2015-08-14T08:08:19-05:00 2014-09-30 042684828 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2013-10-01 042704686 LAHEY CLINIC HOSPITAL INC LAHE 7817445100 41 MALL ROAD BURLINGTON MA 018050001 HOWARD R GRANT JD MD PRESIDENT/CEO 7817445100 2015-08-14 1 JEFFREY T ROGERS P01074284 6177427788 2013 2016-04-25 22:37:26Z HOWARD R GRANT JD MD 41 MALL ROAD BURLINGTON MA 018050001 828831342 0 X WWW.LAHEY.ORG X 1980 MA SEE SCHEDULE O 21 12 5004 306 195094 60439 0 0 786135436 818606948 37141 738096 9175123 9249949 795347700 828594993 0 0 0 0 398285685 400664637 0 0 0 336558110 359492522 734843795 760157159 60503905 68437834 426599861 739224466 268137951 580962223 158461910 158262243 X 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 628567457 810717612 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 2014, MORE THAN 31,000 PATIENTS WERE ADMITTED AS INPATIENTS TO LAHEY CLINIC'S HOSPITAL FACILITIES, REPRESENTING MORE THAN 102,000 PATIENT DAYS. MORE THAN 7,500 OF THESE PATIENTS WERE ADMITTED FOR SURGERY. ADDITIONALLY, MORE THAN 13,500 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 2014, LAHEY CLINIC HOSPITAL'S EMERGENCY ROOMS LOGGED MORE THAN 56,000 EMERGENCY DEPARTMENT PATIENT VISITS. ALSO IN 2014, LAHEY CLINIC HOSPITAL'S OUTPATIENT CLINICS LOGGED MORE THAN 1,128,000 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 EMPLOYEES, COMMUNITY LEADERS, REPRESENTATIVES OF COMMUNITY AGENCIES, AND COMMUNITY RESIDENTS. THROUGH COLLABORATIVE PLANNING, COALITION BUILDING AND FINANCIAL SUPPORT, LAHEY CLINIC STRIVES TO SERVE AS A CATALYST FOR POSITIVE CHANGE WITHIN THE COMMUNITY.LAHEY CLINIC HOSPITAL, INC.'S 2014 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. 28892093 7787022 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 140 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. 657459550 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 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 1 462 0 1 5004 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/PRESIDENT/CEO 1.00 50.00 X X 0 1469642 273518 JOHN A LIBERTINO MD TRUSTEE/CHAIR DEPT OF UROL 1.00 40.00 X 0 826585 44586 RICHARD W NESTO MD TRUSTEE/EVP/CMOO/PHYSICIAN 1.00 40.00 X 0 697155 98424 ROGER L JENKINS MD TRUSTEE/PHYSICIAN 1.00 40.00 X 0 639360 31908 RICHARD S D'AGOSTINO MD TRUSTEE/CHAIR DEPT CARDIO 1.00 40.00 X 0 657796 31088 ANDREW G VILLANUEVA MD TRUSTEE/CMO CLINIC/PHYSICI 1.00 40.00 X 0 393396 12340 BETSEY CRAWFORD MD TRUSTEE/PHYSICIAN 1.00 40.00 X 0 213972 542 ARTHUR P MOURTZINOS MD TRUSTEE/PHYSICIAN 1.00 40.00 X 0 510539 23958 REBECCA C YANG MD TRUSTEE/PHYSICIAN 1.00 40.00 X 0 371151 24441 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/TREASURER/EVP/CFO 1.00 50.00 X 0 726158 162517 DAVID SPACKMAN JD CLERK/GEN COUNSEL 1.00 50.00 X 0 438488 44803 MARYELLEN LEAR ASSISTANT CLERK/LEGAL ADMIN. 1.00 40.00 X 0 90802 15775 PETER LLOYD ASSISTANT TREASURER/VP FINANCE 1.00 40.00 X 0 369972 21828 ELIZABETH P CONRAD SVP, CHIEF HR OFFICER 1.00 40.00 X 0 272032 28833 DONALD F SNELL EVP/COO LAHEY HEALTH 40.00 1.00 X 763228 0 112078 ROBERT J SCHNEIDER COO LAHEY NORTH SHORE 40.00 X 429168 0 22307 JEFFREY P DORAN COO HOSPITAL 40.00 X 410395 0 22762 STANLEY BELLO COO PRIMARY CARE 40.00 X 291522 0 22465 RICHARD R BIAS VP. QUALITY AND SAFETY 40.00 X 372160 0 32397 BRUCE A METZ CHIEF INFORMATION OFFICER 40.00 1.00 X 389344 0 2448 RICHARD J GUARINO VP. HOSPITAL SERVICES 40.00 X 275463 0 27317 CONSTANCE M CROWLEY GANSER SVP QUALITY & PATIENT SAFETY 40.00 X 269498 0 28317 NAIMUDDIN SHAIKH SR. PHYSICIST 40.00 X 243742 0 23028 STEPHEN L DEMERS VP SURGICAL SERVICES 40.00 X 285420 0 25751 DEBORAH ZARRELLA ACNO SURGICAL SERVICES 40.00 X 241696 0 21941 EDWARD M NADOLNY CHIEF PERFUSIONIST 40.00 X 231609 0 25817 4203245 7677048 1181189 541 0 1 0 DELOITTE CONSULTING LLP PO BOX 7247-6447 PHILADELPHIA PA 19170 CONSULTING SERVICES 2106644 BAYSTATE INTERPRETERS INC 32 PLEASANT STREET 3RD FLOOR GARDNER MA 01440 INITERPRETER SERVICES 1287575 ANTHONY VANARIA AND SONS 45 FELTON STREET WALTHAM MA 02453 MAINTENANCE SERVICES 1183417 FMN SERVICES INC 323 ANDOVER STREET SUITE 7 WILMINGTON MA 01887 ENVIRONMENTAL SERVICES 1106007 BENEFIT STRATEGIES LLC PO BOX 1660 MANCHESTER NH 03105 CONSULTING SERVICES 907535 10 NET PATIENT SERVICE REVENUE 624100 800610020 800610020 OTHER PATIENT REVENUES 621400 17879308 17879308 OUTSIDE LABORATORY SERVICES 621500 117620 117620 818606948 686745 686745 379175 0 379175 379175 379175 287700 236349 51351 51351 51351 CAFETERIA REVENUES 722210 3991070 3991070 PARKING GARAGE REVENUES 812930 3336434 3336434 GIFT SHOP REVENUES 453220 77474 77474 1465796 1465796 8870774 828594993 818489328 195094 9910571 11120334 11120334 292099276 266421570 25677706 32637646 29191668 3445978 44160138 39455777 4704361 20647243 18205091 2442152 91715 90048 1667 2192745 25 2192720 521062 521062 45439233 20480284 24958949 2544385 2544385 8610878 5766395 2844483 4754939 1161646 3593293 15181791 13195200 1986591 1326399 1245862 80537 9578893 9578893 39936327 30190766 9745561 970867 970867 MEDICAL SUPPLIES 152881929 152735556 146373 GENERAL SUPPLIES 66077726 56841884 9235842 MASS HEALTH SAFETY NET 9383633 9383633 760157159 657459550 102697609 0 -1 253398742 171687308 89854979 91482035 162109 13128453 12928561 6347668 5285753 10901526 55687369 52806384 402153441 426599861 739224466 219006864 281116103 12819590 7384869 11164552 36311497 281296699 268137951 580962223 X 158461910 158461910 -199667 158461910 158262243 426599861 739224466 X 68437834 212212 -68849713 X 0 1 X 1 0 X 0 1 0 1 500 0 0 1 277629 1 59334 0 337463 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 390127076 OTHER INVESTMENTS 364578 MALPRACTICE INSURANCE FUNDS RECEIVABLE 7254054 OTHER ASSETS 4407733 402153441 ESTIMATE DUE TO THIRD PARTY INSURANCE 29541027 INTER-COMPANY PAYABLES 249921672 OTHER NON-CURRENT LIABILITIES 1834000 281296699 X 759957489 212212 -68849716 -68637504 828594993 0 828594993 755152266 0 755152266 5004893 5004893 760157159 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: PENSION PLAN, POST RETIREMENT RELATED CHANGES, CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -68,849,716. PART XII, LINE 4B - OTHER ADJUSTMENTS: REVENUE COLLECTED BY LAHEY CLINIC FOUNDATION, TRANSFERRED TO LC HOSPITAL 5,004,893. SCHEDULE D, PART XIII THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. 1 1 X 1 X 1 X 1 1 1 0 1 1 3402947 0 3402947 0.00450 38646688 38076069 570619 0.00080 24189557 17593588 6595969 0.00870 66239192 55669657 10569535 0.01400 4663707 4663707 0.00610 34132278 7787022 26345256 0.03470 32709876 25712383 6997493 0.00920 984508 984508 0.00130 72490369 33499405 38990964 0.05130 138729561 89169062 49560499 0.06530 1 13834034 4238817 210960911 257214847 -46253936 X 1 1 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 1 X X X X X X X X X 13 1 1 1 X X X X X X X X X 1 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X 1 1 X X X X X 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 1J: IDENTIFIED AND EVALUATED SOCIAL DETERMINANTS OF HEALTH. LAHEY CLINIC HOSPITAL, INC. PART V, SECTION B, LINE 3: 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 4: 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 5D: 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 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 JULY 2011, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED 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. UNDER THE NEW GUIDANCE, BAD DEBTS RELATING TO PATIENT SERVICE REVENUE WILL BE SEPARATELY DISCLOSED IN THE STATEMENT OF OPERATIONS AND REPORTED 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. LAHEY CLINIC HOSPITAL, INC. ELECTED TO EARLY ADOPT ASU 2011-7 FOR 2012 AND CHANGED ITS REPORTING OF THE PROVISION FOR BAD DEBTS. PART III, LINE 8: THE MEDICARE SHORTFALL OF ($46,253,936) 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 09/30/2014. 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. 0 1 0 0 0 0 0 1 0 HOWARD R GRANT JD MD TRUSTEE/PRESIDENT/CEO 0 1451746 0 0 0 17896 0 242796 0 30722 0 1743160 0 0 JOHN A LIBERTINO MD TRUSTEE/CHAIR DEPT OF UROL 0 809085 0 0 0 17500 0 22796 0 21790 0 871171 0 0 RICHARD W NESTO MD TRUSTEE/EVP/CMOO/PHYSICIAN 0 679655 0 0 0 17500 0 73400 0 25024 0 795579 0 0 ROGER L JENKINS MD TRUSTEE/PHYSICIAN 0 639360 0 0 0 0 0 0 0 31908 0 671268 0 0 RICHARD S D'AGOSTINO MD TRUSTEE/CHAIR DEPT CARDIO 0 640296 0 0 0 17500 0 0 0 31088 0 688884 0 0 ANDREW G VILLANUEVA MD TRUSTEE/CMO CLINIC/PHYSICI 0 375896 0 0 0 17500 0 0 0 12340 0 405736 0 0 BETSEY CRAWFORD MD TRUSTEE/PHYSICIAN 0 213972 0 0 0 0 0 0 0 542 0 214514 0 0 ARTHUR P MOURTZINOS MD TRUSTEE/PHYSICIAN 0 510539 0 0 0 0 0 0 0 23958 0 534497 0 0 REBECCA C YANG MD TRUSTEE/PHYSICIAN 0 371151 0 0 0 0 0 0 0 24441 0 395592 0 0 TIMOTHY O'CONNOR OFFICER/TREASURER/EVP/CFO 0 725900 0 0 0 258 0 136700 0 25817 0 888675 0 0 DAVID SPACKMAN JD CLERK/GEN COUNSEL 0 437726 0 0 0 762 0 22796 0 22007 0 483291 0 0 PETER LLOYD ASSISTANT TREASURER/VP FINANCE 0 369972 0 0 0 0 0 0 0 21828 0 391800 0 0 ELIZABETH P CONRAD SVP, CHIEF HR OFFICER 0 272032 0 0 0 0 0 0 0 28833 0 300865 0 0 DONALD F SNELL EVP/COO LAHEY HEALTH 763228 0 0 0 0 0 90071 0 22007 0 875306 0 0 0 ROBERT J SCHNEIDER COO LAHEY NORTH SHORE 411668 0 0 0 17500 0 0 0 22307 0 451475 0 0 0 JEFFREY P DORAN COO HOSPITAL 392895 0 0 0 17500 0 0 0 22762 0 433157 0 0 0 STANLEY BELLO COO PRIMARY CARE 291522 0 0 0 0 0 0 0 22465 0 313987 0 0 0 RICHARD R BIAS VP. QUALITY AND SAFETY 354660 0 0 0 17500 0 0 0 32397 0 404557 0 0 0 BRUCE A METZ CHIEF INFORMATION OFFICER 371844 0 0 0 17500 0 0 0 2448 0 391792 0 0 0 RICHARD J GUARINO VP. HOSPITAL SERVICES 275463 0 0 0 0 0 0 0 27317 0 302780 0 0 0 CONSTANCE M CROWLEY GANSER SVP QUALITY & PATIENT SAFETY 269498 0 0 0 0 0 0 0 28317 0 297815 0 0 0 NAIMUDDIN SHAIKH SR. PHYSICIST 226242 0 0 0 17500 0 0 0 23028 0 266770 0 0 0 STEPHEN L DEMERS VP SURGICAL SERVICES 285420 0 0 0 0 0 0 0 25751 0 311171 0 0 0 DEBORAH ZARRELLA ACNO SURGICAL SERVICES 241696 0 0 0 0 0 0 0 21941 0 263637 0 0 0 EDWARD M NADOLNY CHIEF PERFUSIONIST 231609 0 0 0 0 0 0 0 25817 0 257426 0 0 0 PART I, LINE 4B THE 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. FOR THE CURRENT PERIOD, THE FOLLOWING PERSONS PARTICIPATED N THE 457F NON-QUALIFIED DEFERRED COMPENSATION PLAN: DONALD SNELL $90,071 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 VI, SECTION A, LINE 6 THE LAHEY HOSPITAL AND MEDICAL CENTER CONSISTS OF THREE NON-PROFIT CORPORATIONS, LAHEY CLINIC HOSPITAL, INC. (EIN # 04-2704686), LAHEY CLINIC, INC. (EIN # 04-2704683), AND LAHEY CLINIC FOUNDATION, INC. (EIN # 04-2323457). ALL THREE 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 NORTHEAST HEALTH SYSTEM, INC. COMPLETED A MERGER WITH EACH OTHER AND ESTABLISHED A NEW ORGANIZATION, LAHEY HEALTH SYSTEM, INC. ("LHS"), TO SERVE AS THE PARENT OF THE COMBINED HEALTH SYSTEM. ON JULY 1, 2014, LHS AND WINCHESTER HEALTHCARE MANAGEMENT, INC ENTERED INTO AN AFFILIATION. LHS IS NOW THE SOLE CORPORATE MEMBER OF LAHEY CLINIC FOUNDATION, INC., NORTHEAST HEALTH SYSTEM,INC. AND WINCHESTER HEALTHCARE MANAGEMENT, INC. 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. 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, QUESTION 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. LAHEY CLINIC HOSPITAL, INC.'S EXECUTIVE MANAGEMENT REVIEWED AND PRESENTED A DRAFT OF IRS FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTE OF THE LAHEY HEALTH SYSTEM, INC. BOARD OF TRUSTEES PRIOR TO THE FILING DATE. A DRAFT AND THE FINAL IRS FORM 990 WERE PROVIDED TO THE ENTIRE BOARD OF TRUSTEES BEFORE THE FILING DATE VIA A 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 CONFLICTS 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 THE LAHEY HOSPITAL AND MEDICAL CENTER; A PERSON MAY BE TOLD THEY CANNOT BE A PRINCIPAL INVESTIGATOR ON A RESEARCH STUDY; A PERSON MAY BE TOLD THAT 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 EXECUTIVE VICE PRESIDENT OF HUMAN RESOURCE OPERATIONS 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 LAHEY CLINIC FOUNDATION, 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 -68,849,713. PART IV, LINE 4 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. PART VI, SECTION 6, LINE 14 LAHEY HOSPITAL & MEDICAL CENTER HAS WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY KNOWN AS THE "RETENTION OF ADMINISTRATIVE AND CLINICAL DOCUMENTS". THE POLICIES, PROCEDURES, AND STANDARDS ARE MONITORED, MANAGED, AND REVISED BY THE RECORDS MANAGEMENT STEERING COMMITTEE. 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 ARRANGEMENTS 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, LAHEY'S FINANCE MANAGEMENT TEAM REVIEWS ALL PROPOSED JOINT VENTURE AND PARTNERSHIP AGREEMENTS. BOTH REVIEWS TAKE PLACE BEFORE LAHEY CLINIC HOSPITAL ENTERS INTO ANY SUCH AGREEMENTS. PARTS VII, 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 A SIGNIFICANT PORTION OF THE AFOREMENTIONED EXPENSES TO ITS AFFILIATES. THE AFFILIATES THEN REIMBURSE LAHEY CLINIC FOUNDATION, INC. LAHEY CLINIC INC 41 MALL ROAD BURLINGTON MA 01805 042704683 HEALTHCARE MA 501(C) (3) 9 LCF INC 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 INC 0 NORTHEAST HEALTH SYSTEM INC 85 HERRICK STREET BEVERLY MA 01915 043240453 SUPPORT MA 501(C) (3) 11C LHS INC 0 NORTHEAST BEHAVIORAL HEALTH CORPORATION 131 RANTOUL STREET BEVERLY MA 01915 042777145 BEHAVIORAL HEALTH CARE MA 501(C) (3) 7 LHS INC 0 HEALTH & EDUCATION HOUSING SERVICES INC ZERO CENTENNIAL DRIVE PEABODY MA 01960 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 85 HERRICK STREET BEVERLY MA 01915 042731137 HEALTHCARE MA 501(C) (3) 9 LHS INC 0 CAB HEALTH & RECOVERY SERVICES INC 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 LAHEY CLINIC FOUNDATION INC 41 MALL ROAD BURLINGTON MA 01805 042323457 SUPPORT MA 501(C) (3) 7 LHS INC 0 WINCHESTER HOSPITAL 41 HIGHLAND AVENUE WINCHESTER MA 01890 042104434 HEALTHCARE MA 501(C) (3) 3 WHM INC 0 WINCHESTER HOSPITAL FOUNDATION 41 HIGHLAND AVENUE WINCHESTER MA 01890 043399570 SUPPORT MA 501(C) (3) 7 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 INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701817 MANAGEMENT SERVICE MA 501(C) (3) 11A LHS INC 0 WINCHESTER COMMUNITY ACCOUNTABLE CARE ORGANIZATION INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 223137856 SURGERY CENTER MA 501(C) (3) 11A WHM 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 0 PERPETUAL TRUSTS (9) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA SEE PART VII T 0 REMAINDER TRUSTS (17) 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 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 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 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 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. 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.