2018-08-14T09:19:09-05:00 2017-09-30 BDO USA LLP ONE INTERNATIONAL PLACE BOSTON MA 02110 990 2016-10-01 201287349 NORTHEAST PROFESSIONAL REGISTRY OF NURSES % TIMOTHY O'CONNOR NORT 9789223000 800 Cummings Center Suite 266U Beverly MA 01915 TIMOTHY O'CONNOR EVP, CFO & Treasurer 9789223000 2018-08-09 true JEFFREY ROGERS P01074284 6174220700 2016 2022-09-23 18:48:47Z HOWARD R GRANT JD MD 41 MALL ROAD BURLINGTON MA 01805 40331213 false X N/A X 2007 MA TO PROVIDE FACILITY AND HOME-BASED HEALTHCARE, INCLUDING SKILLED NURSING AND HOME HEALTH AIDES, TO THE COMMUNITY. 4 1 237 40 0 0 0 88715 13688874 39577428 -10808 663437 0 1633 13678066 40331213 0 0 0 0 11466390 30022072 0 0 0 2361964 7407833 13828354 37429905 -150288 2901308 4331837 41349850 2201707 5645427 2130130 35704423 TO PROVIDE FACILITY AND HOME-BASED HEALTHCARE, INCLUDING SKILLED NURSING AND HOME HEALTH AIDES, TO THE RESIDENTS OF THE COMMUNITY. false false 34096574 38923911 HOME-BASED HEALTHCARE, INCLUDING SKILLED NURSING AND HOME HEALTH AIDE SERVICES. 34096574 true true false false false false false false false true true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 237 true false false false false false false false false false false X 4 1 false false false false true true true true true false false true true true true true true true true false MA X X TIMOTHY O'CONNOR 7817445100 41 MALL ROAD BURLINGTON MA 01805 Howard R Grant JD MD Trustee/Officer/President/CEO 1.0 50.0 X X 0 1089242 279685 Timothy O'Connor Trustee/Officer/EVP CFO & Trea 1.0 50.0 X X 0 619326 185344 David G Spackman JD Trustee/Officer/SVP Gov Affair 1.0 50.0 X X 0 429989 52159 JuliaNn Thurlow TRUSTEE 1.0 0.0 X 0 0 0 CONNIE WOODWORTH OFFICER/VP FINANCE NHS 1.0 40.0 X 0 244654 1465 MARYELLEN LEAR OFFICER/DIRECTOR, LEGAL SUPPOR 1.0 40.0 X 0 100252 26858 elizabeth p conrad Svp chief hr officer 1.0 40.0 X 0 363901 57601 jennifer c gizmunt SVP & COO LH CONTINUING CARE 1.0 40.0 X 0 240412 29863 deborah costello EXEC DIR NE HOME 1.0 40.0 X 0 189257 4183 David Reis SVP Chief Info Officer 1.0 40.0 X 0 318706 21834 MICHAEL L HAMAKER COO LAHEY HEALTH AT HOME 40.0 0.0 X 179799 0 25891 suzanne olszak rn weekend coordinator 40.0 0.0 X 174435 0 27185 cynthia ring RN TEAM RESOURCE 40.0 0.0 X 148283 0 2366 Rachel Mangiacotti Clinical Manager 40.0 0.0 X 118173 0 21020 kathleen ruane Dir Quality & Compliance 40.0 0.0 X 123275 0 557 JENNA TARARA DIR HOMECARE 40.0 0.0 X 116102 0 28378 860067 3595739 764389 8 false true false None - See Schedule O 0 88715 88715 NET PATIENT SERVICE REVENUE 621400 38923911 38923911 OTHER PATIENT REVENUES 621400 74936 74936 TRANSFER FROM RESTRICTED FUNDS 621400 578581 578581 39577428 442337 442337 0 0 0 0 0 221100 221100 221100 221100 0 0 0 0 0 0 0 0 0 OTHER INCOME 1633 1633 1633 40331213 39579061 663437 0 0 0 0 0 0 0 24977484 23842386 1135098 440298 420289 20009 2792162 2665273 126889 1812128 1729776 82352 0 1035 1035 53727 53727 0 0 0 1821605 1421739 399866 34275 34275 482646 340474 142172 121527 95885 25642 0 277582 213501 64081 711901 561690 150211 0 0 0 0 303624 174007 129617 7298 7298 ADMINISTRATIVE & GENERAL 951273 406705 544568 MEDICAL SUPPLIES 1536743 1511182 25561 GENERAL SUPPLY & SERVICES 1104597 706369 398228 37429905 34096574 3333331 0 1591722 9356997 0 0 0 0 2216383 10251899 0 0 0 0 0 0 0 0 20839 77373 5139333 2239965 230860 2899368 0 17900934 0 0 0 0 0 0 272033 863279 4331837 41349850 1902375 4640325 0 0 0 0 0 0 0 0 0 0 0 0 0 5700 299332 999402 2201707 5645427 X 2130130 32284765 0 3419658 0 0 2130130 35704423 4331837 41349850 X 2901308 908757 29764228 X false true X true false X 0 0 0 0 63659 63659 10443208 11746447 12886922 13688874 35152827 83918278 0 0 0 10443208 11746447 12886922 13688874 35216486 83981937 0 0 0 83981937 401830 401830 0 401830 401830 0 0 10443208 11746447 12886922 13688874 35618316 84383767 0.99524 1.00000 0.00476 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3687510 143589 3543921 682052 682052 2148742 849980 1298763 79846 2095 77751 2156196 1318779 837417 72496 69111 3385 2899368 0 DUE TO AFFILIATES 948917 ESTIMATED SETTLEMENTS WITH THI 50485 999402 PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. false true false false false false false true false Howard R Grant JD MD Trustee/Officer/President/CEO 1047242 42000 248978 30707 1368927 Timothy O'Connor Trustee/Officer/EVP CFO & Trea 579748 39578 156600 28744 804670 David G Spackman JD Trustee/Officer/SVP Gov Affair 412789 17200 28978 23181 482148 elizabeth p conrad Svp chief hr officer 341701 22200 28978 28623 421502 jennifer c gizmunt SVP & COO LH CONTINUING CARE 206862 15000 18550 29863 270275 deborah costello EXEC DIR NE HOME 157757 25000 6500 4183 193440 suzanne olszak rn weekend coordinator 156253 6500 11682 27185 201620 cynthia ring RN TEAM RESOURCE 129833 5450 13000 2366 150649 David Reis SVP Chief Info Officer 273180 27625 17901 18830 3004 340540 CONNIE WOODWORTH OFFICER/VP FINANCE NHS 197858 15000 31796 1465 246119 MICHAEL L HAMAKER COO LAHEY HEALTH AT HOME 140899 25000 13900 25891 205690 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 4B LHS 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 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. 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 IV, LINE 11F AND SCHEDULE D, PART X, LINE 1 THE 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, & 7B 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 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 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 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 14 LAHEY 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 15 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 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 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 9 OTHER 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). 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) 7 LHS false LAHEY CLINIC HOSPITAL INC 41 MALL RD BURLINGTON MA 01805 042704686 HEALTHCARE MA 501(C)(3) 3 LCF false LAHEY CLINIC INC 41 MALL RD BURLINGTON MA 01805 042704683 HEALTHCARE MA 501(C)(3) 10 LCF false LAHEY HEALTH SHARED SERVICES INC 41 MALL RD BURLINGTON MA 01805 043178972 ADMIN SUPPORT MA 501(C)(3) 10 LHS false LAHEY PHYSICIAN COMMUNITY ORGANIZATION I 41 MALL ROAD BURLINGTON MA 01805 472248298 HEALTHCARE MA 501(C)(3) 12A LHS false WINCHESTER HEALTHCARE MANAGEMENT INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701817 MGMT SERVICES MA 501(C)(3) 12A LHS false WINCHESTER HOSPITAL FOUNDATION INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 043399570 SUPPORT MA 501(C)(3) 12A WHM false WINCHESTER HOSPITAL 41 HIGHLAND AVENUE WINCHESTER MA 01890 042104434 HEALTHCARE MA 501(C)(3) 3 WHM false WINCHESTER COMMUNITY ACCT CARE Org 41 HIGHLAND AVENUE WINCHESTER MA 01890 223137856 ACO MA 501(C)(3) 12A WHM false VISITING NURSE ASSOC OF MIDDLESEX-EAST 607 NORTH AVENUE WAKEFIELD MA 01880 046151873 HEALTHCARE MA 501(C)(3) 10 LHS false COMMUNITY CARE INC 607 NORTH AVENUE WAKEFIELD MA 01880 900396973 HEALTHCARE MA 501(C)(3) 10 LHS false NORTHEAST HOSPITAL CORPORATION 85 HERRICK STREET BEVERLY MA 01915 042121317 HEALTHCARE MA 501(C)(3) 3 LHS false NORTHEAST MEDICAL PRACTICE 85 HERRICK STREET BEVERLY MA 01915 043201853 HEALTHCARE MA 501(C)(3) 10 NHC false NORTHEAST BEHAVIORAL HEALTH CORPORATION 199 ROSEWOOD DRIVE SUITE 250 DANVERS MA 01923 042777145 HEALTHCARE MA 501(C)(3) 7 LHS false HES HOUSING SERVICES INC 199 ROSEWOOD DRIVE SUITE 250 DANVERS MA 01923 223232914 HUD HOUSING MA 501(C)(3) 10 NBH false CAB HEALTH & RECOVERY SERVICES INC 199 ROSEWOOD DRIVE SUITE 250 DANVERS MA 01923 042400270 SUBSTANCE ABU MA 501(C)(3) 10 NBH false NORTHEAST SENIOR HEALTH CORPORATION 85 HERRICK STREET BEVERLY MA 01915 042731137 HEALTHCARE MA 501(C)(3) 10 LHS false SEACOAST NURSING & REHABILITATION CENTER 300 WASHINGTON STREET GLOUCESTER MA 01930 041305001 HEALTHCARE MA 501(C)(3) 10 LHS false ADDISON GILBERT SOCIETY INC 41 MALL ROAD BURLINGTON MA 01805 464371382 SUPPORT MA 501(C)(3) 7 LHS false NORTHEAST HEALTH SYSTEM INC 85 HERRICK STREET BEVERLY MA 01915 043240453 SUPPORT MA 501(C)(3) 12C LHS false Lahey Clinic Insurance Co LTD PO Box HM 2450 HAMILTON BERMUDA BD Insurance BD LHS FOREIGN CORP false Winchester Healthcare Enterprises 41 Highland Avenue Winchester MA 01890 042932059 Healthcare VE MA WHM C CORP false Winchester Physician Associates In 41 Highland Avenue Winchester MA 01890 043262963 Physician PRA MA WHM C CORP false Northeast Propietary Corporation 85 Herrick Street Beverly MA 01915 042855191 Medical Servi MA NHS C CORP false Perpetual Trusts (8) 41 Mall Road Burlington MA 01805 Support MA SEE PART VII Trust 1033541 21148142 false REMAINDER TRUSTS (18) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE PART VII TRUST 94753 6990842 false POOLED INCOME FUNDS (3) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE PART VII TRUST 106635 825972 false false false false false false false false false false false true true true true true true true true 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 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 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 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.