2019-08-14T13:26:15-05:00 2018-09-30 BDO USA LLP ONE INTERNATIONAL PLACE BOSTON MA 02110 990 2017-10-01 043318952 Anna Jaques Community Health Foundation % THE ORGANIZATION ANNA 9784631000 25 Highland Ave Newburyport MA 01950 KEVIN KILDAY CFO 9784631000 2019-08-15 true Brian Vigneault P00540650 6174220700 2019-08-15 4.14.180.58 04123920192265000023 2019-08-14 P 84A374456F6A769E03C52DF251DDEE56EDBBAFB5 7D1FA132861768FAAA6F7850C73535C89C74ABDC 2017 2019-02-21 02:37:17Z Mark Goldstein CEO 25 Highland Ave Newburyport MA 01950 2706681 false X www.ajh.org X 1996 MA To provide support to Anna Jaques Hospital. 24 22 0 21 0 1634156 1610850 0 0 1509000 991121 3616 2900 3146772 2604871 1820809 894927 0 0 361674 382793 0 0 475431 110107 128757 2292590 1406477 854182 1198394 20905297 22084523 662419 16984 20242878 22067539 ANNA JAQUES COMMUNITY HEALTH FOUNDATION PROVIDES SUPPORT TO ANNA JAQUES HOSPITAL, A TAX EXEMPT HOSPITAL. false false 894927 894927 2604871 The mission of AJCHF is to provide support to Anna Jaques Hospital. The grants represent donations which were released to the hospital, either because they were unrestricted donations, or because they were restricted donations for which the donors' restrictions had been satisfied. 894927 true true false false false false false false false true false false false false true false false true false false false false false false true false false true false true false false false false false false false false true false false false false true false false false true 0 0 0 false false false false true true false false false false false X 24 22 false false false false true true true true true false false true true true true true true true false false MA X THE ORGANIZATION 9784631100 25 HIGHLAND AVE NEWBURYPORT MA 01950 Ralph Castagna Director 5.0 0.0 X 0 0 0 Jessica Amorosino MD Director 5.0 0.0 X 0 0 0 Todd Baltich Director 5.0 0.0 X 0 0 0 Kathy Bechtel Director 5.0 0.0 X 0 0 0 Kari Bernard Director 5.0 0.0 X 0 0 0 Kathy Connors Director 5.0 0.0 X 0 0 0 Luis Fernandez Director 5.0 0.0 X 0 0 0 Melissa Foley Director 5.0 0.0 X 0 0 0 Kim Foulkes Director 5.0 0.0 X 0 0 0 Julie Ganong Director 5.0 0.0 X 0 0 0 Kevin Gasiorowski Director 5.0 0.0 X 0 0 0 Matt Khatib Director 5.0 0.0 X 0 0 0 Jeffrey Nahas Director 5.0 0.0 X 0 0 0 Vania O'Connor Director 5.0 0.0 X 0 0 0 Mary Williamson Director;VP/Exec Dir 5/21/18 40.0 0.0 X 0 0 0 Kevin Kilday VP/CFO 5.0 55.0 X X 0 339365 59077 Mark Goldstein President/CEO 5.0 55.0 X X 0 618849 149904 Claude Elias Director 5.0 0.0 X 0 0 0 Ronna Caras Director 5.0 0.0 X 0 0 0 Kate Kelly Director 5.0 0.0 X 0 0 0 Jay Iannini Director 5.0 0.0 X 0 0 0 Christopher Johnston Director 5.0 0.0 X 0 0 0 Lisa Purinton Director 5.0 0.0 X 0 0 0 Charles Byrnes Director 5.0 0.0 X 0 0 0 Sarah Gnerre VP/Exec Director thru 1/5/18 5.0 50.0 X 0 179454 39549 Delia O'Connor President/CEO thru 12/31/14 0.0 0.0 X 0 157472 0 0 1295140 248530 0 true true false 0 118880 1491970 50141 1610850 0 344782 344782 0 0 0 0 0 714329 67990 646339 646339 646339 36720 118880 33820 2900 2900 0 0 0 0 0 0 0 2604871 994021 894927 894927 0 0 0 144592 13119 131473 0 164249 164249 0 55644 7000 48644 18308 1000 17308 15000 15000 0 0 0 0 0 0 0 62356 62356 33594 33594 0 16852 16852 0 0 955 955 0 0 0 0 SERVICE CONTRACTS 0 1406477 894927 36119 475431 0 0 141135 385040 794678 437215 0 0 0 0 0 0 0 0 0 0 17861 276 0 0 19951623 21261992 0 0 0 0 0 0 0 0 20905297 22084523 5875 15475 0 0 0 0 0 0 0 0 0 0 0 0 0 0 656544 1509 662419 16984 X 7118107 8676188 7367499 7673378 5757272 5717973 20242878 22067539 20905297 22084523 1198394 626267 X false true X true false X X 1 ANNA JAQUES HOSPITAL 042104338 3 true 894927 0 1 894927 true false false false false false false false false false false false false false false true false 15304864 1341021 386000 23513 16236372 13932112 15000 1792855 416628 18475 15304864 13706652 1029573 796286 7827 13932112 14520243 -477873 330000 5718 13706652 13990828 87359 1163509 701569 19884 14520243 0.47000 0.12000 0.41000 false false 0 DUE TO AFFILIATES 1509 1509 Part V, Question 4: AJCHF maintains multiple endowments with different purposes. The majority have a permanently restricted corpus, with the income available to support the operations of Anna Jaques Hospital. The income from other endowments is available to fund healthcare education for AJH employees, or for scholarships to area high school students who wish to pursue a health care related degree program. The entities which use the endowment funds are the parent (SRHS), the hospital (AJH), the foundation (CHF), and the physician group (SAGP). Part X, Line 2: There is no FIN48 (ASC 740) footnote in the consolidated audited financial statements. MA GOLF TOURNAMENT 155600 118880 36720 5793 26586 1441 0 155600 118880 36720 5793 26586 1441 33820 2900 true Anna Jaques Hospital 25 Highland Ave Newburyport MA 01950 042104338 501C(3) 894927 FMV general assistance 1 Part I Description of Procedure for Monitoring Use of Funds Donations are tracked by donor restriction (for example, a donation to fund tYe purchase of a particular piece of capital equipment). Donations are not released to the hospital until the specific restriction has been met. Unrestricted donations are transferred periodically to assist with general support. All grants are made to Anna Jaques Hospital, CHF's sole member, a related 501c(3) organization. false true false false false true true false false Kevin Kilday VP/CFO 282255 57110 24450 34627 398442 Sarah Gnerre VP/Exec Director thru 1/5/18 174745 4709 16955 22594 219003 Mark Goldstein President/CEO 496180 122669 116350 33554 768753 Delia O'Connor President/CEO thru 12/31/14 157472 157472 157472 FORM 990, SCHEDULE J, PART 1, QUESTION 3 This organization does not establish compensation for the CEO and other executives. The board of the parent (SRHS) performs that function and does use a compensation committee, independent consultant, and compensation surveys to establish compensation levels and does require approval by the compensation committee before payments are made. FORM 990, SCHEDULE J, PART 1, QUESTION 4B DELIA O'CONNOR, CEO THROUGH 12/31/14, IS NOW RETIRED AND RECEIVED DISTRIBUTIONS IN CALENDAR 2017 FROM THE NON-QUALIFIED RETIREMENT PLANS SHE PARTICIPATED IN WHILE EMPLOYED. THE TOTAL OF THE PAYMENTS WAS $157,472. MARK GOLDSTEIN PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FUNDED BY A SPLIT DOLLAR LIFE INSURANCE POLICY. THE PREMIUM PAID WAS $85,000. FORM 990, SCHEDULE J, PART 1, QUESTION 5B MARK GOLDSTEIN'S, KEVIN KILDAY'S BONUS PAYMENTS WERE CONTINGENT UPON THE ORGANIZATIONS IN THE SYSTEM MEETING CERTAIN TARGETS, INCLUDING THE TARGETED EARNINGS OF THE ORGANIZATIONS. THE AMOUNTS PAID WERE $122,669 AND $57,110 RESPECTIVELY. X 575 50141 FMV false false false Form 990, Part VI, Question 6: Anna Jaques Hospital is the sole member of AJCHF. Form 990, Part VI, Question 7a: The AJH board elects the AJCHF board. Form 990, Part VI, Question 7b: Approval by the AJH board is required for the adoption of annual operating and capital budgets: for the merger or consolidation of the organization with any other corporation: for the formation or dissolution of the subsidiaries of the corporation: and for a decision to conduct any fundraising activities. Form 990, Part VI, Question 11b: The Form 990 is prepared and reviewed by an outside accounting firm. Subsequently, the Form 990 is provided to the CEO and CFO for review and approval. Once approved, a copy of the 990 is made available to the board for review prior to filing. Form 990, Part VI, Questoin 12c: The board of trustees and senior executives review the conflict of interest policy annually and complete a survey about possible conflicts of interest. Their answers are reviewed by the chairperson to determine if conflicts exist. If there is a conflict of interest on a particular issue, the chairperson requires that the individual abstain from voting at that time. The chairperson or secretary monitors surveys to ensure compliance. Form 990, Part VI, Question 15a: Total compensation of the senior executive team is reviewed annually by an independent committee of the parent's board. The committee uses data received from an independent compensation consulting firm to determine the fairness and comparability of the compensation, and decides whether any changes are to be made. In addition, the committee agrees on benchmarks for executive bonuses at the start of each year, and reviews progress at the conclusion of the year to determine what bonuses are payable. Bonuses are included in total compensation during the salary review mentioned above. Form 990, Part VI, Question 19: Governing documents, the conflict of interest policy, and financial statements are available to the public upon request. Form 990, Part III - Program Service, Line 4a As noted in various disclsoures throughout this filing, Seacoast Regional Health System (SRHS) served as the sole member of Anna Jaques Community Health Foundation for the period covered by this filing, October 1, 2017 to September 30, 2018 (fiscal year ended September 30, 2018). Effective March 1, 2019, pursuant to a plan of statutory merger, SRHS merged into Anna Jaques Community Health Foundation and Beth Israel Lahey Health, Inc. (BILH) became the sole Member of Anna Jaques Community Health Foundation. Anna Jaques Hospital 25 Highland Ave Newburyport MA 01950 042104338 hospital MA 501c(3) line 3 SRHS false Seacoast Regional Health Systems 25 Highland Ave Newburyport MA 01950 222814214 supprtg org MA 501c(3) LINE 12, II N/A false Seacoast Affiliated Group Practice 25 Highland Ave Newburyport MA 01950 043485648 physician MA 501c(3) LINE 10 SRHS false Seacoast Regional MRI 25 Highland Ave Newburyport MA 01950 320443663 health svc MA 501c(3) LINE 10 SRHS false Greater Newburyport Management Serv 25 Highland Ave Newburyport MA 01950 161744477 management MA C Corp 0 0 0.00000 false false true false false false false false false false false true false false false true false false false Anna Jaques Hospital B 894927 FMV Anna Jaques Hospital L 1647480 FMV Anna Jaques Hospital P 545370 FMV