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Nonprofiteer
← SEACOAST AFFILIATED GROUP PRACTICE INC

Form 990 for tax year 2023

Filed by SEACOAST AFFILIATED GROUP PRACTICE INC.

Totals

Total revenue
$13,225,906
Total expenses
$20,612,081
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$13,200,477
Investment income
$0
Other revenue
$25,429
Total assets, end of year
$3,256,596
Total liabilities, end of year
$21,020,302
Net assets or fund balances, end of year
-$17,763,706
Program services expenses (Part IX)
$20,611,843
Management and general expenses
$238
Fundraising expenses
$0
Program service expenses (Part III)
$20,611,843

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 $13,200,477 · related or exempt $13,200,477

  • 11a · Other revenue: ADMINISTRATIVE SERVICE

    total $20,194 · unrelated business $20,194

  • 11b · Other revenue: EXPENSE REIMBURSEMENT

    total $4,734 · related or exempt $4,734

  • 11c · Other revenue: PATIENT MED REC & REFU

    total $501 · related or exempt $501

  • 11e · Other revenue, total

    $25,429

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,363,090 · program services $1,363,090

  • 7 · Other salaries and wages

    total $11,926,978 · program services $11,926,978

  • 8 · Pension plan contributions

    total $167,630 · program services $167,630

  • 9 · Other employee benefits

    total $992,989 · program services $992,989

  • 10 · Payroll taxes

    total $786,668 · program services $786,668

  • 11g · Fees: other

    total $1,770,814 · program services $1,770,814

  • 13 · Office expenses

    total $104,445 · program services $104,445

  • 16 · Occupancy

    total $1,043,636 · program services $1,043,636

  • 17 · Travel

    total $24,227 · program services $24,227

  • 22 · Depreciation, depletion and amortization

    total $102,566 · program services $102,566

  • 23 · Insurance

    total $557,291 · program services $557,291

  • 24a · Other expenses: PHARMACEUTICALS

    total $1,134,146 · program services $1,134,146

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $356,644 · program services $356,644

  • 24c · Other expenses: LICENSES AND DUES

    total $229,204 · program services $229,204

  • 24d · Other expenses: OTHER EXPENSES

    total $51,753 · program services $51,515 · management and general $238

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,501,649 · end of year $18,786

  • 4 · Accounts receivable

    beginning of year $1,807,547 · end of year $2,242,930

  • 8 · Inventories for sale or use

    beginning of year $207,634 · end of year $172,118

  • 9 · Prepaid expenses and deferred charges

    beginning of year $226,257 · end of year $248,280

  • 10a · Land, buildings and equipment: cost or other basis

    $1,155,032

  • 10b · Land, buildings and equipment: accumulated depreciation

    $580,550

  • 10c · Land, buildings and equipment, net

    beginning of year $617,858 · end of year $574,482

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,459,150 · end of year $1,727,005

  • 19 · Deferred revenue

    beginning of year $65,277 · end of year $65,277

  • 25 · Other liabilities

    beginning of year $13,214,049 · end of year $19,228,020

  • 27 · Net assets without donor restrictions

    beginning of year -$10,377,531 · end of year -$17,763,706

Mission and programs · 2023

Mission

SEE SCHEDULE O.

  • SEE SCHEDULE O

    Expenses $20,611,843 · Revenue $13,205,712

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

    TTEE(CEO DESIG) EVP HOS&AMBSVCS 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
  • Naseer-Ghiasuddin MD Saira

    TTEE; PHYSICIAN, INTERNAL MEDICINE

    Total calculated
    $1,086,280
    From this org
    $1,038,362
    From related orgs
    $0
    Other
    $47,918
    Hours/week
    55 + 1 related

    Schedule J breakdown matched by us

    Base
    $515,002
    Bonus
    $512,957
    Other
    $10,403
    Deferred
    $9,900
    Nontaxable benefits
    $38,018
    Filer's total
    $1,086,280
  • Pursley MD Dewayne M

    TTEE; (NEONAT CHIEF BIDMC/CHR HMFP)

    Total calculated
    $856,000
    From this org
    $0
    From related orgs
    $761,862
    Other
    $94,138
    Hours/week
    1 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $733,076 related
    Bonus
    $0
    Other
    $0 + $28,786 related
    Deferred
    $0 + $66,000 related
    Nontaxable benefits
    $0 + $28,138 related
    Filer's total
    $0 + $856,000 related
  • Focht MD Glenn

    PRESIDENT & TRUSTEE (EX-OFFICIO)

    Total calculated
    $550,717
    From this org
    $0
    From related orgs
    $540,599
    Other
    $10,118
    Hours/week
    1 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $381,936 related
    Bonus
    $0 + $132,816 related
    Other
    $0 + $25,847 related
    Deferred
    $0 + $4,308 related
    Nontaxable benefits
    $0 + $5,810 related
    Filer's total
    $0 + $550,717 related
  • Kerr-Fernandez MD Jane

    TRUSTEE (PRES, AJH MEDICAL STAFF)

    Total calculated
    $369,705
    From this org
    $324,728
    From related orgs
    $0
    Other
    $44,977
    Hours/week
    55 + 1 related

    Schedule J breakdown matched by us

    Base
    $323,536
    Bonus
    $0
    Other
    $1,192
    Deferred
    $8,021
    Nontaxable benefits
    $36,956
    Filer's total
    $369,705
  • Connolly Esq Grace Gonzalez

    TRUSTEE & CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Trim Jean

    TRUSTEE AND VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Allard Nate

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Bouton PhD Christopher

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Cannon Patricia

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Clancy Mary Anne

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Costello Michael

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Cousins Jr Frank G

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Custodia-Lora Noemi

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Felter Timothy

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Fung MD Claire

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Ghiasuddin MD Salman

    TTEE; CARDIO/DIR CARDIAC CATH LAB

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Khatib Matt

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Lindner Christopher

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Nadeau Nicole

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Pieniazek Matt

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Purinton Elizabeth

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Seymour MD Peter

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Shenk III Wilbur

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Tarkan MD Joshua

    TRUSTEE (PRESIDENT, MEDICAL STAFF)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Wiley Margaret

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 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 + 63 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
  • Boyd Esq Stephen

    ASST CLERK (DIV VP DEP GC COMM BILH)

    Total calculated
    $329,981
    From this org
    $0
    From related orgs
    $314,060
    Other
    $15,921
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $254,712 related
    Bonus
    $0 + $52,448 related
    Other
    $0 + $6,900 related
    Deferred
    $0 + $13,450 related
    Nontaxable benefits
    $0 + $2,471 related
    Filer's total
    $0 + $329,981 related
  • Matlock John

    ASST TREAS (EX-OFF) (CFO, AJH)

    Total calculated
    $246,775
    From this org
    $0
    From related orgs
    $235,962
    Other
    $10,813
    Hours/week
    1 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $204,977 related
    Bonus
    $0 + $21,521 related
    Other
    $0 + $9,464 related
    Deferred
    $0 + $226 related
    Nontaxable benefits
    $0 + $10,587 related
    Filer's total
    $0 + $246,775 related
  • Mulkern Nicole

    ASST TREAS (EXO) (INT ASST CFO, AJH)

    Total calculated
    $180,560
    From this org
    $0
    From related orgs
    $164,338
    Other
    $16,222
    Hours/week
    1 + 56 related

    Schedule J breakdown matched by us

    Base
    $0 + $164,215 related
    Bonus
    $0
    Other
    $0 + $123 related
    Deferred
    $0 + $3,392 related
    Nontaxable benefits
    $0 + $12,830 related
    Filer's total
    $0 + $180,560 related
  • Kim Esq Grace

    ASST CLERK (ASST GEN COUNSEL, BILH)

    Total calculated
    $178,380
    From this org
    $0
    From related orgs
    $163,572
    Other
    $14,808
    Hours/week
    1 + 56 related

    Schedule J breakdown matched by us

    Base
    $0 + $163,461 related
    Bonus
    $0
    Other
    $0 + $111 related
    Deferred
    $0 + $4,768 related
    Nontaxable benefits
    $0 + $10,040 related
    Filer's total
    $0 + $178,380 related
  • Beaumier Mbacpamha Gregory

    ASST TREAS & CHIEF FINANCIAL OFFICER

    Total calculated
    $139,821
    From this org
    $0
    From related orgs
    $127,582
    Other
    $12,239
    Hours/week
    1 + 59 related
  • Robertson MPH Catharine

    VICE PRESIDENT, OPERATIONS

    Total calculated
    $367,767
    From this org
    $0
    From related orgs
    $327,683
    Other
    $40,084
    Hours/week
    1 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $261,767 related
    Bonus
    $0 + $57,424 related
    Other
    $0 + $8,492 related
    Deferred
    $0 + $11,918 related
    Nontaxable benefits
    $0 + $28,166 related
    Filer's total
    $0 + $367,767 related
  • Bugallo-Muros Mariana

    INTERIM VP, HR BUSINESS PARTNER

    Total calculated
    $248,325
    From this org
    $0
    From related orgs
    $248,325
    Other
    $0
    Hours/week
    1 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $231,000 related
    Bonus
    $0
    Other
    $0 + $17,325 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $248,325 related
  • Matthews Do Brett

    GENERAL SURGEON

    Total calculated
    $512,099
    From this org
    $470,165
    From related orgs
    $0
    Other
    $41,934
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $440,853
    Bonus
    $28,949
    Other
    $363
    Deferred
    $5,769
    Nontaxable benefits
    $36,165
    Filer's total
    $512,099
  • Thurlow MD Jeffrey

    GENERAL SURGEON

    Total calculated
    $483,708
    From this org
    $450,077
    From related orgs
    $0
    Other
    $33,631
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $447,701
    Bonus
    $0
    Other
    $2,376
    Deferred
    $9,900
    Nontaxable benefits
    $23,731
    Filer's total
    $483,708
  • Hartmann MD Peter

    GENERAL AND BREAST SURGEON

    Total calculated
    $471,177
    From this org
    $437,497
    From related orgs
    $0
    Other
    $33,680
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $418,033
    Bonus
    $15,179
    Other
    $4,285
    Deferred
    $9,841
    Nontaxable benefits
    $23,839
    Filer's total
    $471,177
  • Kersten Do Kimberly

    PHYSICIAN, INTERNAL MEDICINE

    Total calculated
    $452,159
    From this org
    $405,808
    From related orgs
    $0
    Other
    $46,351
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $323,739
    Bonus
    $67,735
    Other
    $14,334
    Deferred
    $9,900
    Nontaxable benefits
    $36,451
    Filer's total
    $452,159
  • Cruz-Gonzalez MD Irma

    GASTROENTEROLOGIST

    Total calculated
    $411,044
    From this org
    $400,969
    From related orgs
    $0
    Other
    $10,075
    Hours/week
    55

    Schedule J breakdown matched by us

    Base
    $400,000
    Bonus
    $0
    Other
    $969
    Deferred
    $9,231
    Nontaxable benefits
    $844
    Filer's total
    $411,044
  • Goldstein Mark

    FORMER PRESIDENT AND TRUSTEE

    Total calculated
    $859,827
    From this org
    $0
    From related orgs
    $652,432
    Other
    $207,395
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $136,425 related
    Bonus
    $0
    Other
    $0 + $516,007 related
    Deferred
    $0 + $201,109 related
    Nontaxable benefits
    $0 + $6,286 related
    Filer's total
    $0 + $859,827 related
  • Brickman Jeffrey L

    FRMR INTERIM PRES AND TTEE (EX-OFF)

    Total calculated
    $358,391
    From this org
    $0
    From related orgs
    $358,391
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $315,688 related
    Bonus
    $0
    Other
    $0 + $42,703 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $358,391 related
  • Soldano Joseph

    FRMR CO-INT CFO; DIR, FIN PLANNING

    Total calculated
    $227,271
    From this org
    $0
    From related orgs
    $188,041
    Other
    $39,230
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $170,184 related
    Bonus
    $0
    Other
    $0 + $17,857 related
    Deferred
    $0 + $3,551 related
    Nontaxable benefits
    $0 + $35,679 related
    Filer's total
    $0 + $227,271 related
  • Crowley Smith Joanne

    FRMR INTERIM VP, HR BUSINESS PARTNER

    Total calculated
    $431,568
    From this org
    $0
    From related orgs
    $377,789
    Other
    $53,779
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $286,466 related
    Bonus
    $0 + $73,380 related
    Other
    $0 + $17,943 related
    Deferred
    $0 + $15,140 related
    Nontaxable benefits
    $0 + $38,639 related
    Filer's total
    $0 + $431,568 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 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
SEACOAST AFFILIATED GROUP PRACTICE, 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 SEACOAST AFFILIATED GROUP PRACTICE, INC. IN THIS CAPACITY, THE BILH COMPENSATION COMMITTEE SETS COMPENSATION FOR THE CEO AND PRESIDENT OF SEACOAST AFFILIATED GROUP PRACTICE, 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. BILH AND ITS AFFILIATES MAINTAIN CERTAIN SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS. DURING THE PERIOD COVERED BY THIS FILING, ONE OR MORE INDIVIDUALS LISTED IN THIS FORM 990, SCHEDULE J, COMPENSATION INFORMATION, MAY HAVE PARTICIPATED IN ONE OR MORE OF THE FOLLOWING PLANS, WHICH UNDER THE DEFINITION TO THIS FORM 990 ARE SUPPLEMENTAL NONQUALIFIED PLANS: BETH ISRAEL DEACONESS MEDICAL CENTER EXECUTIVE RETIREMENT PROGRAM, BETH ISRAEL LAHEY HEALTH, INC. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN, LAHEY CLINIC FOUNDATION, INC. 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN PHYSICIANS, SENIOR MANAGEMENT AND DEFINED MEDICAL STAFF, THE JORDAN HEALTH SYSTEMS, INC. 457(F) DEFERRED COMPENSATION PLAN. IN ADDITION, DURING THE PERIOD COVERED BY THIS FILING, ONE OR MORE INDIVIDUALS LISTED IN THIS FORM 990, SCHEDULE J, COMPENSATION INFORMATION, MAY HAVE PARTICIPATED IN ONE OR MORE OF THESE ADDITIONAL IRC 457(B) PLANS AND BENEFITS FROM PARTICIPATING IN ONE OF THESE PLANS IS ALSO REPORTED IN THIS FORM 990: ANNA JAQUES HOSPITAL SELECT GROUP 457(B) DEFERRED COMPENSATION PLAN, BETH ISRAEL DEACONESS HOSPITAL MILTON 457(B) PLAN, BETH ISRAEL DEACONESS MEDICAL CENTER 457(B) PLAN, BETH ISRAEL LAHEY HEALTH, INC. 457(B) DEFERRED COMPENSATION PLAN, LAHEY CLINIC FOUNDATION, INC. 457(B) NONQUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN PHYSICIANS, SENIOR MANAGEMENT AND DEFINED MEDICAL STAFF, MOUNT AUBURN HOSPITAL 457(B) DEFERRED COMPENSATION PLAN, NEW ENGLAND BAPTIST HOSPITAL 457(B) PLAN, THE JORDAN HEALTH SYSTEMS, INC. ELIGIBLE DEFERRED COMPENSATION PLAN, WINCHESTER HOSPITAL SELECT GROUP 457(B) DEFERRED COMPENSATION PLAN, EXETER HEALTH RESOURCES, INC. 457(B) RETIREMENT SAVINGS PLAN, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. 457(B) DEFERRED COMPENSATION PLAN. THESE PLANS ARE NON-QUALIFIED DEFERRED COMPENSATION PLANS AND PURSUANT TO THE PLANS, ELIGIBLE EMPLOYEES RECEIVE CERTAIN RETIREMENT BENEFITS AND/OR CAN MAKE THEIR OWN EMPLOYEE DEFERRALS. AMOUNTS RECEIVED BY PARTICIPANTS AND DEFERRED BY PARTICIPANTS 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.
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. COMPLETE TITLES AND ADDITIONAL EXPLANATORY INFORMATION FOR OFFICERS, DIRECTOR/TRUSTEES, KEY EMPLOYEES AND THE ENTITIES FIVE HIGHEST PAID EMPLOYEES OTHER THAN ODTKE ARE LISTED BELOW ALPHABETICALLY:
SCHEDULE J FOOTNOTES (CONTINUED):
BEAUMIER, MBA, CPA, MHA, GREGORY UNLESS OTHERWISE NOTED BELOW, MR. BEAUMIER HELD THE FOLLOWING POSITIONS FOR THE FULL FISCAL PERIOD ENDING SEPTEMBER 30, 2024: CHIEF FINANCIAL OFFICER & ASSISTANT TREASURER (EX-OFFICIO) - NORTHEAST HOSPITAL CORPORATION CHIEF FINANCIAL OFFICER - NORTHEAST MEDICAL PRACTICE, INC. (NOW KNOWN AS BETH ISRAEL LAHEY HEALTH SPECIALTY CARE, INC.) CHIEF FINANCIAL OFFICER & ASSISTANT TREASURER (EX-OFFICIO) - NORTHEAST HEALTH SYSTEM, INC. TRUSTEE - BETH ISRAEL LAHEY HEALTH PHARMACY, INC. TERM BEGAN ON OCTOBER 1, 2023 CHIEF FINANCIAL OFFICER & ASSISTANT TREASURER (EX-OFFICIO) - ANNA JAQUES HOSPITAL, INC. TERM BEGAN ON APRIL 7, 2024 CHIEF FINANCIAL OFFICER & ASSISTANT TREASURER - SEACOAST AFFILIATED GROUP PRACTICE, INC. TERM BEGAN ON APRIL 7, 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. INCENTIVE COMPENSATION FOR MR. BEAUMIER INCLUDES A MILESTONE PAYMENT IN THE AMOUNT OF $15,000. BOYD, ESQ, STEPHEN ASSISTANT CLERK (EX-OFFICIO) (DIVISIONAL VICE PRESIDENT, DEPUTY GENERAL COUNSEL FOR COMMUNITY DIVISION) - ANNA JAQUES HOSPITAL, INC. TERM BEGAN ON SEPTEMBER 26, 2024 ASSISTANT CLERK (DIVISIONAL VICE PRESIDENT, DEPUTY GENERAL COUNSEL FOR COMMUNITY DIVISION) - SEACOAST AFFILIATED GROUP PRACTICE, INC. TERM BEGAN ON SEPTEMBER 26, 2024 IN ADDITION, MR. BOYD HELD FOLLOWING ROLES TERM STARTED JANUARY 29, 2024 AND ENDED MAY 29, 2024. ASSISTANT CLERK (EX-OFFICIO) (DIVISIONAL VICE PRESIDENT, DEPUTY GENERAL COUNSEL FOR COMMUNITY DIVISION) - CORE PHYSICIANS, LLC ASSISTANT CLERK (EX-OFFICIO) (DIVISIONAL VICE PRESIDENT, DEPUTY GENERAL COUNSEL FOR COMMUNITY DIVISION) - EXETER HEALTH RESOURCES, INC. ASSISTANT CLERK (DIVISIONAL VICE PRESIDENT, DEPUTY GENERAL COUNSEL FOR COMMUNITY DIVISION) - EXETER HOSPITAL, 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. BRICKMAN, JEFFREY L. FORMER INTERIM PRESIDENT & TRUSTEE (EX-OFFICIO) - ANNA JAQUES HOSPITAL, INC. FORMER INTERIM PRESIDENT AND TRUSTEE (EX-OFFICIO) - SEACOAST AFFILIATED GROUP PRACTICE, INC. MR. BRICKMAN'S TERM ENDED IN THE ABOVE POSITIONS ON SEPTEMBER 1, 2023 DURING PRIOR FISCAL PERIOD. 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 INCLUDES PAYMENTS FOR TEMPORARY HOUSING PROVIDED BY EMPLOYER IN THE AMOUNTS OF $42,703. BUGALLO-MUROS, MARIANA INTERIM VICE PRESIDENT, HUMAN RESOURCES BUSINESS PARTNER - ANNA JAQUES HOSPITAL, INC. TERM ENDED ON MAY 24, 2024 INTERIM VICE PRESIDENT, HUMAN RESOURCES BUSINESS PARTNER - SEACOAST AFFILIATED GROUP PRACTICE, INC. TERM ENDED ON MAY 24, 2024 OTHER REPORTABLE COMPENSATION INCLUDES PAYMENTS FOR TEMPORARY HOUSING IN THE AMOUNTS OF $17,325. CROWLEY SMITH, JOANNE UNLESS OTHERWISE NOTED, MS. CROWLEY SMITH SERVED IN THE POSITIONS ABOVE DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024. DIVISIONAL VICE PRESIDENT, HUMAN RESOURCES BUSINESS PARTNER - BETH ISRAEL LAHEY HEALTH, INC. FORMER INTERIM VICE PRESIDENT, HUMAN RESOURCES BUSINESS PARTNER - ANNA JAQUES HOSPITAL, INC. FORMER VICE PRESIDENT, HUMAN RESOURCES BUSINESS PARTNER - SEACOAST AFFILIATED GROUP PRACTICE, INC. FORMER VICE PRESIDENT, HUMAN RESOURCES BUSINESS PARTNER - WINCHESTER HOSPITAL FORMER VICE PRESIDENT, HUMAN RESOURCES BUSINESS PARTNER - WINCHESTER HEALTHCARE MANAGEMENT, 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 MS. CROWLEY SMITH INCLUDES A CASH PAYMENT FOR A BENEFIT RELATED TO RETIREMENT IN THE AMOUNT OF $11,433. CRUZ-GONZALEZ, M.D., IRMA GASTROENTEROLOGIST -SEACOAST AFFILIATED GROUP PRACTICE, INC. FOCHT, M.D., GLENN UNLESS OTHERWISE NOTED BELOW, DR. FOCHT HELD THE FOLLOWING POSITIONS FOR THE FULL FISCAL PERIOD ENDING SEPTEMBER 30, 2024: PRESIDENT & TRUSTEE (EX-OFFICIO) - ANNA JAQUES HOSPITAL, INC. PRESIDENT & TRUSTEE (EX-OFFICIO) - SEACOAST AFFILIATED GROUP PRACTICE, 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 DR. FOCHT INCLUDES A PAYMENT INTENDED FOR RETIREMENT IN THE AMOUNT OF $23,521. GOLDSTEIN, MARK FORMER PRESIDENT & TRUSTEE (EX-OFFICIO) - ANNA JAQUES HOSPITAL, INC. FORMER PRESIDENT AND TRUSTEE - SEACOAST AFFILIATED GROUP PRACTICE, INC. MR. GOLDSTEIN'S TERM ENDED IN THE ABOVE POSITIONS ON MARCH 26, 2023 DURING THE PRIOR FISCAL PERIOD. 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. GOLDSTEIN INCLUDES SEVERANCE PAYMENTS RECEIVED IN 2023 IN THE AMOUNT OF $460,177. OTHER REPORTABLE COMPENSATION FOR MR. GOLDSTEIN ALSO INCLUDES COMBINED PAYMENTS FROM NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $33,234. DEFERRED COMPENSATION FOR MR. GOLDSTEIN INCLUDES DEFERRED SEVERANCE PAYMENTS IN THE AMOUNT OF $184,071 TO BE PAID AFTER DECEMBER 31, 2023. HARTMANN, M.D., PETER GENERAL AND BREAST SURGEON - SEACOAST AFFILIATED GROUP PRACTICE, INC.
SCHEDULE J FOOTNOTES (CONTINUED):
KATZ, ESQ., 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. KERR-FERNANDEZ, M.D., JANE TRUSTEE (EX-OFFICIO), PRESIDENT, MEDICAL STAFF - ANNA JAQUES HOSPITAL INC. TRUSTEE - SEACOAST AFFILIATED GROUP PRACTICE, INC. KERSTEN, D.O., KIMBERLY - DOCTOR OF OSTEOPATHIC ,INTERNAL MEDICINE - SEACOAST AFFILIATED GROUP PRACTICE, INC. KIM, ESQ., GRACE ASSISTANT GENERAL COUNSEL - BETH ISRAEL LAHEY HEALTH ASSISTANT CLERK -SEACOAST AFFILIATED GROUP PRACTICE, INC. TERM ENDED SEPTEMBER 25, 2024 ASSISTANT CLERK - ANNA JAQUES HOSPITAL, INC. TERM ENDED SEPTEMBER 25, 2024 MATLOCK, JOHN MR. MATLOCK SERVED IN THE FOLLOWING POSITIONS THROUGH OCTOBER 20, 2023: CHIEF FINANCIAL OFFICER & ASSISTANT TREASURER (EX-OFFICIO) - ANNA JAQUES HOSPITAL, INC. ASSISTANT TREASURER (EX-OFFICIO) - SEACOAST AFFILIATED GROUP PRACTICE, INC. MATTHEWS, D.O., BRETT GENERAL SURGEON - SEACOAST AFFILIATED GROUP PRACTICE, INC. MULKERN, NICOLE ASSISTANT TREASURER (EX-OFFICIO) & INTERIM ASSISTANT CHIEF FINANCIAL OFFICER - ANNA JAQUES HOSPITAL, INC. ASSISTANT TREASURER, EX OFFICIO - SEACOAST AFFILIATED GROUP PRACTICE, INC. MS. MULKERN SERVED IN THE FOLLOWING ROLES FOR THE PERIOD OCTOBER 23, 2023 APRIL 6, 2024 DURING THE FISCAL PERIOD ENDING 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. NASEER-GHIASUDDIN, SAIRA TRUSTEE; PHYSICIAN, INTERNAL MEDICINE - ANNA JAQUES HOSPITAL, INC. TRUSTEE; PHYSICIAN, INTERNAL MEDICINE - SEACOAST AFFILIATED GROUP PRACTICE, INC.
SCHEDULE J FOOTNOTES (CONTINUED):
PURSLEY, M.D., DEWAYNE M. DIRECTOR (EX-OFFICIO) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. CHAIR OF NEONATOLOGY; MEDICAL DIRECTOR, KLARMAN FAMILY NICU - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. INTERIM CHAIR - OBSTETRICS/GYNECOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. TERM BEGAN FEBRUARY 1, 2024 CHIEF OF NEONATOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. INTERIM CHIEF OBSTETRICS/GYNECOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. TERM BEGAN FEBRUARY 1, 2024 PRESIDENT AND DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION INTERIM PRESIDENT AND DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF OBSTETRICS AND GYNECOLOGY FOUNDATION TERM BEGAN FEBRUARY 1, 2024 TRUSTEE - ANNA JAQUES HOSPITAL TRUSTEE - SEACOAST AFFILIATED GROUP PRACTICE, INC. DR. PURSLEY'S OTHER REPORTABLE COMPENSATION INCLUDES PAYMENTS FOR OTHER TAXABLE INSURANCE BENEFITS IN THE AMOUNT OF $ 25,323. 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. ROBERTSON, MPH, CATHARINE VICE PRESIDENT, OPERATIONS - SEACOAST AFFILIATED GROUP PRACTICE, INC. TERM BEGAN ON OCTOBER 1, 2023 VICE PRESIDENT, AMBULATORY SERVICES - WINCHESTER HOSPITAL . MS. ROBERTSON SERVED IN THE POSITIONS ABOVE DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2024, UNLESS OTHERWISE STATED. 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. 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.
SCHEDULE J FOOTNOTES (CONTINUED):
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. OTHER REPORTABLE COMPENSATION FOR MR. SHORETT INCLUDES COMBINED PAYMENTS FROM NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $179,843. PART OR ALL OF THE PAYMENTS REPRESENT AMOUNTS REPORTED IN PRIOR YEARS AS OTHER REPORTABLE COMPENSATION OR DEFERRED COMPENSATION. SOLDANO, JOSEPH MR. SOLDANO'S TERM ENDED IN THE FOLLOWING POSITIONS ON OCTOBER 14, 2022 DURING A PRIOR FISCAL PERIOD: FORMER CO-INTERIM CHIEF FINANCIAL OFFICER, DIRECTOR OF FINANCIAL PLANNING - ANNA JAQUES HOSPITAL, INC. FORMER CO-INTERIM CHIEF FINANCIAL OFFICER, DIRECTOR OF FINANCIAL PLANNING - SEACOAST AFFILIATED GROUP PRACTICE, 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 INCLUDES PAYMENT FOR PTO CASHED-OUT IN THE AMOUNT OF $17,197.
SCHEDULE J FOOTNOTES (CONTINUED):
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. THURLOW, M.D., JEFFREY GENERAL SURGEON - SEACOAST AFFILIATED GROUP PRACTICE, INC.

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.

  • BETH ISRAEL LAHEY HEALTH SURGERY CENTER PLYMOUTH LLC

    SURGERY CENTER · MA

  • BIDCO HOSPITAL LLC

    COORDINATED SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC · MA

  • BIDCO PHYSICIAN LLC

    COORDINATED SAFE AND COST EFFECTIVE PATIENT CARE AT BILH · MA

  • BILH INVESTMENT PARTNERSHIP LLP

    INVESTMENT PARTNERSHIP · MA

  • NEBSC HOSPITAL HOLDINGS LLC

    INVESTMENT PARTNERSHIP · MA

  • NEW ENGLAND BAPTIST SURGERY CENTER LLC

    AMBULATORY SURGERY CENTER · MA

  • PHYSICIANS PROFESSIONAL SERVICES LLP

    TO PROVIDE MEDICAL BILLING SERVICES · MA

  • SHIELDS IMAGING AT ANNA JAQUES HOSPITAL LLC

    MRI SERVICES · MA

  • WINCHESTER HOSPITALSHIELDS MRI LLC

    MRI SERVICES · MA

Related corporations and trusts

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

  • GREATER NEWBURYPORT MANAGEMENT SERVICES ORGANIZATION INC

    C · MANAGEMENT SERVICES · MA

  • HUNTINGFIELD CORPORATION

    C · TO HOLD OWNERSHIP OF SUBTERRANEAN RIGHTS · DE

  • LAHEY CLINIC INSURANCE CO LTD

    C · INSURANCE · BD

  • LEDGEWOOD HEALTH CARE CORPORATION

    C · NURSING HOME · MA

  • NORTHEAST PROPRIETARY CORP

    C · MEDICAL SERVICES · MA

  • WINCHESTER HEALTHCARE ENTERPRISES INC

    C · MANAGEMENT SERVICES · MA

  • WINCHESTER PHYSICIAN ASSOCIATES INC

    C · MANAGEMENT SERVICES · MA

  • WINCHESTER PHYSICIAN HOSPITAL ORGANIZATION INC

    C · INACTIVE · MA

Provenance

Return type
form_990
Tax year
2023
Filed
14 August 2025
IRS schema version
2023v6.0
Source object
202502279349302565

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