2015-08-14T06:42:23-05:00 2014-09-30 042684828 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2013-10-01 201287349 NORTHEAST PROFESSIONAL REGISTRY OF NURSES NORT 9789223000 800 CUMMINGS CENTER NO 266U BEVERLY MA 01915 HOWARD R GRANT PRESIDENT/CEO 9789223000 2015-08-13 1 JEFFREY T ROGERS P01074284 6177427788 2013 2016-04-25 22:37:26Z HOWARD R GRANT 41 MALL ROAD BURLINGTON MA 01805 11740655 0 X N/A X 2007 MA TO PROVIDE FACILITY AND HOME-BASED HEALTHCARE, INCLUDING SKILLED NURSING AND HOME HEALTH AIDES, TO THE COMMUNITY. 4 1 240 0 0 0 0 0 10443208 11746447 0 -5792 0 0 10443208 11740655 0 0 0 0 7683013 10542586 0 0 0 2038494 1508150 9721507 12050736 721701 -310081 5284582 4699794 3067967 2793260 2216615 1906534 TO PROVIDE FACILITY AND HOME-BASED HEALTHCARE, INCLUDING SKILLED NURSING AND HOME HEALTH AIDES TO THE RESIDENTS OF THE COMMUNITY. 0 0 7253221 11746447 HOME-BASED HEALTHCARE, INCLUDING SKILLED NURSING AND HOME HEALTH AIDE SERVICES. 7253221 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 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 15 0 1 240 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 DIRECTOR/CHAIR/PRES/CEO 2.00 40.00 X X 0 1469642 273518 TIMOTHY O'CONNOR DIRECTOR/TREASURER 2.00 40.00 X X 0 726158 162517 DAVID SPACKMAN DIRECTOR/CLERK 2.00 40.00 X X 0 438488 44803 ROBERT RIVES DIRECTOR 2.00 0.00 X X 0 0 0 CYNTHIA RING REGISTERED NURSE 40.00 0.00 X 146028 0 2811 RACHEL MANGIACOTTI CLINICAL NURSE MANAGER 40.00 0.00 X 113890 0 16172 SUZANNE OLSZAK REGISTERED NURSE 40.00 0.00 X 113515 0 26378 JENNIFER C GIZMUNT FORMER DIRECTOR/PRESIDENT 0.00 40.00 X 0 200884 24853 JAMES DUNNE FORMER DIRECTOR/CLERK 0.00 0.00 X 0 219237 60024 JOSEPH PORCELLO FORMER TREASURER 0.00 0.00 X 0 198458 67434 373433 3252867 678510 3 1 1 0 0 PROGRAM SERVICE REVENUE 623000 11746447 11746447 11746447 -5792 -5792 11740655 11746447 0 -5792 8889982 6336082 2553900 83321 83321 926365 24587 901778 642918 536535 106383 201004 201004 30120 30120 62493 62493 131160 131160 277060 277060 171678 171678 14871 14871 OTHER OPERATING EXPENSE 444764 444764 SUPPLIES 175000 155013 19987 12050736 7253221 4797515 0 3587395 2642180 1194808 869636 64423 44226 726329 408484 301600 317845 136356 825907 5284582 4699794 712333 856265 2355634 1936995 3067967 2793260 X 2191615 1881534 25000 25000 2216615 1906534 5284582 4699794 -310081 0 X 0 1 X 1 0 X 6810330 8289439 8964784 10443208 11746447 46254208 6810330 8289439 8964784 10443208 11746447 46254208 0 0 0 46254208 6810330 8289439 8964784 10443208 11746447 46254208 1.00000 1.00000 0.00000 X 726329 408484 317845 317845 GOODWILL 136356 DUE FROM AFFILIATE 664551 INTER-COMPANY 25000 825907 DUE TO AFFILIATES 1771428 INTER-COMPANY 25000 DUE TO MEDICARE 140567 1936995 11740655 0 11740655 0 11740655 12050736 0 12050736 0 12050736 X X X X X X 0 1 0 0 0 0 0 1 0 HOWARD R GRANT DIRECTOR/CHAIR/PRES/CEO 0 1451746 0 0 0 17896 0 242796 0 30722 0 1743160 0 0 TIMOTHY O'CONNOR DIRECTOR/TREASURER 0 725900 0 0 0 258 0 136700 0 25817 0 888675 0 0 DAVID SPACKMAN DIRECTOR/CLERK 0 437726 0 0 0 762 0 22796 0 22007 0 483291 0 0 JENNIFER C GIZMUNT FORMER DIRECTOR/PRESIDENT 0 173812 0 21937 0 5135 0 0 0 24853 0 225737 0 0 JAMES DUNNE FORMER DIRECTOR/CLERK 0 197156 0 22081 0 0 0 45543 0 14481 0 279261 0 0 JOSEPH PORCELLO FORMER TREASURER 0 187214 0 0 0 11244 0 39172 0 28262 0 265892 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). FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION IS NORTHEAST 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. ADDITIONALLY, THE RIGHT OF THE REPORTING ORGANIZATION'S MEMBER, NORTHEAST 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. THE ARTICLES OF INCORPORATION AND BY-LAWS OF THE REPORTING ORGANIZATION WERE AMENDED ON SEPTEMBER 21, 2012 TO REFLECT THE AFOREMENTIONED CHANGES. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION IS NORTHEAST 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. ADDITIONALLY, THE RIGHT OF THE REPORTING ORGANIZATION'S MEMBER, NORTHEAST 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. THE ARTICLES OF INCORPORATION AND BY-LAWS OF THE REPORTING ORGANIZATION WERE AMENDED ON SEPTEMBER 21, 2012 TO REFLECT THE AFOREMENTIONED CHANGES. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION IS NORTHEAST 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. ADDITIONALLY, THE RIGHT OF THE REPORTING ORGANIZATION'S MEMBER, NORTHEAST 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. THE ARTICLES OF INCORPORATION AND BY-LAWS OF THE REPORTING ORGANIZATION WERE AMENDED ON SEPTEMBER 21, 2012 TO REFLECT THE AFOREMENTIONED CHANGES. 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 LAHEY HEALTH HAS A CODE OF CONDUCT. THE CODE WAS ADOPTED SO THAT ALL LAHEY HEALTH OFFICERS, EMPLOYEES AND CERTAIN OTHER PERSONS HAVE A PRIMARY GUIDE -- AND THE SAME GUIDE -- FOR CONDUCTING THEIR DAILY WORK LIVES. THE CODE SETS OUT BASIC PRINCIPLES THAT ALL LAHEY HEALTH COLLEAGUES MUST FOLLOW, INCLUDING PRINCIPLES THAT RELATE TO ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, LAHEY HEALTH HAS A CONFLICT OF INTEREST POLICY. THE POLICY TREATS THE SUBJECT OF CONFLICTS OF INTEREST IN MORE DETAIL. BOTH THE CODE AND THE POLICY WERE DESIGNED TO SATISFY THE EXPECTATIONS OF OUR PATIENTS AND THEIR FAMILIES THAT LAHEY HEALTH WILL IDENTIFY AND APPROPRIATELY MANAGE CONFLICTS OF INTEREST. ALL LAHEY HEALTH COLLEAGUES ARE SUBJECT IN GENERAL TO THE PROVISIONS OF BOTH THE CODE AND THE POLICY. UNDER THE POLICY ALL LAHEY HEALTH COLLEAGUES MUST PROACTIVELY DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST THAT THEY THINK MAY EXIST AND INQUIRE ABOUT THE APPLICATION OF THE POLICY WHENEVER THEY HAVE A QUESTION UNDER IT. IN ADDITION, BECAUSE OF THE LEVEL OF THEIR RESPONSIBILITIES, CERTAIN COLLEAGUES ARE REQUIRED TO COMPLETE AND SUBMIT AN ANNUAL ONLINE CONFLICT OF INTEREST QUESTIONNAIRE AND TO UPDATE IT DURING THE YEAR AS CIRCUMSTANCES WARRANT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL THE COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT TRUSTEES, MEETS PERIODICALLY THROUGHOUT THE YEAR TO REVIEW EXECUTIVE GOALS, SALARIES, INCENTIVES, PAYMENT PROGRAMS AND BENEFITS. THE COMMITTEE USES COMPARATIVE DATA FROM SULLIVAN & COTTERS AND LAWRENCE ASSOCIATIONS (EXTERNAL COMPENSATION CONSULTANTS) TO ENSURE EXECUTIVE COMPENSATION AND BENEFITS ARE IN LINE WITH THE REST OF THE INDUSTRY. COMPENSATION PROCESS FOR OFFICERS THE COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT TRUSTEES, MEETS PERIODICALLY THROUGHOUT THE YEAR TO REVIEW EXECUTIVE GOALS, SALARIES, INCENTIVES, PAYMENT PROGRAMS AND BENEFITS. THE COMMITTEE USES COMPARATIVE DATA FROM SULLIVAN & COTTERS AND LAWRENCE ASSOCIATIONS (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 CONFLICT 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 ROAD BURLINGTON MA 01805 042704683 HEALTHCARE MA 501C3 9 LCF INC 0 LAHEY CLINIC FOUNDATION INC 41 MALL ROAD BURLINGTON MA 01805 042323457 SUPPORT MA 501C3 7 LHS INC 0 LAHEY HEALTH SHARED SERVICES INC 41 MALL ROAD BURLINGTON MA 01805 043178972 SUPPORT MA 501C3 9 LHS INC 0 NORTHEAST HEALTH SYSTEM INC 85 HERRICK STREET BEVERLY MA 01915 043240453 SUPPORT MA 501C3 11C LHS INC 0 NORTHEAST HOSPITAL CORPORTION 85 HERRICK STREET BEVERLY MA 01915 042121317 HEALTHCARE MA 501C3 3 LHS INC 0 NORTHEAST MEDICAL PRACTICE 85 HERRICK STREET BEVERLY MA 01915 043201853 HEALTHCARE MA 501C3 9 NEHC 0 SEACOAST NURSING AND REHABILITATION CENTER 300 WASHINGTON STREET GLOUCESTER MA 01930 041305001 HEALTHCARE MA 501C3 9 LHS INC 0 NORTHEAST SENIOR HEALTH 85 HERRICK STREET BEVERLY MA 01915 042731137 HEALTHCARE MA 501C3 9 LHS INC 0 NORTHEAST BEHAVIORAL HEALTH 131 RANTOUL STREET BEVERLY MA 01915 042777145 BEHAVIORAL HEALTH MA 501C3 7 LHS INC 0 CAB HEALTH & RECOVERY 111 MIDDLETON ROAD DANVERS MA 01923 042400270 SUBSTANCE ABUSE PREVENTION MA 501C3 9 NEBH 0 HEALTH AND EDUCATION HOUSING SERVICES ZERO CENTENNIAL DRIVE BEVERLY MA 01915 223232914 HUD HOUSING MA 501C3 9 NEBH 0 LAHEY HEALTH SYSTEM INC 41 MALL ROAD BURLINGTON MA 01805 611665701 SUPPORT MA 501C3 11C N/A 0 LAHEY CLINIC HOSPITAL INC 41 MALL ROAD 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 41 HIGHLAND AVENUE WINCHESTER MA 01890 043399570 SUPPORT MA 501C3 11C WHM INC 0 WINCHESTER HEALTHCARE MANAGEMENT INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701817 MANAGEMENT SERVICES MA 501C3 11C LHS INC 0 WINCHESTER HEALTHCARE INVESTMENT 41 HIGHLAND AVENUE WINCHESTER MA 01890 222701819 HEALTHCARE VENTURES MA 501C3 11C WHM INC 0 WINCHESTER COMMUNITY ACCOUNTABLE CARE ORGANIZATION 41 HIGHLAND AVENUE WINCHESTER MA 01890 223137856 SURGERY CENTER MA 501C3 11C WHM INC 0 ADDISON GILBERT SOCIETY INC 41 MALL ROAD BURLINGTON MA 01805 464371382 SUPPORT MA 501C3 11A LHS INC 0 LAHEY CLINIC INSURANCE CO LTD PO BOX HM2450 HAMILTON BD INSURANCE BD LHS INC C 0 PERPETUAL TRUSTS (8) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA N/A T 0 REMAINDER TRUSTS (17) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA N/A T 0 POOLED INCOME FUNDS (3) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA N/A T 0 WINCHESTER PHYSICIAN HOSPITAL ORGANIZATION 41 HIGHLAND AVENUE WINCHESTER MA 01890 472646454 PHYSICIAN SERVICE MA WHM INC C 0 NORTHEAST PROPRIETARY CORPORATION 85 HERRICK STREET BEVERLY MA 01915 042855191 MEDICAL SERVICE MA LHS INC C 0 WINCHESTER HEALTHCARE ENTERPRISES INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 042932059 HEALTHCARE VENTURES MA WHM INC C 0 WINCHESTER PHYSICIAN ASSOCIATES INC 41 HIGHLAND AVENUE WINCHESTER MA 01890 043262963 PHYSICIAN 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 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 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. SCHEDULE R, PART IV, PERPETUAL TRUSTS LAHEY CLINIC FOUNDATION, NORTHEAST HOSPITAL CORPORATION AND WINCHESTER HOSPITAL HAVE FOUR (4), THREE (3) AND ONE (1) PERPETUAL TRUSTS, RESPECTIVELY. THE PERPETUAL TRUSTS ARE DOMICILED IN MASSACHUSETTS, PENNSYLVANIA AND FLORIDA. SCHEDULE R, PART IV, REMAINDER TRUSTS LAHEY CLINIC FOUNDATION HAS SEVENTEEN (17) REMAINDER TRUSTS. THE REMAINDER TRUSTS ARE DOMICILED IN MASSACHUSETTS, NEW HAMPSHIRE AND WISCONSIN. SCHEDULE R, PART IV, POOLED INCOME FUNDS LAHEY CLINIC FOUNDATION HAS THREE (3) POOLED INCOME FUNDS, DOMICILED IN MASSACHUSETTS.