2017-08-14T12:21:43-05:00 2016-09-30 BDO USA LLP TWO INTERNATIONAL PLACE BOSTON MA 02110 990 2015-10-01 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 2017-08-10 true JEFFREY ROGERS P01074284 6174220700 2017-05-23 2015 2021-01-29 14:40:06Z HOWARD R GRANT JD MD 41 MALL ROAD BURLINGTON MA 01805 13678066 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 1 254 2 0 0 0 0 12886922 13688874 -7451 -10808 0 0 12879471 13678066 0 0 0 0 10874149 11466390 0 0 0 1606443 2361964 12480592 13828354 398879 -150288 6329019 4331837 4048601 2201707 2280418 2130130 TO PROVIDE FACILITY AND HOME-BASED HEALTHCARE, INCLUDING SKILLED NURSING AND HOME HEALTH AIDES, TO THE RESIDENTS OF THE COMMUNITY. false false 12100166 13688874 HOME-BASED HEALTHCARE, INCLUDING SKILLED NURSING AND HOME HEALTH AIDE SERVICES. 12100166 true false false false false false false false false false 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 0 254 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 1264853 376483 Timothy O'Connor Trustee/Officer/EVP CFO & Trea 1.0 50.0 X X 0 676721 183875 David G Spackman Trustee/Officer/SVP Gov Affair 1.0 50.0 X X 0 509537 50683 Julianne Thurlow TRUSTEE 1.0 X X 0 0 0 HEATON ROBERTSON TRUSTEE THROUGH 11/19/15 1.0 X 0 0 0 bruce a metz SVP chief info officer 1.0 40.0 X 0 442784 32447 elizabeth p conrad Svp chief hr officer 1.0 40.0 X 0 359246 56119 jennifer c gizmunt svp coo lh senior care 1.0 40.0 X 0 246809 26835 deborah costello executive director ne home 1.0 40.0 X 0 169134 2505 David Reis phd SVP Chief Info Officer 1.0 40.0 X 0 261509 20142 suzanne olszak rn weekend coordinator 40.0 X 155445 0 26823 cynthia ring RN Case Manager 40.0 X 151360 0 1913 Rachel Mangiacotti Clinical Manager 40.0 X 119530 0 20515 kathleen ruane Dir Quality & Compliance 40.0 X 121055 0 51 Jenna Tarara Dir Homecare 40.0 X 114482 0 27343 661872 3930593 825734 6 false true false None - See Schedule O 0 0 Net Patient Service Revenue 621400 13568821 13568821 Other Patient Revenues 621400 120053 120053 13688874 -10808 -10808 0 0 0 0 0 0 0 0 0 0 13678066 13688874 -10808 0 0 0 0 0 0 9683400 8962403 720997 134788 124752 10036 951531 880683 70848 696671 644799 51872 0 0 0 0 0 0 223394 157493 65901 10061 10061 182822 129578 53244 124861 91286 33575 0 30279 17663 12616 266050 194509 71541 0 0 0 0 127568 75520 52048 3246 3246 ADMINISTRATIVE & GENERAL 881017 403634 477383 MEDICAL SUPPLIES 198844 198844 GENERAL SUPPLY & SERVICES 313822 215756 98066 13828354 12100166 1728188 0 3764792 1591722 0 0 0 0 1920882 2216383 0 0 0 0 0 0 0 0 12346 20839 924617 693757 221380 230860 0 0 0 0 0 0 0 0 409619 272033 6329019 4331837 1694244 1902375 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2354357 299332 4048601 2201707 X 2280418 2130130 0 0 0 0 2280418 2130130 6329019 4331837 X -150288 X false true X true false X 0 0 0 0 0 0 8964784 10443208 11746447 12886922 13688874 57730235 0 0 0 8964784 10443208 11746447 12886922 13688874 57730235 0 0 0 57730235 0 0 0 0 0 8964784 10443208 11746447 12886922 13688874 57730235 1.00000 1.00000 0.00000 0.00000 X 924617 693757 230860 230860 DUE FROM AFFILIATE 101670 OTHER ASSETS 159356 OTHER RECEIVABLES 11007 272033 0 DUE TO AFFILIATES 252347 ESTIMATED SETTLEMENTS WITH THIRD PARTY PAYERS 46985 299332 PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. X X X X X false true false false false false false true false Howard R Grant JD MD Trustee/Officer/President &CEO 0 991853 0 231000 0 42000 0 345387 0 31096 0 1641336 Timothy O'Connor Trustee/Officer/EVP CFO & Trea 0 549361 0 103360 0 24000 0 156600 0 27275 0 860596 David G Spackman Trustee/Officer/SVP Gov Affair 0 387777 0 101365 0 20395 0 28978 0 21705 0 560220 bruce a metz SVP chief info officer 358305 34825 49654 28978 3469 475231 elizabeth p conrad Svp chief hr officer 309316 28000 21930 28978 27141 415365 jennifer c gizmunt svp coo lh senior care 208434 19975 18400 0 26835 273644 deborah costello executive director ne home 153890 3200 12044 0 2505 171639 suzanne olszak rn weekend coordinator 144097 500 10848 0 26823 182268 cynthia ring RN Case Manager 135071 2225 14064 0 1913 153273 David Reis phd SVP Chief Info Officer 234663 9680 17166 18621 1521 281651 PART I, LINE 4B The Organization maintains a 457F non-qualified 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. For the current period, the following INDIVIDUALS participated in the 457F non-qualified deferred compensation 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 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 not limited to, the organization meeting its corporate goals (including net income) and quality measures (such as patient satisfaction and quality of CARE). FORM 990, PART VII AND SCHEDULE J, PART II THE ORGANIZATION AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE IN THEIR CAPACITY AS A TRUSTEE. 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". 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 STATEMETNTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7B EFFECTIVE MAY 1, 2012, LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HEALTH SYSTEM, INC. MERGED AND ESTABLISHED A NEW ORGANIZATION, LAHEY HEALTH SYSTEM, INC. ("LHS"), TO SERVE AS THE PARENT OF EACH AND THE HEALTH SYSTEM. ON JULY 1, 2014, LHS AND WINCHESTER HEALTHCARE MANAGEMENT, INC ENTERED INTO AN AFFILIATION. 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 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 HEALTHY 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 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 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: NORTHEAST PROFESSIONAL REGISTRY OF NURSES, INC. AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE IN THEIR CAPACITY AS A TRUSTEE. 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". 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 REIMBUSES LHSS FOR ALL VENDOR PAYMENTS MADE EITHER DIRECTLY OR INDIRECTLY ON THEIR BEHALF. Lahey health system inc 41 MALL RD BURLINGTON MA 01805 611665701 SUPPORT MA 501(C)(3) 11C 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) 9 LCF false LAHEY HEALTH SHARED SERVICES INC 41 MALL RD BURLINGTON MA 01805 043178972 ADMIN SUPPORT 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 WINCHESTER HEALTHCARE MANAGEMENT INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701817 MGMT SERVICES MA 501(C)(3) 11A LHS false WINCHESTER HOSPITAL FOUNDATION INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 043399570 SUPPORT MA 501(C)(3) 11A 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) 11A WHM 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 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 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) 9 NBH false CAB HEALTH & RECOVERY SERVICES INC 199 ROSEWOOD DRIVE SUITE 250 DANVERS MA 01923 042400270 SUBSTANCE ABU MA 501(C)(3) 9 NBH false NORTHEAST SENIOR HEALTH CORPORATION 85 HERRICK STREET BEVERLY MA 01915 042731137 HEALTHCARE MA 501(C)(3) 9 LHS false SEACOAST NURSING & REHABILITATION CENTER 300 WASHINGTON STREET GLOUCESTER MA 01930 041305001 HEALTHCARE MA 501(C)(3) 9 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) 11C 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 VENTUR MA WHM C CORP false Winchester Physician Associates In 41 Highland Avenue Winchester MA 01890 043262963 Physician PRACTIC MA WHM C CORP false Northeast Propietary Corporation 85 Herrick Street Beverly MA 01915 042855191 Medical Services MA NHS C CORP false Perpetual Trusts (10) 41 Mall Road Burlington MA 01805 Support MA SEE PART VII Trust 906158 20000028 false REMAINDER TRUSTS (19) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE PART VII TRUST 1518358 6468375 false POOLED INCOME FUNDS (3) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE PART VII TRUST 1025772 false 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 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 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.