2018-08-15T12:47:04-05:00 2017-09-30 BDO USA LLP ONE INTERNATIONAL PLACE BOSTON MA 02110 990 2016-10-01 043318952 Anna Jaques Community Health Foundation % THE ORGANIZATION ANNA 9784631000 25 Highland Ave Newburyport MA 01950 KEVIN KILDAY CFO 9784631000 2018-08-15 true JEFFREY ROGERS P01074284 6174220700 2016 2022-09-23 18:48:47Z Mark Goldstein CEO 25 Highland Ave Newburyport MA 01950 3239445 false X www.ajh.org X 1996 MA To provide support to Anna Jaques Hospital. 25 22 0 17 0 1209823 1634156 0 0 651077 1509000 1676 3616 1862576 3146772 2054458 1820809 0 0 428557 361674 0 0 395047 125776 110107 2608791 2292590 -746215 854182 19481317 20905297 808426 662419 18672891 20242878 Anna Jaques Community Health Foundation provides support to Anna Jaques Hospital, a tax exempt hospital. false false 1820809 1820809 3146773 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. 1820809 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 false false false false false true false false false true 0 0 0 false false false false true true false false false X 25 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 Trey Byrnes 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 5.0 0.0 X 0 0 0 Kevin Kilday VP/CFO 5.0 55.0 X X 0 374934 53023 Mark Goldstein President/CEO 5.0 55.0 X X 0 654670 147931 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 Sarah Gnerre VP/Exec Director thru 1/5/18 50.0 0.0 X 0 183559 35148 Delia O'Connor President/CEO thru 12/31/14 0.0 0.0 X 0 153650 600 0 1366813 236702 0 true true false 0 116870 1517286 1634156 0 307225 307225 0 0 0 0 0 1263559 61784 1201775 1201775 1201775 34505 116870 30889 3616 3616 0 0 0 0 0 0 0 3146772 1512616 X 1820809 1820809 0 0 0 188233 37646 150587 0 72818 72818 0 83929 11893 72036 16694 12020 4674 15000 15000 0 0 0 0 0 0 0 81645 81645 0 0 11027 11027 0 0 175 175 0 0 0 0 SERVICE CONTRACTS 2260 2260 2292590 1820809 76734 395047 0 0 181717 141135 750381 794678 0 0 0 0 0 0 0 0 0 0 16304 17861 0 0 18532915 19951623 0 0 0 0 0 0 0 0 19481317 20905297 21357 5875 0 0 0 0 0 0 0 0 0 0 0 0 0 0 787069 656544 808426 662419 X 6138522 7118107 7071640 7367499 5462729 5757272 18672891 20242878 19481317 20905297 X 854182 715805 X false true X true false X X 1 ANNA JAQUES HOSPITAL 042104338 3 true 1820809 0 1 1820809 0.00000 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13932112 15000 1959125 478030 184745 15243462 13706652 1029573 796286 7827 13932112 14520243 477873 30000 5718 14962398 13990828 87359 163509 1569 19884 14220243 13644734 1721740 348884 26762 14990828 0.45740 0.13070 0.41190 false false 0 DUE TO AFFILIATES 656544 656544 X Form 990,Schedule D, 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). They are tax exempt organizations under section 501c(3) of the IRS code and, accordingly, are exempt from federal and state corporate income taxes on related income pursuant to section 501(A) of the code. MA golf tournament 151375 116870 34505 175 26500 4214 0 151375 116870 34505 175 26500 4214 30889 3616 true Anna Jaques Hospital 25 Highland Ave Newburyport MA 01950 042104338 501C(3) 1820809 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 the 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 317824 57110 20913 32110 427957 Sarah Gnerre VP/Exec Director thru 1/5/18 167403 16156 14215 20933 218707 Mark Goldstein President/CEO 532001 122669 116250 31681 802601 Delia O'Connor President/CEO thru 12/31/14 153650 100 500 154250 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 2016 FROM THE NON-QUALIFIED RETIREMENT PLANS SHE PARTICIPATED IN WHILE EMPLOYED. THE TOTAL OF THE PAYMENTS WAS $153,650. 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 AND SARAH GNERRE'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, $57,110, AND $14,939 RESPECTIVELY. 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 by staff, reviewed by an outside accounting firm and by the CEO and CFO. Once approved, a copy of the 990 is available to the board for review prior to filing. Form 990, Part VI, Question 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 requests 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. 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 false false true false false false false false false false false false true false false false true false false false Anna Jaques Hospital B 1820809 FMV Anna Jaques Hospital L 1668661 FMV Anna Jaques Hospital P 471781 FMV