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Prem Lachman

Director at OPKO HEALTHOPKO HEALTH
Board

About Prem A. Lachman

Prem A. Lachman, M.D., age 64, has served as an independent director of OPKO Health since March 2021. He is a healthcare investment manager with over 35 years of experience across portfolio management, biopharmaceutical investment research, and healthcare investment banking, and was active in gastroenterology research during his tenure at Mount Sinai. He founded Maximus Capital, LLC in 2001 and previously held senior roles at The Galleon Group and Goldman Sachs & Co.

Past Roles

OrganizationRoleTenureCommittees/Impact
Goldman Sachs & Co.Managing Director, Investment Research1989–1998Led healthcare investment research; capital markets expertise
The Galleon GroupGeneral Partner1998–2001Portfolio management and hedge fund governance
Maximus Capital, LLCFounder & General Partner2001–PresentHealthcare investment management; capital allocation
Mount Sinai Medical CenterGastroenterology ResearchNot disclosedClinical research experience informing healthcare oversight

External Roles

OrganizationRoleStatusNotes
Museum of Modern Art (New York)Directors Council Board MemberCurrentNon-profit governance
New York Metropolitan OperaBoard MemberCurrentNon-profit governance
Mount Sinai Medical Center (NY) – Dept. of SurgeryBoard MemberCurrentAcademic/clinical governance

Board Governance

  • Independence: The Board affirmatively determined Dr. Lachman is independent under NASDAQ listing standards and applicable law .
  • Lead Independent Director: Richard C. Pfenniger Jr. serves as Lead Independent Director; independent directors head all standing committees .
  • Board/Committee activity and engagement:
    • Board met 6 times; written consent 2 times in fiscal 2024. Most directors attended ≥88% of meetings; two at 83% and one at 85% (not attributed to specific directors) .
    • Executive sessions of independent directors occur at least twice annually .
CommitteeRoleFY2024 Meetings
Audit CommitteeMember8 meetings; oversees financial reporting, internal controls, and related-party transaction approvals
Compensation CommitteeMember6 meetings; reviews executive and director compensation programs
Corporate Governance & Nominating CommitteeMember1 meeting; 2 written consents; board composition and governance process
Independent Investment CommitteeChair2 meetings; oversight of OPKO minority investments, Section 13/16 compliance

Fixed Compensation

Component (FY2024)Amount (USD)Basis
Base annual retainer$30,000Non-employee directors; paid quarterly
Audit Committee member retainer$15,000Additional annual retainer; paid quarterly
Compensation Committee member retainer$7,500Additional annual retainer; paid quarterly
Independent Investment Committee chair retainer$7,500Additional annual retainer; paid quarterly
Total cash paid (reported)$60,000Aligns with disclosed FY2024 director compensation

Performance Compensation

ItemDetailValue
Annual director option grant policy30,000 options each year after appointment; 50,000 options upon initial appointmentPolicy disclosure (not a grant count for 2024)
FY2024 Option Awards (fair value)Grant-date fair value per ASC 718$24,900
Options outstanding (12/31/2024)Aggregate stock options held160,000

Notes:

  • The FY2024 amount reflects grant-date fair value per ASC 718; director equity is option-based, not tied to explicit performance metrics (e.g., EPS/TSR hurdles) .
  • Audit Chair and Lead Independent Director receive additional annual option grants (15,000 each), which do not apply to Dr. Lachman in FY2024 .

Other Directorships & Interlocks

  • Current public company boards: None disclosed in OPKO’s proxy biography for Dr. Lachman .
  • Compensation Committee interlocks: Company disclosed no interlocks requiring SEC disclosure for fiscal 2024; includes Dr. Lachman as a Compensation Committee member .

Expertise & Qualifications

  • 35+ years across portfolio management, biopharma investment research, and healthcare investment banking; founder/operator of an investment firm .
  • Clinical/scientific exposure via gastroenterology research at Mount Sinai; informed oversight of healthcare businesses .
  • Governance experience across non-profit and academic boards (MoMA, Metropolitan Opera, Mount Sinai Dept. of Surgery) .

Equity Ownership

MeasureAmountNotes
Total beneficial ownership (as of 2/24/2025)160,000 sharesComposed of options counted as beneficial if exercisable within 60 days
Ownership % of outstanding shares<1%Asterisk denotes “Less than 1%” in proxy table
Composition detailIncludes options to acquire 160,000 sharesFootnote (11) confirms options inclusion
Pledging/HedgingNone disclosed; policy restricts without written consentCompany policy prohibits pledging/derivatives without consent

Governance Assessment

  • Board effectiveness: Independent director with multi-committee engagement and chair role on the Independent Investment Committee; committees met regularly (Audit 8; Compensation 6; Governance 1 + 2 consents; Investment 2), indicating active oversight cadence .
  • Independence and conflicts: Board affirmatively determined independence; related-party transactions are reviewed/approved by the Audit Committee (of which Dr. Lachman is a member). No specific related-party transactions involving Dr. Lachman are disclosed in the proxy .
  • Ownership alignment: Beneficial ownership is entirely option-based and below 1%, which signals limited “skin in the game” versus larger equity holders; however, OPKO prohibits pledging/derivatives without consent, reducing misalignment risks .
  • Compensation signals: Director pay mixes modest cash retainers with annual option grants consistent with OPKO policy; no performance-conditioned director equity is disclosed .
  • Shareholder sentiment: Say-on-Pay support was approximately 97% at the 2024 annual meeting, indicating broad investor support for compensation governance at OPKO (executive-focused but relevant to overall governance posture) .

RED FLAGS:

  • Low direct equity ownership (<1%) may limit alignment compared to larger holders; monitoring of future equity accumulation is warranted .
  • OPKO maintains numerous minority investments and related-party exposures (chiefly tied to other executives/directors); continued vigilance via the Investment Committee chaired by Dr. Lachman and Audit Committee review is essential for conflict mitigation .