WINCHESTER HOSPITAL FOUNDATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WINCHESTER HOSPITAL FOUNDATION INC (EIN 04-3399570)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-14
IRS object ID
201522269349300702
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-14T06:42:23-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN042684828PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043399570EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WINCHESTER HOSPITAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlWINCBusinessNameControlTxt
Phone7817562135PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 HIGHLAND AVENUEAddressLine1
CityWINCHESTERCity
StateMAState
ZIP Code01890ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHOWARD R GRANTPersonNm
Person TitleCEO/PRESIDENTPersonTitleTxt
Phone7817562135PhoneNum
Signature2015-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY T ROGERSPreparerPersonNm
PTINP01074284PTIN
Phone6177427788PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHOWARD R GRANTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 MALL ROADAddressLine1
CityBURLINGTONCity
StateMAState
ZIP Code01805ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$3,206,528GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO CARE. TO HEAL. TO EXCEL. IN SERVICE TO OUR COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body27VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,157,586PYContributionsGrantsAmt
CY Contributions Grants$2,805,884CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income-$820CYInvestmentIncomeAmt
PY Other Revenue$16,772PYOtherRevenueAmt
CY Other Revenue$201,817CYOtherRevenueAmt
PY Total Revenue$1,174,358PYTotalRevenueAmt
CY Total Revenue$3,006,881CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$620,920CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,038,468CYTotalFundraisingExpenseAmt
PY Other Expenses$1,390,291PYOtherExpensesAmt
CY Other Expenses$417,548CYOtherExpensesAmt
PY Total Expenses$1,390,291PYTotalExpensesAmt
CY Total Expenses$1,038,468CYTotalExpensesAmt
PY Revenues Less Expenses-$215,933PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,968,413CYRevenuesLessExpensesAmt
Total Assets BOY$7,986,052TotalAssetsBOYAmt
Total Assets EOY$7,526,492TotalAssetsEOYAmt
Total Liabilities BOY$2,328,722TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,365,188TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,657,330NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,161,304NetAssetsOrFundBalancesEOYAmt
MissionTO CARE. TO HEAL. TO EXCEL. IN SERVICE TO OUR COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTHE PROVISION OF PHILANTHROPIC AND FUNDRAISING SERVICES TO AFFILIATED ORGANIZATIONS WITHIN THE WINCHESTER HEALTHCARE MANAGEMENT, INC. INTEGRATED HEALTHCARE DELIVERY SYSTEM.Desc
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members27GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMATTHEW WOODSPersonNm
Phone7817562135PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 HIGHLAND AVENUEAddressLine1
CityWINCHESTERCity
StateMAState
ZIP Code01890ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerInd
JEANNINE BARRETT
DIRECTOR1.00Yes (X)$0$0$0
ANN R BLACKHAM
DIRECTOR1.00Yes (X)$0$0$0
DONNA M BURKE
DIRECTOR1.00Yes (X)$0$0$0
DARINA GILLEY CHESTERTON
DIRECTOR1.00Yes (X)$0$0$0
BRIAN J CONNOR
DIRECTOR1.00Yes (X)$0$0$0
KELLEY M CORNELL MD
DIRECTOR1.00Yes (X)$0$0$0
LEO C DONAHUE
DIRECTOR1.00Yes (X)$0$0$0
GALE DRUGA
DIRECTOR1.00Yes (X)$0$0$0
PATRICK J FORTIN
DIRECTOR1.00Yes (X)$0$0$0
ELISE GARDNER
DIRECTOR1.00Yes (X)$0$0$0
HOWARD GRANT MD
PRESIDENT1.00Yes (X)$0$1,469,642$273,51840.00Yes (X)
KAREN R MCALMON MD
DIRECTOR1.00Yes (X)$0$0$0
DEBORAH R MCDONOUGH
CHAIR1.00Yes (X)$0$0$0Yes (X)
ANNE J NEILSON
DIRECTOR1.00Yes (X)$0$0$0
ANN NORBERG
DIRECTOR1.00Yes (X)$0$0$0
TIMOTHY O'CONNOR
TREASURER1.00Yes (X)$0$726,158$162,51740.00Yes (X)
BARBARA ODDO
DIRECTOR1.00Yes (X)$0$0$0
JOAN P O'NEIL
DIRECTOR1.00Yes (X)$0$0$0
SUSAN E POWERS
DIRECTOR1.00Yes (X)$0$133,492$25,34640.00
RICHARD H SALTER
DIRECTOR1.00Yes (X)$0$0$0
DENNIS S SARGENT
DIRECTOR1.00Yes (X)$0$0$0
KEVIN F SMITH
DIRECTOR1.00Yes (X)$0$1,175,067$31,47440.00Yes (X)
DAVID SPACKMAN
CLERK1.00Yes (X)$0$438,488$44,80340.00Yes (X)
MARVIN WEINER
DIRECTOR1.00Yes (X)$0$0$0
MARLENE V WILLIAMSON
DIRECTOR1.00Yes (X)$0$153,708$33,06940.00
MATTHEW WOODS
ASSISTANT TREASURER1.00Yes (X)$0$403,440$39,91340.00Yes (X)
MARY ELIZABETH CANNING
VICE PRESIDENT1.00Yes (X)$0$279,271$39,36640.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,779,266TotReportableCompRltdOrgAmt
Total Other Compensation$650,006TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$209,350FundraisingAmt
All Other Contributions$2,596,534AllOtherContributionsAmt
Noncash Contributions$109,940NoncashContributionsAmt
Total Contributions$2,805,884TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$114TotalRevenueColumnAmt
Exclusion$114ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$934SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$934SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$934TotalRevenueColumnAmt
Exclusion-$934ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$400,530FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$209,350ContriRptFundraisingEventAmt
Fundraising Direct Expenses$198,713FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$201,817TotalRevenueColumnAmt
Exclusion$201,817ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,006,881TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$200,997ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$461,347TotalAmt
Fundraising$461,347FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$121,356TotalAmt
Fundraising$121,356FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$38,217TotalAmt
Fundraising$38,217FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$800TotalAmt
Fundraising$800FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,559TotalAmt
Fundraising$6,559FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$74TotalAmt
Fundraising$74FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,592TotalAmt
Fundraising$3,592FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,125TotalAmt
Fundraising$8,125FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,627TotalAmt
Fundraising$5,627FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmt
OTHER OPERATING EXPENSE$358,369$358,369
PRINTING & PUBLICATIONS$34,402$34,402

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,038,468TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$1,038,468FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,815,711BOYAmt
EOY$7,485,566EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$22,754BOYAmt
EOY$18,363EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,448LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$885LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$147,587BOYAmt
EOY$22,563EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,986,052BOYAmt
EOY$7,526,492EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,276BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,327,446BOYAmt
EOY$2,365,188EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,328,722BOYAmt
EOY$2,365,188EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,461,422BOYAmt
EOY$2,304,118EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,925,181BOYAmt
EOY$2,586,459EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$270,727BOYAmt
EOY$270,727EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,657,330BOYAmt
EOY$5,161,304EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,986,052BOYAmt
EOY$7,526,492EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,968,413ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$530,202NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,994,641OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
CertificationYes (X)CertificationInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WINCHESTER HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN042104434EIN
Organization Type501C3OrganizationTypeDesc
Governing Document ListedYes (1)GoverningDocumentListedInd
Supported Org NotifiedYes (1)SupportedOrgNotifiedInd
US OrganizedYes (1)USOrganizedInd
Support$2,881,124SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$2,881,124SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$270,727BeginningYearBalanceAmt
End Year Balance$270,727EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$270,727BeginningYearBalanceAmt
End Year Balance$270,727EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$270,727BeginningYearBalanceAmt
End Year Balance$270,727EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$270,727BeginningYearBalanceAmt
End Year Balance$270,727EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$270,727BeginningYearBalanceAmt
End Year Balance$270,727EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,448OtherCostOrOtherBasisAmt
Depreciation$885DepreciationAmt
Book Value$22,563BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$22,563TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$1,192,496
OTHER L/T LIABILITIES$1,172,692
FieldValueIRS element (for citing)
Total Liability$2,365,188TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1Amt
Gross Receipts Event1$452,290GrossReceiptsEvent1Amt
Charitable Contri Event1$90,950CharitableContriEvent1Amt
Gross Revenue Event1$361,340GrossRevenueEvent1Amt
Rent Facility Costs Event1$75,947RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$19,536OtherDirectExpensesEvent1Amt
Name Of Event2GOLF TOURNAMENTNameOfEvent2Amt
Gross Receipts Event2$157,590GrossReceiptsEvent2Amt
Charitable Contri Event2$118,400CharitableContriEvent2Amt
Gross Revenue Event2$39,190GrossRevenueEvent2Amt
Other Direct Expenses Event2$103,230OtherDirectExpensesEvent2Amt
Gross Receipts Total$609,880GrossReceiptsTotalAmt
Charitable Contributions Tot$209,350CharitableContributionsTotAmt
Gross Revenue Total Events$400,530GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$75,947RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$122,766OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$198,713DirectExpenseSummaryEventsAmt
Net Income Summary$201,817NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HOWARD GRANT MD
PRESIDENT$0$1,451,746$0$0$0$17,896$0$242,796$0$30,722$0$1,743,160$0$0
TIMOTHY O'CONNOR
TREASURER$0$725,900$0$0$0$258$0$136,700$0$25,817$0$888,675$0$0
SUSAN E POWERS
DIRECTOR$0$132,998$0$0$0$494$0$5,481$0$19,865$0$158,838$0$0
KEVIN F SMITH
DIRECTOR$0$519,248$0$318,909$0$336,910$0$10,200$0$21,274$0$1,206,541$0$0
DAVID SPACKMAN
CLERK$0$437,726$0$0$0$762$0$22,796$0$22,007$0$483,291$0$0
MARLENE V WILLIAMSON
DIRECTOR$0$151,593$0$0$0$2,115$0$6,278$0$26,791$0$186,777$0$0
MATTHEW WOODS
ASSISTANT TREASURER$0$325,936$0$76,872$0$632$0$10,896$0$29,017$0$443,353$0$0
MARY ELIZABETH CANNING
VICE PRESIDENT$0$247,409$0$30,683$0$1,179$0$10,229$0$29,137$0$318,637$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BLAHEY 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.
PART I, LINE 7THE 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).

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$109,940NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BWINCHESTER HOSPITAL FOUNDATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE VICE PRESIDENT OF FINANCE AND THE MANAGER OF GENERAL ACCOUNTING REVIEW THE FORM 990 BY COMPARING THE PRIOR YEAR RETURN WITH THE CURRENT YEAR FILING, BEFORE THE RETURN IS PROVIDED TO THE BOARD OF DIRECTORS AND SUBSEQUENTLY FILED.
FORM 990, PART VI, SECTION B, LINE 12CSEMI-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 15THE 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 CONSULTANT, 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 19THE 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:TRANSFERS TO WINCHESTER HOSPITAL -2,881,124. PLEDGE DISCOUNT ADJUSTMENT -113,517.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
LAHEY CLINICAL HOSPITAL INC
41 MALL ROADBURLINGTONMA01805042704686HEALTHCAREMA501(C) (3)3LCF INCYes (1)
LAHEY CLINIC INC
41 MALL ROADBURLINGTONMA01805042704683HEALTHCAREMA501(C) (3)9LCF INCYes (1)
LAHEY HEALTH SHARED SERVICES INC
41 MALL ROADBURLINGTONMA01805043178972ADMINISTRATIVE SUPPORT TO LHS AND AFFILIATESMA501(C) (3)9LHS INCYes (1)
NORTHEAST HEALTH SYSTEM INC
85 HERRICK STREETBEVERLYMA01915043240453SUPPORTMA501(C) (3)11CLHS INC0
NORTHEAST BEHAVIORAL HEALTH CORPORATION
ZERO CENTENNIAL DRIVEPEABODYMA01960042777145BEHAVIORAL HEALTH CAREMA501(C) (3)7LHS INC0
HEALTH AND EDUCATION HOUSING SERVICES INC
131 RANTOUL STREETBEVERLYMA01915223232914HUD HOUSINGMA501(C) (3)9NEBH CORP0
NORTHEAST HOSPITAL CORPORATION
85 HERRICK STREETBEVERLYMA01915042121317HEALTHCAREMA501(C) (3)3LHS INC0
NORTHEAST MEDICAL PRACTICES INC
85 HERRICK STREETBEVERLYMA01915043201853HEALTHCAREMA501(C) (3)9NEH CORP0
SEACOAST NURSING & REHABILITATION CENTER
300 WASHINGTON STREETGLOUCESTERMA01930041305001HEALTHCAREMA501(C) (3)9LHS INC0
NORTHEAST PROFESSIONAL REGISTRY OF NURSES
800 CUMMINGS CENTERBEVERLYMA01915201287349HEALTHCAREMA501(C) (3)9NESH CORP0
NORTHEAST SENIOR HEALTH CORPORATION
131 RANTOUL STREETBEVERLYMA01915042731137HEALTHCAREMA501(C) (3)9LHS INC0
CAB HEALTH & RECOVERY
111 MIDDLETON ROADDANVERSMA01923042400270SUBSTANCE ABUSEMA501(C) (3)9NEBH CORP0
LAHEY HEALTH SYSTEM INC
41 MALL ROADBURLINGTONMA01805611665701SUPPORTMA501(C) (3)11C III-FI0N/A
WINCHESTER HOSPITAL
41 HIGHLAND AVENUEWINCHESTERMA01890042104434HEALTHCAREMA501(C) (3)9WHM INC0
WINCHESTER HEALTHCARE INVESTMENTS
41 HIGHLAND AVENUEWINCHESTERMA01890222701819SUPPORTMA501(C) (3)11CWHM INC0
WINCHESTER HEALTHCARE MANAGEMENT
41 HIGHLAND AVENUEWINCHESTERMA01890222701817MANAGEMENT SERVICEMA501(C) (3)11ALHS INC0
WINCHESTER COMMUNITY ACCOUNTABLE CARE ORGANIZATION
41 HIGHLAND AVENUEWINCHESTERMA01890223137856ACOMA501(C) (3)11AWHM INC0
LAHEY CLINIC FOUNDATION
41 MALL ROADBURLINGTONMA01805042323457SUPPORTMA501(C) (3)7LHS INC0
ADDISON GILBERT SOCIETY INC
41 MALL ROADBURLINGTONMA01805464371382SUPPORTMA501(C) (3)11ALHS INC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1ForeignAddress/AddressLine1CityForeignAddress/CityCountryForeignAddress/CountryPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeLegal Domicile StateLegalDomicileStateCdEINEIN
LAHEY CLINIC INSURANCE CO LTD
PO BOX HM 2450HAMILTONBDINSURANCEBDLHS INCC1.000000
PERPETUAL TRUSTS (8)
SUPPORTSEE PART VIIT1.00000041 MALL ROADBURLINGTONMA01805MA
REMAINDER TRUSTS (17)
SUPPORTSEE PART VIIT1.00000041 MALL ROADBURLINGTONMA01805MA
POOLED INCOME FUNDS (3)
SUPPORTSEE PART VIIT1.00000041 MALL ROADBURLINGTONMA01805MA
NORTHEAST PROPRIETARY CORPORATION
MEDICAL SERVICESLHS INCC085 HERRICK STREETBEVERLYMA01915MA042855191
WINCHESTER PHYSICIAN HOSPITAL ORGANIZATION
PHYSICIAN SERVICEWHM INCC041 HIGHLAND AVENUEWINCHESTERMA01890MA472646454
WINCHESTER HEALTHCARE ENTERPRISES INC
HEALTHCARE VENTURESWHM INCC041 HIGHLAND AVENUEWINCHESTERMA01890MA042932059
WINCHESTER PHYSICIAN ASSOCIATES INC
PHYSICIAN PRACTICEWHM INCC041 HIGHLAND AVENUEWINCHESTERMA01890MA043262963
WINCHESTER HEALTHCARE INDEMNIFICATION
INVESTMENT COMPANYLHS INCC1.00000041 HIGHLAND AVENUEWINCHESTERMA01890MA980589732
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE R, PART IVLAHEY CLINIC FOUNDATION, INC., NORTHEAST HOSPITAL CORPORATION AND WINCHESTER HOSPITAL, RESPECTIVELY, HAVE FOUR, THREE AND ONE PERPETUAL TRUSTS. THE PERPETUAL TRUSTS ARE DOMICILED IN MASSACHUSETTS, PENNSYLVANIA AND FLORIDA. LAHEY CLINIC FOUNDATION, INC. HAS SEVENTEEN REMAINDER TRUSTS. THE REMAINDER TRUSTS ARE DOMICILED IN MASSACHUSETTS, NEW HAMPSHIRE AND WISCONSIN. LAHEY CLINIC FOUNDATION, INC. HAS THREE POOLED INCOME FUNDS, DOMICILED IN MASSACHUSETTS.
SCHEDULE R, PART VIN 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. ALL ENTITIES WITHIN LAHEY HEALTH SYSTEM, INC. SHARE FACILITIES, EQUIPMENT, MAILING LISTS, AND OTHER ASSETS. FOR A LIST OF ALL ENTITIES, SEE THE ACCOMPANYING IRS FORM 990, SCHEDULE R. 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.

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