2016-08-15T06:43:47-05:00 2015-09-30 135381590 BDO USA LLP 200 PORTLAND STREET BOSTON MA 02114 990 2014-10-01 042704686 LAHEY CLINIC HOSPITAL INC LAHE 7817445100 41 MALL ROAD BURLINGTON MA 018050001 HOWARD R GRANT JD MD PRESIDENT/CEO 7817445100 2016-08-09 1 JEFFREY T ROGERS P01074284 6177427788 2014 2016-09-27 15:27:22Z HOWARD R GRANT JD MD 41 MALL ROAD BURLINGTON MA 018050001 840468304 0 X WWW.LAHEY.ORG X 1980 MA SEE SCHEDULE O 21 12 5303 302 358276 127875 0 0 818606948 828963163 738096 770799 9249949 7913032 828594993 837646994 0 0 0 0 400664637 377637431 0 0 0 359492522 428587526 760157159 806224957 68437834 31422037 739224466 741840702 580962223 600584661 158262243 141256041 X ALSO FORM 990, PART I, LINE 1 LAHEY CLINIC HOSPITAL, INC., IN ASSOCIATION WITH THE TUFTS UNIVERSITY SCHOOL OF MEDICINE, PROVIDES SUPERIOR HEALTH CARE LEADING TO THE BEST POSSIBLE OUTCOMES FOR EVERY PATIENT. AS ONE OF THE WORLD'S PREMIER HEALTH CARE ORGANIZATIONS, LAHEY CLINIC HOSPITAL, INC. AIMS TO EXCEED EACH DAY ITS PATIENT'S HIGH EXPECTATIONS FOR SERVICE, AND ADVANCE MEDICINE THROUGH RESEARCH AND THE EDUCATION OF TOMORROW'S HEALTH CARE LEADERS. IN ADDITION, LAHEY CLINIC HOSPITAL, INC. IS COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF COMMUNITY RESIDENTS BY SUPPORTING LOCAL ORGANIZATIONS ALIGNED WITH THIS MISSION. 0 0 651640450 799197706 PATIENT CARE:LAHEY CLINIC HOSPITAL, INC. STRIVES EACH DAY TO PROVIDE TOP QUALITY AND SUPERIOR PATIENT CARE IN INPATIENT HOSPITAL, EMERGENCY, OUTPATIENT TREATMENT, AND DIAGNOSTIC AND OTHER ANCILLARY SERVICES. IN 2015, MORE THAN 22,000 PATIENTS WERE ADMITTED AS INPATIENTS TO LAHEY CLINIC'S HOSPITAL FACILITIES, REPRESENTING MORE THAN 106,000 PATIENT DAYS. MORE THAN 8,000 OF THESE PATIENTS WERE ADMITTED FOR SURGERY. ADDITIONALLY, MORE THAN 13,000 PATIENTS HAD DAY SURGERY AT THE BURLINGTON AND PEABODY MEDICAL CENTERS, WHICH TOGETHER HAVE A TOTAL OF 28 OPERATING ROOMS. HOSPITAL SERVICES INCLUDE 24-HOUR EMERGENCY DEPARTMENTS IN BURLINGTON AND PEABODY. IN 2015, LAHEY CLINIC HOSPITAL'S EMERGENCY ROOMS LOGGED MORE THAN 58,000 EMERGENCY DEPARTMENT PATIENT VISITS. THE EXPERTISE LAHEY PROVIDES IS VITAL TO THE REGION. IN PARTICULAR, LAHEY OFFERS PROGRAMS SUCH AS LIVER AND KIDNEY TRANSPLANTATION, HEART SURGERY, NEUROSURGERY, AND OTHER SPECIALIZED PROGRAMS NOT WIDELY AVAILABLE IN COMMUNITY HOSPITALS. LAHEY IS DESIGNATED AS A PRIMARY STROKE SERVICE BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH. AMONG OTHER NATIONALLY RECOGNIZED ACHIEVEMENTS, LAHEY IS ACCREDITED BY THE JOINT COMMISSION, THE NATION'S LEADING BODY IN CERTIFYING HOSPITAL QUALITY AND PERFORMANCE, AND WAS CERTIFIED AS A LEVEL II TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS. LAHEY CLINIC IS CERTIFIED AS A MAGNET HOSPITAL AND RECEIVED THE DESIGNATION AS A NICHE (NURSES IMPROVING THE CARE OF HEALTHCARE SYSTEM ELDERS) INSTITUTION IN JANUARY 2010. LAHEY CLINIC HOSPITAL, INC. AFFIRMS ITS COMMITMENT TO IDENTIFYING AND SERVING THE HEALTH AND WELLNESS NEEDS OF ITS COMMUNITY THROUGH A COMMUNITY BENEFITS INITIATIVE (CBI). THE FOUNDATION OF THIS PROGRAM IS BASED UPON A COLLABORATIVE INITIATIVE BETWEEN LAHEY HEALTH SYSTEM, INC. EMPLOYEES, COMMUNITY LEADERS, REPRESENTATIVES OF COMMUNITY AGENCIES, AND COMMUNITY RESIDENTS. THROUGH COLLABORATIVE PLANNING, COALITION BUILDING AND FINANCIAL SUPPORT, LAHEY CLINIC HOSPITAL, INC. STRIVES TO SERVE AS A CATALYST FOR POSITIVE CHANGE WITHIN THE COMMUNITY.LAHEY CLINIC HOSPITAL, INC.'S 2015 COMMUNITY BENEFITS INITIATIVE FOCUSED ON THE FOLLOWING AREAS:1. ELDER HEALTH ISSUES2. CHRONIC DISEASE MANAGEMENT3. COMMUNITY HEALTH IMPROVEMENT AND EDUCATION PROGRAMS DIRECTED TOWARD ADULT, ELDER AND UNDERSERVED POPULATIONS AT RISK.THE PROGRAM ALSO PROVIDES UNCOMPENSATED CARE, FREE COUNSELING SERVICES, FREE SUPPORT SERVICES, A FREE PRESCRIPTION DRUG PROGRAM AND FREE PSYCHIATRY AND BEHAVIORAL MEDICINE CONSULTATIONS AND REFERRAL SERVICES. PLEASE REFER TO SCHEDULE H IN THIS IRS 990 TAX RETURN FOR ADDITIONAL INFORMATION RELATED TO LAHEY CLINIC HOSPITAL, INC. COMMUNITY BENEFIT PROGRAMS AND SERVICES. 24038033 29481195 EDUCATION:LAHEY CLINIC HOSPITAL, INC. IS CLASSIFIED AS A TEACHING HOSPITAL AND IS A MAJOR TEACHING AFFILIATE OF THE TUFTS UNIVERSITY SCHOOL OF MEDICINE AND IN THAT CAPACITY SUPPORTS THE EDUCATION AND TRAINING OF APPROXIMATELY 160 RESIDENTS AND FELLOWS AT A TIME. THE ATTENDING PHYSICIAN STAFF ALSO SUPPORTS A WIDE ARRAY OF CLINICAL EDUCATION AND TRAINING EFFORTS INCLUDING NURSING, PHARMACY, LABORATORY MEDICINE AND THE LATEST ADVANCEMENTS IN RADIOLOGICAL TECHNOLOGY. PLEASE NOTE THAT THE COSTS TO LAHEY CLINIC HOSPITAL, INC. TO PERFORM ADDITIONAL RADIOLOGY, LABORATORY AND OTHER TESTS FOR THE PURPOSES OF TEACHING INTERNS, RESIDENTS, FELLOWS, AND OTHER MEDICAL STUDENTS IS NOT INCLUDED IN THE ABOVE EXPENSE AMOUNT. 675678483 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 180 0 1 5303 1 1 1 0 0 0 0 1 1 0 0 0 0 X 21 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X TIMOTHY O'CONNOR 7817445100 41 MALL ROAD BURLINGTON MA 01805 X HOWARD R GRANT JD MD TRUSTEE/OFFICER/PRESIDENT & CEO 1.00 50.00 X X 0 2012525 278701 JOHN A LIBERTINO MD TRUSTEE/PHYSICIAN/DEPARTMENT CHAIR 1.00 40.00 X 0 851691 21468 RICHARD W NESTO MD TRUSTEE/CMO LAHEY HEALTH/PHYSICIAN 1.00 40.00 X 0 840979 93878 ROGER L JENKINS MD TRUSTEE/PHYSICIAN 1.00 40.00 X 0 626415 31483 RICHARD S D'AGOSTINO MD TRUSTEE/PHYSICIAN/DEPARTMENT CHAIR 1.00 40.00 X 0 639523 30662 ANDREW G VILLANUEVA MD TRUSTEE/CMO LHMC/PHYSICIAN 1.00 40.00 X 0 408781 11190 BETSEY CRAWFORD MD TRUSTEE/PHYSICIAN 1.00 40.00 X 0 221260 1181 ARTHUR P MOURTZINOS MD TRUSTEE/PHYSICIAN 1.00 40.00 X 0 522864 26873 REBECCA C YANG MD TRUSTEE/PHYSICIAN 1.00 40.00 X 0 383299 32166 ERIC M BAILEY TRUSTEE 1.00 X 0 0 0 CRAIG R BENSON TRUSTEE 1.00 X 0 0 0 ANN MARIE CONNOLLY TRUSTEE/CHAIR OF BOARD 2.00 X 0 0 0 JAMES D IRVING TRUSTEE 1.00 X 0 0 0 J WILLIAM PODUSKA TRUSTEE 1.00 X 0 0 0 WINDLE B PRIEM TRUSTEE 1.00 X 0 0 0 STUART REESE TRUSTEE 1.00 X 0 0 0 CAROLYN AIN TRUSTEE 1.00 X 0 0 0 JANE C EDMUNDS TRUSTEE 1.00 X 0 0 0 DEBORAH MCKENNA TRUSTEE 1.00 X 0 0 0 DAVID WAJSGRAS TRUSTEE 1.00 X 0 0 0 EDWARD ESKANDARIAN TRUSTEE 1.00 X 0 0 0 TIMOTHY O'CONNOR OFFICER/EVP CFO & TREASURER 1.00 50.00 X 0 746676 148875 DAVID G SPACKMAN OFFICER/SVP GOV AFFAIRS & GEN COUNSEL 1.00 50.00 X 0 450576 51385 MARYELLEN LEAR OFFICER/LEGAL SUPPORT SERV. 1.00 40.00 X 0 99883 1785 PETER LLOYD OFFICER/VP CORPORATE FINANCE 1.00 40.00 X 0 357687 21482 JOANNE M CONROY OFFICER/EVP LHS & CEO LHMC 1.00 40.00 X 0 372804 39938 ELIZABETH P CONRAD SVP, CHIEF HR OFFICER 1.00 40.00 X 0 374172 55551 ROBERT J SCHNEIDER SVP OPERATIONS IMPROVEMENT 40.00 X 421510 0 21428 RICHARD R BIAS COO LHMC 40.00 X 435497 0 49737 BRUCE A METZ SVP CHIEF INFO OFFICER 40.00 1.00 X 284075 127628 31863 RICHARD J GUARINO VP HOSPITAL BASED CLIN DEPT 40.00 X 289864 0 28474 NICOLE DEVITA SVP OPERATIONS 40.00 X 56878 322314 8676 DONALD F SNELL EVP & COO 40.00 1.00 X 687627 171906 25090 JEFFREY P DORAN VP FACILITIES ADMINISTRATION 40.00 X 456251 0 18508 DENIS W GALLAGHER COO DIVISION OF PRIMARY CARE 40.00 X 327149 0 49439 STEPHEN L DEMERS VP SURGICAL SERVICES 40.00 X 299680 0 27111 LISA M COLOMBO SVP CHIEF NURSING OFFICER 40.00 X 340631 17929 39955 3599162 9548912 1146899 643 0 1 0 ANTHONY VANARIA AND SONS 45 FELTON STREET WALTHAM MA 02453 MAINTENANCE SERVICES 1062875 TRANSCANADA POWER MARKETING LTD 110 TURNPIKE ROAD WESTBORO MA 01581 UTILITY SERVICES 1029050 TAKE CARE EMPLOYEE SOLUTIONS PO BOX 402142 ATLANTA GA 30384 PERSONNEL SERVICES 766772 FMN SERVICES INC 323 ANDOVER STREET SUITE 7 WILMINGTON MA 01887 ENVIRONMENTAL SERVICES 571520 BENEFIT STRATEGIES LLC PO BOX 1660 MANCHESTER NH 03105 CONSULTING SERVICES 553612 13 NET PATIENT SERVICE REVENUE 624100 816631009 816631009 OTHER PATIENT REVENUES 624100 12047892 12047892 LABORATORY REVENUE 624100 284262 284262 828963163 769469 769469 405973 0 405973 405973 405973 2822640 2821310 1330 1330 1330 CAFETERIA REVENUES 722210 3997916 3997916 PARKING GARAGE REVENUES 812930 3435129 3435129 GIFT SHOP REVENUE 453220 74014 74014 7507059 837646994 828678901 358276 8609817 4410000 4410000 279218365 266578982 12639383 35915151 33776601 2138550 38677327 36535177 2142150 19416588 18260437 1156151 91465 68855 22610 26250 19761 6489 25472825 19176100 6296725 136025 14163 121862 6079711 4824339 1255372 956122 250624 705498 14617819 12655642 1962177 786597 426361 360236 8122200 8122200 47110161 30958196 16151965 98431724 25183005 73248719 MEDICAL SUPPLIES 167360459 167083920 276539 GENERAL SUPPLIES 52314145 44662097 7652048 MASS HEALTH SAFETY NET 7082023 7082023 806224957 675678483 130546474 0 171687308 105071404 91482034 80610207 12928561 14341202 5285753 4067246 55687369 46038858 402153441 491711785 739224466 741840702 281116103 354958564 11164552 9389868 288681568 236236229 580962223 600584661 X 158262243 141256041 158262243 141256041 739224466 741840702 X 31422037 -2840871 -45587368 X 0 1 X 1 0 X 0 1 0 1 750 0 0 1 876265 1 29480 0 906495 0 PART II-B, LINE 1: LAHEY CLINIC HOSPITAL, 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. LAHEY CLINIC HOSPITAL, INC. ALSO PAID MEMBER DUES TO THE AMERICAN HOSPITAL ASSOCIATION, TO THE MASSACHUSETTS HOSPITAL ASSOCIATION AND TO SOME OTHER SMALLER ORGANIZATIONS, OF WHICH A PERCENTAGE OF THE DUES WAS ATTRIBUTED TO LOBBYING EFFORTS. 0 INTERCOMPANY RECEIVABLES 479529737 OTHER INVESTMENTS 520261 PROFESSIONAL INSURANCE RECEIVABLE 7254054 INVESTMENT-NEPC LLC 7100 INVESTMENT-SHEILDS MRI 4400633 491711785 ESTIMATE DUE TO THIRD PARTY INSURANCE 29222076 INTER-COMPANY PAYABLES 199760099 PROFESSIONAL LIABILITY RESERVES 7254054 236236229 X 789218754 -2840872 -45587368 -48428240 837646994 0 837646994 806224957 0 806224957 0 806224957 PART X, LINE 2: THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. PART XI, LINE 2D - OTHER ADJUSTMENTS: ADJUSTMENT OF PENSION PLAN LIABILITY -45,587,368. 1 1 X 1 X 1 X 1 1 1 0 1 1 1463861 1463861 0.00180 51212716 46962348 4250368 0.00530 17792279 14445244 3347035 0.00420 70468856 61407592 9061264 0.01130 36110248 8086701 28023547 0.03480 36110248 8086701 28023547 0.03480 106579104 69494293 37084811 0.04610 1 17053933 2081407 221880247 292850844 -70970597 X 1 1 1 NONE 1 1 LAHEY CLINIC HOSPITAL INC 41 MALL ROAD BURLINGTON MA 01805 X X X X X MEDICAL RESEARCH CONDUCTED UNDER THE LAHEY CLINIC, INC. LAHEY CLINIC HOSPITAL INC 1 0 0 1 X X X X X X X X X 13 1 1 0 1 X WWW.LAHEY.ORG X X 1 13 1 HTTP://WWW.LAHEY.ORG 0 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 1 X WWW.LAHEY.ORG X 1 0 1 X 0 0 PART V, SECTION A: LAHEY CLINIC HOSPITAL, INC.'S MAIN CAMPUS IS LOCATED IN BURLINGTON, MASSACHUSETTS. THE MAIN CAMPUS INCLUDES 330 BEDS, 23 OPERATING ROOMS AND A 24-HOUR EMERGENCY ROOM. LAHEY CLINIC HOSPITAL, INC. ALSO HAS THREE OTHER OFFSITE LOCATIONS, OPERATING UNDER THE HOSPITAL LICENSE OF THE MAIN CAMPUS IN BURLINGTON. THE LARGEST OFFSITE LOCATION, LAHEY CLINIC NORTH SHORE, IS LOCATED IN PEABODY, MASSACHUSETTS. LAHEY CLINIC NORTH SHORE INCLUDES 10 BEDS, 5 OPERATING ROOMS AND OPERATES THE CITY OF PEABODY'S ONLY 24-HOUR EMERGENCY ROOM. LAHEY CLINIC HOSPITAL, INC. PART V, SECTION B, LINE 3J: IDENTIFIED AND EVALUATED SOCIAL DETERMINANTS OF HEALTH. LAHEY CLINIC HOSPITAL, INC. PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT TEAM CONDUCTED A SERIES OF INTERVIEWS WITH LHMC STAFF AND A REPRESENTATIVE SET OF THE LEADING COMMUNITY HEALTH STAKEHOLDERS. THESE INTERVIEWS ALLOWED THE PROJECT TEAM TO ENGAGE THE COMMUNITY AND CAPTURE QUALITATIVE DATA RELATED TO COMMUNITY HEALTH NEEDS, COMMUNITY PRIORITIES, DETERMINANTS OF HEALTH, SERVICE GAPS, BARRIERS TO CARE, AND THE POPULATION GROUPS MOST AT-RISK. THESE INTERVIEWS WERE ALSO CRITICAL TO THE DEVELOPMENT OF LHMC'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AS THEY PROVIDED IMPORTANT INFORMATION RELATED TO LHMC'S STRATEGIC RESPONSE AND EXPLORED POSSIBLE PARTNERSHIPS. LAHEY CLINIC HOSPITAL, INC. PART V, SECTION B, LINE 6A: LAHEY CLINIC & MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805LAHEY MEDICAL CENTER, ONE ESSEX CENTER DRIVE, PEABODY, MA 01960 LAHEY CLINIC HOSPITAL, INC. PART V, SECTION B, LINE 7D: PROVIDED BOTH PRINT AND ELECTRONIC FILES TO EACH MUNICIPALITY IN THE PRIMARY SERVICE AREA; SPECIFICALLY THE MANAGER OR MAYOR AS WELL AS THE PUBLIC HEALTH DIRECTOR. IN ADDITION, A COMPREHENSIVE COMMUNITY OVERVIEW WAS GIVEN TO BURLINGTON, BILLERICA AND PEABODY. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY LAHEY CLINIC HOSPITAL, INC. PART V, SECTION B, LINE 16A WEBSITE: WWW.LAHEY.ORG PART I, LINE 7: THE AMOUNTS LISTED ON SCHEDULE H, PART I, LINE 7, ITEMS A, B, C, AND G WERE DETERMINED BY USING THE COST TO CHARGE RATIO CALCULATION INCLUDED IN THE IRS FORM 990 INSTRUCTIONS REFERENCING SCHEDULE H, PART I, LINE 7, IRS WORKSHEET #2. PART III, LINE 4: IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS UPDATE 2011-7 (ASU 2011-7), HEALTH CARE ENTITIES: PRESENTATION AND DISCLOSURE OF NET REVENUE, PROVISION FOR BAD DEBTS AND ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS, LAHEY CLINIC HOSPITAL REPORTS BAD DEBTS RELATING TO PATIENT SERVICE REVENUE SEPARATELY IN THE STATEMENT OF OPERATIONS AS A COMPONENT OF NET PATIENT SERVICE REVENUE. BAD DEBTS ASSOCIATED WITH ACTIVITIES OTHER THAN PATIENT SERVICE REVENUE WILL CONTINUE TO BE REPORTED AS OPERATING EXPENSE. PART III, LINE 8: THE MEDICARE SHORTFALL OF ($70,970,597) REPORTED IN PART III, LINE 7 WAS CALCULATED BASED ON THE COST TO CHARGE RATIO PER LAHEY CLINIC HOSPITAL, INC'S MEDICARE 2552 COST REPORT FOR YEAR ENDING 09/30/2015. THE ENTIRE AMOUNT SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE THE RATES PAID BY MEDICARE DO NOT ACCURATELY REFLECT THE COST OF CARE PROVIDED BY THE HOSPITAL. ACCORDINGLY, THE HOSPITAL MUST SUBSIDIZE THE COST OF CARE PROVIDED TO MEDICARE BENEFICIARIES WITH OTHER REVENUES. PART III, LINE 9B: LAHEY CLINIC HOSPITAL, INC. MAKES THE SAME REASONABLE EFFORT AND FOLLOWS THE SAME REASONABLE PROCESS FOR COLLECTING ON BILLS OWED BY AN UNINSURED PATIENT AS IT DOES FOR ALL OTHER PATIENTS. LAHEY CLINIC HOSPITAL, INC., WHEN REQUESTED BY A PATIENT AND BASED ON AN INTERNAL REVIEW OF EACH PATIENT'S FINANCIAL STATUS, MAY OFFER A PATIENT AN ADDITIONAL DISCOUNT ON AN UNPAID HOSPITAL BILL. ANY SUCH REVIEW SHALL BE PART OF A SEPARATE HOSPITAL FINANCIAL ASSISTANCE PROGRAM THAT IS APPLIED ON A UNIFORM BASIS TO ALL PATIENTS, AND WHICH TAKES INTO CONSIDERATION THE PATIENT'S DOCUMENTED FINANCIAL SITUATION AND THE PATIENT'S INABILITY TO MAKE A PAYMENT AFTER REASONABLE COLLECTION ACTIONS. ANY DISCOUNT THAT IS PROVIDED BY THE HOSPITAL IS CONSISTENT WITH FEDERAL AND STATE REQUIREMENTS, AND DOES NOT INFLUENCE A PATIENT TO RECEIVE SERVICES FROM THE HOSPITAL. BEFORE ANY DEBT COLLECTION EFFORTS BEGIN, LAHEY CLINIC HOSPITAL, INC. WILL FIRST SHOW THAT IT HAS A CURRENT UNPAID BALANCE THAT IS RELATED TO SERVICES PROVIDED TO A PATIENT AND THOSE SERVICES ARE NOT COVERED BY A PRIVATE INSURER, A GOVERNMENT PROGRAM SUCH AS MEDICARE, MEDICAID/MASSHEALTH, THE HEALTH SAFETY NET, TRICARE/VETERANS ADMINISTRATION PROGRAMS OR BY LAHEY CLINIC HOSPITAL, INC'S FINANCIAL ASSISTANCE PROGRAM.LAHEY CLINIC HOSPITAL, INC. FOLLOWS AND DOCUMENTS REASONABLE COLLECTION/BILLING PROCEDURES FOR UNPAID BALANCES, WHICH INCLUDE:(1) AN INITIAL BILL SENT TO THE PATIENT OR THE PARTY RESPONSIBLE FOR THE PATIENT'S PERSONAL FINANCIAL OBLIGATIONS. THE INITIAL BILL WILL INCLUDE INFORMATION ABOUT THE AVAILABILITY OF A FINANCIAL ASSISTANCE PROGRAM THAT MAY COVER THE COST OF THE HOSPITAL'S BILL;(2) SUBSEQUENT BILLINGS, TELEPHONE CALLS, COLLECTION LETTERS, PERSONAL CONTACT NOTICES, COMPUTER NOTIFICATIONS, OR ANY OTHER NOTIFICATION METHOD THAT CONSTITUTES A GENUINE EFFORT TO CONTACT THE PARTY RESPONSIBLE FOR THE OBLIGATION AND INFORMS THE PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE;(3) IF POSSIBLE, DOCUMENTATION OF ALTERNATIVE EFFORTS TO LOCATE THE PARTY RESPONSIBLE FOR THE OBLIGATION OR THE CORRECT ADDRESS ON BILLINGS RETURNED BY THE POSTAL SERVICE SUCH AS "INCORRECT ADDRESS OR "UNDELIVERABLE;"(4) SENDING A FINAL NOTICE BY CERTIFIED MAIL FOR UNINSURED PATIENTS (THOSE WHO ARE NOT ENROLLED IN A PUBLIC PROGRAM SUCH AS THE HEALTH SAFETY NET OR MEDICAID/MASSHEALTH) WHO INCUR A BALANCE OF $1,000 AND GREATER, INCLUDING AN EMERGENCY BAD DEBT BALANCE OF $1,000 OR GREATER ON EMERGENCY LEVEL SERVICES, WHERE NOTICES HAVE NOT BEEN RETURNED AS "INCORRECT ADDRESS OR "UNDELIVERABLE AND ALSO NOTIFYING THE PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE COMMUNICATION;(5) DOCUMENTATION OF CONTINUOUS BILLING OR COLLECTION ACTION UNDERTAKEN ON A REGULAR, FREQUENT BASIS IS MAINTAINED. SUCH DOCUMENTATION IS MAINTAINED UNTIL AUDIT REVIEW BY A FEDERAL AND/OR STATE AGENCY OF THE FISCAL YEAR COST REPORT IN WHICH THE BILL OR ACCOUNT IS REPORTED. THE FEDERAL MEDICARE PROGRAM AND THE STATE DIVISION OF HEALTH CARE FINANCE AND POLICY FOR PURPOSES OF THE HEALTH SAFETY NET PROGRAM, DEEMS 120 DAYS AS APPROPRIATE FOR CONTINUOUS BILLING OR COLLECTION ACTIONS; AND (6) CHECKING THE MASSACHUSETTS ELIGIBILITY VERIFICATION SYSTEM (EVS) TO ENSURE THAT THE PATIENT IS NOT A LOW INCOME PATIENT AS DETERMINED BY THE OFFICE OF MEDICAID AND HAS NOT SUBMITTED AN APPLICATION TO THE VIRTUAL GATEWAY SYSTEM FOR COVERAGE OF THE SERVICES UNDER A PUBLIC PROGRAM, PRIOR TO SUBMITTING CLAIMS TO THE HEALTH SAFETY NET OFFICE FOR EMERGENCY BAD DEBT COVERAGE OF AN EMERGENCY LEVEL OR URGENT CARE SERVICE. LAHEY CLINIC HOSPITAL, INC. CONTRACTS WITH OUTSIDE COLLECTION AGENCIES TO ASSIST IN THE COLLECTION OF CERTAIN ACCOUNTS, INCLUDING PATIENT RESPONSIBLE AMOUNTS NOT RESOLVED AFTER ISSUANCE OF HOSPITAL BILLS AND/OR FINAL NOTICES.LAHEY CLINIC HOSPITAL, INC. DOES NOT REPORT A PATIENT HOSPITAL DEBT TO A CREDIT REPORTING AGENCY AND HAS NOT REPORTED ANY SUCH DEBTS TO ANY CREDIT REPORTING AGENCY DURING THE TAX YEAR. X X X X X 0 1 0 0 0 0 0 1 0 HOWARD R GRANT JD MD TRUSTEE/OFFICER/PRESIDENT & CEO 0 1587025 0 385000 0 40500 0 248405 0 30296 0 2291226 0 0 JOHN A LIBERTINO MD TRUSTEE/PHYSICIAN/DEPARTMENT CHAIR 0 702976 0 120715 0 28000 0 0 0 21468 0 873159 0 0 RICHARD W NESTO MD TRUSTEE/CMO LAHEY HEALTH/PHYSICIAN 0 680128 0 132851 0 28000 0 67500 0 26378 0 934857 0 0 ROGER L JENKINS MD TRUSTEE/PHYSICIAN 0 533213 0 50202 0 43000 0 0 0 31483 0 657898 0 0 RICHARD S D'AGOSTINO MD TRUSTEE/PHYSICIAN/DEPARTMENT CHAIR 0 495809 0 93214 0 50500 0 0 0 30662 0 670185 0 0 ANDREW G VILLANUEVA MD TRUSTEE/CMO LHMC/PHYSICIAN 0 312087 0 56194 0 40500 0 0 0 11190 0 419971 0 0 BETSEY CRAWFORD MD TRUSTEE/PHYSICIAN 0 173006 0 25254 0 23000 0 0 0 1181 0 222441 0 0 ARTHUR P MOURTZINOS MD TRUSTEE/PHYSICIAN 0 456204 0 39160 0 27500 0 0 0 26873 0 549737 0 0 REBECCA C YANG MD TRUSTEE/PHYSICIAN 0 326602 0 39197 0 17500 0 0 0 32166 0 415465 0 0 TIMOTHY O'CONNOR OFFICER/EVP CFO & TREASURER 0 590556 0 123120 0 33000 0 121600 0 27275 0 895551 0 0 DAVID G SPACKMAN OFFICER/SVP GOV AFFAIRS & GEN COUNSE 0 368475 0 64020 0 18081 0 28405 0 22980 0 501961 0 0 PETER LLOYD OFFICER/VP CORPORATE FINANCE 0 277336 0 47351 0 33000 0 0 0 21482 0 379169 0 0 JOANNE M CONROY OFFICER/EVP LHS & CEO LHMC 0 360292 0 0 0 12512 0 28405 0 11533 0 412742 0 0 ELIZABETH P CONRAD SVP, CHIEF HR OFFICER 0 321321 0 30017 0 22834 0 28405 0 27146 0 429723 0 0 ROBERT J SCHNEIDER SVP OPERATIONS IMPROVEMENT 306475 0 58035 0 57000 0 0 0 21428 0 442938 0 0 0 RICHARD R BIAS COO LHMC 329017 0 61755 0 44725 0 28538 0 21199 0 485234 0 0 0 BRUCE A METZ SVP CHIEF INFO OFFICER 217988 97937 38142 17136 27945 12555 19599 8806 2386 1072 306060 137506 0 0 RICHARD J GUARINO VP HOSPITAL BASED CLIN DEPT 234888 0 31976 0 23000 0 0 0 28474 0 318338 0 0 0 NICOLE DEVITA SVP OPERATIONS 49266 279176 3611 20464 4001 22674 592 3357 709 4018 58179 329689 0 0 DONALD F SNELL EVP & COO 71878 17969 108985 27246 506764 126691 17173 4293 2899 725 707699 176924 0 0 JEFFREY P DORAN VP FACILITIES ADMINISTRATION 303339 0 56580 0 96332 0 0 0 18508 0 474759 0 0 0 DENIS W GALLAGHER COO DIVISION OF PRIMARY CARE 304149 0 0 0 23000 0 25090 0 24349 0 376588 0 0 0 STEPHEN L DEMERS VP SURGICAL SERVICES 242812 0 39368 0 17500 0 0 0 27111 0 326791 0 0 0 LISA M COLOMBO SVP CHIEF NURSING OFFICER 308877 16257 17927 944 13827 728 20686 1089 17271 909 378588 19927 0 0 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 INDVIDUALS PARTICIPATED IN THE 457F NON-QUALIFIED DEFERRED COMPENSATION PLAN. HOWARD R. GRANT, JD, MD $220,000 TIMOTHY O'CONNOR $121,600 RICHARD W. NESTO $67,500 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 AN APPROPRIATE AMOUNT OF SUCH BONUSES. FORM 990, PART IV, LINE 4 LAHEY HEALTH SYSTEM, INC. IS IN CONTACT WITH FEDERAL AND STATE LEGISLATORS REGARDING HEALTH CARE REFORM ISSUES THAT WOULD POTENTIALLY HAVE AN IMPACT ON THE ORGANIZATION AND ITS RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 THE LAHEY HOSPITAL AND MEDICAL CENTER CONSISTS OF THREE NON-PROFIT CORPORATIONS, LAHEY HOSPITAL, INC. (EIN #04-2704686), LAHEY CLINIC, INC. (EIN #04-2704683), LAHEY CLINIC FOUNDATION, INC. (EIN #04-2323457) ALL THREE OF THE CORPORATIONS ARE TAX EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C) (3). LAHEY CLINIC FOUNDATION, INC. IS THE SOLE CORPORATE MEMBER OF EACH OF THE OTHER TWO CORPORATIONS, THE BOARD OF TRUSTEES (GOVERNING BODY) AND CORPORATE OFFICERS OF THE THREE CORPORATIONS CONSIST OF THE EXACT SAME MEMBERS. EFFECTIVE MAY 1, 2012, LAHEY CLINIC FOUNDATION, INC. AND NORTEAST HEALTH SYSTEM, INC. COMPLETED AN AFFILIATION WITH EACH OTHER 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. ENTER INTO AN AFFILIATION. THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION IS LAHEY HEALTH SYSTEM, INC. THE REPORTING ORGANIZATION'S MEMBER HAS, WITH RESPECT TO THE REPORTING ORGANIZATION, THE RIGHT TO EXERCISE ALL POWERS CONFERRED ON MEMBERS OF 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 THE BOARD OF TRUSTEES; (B) AMENDMENT OF THE ARTICLES OF ORGANIZATION; (C) AMENDMENT OF THE BY-LAWS; (D) THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; AND (E) THE MERGER OR CONSOLIDATION OF THE CORPORATION 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 A, LINE 7A PLEASE SEE PREVIOUS DISCLOSURE FOR FORM 990, PART VI, SECTION A, LINE 6. FORM 990, PART VI, SECTION A, LINE 7B PLEASE SEE PREVIOUS DISCLOSURE FOR FORM 990, PART VI, SECTION A, LINE 6 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 POLICY. THE CORPORATE COMPLIANCE DEPARTMENT MONITORS 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 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 EXTERNAL COMPENSATION CONSULTANTS, COMPARABILITY DATA IS PROVIDED, ANALYZED, AND DOCUMENTED BY THE EXTERNAL CONSULTANTS. THE LAHEY SENIOR VP, CHIEF HR 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 CLINIC HOSPITAL, 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 XI, LINE 9: PENSION PLAN CHANGES -45,587,368. PART VI, SECTION 6, LINE 14 LAHEY HEALTH SYSTEM INC. AND AFFILIATES HAS 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. PART VI, SECTION B, 16B THE ORGANIZATION NEGOTIATES ARRGANEMENTS TO INCLUDE TERMS AND SAFEGUARDS TO ENSURE THAT THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED. FROM A LEGAL PERSPECTIVE, IN-HOUSE LEGAL COUNSEL, WITH THE INPUT OF EXTERNAL LEGAL COUNSEL, REVIEWS ALL PROPOSED JOINT VENTURE AND PARTNERSHIP AGREEMENTS. FROM A FINANCIAL PERSPECTIVE, FINANCE MANAGEMENT TEAM REVIEWS ALL PROPOSED JOINT VENTURE AND PARTNERSHIP AGREEMENTS. BOTH REVIEWS TAKE PLACE BEFORE LAHEY HEALTH SYSTEM, INC. AND AFFILIATES ENTERS INTO ANY SUCH AGREEMENTS. FORM 990, PARTS VII, PART IX AND SCHEDULE J COMPENSATION, BENEFIT AND PENSION EXPENSES FOR OFFICERS, TRUSTEES AND KEY EMPLOYEES OF LAHEY CLINIC FOUNDATION, INC. ARE PAID BY LAHEY CLINIC FOUNDATION, INC. AS THE PARENT COMPANY OF LAHEY CLINIC HOSPITAL, INC., AND LAHEY CLINIC, INC., LAHEY CLINIC FOUNDATION, INC. ALLOCATES ALL OF THE AFOREMENTIONED EXPENSES TO RELATED ORGANIZATIONS. THE RELATED PARTIES THEN REIMBURSE LAHEY CLINIC FOUNDATION, INC. LAHEY HEALTH SYSTEM INC 41 MALL ROAD BURLINGTON MA 01805 611665701 SUPPORT MA 501(C)(3) 11C 0 LAHEY CLINIC FOUNDATION INC 41 MALL ROAD BURLINGTON MA 01805 042323457 SUPPORT MA 501(C) (3) 7 LHS 0 LAHEY CLINIC INC 41 MALL ROAD BURLINGTON MA 01805 042704683 HEALTHCARE MA 501(C)(3) 9 LCF 0 LAHEY HEALTH SHARED SERVICES INC 41 MALL ROAD BURLINGTON MA 01805 043178972 ADMINISTRATIVE SUPPORT TO LHS AND AFFILIATES MA 501(C)(3) 9 LHS 0 LAHEY PHYSICIAN COMMUNITY ORGANIZATION 1 INC 41 MALL ROAD BURLINGTON MA 01805 472248298 HEALTHCARE MA 501(C) (3) 11A LHS 0 WINCHESTER HEALTHCARE MANAGEMENT INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701817 MANAGEMENT SERVICES MA 501(C) (3) 11A LHS 0 WINCHESTER HOSPITAL FOUNDATION INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 043399570 SUPPORT MA 501(C) (3) 11C WHM 0 WINCHESTER HOSPITAL 41 HIGHLAND AVENUE WINCHESTER MA 01890 042104434 HEALTHCARE MA 501(C) (3) 3 WHM 0 WINCHESTER COMMUNITY ACCOUNTABLE CARE ORGANIZATION INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 223137856 SURGERY CENTER MA 501(C) (3) 11A WHM 0 WINCHESTER HEALTHCARE INVESTMENTS INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701819 SUPPORT MA 501(C)(3) 11C WHM 0 VISITING NURSE ASSOCIATION OF MIDDLESEX-EAST INC 607 NORTH AVENUE WAKEFIELD MA 01880 046151873 HEALTHCARE MA 501(C)(3) 11A LHS 0 COMMUNITY CARE INC 607 NORTH AVENUE WAKEFIELD MA 01880 900396973 HEALTHCARE MA 501(C)(3) 11A LHS 0 NORTHEAST HOSPITAL CORPORATION 85 HERRICK ST BEVERLY MA 01915 042121317 HEALTHCARE MA 501(C)(3) 3 LHS 0 NORTHEAST MEDICAL PRACTICE 85 HERRICK ST BEVERLY MA 01915 043201853 HEALTHCARE MA 501(C)(3) 9 NHC CORP 0 NORTHEAST BEHAVIORAL HEALTH CORPORATION 199 ROSEWOOD DRIVE SUITE 250 DANVERS MA 01923 042777145 BEHAVIORAL HEALTHCARE MA 501(C)(3) 7 LHS 0 HES HOUSING SERVICES INC 199 ROSEWOOD DRIVE SUITE 250 DANVERS MA 01923 223232914 HUD HOUSING MA 501(C)(3) 9 NBH CORP 0 CAB HEALTH & RECOVERY SERVICES INC 199 ROSEWOOD DRIVE SUITE 250 DANVERS MA 01923 042400270 SUBSTANCE ABUSE MA 501(C)(3) 9 NBH CORP 0 NORTHEAST SENIOR HEALTH CORPORATION 85 HERRICK ST BEVERLY MA 01915 042731137 HEALTHCARE MA 501(C) (3) 9 LHS 0 NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC 800 CUMMINGS CENTER BEVERLY MA 01915 201287349 HEALTHCARE MA 501(C) (3) 9 NSH CORP 0 SEACOAST NURSING & REHABILITATION CENTER INC 300 WASHINGTON STREET GLOUCESTER MA 01930 041305001 HEALTHCARE MA 501(C) (3) 9 LHS 0 ADDISON GILBERT SOCIETY INC 41 MALL ROAD BURLINGTON MA 01805 464371382 SUPPORT MA 501(C) (3) 11A LHS 0 NORTHEAST HEALTH SYSTEM INC 85 HERRICK ST BEVERLY MA 01915 043240453 SUPPORT MA 501(C) (3) 11C LHS 0 LAHEY CLINIC INSURANCE CO LTD PO BOX HM 2450 HAMILTON BERMUDA BD INSURANCE BD LHS INC C 0 WINCHESTER HEALTHCARE ENTERPRISES INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 042932059 HEALTHCARE VENTURES MA WHM INC C 0 WINCHESTER PHYSICIAN ASSOCIATES INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 043262963 PHYSICIAN PRACTICE MA WHM INC C 0 NORTHEAST PROPRIETARY CORPORATION 85 HERRICK STREET BEVERLY MA 01915 042855191 MEDICAL SERVICES MA NHS INC C 0 PERPETUAL TRUSTS (9) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE VII T 0 REMAINDER TRUSTS (19) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE VII T 0 POOLED INCOME FUNDS (3) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE VII T 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 FORM 990, SCHEDULE R, PART IV LAHEY CLINIC FOUNDATION, INC., NORTHEAST HOSPITAL CORPORATION AND WINCHESTER HOSPITAL, RESPECTIVELY, HAVE FOUR, FOUR AND ONE PERPETUAL TRUSTS. THE PERPETUAL TRUSTS ARE DOMICILED IN 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, EXCEPT "WINCHESTER" AS LISTED IN IRS FORM 990, SCHEDULE R, PART II. THE WINCHESTER HOSPITAL FOUNDATION, INC. PHILANTHROPY DEPARTMENT CONDUCTS FUNDRAISING AND SOLICITATION EFFORTS ON BEHALF OF ALL ENTITIES WITHIN "WINCHESTER", ALSO LISTED IN IRS FORM 990, SCHEDULE R, PART II. 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.