LAHEY CLINIC HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: LAHEY CLINIC HOSPITAL INC (EIN 04-2704686)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-15
IRS object ID: 201912279349302486
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-15T15:35:50-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE INTERNATIONAL PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02110	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	042704686	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Lahey Clinic Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% TIMOTHY O'CONNOR	InCareOfNm
Business Name Control	LAHE	BusinessNameControlTxt
Phone	7817445100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 MALL ROAD	AddressLine1Txt
City	BURLINGTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	018050001	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TIMOTHY O'CONNOR	PersonNm
Person Title	EVP/CFO/TREASURER	PersonTitleTxt
Phone	9782534000	PhoneNum
Signature	2019-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Vigneault	PreparerPersonNm
PTIN	P00540650	PTIN
Phone	6174220700	PhoneNum
Preparation	2019-08-15	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	4.14.180.58	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	04123920192275000110	FederalOriginalSubmissionId
Federal Original Submission Id	2019-08-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	8B848958B92263A2F38D218A1E1F89307DC248D7	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7D1FA132861768FAAA6F7850C73535C89C74ABDC	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TIMOTHY O'CONNOR	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 MALL ROAD	AddressLine1Txt
City	BURLINGTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	018050001	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,014,698,820	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.lahey.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	LAHEY CLINIC HOSPITAL, INC., IN ASSOCIATION WITH THE TUFTS UNIVERSITY SCHOOL OF MEDICINE, PROVIDES SUPERIOR HEALTH CARE LEADING TO THE BEST POSSIBLE OUTCOMES	ActivityOrMissionDesc
Voting Members Governing Body	27	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	5380	TotalEmployeeCnt
Total Volunteers	320	TotalVolunteersCnt
Total Gross UBI	$429,621	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$450,671	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$941,719,838	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,002,971,165	CYProgramServiceRevenueAmt
PY Investment Income	$1,379,862	PYInvestmentIncomeAmt
CY Investment Income	$1,263,577	CYInvestmentIncomeAmt
PY Other Revenue	$7,476,048	PYOtherRevenueAmt
CY Other Revenue	$7,523,455	CYOtherRevenueAmt
PY Total Revenue	$950,575,748	PYTotalRevenueAmt
CY Total Revenue	$1,011,758,197	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$401,584,334	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$387,209,186	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$530,390,347	PYOtherExpensesAmt
CY Other Expenses	$558,772,976	CYOtherExpensesAmt
PY Total Expenses	$931,974,681	PYTotalExpensesAmt
CY Total Expenses	$945,982,162	CYTotalExpensesAmt
PY Revenues Less Expenses	$18,601,067	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$65,776,035	CYRevenuesLessExpensesAmt
Total Assets BOY	$775,089,289	TotalAssetsBOYAmt
Total Assets EOY	$227,311,528	TotalAssetsEOYAmt
Total Liabilities BOY	$618,407,011	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$233,849,550	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$156,682,278	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$6,538,022	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$414,374,323	ExpenseAmt
Revenue	$484,467,997	RevenueAmt
Desc	Outpatient Services Lahey Hospital & Medical Center, comprised of Lahey Clinic, Inc. & Lahey Hospital, Inc. (LHMC) provides top quality and superior patient care for a comprehensive range of outpatient services, such as cardiology, oncology, radiology, pulmonary, rehabilitation & recovery services. In FY 2018 LHMC had approximately 13,286 surgical outpatient cases.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$314,676,986	ExpenseAmt
Revenue	$448,282,660	RevenueAmt
Desc	Inpatient Services LHMC provides top quality and superior patient care. Inpatient care is available in the areas of general medicine, critical care & surgery. In FY 2018 Lahey had approximately 7,226 surgical cases and 23,997 inpatient discharges. LHMC has medical centers in Burlington and Peabody.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$22,210,398	ExpenseAmt
Revenue	$32,745,850	RevenueAmt
Desc	Emergency Services LHMC services include 24-hour emergency departments in Burlington and Peabody. In 2018, LHMC realized more the 66,000 emergency room visits.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$751,261,707	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	5380	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	27	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TIMOTHY O'CONNOR	PersonNm
Phone	7817445100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 MALL ROAD	AddressLine1Txt
City	BURLINGTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01805	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Howard R Grant JD MD
TRUSTEE/OFFICER/PRESIDENT/CEO	1.0	50.0	Yes (X)	Yes (X)	$0	$2,662,373	$64,084
Roger L Jenkins MD
TRUSTEE/PHysician	1.0	40.0	Yes (X)		$0	$663,266	$72,402
Richard S D'Agostino MD
Trustee/Division Chair	1.0	40.0	Yes (X)		$0	$651,184	$69,896
Andrew G Villanueva MD
Trustee/Chief Quality Officer	40.0	1.0	Yes (X)		$349,868	$0	$50,203
Betsey Crawford MD
Trustee/Physician	1.0	40.0	Yes (X)		$0	$258,786	$38,951
Arthur P Mourtzinos MD
Trustee/Physician	1.0	40.0	Yes (X)		$0	$673,836	$50,452
Rebecca C Yang MD
Trustee Thru 4/30/18/Physician	1.0	40.0	Yes (X)		$0	$386,234	$59,248
Eric M Bailey
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Ann Marie Connolly
Trustee/chair	1.0	0.0	Yes (X)		$0	$0	$0
James D Irving
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
J William Poduska
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Stuart Reese
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Carolyn Ain
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Jane C Edmonds
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Deborah McKenna
Trustee through 9/10/2018	1.0	0.0	Yes (X)		$0	$0	$0
David Wajsgras
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Edward Eskandarian
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Roger W Crandall
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
David Lang
trustee	1.0	0.0	Yes (X)		$0	$0	$0
Linda McGoldrick
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Greg Schmergel
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Alice A Hunter MD
Trustee/Physician	1.0	40.0	Yes (X)		$0	$622,897	$28,948
Christine Winger MD
trustee/physician	1.0	40.0	Yes (X)		$0	$475,314	$76,453
Joan McArdle
Trustee Elected 6/8/2018	1.0	0.0	Yes (X)		$0	$0	$0
Peter C Nordblom
Trustee	1.0	0.0	Yes (X)		$0	$0	$0
Jayashri Srinivasan MD
Division Chair ELECTED 6/8/18	1.0	40.0	Yes (X)		$0	$427,694	$64,305
Wayne Saltsman MD
Trustee/Exofficer/Physician	1.0	40.0	Yes (X)		$0	$286,036	$33,374
Timothy O'Connor
OFFICER/EVP/CFO & TREASURER	1.0	50.0		Yes (X)	$0	$651,294	$195,884
David G Spackman JD
officer/svp gov affairs & gen	1.0	50.0		Yes (X)	$0	$414,227	$51,406
Maryellen Lear
officer/director, legal suppor	1.0	40.0		Yes (X)	$0	$101,568	$30,151
Peter R Lloyd
officer/vp corporate finance	1.0	40.0		Yes (X)	$0	$346,527	$61,493
Elizabeth P Conrad
SVP Chief HR Officer	1.0	40.0			$0	$374,430	$60,864	Yes (X)
Richard J Guarino
VP Hospital Based Clin Dept	40.0	1.0			$292,535	$0	$33,091	Yes (X)
Stephen L Demers
VP Surgical Services	40.0	1.0			$291,284	$0	$57,405	Yes (X)
Tracy A Galvin MSNRN
Chief Nursing Officer	40.0	1.0			$309,439	$0	$25,414	Yes (X)
Efstathios Antoniades
COO LHMC	40.0	1.0			$328,754	$0	$52,612	Yes (X)
Kevin Bennett
VP Financial Services	1.0	40.0			$0	$287,950	$63,302	Yes (X)
William Robertson
SVP & Chief Facilities Officer	1.0	40.0			$0	$277,769	$58,290	Yes (X)
David Longworth MD
CMO CP LHMC Chair PC	40.0	1.0			$692,121	$0	$40,486	Yes (X)
Harold E Lawson Jr
SVP Chief Revenue Officer Fina	1.0	40.0			$0	$351,943	$70,547	Yes (X)
Eric D Berger
VP Supply Chain	1.0	40.0			$0	$190,103	$33,820	Yes (X)
Joanne M conroy
EVP LHS&CEO LHMC Thru 8/14/17	40.0	0.0			$748,357	$0	$20,609		Yes (X)
Patrick Jordan
COO LHMC Thru 6/30/17	40.0	0.0			$491,458	$0	$21,499		Yes (X)
Linda L Weller-Newcomb
VP Cancer Services	40.0	0.0			$288,010	$0	$51,802		Yes (X)
PER H HALVORSEN
CHIEF PHYSICIST RAD ONCOLOGY	40.0	0.0			$255,151	$0	$1,875		Yes (X)
Edward M Nadolny
Chief Perfusionist	40.0	0.0			$261,507	$0	$66,761		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,308,484	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,103,431	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,605,627	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	609	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Field	Value	IRS element (for citing)
Person	None - See Schedule O	PersonNm

Field	Value	IRS element (for citing)
Contractor Address		ContractorAddress

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621400	$965,496,507	$965,496,507
OTHER OPERATING REVENUES	621400	$34,991,766	$34,991,766
PROGRAM RESTRICTED REVENUE	621400	$2,127,701	$2,127,701
LABORATORY REVENUES	621500	$355,191		$355,191

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,002,971,165	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,211,846	TotalRevenueColumnAmt
Exclusion	$1,211,846	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$62,637	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$62,637	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$62,637	TotalRevenueColumnAmt
Exclusion	$62,637	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$2,992,354	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,940,623	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$51,731	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$51,731	TotalRevenueColumnAmt
Exclusion	$51,731	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA REVENUES	722210	$3,977,165	$3,977,165
PARKING GARAGE REVENUES	812930	$3,409,223	$3,409,223
GIFT SHOP REVENUE	453220	$74,430		$74,430

Field	Value	IRS element (for citing)
Other Revenue Total	$7,460,818	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,011,758,197	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,002,615,974	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$429,621	UnrelatedBusinessRevenueAmt
Exclusion	$8,712,602	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,308,484	TotalAmt
Program Services	$4,109,817	ProgramServicesAmt
Management And General	$198,667	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$285,648,154	TotalAmt
Program Services	$272,476,758	ProgramServicesAmt
Management And General	$13,171,396	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$37,242,546	TotalAmt
Program Services	$35,525,271	ProgramServicesAmt
Management And General	$1,717,275	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,539,526	TotalAmt
Program Services	$37,716,336	ProgramServicesAmt
Management And General	$1,823,190	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,470,476	TotalAmt
Program Services	$19,526,571	ProgramServicesAmt
Management And General	$943,905	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$36,153,847	TotalAmt
Program Services	$26,616,130	ProgramServicesAmt
Management And General	$9,537,717	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$41,632	TotalAmt
Management And General	$41,632	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,717,755	TotalAmt
Program Services	$2,512,055	ProgramServicesAmt
Management And General	$1,205,700	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,804,884	TotalAmt
Program Services	$1,520,795	ProgramServicesAmt
Management And General	$284,089	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,159,855	TotalAmt
Program Services	$12,272,460	ProgramServicesAmt
Management And General	$2,887,395	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$484,110	TotalAmt
Program Services	$407,911	ProgramServicesAmt
Management And General	$76,199	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$10,477,077	TotalAmt
Program Services	$6,534,553	ProgramServicesAmt
Management And General	$3,942,524	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$60,908,979	TotalAmt
Program Services	$14,708,893	ProgramServicesAmt
Management And General	$46,200,086	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$769,569	TotalAmt
Program Services	$769,569	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$242,909,259	$242,908,067	$1,192
GENERAL SUPPLIES	$51,740,243	$43,716,542	$8,023,701
MASS HEALTH SAFETY NET ASSESS	$15,354,104		$15,354,104
ADMIN AND GENERAL	$119,251,662	$29,939,979	$89,311,683

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$945,982,162	TotalAmt
Program Services	$751,261,707	ProgramServicesAmt
Management And General	$194,720,455	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$69,525,271	BOYAmt
EOY	$38,645,777	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$88,761,910	BOYAmt
EOY	$98,579,697	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,129,633	BOYAmt
EOY	$14,763,228	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,362,635	BOYAmt
EOY	$5,585,937	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,002,694	LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,488,813	BOYAmt
EOY	$4,002,694	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$36,872,560	BOYAmt
EOY	$38,033,960	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$10,234,798	BOYAmt
EOY	$13,323,782	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$547,713,669	BOYAmt
EOY	$14,376,453	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$775,089,289	BOYAmt
EOY	$227,311,528	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$367,779,524	BOYAmt
EOY	$54,972,704	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$35,243,037	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$5,446,339	BOYAmt
EOY	$3,258,275	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$209,938,111	BOYAmt
EOY	$175,618,571	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$618,407,011	BOYAmt
EOY	$233,849,550	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$81,474,012	BOYAmt
EOY	$156,682,278	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$75,208,266	BOYAmt
EOY	-$163,220,300	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$156,682,278	BOYAmt
EOY	-$6,538,022	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$775,089,289	BOYAmt
EOY	$227,311,528	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$65,776,035	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$714,710	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$228,281,625	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$47,107,212	BeginningYearBalanceAmt
Investment Earnings Or Losses	$43,449	InvestmentEarningsOrLossesAmt
Other Expenditures	-$4,207,081	OtherExpendituresAmt
End Year Balance	$51,357,742	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,853,659	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,462,634	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,209,081	OtherExpendituresAmt
End Year Balance	$47,107,212	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,038,858	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,814,801	InvestmentEarningsOrLossesAmt
End Year Balance	$49,853,659	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$55,687,369	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,657,938	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,990,573	OtherExpendituresAmt
End Year Balance	$46,038,858	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$43,574,283	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$466,914	InvestmentEarningsOrLossesAmt
Other Expenditures	-$12,580,000	OtherExpendituresAmt
End Year Balance	$55,687,369	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Land		LandGrp

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$4,002,694	OtherCostOrOtherBasisAmt
Book Value	$4,002,694	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp
Equipment		EquipmentGrp

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,002,694	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENTS, OTHER SECURITIES	Desc
Book Value	$13,323,782	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Securities	$13,323,782	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECIEVABLES	$1,795,239
PROFESSIONAL INSURANCE RECEIV	$7,254,054
INVESTMENT - SHIELDS MRI	$4,270,122
INVESTMENT - NEPC LLC	$7,100
INVESTMENT - OTHER	$1,049,938

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$14,376,453	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ESTIMATE DUE TO THIRD PARTY IN	$14,303,028
INTERCOMPANY PAYABLES	$151,578,346
OTHER NON-CURRENT LIABILITIES	$141,497
ESTIMATED THIRD PARTY SETTLEME	$9,595,700

Field	Value	IRS element (for citing)
Total Liability	$175,618,571	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$782,162,085	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$714,710	NetUnrealizedGainsInvstAmt
Other Revenue	-$228,881,402	OtherRevenueAmt
Revenue Not Reported	-$229,596,112	RevenueNotReportedAmt
Revenue Subtotal	$1,011,758,197	RevenueSubtotalAmt
Total Revenue Per Form990	$1,011,758,197	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$945,382,385	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$945,382,385	ExpensesSubtotalAmt
Other Expenses Not Included	$599,777	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$599,777	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$945,982,162	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2	THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48.
PART XI, LINE 4D - OTHER ADJUSTMENTS	PENSION PLAN OCI - $30,811,691 TRANSFER OF ASSETS - ($259,693,093) TOTAL ($228,881,402)
PART XII, LINE 4D	CUSTODIAN EXPENSES: $ 221,627 NON OP ALLOCATION: $ 378,151 TOTAL: $ 599,777

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,108,011	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,426,784	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,681,227	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,784,740	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,304,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,480,027	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,914,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,764,661	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,149,633	NetCommunityBenefitExpnsAmt
Total Expense	0.01070	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,807,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,496,158	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,310,887	NetCommunityBenefitExpnsAmt
Total Expense	0.02250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,800,830	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,736,326	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,064,504	NetCommunityBenefitExpnsAmt
Total Expense	0.02650	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,800,830	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,736,326	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,064,504	NetCommunityBenefitExpnsAmt
Total Expense	0.02650	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$136,607,875	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$90,232,484	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,375,391	NetCommunityBenefitExpnsAmt
Total Expense	0.04900	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,797,546	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,106,663	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$325,286,281	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$313,419,283	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$11,866,998	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	None	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	lahey clinic hospital inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 mall road	AddressLine1Txt
City	burlington	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01805	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	medical research conducted under the lahey clinic, inc.	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	LAHEY CLINIC HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Other	Yes (X)	OtherInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.LAHEY.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.LAHEY.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.LAHEY.ORG	FAPAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 3J	IDENTIFIED AND EVALUATED SOCIAL DETERMINANTS OF HEALTH.
Part V, Section B, Line 5	The Community Health Needs Assessment Project team conducted a series of interviews with LHMC staff and a representative set of the leading community health stakeholders. These interviews allowed the project team to engage the community and capture qualitative data related to community health needs, community priorities, social determinants of health, service gaps, barriers to care, and the population groups most at-risk. These interviews were also critical to the development of LHMC's community health improvement plan (CHIP) as they provided important information related to LHMC's strategic response and explored possible partnerships. Overall, nearly 100 people were involved through our interviews, community forums and strategic planning sessions.
PART V, SECTION B, LINE 6A	LAHEY CLINIC & MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805 LAHEY MEDICAL CENTER, ONE ESSEX CENTER DRIVE, PEABODY, MA 01960 WINCHESTER HOSPITAL BEVERLY HOSPITAL ADDISON GILBERT HOSPITAL
Part V, Section B, Line 7D	The results of the CHNA were made publically available in various ways including on the LHMC website, distribution to internal and external community stakeholders and presentations to hospital leaders and staff. In addition, report out sessions for key stakeholders in each municipality have been scheduled and will be complete by FY17. The goal of the sessions is to present the findings of the CHNA and to engage them in discussion to gain better understanding of their perceptions of the current health needs, social determinants of health, barriers to care in their communities and discuss potential opportunities for collaboration.
Part V, Section B, Line 11	In FY16, Lahey Hospital & Medical Center, in conjunction with all four hospitals in the Lahey Health System, completed the required triennial Community Health Needs Assessment (CHNA). The purpose of the CHNA is to inform and guide the hospital's selection of and commitment to programs and initiatives that address the health needs of the communities it serves. The assessment was conducted in partnership with John Snow Inc. public health management consulting and research organization. LHMC Community Benefits Service Area LHMC serves individuals who come from throughout the United States and from nations around the world. With respect to community benefits, LHMC focuses its efforts more narrowly on the communities in its primary, local service area. More specifically, LHMC's community benefits investments are focused on expanding access, addressing barriers to care and improving the health status of residents living in the following 13, mostly contiguous, municipalities located in Middlesex and Essex counties: Arlington, Bedford, Billerica, Burlington, Lexington, Peabody, Reading, Stoneham, Tewksbury, Wakefield, Wilmington, Winchester and Woburn. LHMC also serves patients from Lowell and Haverhill due to long-standing program affiliations in these cities/towns, and as a result has collected health status information from these communities. However, because these communities are included in other hospitals' community benefits service areas, they have not been included in LHMC's Community Health Improvement Plan (CHIP). Methodology The CHNA was conducted in three phases, allowing LHMC to: -Compile an extensive amount of quantitative and qualitative data -Engage and involve key internal and external stakeholdersrs -Develop a report and detailed CHIP -Comply with all state and federal IRS community benefits requirements Data sources included a broad array of publicly available secondary data, key informant interviews, community forums and the 2015 LHMC Community Health Survey, which captured information from hundreds of random households in LHMC's primary service area. Quantitative Data Sources: -Massachusetts Community Health Information Profile (MassCHIP) -U.S. Census Bureau, American Community Survey 5-Year Estimates (2009-2013) -Behavioral Risk Factor Surveillance System (BRFSS) (2012-2013 aggregate) -CHIA Inpatient Discharges -Massachusetts Health Data Consortium (MHDC) Emergency Department (ED) Visits -Massachusetts Hospital Inpatient Discharges (2008-2012) -Massachusetts Cancer Registry (2007-2011) -Massachusetts Communicable Disease Program (2011-2013) -Massachusetts Hospital ED Discharges (2008-2012) -Massachusetts Vital Records (2008-2012) -Massachusetts Bureau of Substance Abuse Services (BSAS) (2013) -Massachusetts Board of Health Qualitative Data Sources: In order to obtain targeted data and understand the health issues currently perceived by the community, interviews and listening sessions were conducted: -Informant interviews with external stakeholders (28 completed) -Random household surveys (1,137 completed in the LHMC service area) -Community listening sessions (two sessions) Priority Target Populations LHMC focuses its activities to meet the needs of all segments of the population with respect to age, race, ethnicity, income, gender identity and sexual orientation to ensure that all residents have the opportunity to live healthy lives. However, based on the assessment's quantitative and qualitative findings, there was broad agreement that LHMC's CHIP should target low-income populations (low-income individuals/families, older adults on fixed incomes, and homeless), older adult populations (frail, isolated older adults), youths/adolescents (13-18-year-olds, those in middle school and high school) and other vulnerable populations (diverse racial/ethnic minority and linguistically isolated populations) that are more likely than other cohorts to face disparities in access and health outcomes. Community Health Priorities In response to the priority health needs identified in the 2016 CHNA, LHMC developed a three year Community Health Improvement Plan (CHIP). The CHIP was developed with input from the LHMC Community Benefits Advisory Board and approved by the LHMC board of directors. In addition, feedback from community report out sessions was taken into consideration when developing the plan. The community benefits programs offered in FY16 were designed to address the priority health needs identified in the 2016 CHNA, along with the Massachusetts Statewide Health Priorities identified by the Executive Office of Health and Human Services. Priority Community Health Needs Identified in the 2016 CHNA: -Behavioral Health/Substance Abuse -Elder Health Social Isolation, Depression, Care Management -Wellness, Prevention & Chronic Disease Management Statewide Priority Needs: -Address Unmet Health Needs of the Uninsured -Chronic Disease Management in Disadvantaged Populations -Promoting Weliness of Vulnerable Populations -Reducing Health Disparities -Supporting Health Care Reform Please Change the information for Fy 16 Key Community Benefits Programs and Outcomes to the following: FY 18 Key Community Benefits Programs & Outcomes Listed below are some of the key programs that LHMC provided in FY18, often in collaboration with key community partners, in response to the needs identified in our most recent CHNA: LHMC continued our successful partnership with Minuteman Senior Services to provide a Serving Health Information Needs of Everyone (SHINE) counselor at the Burlington, Arlington, and Winchester Councils on Aging. This year we were able to serve 700 people through the program in the community, which was an 11% increase over FY17, and 85 people were served by a counselor on-site at the LHMC campus or the Winchester Cancer Center, which was a 21% increase over FY17. LHMC expanded our Senior Farmers Market partnership with New Entry Sustainable Farming Projects Community Supported Agriculture (CSA) program to enable 50 seniors in Burlington, 70 seniors in Arlington and now 70 seniors in Billerica to receive free fresh fruits and vegetables once a week for 20 weeks. In FY18, over 30,000 pounds of produce was distributed across all locations. LHMC partnered with the North Suburban YMCA and the Burlington and Arlington Council on Aging to offer a free low-impact aerobics class for 24 seniors once a week year-round. LHMC allocated $60,000 in mini-grant funding to local community health, social service, and municipal partners to address health disparities identified in the LHMC Community Health Needs Assessment (CHNA). LHMC provided Stop the Bleed trainings to first responders, community members and health care workers. In FY18, LHMC trained 919 community members throughout our community benefits service area at over 30 separate events. LHMC provided over 100 hours of clinic time at our free weekly blood pressure clinics at the Burlington Mall. LHMC provided a medication disposal box on-site at our pharmacy for use by community residents and collected and disposed of over 470 pounds of unwanted and unused medications. LHMC provided breast cancer risk assessments for over 25,000 people to identify those at high risk for the disease. LHMC provided funding to support a mobile market in Lowell that increased access to fresh fruits and vegetables for over 1,400 low-income seniors. LHMC partnered with the Burlington Recreation Department to provide funding for an outdoor fitness facility for community residents. In FY18, LHMC funded a $25,000 grant to support The Bedford DASH. The Bedford DASH was able to provide more than 2,700 rides to community residents over the course of a year. LHMC partnered with the Burbank YMCA in Reading and the North Suburban YMCA in Woburn to provide five sessions of the LIVESTRONG program for cancer survivors. Over 70 people were able to benefit from the classes. In FY18, LHMC partnered with the Housing Corporation of Arlington (HCA) to provide a $30,000 grant to support the addition of a social worker to its team to support its Homelessness Prevention Program (HPP).

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7	THE AMOUNTS LISTED ON SCHEDULE H, PART I, LINE 7, ITEMS A, B, C, AND G WERE DETERMINED BY USING THE COST TO CHARGE RATIO CALCULATION INCLUDED IN THE IRS FORM 990 INSTRUCTIONS REFERENCING SCHEDULE H, PART I, LINE 7, IRS WORKSHEET #2.
PART III, LINE 2	This amount includes all actual bad debt write-offs and subsequent recoveries on the patient accounts receivable, also included is an estimate of the allowance for bad debts on outstanding patient receivables. The percentages that are used to calculate the allowance for bad debts are based on historical write-offs and recoveries, the percentages are applied to the aging of the accounts receivable to arrive at an estimated dollar value.
PART III, LINE 3	$1,106,663 per the internal financial assistance policy, these amounts are for patients who meet the poverty guidelines outlined in the policy. All patient applications for financial assistance are approved by senior leadership.
PART III, LINE 4	IN accordance with FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) accounting STANDARDS UPDATE 2011-7 (ASU 2011-7), HEALTH CARE ENTITIES: PRESENTATION AND DISCLOSURE OF NET REVENUE, PROVISION FOR BAD DEBTS AND ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS, Lahey clinic hospital reports BAD DEBTS RELATING TO PATIENT SERVICE REVENUE SEPARATELY IN THE STATEMENT OF OPERATIONS AS A COMPONENT OF NET PATIENT SERVICE REVENUE, BAD DEBTS ASSOCIATED WITH ACTIVITIES OTHER THAN PATIENT SERVICE REVENUE WILL CONTINUE TO BE REPORTED AS AN OPERATING EXPENSE.
PART III, LINE 9B	LAHEY CLINIC HOSPITAL, INC. MAKES THE SAME REASONABLE EFFORT AND FOLLOWS THE SAME REASONABLE PROCESS FOR COLLECTING ON BILLS OWED BY AN UNINSURED PATIENT AS IT DOES FOR ALL OTHER PATIENTS. LAHEY CLINIC HOSPITAL, INC., WHEN REQUESTED BY A PATIENT AND BASED ON AN INTERNAL REVIEW OF EACH PATIENT'S FINANCIAL STATUS, MAY OFFER A PATIENT AN ADDITIONAL DISCOUNT ON AN UNPAID HOSPITAL BILL. ANY SUCH REVIEW SHALL BE PART OF A SEPARATE HOSPITAL FINANCIAL ASSISTANCE PROGRAM THAT IS APPLIED ON A UNIFORM BASIS TO ALL PATIENTS, AND WHICH TAKES INTO CONSIDERATION THE PATIENT'S DOCUMENTED FINANCIAL SITUATION AND THE PATIENT'S INABILITY TO MAKE A PAYMENT AFTER REASONABLE COLLECTION ACTIONS. ANY DISCOUNT THAT IS PROVIDED BY THE HOSPITAL IS CONSISTENT WITH FEDERAL AND STATE REQUIREMENTS, AND DOES NOT INFLUENCE A PATIENT TO RECEIVE SERVICES FROM THE HOSPITAL. BEFORE ANY DEBT COLLECTION EFFORTS BEGIN, LAHEY CLINIC HOSPITAL, INC. WILL FIRST SHOW THAT IT HAS A CURRENT UNPAID BALANCE THAT IS RELATED TO SERVICES PROVIDED TO A PATIENT AND THOSE SERVICES ARE NOT COVERED BY A PRIVATE INSURER, A GOVERNMENT PROGRAM SUCH AS MEDICARE, MEDICAID/MASSHEALTH, THE HEALTH SAFETY NET, TRICARE/VETERANS ADMINISTRATION PROGRAMS, OR BY LAHEY CLINIC HOSPITAL, INC'S FINANCIAL ASSISTANCE PROGRAM. LAHEY CLINIC HOSPITAL, INC. FOLLOWS AND DOCUMENTS REASONABLE COLLECTION/BILLING PROCEDURES FOR UNPAID BALANCES, WHICH INCLUDE: (1) AN INITIAL BILL SENT TO THE PATIENT OR THE PARTY RESPONSIBLE FOR THE PATIENT'S PERSONAL FINANCIAL OBLIGATIONS. THE INITIAL BILL WILL INCLUDE INFORMATION ABOUT THE AVAILABILITY OF A FINANCIAL ASSISTANCE PROGRAM THAT MAY COVER THE COST OF THE HOSPITAL'S BILL; (2) SUBSEQUENT BILLINGS, TELEPHONE CALLS, COLLECTION LETTERS, PERSONAL CONTACT NOTICES, COMPUTER NOTIFICATIONS, OR ANY NOTIFICATION METHOD THAT CONSTITUTES A GENUINE EFFORT TO CONTACT THE PARTY RESPONSIBLE FOR THE OBLIGATION AND INFORMS THE PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE; (3) IF POSSIBLE, DOCUMENTATION OF ALTERNATIVE EFFORTS TO LOCATE THE PARTY RESPONSIBLE FOR THE OBLIGATION OR THE CORRECT ADDRESS ON BILLINGS RETURNED BY THE POSTAL SERVICE AS "INCORRECT ADDRESS"UNDELIVERABLE (4) SENDING A FINAL NOTICE BY CERTIFIED MAIL FOR UNINSURED PATIENTS (THOSE WHO ARE NOT ENROLLED IN A PUBLIC PROGRAM SUCH AS THE HEALTH SAFETY NET OR MEDICAID/MASSHEALTH) WHO INCUR A BALANCE OF $1,000 AND GREATER, INCLUDING AN EMERGENCY BAD DEBT BALANCE OF $1,000 OR GREATER ON EMERGENCY LEVEL SERVICES, WHERE NOTICES HAVE NOT BEEN RETURNED AS "INCORRECT ADDRESS"UNDELIVERABLEALSO NOTIFYING THE PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE COMMUNICATION; (5) DOCUMENTATION OF CONTINUOUS BILLING OR COLLECTION ACTION UNDERTAKEN ON A REGULAR, FREQUENT BASIS IS MAINTAINED, SUCH DOCUMENTING IS MAINTAINED UNTIL AUDIT REVIEW BY A FEDERAL AND/OR STATE AGENCY OF THE FISCAL YEAR COST REPORT IN WHICH THE BILL OR ACCOUNT IS REPORTED, THE FEDERAL MEDICARE PROGRAM AND THE STATE DIVISION OF HEALTH CARE FINANCE AND POLICY FOR PURPOSES OF THE HEALTH SAFTEY NET PROGRAM, DEEMS 120 DAYS AS APPROPRIATE FOR CONTINUOUS BILLING OR COLLECTION ACTIONS; AND (6) CHECKING THE MASSACHUSETTS ELIGIBILITY VERIFICATION SYSTEM (EVS) TO ENSURE THAT THE PATIENT IS NOT A LOW INCOME PATIENT AS DETERMINED BY THE OFFICE OF MEDICAID AND HAS NOT SUBMITTED AN APPLICATION TO THE VIRTUAL GATEWAY SYSTEM FOR COVERAGE OF THE SERVICES UNDER A PUBLIC PROGRAM, PRIOR TO SUBMITTING CLAIMS TO THE HEALTH SAFETY NET OFFICE FOR EMERGENCY BAD DEBT COVERAGE OF AN EMERGENCY LEVEL OR URGENT CARE SERVICE. LAHEY CLINIC HOSPITAL, INC. CONTRACTS WITH OUTSIDE COLLECTION AGENCIES TO ASSIST IN THE COLLECTION OF CERTAIN ACCOUNTS, INCLUDING PATIENT RESPONSIBLE AMOUNTS NOT RESOLVED AFTER ISSUANCE OF HOSPITAL BILLS AND/OR FINAL NOTICES. LAHEY CLINIC HOSPITAL, INC. DOES NOT REPORT A PATIENT HOSPITAL DEBT TO A CREDIT REPORTING AGENCY AND HAS NOT REPORTED ANY SUCH BAD DEBTS TO ANY CREDIT REPORTING AGENCY DURING THE TAX YEAR.
PART VI (2) NEEDS ASSESSMENT	Lahey Hospital & Medical Center is committed to benefiting the communities we serve by collaborating with the community partners to identify health needs, improve the health status of community residence, address health disparities and educate community members about prevention and self-care. As a nonprofit health system, Lahey Health acts as a steward of the communities we serve. Our growing network of primary care physicians, specialists and behavioral and senior care services is collaborating to make a difference in the health of our region, one person at a time. Through our comprehensive Community Health Needs Assessment, we have identified the following opportunities for health improvement: a) Promoting wellness, prevention and chronic disease management. b) Increasing awareness and screening for domestic violence, mental health/substance use services, as well as access to services. c) Improving elder health through enhanced fitness, balance, and overall health access to care.
PART VI (3) PATIENT EDUCATION OF ELIGIBILITY ASSISTANCE	Patients are informed about the availability of financial assistance through their appointment reminders which they receive prior to a scheduled appointment. They are made aware of financial assistance through the patient billing statement they receive for services rendered. Also, signs informing patients of the availability of financial assistance are displayed at every registration/check-in station throughout the hospital.
PART VI (4)COMMUNITY INFORMATION	LAHEY HOSPITAL & MEDICAL CENTER (LHMC) IS A WORLD-RENOWNED ACADEMIC MEDICAL CENTER WITH A REPUTATION FOR CLINICAL EXCELLENCE. LHMC IS A PHYSICIAN-LED, NONPROFIT GROUP PRACTICE PROVIDING QUALITY HEALTH CARE IN VIRTUALLY EVERY SPECIALTY AND SUBSPECIALTY, FROM PRIMARY CARE TO CANCER DIAGNOSIS AND TREATMENT TO KIDNEY AND LIVER TRANSPLANTATION. LHMC SERVES INDIVIDUALS WHO COME FROM THROUGHOUT UNITED STATES AND FROM NATIONS THROUGHOUT THE WORLD. WITH RESPECT TO COMMUNITY BENEFITS, LHMC FOCUSES ITS EFFORTS MORE NARROWLY ON THE COMMUNITIES IN ITS PRIMARY, LOCAL SERVICE AREA. DEMOGRAPHICALLY AND SOCIO-ECONOMICALLY, LHMC FOCUSES ITS COMMUNITY BENEFITS ACTIVITIES TO MEET THE NEEDS OF ALL SEGMENTS OF THE POPULATION WITH RESPECT TO AGE, RACE/ETHNICITY, INCOME, AND THE BROAD RANGE OF THE OTHER WAYS THAT POPULATIONS CHARACTERIZE THEMSELVES, TO ENSURE THAT ALL RESIDENTS HAVE THE OPPORTUNITY TO LIVE HEALTHY, HAPPY, AND FULFILLING LIVES.
PART VI (7) STATE FILING OF COMMUNITY BENEFIT REPORT	Massachusetts.
PART VI, (5) PROMOTION OF COMMUNITY HEALTH	Wellness, Prevention & Chronic Disease Management o Lowell Mobile Market Program o Hemorrhage-Control Trainings o Fall and Injury Prevention Classes o Patient Financial Counselors o Womens Health Lecture Series o Cooking up Good Health Nutrition Program o Enhancing the Built Environment: Free Fitness Court in Burlington o Safe Needle Disposal Support o Increasing Access to Care: LHMC Transportation Program o Increasing Access to Transportation: The Bedford DASH Program o Increasing Access to Care: Housing Corporation of Arlington Social Worker Program o Healthy State: Web-Based Health news o Assessing Risk in the Schools o Free Breast Cancer Risk Assessment o Lahey Integrative Acupuncture Program o Lahey Health Community Conversations on Cancer o Livestrong at the YMCA o Pink Breast Cancer Survivorship Program Elder Health o Serving Health Information Needs of Everyone Program o Low-Impact Aqua Aerobics Program o Increasing Food Access and Nutrition Support for Seniors o Free Senior Exercise Class Behavioral Health o LHMC Domestic Violence Initiative o Domestic Violence Support Group o Wilmington High School Wildcat Program: Substance Use Awareness and Education o Medication Disposal Box Program o Community Education: A Systems Approach to the Opioid Epidemic o Support Groups

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (29 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
Howard R Grant JD MD
TRUSTEE/OFFICER/PRESIDENT/CEO	$1,049,316	$1,613,057	$29,298	$34,786	$2,726,457
Timothy O'Connor
OFFICER/EVP/CFO & TREASURER	$627,294	$24,000	$164,200	$31,684	$847,178
Roger L Jenkins MD
TRUSTEE/PHysician	$581,693	$24,525	$36,000	$36,402	$735,668	$57,048
Richard S D'Agostino MD
Trustee/Division Chair	$609,184	$42,000	$36,000	$33,896	$721,080
Andrew G Villanueva MD
Trustee/Chief Quality Officer							$292,290	$57,578	$36,000	$14,203	$400,071
Betsey Crawford MD
Trustee/Physician	$195,320	$24,000	$35,206	$3,745	$297,737	$39,466
Arthur P Mourtzinos MD
Trustee/Physician	$601,736	$18,600	$19,056	$31,396	$724,288	$53,500
Rebecca C Yang MD
Trustee Thru 4/30/18/Physician	$328,634	$24,000	$31,284	$27,964	$445,482	$33,600
David G Spackman JD
officer/svp gov affairs & gen	$384,686	$16,641	$25,884	$25,522	$465,633	$12,900
Peter R Lloyd
officer/vp corporate finance	$322,527	$24,000	$36,000	$25,493	$408,020
Elizabeth P Conrad
SVP Chief HR Officer	$350,430	$24,000	$29,296	$31,568	$435,294
Richard J Guarino
VP Hospital Based Clin Dept							$268,535	$24,000		$33,091	$325,626
Stephen L Demers
VP Surgical Services							$269,325	$21,459	$25,884	$31,521	$348,689	$500
Joanne M conroy
EVP LHS&CEO LHMC Thru 8/14/17							$429,655	$318,702	$5,400	$15,209	$768,966
Alice A Hunter MD
Trustee/Physician	$532,797	$54,180	$3,600	$25,348	$651,845	$35,920
Patrick Jordan
COO LHMC Thru 6/30/17							$243,462	$247,996	$5,400	$16,099	$512,957
Tracy A Galvin MSNRN
Chief Nursing Officer							$285,439	$24,000		$25,414	$334,853
Efstathios Antoniades
COO LHMC							$315,190	$13,564	$19,056	$33,556	$381,366
Christine Winger MD
trustee/physician	$381,277	$42,400	$36,000	$40,453	$551,767	$51,637
Kevin Bennett
VP Financial Services	$263,950	$24,000	$36,000	$27,302	$351,252
Linda L Weller-Newcomb
VP Cancer Services							$263,610	$24,400	$29,298	$22,504	$339,812
PER H HALVORSEN
CHIEF PHYSICIST RAD ONCOLOGY							$237,318	$17,833		$1,875	$257,026
William Robertson
SVP & Chief Facilities Officer	$266,329	$11,440	$25,884	$32,406	$336,059
Jayashri Srinivasan MD
Division Chair ELECTED 6/8/18	$401,069	$24,000	$34,698	$29,607	$491,999	$2,625
Wayne Saltsman MD
Trustee/Exofficer/Physician	$243,517	$42,519		$33,374	$319,410
David Longworth MD
CMO CP LHMC Chair PC							$648,038	$44,083	$29,298	$11,188	$732,607
Harold E Lawson Jr
SVP Chief Revenue Officer Fina	$321,176	$30,767	$29,298	$41,249	$422,490
Eric D Berger
VP Supply Chain	$181,687	$8,416		$33,820	$223,923
Edward M Nadolny
Chief Perfusionist							$228,582	$15,925	$36,413	$30,348	$328,268	$17,000

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3	INDEPENDENT MEMBERS OF THE LAHEY HEALTH SYSTEM, INC. ("LHS") BOARD OF TRUSTEES COMPRISE THE COMPENSATION COMMITTEE. THE COMMITTEE SETS THE COMPENSATION AND BENEFITS FOR THE CEO. THE COMMITTEE SEEKS THE ADVICE OF EXTERNAL COMPENSATION CONSULTANTS. COMPARABILITY DATA IS PROVIDED, ANALYZED AND DOCUMENTED BY THE EXTERNAL CONSULTANTS. LHS AND ITS RELATED ORGANIZATIONS' SENIOR VP AND CHIEF HUMAN RESOURCES OFFICER PROVIDES THE COMMITTEE WITH ANY REQUESTED INFORMATION.
PART I, LINE 4A	LHS AND ITS RELATED ORGANIZATIONS HAVE EMPLOYMENT AGREEMENTS THAT CONTAIN SEVERANCE, TRANSITION AND SEPARATION (OR A COMBINATION THEREOF) PAYMENT PROVISIONS. THE FOLLOWING INDIVIDUALS RECEIVED SUCH PAYMENTS: Joanne Conroy, EVP LHS & CEO LHMC $300,959 Patrick Jordan, COO LHMC $223,996
PART I, LINE 4B	As required by this Form 990, Schedule J, Compensation Information, the compensation detail included in Lahey Clinic Hospital, Inc.'s (LCH) Form 990 for the fiscal year ended September 30, 2018 is calendar year 2017 detail. During the 2017 calendar year, Lahey Health System, Inc. and related organizations were participating employers in the Lahey Clinic 457(f) Non-Qualified Contribution Plan and the Lahey Clinic 457(b) retirement Savings Plan. Pursuant to these plans, eligible employees received certain retirement benefits and/or could defer part of their compensation. Under the definitions to this Form 990, these plans are considered supplemental non-qualified retirement plans. Amounts deferred by participants or received by participants and related to these plans are included in Form 990 Schedule J, Part II, Column B(iii), Other Reportable Compensation and/or Form 990, Schedule J, Part II, Column C, Deferred Compensation in accordance with the instructions to this Form 990. Lahey Clinic 457(f) Non-Qualified Defined Contribution Plan: For the period covered by this filing Mr. Timothy OConnor served as Executive Vice President, Chief Financial Officer, and Treasurer of the entities listed below and during the 2017 calendar year he received a $128,000 employer contribution to his 457f plan. This amount has been reported in Form 990, Schedule J, Part II, Column C, Deferred Compensation in accordance with the instructions to this Form 990. As of December 31, 2017, that amount was unvested. - Lahey Health System, Inc. - Lahey Clinic Foundation, Inc. - Lahey Clinic Hospital, Inc. - Lahey Clinic, Inc. - Lahey Health Shared Services, Inc. - Lahey Physician Community Organization I, Inc. - Northeast Hospital Corporation - Northeast Medical Practice, Inc. - Northeast Health System, Inc. - Northeast Senior Health Corporation, - Northeast Professional Registry of Nurses, Inc. - Northeast Behavioral Health Corporation - CAB Health and Recovery Services, Inc. - Health and Education Housing Services, Inc. - Seacoast Nursing and Rehabilitation Center, Inc. - Addison Gilbert Society, Inc. - Winchester Healthcare Management, Inc. - Winchester Hospital - Winchester Hospital Foundation, Inc. For the period covered by this filing, Dr. Howard Grant served as President, Chief Executive Officer and Trustee (Ex-Officio) for the entities listed below. Other Reportable Compensation for Dr. Grant includes $1,570,457 related to a 457f benefit. This amount represents a retirement benefit that was earned and accrued, although not vested, over a six-year period. The benefit contained a cliff vesting provision which was achieved in 2017. As required by Form 990, employer contributions for prior reporting periods were reported as deferred compensation in each previous year as accrued, even though when reported as deferred compensation the amounts were not vested. Those amounts are reported again in this filing as Other Reportable Compensation as required. - Lahey Health System, Inc. - Lahey Clinic Foundation, Inc. - Lahey Clinic Hospital, Inc. - Lahey Clinic, Inc. - Lahey Health Shared Services, Inc. - Lahey Physician Community Organization I, Inc. - Northeast Hospital Corporation - Northeast Medical Practice, Inc. - Northeast Health System, Inc. - Northeast Senior Health Corporation, - Northeast Professional Registry of Nurses, Inc. - Northeast Behavioral Health Corporation - CAB Health and Recovery Services, Inc. - Health and Education Housing Services, Inc. - Seacoast Nursing and Rehabilitation Center, Inc. - Addison Gilbert Society, Inc. - Winchester Healthcare Management, Inc. - Winchester Hospital - Winchester Hospital Foundation, Inc. Lahey Clinic 457(b) Retirement Savings Plan: As noted above, Lahey Health System, Inc. and related organizations were participating employers in the Lahey Clinic 457(b) Retirement Savings Plan. During the period covered by this filing, eligible employees were entitled to defer a portion of their income pursuant to this plan. This plan is completely employee funded. Employees listed in this Form 990 Part VII and Schedule J and who participated in this plan during the 2017 calendar year are listed below with the amounts deferred. In accordance with the instructions to this Form 990, these amounts have been included in Other Reportable Income for each employee listed here. Dr. Howard Grant, see above for titles and responsible legal entities; Amount deferred $18,000 Dr. Richard DAgostino, Trustee, Division Chair of Cardiovascular and Thoracic Surgery and Physician; Amount deferred $18,000 Dr. Andrew Villanueva, Trustee, Chief Quality Officer and Physician; Amount deferred $18,000 Dr. Alice Hunter, Trustee and Physician; Amount deferred $18,000 Dr. Wayne Saltsman, Trustee (Ex-Offico) and Physician; Amount deferred $18,000 Dr. Christine Winger, Trustee and Physician; Amount deferred $18,000 Dr. David Longworth, Chief Medical Officer Lahey Hospital & Medical Center and Physician; Amount deferred $18,000
PART I, LINE 7	THE NON-FIXED PAYMENT BONUSES REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II) ARE DETERMINED BY THE COMPENSATION COMMITTEE, WHICH INCLUDES TRUSTEES. IN A SUBJECTIVE MANNER, THE COMMITTEE TAKES INTO ACCOUNT THE ACHIEVEMENTS OF BOTH THE ORGANIZATION AND THE INDIVIDUAL TO DETERMINE THE APPROPRIATE AMOUNT OF SUCH BONUSES, WHICH INCLUDE, BUT NOT LIMITED TO, THE ORGANIZATION MEETING ITS CORPORATE GOALS; FINANCIAL PERFORMANCE MEASURES AND QUALITY MEASURES (SUCH AS PATIENT SATISFACTION AND QUALITY OF CARE).
PART II	LHS AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE OR OFFICER IN THEIR CAPACITY AS TRUSTEE OR OFFICER. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THEIR CAPACITY OTHER THAN TRUSTEE OR OFFICER, WHICH IS LISTED ON FORM 990, PART VII, DIRECTLY FOLLOWING THE TITLE OF TRUSTEE AND/OR OFFICER.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND FORM 990, PART III, LINE 1	LAHEY CLINIC HOSPITAL, INC., IN ASSOCIATION WITH THE TUFTS UNIVERSITY SCHOOL OF MEDICINE, PROVIDES SUPERIOR HEALTH CARE LEADING TO THE BEST POSSIBLE OUTCOMES FOR EVERY PATIENT. AS ONE OF THE WORLD'S PREMIER HEALTH CARE ORGANIZATIONS, LAHEY CLINIC HOSPITAL, INC. AIMS TO EXCEED EACH DAY ITS PATIENT'S HIGH EXPECTATIONS FOR SERVICE, AND ADVANCE MEDICINE THROUGH RESEARCH AND THE EDUCATION OF TOMORROW'S HEALTH CARE LEADERS. IN ADDITION, LAHEY CLINIC HOSPITAL, INC. IS COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF COMMUNITY RESIDENTS BY SUPPORTING LOCAL ORGANIZATIONS ALIGNED WITH THIS MISSION.
FORM 990, PART IV, LINE 4	LAHEY HEALTH SYSTEM, INC. IS IN CONTACT WITH FEDERAL AND STATE LEGISLATORS REGARDING HEALTH CARE REFORM ISSUES THAT WOULD POTENTIALLY HAVE AN IMPACT ON THE ORGANIZATION AND ITS RELATED ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINE 6, 7A & 7B:	LAHEY HOSPITAL & MEDICAL CENTER ("LHMC") CONSISTS OF THREE NON-PROFIT CORPORATIONS, LAHEY CLINIC FOUNDATION, INC. (EIN# 04-2323457), LAHEY CLINIC HOSPITAL, INC. (EIN# 04-2704686), AND LAHEY CLINIC, INC. (EIN# 2704683). ALL THREE CORPORATIONS ARE TAX EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). LAHEY CLINIC FOUNDATION, INC. IS THE SOLE CORPORATE MEMBER OF LAHEY CLINIC HOSPITAL, INC. AND LAHEY CLINIC, INC. LAHEY CLINIC, INC. IS THE SOLE CORPORATE MEMBER OF CONCORD SPECIALISTS, LLC. THE BOARD OF TRUSTEES (GOVERNING BODY) AND CORPORATE OFFICERS FOR LAHEY CLINIC FOUNDATION, INC., LAHEY CLINIC HOSPITAL, INC. AND LAHEY CLINIC, INC. CONSISTS OF THE EXACT SAME MEMBERS. THE MANAGER OF CONCORD SPECIALISTS IS LAHEY HEALTH SHARED SERVICES, INC. AND THE OFFICERS AND AUTHORIZED SIGNATORIES ARE THE PRESIDENT, TREASURER AND CLERK OF LAHEY HEALTH SYSTEM, INC. THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION IS LAHEY HEALTH SYSTEM, INC. THE REPORTING ORGANIZATIONS MEMBER HAS, WITH RESPECT TO THE REPORTING ORGANIZATION, THE RIGHT TO EXERCISE ALL POWERS CONFERRED ON MEMBERS OF THE NON-PROFIT CORPORATIONS UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 180, INCLUDING, WITHOUT LIMITATION, POWERS WITH RESPECT TO THE FOLLOWING: (A) APPOINTMENT AND REMOVAL OF MEMBERS OF BOARD OF TRUSTEES; (B) AMENDMENT OF THE ARTICLES OF ORGANIZATION; (C) AMENDENT OF THE BY-LAWS; (D) THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATIONS ASSETS; AND (E) THE MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION. THE ARTICLES OF INCORPORATION OF THE REPORTING ORGANIZATION WERE AMENDED JULY 1, 2014 AND THE BY-LAWS WERE AMENDED ON JULY 1, 2014 TO REFLECT THE AFOREMENTIONED CHANGES.
FORM 990, PART VI, SECTION B, LINE 11	MANAGEMENT PREPARED THE IRS FORM 990 ALONG WITH INDEPENDENT TAX CONSULTANTS WHO SIGN THE RETURN AS A PAID PREPARER. PRIOR TO THE FILING DATE, A DRAFT OF THE IRS FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES VIA A SECURED WEBSITE. IN ADDITION, THE FINAL FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES VIA THE SAME SECURED WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12C:	ALL OFFICERS, TRUSTEES, KEY EMPLOYEES, PHYSICIANS AND MANAGEMENT EMPLOYEES AT ALL LEVELS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE LHS CORPORATE COMPLAICE DEPARTMENT MONITORS AND REVIEWS EACH DISCLOSURE FOR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE CORPORATE COMPLIANCE DEPARTMENT MONITORS CONFLICTS OF INTEREST THROUGH DISCLOSURE SOFTWARE, TRAINING, AND INDIVIDUAL REVIEWS WITH PHYSICIANS, KEY EMPLOYEES, AND MANAGERS. DEPENDING ON THE CONFLICT OF INTEREST: A PERSON COULD BE ASKED TO NOT PARTICIPATE IN DECISIONS MADE ON BEHALF OF THE LAHEY HEALTH SYSTEM, INC. AND AFFILIATES; A PERSON MADE BE TOLD THAT THEY CANNOT BE A PRINCIPAL INVESTIGATOR ON A RESEARCH STUDY ; A PERSON MAY BE TOLD THAT THEY CANNOT PERFORM THE TASK THAT CREATES THE CONFLICT; A PERSON COULD BE ASKED TO REMOVE THEMSELVES FROM A COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15A AND 15B:	INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES COMPRISE THE COMPENSATION COMMITTEE. THE COMMITTEE SETS THE COMPENSATION AND BENEFITS FOR THE CEO AND ALSO REVIEWS AND APPROVES RECOMMENDATIONS FOR THE COMPENSATION AND BENEFITS FOR THE DISQUALIFIED INDIVIDUALS AND OTHERS. THE COMMITTEE SEEKS THE ADVICE OF THE EXTERNAL COMPENSATION CONSULTANTS. COMPARABILITY DATA IS PROVIDED, ANALYZED, AND DOCUMENTATED BY THE EXTERNAL CONSULTANTS . THE LHS SENIOR VP AND CHIEF HUMAN RESOURCES OFFICER PROVIDES THE COMMITTEE WITH ANY REQUESTED INFORMATION. THE COMMITTEE MET SEVERAL TIMES THIS YEAR.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PULIC UPON REQUEST. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND OTHER COMPLIANCE POLICIES ARE MADE AVAILABLE TO THE PUBLIC VIA THE ORGANIZATION'S WEBSITE. IN ADDITION, THE ORGANIZATION PRESENTS FINANCIAL INFORMATION TO THE PUBLIC AS AN ATTACHMENT TO ITS MASSACHUSETTS OFFICE OF THE ATTORNEY GENERAL FORM PC.
FORM 990, PART VII, SECTION A	LAHEY HEALTH SYSTEM, INC. AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE AND/OR OFFICER IN THEIR CAPACITY AS A TRUSTEE AND/OR OFFICER. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THE EMPLOYEE'S JOB TITLE, WHICH IS LISTED ON FORM 990, PART VII DIRECTLY FOLLOWING THE TITLE OF TRUSTEE AND/OR OFFICER.
FORM 990, PART XI, LINE 9	PENSION PLAN OCI $30,811,691 TRANSFER OF ASSETS ($259,693,094) CUSTODIAN EXPENSES: $ 221,627 NON OP ALLOCATION: $ 378,151 TOTAL ($228,281,625)
FORM 990, PART VI, SECTION B, LINE 14	LAHEY HEALTH SYSTEM, INC. AND AFFILIATES HAVE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY KNOWN AS THE "RETENTION OF ADMINISTRATIVE AND CLINICAL DOCUMENTS" POLICY WAS APPROVED BY THE MEDICAL PRACTICE AND UTILIZATION COMMITTEE ON JULY 26, 2012.
FORM 990, PART VI, SECTION B, LINE 16B	THE ORGANIZATION NEGOTIATES ARRANGEMENTS TO INCLUDE TERMS AND SAFEGUARDS TO ENSURE THAT THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED. FROM A LEGAL PERSPECT, IN-HOUSE LEGAL COUNSEL, WITH THE INPUT OF EXTERNAL LEGAL COUNSEL, REVIEWS ALL PROPOSED JOINT VENTURES AND PARTNERSHIP AGREEMENTS. FROM A FINANCIAL PERSPECTIVE, FINANCE MANAGEMENT TEAM REVIEWS ALL PROPOSED JOINT VENTURE AND PARTNERSHIP AGREEMENTS. BOTH REVIEWS TAKE PLACE BEFORE LAHEY HEALTH SYSTEM, INC. AND AFFILIATES ENTERS INTO ANY SUCH AGREEMENTS.
FORM 990,PART IX AND SCHEDULE J	BENEFIT AND PENSION EXPENSES FOR OFFICERS, TRUSTEES AND KEY EMPLOYEES OF LAHEY CLINIC FOUNDATION, INC. ARE PAID BY LAHEY CLINIC FOUNDATION, INC. AS THE PARENT COMPANY OF LAHEY CLINIC HOSPITAL, INC. AND LAHEY CLINIC, INC. LAHEY CLINIC FOUNDATION, INC. ALLOCATES ALL OF THE AFOREMENTIONED EXPENSES TO RELATED ORGANIZATIONS THE RELATED PARTIES THEN REIMBURSE LAHEY CLINIC FOUNDATION, INC.
FORM 990, PART VII, SECTION B, LINE 1 & 2	LAHEY HEALTH SHARED SERVICES, INC. ("LHSS") COMPENSATES (PROCESSES PAYMENT) ALL INDEPENDENT CONTRACTORS (VENDORS) ON BEHALF OF THE LAHEY HEALTH SYSTEM, INC. FAMILY OF ORGANIZATIONS. UNDER ITS TAX ID NUMBER, LHSS ISSUES FORM 1099 TO THE INDEPENDENT CONTRACTORS. IN ADDITION, IT SUBMITS THE SAME INFORMATION TO THE INTERNAL REVENUE SERVICE. THE LAHEY HEALTH SYSTEM INC. FAMILY OF ORGANIZATIONS REIMBUSES LHSS FOR ALL VENDOR PAYMENTS MADE EITHER DIRECTLY OR INDIRECTLY ON THEIR BEHALF.
FORM 990, PART I:	LAHEY HEALTH SYSTEM AND BETH ISRAEL DEACONESS MEDICAL CENTER ("BIDMC"), MOUNT AUBURN HOSPITAL ("MAH"), NEW ENGLAND BAPTIST HOSPITAL, INC. ("NEBH"), SEACOAST REGIONAL HEALTH SYSTEMS, INC. (PARENT CORPORATION TO ANNA JAQUES HOSPITAL)("SRHS") AND BETH ISRAEL DEACONESS PHYSICIAN ORGANIZATION, LLC ("BIDCO") OFFICIALLY MERGED ON MARCH 1, 2019 AFTER RECEIVING APPROVAL FROM THE MASSACHUSETTS ATTORNEY GENERAL AND THE FEDERAL TRADE COMMISSION. EFFECTIVE MARCH 1, 2019 BETH ISRAEL LAHEY HEALTH BECAME THE SOLE MEMBER OF LAHEY CLINIC HOSPITAL, INC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LAHEY HEALTH SYSTEM INC
41 MALL RD	BURLINGTON	MA	01805	611665701	SUPPORT	MA	501(c) (3)	12c	N/A	false
Lahey Clinic Foundation Inc
41 MALL RD	BURLINGTON	MA	01805	042323457	Support	MA	501(c) (3)	12(A)		false	LHS
LAHEY CLINIC INC
41 MALL RD	BURLINGTON	MA	01805	042704683	HEALTHCARE	MA	501(c) (3)	10		false	LCF
LAHEY HEALTH SHARED SERVICES INC
41 MALL RD	BURLINGTON	MA	01805	043178972	ADMIN	MA	501(c) (3)	10		false	LHS
LAHEY PHYSICIAN COMMUNITY ORGANIZATION I
41 MALL RD	BURLINGTON	MA	01805	472248298	HEALTHCARE	MA	501(c) (3)	10		false	LHS
WINCHESTER HEALTHCARE MANAGEMENT INC
41 HIGHLAND AVENUE	WINCHESTER	MA	01890	222701817	MGMT SERVICES	MA	501(c) (3)	12A		false	LHS
WINCHESTER HOSPITAL FOUNDATION INC
41 HIGHLAND AVENUE	WINCHESTER	MA	01890	043399570	SUPPORT	MA	501(c) (3)	12A		false	WHM
WINCHESTER HOSPITAL
41 HIGHLAND AVENUE	WINCHESTER	MA	01890	042104434	HEALTHCARE	MA	501(c) (3)	3		false	WHM
WINCHESTER COMMUNITY ACCT CARE ORG
41 HIGHLAND AVENUE	WINCHESTER	MA	01890	223137856	ACO	MA	501(c) (3)	12A		false	WHM
NORTHEAST HOSPITAL CORPORATION
85 HERRICK STREET	BEVERLY	MA	01915	042121317	HEALTHCARE	MA	501(c) (3)	3		false	LHS
NORTHEAST MEDICAL PRACTICE
85 HERRICK STREET	BEVERLY	MA	01915	043201853	HEALTHCARE	MA	501(c) (3)	10		false	NHC
NORTHEAST BEHAVIORAL HEALTH CORPORATION
199 ROSEWOOD DRIVE SUITE 250	DANVERS	MA	01923	042777145	HEALTHCARE	MA	501(c) (3)	7		false	LHS
HES HOUSING SERVICES INC
199 ROSEWOOD DRIVE SUITE 250	DANVERS	MA	01923	223232914	HUD HOUSING	MA	501(c) (3)	10		false	NBH
CAB HEALTH & RECOVERY SERVICES INC
199 ROSEWOOD DRIVE SUITE 250	DANVERS	MA	01923	042400270	SUBSTANCE ABU	MA	501(c) (3)	10		false	NBH
NORTHEAST SENIOR HEALTH CORPORATION
85 HERRICK STREET	BEVERLY	MA	01915	042731137	HEALTHCARE	MA	501(c) (3)	10		false	LHS
NORTHEAST PROF REGISTRY OF NURSES
800 CUMMINGS CENTER	BEVERLY	MA	01915	201287349	HEALTHCARE	MA	501(c) (3)	10		false	NSH
SEACOAST NURSING & REHABILIATION CENTER
300 WASHINGTON STREET	GLOUCESTER	MA	01930	041305001	HEALTHCARE	MA	501(c) (3)	10		false	LHS
ADDISON GILBERT SOCIETY INC
41 MALL ROAD	BURLINGTON	MA	01805	464371382	SUPPORT	MA	501(c) (3)	7		false	LHS
NORTHEAST HEALTH SYSTEM INC
85 HERRICK STREET	BEVERLY	MA	01915	043240453	SUPPORT	MA	501(c) (3)	12C		false	LHS

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
Lahey Clinic Insurance Co LTD
PO Box HM 2450	HAMILTON	BD	Insurance	BD	LHS	FOREIGN CORP	false
Winchester Healthcare Enterprises
			Healthcare Ve		WHM	C Corp	false	41 Highland Avenue	Winchester	MA	01890	042932059	MA
Winchester Physician Associates In
			Physician		WHM	C Corp	false	41 Highland Avenue	Winchester	MA	01890	043262963	MA
Northeast Proprietary Corporation
			Medical Servi		NHS	C Corp	false	85 Herrick Street	Beverly	MA	01915	042855191	MA
Perpetual Trusts (8)
			Support		See VII	Trust	false	41 Mall Road	Burlington	MA	01805		MA	$1,212,992	$21,349,557
REMAINDER TRUSTS (16)
			SUPPORT		SEE VII	TRUST	false	41 MALL ROAD	BURLINGTON	MA	01805		MA	$341,910	$6,715,118
POOLED INCOME FUNDS (3)
			SUPPORT		SEE VII	TRUST	false	41 MALL ROAD	BURLINGTON	MA	01805		MA	$12,695	$900,091

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

FORM 990, SCHEDULE R, PART IV

Northeast Hospital Corporation, Lahey Clinic Foundation, Inc. and Winchester Hospital, respectively, have four, three, and one perpetual trusts. The perpetual trusts are domiciled in Massachusetts, Pennsylvania, and Florida. Lahey Clinic Foundation, Inc. has sixteen remainder trusts. The remainder trusts are domiciled in Massachusetts, New Hampshire, Delaware, and New York. Lahey Clinic Foundation, Inc. has three pooled income funds domiciled in Massachusetts.

FORM 990, SCHEDULE R, PART V

The Lahey Health Shared Services, Inc. Philanthropy Department conducts fundraising and solicitation efforts on behalf of all entities within the Lahey Health System, Inc. family of organizations. Lahey Health System, Inc. and its related organizations, Lahey Clinic Foundation, Inc. and its related organizations, Winchester Healthcare Management, Inc. and its related organizations, Northeast Behavioral Health Corporation and its related organizations, Northeast Senior Health Corporation and its related organization, Northeast Health System, Inc. and its related organization, and Northeast Hospital Corporation and its related organization, provide various corporate and OTHER SERVICES TO EACH OTHER. THE ORGANIZATIONS REIMBURSE EACH OTHER FOR EXPENSES INCURRED SUCH AS EMPLOYEE SALARIES AND BENEFITS, MATERIALS, SUPPLIES, UTILITIES, ETC. CASH IS TRANSFERRED BETWEEN THE ORGANIZATIONS.