NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC (EIN 20-1287349)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-14
IRS object ID
201822269349300637
Schema version
2016v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-14T09:19:09-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE INTERNATIONAL PLACEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02110ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201287349EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHEAST PROFESSIONAL REGISTRY OF NURSESBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% TIMOTHY O'CONNORInCareOfNm
Business Name ControlNORTBusinessNameControlTxt
Phone9789223000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 Cummings Center Suite 266UAddressLine1Txt
CityBeverlyCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01915ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY O'CONNORPersonNm
Person TitleEVP, CFO & TreasurerPersonTitleTxt
Phone9789223000PhoneNum
Signature2018-08-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY ROGERSPreparerPersonNm
PTINP01074284PTIN
Phone6174220700PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHOWARD R GRANT JD MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 MALL ROADAddressLine1Txt
CityBURLINGTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01805ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$40,331,213GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO PROVIDE FACILITY AND HOME-BASED HEALTHCARE, INCLUDING SKILLED NURSING AND HOME HEALTH AIDES, TO THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee237TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$88,715CYContributionsGrantsAmt
PY Program Service Revenue$13,688,874PYProgramServiceRevenueAmt
CY Program Service Revenue$39,577,428CYProgramServiceRevenueAmt
PY Investment Income-$10,808PYInvestmentIncomeAmt
CY Investment Income$663,437CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$1,633CYOtherRevenueAmt
PY Total Revenue$13,678,066PYTotalRevenueAmt
CY Total Revenue$40,331,213CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,466,390PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$30,022,072CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,361,964PYOtherExpensesAmt
CY Other Expenses$7,407,833CYOtherExpensesAmt
PY Total Expenses$13,828,354PYTotalExpensesAmt
CY Total Expenses$37,429,905CYTotalExpensesAmt
PY Revenues Less Expenses-$150,288PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,901,308CYRevenuesLessExpensesAmt
Total Assets BOY$4,331,837TotalAssetsBOYAmt
Total Assets EOY$41,349,850TotalAssetsEOYAmt
Total Liabilities BOY$2,201,707TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,645,427TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,130,130NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$35,704,423NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FACILITY AND HOME-BASED HEALTHCARE, INCLUDING SKILLED NURSING AND HOME HEALTH AIDES, TO THE RESIDENTS OF THE COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$34,096,574ExpenseAmt
Revenue$38,923,911RevenueAmt
DescHOME-BASED HEALTHCARE, INCLUDING SKILLED NURSING AND HOME HEALTH AIDE SERVICES.Desc
Total Program Service Expenses$34,096,574TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee237EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTIMOTHY O'CONNORPersonNm
Phone7817445100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 MALL ROADAddressLine1Txt
CityBURLINGTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01805ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Howard R Grant JD MD
Trustee/Officer/President/CEO1.050.0Yes (X)Yes (X)$0$1,089,242$279,685
Timothy O'Connor
Trustee/Officer/EVP CFO & Trea1.050.0Yes (X)Yes (X)$0$619,326$185,344
David G Spackman JD
Trustee/Officer/SVP Gov Affair1.050.0Yes (X)Yes (X)$0$429,989$52,159
JuliaNn Thurlow
TRUSTEE1.00.0Yes (X)$0$0$0
CONNIE WOODWORTH
OFFICER/VP FINANCE NHS1.040.0Yes (X)$0$244,654$1,465
MARYELLEN LEAR
OFFICER/DIRECTOR, LEGAL SUPPOR1.040.0Yes (X)$0$100,252$26,858
elizabeth p conrad
Svp chief hr officer1.040.0$0$363,901$57,601Yes (X)
jennifer c gizmunt
SVP & COO LH CONTINUING CARE1.040.0$0$240,412$29,863Yes (X)
deborah costello
EXEC DIR NE HOME1.040.0$0$189,257$4,183Yes (X)
David Reis
SVP Chief Info Officer1.040.0$0$318,706$21,834Yes (X)
MICHAEL L HAMAKER
COO LAHEY HEALTH AT HOME40.00.0$179,799$0$25,891Yes (X)
suzanne olszak
rn weekend coordinator40.00.0$174,435$0$27,185Yes (X)
cynthia ring
RN TEAM RESOURCE40.00.0$148,283$0$2,366Yes (X)
Rachel Mangiacotti
Clinical Manager40.00.0$118,173$0$21,020Yes (X)
kathleen ruane
Dir Quality & Compliance40.00.0$123,275$0$557Yes (X)
JENNA TARARA
DIR HOMECARE40.00.0$116,102$0$28,378Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$860,067TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,595,739TotReportableCompRltdOrgAmt
Total Other Compensation$764,389TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonNone - See Schedule OPersonNm
FieldValueIRS element (for citing)
Contractor AddressContractorAddress
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$88,715AllOtherContributionsAmt
Total Contributions$88,715TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$38,923,911$38,923,911
OTHER PATIENT REVENUES621400$74,936$74,936
TRANSFER FROM RESTRICTED FUNDS621400$578,581$578,581
FieldValueIRS element (for citing)
Total Program Service Revenue$39,577,428TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$442,337TotalRevenueColumnAmt
Exclusion$442,337ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$221,100SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$221,100SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$221,100TotalRevenueColumnAmt
Exclusion$221,100ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Total Revenue Column$1,633TotalRevenueColumnAmt
Related Or Exempt Func Income$1,633RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,633OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,331,213TotalRevenueColumnAmt
Related Or Exempt Func Income$39,579,061RelatedOrExemptFuncIncomeAmt
Exclusion$663,437ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,977,484TotalAmt
Program Services$23,842,386ProgramServicesAmt
Management And General$1,135,098ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$440,298TotalAmt
Program Services$420,289ProgramServicesAmt
Management And General$20,009ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,792,162TotalAmt
Program Services$2,665,273ProgramServicesAmt
Management And General$126,889ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,812,128TotalAmt
Program Services$1,729,776ProgramServicesAmt
Management And General$82,352ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,035TotalAmt
Management And General$1,035ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$53,727TotalAmt
Management And General$53,727ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,821,605TotalAmt
Program Services$1,421,739ProgramServicesAmt
Management And General$399,866ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$34,275TotalAmt
Management And General$34,275ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$482,646TotalAmt
Program Services$340,474ProgramServicesAmt
Management And General$142,172ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$121,527TotalAmt
Program Services$95,885ProgramServicesAmt
Management And General$25,642ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$277,582TotalAmt
Program Services$213,501ProgramServicesAmt
Management And General$64,081ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$711,901TotalAmt
Program Services$561,690ProgramServicesAmt
Management And General$150,211ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$303,624TotalAmt
Program Services$174,007ProgramServicesAmt
Management And General$129,617ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,298TotalAmt
Program Services$7,298ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ADMINISTRATIVE & GENERAL$951,273$406,705$544,568
MEDICAL SUPPLIES$1,536,743$1,511,182$25,561
GENERAL SUPPLY & SERVICES$1,104,597$706,369$398,228

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$37,429,905TotalAmt
Program Services$34,096,574ProgramServicesAmt
Management And General$3,333,331ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,591,722BOYAmt
EOY$9,356,997EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,216,383BOYAmt
EOY$10,251,899EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,839BOYAmt
EOY$77,373EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,139,333LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,239,965LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$230,860BOYAmt
EOY$2,899,368EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$17,900,934EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$272,033BOYAmt
EOY$863,279EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,331,837BOYAmt
EOY$41,349,850EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,902,375BOYAmt
EOY$4,640,325EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,700EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$299,332BOYAmt
EOY$999,402EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,201,707BOYAmt
EOY$5,645,427EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,130,130BOYAmt
EOY$32,284,765EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,419,658EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,130,130BOYAmt
EOY$35,704,423EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,331,837BOYAmt
EOY$41,349,850EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,901,308ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$908,757NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$29,764,228OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$63,659CurrentTaxYearAmt
Total$63,659TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,443,208CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,746,447CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,886,922CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,688,874CurrentTaxYearMinus1YearAmt
Current Tax Year$35,152,827CurrentTaxYearAmt
Total$83,918,278TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,443,208CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,746,447CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,886,922CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,688,874CurrentTaxYearMinus1YearAmt
Current Tax Year$35,216,486CurrentTaxYearAmt
Total$83,981,937TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$83,981,937PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$401,830CurrentTaxYearAmt
Total$401,830TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$401,830CurrentTaxYearAmt
Total$401,830TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,443,208CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,746,447CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,886,922CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,688,874CurrentTaxYearMinus1YearAmt
Current Tax Year$35,618,316CurrentTaxYearAmt
Total$84,383,767TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99524PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00476InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$3,687,510ContributionsAmt
Other Expenditures$143,589OtherExpendituresAmt
End Year Balance$3,543,921EndYearBalanceAmt
FieldValueIRS element (for citing)
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$682,052OtherCostOrOtherBasisAmt
Book Value$682,052BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,148,742OtherCostOrOtherBasisAmt
Depreciation$849,980DepreciationAmt
Book Value$1,298,763BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,846OtherCostOrOtherBasisAmt
Depreciation$2,095DepreciationAmt
Book Value$77,751BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,156,196OtherCostOrOtherBasisAmt
Depreciation$1,318,779DepreciationAmt
Book Value$837,417BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$72,496OtherCostOrOtherBasisAmt
Depreciation$69,111DepreciationAmt
Book Value$3,385BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,899,368TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$948,917
ESTIMATED SETTLEMENTS WITH THI$50,485
FieldValueIRS element (for citing)
Total Liability$999,402TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Howard R Grant JD MD
Trustee/Officer/President/CEO$1,047,242$42,000$248,978$30,707$1,368,927
Timothy O'Connor
Trustee/Officer/EVP CFO & Trea$579,748$39,578$156,600$28,744$804,670
David G Spackman JD
Trustee/Officer/SVP Gov Affair$412,789$17,200$28,978$23,181$482,148
elizabeth p conrad
Svp chief hr officer$341,701$22,200$28,978$28,623$421,502
jennifer c gizmunt
SVP & COO LH CONTINUING CARE$206,862$18,550$29,863$270,275$15,000
deborah costello
EXEC DIR NE HOME$157,757$6,500$4,183$193,440$25,000
suzanne olszak
rn weekend coordinator$156,253$6,500$11,682$27,185$201,620
cynthia ring
RN TEAM RESOURCE$129,833$5,450$13,000$2,366$150,649
David Reis
SVP Chief Info Officer$273,180$17,901$18,830$3,004$340,540$27,625
CONNIE WOODWORTH
OFFICER/VP FINANCE NHS$197,858$31,796$1,465$246,119$15,000
MICHAEL L HAMAKER
COO LAHEY HEALTH AT HOME$140,899$25,000$13,900$25,891$205,690

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3INDEPENDENT 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 4BLHS AND ITS RELATED ORGANIZATIONS MAINTAIN A 457F NONQUALIFIED DEFERRED COMPENSATION PLAN AND A SPLIT DOLLAR LIFE INSURANCE PLAN FOR CERTAIN PHYSICIANS, EXECUTIVE MANAGEMENT AND DEFINED MEDICAL STAFF. THE PLANS OFFER PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF COMPENSATION IN ADDITION TO THEIR SALARIES. FOR THE CURRENT PERIOD, THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457F NONQUALIFIED DEFERRED COMPENSATION PLAN AND/OR THE SPLIT DOLLAR LIFE INSURANCE PLAN: HOWARD R. GRANT, J.D., M.D. $220,000 TIMOTHY O'CONNOR $121,600
PART I, LINE 7The 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 IILHS 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 (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, LINE 4LAHEY 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 IV, LINE 11F AND SCHEDULE D, PART X, LINE 1THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48.
FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7BTHE 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 SUBSTQANTIALLY ALL OF THE CORPORATIONS ASSETS; AND (E) THE MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION.
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 12CALL 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 COMPLIANCE DEPARTMENT MONITORS AND REVIEWS EACH DISCLOSURE FOR COMPLIANCE WITH THE CONFLICT 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 LAHEY HEALTH SYSTEMS, INC AND AFFILIATES; A PERSON MAY BE TOLD THEY CANNOT BE A PRINCIPAL INVESTIGATOR ON A RESEARCH STUDY; A PERSON MAY BE TOLD 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 14LAHEY HEALTH SYSTEM, INC. AND AFFILIATES HAVE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY KNOWN AS THE "RETENTION OF ADMINISTRATIVE AND CLINICAL DOCUMENTS". THE REVISED "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 15INDEPENDENT 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 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC 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 "TRUSTEEOR "OFFICER".
FORM 990, PART VII, SECTION B, LINE 1 & 2:LAHEY HEALTH SHARED SERVICES, INC. ("LHSS") COMPENSATES (PRCOESSES 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 REIMBUrSES LHSS FOR ALL VENDOR PAYMENTS MADE EITHER DIRECTLY OR INDIRECTLY ON THEIR BEHALF.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES: TRANSFER OF NET ASSETS: $926,230 *VNAME BEGINNING UNRESTRICTED NET ASSETS: $25,417,740 **VNAME TEMPORARY RESTRICTED NET ASSETS: $ 3,419,658 ------------ TOTAL: $29,764,228 *VISITING NURSES ASSOCIATION OF MIDDLESEX-EAST ("VNAME") MERGED WITH NORTHEAST PROFESSIONAL REGISTRY OF NURSES ("NPRN") ON JANUARY 1, 2017 AND ALL BALANCES AS OF DECEMBER 31, 2016 WERE TRANSFERRED TO NPRN. **VNAME BEGINNING TEMPORARILY RESTRICTED NET ASSET BALANCE: $3,687,510 NET ASSETS RELEASED TO P&L: ($194,457) DONATIONS TO TEMPORARILY RESTRICTED NET ASSETS: $30,452 CHANGE IN MARKET VALUE: ($103,847) ----------- ENDING BALANCE: $3,419,658
FORM 990, SCHEDULE D, PART V, LINE 1B$3,687,510 IN CONTRIBUTIONS IS THE 12/31/16 BALANCE BROUGHT OVER FROM VISITING NURSING ASSOC OF MIDDLESEX EAST (VNAME).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Lahey health system inc
41 MALL RDBURLINGTONMA01805611665701SUPPORTMA501(C)(3)12CN/Afalse
Lahey Clinic Foundation Inc
41 MALL RDBURLINGTONMA01805042323457SupportMA501(C)(3)7falseLHS
LAHEY CLINIC HOSPITAL INC
41 MALL RDBURLINGTONMA01805042704686HEALTHCAREMA501(C)(3)3falseLCF
LAHEY CLINIC INC
41 MALL RDBURLINGTONMA01805042704683HEALTHCAREMA501(C)(3)10falseLCF
LAHEY HEALTH SHARED SERVICES INC
41 MALL RDBURLINGTONMA01805043178972ADMIN SUPPORTMA501(C)(3)10falseLHS
LAHEY PHYSICIAN COMMUNITY ORGANIZATION I
41 MALL ROADBURLINGTONMA01805472248298HEALTHCAREMA501(C)(3)12AfalseLHS
WINCHESTER HEALTHCARE MANAGEMENT INC
41 HIGHLAND AVENUEWINCHESTERMA01890222701817MGMT SERVICESMA501(C)(3)12AfalseLHS
WINCHESTER HOSPITAL FOUNDATION INC
41 HIGHLAND AVENUEWINCHESTERMA01890043399570SUPPORTMA501(C)(3)12AfalseWHM
WINCHESTER HOSPITAL
41 HIGHLAND AVENUEWINCHESTERMA01890042104434HEALTHCAREMA501(C)(3)3falseWHM
WINCHESTER COMMUNITY ACCT CARE Org
41 HIGHLAND AVENUEWINCHESTERMA01890223137856ACOMA501(C)(3)12AfalseWHM
VISITING NURSE ASSOC OF MIDDLESEX-EAST
607 NORTH AVENUEWAKEFIELDMA01880046151873HEALTHCAREMA501(C)(3)10falseLHS
COMMUNITY CARE INC
607 NORTH AVENUEWAKEFIELDMA01880900396973HEALTHCAREMA501(C)(3)10falseLHS
NORTHEAST HOSPITAL CORPORATION
85 HERRICK STREETBEVERLYMA01915042121317HEALTHCAREMA501(C)(3)3falseLHS
NORTHEAST MEDICAL PRACTICE
85 HERRICK STREETBEVERLYMA01915043201853HEALTHCAREMA501(C)(3)10falseNHC
NORTHEAST BEHAVIORAL HEALTH CORPORATION
199 ROSEWOOD DRIVE SUITE 250DANVERSMA01923042777145HEALTHCAREMA501(C)(3)7falseLHS
HES HOUSING SERVICES INC
199 ROSEWOOD DRIVE SUITE 250DANVERSMA01923223232914HUD HOUSINGMA501(C)(3)10falseNBH
CAB HEALTH & RECOVERY SERVICES INC
199 ROSEWOOD DRIVE SUITE 250DANVERSMA01923042400270SUBSTANCE ABUMA501(C)(3)10falseNBH
NORTHEAST SENIOR HEALTH CORPORATION
85 HERRICK STREETBEVERLYMA01915042731137HEALTHCAREMA501(C)(3)10falseLHS
SEACOAST NURSING & REHABILITATION CENTER
300 WASHINGTON STREETGLOUCESTERMA01930041305001HEALTHCAREMA501(C)(3)10falseLHS
ADDISON GILBERT SOCIETY INC
41 MALL ROADBURLINGTONMA01805464371382SUPPORTMA501(C)(3)7falseLHS
NORTHEAST HEALTH SYSTEM INC
85 HERRICK STREETBEVERLYMA01915043240453SUPPORTMA501(C)(3)12CfalseLHS

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
Lahey Clinic Insurance Co LTD
PO Box HM 2450HAMILTONBERMUDABDInsuranceBDLHSFOREIGN CORPfalse
Winchester Healthcare Enterprises
Healthcare VEWHMC CORPfalse41 Highland AvenueWinchesterMA01890042932059MA
Winchester Physician Associates In
Physician PRAWHMC CORPfalse41 Highland AvenueWinchesterMA01890043262963MA
Northeast Propietary Corporation
Medical ServiNHSC CORPfalse85 Herrick StreetBeverlyMA01915042855191MA
Perpetual Trusts (8)
SupportSEE PART VIITrustfalse41 Mall RoadBurlingtonMA01805MA$1,033,541$21,148,142
REMAINDER TRUSTS (18)
SUPPORTSEE PART VIITRUSTfalse41 MALL ROADBURLINGTONMA01805MA$94,753$6,990,842
POOLED INCOME FUNDS (3)
SUPPORTSEE PART VIITRUSTfalse41 MALL ROADBURLINGTONMA01805MA$106,635$825,972
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE R, PART IVNORTHEAST 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 EIGHTEEN REMAINDER TRUSTS. THE REMAINDER TRUSTS ARE DOMICILED IN MASSACHUSETTS, NEW HAMPSHIRE, DELAWARE, WISCONSIN, AND NEW YORK. LAHEY CLINIC FOUNDATION, INC. HAS THREE POOLED INCOME FUNDS, DOMICILED IN MASSACHUSETTS.
FORM 990, SCHEDULE R, PART VThe 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 System, Inc. 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.

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