2024-08-14T15:25:41-05:00 2023-09-30 464547996 E J CALLAHAN & ASSOCIATES LLC ONE PLEASURE ISLAND ROAD SUITE 2A WAKEFIELD MA 01880 990 2022-10-01 042770977 EMERSON HEALTH SYSTEM INC C/O EMERSON HOSPITAL EMER 9782878709 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 STEPHEN COCO SR VP, CFO 9782878709 2024-08-07 1 1 EDWARD J CALLAHAN CPA P00314334 6179747697 2024-07-24 2022 2024-08-08 14:25:15Z STEPHEN COCO OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 0 0 X EMERSONHOSPITAL.ORG X 1982 MA EMERSON HEALTH SYSTEMS IS THE PARENT OF FOUR SUBSIDIARIES - EMERSON HOSPITAL, EMERSON OCCUPATIONAL HEALTH SERVICES, EMERSON PROPERTY DEVELOPMENT CORPORATION, AND EMERSON HEALTHCARE FOUNDATION. EMERSON HEALTH SYSTEMS PROVIDES ITS HEALTHCARE SUBSIDIARIES WITH A MANAGEMENT TEAM. 18 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 6604 15 6604 -15 -6604 789189 784585 502715 504715 286474 279870 X EMERSON HEALTH SYSTEMS IS THE PARENT ORGANIZATION OF FOUR SUBSIDIARIES - EMERSON HOSPITAL, EMERSON OCCUPATIONAL HEALTH SERVICES, EMERSON PROPERTY DEVELOPMENT AND EMERSON HEALTH CARE FOUNDATION. EMERSON HEALTH SYSTEMS PROVIDES ITS HEALTHCARE SUBSIDIARIES WITH A MANAGEMENT TEAM. 0 0 N/A 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X STEPHEN COCO 9782878709 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 PAUL BIRCH VICE CHAIR 8.00 1.00 X X 0 0 0 JOHN BOYNTON DIRECTOR 6.00 1.00 X 0 0 0 JEFF CAMPBELL TREASURER 7.00 5.00 X X 0 0 0 RICHARD CHURCHILL DIRECTOR 7.00 1.00 X 0 0 0 GLORIA CLOUGH PRESIDENT 14.00 5.00 X X 0 0 0 EILEEN DEIGNAN MD DIRECTOR 6.00 1.00 X 0 0 0 JAMES DIGIOVANNI SECRETARY 8.00 1.00 X X 0 0 0 ROSE ANN GIORDANO DIRECTOR 6.00 1.00 X 0 0 0 JOHN HICKLING DIRECTOR 7.00 1.00 X 0 0 0 DAVID LAUTZ MD DIRECTOR 39.00 1.00 X 0 1541659 36422 JOSHUA NELSON DIRECTOR 6.00 1.00 X 0 0 0 ANNA RASMUSSEN DIRECTOR 6.00 1.00 X 0 0 0 DAVID ROSE MD DIRECTOR 6.00 1.00 X 0 0 0 WILLIAM RYAN DIRECTOR 7.00 1.00 X 0 0 0 CHRISTINE SCHUSTER PRESIDENT, CEO 50.00 10.00 X X 0 1437869 249240 JILL STANSKY DIRECTOR 7.00 5.00 X 0 0 0 JAMES STREET MD DIRECTOR 6.00 1.00 X 0 0 0 MICHAEL ZAK DIRECTOR 6.00 1.00 X 0 0 0 STEPHEN COCO SR VP, CFO, ASSISTANT TREASURER 30.00 10.00 X 0 552335 17891 CHRISTINA MARTIN ASSISTANT SECRETARY 38.00 2.00 X 0 109393 14218 BENJAMIN TILLINGER MD MEDICAL STAFF PRESIDENT 38.00 1.00 X 0 487071 28054 ERIC STASTNY CHIEF OPERATING OFFICER 40.00 0.00 X 0 610128 91486 LAURA DOYON MD PHYSICIAN 0.00 60.00 X 0 662013 0 SCOTT KELLEY MD PHYSICIAN 0.00 60.00 X 0 748931 23770 ARTHUR LEE MD PHYSICIAN 0.00 60.00 X 0 876457 30649 MARK MOSCHELLA MD PHYSICIAN 0.00 60.00 X 0 708856 26049 JAMES SPINELLI MD PHYSICIAN 0.00 60.00 X 0 708472 13545 0 8443184 531324 0 0 1 0 0 0 0 0 0 6604 6604 6604 0 6604 0 27210 22606 433756 433756 0 0 761979 761979 789189 784585 502715 504715 502715 504715 X 286474 279870 286474 279870 789189 784585 -6604 0 X 0 1 X 1 0 X X 4 EMERSON PROPERTY DEVELOPMENT CORP 042793599 7 1 0 0 EMERSON OCCUPATIONAL HEALTH SYSTEMS 042800607 3 1 0 0 EMERSON HOSPITAL 042103565 3 1 0 0 EMERSON HEALTH CARE FOUNDATION 042770980 10 1 0 0 4 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 433756 433756 0 0 INV IN AFFILIATES-EPDC 665485 C INV IN AFFILIATES-EOHS 96494 C 761979 X PART X, LINE 2: IN FISCAL 2023 THERE WAS NO FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS REFERENCING FIN48 BECAUSE THE ORGANIZATION DID NOT FILE UNCERTAIN TAX POSITIONS. 0 1 0 0 0 0 1 0 0 CHRISTINE SCHUSTER PRESIDENT, CEO 0 1116860 0 317308 0 3701 0 249240 0 0 0 1687109 0 0 DAVID LAUTZ MD DIRECTOR 0 786064 0 753273 0 2322 0 4600 0 31822 0 1578081 0 0 ARTHUR LEE MD PHYSICIAN 0 676603 0 198612 0 1242 0 4600 0 26049 0 907106 0 0 SCOTT KELLEY MD PHYSICIAN 0 643139 0 105000 0 792 0 0 0 23770 0 772701 0 0 MARK MOSCHELLA MD PHYSICIAN 0 656534 0 50000 0 2322 0 0 0 26049 0 734905 0 0 JAMES SPINELLI MD PHYSICIAN 0 548392 0 159270 0 810 0 4600 0 8945 0 722017 0 0 ERIC STASTNY CHIEF OPERATING OFFICER 0 498180 0 111138 0 810 0 59664 0 31822 0 701614 0 0 LAURA DOYON MD PHYSICIAN 0 379995 0 281480 0 538 0 0 0 0 0 662013 0 0 STEPHEN COCO SR VP, CFO, ASSISTANT TREASURER 0 525013 0 25000 0 2322 0 0 0 17891 0 570226 0 0 BENJAMIN TILLINGER MD MEDICAL STAFF PRESIDENT 0 377792 0 108469 0 810 0 0 0 28054 0 515125 0 0 PART I, LINE 4B CHRISTINE SCHUSTER AND ERIC STASTNY ARE EMPLOYEES OF EMERSON HOSPITAL AND ARE ELIGIBLE TO PARTICIPATE IN THE FOLLOWING NONQUALIFIED RETIREMENT PLAN. EMERSON HOSPITAL OFFERS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN TO A SELECT CLASS OF MANAGEMENT. SUPPLEMENTAL RETIREMENT INCOME IS ASSESSED BY AN INDEPENDENT ACTUARY TO DETERMINE ANNUAL CONTRIBUTION AMOUNTS BY EMERSON HOSPITAL. PLAN CONTRIBUTIONS BECOME INCOME TO THE PARTICIPANT BASED ON A CLIFF VESTING SCHEDULE, WHICH IS EVERY FIVE YEARS FROM THE DATE OF PLAN ENROLLMENT. THE FOLLOWING PERSONS PARTICIPATED IN A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CHRISTINE SCHUSTER $224,140 ERIC STASTNY $34,564 PART I, LINE 6 EMERSON HOSPITAL EXECUTIVES ARE ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION IN THE AMOUNT OF 5% OF BASE SALARY IF THE ORGANIZATION ACHIEVES THE BOARD APPROVED BUDGETED GAIN FROM OPERATIONS FOR THE FISCAL YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 WAS PRESENTED TO THE BOARD OF DIRECTORS DURING A REGULARLY SCHEDULED MEETING. FURTHER EDUCATIONAL SESSIONS WERE OFFERED FOR ANY BOARD MEMBER TO REVIEW THE FORM 990 IN MORE DETAIL WITH THE CHIEF FINANCIAL OFFICER. IN ADDITION, THE SCHEDULE J WAS REVIEWED IN ITS ENTIRETY WITH THE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS REQUIRES THAT ALL BOARD MEMBERS AND SENIOR MANAGEMENT COMPLETE AND SIGN THE CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE CEO REVIEWS THESE QUESTIONNAIRES AND SUMMARIZES ANY ISSUES THAT COULD CREATE A CONFLICT OF INTEREST. THIS SUMMARY IS REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS AND IS PRESENTED TO THE ENTIRE BOARD ANNUALLY SO THAT ALL BOARD MEMBERS ARE AWARE OF POTENTIAL CONFLICTS OF INTEREST AND HAVE INFORMATION THEY CAN RELY ON IF THEY FEEL AN INDIVIDUAL MAY HAVE DIVIDED LOYALTIES ON A DECISION COMING BEFORE THE BOARD OF DIRECTORS. THE BOARD CHAIR IS RESPONSIBLE FOR EVALUATING ANY CONFLICT OF INTEREST AND DETERMINING THE TREATMENT OF THE SITUATION ACCORDING TO BOARD POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE OFFICERS OF THE EMERSON HEALTH SYSTEM ARE EMPLOYED BY EMERSON HOSPITAL. THE BOARD OF DIRECTORS HOLDS THE SOLE RESPONSIBILITY FOR ESTABLISHING THE COMPENSATION OF EMERSON HOSPITAL'S CEO. THE COMPENSATION COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF AT LEAST THREE INDEPENDENT BOARD MEMBERS, IS RESPONSIBLE FOR THE REVIEW AND RECOMMENDATION OF THE CEO'S COMPENSATION. THIS ANALYSIS INCLUDES AN ANNUAL INDEPENDENT REVIEW OF COMPARABLE INSTITUTIONS. THE VICE PRESIDENT OF OPERATIONS & CHIEF HUMAN RESOURCES OFFICER, ACTING AS STAFF SUPPORT FOR THE COMMITTEE, MAINTAINS WRITTEN RECORDS ON COMPENSATION AND THE COMMITTEE'S ACTIONS. MEETING MINUTES DOCUMENT THE COMMITTEE'S DECISION-MAKING PROCESS, THE TYPES OF COMPARABLE DATA THAT WERE USED TO DETERMINE THE FAIR MARKET VALUE FOR AN EXECUTIVE'S SERVICES AND THE NATURE OF ANY DECISIONS MADE SO AS TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR COMPENSATION FOR A DISQUALIFIED PERSON. THE COMPENSATION COMMITTEE ALSO REVIEWS AND APPROVES THE CEO'S RECOMMENDATION OF COMPENSATION FOR KEY EMPLOYEES INCLUDING OFFICERS AND VICE PRESIDENTS OF EMERSON HOSPITAL. THIS ANALYSIS INCLUDES AN ANNUAL INDEPENDENT REVIEW OF COMPARABLE INSTITUTIONS. THE VICE PRESIDENT OF OPERATIONS & CHIEF HUMAN RESOURCES OFFICER, ACTING AS STAFF SUPPORT FOR THE COMMITTEE, MAINTAINS WRITTEN RECORDS ON COMPENSATION AND THE COMMITTEE'S ACTIONS. MEETING MINUTES DOCUMENT THE COMMITTEE'S DECISION-MAKING PROCESS, THE TYPES OF COMPARABLE DATA THAT WERE USED TO DETERMINE THE FAIR MARKET VALUE FOR AN EXECUTIVE'S SERVICES AND THE NATURE OF ANY DECISIONS MADE SO AS TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR COMPENSATION FOR A DISQUALIFIED PERSON. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FORMS 1023 AND 990 ARE AVAILABLE UPON REQUEST TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 EMERSON HEALTH SYSTEM'S BY-LAWS ARE AVAILABLE ON THE MASSACHUSETTS SECRETARY OF STATE'S WEBSITE. CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO THE ORGANIZATION. EMERSON HOSPITAL 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 042103565 NON-PROFIT COMMUNITY HOSPITAL MA 501(C)3 170(B)(1)(A)(III) EMERSON HEALTH SYSTEM 1 EMERSON HEALTH CARE FOUNDATION 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 042770980 COORDINATE AND DEVELOP THE FUNDRAISING EFFORT FOR EMERSON HOSPITAL MA 501(C)3 509(A)(3) TYPE I EMERSON HEALTH SYSTEM 1 EMERSON PRACTICE ASSOCIATES 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 043111240 HEATLH CARE SERVICES MA 501(C)3 170(B)(1)(A)(III) EMERSON HEALTH SYSTEM 1 EMERSON PRACTICE ASSOICATES II 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 800482067 HEATLH CARE SERVICES MA 501(C)3 170(B)(1)(A)(III) EMERSON HEALTH SYSTEM 1 EMERSON PROPERTY DEVELOPMENT 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 042793599 PROPERTY MANAGEMENT MA EMERSON HEALTH SYSTEM C 21176 83734 1.00000 1 EMERSON OCCUPATIONAL HEALTH SERVICES 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 042800607 HEALTH SERVICES MA EMERSON HEALTH SYSTEM C -10370 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0