2016-08-15T06:43:47-05:00 2015-09-30 135381590 BDO USA LLP 200 PORTLAND STREET BOSTON MA 02114 990 2014-10-01 043178972 LAHEY HEALTH SHARED SERVICES INC LAHE 7817445100 41 MALL ROAD BURLINGTON MA 018050001 HOWARD R GRANT JD MD PRESIDENT/CEO 7817445100 2016-08-09 1 JEFFREY T ROGERS P00744592 6177427788 2014 2016-09-27 15:27:22Z HOWARD R GRANT JD MD 41 MALL ROAD BURLINGTON MA 018050001 171180323 0 X WWW.LAHEY.ORG X 1992 MA SEE SCHEDULE O 3 0 981 0 0 0 0 0 0 0 -15347 -417792 10811282 171598115 10795935 171180323 0 0 0 0 6961938 81591049 0 0 9214968 3833997 99199867 10795935 180790916 0 -9610593 57070102 71102112 57070102 80712705 0 -9610593 X SEE SCHEDULE O 0 0 0 0 LAHEY HEALTH SHARED SERVICES, INC. IS A CHARITABLE ORGANIZATION THAT PROVIDES ASSISTANCE TO ALL LAHEY HEALTH SYSTEM ENTITIES IN THE SUPPORT OF THEIR MISSIONS TO PROVIDE PATIENT CARE SERVICES, PATIENT EDUCATION, COMMUNITY BENEFITS, AND COMMUNITY SERVICE PROGRAMS, CONTINUING EDUCATION OF HEALTHCARE PROVIDERS, AS WELL AS RESEARCH ACTIVITIES AND PHILANTHROPIC EFFORTS. 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 845 0 1 981 1 0 0 0 0 0 0 0 0 0 0 X 3 0 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 TIMOTHY O'CONNOR TRUSTEE/OFFICER/EVP CFO & TREASURER 1.00 50.00 X X 0 746676 148875 DAVID G SPACKMAN TRUSTEE/OFFICER/SVP GOV AFFAIRS & GEN COUNSEL 1.00 50.00 X X 0 450576 51385 BRUCE A METZ SVP CHIEF INFO OFFICER 40.00 1.00 X 127628 284075 31863 ELIZABETH P CONRAD SVP CHIEF HR OFFICER 40.00 1.00 X 115994 258179 55551 PETER R LLOYD VP CORPORATE FINANCE 40.00 1.00 X 103729 253958 21482 GREGORY A BAZYLEWICZ MD SVP CHIEF NETWORK DVLP OFFC/PHYSICIAN 40.00 1.00 X 238633 406322 52148 PAULINE M PIKE SVP BUS DEV MKT & COMMUNICATIONS 40.00 1.00 X 127890 298410 10010 DEREK C BELLIN MD SVP INSTITUTIONAL ADV & CMO/PHYSICIAN 40.00 1.00 X 105822 317468 35324 GARY P MARLOW VP FINANCE, NHS 40.00 1.00 X 102119 250016 21793 921815 5278205 707132 311 0 1 0 DELOITTE CONSULTING LLP PO BOX 7247-6447 PHILADELPHIA PA 19170 CONSULTING 10762633 EPIC SYSTEMS CORPORATION PO BOX 88314 MILWAUKEE WI 53288 CONSULTING 5471975 NORDIC CONSULTING PARTNERS INC 551 W MAIN STREET MADISON WI 53703 CONSULTING 2243417 AMERICAN PERSONNEL HEALTHCARE SERVICES 133 FEDERAL STREET 4TH FLOOR BOSTON MA 02110 PERSONNEL SERVICES 2174626 TEKSYSTEMS INC PO BOX 198568 ATLANTA GA 30384 CONSULTING 1944428 65 -417792 -417792 SERVICES TO AFFILIATES 900099 171079451 171079451 OTHER OPERATING REVENUE 900099 481651 481651 OTHER REVENUE 900099 37013 37013 171598115 171180323 171598115 0 -417792 X 995940 995940 64694894 60027694 4667200 11141111 10343665 797446 4759104 4420614 338490 3601222 3580707 20515 1042746 1042746 45589129 44141255 1447874 4122340 4122340 5848972 5124303 724669 16332943 16332943 3290266 2789208 501058 7618871 7424710 194161 288 288 548156 548156 1659898 1659785 113 SUPPLIES AND SERVICES 9407220 8883778 523442 MEDICAL SUPPLIES 137816 137816 180790916 0 171575948 9214968 -3347125 -443037 226576 3675681 60417227 67642892 57070102 71102112 57008680 77687458 61422 3025247 57070102 80712705 X -9610593 0 -9610593 57070102 71102112 -9610593 0 X 0 1 X 1 0 X 1742364 2008159 1155826 10811282 171598115 187315746 1742364 2008159 1155826 10811282 171598115 187315746 0 0 0 187315746 1742364 2008159 1155826 10811282 171598115 187315746 1.00000 1.00000 0.00000 X 0 INTERCOMPANY RECEIVABLES 66895118 INVESTMENTS, OTHER 601577 OTHER RECEIVABLES 146197 67642892 INTERCOMPANY PAYABLES 3019491 ESTIMATED THIRD-PARTY SETTLEMENTS, NET -2084 OTHER NONCURRENT LIABILITIES 7840 3025247 X X X X X X X 1 TARGET MARKETEAM 600 NORTHPARK TOWN COURT ATLANTA GA 30328 DIRECT MAILING 0 1293632 959715 333917 FREEDMAN HEALTHCARE 29 CRAFTS STREET NEWTON MA 02458 DIRECT MAILING 0 80000 20200 59200 CYNTHIA MACKENZIE 9 ESQUIRE CIRCLE NASHUA NH 03062 DIRECT MAILING 0 16811 19047 -2236 PRODUCTION SOLUTIONS 1953 GALLOWS ROAD VIENNA VA 22182 DIRECT MAILING 0 14528 16429 -1901 INFOCISION MANAGEMENT 325 SPRINGSIDE DRIVE AKRON OH 44333 DIRECT MAILING 0 685 332 353 PLANNED GIVING OF NEW ENGLAND 411 WAVERLY OAKS ROAD WALTHAM MA 02452 DIRECT MAILING 0 654 1185 -531 1406310 1016908 388802 AL AK AZ CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI WY 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 TIMOTHY O'CONNOR TRUSTEE/OFFICER/EVP CFO & TREASURER 0 590556 0 123120 0 33000 0 121600 0 27275 0 895551 0 0 DAVID G SPACKMAN TRUSTEE/OFFICER/SVP GOV AFFAIRS & GE 0 368475 0 64020 0 18081 0 28405 0 22980 0 501961 0 0 BRUCE A METZ SVP CHIEF INFO OFFICER 97937 217988 17136 38142 12555 27945 8806 19599 1072 2386 137506 306060 0 0 ELIZABETH P CONRAD SVP CHIEF HR OFFICER 99610 221712 9305 20712 7079 15755 8806 19599 8415 18731 133215 296509 0 0 PETER R LLOYD VP CORPORATE FINANCE 80427 196909 13732 33619 9570 23430 0 0 6230 15252 109959 269210 0 0 GREGORY A BAZYLEWICZ MD SVP CHIEF NETWORK DVLP OFFC/PHYSICIA 190303 324030 25945 44177 22385 38115 11250 19155 8045 13698 257928 439175 0 0 PAULINE M PIKE SVP BUS DEV MKT & COMMUNICATIONS 120990 282310 0 0 6900 16100 0 0 3003 7007 130893 305417 0 0 DEREK C BELLIN MD SVP INSTITUTIONAL ADV & CMO/PHYSICIA 43179 129537 17994 53983 44649 133948 6020 18059 2811 8434 114653 343961 0 0 GARY P MARLOW VP FINANCE, NHS 90709 222082 0 0 11410 27934 0 0 6320 15473 108439 265489 0 0 PART I, LINE 3 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. OUTSIDE LEGAL COUNSEL ADVISES THE COMMITTEE AND RECORDS MINUTES FROM THE COMMITTEE MEETINGS. THE COMMITTEE SEEKS THE ADVICE OF EXTERNAL COMPENSATION CONSULTANTS. COMPARABILITY DATA IS PROVIDED, ANALYZED AND DOCUMENTED BY THE EXTERNAL CONSULTANTS. THE LAHEY EXECUTIVE VICE PRESIDENT OF HUMAN RESOURCE OPERATIONS PROVIDES THE COMMITTEE WITH ANY REQUESTED INFORMATION. THE COMMITTEE MET SEVERAL TIMES THIS YEAR. 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 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 I, LINE 1 AND FORM 990, PART III, LINE 1 LAHEY CLINIC SHARED SERVICES, INC. (LHSS) ADMINISTRATIVELY SUPPORTS LAHEY HEALTH SYSTEM, INC. AND AFFILIATES (LHS OR ORGANIZATION) IN ITS MISSION TO PROVIDE SUPERIOR HEALTHCARE LEADING TO THE BEST POSSIBLE OUTCOMES FOR EVERY PATIENT. AS ONE OF THE WORLD'S PREMIER HEALTH CARE ORGANIZATIONS, LHS AIMS TO EXCEED PATIENT'S HIGH EXPECTATIONS FOR SERVICE, AND ADVANCE MEDICINE THROUGH RESEARCH AND THE EDUCATION OF TOMORROW'S HEALTH CARE LEADERS. IN ADDITION, LHS IS COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF COMMUNITY RESIDENTS BY SUPPORTING ORGANIZATIONS ALIGNED WITH THIS MISSION. ADMINISTRATIVE SUPPORT SERVICES PROVIDED TO LHS BY LHSS INCLUDE, BUT ARE NOT LIMITED, TO THE FOLLOWING; INFORMATION SYSTEMS, HUMAN RESOURCES, PATIENT FINANCIAL SERVICES, PAYROLL, ACCOUNTS PAYABLE, GENERAL ACCOUNTING, BUDGETING, LEGAL, PHILANTHROPY, MARKETING, COMMUNICATIONS, ETC. FORM 990, PART VI, SECTION A, LINE 6 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 (SUBJECT TO CERTAIN TRANSITION RULES IN PLACE THROUGH MAY 1, 2016); (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. 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 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. FORM 990, PART VI, SECTION B, LINE 14 LAHEY HEALTH SYSTEM, INC. HAS 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 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, LHS 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, PART IX, LINE 11G NON-EMPLOYEE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 44,141,255. FUNDRAISING EXPENSES 1,447,874. TOTAL EXPENSES 45,589,129. 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 THE ORGANIZATION DOES 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, SCHEDULE D, PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. FORM 990, PART IV, LINE 4 LHS 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 HEALTH SYSTEM INC 41 MALL ROAD BURLINGTON MA 01805 611665701 SUPPORT MA 501(C)(3) 11C N/A 0 LAHEY CLINIC FOUNDATION INC 41 MALL ROAD BURLINGTON MA 01805 042323457 SUPPORT MA 501(C)(3) 7 LCF 0 LAHEY CLINIC HOSPITAL INC 41 MALL ROAD BURLINGTON MA 01805 042704686 HEALTHCARE MA 501(C)(3) 3 LCF 0 LAHEY CLINIC INC 41 MALL ROAD BURLINGTON MA 01805 042704683 HEALTHCARE MA 501(C)(3) 9 LCF 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 BD INSURANCE BD LHS INC C 0 PERPETUAL TRUSTS (9) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE PART VII T 0 REMAINDER TRUSTS (19) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE PART VII T 0 POOLED INCOME FUNDS (3) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE PART VII T 0 NORTHEAST PROPRIETARY CORPORATION 85 HERRICK STREET BEVERLY MA 01915 042855191 MEDICAL SERVICES MA 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 PRACTICES MA WHM INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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.