2015-08-14T06:42:23-05:00 2014-09-30 042684828 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2013-10-01 041305001 SEACOAST NURSING AND REHABILITATION CENTER INC SEAC 9789223000 300 WASHINGTON ST GLOUCESTER MA 01930 HOWARD R GRANT JD MD PRESIDENT/CEO 7817445100 2015-08-13 1 JEFFREY T ROGERS P01074284 6177427788 2013 2016-03-07 17:11:31Z HOWARD R GRANT JD MD 41 MALL ROAD BURLINGTON MA 01805 13081355 0 X N/A X 1991 MA SEACOAST NURSING AND REHABILITATION CENTER, INC.'S MISSION IS TO PROVIDE COMPASSIONATE QUALITY CARE AND SERVICE EXCELLENCE BY HIGHLY SKILLED INDIVIDUALS USING AN INTERDISCIPLINARY TEAM APPROACH FOR THE CARE, COMFORT, AND SAFETY OF ALL PATIENTS AND RESIDENTS. 4 1 200 0 0 0 0 0 14037531 13065204 13784 16151 0 0 14051315 13081355 0 0 0 0 7886269 7880638 0 0 0 5834787 5748705 13721056 13629343 330259 -547988 10587117 9621094 6632877 6214842 3954240 3406252 TO PROVIDE COMPASSIONATE QUALITY CARE AND SERVICE EXCELLENCE BY HIGHLY SKILLED INDIVIDUALS USING AN INTERDISCIPLINARY TEAM APPROACH FOR THE CARE, COMFORT, AND SAFETY OF ALL PATIENTS AND RESIDENTS. 0 0 7100680 13065204 THE PROVISION OF LONG-TERM RESIDENTIAL NURSING, RECREATIONAL, AND RESTORATIVE SERVICES TO THE RESIDENTS OF THE COMMUNITY IN WHICH THE CENTER OPERATES. 7100680 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 43 0 1 200 1 0 0 0 0 0 0 0 0 0 0 X 4 1 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 9789223000 41 MALL ROAD BURLINGTON MA 01805 HOWARD R GRANT JD MD DIRECTOR/PRESIDENT 1.00 40.00 X X 0 1469642 273518 TIMOTHY O'CONNOR TRUSTEE/TREASURER 1.00 40.00 X X 0 726158 162517 DAVID SPACKMAN JD TRUSTEE/CLERK 1.00 40.00 X X 0 438488 44803 DAVID ST LAURENT TRUSTEE 1.00 X X 0 0 0 GARY MARLOW ASSISTANT TREASURER 1.00 40.00 X 0 337773 29460 MARYELLEN LEAR ASSISTANT CLERK 1.00 40.00 X 0 90802 11755 RONALD A WILLIAMS NURSING SUPERVISOR 40.00 X 132597 0 23867 WENDY ENGLISH NURSING SUPERVISOR 40.00 X 124329 0 22379 ROSEMARY SOGIE CERTIFIED NURSING ASSISTANT 40.00 X 123952 0 22311 MARIA CUSTODIO MDS NURSE 40.00 X 115167 0 20730 ANNMARIE JOHNSON MDS NURSE 40.00 X 107827 0 19409 603872 3062863 630749 5 0 1 0 KINDRED REHAB SERVICES PO BOX 277365 ATLANTA GA 303847365 REHAB SERVICES - THERAPY 1174700 HEALTHCARE SERVICES 3220 TILLMAN DR SUITE 300 BENSALEM PA 19020 HOUSEKEEPING 346629 ALBERT STUART FERN AVENUE AMESBURY MA 01913 CONSTRUCTION 134888 3 PATIENT SERVICE REVENUE 623000 13065204 13065204 13065204 16151 16151 13081355 13065204 0 16151 6481138 4749235 1731903 41833 41833 900376 33552 866824 457291 363333 93958 470876 470876 1250 1250 37897 37897 41488 41488 31385 260 31125 973 973 168823 168823 363304 363304 161153 161153 EXTERNAL CONTRACT SERVI 1920803 1407585 513218 SUPPLIES 888043 531240 356803 UTILITIES 359520 359520 BAD DEBT EXPENSE 143387 143387 1159803 15475 1144328 13629343 7100680 6528663 0 4017535 3224166 1473985 1620948 40805 41613 132009 56051 11533326 7311754 4400982 4221572 480581 419646 41220 37098 10587117 9621094 1285131 1257196 5319188 4891158 28558 66488 6632877 6214842 X 3954240 3406252 3954240 3406252 10587117 9621094 -547988 0 X 0 1 X 1 0 X 14857327 15293181 14297721 14037531 13065204 71550964 14857327 15293181 14297721 14037531 13065204 71550964 0 0 0 71550964 7962 7818 8619 13784 16181 54364 7962 7818 8619 13784 16181 54364 14865289 15300999 14306340 14051315 13081385 71605328 0.99920 0.99930 0.00080 X 278157 278157 9642473 6013567 3628906 1612696 1298187 314509 4221572 MISCELLANEOUS 66488 66488 13081355 0 13081355 0 13081355 13629343 0 13629343 0 13629343 X X X X X X 0 1 0 0 0 0 0 1 0 HOWARD R GRANT JD MD DIRECTOR/PRESIDENT 0 1451746 0 0 0 17896 0 242796 0 30722 0 1743160 0 0 TIMOTHY O'CONNOR TRUSTEE/TREASURER 0 725900 0 0 0 258 0 136700 0 25817 0 888675 0 0 DAVID SPACKMAN JD TRUSTEE/CLERK 0 437726 0 0 0 762 0 22796 0 22007 0 483291 0 0 GARY MARLOW ASSISTANT TREASURER 0 296041 0 41732 0 0 0 10200 0 19260 0 367233 0 0 PART I, LINE 4B SCHEDULE J, PART I, QUESTION 4(B) THE HOSPITAL MAINTAINS A 457B NONQUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVE MANAGEMENT EMPLOYEES. EMPLOYEES CONTRIBUTE A PORTION OF THEIR SALARIES (THROUGH PAYROLL DEDUCTION) TO THE PLAN. THERE ARE NO EMPLOYER CONTRIBUTIONS TO THIS PLAN. LAHEY CLINIC FOUNDATON (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. 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). PART I, LINE 8 SCHEDULE J, PART II NHS AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE IN THEIR CAPACITY AS TRUSTEE. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THEIR CAPACITY OTHER THAN TRUSTEE, WHICH IS LISTED ON FORM 990, PART VII, DIRECTLY FOLLOWING THE TITLE OF THE TRUSTEE. 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-PROFT 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. ADDITIONALLY, THE RIGHT OF THE REPORTING ORGANIZAITON'S MEMBER, LAHEY HEALTH SYSTEM, INC., TO EXERCISE ITS AUTHORITY AS A MEMBER OF THE REPORTING ORGANIZATION IS SUBJECT TO THE APPROVAL OF [LCF/NHS]'S CORPORATE MEMBER, LHS, WHICH MAY ALSO EXERCISE SUCH POWERS DIRECTLY. FORM 990, PART VI, SECTION A, LINE 7A SEE PART VI, LINE 6 FORM 990, PART VI, SECTION A, LINE 7B SEE PART VI, 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 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 EACH YEAR THE MEMBERS OF THE BOARD ARE PROVIDED WITH A COPY OF THE CONFLICT OF INTEREST POLICY AND ASKED TO LIST ANY POTENTIAL CONFLICTS. THIS SIGNED FORM IS KEPT WITH THE CORPORATE RECORDS AND THE CHAIR AND CEO ARE MADE AWARE OF ANY POTENTIAL CONFLICTS. IF ANY CONFLICT EXISTS, THE TRUSTEE IS EXCUSED FROM THE DISCUSSIONS AND THE VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT TRUSTEES, MEETS ANNUALLY TO REVIEW EXECUTIVE GOALS, SALARIES, INCENTIVES, PAYMENT PROGRAMS, AND BENEFITS FOR THE CEO AND EXECUTIVE MANAGEMENT. THE COMMITTEE USES COMPARATIVE DATA FROM SULLIVAN & COTTER & LAWRENCE ASSOCIATES (EXTERNAL COMPENSATION CONSULTANTS) TO ENSURE EXECUTIVE COMPENSATION AND BENEFITS ARE IN LINE WITH THE REST OF THE INDUSTRY. FORM 990, PART VI, SECTION C, LINE 19 THE ARTICLES OF ORGANIZATION ARE PUBLIC DOCUMENT FILED WITH THE SECRETARY OF STATE OF THE COMMONWEALTH OF MASSACHUSETTS. THE ARTICLES OF ORGANIZATION, BY-LAWS AND CONFLICTS OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION PUBLISHES AN ANNUAL REPORT, WHICH CONTAINS AUDITED FINANCIAL STATEMENTS AND LISTINGS OF BOARD MEMBERS. THE IRS FORM 990 AND THE MASSACHUSETTS FORM PC ARE AVAILABLE UPON REQUEST. IN ADDITION, THE ORGANIZATION PRESENTS FINANCIAL STATEMENTS TO THE PUBLIC AS AN ATTACHMENT TO ITS FORM PC. LAHEY CLINIC INC 41 MALL RD BURLINGTON MA 01805 042704683 HEALTHCARE MA 501C3 9 LCF INC 0 LAHEY CLINIC FOUNDATION INC 41 MALL RD BURLINGTON MA 01805 042323457 SUPPORT MA 501C3 7 LHS INC 0 LAHEY HEALTH SHARED SERVICES 41 MALL RD BURLINGTON MA 01805 043178972 ADM. SUPPORT MA 501C3 9 LHS INC 0 NORTHEAST HEATLH SYSTEM INC 85 HERRICK ST BEVERLY MA 01915 043240453 SUPPORT MA 501C3 11C LHS INC 0 NORTHEAST HOSPITAL CORPORATION 85 HERRICK ST BEVERLY MA 01915 042121317 HEALTHCARE MA 501C3 3 LHS INC 0 NORTHEAST MEDICAL PRACTICES 85 HERRICK ST BEVERLY MA 01915 043201853 HEALTHCARE MA 501C3 9 NHC 0 NE PROFESSIONAL REG OF NURSES 800 CUMMINGS CENTER BEVERLY MA 01915 201287349 HEALTHCARE MA 501C3 9 NESH 0 NORTHEAST SENIOR HEALTH CORPORATION 85 HERRICK ST BEVERLY MA 01915 042731137 HEALTHCARE MA 501C3 9 LHS INC 0 NORTHEAST BEHAVIORAL HEALTH 131 RANTOUL ST BEVERLY MA 01915 042777145 BEHAVIORAL HEALTHCARE MA 501C3 7 LHS INC 0 CAB HEALTH AND RECOVERY 111 MIDDLETON RD DANVERS MA 01923 042400270 SUBS ABUSE MA 501C3 9 NEBH 0 HES HOUSING SERVICES ZERO CENTENIAL DRIVE PEABODY MA 01960 042777145 HUD HOUSING MA 501C3 9 NEBH 0 LAHEY HEALTH SYSTEM INC 41 MALL RD BURLINGTON MA 01805 611665701 SUPPORT MA 501C3 11C N/A 0 LAHEY CLINIC HOSPITAL INC 41 MALL RD BURLINGTON MA 01805 042704686 HEALTHCARE MA 501C3 3 LCF INC 0 WINCHESTER HOSPITAL 41 HIGHLAND AVENUE WINCHESTER MA 01890 042104434 HEALTHCARE MA 501C3 3 WHM INC 0 WINCHESTER HOSPITAL FOUNDATION INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 043399570 SUPPORT MA 501C3 11C WHM INC 0 WINCHESTER HEALTHCARE INVESTMENTS 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701819 HEALTHCARE VENTURES MA 501C3 11C WHM INC 0 WINCHESTER HEALTHCARE MANAGEMENT INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701817 MANAGEMENT SERVICES MA 501C3 11A LHS INC 0 WINCHESTER COMMUNITY ACCOUNTABLE CARE ORGANIZATION INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 223137856 SURGERY SERVICES MA 501C3 11A WHM INC 0 ADDISON GILBERT SOCIETY INC 41 MALL RD BURLINGTON MA 01805 464371382 SUPPORT MA 501C3 11A LHS INC 0 LAHEY CLINIC INSURANCE CO LTD PO BOX HM2450 BD INSURANCE BD LHS INC C 0 PERPETUAL TRUSTS (8) 41 MALL RD BURLINGTON MA 01805 SUPPORT MA SEE VII T 0 REMAINDER TRUST (17) 41 MALL RD BURLINGTON MA 01805 SUPPORT MA SEE VII T 0 POOLED INCOME FUNDS (3) 41 MALL RD BURLINGTON MA 01805 SUPPORT MA SEE VII T 0 NORTHEAST PROPRIETARY CORPORATION 85 HERRICK ST BEVERLY MA 01915 042855191 MED SERVICES MA LHS INC C 0 WINCHESTER PHYSICIAN HOSPITAL ORGANIZATION 41 HIGHLAND AVENUE WINCHESTER MA 01890 472646454 PHYSICIAN SERVICE MA WHM INC C 0 WINCHESTER HEALTHCARE ENTERPRISES 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 WINCHESTER HEALTHCARE INDEMNIFICATION 41 HIGHLAND AVENUE WINCHESTER MA 01890 980589732 INVESTMENT COMPANY MA LHS INC C 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 SCHEDULE R, PART IV, PERPETURAL TRUSTS (8) LAHEY CLINIC FOUNDATION, NORTHEAST HOSPITAL CORPORATION AND WINCHESTER HOSPITAL HAVE FOUR, THREE AND ONE PERPETUAL TRUSTS, RESPECTIVELY. THE PERPETUAL TRUSTS ARE DOMICILED IN MASSACHUSETTS, PENNSYLVANIA AND FLORIDA. SCHEDULE R, PART IV, REMAINDER TRUSTS (17) LAHEY CLINIC FOUNDATION HAS SEVENTEEN REMAINDER TRUSTS. THE REMAINDER TRUSTS ARE DOMICILED IN MASSACHUSETTS, NEW HAMPSHIRE AND WISCONSIN. SCHEDULE R, PART IV, POOLED INCOME FUNDS (3) LAHEY CLINIC FOUNDATION HAS THREE POOLED INCOME FUNDS, DOMICILED IN MASSACHUSETTS. SCHEDULE R, PART II, PUBLIC CHARITY STATUS: NORTHEAST HEALTH SYSTEM, INC 11C III-FI LAHEY HEALTH SYSTEM, INC 11C III-FI SCHEDULE R, PART V IN ADDITION TO CONDUCTING FUNDRAISING AND SOLICITATION EFFORTS ON ITS OWN BEHALF, LAHEY CLINIC FOUNDATION, INC. PHILANTHROPY DEPARTMENT ALSO CONDUCTS FUNDRAISING AND SOLICITATION EFFORTS ON BEHALF OF ALL ENTITIES WITHIN THE LAHEY HEALTH SYSTEM, INC. FAMILY OF ORGANIZATIONS, AS DETAILED IN THE ACCOMPANYING IRS FORM 990, SCHEDULE R, PART II. LAHEY HEALTH SYSTEM, INC. AND ITS RELATED ORGANIZATIONS, AND WINCHESTER HEALTHCARE MANAGEMENT, INC. AND ITS RELATED ORGANIZATIONS (AS DETAILED IN THE ACCOMPANYING IRS FORM 990, SCHEDULE R, PROVIDE VARIOUS CORPORATE AND OTHER SERVICES TO EACH OTHER. THESE ORGANIZATIONS REIMBURSE ONE ANOTHER FOR EXPENSES INCURRED SUCH AS EMPLOYEE SALARIES, MATERIALS, SUPPLIES, UTILITIES, ETC. CASH IS ALSO TRANSFERRED BETWEEN THE CORPORATIONS FOR WORKING CAPITAL PURPOSES ON AN AS-NEEDED BASIS.