan MD

    Physician

    Total calculated
    $806,971
    From this org
    $752,063
    From related orgs
    $0
    Other
    $54,908
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $466,589
    Bonus
    $284,282
    Other
    $1,192
    Deferred
    $18,300
    Nontaxable benefits
    $36,608
    Filer's total
    $806,971

  • Alexios G Carayannopoulos MD

    Physician

    Total calculated
    $786,587
    From this org
    $742,676
    From related orgs
    $0
    Other
    $43,911
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $589,766
    Bonus
    $150,288
    Other
    $2,622
    Deferred
    $18,300
    Nontaxable benefits
    $25,611
    Filer's total
    $786,587

  • Albert S Woo MD

    Physician

    Total calculated
    $777,579
    From this org
    $722,636
    From related orgs
    $0
    Other
    $54,943
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $511,348
    Bonus
    $209,577
    Other
    $1,711
    Deferred
    $18,300
    Nontaxable benefits
    $36,643
    Filer's total
    $777,579

  • Phyllis A Dennery MD

    Trustee

    Total calculated
    $773,549
    From this org
    $729,212
    From related orgs
    $0
    Other
    $44,337
    Hours/week
    15 + 20 related

    Schedule J breakdown matched by us

    Base
    $643,520
    Bonus
    $78,125
    Other
    $7,567
    Deferred
    $18,300
    Nontaxable benefits
    $26,037
    Filer's total
    $773,549

  • Kristopher R Davignon MD

    Trustee

    Total calculated
    $736,095
    From this org
    $685,204
    From related orgs
    $0
    Other
    $50,891
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $532,062
    Bonus
    $151,576
    Other
    $1,566
    Deferred
    $18,300
    Nontaxable benefits
    $32,591
    Filer's total
    $736,095

  • Steven Lampert MD

    Pres. thru 4/23

    Total calculated
    $714,606
    From this org
    $704,509
    From related orgs
    $0
    Other
    $10,097
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $553,374
    Bonus
    $132,835
    Other
    $18,300
    Deferred
    $10,097
    Nontaxable benefits
    not reported
    Filer's total
    $714,606

  • G Alan Kurose MD

    Trustee- 7/23

    Total calculated
    $700,640
    From this org
    $0
    From related orgs
    $636,825
    Other
    $63,815
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    not reported + $589,012 related
    Bonus
    not reported + $36,227 related
    Other
    not reported + $11,586 related
    Deferred
    not reported + $39,196 related
    Nontaxable benefits
    not reported + $24,619 related
    Filer's total
    not reported + $700,640 related

  • Christopher Song MD

    Trustee

    Total calculated
    $578,523
    From this org
    $525,976
    From related orgs
    $0
    Other
    $52,547
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $392,498
    Bonus
    $132,672
    Other
    $806
    Deferred
    $18,300
    Nontaxable benefits
    $34,247
    Filer's total
    $578,523

  • Henry T Sachs III MD

    Chairperson

    Total calculated
    $562,090
    From this org
    $0
    From related orgs
    $454,323
    Other
    $107,767
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    not reported + $382,245 related
    Bonus
    not reported
    Other
    not reported + $72,078 related
    Deferred
    not reported + $79,920 related
    Nontaxable benefits
    not reported + $27,847 related
    Filer's total
    not reported + $562,090 related

  • Michael E Migliori MD

    Trustee

    Total calculated
    $551,522
    From this org
    $508,227
    From related orgs
    $0
    Other
    $43,295
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $426,920
    Bonus
    $68,750
    Other
    $12,557
    Deferred
    $18,300
    Nontaxable benefits
    $24,995
    Filer's total
    $551,522

  • Margaret A Miller MD

    Vice Chair

    Total calculated
    $452,689
    From this org
    $400,182
    From related orgs
    $0
    Other
    $52,507
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $372,169
    Bonus
    $22,260
    Other
    $5,753
    Deferred
    $18,300
    Nontaxable benefits
    $34,207
    Filer's total
    $452,689

  • Patricia H Richards

    VP of Operations

    Total calculated
    $376,196
    From this org
    $338,431
    From related orgs
    $0
    Other
    $37,765
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $288,780
    Bonus
    not reported
    Other
    $49,651
    Deferred
    $17,701
    Nontaxable benefits
    $20,064
    Filer's total
    $376,196

  • Matthew T Salisbury MD

    Trustee- 12/22

    Total calculated
    $374,258
    From this org
    $325,023
    From related orgs
    $0
    Other
    $49,235
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $216,333
    Bonus
    $106,626
    Other
    $2,064
    Deferred
    $18,300
    Nontaxable benefits
    $30,935
    Filer's total
    $374,258

  • Jill A O'Brien MD

    Trustee

    Total calculated
    $368,283
    From this org
    $318,623
    From related orgs
    $0
    Other
    $49,660
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $317,700
    Bonus
    not reported
    Other
    $923
    Deferred
    $18,300
    Nontaxable benefits
    $31,360
    Filer's total
    $368,283

  • Ashish Misri MD

    Trustee

    Total calculated
    $310,468
    From this org
    $290,136
    From related orgs
    $0
    Other
    $20,332
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $264,233
    Bonus
    $25,332
    Other
    $571
    Deferred
    $17,374
    Nontaxable benefits
    $2,958
    Filer's total
    $310,468

  • Jessica Attar MSN

    Trustee

    Total calculated
    $177,956
    From this org
    $135,775
    From related orgs
    $0
    Other
    $42,181
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $135,296
    Bonus
    not reported
    Other
    $479
    Deferred
    $8,695
    Nontaxable benefits
    $33,486
    Filer's total
    $177,956

  • Julie Boergers PhD

    Trustee

    Total calculated
    $126,959
    From this org
    $92,149
    From related orgs
    $0
    Other
    $34,810
    Hours/week
    40

  • Peter K Markell

    EVP & CFO

    Total calculated
    $0
    Hours/week
    0.5 + 49.5 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 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 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 1a: Relevant information in regards to selections on 1a.
Tax Indemnification and Grossed Up Payments:The Lifespan Executive Long Term Disability program provides financial protection to designated Lifespan physicians and executives in the event that they become disabled. Premiums are paid to the insurance carrier by the insureds on an after-tax basis to allow for income replacement at a reasonable cost. The income associated with the premiums is grossed up to cover the total cost of the benefit as provided in the Lifespan Executive Benefit Plan and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii).LPG also purchased professional liability prior acts coverage for certain newly-hired physicians in calendar year 2022. Premiums were paid to insurance carriers by the insureds on an after-tax basis. The income associated with the premiums is grossed-up to cover the total cost of the benefit as provided in the physicians' employment contracts and is included in Medicare wages, more specifically on Schedule J, Part II, Column B (iii).
Part I, Line 7: Non-Fixed payments not listed above
Certain physicians and executives participate in incentive compensation plans arranged through individual contractual agreements which stipulate non-fixed payments based on meeting criteria comprised of various quality and productivity markers.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202412279349301871

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