Liabilities / Assets
98th percentile
Higher debt load relative to assets than 98% of similar nonprofits.
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
98th percentile
Higher debt load relative to assets than 98% of similar nonprofits.
Liabilities / Revenue
54th percentile
Higher debt load relative to revenue than 54% of similar nonprofits.
Net Margin
5th percentile
Higher net margin than 5% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
47th percentile
Faster asset growth than 47% of similar nonprofits.
Revenue Growth
70th percentile
Faster revenue growth than 70% of similar nonprofits.
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
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
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
| Line | Beginning | End | Change |
|---|---|---|---|
| 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 | Book Value | Depreciation | Basis |
|---|---|---|---|
| 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 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 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 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Clerk Md Avnish | Orthopedic Surgeon | FT | $753,824 | $348,797 | $1,102,621 |
| Johnson Md Mph E William | Urologist | FT | $549,068 | $452,029 | $1,001,097 |
| Mcgovern Md Thomas | Orthopedic Surgeon | FT | $767,475 | $231,336 | $998,811 |
| Cabral Do Chad | Gastroenterologist | FT | $631,360 | $365,907 | $997,267 |
| Colman Md Aaron | Orthopedic Surgeon | FT | $713,353 | $163,773 | $877,126 |
| Lanier Do Melanie | Pres&managing Member (exo), Clin Mgr | FT | $442,699 | $408,649 | $851,348 |
| Peelman Md Jessica | Managing Member, Clinician Manager | FT | $633,925 | $152,145 | $786,070 |
| Schaffer Md Michael | Mging Member(ex-off), Clin Mgr & CMO | FT | $386,980 | $314,071 | $701,051 |
| Mckee Md Roderick | Managing Member, Clinician Manager | FT | $511,048 | $79,506 | $590,554 |
| Porter Md Brian | Managing Member, Clinician Manager | FT | $467,366 | $69,602 | $536,968 |
| Cassetta Sandy | VP, Finance & Physician Comp | FT | $286,247 | $248,010 | $534,257 |
| Hennelly Lori | VP, Operations Core Facilities | FT | $259,877 | $174,660 | $434,537 |
| Bonesho Md Alexandra | Fmr CHR & Managing Member, Clin Mgr | - | $283,057 | $125,127 | $408,184 |
| Pangan Md Michael | Chair & Mging Member, Clin Manager | FT | $264,848 | $133,549 | $398,397 |
| Dave Md Apara | Managing Member, Clinician Manager | FT | $296,596 | $92,851 | $389,447 |
| Farrell Md Kathleen | Managing Member, Clinician Manager | FT | $306,066 | $37,818 | $343,884 |
| Kelly Md Robert | Managing Member, Clinician Manager | FT | $261,961 | $75,457 | $337,418 |
| Name | Title |
|---|---|
| Sprauer Esq Constance D | Assistant Clerk (SVP Legal Affairs) |
| Abramson Esq Michael S | Asst Clerk (assoc Gen Counsel, Bilh) |
| Boyd Esq Stephen | Asst Clerk (div VP Dep Gc Comm Bilh) |
| Katz Esq Jamie | CLERK (EX-OFF); GENERAL COUNSEL BILH |
| Cresta Debra | Managing Member (ex-off) (pres, Ehr) |
| Meehan Do Neil | Mging Mbr(exo)/sys Mgr,CHF Exec Phys |
| Casassa Allison J | MGING MEMBER, ASST TREAS; (CFO, EHR) |
| Rios Cindy | Treas (ex-off) (exec VP & CFO, Bilh) |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Exeter Health Resources INC | Administrative Mgmt Fees | 5 ALUMNI DRIVE, Exeter, NH 03833 | $4,900,715 |
| Nextgen Healthcare INC | Billing Software And Support | PO BOX 809390, Chicago, IL 60680 | $2,348,345 |
| Massachusetts General Hospital | Physician Services | PO BOX 3210, Boston, MA 02241-3210 | $1,706,325 |
| Chg Companies INC | Physician Services | PO BOX 972651, Dallas, TX 75397-2651 | $902,518 |
| Medicus Healthcare Solution | Physician Services | 22 ROULSTON ROAD, Windham, NH 03087 | $864,668 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Lease Liability | $17,079,348 |
| Due to Related Entities | $15,647,472 |
| Deferred Compensation Obligations | $7,090,446 |
| Due to Third Parties | $545,277 |
“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.”
“Yes. Exeter health resources, inc. (ehri) is the sole member of core physicians, llc (core or company).”
“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.”
“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.”
“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.”
“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.”
“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”
“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”
“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.”
“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”
“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”
“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.”
“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.”
“Core physcians, llc did not receive any contributions of intellectual property and as such, was not required to file form 8899.”
“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.”
“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.”
“Paid-in-capital 29,000,000.”
“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.”
“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.”
“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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 16277 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 63260 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 50408 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 54490 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 23250 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 64240 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 54260 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 52425 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 54171 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 51526 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 22598 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 56566 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 217736 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 32002 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 35480 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 15921 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 64894 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 21305 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 52611 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 54491 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 40107 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 51411 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 51411 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 51300 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CRESTA DEBRA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MEEHAN DO NEIL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | LANIER DO MELANIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | PEELMAN MD JESSICA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | CASASSA ALLISON J |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SCHAFFER MD MICHAEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MCKEE MD RODERICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | PORTER MD BRIAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | PANGAN MD MICHAEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DAVE MD APARA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | FARRELL MD KATHLEEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | KELLY MD ROBERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | RIOS CINDY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | KATZ ESQ JAMIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | SPRAUER ESQ CONSTANCE D |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | BOYD ESQ STEPHEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ABRAMSON ESQ MICHAEL S |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | CASSETTA SANDY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | HENNELLY LORI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | CLERK MD AVNISH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | JOHNSON MD MPH E WILLIAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | MCGOVERN MD THOMAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | CABRAL DO CHAD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | COLMAN MD AARON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | BONESHO MD ALEXANDRA |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 800940 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 731580 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 636811 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 536294 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 484543 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 344226 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 337921 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 321286 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 280852 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 469363 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 413232 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 1050010 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 946606 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 958704 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 945856 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 825715 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 356884 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1098754 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 818799 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 685247 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 1471427 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 1270175 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 535449 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 314060 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | MANAGING MEMBER (EX-OFF) (PRES, EHR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | MGING MBR(EXO)/SYS MGR,CHF EXEC PHYS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PRES&MANAGING MEMBER (EXO), CLIN MGR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | MANAGING MEMBER, CLINICIAN MANAGER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | MGING MEMBER, ASST TREAS; (CFO, EHR) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | MGING MEMBER(EX-OFF), CLIN MGR & CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | MANAGING MEMBER, CLINICIAN MANAGER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | MANAGING MEMBER, CLINICIAN MANAGER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CHAIR & MGING MEMBER, CLIN MANAGER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | MANAGING MEMBER, CLINICIAN MANAGER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | MANAGING MEMBER, CLINICIAN MANAGER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | MANAGING MEMBER, CLINICIAN MANAGER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TREAS (EX-OFF) (EXEC VP & CFO, BILH) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CLERK (EX-OFF); GENERAL COUNSEL BILH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | ASSISTANT CLERK (SVP LEGAL AFFAIRS) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | ASST CLERK (DIV VP DEP GC COMM BILH) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | ASST CLERK (ASSOC GEN COUNSEL, BILH) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP, FINANCE & PHYSICIAN COMP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | VP, OPERATIONS CORE FACILITIES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | ORTHOPEDIC SURGEON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | UROLOGIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | ORTHOPEDIC SURGEON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | GASTROENTEROLOGIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | ORTHOPEDIC SURGEON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | FMR CHR & MANAGING MEMBER, CLIN MGR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2007 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GrantAmt | 0 | 5000 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 5000 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 5000 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 109271594 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 219 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 6913 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 41085 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 47998 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 388099 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 2306699 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2694798 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 16673829 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 17047577 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 11838 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 11838 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 60 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 22720065 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 2568140 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 2101688 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 24821753 |
| IRS990/LegalDomicileStateCd | 0 | NH |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | SEE SCHEDULE O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -1946519 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -16641229 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -881911 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -2061102 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -16815827 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1037573 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 6166908 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 7204481 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 171954 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1056287 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1228241 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
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