2015-08-14T06:42:23-05:00 2014-09-30 042684828 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2013-10-01 043399570 WINCHESTER HOSPITAL FOUNDATION INC WINC 7817562135 41 HIGHLAND AVENUE WINCHESTER MA 01890 HOWARD R GRANT CEO/PRESIDENT 7817562135 2015-08-13 1 JEFFREY T ROGERS P01074284 6177427788 2013 2016-03-07 17:11:31Z HOWARD R GRANT 41 MALL ROAD BURLINGTON MA 01805 3206528 0 X N/A X 1997 MA TO CARE. TO HEAL. TO EXCEL. IN SERVICE TO OUR COMMUNITY. 27 19 0 0 0 0 1157586 2805884 0 0 0 -820 16772 201817 1174358 3006881 0 0 0 0 0 620920 0 0 1038468 1390291 417548 1390291 1038468 -215933 1968413 7986052 7526492 2328722 2365188 5657330 5161304 TO CARE. TO HEAL. TO EXCEL. IN SERVICE TO OUR COMMUNITY. 0 0 THE PROVISION OF PHILANTHROPIC AND FUNDRAISING SERVICES TO AFFILIATED ORGANIZATIONS WITHIN THE WINCHESTER HEALTHCARE MANAGEMENT, INC. INTEGRATED HEALTHCARE DELIVERY SYSTEM. 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 27 19 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 1 1 0 MA X X MATTHEW WOODS 7817562135 41 HIGHLAND AVENUE WINCHESTER MA 01890 JEANNINE BARRETT DIRECTOR 1.00 X 0 0 0 ANN R BLACKHAM DIRECTOR 1.00 X 0 0 0 DONNA M BURKE DIRECTOR 1.00 X 0 0 0 DARINA GILLEY CHESTERTON DIRECTOR 1.00 X 0 0 0 BRIAN J CONNOR DIRECTOR 1.00 X 0 0 0 KELLEY M CORNELL MD DIRECTOR 1.00 X 0 0 0 LEO C DONAHUE DIRECTOR 1.00 X 0 0 0 GALE DRUGA DIRECTOR 1.00 X 0 0 0 PATRICK J FORTIN DIRECTOR 1.00 X 0 0 0 ELISE GARDNER DIRECTOR 1.00 X 0 0 0 HOWARD GRANT MD PRESIDENT 1.00 40.00 X X 0 1469642 273518 KAREN R MCALMON MD DIRECTOR 1.00 X 0 0 0 DEBORAH R MCDONOUGH CHAIR 1.00 X X 0 0 0 ANNE J NEILSON DIRECTOR 1.00 X 0 0 0 ANN NORBERG DIRECTOR 1.00 X 0 0 0 TIMOTHY O'CONNOR TREASURER 1.00 40.00 X X 0 726158 162517 BARBARA ODDO DIRECTOR 1.00 X 0 0 0 JOAN P O'NEIL DIRECTOR 1.00 X 0 0 0 SUSAN E POWERS DIRECTOR 1.00 40.00 X 0 133492 25346 RICHARD H SALTER DIRECTOR 1.00 X 0 0 0 DENNIS S SARGENT DIRECTOR 1.00 X 0 0 0 KEVIN F SMITH DIRECTOR 1.00 40.00 X X 0 1175067 31474 DAVID SPACKMAN CLERK 1.00 40.00 X X 0 438488 44803 MARVIN WEINER DIRECTOR 1.00 X 0 0 0 MARLENE V WILLIAMSON DIRECTOR 1.00 40.00 X 0 153708 33069 MATTHEW WOODS ASSISTANT TREASURER 1.00 40.00 X X 0 403440 39913 MARY ELIZABETH CANNING VICE PRESIDENT 1.00 40.00 X X 0 279271 39366 0 4779266 650006 0 0 1 0 0 209350 2596534 109940 2805884 114 114 934 -934 -934 -934 400530 209350 198713 201817 201817 3006881 0 0 200997 461347 461347 121356 121356 38217 38217 800 800 6559 6559 74 74 3592 3592 8125 8125 5627 5627 OTHER OPERATING EXPENSE 358369 358369 PRINTING & PUBLICATIONS 34402 34402 1038468 0 0 1038468 7815711 7485566 22754 18363 23448 885 147587 22563 7986052 7526492 1276 2327446 2365188 2328722 2365188 X 2461422 2304118 2925181 2586459 270727 270727 5657330 5161304 7986052 7526492 X 1968413 530202 -2994641 X 0 1 X 1 0 X X X 0 0 0 WINCHESTER HOSPITAL 042104434 501C3 1 1 1 2881124 1 2881124 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 270727 270727 270727 270727 270727 270727 270727 270727 270727 270727 0.00000 1.00000 0.00000 0 0 23448 885 22563 22563 DUE TO AFFILIATES 1192496 OTHER L/T LIABILITIES 1172692 2365188 GALA 452290 90950 361340 75947 19536 GOLF TOURNAMENT 157590 118400 39190 103230 609880 209350 400530 75947 122766 198713 201817 X X X X X X 0 1 0 0 0 0 0 1 0 HOWARD GRANT MD PRESIDENT 0 1451746 0 0 0 17896 0 242796 0 30722 0 1743160 0 0 TIMOTHY O'CONNOR TREASURER 0 725900 0 0 0 258 0 136700 0 25817 0 888675 0 0 SUSAN E POWERS DIRECTOR 0 132998 0 0 0 494 0 5481 0 19865 0 158838 0 0 KEVIN F SMITH DIRECTOR 0 519248 0 318909 0 336910 0 10200 0 21274 0 1206541 0 0 DAVID SPACKMAN CLERK 0 437726 0 0 0 762 0 22796 0 22007 0 483291 0 0 MARLENE V WILLIAMSON DIRECTOR 0 151593 0 0 0 2115 0 6278 0 26791 0 186777 0 0 MATTHEW WOODS ASSISTANT TREASURER 0 325936 0 76872 0 632 0 10896 0 29017 0 443353 0 0 MARY ELIZABETH CANNING VICE PRESIDENT 0 247409 0 30683 0 1179 0 10229 0 29137 0 318637 0 0 PART I, LINE 4B LAHEY 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 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). X 109940 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B WINCHESTER HOSPITAL FOUNDATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C SEMI-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 15 THE 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 19 THE 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. LAHEY CLINICAL HOSPITAL INC 41 MALL ROAD BURLINGTON MA 01805 042704686 HEALTHCARE MA 501(C) (3) 3 LCF INC 1 LAHEY CLINIC INC 41 MALL ROAD BURLINGTON MA 01805 042704683 HEALTHCARE MA 501(C) (3) 9 LCF INC 1 LAHEY HEALTH SHARED SERVICES INC 41 MALL ROAD BURLINGTON MA 01805 043178972 ADMINISTRATIVE SUPPORT TO LHS AND AFFILIATES MA 501(C) (3) 9 LHS INC 1 NORTHEAST HEALTH SYSTEM INC 85 HERRICK STREET BEVERLY MA 01915 043240453 SUPPORT MA 501(C) (3) 11C LHS INC 0 NORTHEAST BEHAVIORAL HEALTH CORPORATION ZERO CENTENNIAL DRIVE PEABODY MA 01960 042777145 BEHAVIORAL HEALTH CARE MA 501(C) (3) 7 LHS INC 0 HEALTH AND EDUCATION HOUSING SERVICES INC 131 RANTOUL STREET BEVERLY MA 01915 223232914 HUD HOUSING MA 501(C) (3) 9 NEBH CORP 0 NORTHEAST HOSPITAL CORPORATION 85 HERRICK STREET BEVERLY MA 01915 042121317 HEALTHCARE MA 501(C) (3) 3 LHS INC 0 NORTHEAST MEDICAL PRACTICES INC 85 HERRICK STREET BEVERLY MA 01915 043201853 HEALTHCARE MA 501(C) (3) 9 NEH CORP 0 SEACOAST NURSING & REHABILITATION CENTER 300 WASHINGTON STREET GLOUCESTER MA 01930 041305001 HEALTHCARE MA 501(C) (3) 9 LHS INC 0 NORTHEAST PROFESSIONAL REGISTRY OF NURSES 800 CUMMINGS CENTER BEVERLY MA 01915 201287349 HEALTHCARE MA 501(C) (3) 9 NESH CORP 0 NORTHEAST SENIOR HEALTH CORPORATION 131 RANTOUL STREET BEVERLY MA 01915 042731137 HEALTHCARE MA 501(C) (3) 9 LHS INC 0 CAB HEALTH & RECOVERY 111 MIDDLETON ROAD DANVERS MA 01923 042400270 SUBSTANCE ABUSE MA 501(C) (3) 9 NEBH CORP 0 LAHEY HEALTH SYSTEM INC 41 MALL ROAD BURLINGTON MA 01805 611665701 SUPPORT MA 501(C) (3) 11C III-FI N/A 0 WINCHESTER HOSPITAL 41 HIGHLAND AVENUE WINCHESTER MA 01890 042104434 HEALTHCARE MA 501(C) (3) 9 WHM INC 0 WINCHESTER HEALTHCARE INVESTMENTS 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701819 SUPPORT MA 501(C) (3) 11C WHM INC 0 WINCHESTER HEALTHCARE MANAGEMENT 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701817 MANAGEMENT SERVICE MA 501(C) (3) 11A LHS INC 0 WINCHESTER COMMUNITY ACCOUNTABLE CARE ORGANIZATION 41 HIGHLAND AVENUE WINCHESTER MA 01890 223137856 ACO MA 501(C) (3) 11A WHM INC 0 LAHEY CLINIC FOUNDATION 41 MALL ROAD BURLINGTON MA 01805 042323457 SUPPORT MA 501(C) (3) 7 LHS INC 0 ADDISON GILBERT SOCIETY INC 41 MALL ROAD BURLINGTON MA 01805 464371382 SUPPORT MA 501(C) (3) 11A LHS INC 0 LAHEY CLINIC INSURANCE CO LTD PO BOX HM 2450 HAMILTON BD INSURANCE BD LHS INC C 1.00000 0 PERPETUAL TRUSTS (8) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE PART VII T 1.00000 0 REMAINDER TRUSTS (17) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE PART VII T 1.00000 0 POOLED INCOME FUNDS (3) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE PART VII T 1.00000 0 NORTHEAST PROPRIETARY CORPORATION 85 HERRICK STREET BEVERLY MA 01915 042855191 MEDICAL 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 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 WINCHESTER HEALTHCARE INDEMNIFICATION 41 HIGHLAND AVENUE WINCHESTER MA 01890 980589732 INVESTMENT COMPANY MA LHS INC C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, PART IV LAHEY 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 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. 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.