Civic Intelligence

Core Physicians LLC

EIN 87-0807914 • 501(c)3 • Charlestown, MA

Profile

The mission of Core Physicians is to improve the health of the community. This mission is principally accomplished through the provision of health services and information to the community within the resources available. (Continued on Schedule O)As a multi-specialty group practice Core Physicians provides community access to primary care physicians, specialty physician services, pediatric dental services, office based laboratory service, as well as contracted physicians to support Exeter Hospital's 24/7 intensivist's coverage program in its ICU, and inpatient hospitalist program. Core Physicians supports access to its physicians and medical services through a robust financial assistance program that underwrites 100% of the cost of medical care provided by its physicians based on family size and income for residents of our service area.

CO Bilh Tax 529 Main St 4th FLCharlestown, MA 02129

www.corephysicians.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

98th percentile

1.45x

Higher debt load relative to assets than 98% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

54th percentile

0.49x

Higher debt load relative to revenue than 54% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

5th percentile

-39%

Higher net margin than 5% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

47th percentile

5.1%

Faster asset growth than 47% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

70th percentile

15%

Faster revenue growth than 70% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$37,303,143

Up $1,799,269 (+5.1%) from 2023

Liabilities

Up

$53,944,372

Up $16,493,979 (+44%) from 2023

Net Assets

Down

-$16,641,229

Down $14,694,710 (-755%) from 2023

Revenue

Up

$109,271,594

Up $14,375,548 (+15%) from 2023

Expenses

Up

$152,084,393

Up $17,502,567 (+13%) from 2023

Net Income

Down

-$42,812,799

Down $3,127,019 (-7.9%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0-$20MAssets 2010: $12,089,766Liabilities 2010: $7,772,506Net Assets 2010: $4,317,2602010Assets 2011: $12,427,990Liabilities 2011: $8,420,348Net Assets 2011: $4,007,6422011Assets 2012: $11,348,580Liabilities 2012: $9,513,680Net Assets 2012: $1,834,9002012Assets 2013: $12,036,172Liabilities 2013: $10,352,722Net Assets 2013: $1,683,4502013Assets 2014: $11,783,946Liabilities 2014: $10,648,475Net Assets 2014: $1,135,4712014Assets 2015: $12,351,538Liabilities 2015: $12,385,044Net Assets 2015: -$33,5062015Assets 2016: $14,151,746Liabilities 2016: $12,263,106Net Assets 2016: $1,888,6402016Assets 2017: $15,027,253Liabilities 2017: $13,828,554Net Assets 2017: $1,198,6992017Assets 2018: $15,791,139Liabilities 2018: $15,503,661Net Assets 2018: $287,4782018Assets 2019: $17,485,553Liabilities 2019: $17,558,897Net Assets 2019: -$73,3442019Assets 2020: $19,595,158Liabilities 2020: $24,882,714Net Assets 2020: -$5,287,5562020Assets 2021: $19,371,760Liabilities 2021: $25,180,893Net Assets 2021: -$5,809,1332021Assets 2022: $18,150,860Liabilities 2022: $21,985,704Net Assets 2022: -$3,834,8442022Assets 2023: $35,503,874Liabilities 2023: $37,450,393Net Assets 2023: -$1,946,5192023Assets 2024: $37,303,143Liabilities 2024: $53,944,372Net Assets 2024: -$16,641,2292024

Highlighted filing

2024

Assets$37,303,143
Liabilities$53,944,372
Net Assets-$16,641,229

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$150M$100M$50M$0-$50MExpenses 2010: $71,231,0912010Expenses 2011: $77,070,8022011Revenue 2012: $67,335,446Expenses 2012: $80,591,988Net Income 2012: -$13,256,5422012Expenses 2013: $83,052,5272013Revenue 2014: $70,718,860Expenses 2014: $84,769,693Net Income 2014: -$14,050,8332014Revenue 2015: $73,679,256Expenses 2015: $88,884,305Net Income 2015: -$15,205,0492015Revenue 2016: $76,280,414Expenses 2016: $94,045,472Net Income 2016: -$17,765,0582016Revenue 2017: $77,343,432Expenses 2017: $101,235,986Net Income 2017: -$23,892,5542017Revenue 2018: $83,440,748Expenses 2018: $108,866,776Net Income 2018: -$25,426,0282018Revenue 2019: $82,993,943Expenses 2019: $110,782,646Net Income 2019: -$27,788,7032019Revenue 2020: $78,216,197Expenses 2020: $115,259,704Net Income 2020: -$37,043,5072020Revenue 2021: $100,280,879Expenses 2021: $123,473,718Net Income 2021: -$23,192,8392021Revenue 2022: $93,545,690Expenses 2022: $128,320,808Net Income 2022: -$34,775,1182022Revenue 2023: $94,896,046Expenses 2023: $134,581,826Net Income 2023: -$39,685,7802023Revenue 2024: $109,271,594Expenses 2024: $152,084,393Net Income 2024: -$42,812,7992024

Highlighted filing

2024

Revenue$109,271,594
Expenses$152,084,393
Net Income-$42,812,799

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$37.3$53.9$16.6$109$152$42.8
2023Detailed filing. Detailed filing data is available for this year.$35.5$37.5$1.95$94.9$135$39.7
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.2$22.0$3.83$93.5$128$34.8
2021Detailed filing. Detailed filing data is available for this year.$19.4$25.2$5.81$100$123$23.2
2020Detailed filing. Detailed filing data is available for this year.$19.6$24.9$5.29$78.2$115$37.0
2019Detailed filing. Detailed filing data is available for this year.$17.5$17.6$0.07$83.0$111$27.8
2018Detailed filing. Detailed filing data is available for this year.$15.8$15.5$0.29$83.4$109$25.4
2017Detailed filing. Detailed filing data is available for this year.$15.0$13.8$1.20$77.3$101$23.9
2016Detailed filing. Detailed filing data is available for this year.$14.2$12.3$1.89$76.3$94.0$17.8
2015Detailed filing. Detailed filing data is available for this year.$12.4$12.4$0.03$73.7$88.9$15.2
2014Detailed filing. Detailed filing data is available for this year.$11.8$10.6$1.14$70.7$84.8$14.1
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.0$10.4$1.68$83.1
2012Summary only. Only limited summary data is available for this year.$11.3$9.51$1.83$67.3$80.6$13.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.4$8.42$4.01$77.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.1$7.77$4.32$71.2
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$109,271,594
Mission and Program Overview

Mission

The mission of Core Physicians is to improve the health of the community. This mission is principally accomplished through the provision of health services and information to the community within the resources available. As a multi-specialty group practice Core Physicians provides community access to primary care physicians, specialty physician services, pediatric dental services, office based laboratory service, as well as contracted physicians to support Exeter Hospital's 24/7 intensivist's coverage program in its ICU, and inpatient hospitalist program. Core Physicians supports access to its physicians and medical services through a robust financial assistance program that underwrites 100% of the cost of medical care provided by its physicians based on family size and income for residents of our service area.

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets$16,673,829$17,047,577▲ $373,748
Accounts Receivable$8,362,461$9,030,572▲ $668,111
Land, Buildings, and Equipment, Net$2,568,140$2,101,688▼ $466,452
Prepaid Expenses and Deferred Charges$1,946,102$1,501,376▼ $444,726
Cash and Non-Interest-Bearing Accounts$391,254$528,374▲ $137,120
Total Assets$35,503,874$37,303,143▲ $1,799,269
Other Assets Total$5,562,088$7,093,556▲ $1,531,468
Liabilities
Other Liabilities$25,046,083$40,362,543▲ $15,316,460
Accounts Payable and Accrued Expenses$12,404,310$13,581,829▲ $1,177,519
Total Liabilities$37,450,393$53,944,372▲ $16,493,979
Net Assets / Fund Balance
Net Assets With Donor Restrictions$114,583$174,598▲ $60,015
Net Assets Without Donor Restrictions$-2,061,102$-16,815,827▼ $14,754,725
Total Net Assets Fund Balance$-1,946,519$-16,641,229▼ $14,694,710
Total Liabilities and Net Assets / Fund Balance$35,503,874$37,303,143▲ $1,799,269

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,941,448$19,175,753$21,117,201
Leasehold Improvements$50,227$3,171,397$3,221,624
Buildings$110,013$372,915$482,928
Other Assets Org$7,093,556--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$114,583$72,001-$11,986$174,598
2022$126,650$8,330-$20,397$114,583
2021$192,500$159,648-$225,498$126,650
2020$127,691$268,800-$203,991$192,500
2019$115,127$209,197-$196,633$127,691
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Clerk Md AvnishOrthopedic SurgeonFT$753,824$348,797$1,102,621
Johnson Md Mph E WilliamUrologistFT$549,068$452,029$1,001,097
Mcgovern Md ThomasOrthopedic SurgeonFT$767,475$231,336$998,811
Cabral Do ChadGastroenterologistFT$631,360$365,907$997,267
Colman Md AaronOrthopedic SurgeonFT$713,353$163,773$877,126
Lanier Do MelaniePres&managing Member (exo), Clin MgrFT$442,699$408,649$851,348
Peelman Md JessicaManaging Member, Clinician ManagerFT$633,925$152,145$786,070
Schaffer Md MichaelMging Member(ex-off), Clin Mgr & CMOFT$386,980$314,071$701,051
Mckee Md RoderickManaging Member, Clinician ManagerFT$511,048$79,506$590,554
Porter Md BrianManaging Member, Clinician ManagerFT$467,366$69,602$536,968
Cassetta SandyVP, Finance & Physician CompFT$286,247$248,010$534,257
Hennelly LoriVP, Operations Core FacilitiesFT$259,877$174,660$434,537
Bonesho Md AlexandraFmr CHR & Managing Member, Clin Mgr-$283,057$125,127$408,184
Pangan Md MichaelChair & Mging Member, Clin ManagerFT$264,848$133,549$398,397
Dave Md AparaManaging Member, Clinician ManagerFT$296,596$92,851$389,447
Farrell Md KathleenManaging Member, Clinician ManagerFT$306,066$37,818$343,884
Kelly Md RobertManaging Member, Clinician ManagerFT$261,961$75,457$337,418

Board Members and Trustees

NameTitle
Sprauer Esq Constance DAssistant Clerk (SVP Legal Affairs)
Abramson Esq Michael SAsst Clerk (assoc Gen Counsel, Bilh)
Boyd Esq StephenAsst Clerk (div VP Dep Gc Comm Bilh)
Katz Esq JamieCLERK (EX-OFF); GENERAL COUNSEL BILH
Cresta DebraManaging Member (ex-off) (pres, Ehr)
Meehan Do NeilMging Mbr(exo)/sys Mgr,CHF Exec Phys
Casassa Allison JMGING MEMBER, ASST TREAS; (CFO, EHR)
Rios CindyTreas (ex-off) (exec VP & CFO, Bilh)

Highest Paid Contractors

ContractorServicesLocationCompensation
Exeter Health Resources INCAdministrative Mgmt Fees5 ALUMNI DRIVE, Exeter, NH 03833$4,900,715
Nextgen Healthcare INCBilling Software And SupportPO BOX 809390, Chicago, IL 60680$2,348,345
Massachusetts General HospitalPhysician ServicesPO BOX 3210, Boston, MA 02241-3210$1,706,325
Chg Companies INCPhysician ServicesPO BOX 972651, Dallas, TX 75397-2651$902,518
Medicus Healthcare SolutionPhysician Services22 ROULSTON ROAD, Windham, NH 03087$864,668
Revenue and Support

Revenue Composition

Contributions and Grants
$72,000
Program Service Revenue
$109,187,756
Investment Income
$11,838
Other Revenue
$0
All Other Contributions
$72,000
Change in Net Assets
$-42,812,799
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$103,551,098
Other Expenses$40,165,834
Grants and Similar Amounts Paid$5,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$69,463,645$11,687,148-$81,150,793
Fees for Services Other$14,064,232$2,366,287-$16,430,519
Other Employee Benefits$8,651,451$1,455,592-$10,107,043
Benefits to Members$8,362,461--$8,362,461
Occupancy$6,166,908$1,037,573-$7,204,481
Other Expenses$5,762,089$969,461-$6,731,550
Current Officers, Directors, Trustees, and Key Employees$5,053,661$850,270-$5,903,931
Payroll Taxes$4,248,150$691,559-$4,939,709
Fees for Services Management-$4,900,715-$4,900,715
Insurance$2,306,699$388,099-$2,694,798
Office Expenses$1,056,287$171,954-$1,228,241
Pension Plan Contributions$891,452$149,986-$1,041,438
Depreciation Depletion$442,983$74,531-$517,514
Comp Disqual Persons$349,398$58,786-$408,184
Travel$221,263$37,227-$258,490
Advertising$148,488$1,500-$149,988
Information Technology$41,085$6,913-$47,998
Grants to Domestic Orgs$5,000--$5,000
Fees for Services Legal-$1,540-$1,540
Total Functional Expenses$127,235,252$24,849,141$0$152,084,393
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability$17,079,348
Due to Related Entities$15,647,472
Deferred Compensation Obligations$7,090,446
Due to Third Parties$545,277
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

For the period covered by this filing, beth israel lahey health, inc. (bilh) served as direct or indirect sole member of: beth israel deaconess medical center, inc. (bidmc), mount auburn hospital (mah), new england baptist hospital (nebh), beth israel deaconess hospital milton, inc. (milton), beth israel deaconess hospital needham, inc. (needham), beth israel deaconess hospital plymouth, inc. (plymouth), lahey clinic foundation (lcf) , lahey clinic (lci), lahey clinic hospital d/b/a lahey hospital and medical center (lhmc), winchester hospital (winchester), northeast hospital corporation (northeast), anna jaques hospital (ajh), beth israel lahey health pharmacy, joslin diabetes center, exeter health resources, inc. (ehri) and exeter hospital. Each of these affiliates may have, in turn, served as member of additional entities within the bilh network of affiliates. In addition, harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp) is the dedicated physician practice of bidmc and an entity integrally related to helping bidmc and other affiliates in the bilh network accomplish their charitable purposes. For this same period hmfp served as the sole member of affiliated physicians of harvard medical faculty physicians at beth israel deaconess medical center (aphmfp) as well as the direct or indirect member of several additional entities. Two or more of the persons listed in this form 990 part vii have a business relationship with each other by virtue of sitting on one or more boards of directors/trustees or by serving in an employment relationship with one or more entities within the network of the affiliated organizations noted above. Additional detail is provided in the explanatory notes to this form 990 schedule j.

Form 990, Part VI, Section A, Line 6

Yes. Exeter health resources, inc. (ehri) is the sole member of core physicians, llc (core or company).

Form 990, Part VI, Section A, Line 7A

Core physicians, llc (core or company) will have a total of thirteen (13) managers, divided into two (2) classes, with each class of managers having differing voting rights and responsibilities in the making of certain decisions, as described below. Five (5) of the managers shall be ehri managers (each with vote) and eight (8) of the managers shall be clinician managers (each with vote). Ehri managers the ehri managers will consist of: (i) the president of the company, ex officio, (ii) the president of ehri or his or her designee, ex officio, (iii) the chief financial officer of ehri or his or her designee, ex officio, (iv) the chief operating officer of ehri or his or her designee, ex officio, and (v) the chief physician executive of ehri or his or her designee, ex officio; provided that if at any time ehri does not have a chief operating officer or chief physician executive (such that the ex officio positions under (iv) or (v) would be left vacant), the president of ehri may appoint a different member of ehri senior management to serve ex officio and till the vacant position; and provided, further, that none of the ehri managers shall be employees of the company or will receive fees, compensation for their service as such or any other pecuniary benefit (within the meaning of nh rsa 7: 19-a) of any type from the company. Clinician managers. The clinician managers will be elected from among the physicians, dentists, nurse practitioners and physician assistants ("clinicians") who are employed by the company. The chief medical officer of the company shall be a clinician manager, ex-officio, for as long there is a chief medical officer of the company. In the event that there are no clinicians employed by the company, there shall be no clinician managers, and any responsibilities of the managers as set forth in section 2.4(a) shall be carried out by the ehr managers. Except for the chief medical officer of the company, who shall serve as a clinician manager for so long as such individual holds the position as chief medical officer, the nominating committee will nominate a slate of clinician managers to fill the positions of those whose terms are expiring. The slate of nominees will first be approved at such meeting by the clinician and ehr managers, voting as a group, and shall then be submitted for final approval by the member. The member, in its sole discretion, may accept, reject or modify the recommended slate without resubmitting it for further approval to the managers.

Form 990, Part VI, Section A, Line 7B

Exeter health resources, inc. (ehri) is the sole member of core physicians, llc (core or company). In addition, as noted throughout this filing, effective july 1, 2023, beth israel lahey health, inc. (bilh or system member) became the sole member of ehri. Subject to the provisions of the certificate of formation and operating agreement and the authorities of the system member as described in the ehri articles of agreement and bylaws , the member shall have the right to exercise all powers, both positive and negative, conferred by the new hampshire limited liability company act (act). In addition, except as expressly granted to the management board of the company (board) in the operating agreement, the member shall have the right to exercise all powers, positive and negative, conferred by the act on boards of limited liability companies organized under the act. The powers reserved to the member are powers to approve and/or initiate actions subject to board authority under the act, as described below, and shall be exercised subject to and in accordance with the governing documents of the member. The power of the company to exercise its authority as a member of another legal entity shall be subject to the following limitations: (x) all statutory powers that reside in the company as a member of another legal entity under new hampshire law may be exercised by the company only at the express and explicit direction of, and with the approval of, the member; (y) all statutory powers that reside in the company as a member of another legal entity under new hampshire law may be exercised directly by the member after consultation with the chair but otherwise without the approval or participation of the company; and (z) other than statutory powers, the company shall have only those powers and authorities over and with respect to the legal entities of which it is a member as are expressly and explicitly delegated or directed to the company by action of the member's board. In addition, subject to the authority of the system member and the member, the voting rights, requirements and qualifications of managers, and the exclusive responsibilities of the ehri managers. The ehri and clinician managers acting together, shall exercise the powers and responsibilities of the board, which shall include the power and authority to: (i) establish standards for medical practice and other clinician services and monitor demand for services provided by the company's employees; (ii) monitor financial performance and on-going compliance with laws applicable to the services provided by the company's employees; (iii) identify recruitment needs for additional clinicians and qualifications for certain professional positions; and (iv) adopt the annual operating and capital budgets for recommendation to and approval by the member. Exclusive responsibilities of ehri managers. The ehri managers will have sole authority to oversee the management and day-to-day affairs of the company, to establish compensation and any other pecuniary benefits for its employees (including the clinician managers), to set all other terms and conditions of employment, following input from the clinician managers as and when requested by the ehri managers, and to address such items as may from time to time be reserved to the ehri managers for action upon approval of the member. Without limiting the generality of the foregoing, any pecuniary matters brought before the board, including without limitation, reviewing and recommending approval of operating and capital budgets as well as making recommendations with respect to capital expenditures, shall be reserved to the ehri managers exclusively. The ehri managers may meet separately for such purposes; otherwise, the clinician managers will be recused from any portion of a meeting at which matters reserved to the ehr managers are to be addressed.

Form 990, Part VI, Section B, Line 11B

As noted in various disclosures throughout this filing, beth israel lahey health, inc. (bilh) is the direct or indirect sole member of core physicians, llc . This form 990 is prepared by the bilh tax department in conjunction with deloitte tax, llp (deloitte). As part of this process, the bilh tax department works with other disciplines and functions within bilh and core physicians, llc to ensure that all financial and non-financial disclosures are complete and accurate. Examples of such departments include but are not limited to: finance and accounting, human resources and payroll, treasury, compliance, legal, community benefits, financial assistance and reimbursement, governance, development, graduate medical education, government relations, research and/or research finance. Core physicians, llc 's form 990 is reviewed internally by the bilh assistant vice president, taxation and externally by deloitte. Core physicians, llc 's form 990, along with the forms 990 of all entities in the bilh network, are discussed with the bilh audit and compliance committee. Deloitte signs the final returns. A copy of the complete return is then provided to each member of core physicians, llc 's board of trustees prior to submission to the internal revenue service.

Form 990, Part VI, Section B, Line 12C

As noted throughout this filing, core physicians, llc is a member of the beth israel lahey health (bilh) system of affiliates. All entities in the bilh network adhere to the bilh conflict of interest policy and maintain a written, comprehensive conflict of interest policy at the entity level. Pursuant to these policies, bilh entities' officers, trustees and key employees as well as certain other individuals are required to complete the annual conflict of interest and tax questionnaire (coi-tq). The coi-tq is designed to require disclosure of any business and family relationships and affiliations maintained by officers, trustees, or key employees and their family members and which may result in a real or perceived conflict of interest. The bilh office of integrity and compliance, in conjunction with the bilh tax department, administers the coi-tq process annually. Bilh integrity and compliance collects and reviews all disclosures. Disclosures for bilh executives and key employees are assigned appropriate follow-up action in accordance with the bilh policy. A summary of positive responses for each bilh affiliate is provided to the compliance officer for that entity for review final determination of any potential or actual conflict. Any activity that requires action under the conflict of interest policies is subject to ongoing review by core physicians, llc as well as the bilh integrity and compliance office. Pursuant to the bilh conflict of interest policy, certain activities which could create conflicts of interest are prohibited while other types of relationships are permitted, subject to compliance with a management plan to require disclosure and recusal, including appropriate documentation in the minutes. In addition, as noted above, the annual coi-tq process outlined above is jointly issued by the bilh tax department, to ensure that the questionnaire is distributed to all current and former members of the core physicians, llc board of trustees as well as former officers and key employees. The coi-tq process is designed to gather the information necessary for core physicians, llc to completely and accurately complete form 990 schedule l, transactions with interested persons and form 990, part vi, question 2, family and business relationships between officers, directors/trustees and key employees.

Form 990, Part VI, Section B, Line 15

As required by this form 990 and as reported in the form 990 schedule j, although this filing covers the fiscal period october 1, 2023 to september 30, 2024, compensation reported in this filing is calendar year 2023 compensation. In addition, as reported in the prior year form 990 for core physicians, llc. (core), effective july 1, 2023, beth israel lahey health (bilh) became the sole member of exeter health resources, inc. (ehri) and ehri is the member of core. The president of ehri also serves as the president (ex-officio) of core. The ehri president effective july 1, 2023 as well as other core officers and system managers whose positions commenced on or after july 1, 2023 and who are employed by bilh, was set by the bilh compensation committee and/or board. Compensation for the ehri and core president who commenced in that role effective july 1, 2023 was also set by the bilh compensation committee. Compensation of other core officers, system managers and key employees was set prior to bilh becoming the sole member of ehri and was set by the ehri compensation committee and board. Both compensation committees engaged in processes intended to ensure that all officers, directors/trustees and key employees received reasonable compensation packages. Additional detail is below. Bilh compensation committee process: the president of core physicians, llc (core) is also the president of core's sole member, exeter health resources inc. (ehri). As noted in this form 990, beth israel lahey health (bilh) became the sole member of ehri effective july 1, 2023 and the president of ehri became an employee of bilh at that time. In this capacity, the bilh compensation committee sets compensation for the president of core / ehri who started in the role effective july 1, 2023. The compensation setting process for the ehri president who also served as the core president through june 30, 2023 as well as officers and system managers whose positions commenced before july 1, 2023 is described below. 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

Form 990, Part VI, Section C, Line 19

As noted throughout this filing, core physicians, llc is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as core physicians, llc 's sole member, or if not as direct sole member, indirectly as the member in its capacity as parent of the beth israel lahey health network. Core physicians, llc 's governing documents, conflict of interest policy and financial statements are available to the general public upon request at the following location: beth israel lahey health tax department schrafft's city center, 4th floor, 529 main street charlestown, ma 02129

Filing and Contact Details

Filer

Filer Name
Core Physicians LLC
EIN
87-0807914
Phone
6035806694
Address
CO BILH TAX 529 MAIN ST 4TH FL, CHARLESTOWN, MA 02129

Signing Officer

Name
Rafael Hernandez
Title
VP, Bilh Corporate Treasurer
Phone
6035806694
Signed
2025-08-14
Discuss with paid preparer
No

Organization Details

Principal Officer
Melanie Lanier Do
Formed
2007
Legal Domicile
Nh
Voting Board Members
10
Independent Board Members
0
Employees
893
Volunteers
0

Preparer

Firm
Deloitte Tax Llp
Address
111 MONUMENT CIRCLE SUITE 4200, INDIANAPOLIS, IN 46204
Preparer
Angela M Moore
Phone
3174648600
Supplemental Narrative

Additional Explanations

FORM 990, PART I, LINE 1 AND PART III LINE 1:

The mission of core physicians is to improve the health of the community. This mission is principally accomplished through the provision of health services and information to the community within the resources available. As a multi-specialty group practice core physicians provides community access to primary care physicians, specialty physician services, pediatric dental services, office based laboratory service, as well as contracted physicians to support exeter hospital's 24/7 intensivist's coverage program in its icu, and inpatient hospitalist program for adult and pediatrics. Core physicians supports access to its physicians and medical services through a robust financial assistance program that underwrites 100% of the cost of medical care provided by its physicians based on family size and income for residents of our service area. During the fiscal period covered by this filing, beth israel lahey health (bilh) served as the sole member of anna jaques hospital (ajh), beth israel deaconess medical center, inc. (bidmc), mount auburn hospital (mah), new england baptist hospital (nebh), beth israel deaconess hospital - milton, inc. (milton), beth israel deaconess hospital - needham, inc. (needham), beth israel deaconess hospital - plymouth, inc. (plymouth), lahey health shared services (lhss), lahey clinic foundation (lcf), winchester hospital (winchester), northeast hospital corporation (nhc) which includes beverly, addison gilbert and bayridge hospitals, northeast behavioral corporation (nbhc), the beth israel lahey health performance network (bilhpn), exeter health resources inc. (ehri) and the beth israel lahey health pharmacy. The lahey clinic foundation in turn served as the sole member of lahey clinic inc, and lahey clinic hospital d/b/a lahey hospital and medical center (lhmc) and exeter health resources inc served as the sole member of exeter hospital. Each of the entities listed here may have also, in turn, served as member to other network affiliates. Bilh is an integrated health care system committed to expanding access to extraordinary patient care across eastern massachusetts and southern new hampshire and advancing the science and practice of medicine through groundbreaking research and education. The bilh system is comprised of academic and teaching hospitals, a premier orthopedics hospital, primary care and specialty care providers, ambulatory surgery centers, urgent care centers, community hospitals, homecare services, outpatient behavioral health centers and addiction treatment programs. Bilh's community of clinicians, caregivers and staff includes approximately 4,700 physicians and 39,000 employees.

FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE:

As noted throughout this form 990, core physicians is a not-for-profit physician group and member of the beth israel lahey health network of affiliates. Core physicians is a network of community-based physicians affiliated with beth israel lahey health and providing care in conjunction with, and in the communities served by, exeter hospital (eh or hospital) these practices are committed to improving the health of the communities served by eh and core physicians by providing high quality, personalized health care with compassion, dignity and respect for patient rights in a cost effective and safe environment and is dedicated to providing care to patients in the communities where they live and work, providing care to in the community to medicare, medicaid and all other patients regardless of their race, color, religion, sex, sexual orientation, national origin, ancestry, age, or disability. During the period covered by this filing, core physicians provided primary/family and specialty care to its patients. In addition, when advanced care is needed, core physicians provides leading edge treatment at its affiliate, eh and leading-edge treatment from beth israel deaconess medical center (bidmc) or lahey hospital & medical center as well as and other bilh affiliates. Lahey hospital & medical center (lhmc) or beth israel deaconess medical center (bidmc), each a level i trauma center and provide tertiary care and care in a wide range of specialties. Primary care core physicians with 53 physicians that specialize in the delivery of primary care and providing care in the epping, exeter, hampton, kingston, plaistow, portsmouth, stratham, ma, communities served by core physicians and eh. Primary care physicians (pcps) are community-based medical doctors who generally provide the first contact for a patient with a non-emergent undiagnosed health concern, as well as continuing care for a variety of medical conditions. During the fiscal year covered by this filing, cpa had 147,743 primary care / family care patient visits. Specialty care in addition, to primary care, core physicians has 109 specialty care providers who provide care in a wide range of specialty care areas including cardiology, endocriniology, gastro, gen surg, vascular, id, obs/gyn, ortho, ent, palliative, physiatry, plastics, pulmonary, rheumatology, urology, wound, podiatry, neurology, sleep, critical care, hospitalist, acupuncture, allergy, psychiatry in exeter, stratham, plasitow and portsmouth massachusetts. During the fiscal year covered by this filing, cpa had a total of 115,000 specialty care visits across these disciplines. In addition to the accomplishments noted above for core physicians, and as noted throughout this form 990, core physicians is a member of the beth israel lahey health (bilh) network of affiliates. The bilh core values and principals are listed here as well as network-wide accomplishments during the fiscal period covered by this filing. The bilh network is delivering on the promise to bilh patients and communities to expand access and provide extraordinary care, while also advancing medicine through discovery and education. The bilh purpose statement articulates the impact that each bilh affiliate strives to make in the communities served. These shared values guide each entity's daily efforts and keep each affiliate aligned in the pursuit of the bilh purpose, showing how "we care" for patients, each other and the communities served. Purpose statement: bilh creates healthier communities one person at a time through seamless care and ground-breaking science, driven by excellence, innovation and equity. Bilh we care values: wellbeing. We provide a health-focused workplace and support a healthy work-life balance. Empathy. We do our best to understand others' feelings, needs and perspectives. Collaboration. We work together to achieve extraordinary results. Accountability. We hold ourselves and each other to behaviors necessary to achieve our collective

FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE:

Patient care delivery across the bilh network -- fiscal year ended september 30, 2024 hospital care: during the period covered by this filing, the bilh hospitals provided care to patients in a full spectrum of specialties and utilizing a wide range of modalities. Below are a sample of the hospital care provided to bilh patients. During the fiscal year covered by this filing, bilh hospitals had approximately 4.9 million outpatient encounters. Approximately 80,000 outpatient/ambulatory surgeries and over 100,000 endoscopies were performed, in addition, across bilh hospitals patients had more than 141,000 oncology visits and almost 111,000 oncology infusions, 268,000 ekgs, over 59,000 orthopedic procedures, more than 758,000 radiology exams, over 312,000 ct exams, more than 177,000 ultrasound procedures, over 142,000 mris, over 221,000 outpatient breast imaging exams, approximately 312,000 outpatient rehabilitation and physical therapy visits and more than 11.7 million outpatient lab tests were performed. The bilh hospitals also had approximately 432,000 emergency department visits, more than 35,000 observation cases and more than 137,000 inpatient discharges with approximately 729,000 inpatient days, including more than 44,000 inpatient psych days. During this period more than 31,000 inpatient surgeries were performed and approximately 14,000 newborns were delivered and there were approximately 52,000 pain clinic visits. Bilh hospitals also had more than 75,000 urgent care visits during this period. Non-hospital physician care: during the period covered by this filing, the bilh physicians provided care to patients outside of the hospitals and in physician office or other clinical settings. Below are a sample of the non-hospital physician services provided to bilh patients. During the fiscal year covered by this filing, more than 470 primary care and family practice providers had approximately 843,000 patient visits and providers across the full spectrum of specialties had more than 624,000 patient visits. In addition, joslin diabetes center had more than 27,000 patient visits related to diabetes care and there were more than 53,000 urgent care visits to non-hospital urgent care locations. Community benefits, uncompensated care, costs to provide care to medicaid and medicare patients fiscal year ended september 30, 2024 during the fiscal year covered by this filing bilh hospitals provided more than $52 million in net cost of charity care, including care for emergent services provided to non-paying patients and including payments to the health safety net trust. In addition to the charity care reported above, each of the bilh hospitals also provides care to patients who participate in other programs designed to support low-income families, including particularly the medicaid program, which is jointly funded by federal and state governments. The massachusetts health reform law provided an initiative for expansion of medicaid coverage to greater populations and for enrollment of uninsured patients in other insurance programs. Payments from medicaid and other programs that ensure low-income populations do not cover the cost of services provided. During the fiscal period covered by this filing, the cost of providing care to medicaid patients across bilh exceeded payments received for providing that care resulting in a combined shortfall exceeding $35.5 million related to treating medicaid patients. Medicare is the federally sponsored health insurance program for elderly or disabled patients. Payments from medicare do not cover the cost of services provided. All bilh hospitals provide care to patients who participate in the medicare program. During the fiscal period covered by this filing, the cost of providing care to medicare patients across bilh exceeded payments received for providing that care, resulting in a combined shortfall exceeding $161 million related to treating medicare patients. In addition to the costs noted above, durin

FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE:

Laboratory services expansion and optimization bilh transitioned to centralized oversight of all laboratory draw sites in fy 2024 and created 11 new community-based lab draw stations, which increases patient access to lab services and improves both patient and provider satisfaction. The centralized oversight model better enables bilh to focus on quality, service, and phlebotomist recruitment. In addition, bilh continues to refine transportation routes for lab specimens, maintaining high standards for turnaround times and efficiency, which further improves the overall quality of laboratory services. Enhancement of care delivery across primary care practices bilh primary care ("bilhpc") continued to enhance care delivery and elevate the quality of care throughout its practices, as demonstrated by the following initiatives: partnered with a bilhpn pharmacist and local diabetes nurse educators to launch a diabetes hub and spoke model in the milton and needham primary care regions, where a diabetes-specialized advanced practice practitioner is embedded in the practice; collaborated with bilh pharmacy to plan the expansion of remote blood pressure monitoring for improved hypertension management; expanded the virtualist program, enhancing access to acute and overflow care; and introduced a self-scheduling tool for new patients seeking to establish care with a primary care provider. Education and awareness efforts to promote access to care in fy 2024, bilh worked to improve access for masshealth patients in eastern massachusetts through various communications initiatives. A key effort was launching a monthly newsletter, available in seven languages, to engage patients and share health information. New england baptist hospital ("nebh") hosted information sessions to educate underserved populations about its services. Nebh also performed outreach to community housing facilities, participated in boston mayor wu's hispanic heritage month luncheon, and partnered with neighborhood associations and main street boards.

FORM 990, PART IV, LINE 12:

The boston, ma office of kpmg issued an unqualified opinion on the consolidated audited financial statements of the beth israel lahey health, inc. And affiliates for fiscal period ended september 30, 2024. These statements were prepared in accordance with generally accepted accounting principles (gaap) and included the accounts of the beth israel lahey health, inc. (bilh), and the entities for which beth israel lahey health, inc. (bilh) served as sole member during the fiscal period covered by this filing, (anna jaques hospital (ajh), beth israel deaconess medical center, inc. (bidmc), mount auburn hospital (mah), new england baptist hospital (nebh), beth israel deaconess hospital - milton, inc. (milton), beth israel deaconess hospital - needham, inc. (needham), beth israel deaconess hospital - plymouth, inc. (plymouth), lahey health shared services (lhss), lahey clinic foundation (lcf), winchester hospital (winchester), northeast hospital corporation (nhc) which includes beverly, addison gilbert and bayridge hospitals, northeast behavioral corporation (nbhc), the beth israel lahey health performance network (bilhpn), the joslin diabetes center, exeter health resources, inc. (ehri) and the beth israel lahey health pharmacy. The lahey clinic foundation in turn served as the sole member of lahey clinic inc, and lahey clinic hospital d/b/a lahey hospital and medical center (lhmc). Ehri in turn served as the sole member of exeter hospital and other affiliates of ehri. Each of these bilh affiliates may in turn serve as member of additional entities within the network of affiliates, and whose accounts are included in the bilh audited financial statements. In addition, the bilh financial statements also include the accounts of harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp), the dedicated physician practice of beth israel deaconess medical center and an entity integrally related to helping bidmc and other affiliates in the bilh network accomplish their charitable purposes. The accounts of the entities for which hmfp serves as member are also included in the hmfp and bilh audited financial statements. The audit and compliance committee of bilh's board of trustees assumes responsibility for oversight of the consolidated audit for the network as a whole.

FORM 990, PART V, LINE 7G:

Core physcians, llc did not receive any contributions of intellectual property and as such, was not required to file form 8899.

FORM 990, PART V, LINE 7H:

Core physcians, llc did not receive any contributions of cars, boats, airplanes or other vehicles and as such, was not required to file form 1098-c.

Form 990, Part IX, Line 11G

Outside fees: program service expenses 3,591,925. Management and general expenses 604,336. Fundraising expenses 0. Total expenses 4,196,261. Contract / temp labor: program service expenses 3,229,139. Management and general expenses 543,298. Fundraising expenses 0. Total expenses 3,772,437. Contracted services: program service expenses 2,907,240. Management and general expenses 489,139. Fundraising expenses 0. Total expenses 3,396,379. Consulting: program service expenses 3,891. Management and general expenses 655. Fundraising expenses 0. Total expenses 4,546. Physician fees: program service expenses 5,973. Management and general expenses 1,005. Fundraising expenses 0. Total expenses 6,978. Service contracts - software: program service expenses 1,572,114. Management and general expenses 264,506. Fundraising expenses 0. Total expenses 1,836,620. Physician recruitment: program service expenses 172,000. Management and general expenses 28,939. Fundraising expenses 0. Total expenses 200,939. Intercompany - eh: program service expenses 3,233,738. Management and general expenses 544,071. Fundraising expenses 0. Total expenses 3,777,809. Other adjustment for true-up: program service expenses -651,788. Management and general expenses -109,662. Fundraising expenses 0. Total expenses -761,450.

FORM 990, PART XI, LINE 9:

Paid-in-capital 29,000,000.

FORM 990, PART XII, LINE 2C:

As noted throughout this form 990, core physicians, llc is a member of the beth israel lahey health network of affiliates. Beth israel lahey health (bilh) serves as the direct or indirect member of core physicians, llc and core physicians, llc is included in the consolidated audited financial statements of beth israel lahey health. The audit and compliance committee of bilh's board of trustees assumes responsibility for oversight of the consolidated audit for the network as a whole.

Financial Statement Notes

PART V, LINE 4:

The quasi-endowments are funds which have been donated to the organization for a purpose specified by the donor. These funds are held until used for the purpose intended by the donor.

PART X, LINE 2:

Beth israel lahey health, inc., which serves as the parent of the system, has been determined by the internal revenue service to be an organization described under internal revenue code (the "code") section 501(c)(3) and, therefore, is exempt from federal income taxes on related income pursuant to section 501(a) of the code. The internal revenue service has also determined that the other entities in the system, excluding its for-profit subsidiaries, qualify as organizations described in section 501(c)(3) of the code, meet the code's requirements under section 509(a), and therefore are exempt from federal income taxes on related income pursuant to section 501(a) of the code. Accordingly, no provision has been recorded for income taxes in the accompanying consolidated financial statements. The system recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. The system did not recognize the effect of any income tax positions for the years ended september 30, 2024 and 2023, respectively.

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IRS990/Form990PartVIISectionAGrp/TitleTxt2PRES&MANAGING MEMBER (EXO), CLIN MGR
IRS990/Form990PartVIISectionAGrp/TitleTxt3MANAGING MEMBER, CLINICIAN MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt4MGING MEMBER, ASST TREAS; (CFO, EHR)
IRS990/Form990PartVIISectionAGrp/TitleTxt5MGING MEMBER(EX-OFF), CLIN MGR & CMO
IRS990/Form990PartVIISectionAGrp/TitleTxt6MANAGING MEMBER, CLINICIAN MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt7MANAGING MEMBER, CLINICIAN MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt8CHAIR & MGING MEMBER, CLIN MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt9MANAGING MEMBER, CLINICIAN MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt10MANAGING MEMBER, CLINICIAN MANAGER
IRS990/Form990PartVIISectionAGrp/TitleTxt11MANAGING MEMBER, CLINICIAN MANAGER
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