| PART I, LINE 4A |
SEVERANCE AND CHANGE OF CONTROL PAYMENTS: AS NOTED IN THIS FILING, CHRISTOPHER MOSHER SERVED AS VICE PRESIDENT FOR PHILANTHROPY UNTIL MAY 17, 2013 AND BECAME ELIGIBLE FOR CERTAIN SALARY CONTINUATION PAYMENTS ON LEAVING NEBH AS NOTED IN MORE DETAIL IN THE DISCLOSURES BELOW. |
| PART I, LINE 7 |
CONTINGENT COMPENSATION: NEW ENGLAND BAPTIST HOSPITAL (NEBH) EXECUTIVES AND KEY EMPLOYEES MAY HAVE COMPENSATION PACKAGES THAT INCLUDE OPPORTUNITIES TO EARN INCENTIVE COMPENSATION BASED ON A COMBINATION OF MEETING OR EXCEEDING NEBH'S BUDGETED CONSOLIDATED OPERATING MARGIN AND MEETING INDIVIDUAL GOALS AND OBJECTIVES. THE INCENTIVE COMPENSATION FOR EACH EXECUTIVE AND KEY EMPLOYEE IS REVIEWED AND APPROVED BY THE NEBH COMPENSATION COMMITTEE WHICH, AS PREVIOUSLY NOTED, IS STAFFED BY INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES. |
| FORM 990, SCHEDULE J: ADDITIONAL COMPENSATION DISCLOSURES |
REPORTABLE COMPENSATION LISTED IN FORM 990 PART VII INCLUDES BASE COMPENSATION, INCENTIVE COMPENSATION AND OTHER REPORTABLE COMPENSATION AS REPORTED IN FORM 990 SCHEDULE J. OTHER COMPENSATION LISTED IN FORM 990 PART VII INCLUDES DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS AS REPORTED IN FORM 990 SCHEDULE J. OTHER REPORTABLE COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED IN THIS RETURN BUT QUANTIFIED IN OTHER REPORTABLE COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: AMOUNTS DEFERRED BY THE EMPLOYEE (PLUS EARNINGS) UNDER FULLY VESTED 457(B) PLAN; INCREASE/DECREASE IN VALUE OF NONQUALIFIED FULLY VESTED 457(B) PLAN; TAXABLE EMPLOYER-SUBSIDIZED PARKING; TAXABLE MOVING EXPENSES; EARNED TIME CASHED; TAXABLE LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE; AND OTHER TAXABLE RETIREMENT BENEFITS DEFERRED COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN DEFERRED COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: EMPLOYER CONTRIBUTIONS TO 401K RETIREMENT PLAN, EMPLOYER CONTRIBUTIONS TO 403B RETIREMENT PLAN, EMPLOYER CONTRIBUTION TO PENSION PLAN. NON-TAXABLE BENEFITS: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN NON-TAXABLE BENEFITS INCLUDE AMOUNTS FROM ONE OR MORE OF THE NON-TAXABLE BENEFITS: EMPLOYEE CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYER CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYEE CONTRIBUTIONS TO FLEXIBLE SPENDING ACCOUNTS FOR DEPENDENT CARE AND/OR MEDICAL REIMBURSEMENT, GROUP TERM LIFE INSURANCE, DISABILITY INSURANCE ALL TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, TRUSTEES OR KEY EMPLOYEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF TRUSTEE, AS DENOTED BY THE LISTED TITLES NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 PART VII AND FORM 990 SCHEDULE J AS NEBH AND NEBMA RESPECTIVELY. BASILICO, M.D., F.A.C.C., FREDERICK C. TRUSTEE (EX-OFFICIO) AND PHYSICIAN IN CHIEF FOR MEDICINE - NEW ENGLAND BAPTIST HOSPITAL PRESIDENT AND TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES ASSISTANT CLINICAL PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. BASILICO DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. BASILICO PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. BASILICO IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. BASILICO'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 96,491 INCENTIVE COMPENSATION: 21,312 OTHER REPORTABLE COMPENSATION: 1,271 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 10,714 PAYMENTS REPORTED BY NEBMA BASE COMPENSATION: 96,491 INCENTIVE COMPENSATION: 21,312 OTHER REPORTABLE COMPENSATION: 1,271 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 10,714 BODE, M.D., ROBERT H. MEDICAL STAFF PRESIDENT AND TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL CHAIR, DEPARTMENT OF ANESTHESIA - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) AND BOARD CHAIR - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES ASSOCIATE PROFESSOR OF ANESTHESIA - BOSTON UNIVERSITY MEDICAL SCHOOL DR. BODE'S TERM AS THE PRESIDENT OF THE MEDICAL STAFF AND TRUSTEE (EX-OFFICIO) OF THE NEBH BOARD AND BOARD CHAIR OF NEBMA BEGAN JANUARY 1, 2014. DR. BODE DEVOTES, ON AVERAGE, A COMBINED 12 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. BODE IS THE CHAIR OF THE DEPARTMENT OF ANESTHESIA AT NEW ENGLAND BAPTIST HOSPITAL AND ALSO PROVIDES ADMINISTRATIVE AND MEDICAL MANAGEMENT SERVICES FOR NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY NEBH FOR THE 2013 CALENDAR YEAR INCLUDES $44,944 PAID TO DR. BODE BY ANESTHESIA ASSOCIATES OF MASSACHUSETTS, P.C. AND RELATED TO DR. BODE'S POSITION AS CHAIR OF THE DEPARTMENT OF ANESTHESIA AT NEW ENGLAND BAPTIST HOSPITAL. THE PORTION OF DR. BODE'S COMPENSATION ATTRIBUTABLE TO EACH SET OF RESPONSIBILITIES HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 22,472 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 PAYMENTS REPORTED BY NEBMA BASE COMPENSATION: 22,472 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 FELCH, MARTHA SLOAN TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MS. FELCH DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. HANNON, F.A.C.H.E., PATRICIA TRUSTEE (EX-OFFICIO), PRESIDENT AND CHIEF EXECUTIVE OFFICER - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) AND CHIEF EXECUTIVE OFFICER - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MS. HANNON DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MS. HANNON IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR NEW ENGLAND BAPTIST HOSPITAL AND CHIEF EXECUTIVE OFFICER FOR NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. FOR SERVICES PROVIDED IN THESE ROLES, MS. HANNON RECEIVES PAYMENTS FROM NEW ENGLAND BAPTIST HOSPITAL. AS SUCH AND AS REQUIRED BY THIS FORM 990, MS. HANNON'S COMPENSATION IS REPORTED HERE AS IF PAID BY NEBH AND NEBMA. THE 2013 CALENDAR YEAR COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 590,857 INCENTIVE COMPENSATION: 259,039 OTHER REPORTABLE COMPENSATION: 207,893 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 16,704 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 18,274 INCENTIVE COMPENSATION: 8,012 OTHER REPORTABLE COMPENSATION: 6,430 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 517 OTHER REPORTABLE COMPENSATION INCLUDES PAYMENTS OF $210,000 DESIGNED TO PROVIDE MS. HANNON WITH SUPPLEMENTAL RETIREMENT BENEFITS. KEARNEY, M.D., GARY PRESIDENT OF THE MEDICAL STAFF AND TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL VICE CHAIR, DEPARTMENT OF SURGERY AND CHIEF, UROLOGY - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE AND BOARD CHAIR - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES CLINICAL ASSISTANT PROFESSOR IN SURGERY/UROLOGY - HARVARD MEDICAL SCHOOL DR. KEARNEY'S TERM AS THE PRESIDENT OF THE MEDICAL STAFF AND TRUSTEE (EX-OFFICIO) OF NEBH BOARD AND BOARD CHAIR OF NEBMA ENDED JANUARY 1, 2014. DR. KEARNEY DEVOTES, ON AVERAGE, A COMBINED 15 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. KEARNEY PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. KEARNEY IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. KEARNEY'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 21,340 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 660 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 KOLLIGIAN, ESQ., JOAN TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MS. KOLLIGIAN DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. LIBERT, JEFFREY TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. LIBERT DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. MALONEY, RICHARD J. TRUSTEE AND BOARD CHAIR - NEW ENGLAND BAPTIST HOSPITAL DIRECTOR (EX-OFFICIO) - CAREGROUP, INC. MR. MALONEY DEVOTES, ON AVERAGE, A COMBINED 6 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. |
| FORM 990, SCHEDULE J: ADDITIONAL COMPENSATION DISCLOSURES (CONTINUED) |
MATTINGLY, M.D., DAVID A CHAIR OF ORTHOPEDICS, SURGEON IN CHIEF AND TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL CHIEF, JOINT RECONSTRUCTION - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES ASSOCIATE CLINICAL PROFESSOR, ORTHOPEDIC SURGERY - TUFTS MEDICAL SCHOOL DR. MATTINGLY'S TERM AS CHAIR OF THE DEPARTMENT OF ORTHOPEDICS AND SURGEON IN CHIEF BEGAN JULY 18, 2014. DR. MATTINGLY DEVOTES, ON AVERAGE, A COMBINED 30 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. MATTINGLY PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. MATTINGLY IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. KEARNEY'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 52,020 INCENTIVE COMPENSATION: 1,250 OTHER REPORTABLE COMPENSATION: 240 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 52,020 INCENTIVE COMPENSATION: 1,250 OTHER REPORTABLE COMPENSATION: 240 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 NICHOLS, PETER TRUSTEE AND SECRETARY - NEW ENGLAND BAPTIST HOSPITAL MR. NICHOLS DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. POGORZELSKI, DONALD E. TRUSTEE AND VICE CHAIR - NEW ENGLAND BAPTIST HOSPITAL MR. POGORZELSKI DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. RICHMOND, M.D., JOHN C. TRUSTEE (EX-OFFICIO) AND CHAIR, DEPARTMENT OF ORTHOPEDICS - NEW ENGLAND BAPTIST HOSPITAL MEDICAL DIRECTOR FOR NETWORK DEVELOPMENT - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES PROFESSOR OF ORTHOPEDIC SURGERY - TUFTS MEDICAL SCHOOL DR. RICHMOND WAS THE CHAIR OF THE DEPARTMENT OF ORTHOPEDICS AND TRUSTEE (EX-OFFICIO) OF NEBH UNTIL JULY 18, 2014 WHEN HE BECAME THE MEDICAL DIRECTOR FOR NETWORK DEVELOPMENT. DR. RICHMOND DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. RICHMOND PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. RICHMOND IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. RICHMOND'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 124,469 INCENTIVE COMPENSATION: 26,842 OTHER REPORTABLE COMPENSATION: 21 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 124,469 INCENTIVE COMPENSATION: 26,842 OTHER REPORTABLE COMPENSATION: 21 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 RUBENSTEIN, JAMES TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. RUBENSTEIN DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. SAMSEL, ERVEN TRUSTEE AND VICE CHAIR - NEW ENGLAND BAPTIST HOSPITAL MR. SAMSEL DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. SARGENT, GIRARD TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. SARGENT DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. SULLIVAN SMITH, R.N., M.S., MARY SENIOR VICE PRESIDENT FOR HOSPITAL OPERATIONS, CHIEF NURSING OFFICER, AND TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL MS. SULLIVAN SMITH IS THE SENIOR VICE PRESIDENT FOR HOSPITAL OPERATIONS AND CHIEF NURSING OFFICER AND ALSO PROVIDES ADMINISTRATIVE AND MEDICAL MANAGEMENT SERVICES FOR NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY FORM 990, ALTHOUGH MS. SULLIVAN SMITH IS PAID DIRECTLY BY NEBH, THE PORTION OF MS. SMITH'S COMPENSATION ATTRIBUTABLE TO EACH SET OF RESPONSIBILITIES HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW: PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 251,390 INCENTIVE COMPENSATION: 55,002 OTHER REPORTABLE COMPENSATION: 3,859 DEFERRED COMPENSATION: 12,174 NON-TAXABLE BENEFITS: 2,675 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 7,775 INCENTIVE COMPENSATION: 1,701 OTHER REPORTABLE COMPENSATION: 119 DEFERRED COMPENSATION: 377 NON-TAXABLE BENEFITS: 83 SMYTH, PETER TRUSTEE AND TREASURER - NEW ENGLAND BAPTIST HOSPITAL MR. SMYTH BECAME TREASURER OF NEW ENGLAND BAPTIST HOSPITAL ON JANUARY 27, 2014 AND DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. STEWART, EDWARD TRUSTEE AND TREASURER - NEW ENGLAND BAPTIST HOSPITAL MR. STEWART'S TERM AS TREASURER AND TRUSTEE OF NEW ENGLAND BAPTIST HOSPITAL ENDED JANUARY 27, 2014. MR. STEWART DEVOTED, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. GHERINGHELLI, M.S.F., THOMAS, J. VICE PRESIDENT, FINANCE AND CHIEF FINANCIAL OFFICER - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) AND TREASURER - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MR. GHERINGHELLI DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MR. GHERINGHELLI PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH MR. GHERINGHELLI IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MR. GHERINGHELLI'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 261,078 INCENTIVE COMPENSATION: 58,139 OTHER REPORTABLE COMPENSATION: 3,886 DEFERRED COMPENSATION: 583 NON-TAXABLE BENEFITS: 22,498 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 8,075 INCENTIVE COMPENSATION: 1,798 OTHER REPORTABLE COMPENSATION: 120 DEFERRED COMPENSATION: 18 NON-TAXABLE BENEFITS: 696 DEFERRED COMPENSATION INCLUDES A DECREASE IN THE ACTUARIAL VALUE OF THE PENSION PLAN. MULKERRIN, M.S., R.N., MAUREEN CHIEF INFORMATION OFFICER AND VICE PRESIDENT, INNOVATION AND TECHNOLOGY - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MS. MULKERRIN DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. |
| FORM 990, SCHEDULE J: ADDITIONAL COMPENSATION DISCLOSURES (CONTINUED) |
MS. MULKERRIN IS THE CHIEF INFORMATION OFFICER AND VICE PRESIDENT OF INNOVATION AND TECHNOLOGY FOR NEW ENGLAND BAPTIST HOSPITAL AND ALSO PROVIDES ADMINISTRATIVE SERVICES FOR NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY FORM 990, ALTHOUGH MS. MULKERRIN IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MS. MULKERRIN'S COMPENSATION ATTRIBUTABLE TO EACH SET OF RESPONSIBILITIES HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 203,355 INCENTIVE COMPENSATION: 46,009 OTHER REPORTABLE COMPENSATION: 4,976 DEFERRED COMPENSATION: 22,898 NON-TAXABLE BENEFITS: 18,420 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 6,289 INCENTIVE COMPENSATION: 1,423 OTHER REPORTABLE COMPENSATION: 154 DEFERRED COMPENSATION: 708 NON-TAXABLE BENEFITS: 570 ROSENBLUM, M.H.A., RACHEL VICE PRESIDENT, AMBULATORY OPERATIONS AND PROGRAM DEVELOPMENT - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MS. ROSENBLUM'S TERM ON THE NEBMA BOARD BEGAN JANUARY 27, 2014. MS. ROSENBLUM DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MS. ROSENBLUM IS THE VICE PRESIDENT FOR AMBULATORY OPERATIONS AND PROGRAM DEVELOPMENT FOR NEW ENGLAND BAPTIST HOSPITAL AND ALSO PROVIDES ADMINISTRATIVE SERVICES FOR NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY FORM 990, ALTHOUGH MS. ROSENBLUM IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MS. ROSENBLUM'S COMPENSATION ATTRIBUTABLE TO EACH SET OF RESPONSIBILITIES HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 195,509 INCENTIVE COMPENSATION: 42,872 OTHER REPORTABLE COMPENSATION: 3,455 DEFERRED COMPENSATION: 2,868 NON-TAXABLE BENEFITS: 0 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 6,047 INCENTIVE COMPENSATION: 1,326 OTHER REPORTABLE COMPENSATION: 107 DEFERRED COMPENSATION: 89 NON-TAXABLE BENEFITS: 0 THOMPSON, LINDA VICE PRESIDENT, HUMAN RESOURCES AND SERVICE EXCELLENCE - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) AND SECRETARY - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MS. THOMPSON DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MS. THOMPSON PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY FORM 990, ALTHOUGH MS. THOMPSON IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MS. THOMPSON'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 212,114 INCENTIVE COMPENSATION: 48,100 OTHER REPORTABLE COMPENSATION: 4,849 DEFERRED COMPENSATION: (3,379) NON-TAXABLE BENEFITS: 17,275 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 6,560 INCENTIVE COMPENSATION: 1,488 OTHER REPORTABLE COMPENSATION: 150 DEFERRED COMPENSATION: (105) NON-TAXABLE BENEFITS: 534 DEFERRED COMPENSATION INCLUDES A DECREASE IN THE ACTUARIAL VALUE OF THE PENSION PLAN. CAMPBELL BEAUDET, JAYNE REGISTERED NURSE, OPERATING ROOM - NEW ENGLAND BAPTIST HOSPITAL MS. CAMPBELL BEAUDET DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 178,462 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,948 DEFERRED COMPENSATION: 31,563 NON-TAXABLE BENEFITS: 21,475 GREENSPAN, ELIZABETH VICE PRESIDENT, STRATEGIC PLANNING AND NETWORK DEVELOPMENT - NEW ENGLAND BAPTIST HOSPITAL MS. GREENSPAN PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES AND DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO NEBH AND NEBMA. AS REQUIRED BY FORM 990, ALTHOUGH MS. GREENSPAN IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MS. GREENSPAN'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 225,050 INCENTIVE COMPENSATION: 51,237 OTHER REPORTABLE COMPENSATION: 3,793 DEFERRED COMPENSATION: 11,799 NON-TAXABLE BENEFITS: 23,491 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 6,960 INCENTIVE COMPENSATION: 1,585 OTHER REPORTABLE COMPENSATION: 117 DEFERRED COMPENSATION: 365 NON-TAXABLE BENEFITS: 727 HAYEK, M.D., JIHAD CHAIR, DEPARTMENT OF PATHOLOGY - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES INSTRUCTOR - HARVARD MEDICAL SCHOOL DR. HAYEK DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. HAYEK PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. HAYEK IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. HAYEK'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 168,790 INCENTIVE COMPENSATION: 1,250 OTHER REPORTABLE COMPENSATION: 1,366 DEFERRED COMPENSATION: (1,359) NON-TAXABLE BENEFITS: 12,097 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 168,790 INCENTIVE COMPENSATION: 1,250 OTHER REPORTABLE COMPENSATION: 1,366 DEFERRED COMPENSATION: (1,359) NON-TAXABLE BENEFITS: 12,097 DEFERRED COMPENSATION INCLUDES A DECREASE IN THE ACTUARIAL VALUE OF THE PENSION PLAN. MOSHER, CHRISTOPHER VICE PRESIDENT FOR PHILANTHROPY - NEW ENGLAND BAPTIST HOSPITAL MR. MOSHER SERVED AS VICE PRESIDENT FOR PHILANTHROPY UNTIL MAY 17, 2013 AND DEVOTED, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 92,663 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 111,506 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 8,707 OTHER REPORTABLE COMPENSATION FOR MR. MOSHER INCLUDES SALARY CONTINUATION PAYMENTS PAID IN THE AMOUNT OF 110,001 DURING THE CALENDAR YEAR 2013. SCHNEIDER, PH.D., GARY CHIEF OF RESEARCH - NEW ENGLAND BAPTIST HOSPITAL DR. SCHNEIDER PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES AND DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO NEBH AND NEBMA. AS REQUIRED BY FORM 990, ALTHOUGH DR. SCHNEIDER IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF DR. SCHNEIDER'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 235,039 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 606 DEFERRED COMPENSATION: 7,760 NON-TAXABLE BENEFITS: 20,716 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 7,269 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 19 DEFERRED COMPENSATION: 240 NON-TAXABLE BENEFITS: 641 CAMER, M.D., STEPHEN J. FORMER TRUSTEE (EX-OFFICIO) AND FORMER CHAIR, DEPARTMENT OF SURGERY - NEW ENGLAND BAPTIST HOSPITAL FORMER TRUSTEE AND FORMER PRESIDENT - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES SURGEON - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES CLINICAL PROFESSOR IN SURGERY - TUFTS MEDICAL SCHOOL DR. CAMER DEVOTES, ON AVERAGE, A COMBINED 30 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. CAMER'S TERM ON THE NEBH BOARD ENDED JANUARY 28, 2013. PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 83,859 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 GULCZYNSKI, R.N., M.S., DIANE EXECUTIVE DIRECTOR, BUNDLED EPISODES OF CARE - NEW ENGLAND BAPTIST HOSPITAL FORMER VICE PRESIDENT, CLINICAL OPERATIONS, FORMER CHIEF NURSING OFFICER, AND FORMER TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL MS. GULCZYNSKI DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS MADE BY NEBH: BASE COMPENSATION: 80,256 BONUS AND INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,581 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 3,051 |