CHARLESTOWN, MA
4 risk indicators measuring financial stability and operational resilience
Sign in with your work email to view Tuckman-Chang indicators
Sign In — Free (10 views/day)JORDAN PHYSICIAN ASSOCIATES INC, founded in 1994, is a mid-sized nonprofit in the Health Care sector that reported $42.0M in total revenue in fiscal year 2023. Revenue grew 13% year-over-year, indicating healthy expansion. Expenses of $58.4M exceeded revenue, resulting in a 39% operating deficit.
JORDAN PHYSICIAN ASSOCIATES (JPA) IS A NETWORK OF COMMUNITY BASED PHYSICIANS AFFILIATED WITH BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH (BID-PLYMOUTH OR HOSPITAL) AND BETH ISRAEL LAHEY HEALTH. THESE PHYSICIANS ARE COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES SERVED BY BOTH BID-PLYMOUTH AND JPA BY PROVIDING HIGH QUALITY, PERSONALIZED HEALTH CARE WITH COMPASSION, DIGNITY AND RESPECT FOR PATIENT RIGHTS IN A COST EFFECTIVE AND SAFE ENVIRONMENT. JPA IS DEDICATED TO PROVIDING CUTTING-EDGE CARE TO PATIENTS IN THE COMMUNITIES WHERE THEY LIVE AND WORK, REGARDLESS OF THEIR RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, ANCESTRY, AGE, OR DISABILITY. DURING THE FISCAL PERIOD COVERED BY THIS FILING, BETH ISRAEL LAHEY HEALTH (BILH) SERVED AS THE SOLE MEMBER OF ANNA JAQUES HOSPITAL (AJH), BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (BIDMC), MOUNT AUBURN HOSPITAL (MAH), NEW ENGLAND BAPTIST HOSPITAL (NEBH), BETH ISRAEL DEACONESS HOSPITAL -- MILTON, INC. (MILTON), BETH ISRAEL DEACONESS HOSPITAL -- NEEDHAM, INC. (NEEDHAM), BETH ISRAEL DEACONESS HOSPITAL -- PLYMOUTH, INC. (PLYMOUTH), LAHEY HEALTH SHARED SERVICES (LHSS), LAHEY CLINIC FOUNDATION (LCF), WINCHESTER HOSPITAL (WINCHESTER), NORTHEAST HOSPITAL CORPORATION (NHC) WHICH INCLUDES BEVERLY, ADDISON GILBERT AND BAYRIDGE HOSPITALS, NORTHEAST BEHAVIORAL CORPORATION (NBHC), THE BETH ISRAEL LAHEY HEALTH PERFORMANCE NETWORK (BILHPN), EXETER HEALTH RESOURCES INC. (EHRI) AND THE BETH ISRAEL LAHEY HEALTH PHARMACY. THE LAHEY CLINIC FOUNDATION IN TURN SERVED AS THE SOLE MEMBER OF LAHEY CLINIC INC, AND LAHEY CLINIC HOSPITAL D/B/A LAHEY HOSPITAL AND MEDICAL CENTER (LHMC) AND EXETER HEALTH RESOURCES INC SERVED AS THE SOLE MEMBER OF EXETER HOSPITAL. EACH OF THE ENTITIES LISTED HERE MAY HAVE ALSO, IN TURN, SERVED AS MEMBER TO OTHER NETWORK AFFILIATES. BILH IS AN INTEGRATED HEALTH CARE SYSTEM COMMITTED TO EXPANDING ACCESS TO EXTRAORDINARY PATIENT CARE ACROSS EASTERN MASSACHUSETTS AND SOUTHERN NEW HAMPSHIRE AND ADVANCING THE SCIENCE AND PRACTICE OF MEDICINE THROUGH GROUNDBREAKING RESEARCH AND EDUCATION. THE BILH SYSTEM IS COMPRISED OF ACADEMIC AND TEACHING HOSPITALS, A PREMIER ORTHOPEDICS HOSPITAL, PRIMARY CARE AND SPECIALTY CARE PROVIDERS, AMBULATORY SURGERY CENTERS, URGENT CARE CENTERS, COMMUNITY HOSPITALS, HOMECARE SERVICES, OUTPATIENT BEHAVIORAL HEALTH CENTERS AND ADDICTION TREATMENT PROGRAMS. BILH'S COMMUNITY OF CLINICIANS, CAREGIVERS AND STAFF INCLUDES APPROXIMATELY 4,700 PHYSICIANS AND 39,000 EMPLOYEES.
AS NOTED THROUGHOUT THIS FORM 990, JORDAN PHYSICIAN ASSOCIATES (JPA), IS A NOT-FOR-PROFIT PHYSICIAN GROUP AND MEMBER OF THE BETH ISRAEL LAHEY HEALTH NETWORK OF AFFILIATES. JPA IS A NETWORK OF...
AS NOTED THROUGHOUT THIS FORM 990, JORDAN PHYSICIAN ASSOCIATES (JPA), IS A NOT-FOR-PROFIT PHYSICIAN GROUP AND MEMBER OF THE BETH ISRAEL LAHEY HEALTH NETWORK OF AFFILIATES. JPA IS A NETWORK OF COMMUNITY-BASED PHYSICIANS AFFILIATED WITH BETH ISRAEL LAHEY HEALTH AND PROVIDING CARE IN CONJUNCTION WITH, AND IN THE COMMUNITIES SERVED BY, BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH (BID-PLYMOUTH OR HOSPITAL). THESE PRACTICES ARE COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES SERVED BY BID-PLYMOUTH AND JPA BY PROVIDING HIGH QUALITY, PERSONALIZED HEALTH CARE WITH COMPASSION, DIGNITY AND RESPECT FOR PATIENT RIGHTS IN A COST EFFECTIVE AND SAFE ENVIRONMENT AND IS DEDICATED TO PROVIDING CARE TO PATIENTS IN THE COMMUNITIES WHERE THEY LIVE AND WORK, PROVIDING CARE TO IN THE COMMUNITY TO MEDICARE, MEDICAID AND ALL OTHER PATIENTS REGARDLESS OF THEIR RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, NATIONAL ORIGIN, ANCESTRY, AGE, OR DISABILITY. DURING THE PERIOD COVERED BY THIS FILING, JPA PROVIDED SPECIALTY CARE TO ITS PATIENTS. IN ADDITION, WHEN ADVANCED CARE IS NEEDED, JPA PROVIDES LEADING EDGE TREATMENT AT ITS AFFILIATE, BID-PLYMOUTH AND LEADING-EDGE TREATMENT FROM BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) OR LAHEY HOSPITAL & MEDICAL CENTER AS WELL AS AND OTHER BILH AFFILIATES. LAHEY HOSPITAL & MEDICAL CENTER (LHMC) OR BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC), EACH A LEVEL I TRAUMA CENTER AND PROVIDE TERTIARY CARE AND CARE IN A WIDE RANGE OF SPECIALTIES. SPECIALTY CARE JPA HAS 92 SPECIALTY CARE PROVIDERS WHO PROVIDE CARE IN A WIDE RANGE OF SPECIALTY CARE AREAS INCLUDING CARDIOLOGY, INFECTIOUS DISEASES, GASTROENTEROLOGY, GENERAL SURGERY, VASCULAR SURGERY, PLASTIC SURGERY, BREAST SURGERY, ORTHOPEDICS, NEUROLOGY, OB/GYN, CHIROPRACTIC, THORACIC, PHYSIATRY, BEHAVIORAL HEALTH, AND PULMONOLOGY IN PLYMOUTH, DUXBURY, AND FORESTDALE MASSACHUSETTS. DURING THE FISCAL YEAR COVERED BY THIS FILING, JPA HAD A TOTAL OF 225,187 SPECIALTY CARE VISITS ACROSS THESE DISCIPLINES. IN ADDITION TO THE ACCOMPLISHMENTS NOTED ABOVE FOR JORDAN PHYSICIAN ASSOCIATES, AND AS NOTED THROUGHOUT THIS FORM 990, JORDAN PHYSICIAN ASSOCIATES IS A MEMBER OF THE BETH ISRAEL LAHEY HEALTH (BILH) NETWORK OF AFFILIATES. THE BILH CORE VALUES AND PRINCIPALS ARE LISTED HERE AS WELL AS NETWORK-WIDE ACCOMPLISHMENTS DURING THE FISCAL PERIOD COVERED BY THIS FILING. THE BILH NETWORK IS DELIVERING ON THE PROMISE TO BILH PATIENTS AND COMMUNITIES TO EXPAND ACCESS AND PROVIDE EXTRAORDINARY CARE, WHILE ALSO ADVANCING MEDICINE THROUGH DISCOVERY AND EDUCATION. THE BILH PURPOSE STATEMENT ARTICULATES THE IMPACT THAT EACH BILH AFFILIATE STRIVES TO MAKE IN THE COMMUNITIES SERVED. THESE SHARED VALUES GUIDE EACH ENTITY'S DAILY EFFORTS AND KEEP EACH AFFILIATE ALIGNED IN THE PURSUIT OF THE BILH PURPOSE, SHOWING HOW "WE CARE" FOR PATIENTS, EACH OTHER AND THE COMMUNITIES SERVED. PURPOSE STATEMENT: BILH CREATES HEALTHIER COMMUNITIES ONE PERSON AT A TIME THROUGH SEAMLESS CARE AND GROUND-BREAKING SCIENCE, DRIVEN BY EXCELLENCE, INNOVATION AND EQUITY. BILH WE CARE VALUES: WELLBEING. WE PROVIDE A HEALTH-FOCUSED WORKPLACE AND SUPPORT A HEALTHY WORK-LIFE BALANCE. EMPATHY. WE DO OUR BEST TO UNDERSTAND OTHERS' FEELINGS, NEEDS AND PERSPECTIVES. COLLABORATION. WE WORK TOGETHER TO ACHIEVE EXTRAORDINARY RESULTS. ACCOUNTABILITY. WE HOLD OURSELVES AND EACH OTHER TO BEHAVIORS NECESSARY TO ACHIEVE OUR COLLECTIVE GOALS. RESPECT. WE VALUE DIVERSITY AND TREAT ALL MEMBERS OF OUR COMMUNITY WITH DIGNITY AND INCLUSIVENESS. EQUITY. EVERYONE HAS THE OPPORTUNITY TO ATTAIN THEIR FULL POTENTIAL IN OUR WORKPLACE AND THROUGH THE CARE WE PROVIDE. BILH IS ACCOMPLISHING THIS MISSION BY PROVIDING SUPPORT TO ITS AFFILIATES WHICH INCLUDE: 1. A PHYSICIAN ENTERPRISE THAT ENCOMPASSES THE SYSTEM'S NETWORK OF EMPLOYED PRIMARY CARE AND SPECIALTY PHYSICIANS LOCATED THROUGHOUT OUR REGION; 2. A HOSPITAL AND AMBULATORY SERVICES GROUP THAT INCLUDES WORLD-CLASS ACADEMIC MEDICAL CENTERS AND TEACHING HOSPITALS WITH AFFILIATIONS WITH HARVARD MEDICAL SCHOOL, UM AND TUFTS UNIVERSITY SCHOOL OF MEDICINE; LEADING COMMUNITY HOSPITALS; A RENOWNED ORTHOPEDICS HOSPITAL; AND COMPREHENSIVE AMBULATORY CENTERS; 3. A POPULATION HEALTH ENTERPRISE THAT EMBRACES A MODEL OF CARE TO IMPROVE THE HEALTH OF ALL THOSE SERVED BY BILH; THE POPULATION HEALTH DOMAIN INCLUDES THE SYSTEM'S CLINICALLY INTEGRATED NETWORK OF AFFILIATED PROVIDERS AND VITAL SERVICES, INCLUDING BEHAVIORAL HEALTH AND HOME CARE SERVICES; 4. A ROBUST NETWORK OF ADMINISTRATIVE AND OPERATIONAL SERVICES TO ADVANCE STRATEGIC GOALS, BOTH LOCALLY AND AT THE SYSTEM LEVEL, THAT OFFERS EXPERTISE AND STANDARDIZED RESOURCES BASED ON BEST PRACTICES. DURING THE FISCAL PERIOD COVERED BY THIS FILING, BETH ISRAEL LAHEY HEALTH (BILH) SERVED AS THE SOLE MEMBER OF BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (BIDMC), MOUNT AUBURN HOSPITAL (MAH), NEW ENGLAND BAPTIST HOSPITAL (NEBH), BETH ISRAEL DEACONESS HOSPITAL -- MILTON, INC. (MILTON), BETH ISRAEL DEACONESS HOSPITAL -- NEEDHAM, INC. (NEEDHAM), BETH ISRAEL DEACONESS HOSPITAL -- PLYMOUTH, INC. (PLYMOUTH), LAHEY HEALTH SHARED SERVICES (LHSS), LAHEY CLINIC FOUNDATION (LCF), WINCHESTER HOSPITAL (WINCHESTER), NORTHEAST HOSPITAL CORPORATION (NHC) WHICH INCLUDES BEVERLY, ADDISON GILBERT AND BAYRIDGE HOSPITALS, NORTHEAST BEHAVIORAL CORPORATION (NBHC), ANNA JAQUES HOSPITAL (AJH), THE BETH ISRAEL LAHEY HEALTH PERFORMANCE NETWORK (BILHPN), THE JOSLIN DIABETES CENTER, EXETER HEALTH RESOURCES, INC (EHRI) AND THE BETH ISRAEL LAHEY HEALTH PHARMACY. THE LAHEY CLINIC FOUNDATION IN TURN SERVED AS THE SOLE MEMBER OF LAHEY CLINIC INC, AND LAHEY CLINIC HOSPITAL D/B/A LAHEY HOSPITAL AND MEDICAL CENTER (LHMC), EHRI IN TURN SERVED AS THE SOLE MEMBER OF EXETER HOSPITAL AND LHSS IN TURN SERVED AS THE SOLE MEMBER OF BETH ISRAEL LAHEY HEALTH PRIMARY CARE. THE ENTITIES LISTED HERE MAY HAVE ALSO, IN TURN, SERVED AS MEMBER TO OTHER NETWORK AFFILIATES. SEE FORM 990 SCHEDULE R FOR ADDITIONAL AFFILIATED ENTITIES. BILH PROVIDES CENTRALIZED SUPPORT TO ITS NETWORK OF SUPPORTED ORGANIZATIONS. BILH SUPPORT INCLUDES, BUT IS NOT LIMITED TO, THE FOLLOWING SERVICES: DEVELOPMENT AND FUNDRAISING, STRATEGIC PLANNING, COMPLIANCE, GOVERNANCE AND LEGAL SUPPORT, HUMAN RESOURCES, PATIENT CARE PAYOR CONTRACTING, OPERATIONAL SUPPORT SUCH AS PROCESSING PAYROLL AND ACCOUNTS PAYABLE, NETWORK-WIDE BENEFIT PLAN STRUCTURING AND NETWORK-WIDE CASH MANAGEMENT. BILH OVERSEES THE FINANCIAL WELL-BEING OF ITS AFFILIATES, INCLUDING PROVIDING MANAGEMENT, LEADERSHIP, DEBT STRUCTURING SUPPORT, FINANCING OF CAPITAL PROJECTS THROUGH ITS OBLIGATED GROUP DEBT AND FINANCIAL SUPPORT SERVICES, INCLUDING INTERNAL AND EXTERNAL AUDIT, TREASURY, INSURANCE AND TAX SERVICES. FOR THE FISCAL PERIOD COVERED BY THIS FILING BILH, INC. PROVIDED SERVICES AND SUPPORT TO ITS AFFILIATES, IN THE AMOUNT OF $15,835,226,845. ADDITIONAL DETAIL ABOUT ACCOMPLISHMENTS ACROSS BILH ARE BELOW. BILH NETWORK ACCOMPLISHMENTS AND ACTIVITIES FISCAL YEAR ENDED SEPTEMBER 30, 2024 BILH'S SUPPORT OF ITS AFFILIATES ENABLES THE NETWORK AS A WHOLE TO ACCOMPLISH ITS PRIMARY MISSION OF IMPROVING THE HEALTH OF PATIENTS, THEIR FAMILIES AND THE COMMUNITIES SERVED. AS NOTED PREVIOUSLY IN THIS FILING, BILH STRIVES TO ACCOMPLISH THIS MISSION BY DELIVERING THE HIGH-QUALITY HEALTH CARE THAT EVERY PATIENT DESERVES. BILH BELIEVES THAT EFFECTIVE CARE IS EASILY ACCESSIBLE AND SIMPLE TO USE SO IT IS BILH'S FOCUS TO PROVIDE PATIENTS WITH CARE THAT IS IN CLOSE PROXIMITY AND CONVENIENT REGARDLESS OF WHERE PATIENTS LIVE, THEIR HEALTH HISTORY OR STAGE OF LIFE AND BILH IS ACCOMPLISHING THIS GOAL BY PROVIDING SUPPORT TO EACH OF ITS AFFILIATES, PROVIDING AN ORGANIZATIONAL STRUCTURE AND OPERATING MODEL WHICH IS DRIVEN BY FOUR DEEPLY INTERCONNECTED DOMAINS DESIGNED TO ADVANCE MEANINGFUL PARTNERSHIPS ACROSS ORGANIZATIONS, CARE SETTINGS, SPECIALTIES, AND GEOGRAPHIES TO ENSURE BILH PATIENTS RECEIVE THE CARE THEY NEED IN THE COMMUNITIES WHERE THEY LIVE AND WORK.
Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency
Sign in to view Trantor Score and financial metrics
Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)
Sign In — Free (10 views/day)| 2023 | 2022 | Change | |
|---|---|---|---|
| Revenue | $41,971,558 | $36,998,426 | +0.1% |
| Expenses | $58,423,292 | $52,121,400 | +0.1% |
| Net Income | $-16,451,734 | $-15,122,974 | +0.1% |
Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics
Financial Distress Indicator
Liquidity & Cash Position
Sign in to view all financial metrics
Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics
Sign In| Name | Title | Hours/Week | Role | Reportable Comp | Other Comp | Total |
|---|---|---|---|---|---|---|
| ROWAN MICHAEL | TRUSTEE (EVP, HOS & AMB SVCS, BILH) | 1.00 |
Director
|
$0 | $2,401,778 | $4,703,895 |
| SHORETT PETER | TTEE (SR EXECUTIVE VP & COO, BILH) | 1.00 |
Director
|
$0 | $48,246 | $1,607,722 |
| COUGHLIN KEVIN | PRESIDENT & TRUSTEE | 1.00 |
Officer
Director
|
$0 | $53,764 | $824,420 |
| BURNS ERIN | TRUSTEE | 1.00 |
Director
|
$0 | $80,531 | $690,642 |
| KELLY MD DAVID | TRUSTEE & VICE CHAIR | 1.00 |
Officer
Director
|
$0 | $83,362 | $685,812 |
| MCGILL KRISTINA | TRUSTEE; PHARMACY MGR BIDP (PER DIEM | 1.00 |
Director
|
$0 | $0 | $6,465 |
| KAPELL JEFF | TRUSTEE & CHAIR | 1.00 |
Officer
Director
|
$0 | $0 | $0 |
| BLAIR RAYMOND | TRUSTEE | 1.00 |
Director
|
$0 | $0 | $0 |
| CARR ALLISON GILLMORE | TRUSTEE | 1.00 |
Director
|
$0 | $0 | $0 |
| CARUCCI DEAN | TTEE (BILH DIV PRESIDENT, COMMUNITY) | 1.00 |
Director
|
$0 | $0 | $0 |
| HEWITT CHARLES | TRUSTEE | 1.00 |
Director
|
$0 | $0 | $0 |
| HORWITZ-WILLIS NATE | TRUSTEE | 1.00 |
Director
|
$0 | $0 | $0 |
| JOHNSON JOHN | TRUSTEE | 1.00 |
Director
|
$0 | $0 | $0 |
| KENNISTON MD JULIA | TRUSTEE (PRESIDENT, MEDICAL STAFF) | 1.00 |
Director
|
$0 | $0 | $0 |
| KOWALOFF MD HARVEY | TRUSTEE | 1.00 |
Director
|
$0 | $0 | $0 |
| MARBLE MEGAN VAYO | TRUSTEE | 1.00 |
Director
|
$0 | $0 | $0 |
| MARINI ANNA | TRUSTEE | 1.00 |
Director
|
$0 | $0 | $0 |
| MCGRATH JOHN | TRUSTEE | 1.00 |
Director
|
$0 | $0 | $0 |
| MCKENNA CATHERINE | TRUSTEE | 1.00 |
Director
|
$0 | $0 | $0 |
| SHIELDS MARY | TRUSTEE | 1.00 |
Director
|
$0 | $0 | $0 |
| SPENCER LUIS | TRUSTEE | 1.00 |
Director
|
$0 | $0 | $0 |
| TABB MD KEVIN | CHIEF EXECUTIVE OFFICER (CEO, BILH) | 1.00 |
Officer
|
$0 | $1,097,028 | $5,410,415 |
| RIOS CINDY | TREAS (EXECUTIVE VP & CFO, BILH) | 1.00 |
Officer
|
$0 | $217,736 | $1,689,163 |
| KATZ ESQ JAMIE | CLERK; GENERAL COUNSEL, BILH | 1.00 |
Officer
|
$0 | $32,002 | $1,302,177 |
| JENKINS JIM | ASST TREAS (EX-OFF), CFO | 1.00 |
Officer
|
$0 | $30,468 | $434,805 |
| RANGAVIZ SHEILAH | ASSISTANT TREASURER, CFO | 1.00 |
Officer
|
$0 | $16,067 | $352,611 |
| ARMSTRONG ESQ EMILY | ASST CLERK (DIV VP DEP GC BOS, BILH) | 1.00 |
Officer
|
$0 | $41,550 | $351,216 |
| GEE ESQ CARROLL | ASST CLERK (ASSOC GEN COUNSEL, BILH) | 1.00 |
Officer
|
$0 | $41,396 | $222,210 |
| RUTHERFORD RON | VP, CIO, & VP, SUPPORT SERVICES | 1.00 |
Key Emp
|
$0 | $259,447 | $573,463 |
| BARKER ALEX | COO, SOUTH REGION, BILH PRIMARY CARE | 1.00 |
Key Emp
|
$0 | $73,909 | $512,254 |
| TEIXEIRA MD ALEX A | GASTRONENTOROLOGIST | 55.00 |
Highest
|
$937,645 | $71,416 | $1,009,061 |
| BARAKAT MD ISKANDAR | GASTRONENTOROLOGIST | 55.00 |
Highest
|
$665,609 | $45,105 | $710,714 |
| VIGNA MD PAUL A | PATHOLOGIST | 55.00 |
Highest
|
$534,972 | $75,208 | $610,180 |
| CANADAY MD DANIEL | PHYSICIAN, RADIOLOGY & RAD ONCOLOGY | 55.00 |
Highest
|
$533,203 | $71,637 | $604,840 |
| MUHLEBACH MD STEPHAN | CARDIOLOGIST | 55.00 |
Highest
|
$530,794 | $71,163 | $601,957 |
| Year | Revenue | Expenses | Assets | Net Income |
|---|---|---|---|---|
| 2024 | $41,971,558 | $58,423,292 | $15,756,431 | $-16,451,734 |
| 2023 | $36,998,426 | $52,121,400 | $16,486,068 | $-15,122,974 |
| 2022 | $34,392,544 | $49,391,049 | $16,854,200 | $-14,998,505 |
| 2021 | $31,653,632 | $42,343,050 | $15,971,092 | $-10,689,418 |
| 2020 | $30,549,891 | $41,046,579 | $5,388,415 | $-10,496,688 |
| 2019 | $34,629,036 | $43,113,938 | $6,420,054 | $-8,484,902 |
| 2018 | $35,971,189 | $43,260,834 | $6,610,597 | $-7,289,645 |
Compare JORDAN PHYSICIAN ASSOCIATES INC with other nonprofits in Massachusetts and across the country.