2025-08-12T09:05:30-05:00 2024-09-30 464547996 E J CALLAHAN & ASSOCIATES LLC ONE PLEASURE ISLAND ROAD SUITE 2A WAKEFIELD MA 01880 990 2023-10-01 043111240 EMERSON PRACTICE ASSOCIATES INC EMER 9782878709 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 SCOTT KOSOWICZ INTERIM CHIEF FINANCIAL OFFICER 9782878709 2025-08-07 1 1 EDWARD J CALLAHAN CPA P00314334 6179747697 2025-08-07 2023 2025-03-06 01:10:19Z SCOTT KOSOWICZ 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 52281185 0 X N/A X 1992 MA EMERSON PRACTICE ASSOCIATES, INC PROVIDES ACCESS TO HIGH QUALITY AND COST EFFECTIVE PRIMARY AND SPECIALIST CARE IN THE COMMUNITIES SERVED BY EMERSON HOSPITAL 10 1 0 0 0 0 0 0 50780356 52281185 0 0 0 0 50780356 52281185 0 0 0 0 0 0 0 0 0 50780356 52281185 50780356 52281185 0 0 9114760 7654433 9114760 7654433 0 0 PROVIDE ACCESS TO HIGH QUALITY AND COST EFFECTIVE PRIMARY AND SPECIALTY CARE IN THE COMMUNITIES SERVED BY EMERSON HOSPITAL 0 0 52281185 52281185 PROVIDE ACCESS TO HIGH QUALITY AND COST EFFECTIVE PRIMARY AND SPECIALTY CARE IN THE COMMUNITIES SERVED BY EMERSON HOSPITAL 52281185 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 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 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X SCOTT KOSOWICZ 9782878709 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 CHRISTINE C SCHUSTER DIRECTOR 4.00 56.00 X 0 1370489 313345 CRAIG BEST MD PRESIDENT 4.00 0.00 X X 0 463556 0 STEPHEN COCO TREASURER 4.00 0.00 X X 0 651704 87623 BARRETT KITCH MD DIRECTOR 4.00 0.00 X 0 547856 56660 ELIZABETHA RAGULIN MD DIRECTOR 4.00 0.00 X 0 470548 33354 ANDREA FRIBUSH MD CHAIR 4.00 0.00 X X 0 272034 5300 JENNIFER RUSSO MD DIRECTOR 4.00 0.00 X 0 39308 3966 NICHOLAS RICKERT MD DIRECTOR 4.00 0.00 X 0 525630 33354 ALLISON DARVISH DO DIRECTOR 4.00 0.00 X 0 142800 18507 ANGELO PUCILLO DIRECTOR 4.00 0.00 X 0 98538 12985 PETER DIDIO TREASURER 4.00 0.00 X X 0 0 0 DAVID LAUTZ MD PHYSICIAN 0.00 60.00 X 0 1416265 39572 MARK MOSCHELLA MD PHYSICIAN 0.00 60.00 X 0 718621 33354 DAVID KAHAN MD PHYSICIAN 0.00 60.00 X 0 651956 5300 JENNIFER NAYOR MD PHYSICIAN 0.00 60.00 X 0 649121 39572 ARTHUR LEE MD PHYSICIAN 0.00 60.00 X 0 742314 33354 MICHELLE DALENCOUR MD DIRECTOR 4.00 0.00 X 0 286333 28054 0 9047073 744300 0 1 1 0 0 PATIENT SERVICE REVENU 621990 52281185 52281185 52281185 52281185 52281185 0 0 52281185 52281185 52281185 0 52281185 0 779500 565389 8335260 7089044 9114760 7654433 9114760 7654433 9114760 7654433 X 0 0 0 0 0 0 0 0 9114760 7654433 0 0 X 0 1 X 1 0 X X 1 EMERSON HOSPITAL 042103565 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 DUE TO EMERSON HOSPITAL 7654433 7654433 X X X X X X 0 1 0 0 0 0 1 0 0 CHRISTINE C SCHUSTER DIRECTOR 0 973233 0 393692 0 3564 0 278975 0 34370 0 1683834 0 0 DAVID LAUTZ MD PHYSICIAN 0 781016 0 631733 0 3516 0 5300 0 34272 0 1455837 0 0 ARTHUR LEE MD PHYSICIAN 0 676603 0 64469 0 1242 0 5300 0 28054 0 775668 0 0 MARK MOSCHELLA MD PHYSICIAN 0 716299 0 0 0 2322 0 5300 0 28054 0 751975 0 0 STEPHEN COCO TREASURER 0 540750 0 108632 0 2322 0 68300 0 19323 0 739327 0 0 JENNIFER NAYOR MD PHYSICIAN 0 501250 0 147331 0 540 0 5300 0 34272 0 688693 0 0 DAVID KAHAN MD PHYSICIAN 0 455000 0 196146 0 810 0 5300 0 0 0 657256 0 0 BARRETT KITCH MD DIRECTOR 0 457429 0 88105 0 2322 0 56660 0 0 0 604516 0 0 NICHOLAS RICKERT MD DIRECTOR 0 490522 0 35000 0 108 0 5300 0 28054 0 558984 0 0 ELIZABETHA RAGULIN MD DIRECTOR 0 450008 0 20000 0 540 0 5300 0 28054 0 503902 0 0 CRAIG BEST MD PRESIDENT 0 459992 0 0 0 3564 0 0 0 0 0 463556 0 0 MICHELLE DALENCOUR MD DIRECTOR 0 285876 0 0 0 457 0 0 0 28054 0 314387 0 0 ANDREA FRIBUSH MD CHAIR 0 272034 0 0 0 0 0 5300 0 0 0 277334 0 0 ALLISON DARVISH DO DIRECTOR 0 142800 0 0 0 0 0 0 0 18507 0 161307 0 0 PART I, LINE 4B CHRISTINE SCHUSTER, ERIC STASTNY, CRAIG NESTA, BARRETT KITCH MD, MICHELLE DALENCOUR MD AND SCOTT KOSOWICZ 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 $251,175 STEPHEN COCO $40,500 BARRETT KITCH, MD $28,860 PART I, LINE 6 EMERSON HOSPITAL EXECUTIVES ARE ELEGIBLE 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 A, LINE 6 EMERSON HEALTH SYSTEMS, INC ACTING THROUGH ITS BOARD OF DIRECTORS IS THE MEMBER FOR EMERSON PRACTICE ASSOCIATES. FORM 990, PART VI, SECTION A, LINE 7A THE NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS IS FIXED ANNUALLY BY THE MEMBER, EMERSON HEALTH SYSTEMS, INC. FORM 990, PART VI, SECTION A, LINE 7B THE NUMBER AND COMPOSITION OF THE BOARD OF DIRECTORS IS FIXED ANNUALLY BY THE MEMBER, EMERSON HEALTH SYSTEMS, INC. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 WAS PRESENTED TO THE BOARD OF DIRECTORS DURING A SPECIAL SESSION AND WAS OPEN TO REVIEW, DISCUSSION, QUESTIONS AND COMMENTS PRIOR TO THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS REQUIRES THAT ALL BOARD MEMBERS AND SENIOR MANAGERS 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 EMERSON HOSPITAL'S 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 EMERSON PRACTICE ASSOCIATES ARE EMPLOYED BY EMERSON HOSPITAL. EMERSON HOSPITAL'S BOARD OF DIRECTORS HOLDS THE SOLE RESPONSIBILITY FOR ESTABLISHING THE COMPENSATION OF THE CEO. THE COMPENSATION COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF AT LEAST THREE INDEPENDENT BOARD MEMBERS, IS RESPONSIBLE FOR THE REIVEW AND RECOMMENDATION OF THE CEO'S COMPENSATION. THIS ANALYSIS INCLUDES AN ANNUAL INDEPENDENT REVIEW OF COMPARABLE INSTITUTIONS. THE VICE PRESIDENT OF OPERATIONS & CHIEF HUMAN RESOURCE 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 WAS USED TO DETERMINE THE FAIR MARKET VALUE FOR AN EXECUTIVE'S SERVICES AND THE NATURE OF ANY DECISIONS MADE AS TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR COMPENSATION FOR A DISQUALIFIED INDIVIDUAL. THE COMPENSATION COMMITTEE ALSO REVIEWS AND APPROVES THE CEO'S RECOMMENDATION OF COMPENSATION FOR KEY EMPLOYEES INCLUDING OFFICERS AND VICE PRESIDENTS. THIS ANALYSIS INCLUDES AN ANNUAL INDEPENDENT REVIEW OF COMPARABLE INSTITUTIONS. THE VICE PRESIDENT OF OPERATIONS & CHIEF HUMAN RESOURCE 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 WAS USED TO DETERMINE THE FAIR MARKET VALUE FOR AN EXECUTIVE'S SERVICES AND THE NATURE OF ANY DECISIONS MADE AS TO ESTABLISH A REBUTTABLE PRESUMPTION OF REASONABLENESS FOR COMPENSATION FOR A DISQUALIFIED INDIVIDUAL. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FORMS 1023 AND 990 ARE ALSO AVAILABLE UPON REQUEST TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 EMERSON PRACTICE ASSOCIATE'S BY-LAWS ARE AVAILABLE ON THE MASSACHUSETTS SECRETARY OF STATE'S WEBSITE. CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. EMERSON HOSPITAL 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 042103565 ACUTE CARE COMMUNITY HOSPITAL MA 170(B)(1)(A)(III) 501(C)(3) EMERSON HEALTH SYSTEM INC 0 EMERSON HEALTH SYSTEM 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 042770977 PROVIDE HEALTHCARE SUBSIDIARIES WITH MANAGEMENT TEAM MA 509(A)(3) TYPE I 501(C)(3) N/A 0 EMERSON HEALTH CARE FOUNDATION 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 042770980 COORDINATE AND DEVELOP FUNDRAISING EFFORT FOR EMERSON HOSPITAL MA 509(A)(3) TYPE I 501(C)(3) EMERSON HEALTH SYSTEM INC 0 EMERSON PRACTICE ASSOCIATES II 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 800482067 PROVIDE HIGH QUALITY AFFORDABLE HEALTH CARE FOR EMERSON HOSPITAL'S PATIENTS MA 509(A)(3) TYPE I 501(C)(3) EMERSON HEALTH SYSTEM INC 0 EMERSON PROPERTY DEVELOPMENT CORP 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 042793599 PROPERTY MANAGEMENT MA EMERSON HEALTH SYSTEM INC C 39753 118868 0 EMERSON OCCUPATIONAL HEALTH SERVICES 133 OLD ROAD TO NINE ACRE CORNER CONCORD MA 01742 042800607 HEALTH SERVICES MA EMERSON HEALTH SYSTEM INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 EMERSON HOSPITAL O 58610264 REPORTED AT FAIR VALUE EMERSON HOSPITAL P 3755205 REPORTED AT FAIR VALUE EMERSON HOSPITAL N 4166489 REPORTED AT FAIR VALUE