2017-08-15T09:57:34-04:00 2016-09-30 BDO USA LLP TWO INTERNATIONAL PLACE BOSTON MA 02110 990 2015-10-01 043399570 WINCHESTER HOSPITAL FOUNDATION INC % MATTHEW WOODS WINC 7817562135 41 HIGHLAND AVENUE WINCHESTER MA 01890 TIMOTHY O'CONNOR EVP/CFO/TREASURER 2017-08-10 true JEFFREY ROGERS P01074284 6174220700 2015 2021-01-29 14:40:06Z HOWARD GRANT JD MD 41 MALL ROAD WINCHESTER MA 01805 1854441 false X N/A X 1997 MA TO CARE. TO HEAL. TO EXCEL. IN SERVICE TO OUR COMMUNITY. 20 14 0 0 0 2309600 1793943 0 0 1580 4574 210139 -25290 2521319 1773227 0 0 0 0 629276 514632 0 0 899632 293434 385000 922710 899632 1598609 873595 7158761 7677220 2425638 2528881 4733123 5148339 TO CARE. TO HEAL. TO EXCEL. IN SERVICE TO OUR COMMUNITY. false false 0 THE PROVISION OF PHILANTHROPIC AND FUNDRAISING SERVICES TO AFFILIATED ORGANIZATIONS WITHIN THE WINCHESTER HEALTHCARE MANAGEMENT, INC. INTEGRATED HEALTHCARE DELIVERY SYSTEM. 0 true true false false false false false false false true true false false false true false false true false false false false false false true false false false false true false false false false false false false false true false false false false true false false false true 0 0 0 false false false false false true true false false false false X 20 14 false false false false false false false true false false false true true true true true false true true false MA X X MATTHEW WOODS 7817562135 41 HIGHLAND AVENUE WINCHESTER MA 01890 Jeannine Barrett Trustee Thru 12/31/15 1.0 0.0 X 0 0 0 Darina Gilley Chesterton Trustee Thru 12/31/15 1.0 0.0 X 0 0 0 Leo C Donahue Trustee Thru 12/31/15 1.0 0.0 X 0 0 0 Timothy O'Connor Officer/EVP/CFO & Treasurer 1.0 50.0 X X 0 676721 183875 Barbara Oddo Trustee through 12/31/15 1.0 0.0 X 0 0 0 Susan E Powers Trustee 1.0 40.0 X 0 141894 26056 Dennis S Sargent Trustee 1.0 0.0 X 0 0 0 Kevin F Smith Trustee Thru 1/1/15 1.0 40.0 X X 0 3268261 0 Howard R Grant MD Trustee/Officer/President& CEO 1.0 50.0 X X 0 1264853 376483 Marlene V Williamson Trustee 1.0 X 0 164865 26971 Matthew Woods VP Finance/Assistant Treasurer 1.0 40.0 X X 0 356067 37568 Mary Elizabeth Canning Vice President Thru 5/31/16 1.0 40.0 X X 0 255528 39358 Ann R Blackman Trustee 1.0 X 0 0 0 Donna M Burke Trustee 1.0 X 0 0 0 Brian J Connor Trustee 1.0 X 0 0 0 Kelley M Cornell MD Trustee 1.0 X 0 0 0 Patrick J Fortin Trustee 1.0 X 0 0 0 Elise Gardner Trustee 1.0 X 0 0 0 Karen R Mcalmon MD Trustee 1.0 X 0 0 0 Deborah R McDonough Trustee 1.0 X X 0 0 0 Anne Neilson Trustee 1.0 X 0 0 0 Ann Norberg Trustee 1.0 X 0 0 0 Joan P O'Neil Trustee 1.0 X 0 0 0 Richard H Salter Trustee 1.0 X 0 0 0 David G Spackman Officer/SVP/Clerk/General Coun 1.0 40.0 X X 0 509537 50683 0 6637726 740994 0 false true false 0 108655 1685288 47530 1793943 0 74 74 0 0 0 0 0 4500 4500 4500 4500 55924 108655 81214 -25290 -25290 0 0 0 1773227 -20716 0 0 0 0 0 0 412596 412596 0 102036 102036 0 0 0 5004 5004 0 0 0 3391 3391 0 4975 4975 0 0 0 3368 3368 0 0 0 0 3539 3539 0 GENERAL SUPPLIES 344926 344926 Printing & Publications 19797 19797 OTHER 0 0 0 0 899632 0 0 899632 0 0 5896644 6560599 1201644 1084430 0 0 0 0 0 0 0 0 41448 16705 0 0 23448 7962 19025 15486 0 0 0 0 0 0 0 0 0 0 7158761 7677220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2425638 2528881 2425638 2528881 X 1913440 1977818 2548956 2899794 270727 270727 4733123 5148339 7158761 7677220 X 873595 254965 -713344 X false true X true false X X 1 WINCHESTER HOSPITAL 042104434 3 true 713344 0 1 713344 0 true false false false false false false false false false false false false false false true false RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 270727 270727 270727 270727 270727 270727 270727 270727 270727 270727 1.00000 false false 23448 7962 15486 15486 0 DUE TO AFFILIATES 1585460 OTHER LONG-TERM LIABILITIES 943421 2528881 Spring into Pin 9175 6975 2200 2262 5028 5870 Golf 155404 101680 53724 25100 1338 23458 18158 0 164579 108655 55924 25100 3600 28486 24028 81214 -25290 X X X X X X true true false false false false false true false Timothy O'Connor Officer/EVP/CFO & Treasurer 549361 103360 24000 156600 27275 860596 Susan E Powers Trustee 0 141297 0 0 0 597 0 5036 0 21020 0 167950 0 0 Kevin F Smith Trustee Thru 1/1/15 0 50350 0 0 0 3217911 0 0 0 0 0 3268261 0 0 Howard R Grant MD Trustee/Officer/President& CEO 991853 231000 42000 345387 31096 1641336 Marlene V Williamson Trustee 0 162593 0 0 0 2272 0 5768 0 21203 0 191836 0 0 Matthew Woods VP Finance/Assistant Treasurer 0 355435 0 0 0 632 0 6913 0 30655 0 393635 0 0 Mary Elizabeth Canning Vice President Thru 5/31/16 0 254366 0 0 0 1162 0 9138 0 30220 0 294886 0 0 David G Spackman Officer/SVP/Clerk/General Coun 387777 101365 20395 28978 21705 560220 PART I, LINE 4A-B THE OTHER REPORTABLE COMPENSATION FOR KEVIN SMITH REFLECTS COMPENSATION DUE TO THE EXECUTIVE UNDER THE TERMS OF A TRANSITION AND SEPARATION AGREEMENT. THE REPORTED COMPENSATION IS THE AGGREGATE OF THE PAYMENTS DUE TO THE EXECUTIVE OVER A THREE YEAR PERIOD BEGINNING IN 2015 THROUGH 2018. Lahey Clinic Foundation (related organization) maintains a 457F nonqualified deferred compensation plan for certain physicians, executive management and defined medical staff. The plan offers participating employees an annual deferral of compensation in addition to their salaries. AMOUNTS PROVIDED WERE AS FOLLOWS: 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 an independent compensation committee, which includes a group of 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 ARE NOT LIMITED TO, THE ORGANIZATION MEETING ITS CORPORATE GOALS (INCLUDING NET INCOME) AND QUALITY MEASURES (SUCH AS PATIENT SATISFACTION AND QUALITY OF CARE). X Event Supplies 37 47530 Estimate false false false FORM 990, PART VI, SECTION A, LINE 8B WINCHESTER HOSPITAL FOUNDATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. 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. EXECUTIVE MANAGEMENT REVIEWED AND PRESENTED A DRAFT OF THE IRS FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE LAHEY HEALTH SYSTEM, INC. BOARD OF TRUSTEES. PRIOR TO THE FILING DATE, A DRAFT OF THE IRS FORM 990 AND THE FINAL IRS FORM 990 WERE BOTH PROVIDED TO THE ENTIRE BOARD OF TRUSTEES BEFORE THE FILING DATE VIA A SECURED WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C Semi-annual audit and compliance committee reviews compiled conflict of interest report from legal services questionnaires sent to all affilates, DIRECTORS, AND TRUSTEES. The chair of the audit/compliance committee, in cooperation with the compliance officer, shall conduct the initial review of any potential conflicts of interest identified in the disclosures and shall adopt a finding that the activity raising the potential conflict of interest: should be permitted under the polilcy; should be permitted with modification or oversight; if undertaken, will require the director, or compliance officer to abstain from participating in governance/management activities related to the activity; or should not be undertaken. Upon FINAL DISPOSITION OF THE POTENTIAL CONFLICT, THE RESULTS OF THE REVIEW SHALL BE REPORTED TO THE AFFECTED LEADER. THE AUDIT/COMPLIANCE COMMITTEE SHALL PROVIDE AN ANNUAL REPORT OF ITS REVIEW TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS' SALARIES AND BENEFITS ARE PAID AND DETERMINED UNDER THE COMPENSATION POLICIES OF WINCHESTER HOSPITAL, THE ORGANIZATION'S AFFILIATE. THIS INCLUDES USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANTS, THE FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE EXECUTIVE COMPENSATION COMMITTEE THAT IS INDEPENDENT OF MANAGEMENT AND FREE OF ANY CONFLICTS OF INTEREST THAT WOULD INTERFERE WITH THE EXERCISE OF THEIR INDEPENDENT JUDGMENT REVIEWS COMPARABILITY DATA PROVIDED BY AN INDEPENDENT EXTERNAL CONSULTANT, LAL ASSOCIATES, INC., TO ESTABLISH COMPENSATION. ALL COMPENSATION DECISIONS ARE DOCUMENTED CONCURRENTLY UPON MAKING THE DECISION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS TRANSFERS FROM WINCHESTER HOSPITAL 713,344 PLEDGE DISCOUNT ADJUSTMENT TOTAL TO FORM 990, PART XI, LINE 9 713,344 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 REIMBURSES LHSS FOR ALL VENDOR PAYMENTS MADE EITHER DIRECTLY OR INDIRECTLY ON THEIR BEHALF. lahey clinic hospital inc 41 mall road burlington MA 01805 042704686 healthcare MA 501(c)(3) 3 lcf false lahey clinic inc 41 mall road burlington MA 01805 042704683 healthcare MA 501(c)(3) 9 LCF false lahey health shared services inc 41 mall road burlington MA 01805 043178972 admin support MA 501(c)(3) 9 LHS false northeast health system inc 85 herrick street beverly MA 01915 043240453 support MA 501(c)(3) 11c LHS false northeast behavioral health corporation 199 ROSEWOOD DRIVE SUITE 250 DANVERS MA 01923 042777145 HEALTHCARE MA 501(c)(3) 7 LHS false HEALTH AND EDUCATION HOUSING SERVICES 199 ROSEWOOD DRIVE SUITE 250 DANVERS MA 01923 223232914 HUD HOUSING MA 501(c)(3) 9 NBH 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) 9 NHC false SEACOAST NURSING & REHABILITATION CENTER 300 WASHINGTON STREET GLOUCESTER MA 01930 041305001 HEALTHCARE MA 501(c)(3) 9 LHS false NORTHEAST PROFESSIONAL REGISTRY OF NURSE 800 CUMMINGS CENTER BEVERLY MA 01915 201287349 HEALTHCARE MA 501(c)(3) 9 NSH false NORTHEAST SENIOR HEALTH CORPORATION 85 HERRICK STREET BEVERLY MA 01915 042731137 HEALTHCARE MA 501(c)(3) 9 LHS false CAB HEALTH & RECOVERY SERVICES INC 199 ROSEWOOD DRIVE SUITE 250 DANVERS MA 01923 042400270 SUBSTANCE ABU MA 501(c)(3) 9 NBH false LAHEY HEALTH SYSTEM INC 41 MALL ROAD BURLINGTON MA 01805 611665701 SUPPORT MA 501(c)(3) 11C NA false WINCHESTER HOSPITAL 41 HIGHLAND AVENUE WINCHESTER MA 01890 042104434 HEALTHCARE MA 501(c)(3) 3 WHM false WINCHESTER HEALTHCARE MANAGEMENT 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701817 MANAGEMENT MA 501(c)(3) 11A LHS false WINCHESTER COMMUNITY ACCOUNTABLE CARE 41 HIGHLAND AVENUE WINCHESTER MA 01890 223137856 ACO MA 501(c)(3) 11A WHM false LAHEY CLINIC FOUNDATION 41 MALL ROAD BURLINGTON MA 01805 042323457 SUPPORT MA 501(c)(3) 7 LHS false ADDISON GILBERT SOCIETY INC 41 MALL ROAD BURLINGTON MA 01805 464371382 SUPPORT MA 501(c)(3) 11A LHS false VISITING NURSE ASSOC OF MIDDLESEX-EAST 607 NORTH AVENUE WAKEFIELD MA 01880 046151873 HEALTHCARE MA 501(c)(3) 9 LHS false COMMUNITY CARE INC 607 NORTH AVENUE WAKEFIELD MA 01880 900396973 HEALTHCARE MA 501(c)(3) 9 LHS false LAHEY PHYSICIAN COMMUNITY ORGANIZATION I 41 MALL ROAD BURLINGTON MA 01805 472248298 HEALTHCARE MA 501(c)(3) 11A LHS false lahey clinic insurance co ltd po box hm 2450 HAMILTON BERMUDA BD INSURANCE BD LHS FOREIGN CORP 1.00000 false perpetual trusts (10) 41 mall road burlington MA 01805 support MA see part VII Trust 906158 20000028 1.00000 false remainder trusts (19) 41 mall road burlington MA 01805 support MA see part VII Trust 1518358 6468375 1.00000 false pooled income funds (3) 41 mall road burlington MA 01805 support MA see part VII Trust 1025772 1.00000 false northeast proprietary corporation 85 herrick street beverly MA 01915 042855191 MEDICAL SERVICES MA NHS C CORP false WINCHESTER PHYSICIAN HOSPITAL ORG 41 HIGHLAND AVENUE WINCHESTER MA 01890 472646454 PHYSICIAN SERVICE MA WHM C CORP false WINCHESTER HEALTHCARE ENTERPRISES INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 042932059 HEALTHCARE VENTUR MA WHM C CORP false WINCHESTER PHYSICIAN ASSOCIATES INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 043262963 PHYSICIAN PRACTIC MA WHM C CORP false false false false false false false false false false false false false false false false false false false false FORM 990, SCHEDULE R, PART IV Lahey Clinic Foundation, Inc., Northeast Hospital Corporation and Winchester Hospital, respectively, have FIVE, four, and one perpetual trusts. The perpetual trusts are domiciled in DELAWARE, Massachusetts, PENNSYLVANIA, AND FLORIDA. Lahey Clinic Foundation, Inc. has nineteen remainder trusts. The remainder trusts are domiciled in Massachusetts, New Hampshire, 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 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.