LAHEY CLINIC HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LAHEY CLINIC HOSPITAL INC (EIN 04-2704686)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-13
- IRS object ID
- 201402259349301835
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-13T15:44:16-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042684828 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FEELEY & DRISCOLL PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 PORTLAND STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02114 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042704686 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAHEY CLINIC HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LAHE | NameControl |
| Phone | 7817445100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 41 MALL ROAD | AddressLine1 |
| City | BURLINGTON | City |
| State | MA | State |
| ZIP Code | 018050001 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TIMOTHY O'CONNOR | Name |
| Title | TREASURER/EVP/CFO | Title |
| Phone | 7817445100 | Phone |
| Date Signed | 2014-08-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALAN GAROFALO | Name |
| PTIN | P00744592 | PTIN |
| Phone | 6177427788 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | HOWARD R GRANT JD MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 41 MALL ROAD | AddressLine1 |
| City | BURLINGTON | City |
| State | MA | State |
| ZIP Code | 018050001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 795374938 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LAHEY.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1980 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4792 | TotalNbrEmployees |
| Total Nbr Volunteers | 311 | TotalNbrVolunteers |
| Total Gross UBI | 177330 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 56996 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 793005182 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 786135436 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 152867 | InvestmentIncomePriorYear |
| Investment Income Current Year | 37141 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 9812447 | OtherRevenuePriorYear |
| Other Revenue Current Year | 9175123 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 802970496 | TotalRevenuePriorYear |
| Total Revenue Current Year | 795347700 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 401269566 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 398285685 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 333140817 | OtherExpensePriorYear |
| Other Expenses Current Year | 336558110 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 734410383 | TotalExpensesPriorYear |
| Total Expenses Current Year | 734843795 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 68560113 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 60503905 | RevenuesLessExpensesCY |
| Total Assets BOY | 392952442 | TotalAssetsBOY |
| Total Assets EOY | 426599861 | TotalAssetsEOY |
| Total Liabilities BOY | 463337910 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 268137951 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -70385468 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 158461910 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | LAHEY CLINIC HOSPITAL, INC., A TEACHING HOSPITAL OF TUFTS UNIVERSITY, 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 568658033 | Expense |
| Revenue | 778376663 | Revenue |
| Description | PATIENT CARE:LAHEY CLINIC HOSPITAL, INC. STRIVES EACH DAY TO PROVIDE TOP QUALITY SUPERIOR PATIENT CARE IN INPATIENT HOSPITAL, EMERGENCY, OUTPATIENT TREATMENT, AND DIAGNOSTIC AND OTHER ANCILLARY SERVICES. IN 2013, MORE THAN 29,000 PATIENTS WERE ADMITTED AS INPATIENTS TO LAHEY CLINIC'S HOSPITAL FACILITIES, REPRESENTING MORE THAN 102,000 PATIENT DAYS. MORE THAN 8,000 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 2013, LAHEY CLINIC HOSPITAL'S EMERGENCY ROOMS LOGGED MORE THAN 55,000 PATIENT VISITS. ALSO IN 2013, LAHEY CLINIC HOSPITAL'S OUTPATIENT CLINICS LOGGED MORE THAN 1,102,000 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 REVERIFIED IN 2010 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 IS ONE OF ONLY 250 HOSPITALS TO RECEIVE THIS DESIGNATION NATIONWIDE.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 CLINIC HOSPITAL 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 2013 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 30285087 | Expense |
| Revenue | 7656459 | Revenue |
| Description | 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 598943120 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 307 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 4792 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIMOTHY O'CONNOR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7817445100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 41 MALL ROAD | AddressLine1 |
| City | BURLINGTON | City |
| State | MA | State |
| ZIP Code | 01805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (38 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| HOWARD R GRANT JD MD | ||||||||||
| TRUSTEE/PRESIDENT/CEO | 1.00 | 50.00 | X | 0 | 1404056 | 268890 | ||||
| JOHN A LIBERTINO MD | ||||||||||
| TRUSTEE/CHAIR DEPT OF UROLOGY | 1.00 | 40.00 | X | 0 | 774869 | 64613 | ||||
| RICHARD W NESTO MD | ||||||||||
| TRUSTEE/EVP/CMOO/PHYSICIAN | 1.00 | 40.00 | X | 0 | 782068 | 97938 | ||||
| ROGER L JENKINS MD | ||||||||||
| TRUSTEE/PHYSICIAN | 1.00 | 40.00 | X | 0 | 645142 | 49359 | ||||
| RICHARD S D'AGOSTINO MD | ||||||||||
| TRUSTEE/CHAIR DEPT CARDIO SURG | 1.00 | 40.00 | X | 0 | 628799 | 46859 | ||||
| ANDREW G VILLANUEVA MD | ||||||||||
| TRUSTEE/CMO CLINIC/PHYSICIAN | 1.00 | 40.00 | X | 0 | 363060 | 35366 | ||||
| BETSEY CRAWFORD MD | ||||||||||
| TRUSTEE/PHYSICIAN | 1.00 | 40.00 | X | 0 | 201368 | 1096 | ||||
| ARTHUR P MOURTZINOS MD | ||||||||||
| TRUSTEE/PHYSICIAN | 1.00 | 40.00 | X | 0 | 471126 | 57092 | ||||
| REBECCA C YANG MD | ||||||||||
| TRUSTEE/PHYSICIAN | 1.00 | 40.00 | X | 0 | 371361 | 40004 | ||||
| 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 START 2/25/13 | 2.00 | X | 0 | 0 | 0 | X | ||||
| 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 | |||||
| MICHAEL C RUETTGERS | ||||||||||
| TRUSTEE/CHAIR OF BOARD UNTIL 2/25/13 | 2.00 | X | 0 | 0 | 0 | X | ||||
| CAROLYN AIN | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| JANE C EDMUNDS | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| DEBORAH MCKENNA | ||||||||||
| TRUSTEE START 12/21/12 | 1.00 | X | 0 | 0 | 0 | |||||
| DAVID WAJSGRAS | ||||||||||
| TRUSTEE START 12/21/12 | 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 | 0 | 810958 | 141710 | X | ||||
| DAVID SPACKMAN JD | ||||||||||
| CLERK/GEN COUNSEL | 1.00 | 50.00 | 0 | 234832 | 36052 | X | ||||
| MARYELLEN LEAR | ||||||||||
| ASSISTANT CLERK START 2/25/13 | 1.00 | 40.00 | 0 | 89019 | 13653 | X | ||||
| PETER LLOYD | ||||||||||
| ASSISTANT TREASURER START 2/25/13 | 1.00 | 40.00 | 0 | 337924 | 21070 | X | ||||
| DONALD F SNELL | ||||||||||
| EVP/COO LAHEY HEALTH | 40.00 | 714976 | 0 | 106148 | X | |||||
| ROBERT J SCHNEIDER | ||||||||||
| COO LAHEY NORTH SHORE | 40.00 | 386860 | 0 | 37680 | X | |||||
| JEFFREY P DORAN | ||||||||||
| COO HOSPITAL | 40.00 | 371324 | 0 | 39204 | X | |||||
| STANLEY BELLO | ||||||||||
| COO PRIMARY CARE | 40.00 | 275247 | 0 | 24570 | X | |||||
| RICHARD R BIAS | ||||||||||
| VP. QUALITY AND SAFETY | 40.00 | 387063 | 0 | 77044 | X | |||||
| BRUCE A METZ | ||||||||||
| CHIEF INFORMATION OFFICER | 40.00 | 386071 | 0 | 47101 | X | |||||
| RICHARD J GUARINO | ||||||||||
| VP. HOSPITAL SERVICES | 40.00 | 239921 | 0 | 26210 | X | |||||
| LYNN A STOFER | ||||||||||
| SVP BUSINESS DEVELOPMENT | 40.00 | 482755 | 0 | 41710 | X | |||||
| NAIMUDDIN SHAIKH | ||||||||||
| SR. PHYSICIST | 40.00 | 267559 | 0 | 32475 | X | |||||
| STEPHEN L DEMERS | ||||||||||
| VP SURGICAL SERVICES | 40.00 | 255573 | 0 | 28870 | X | |||||
| SAMUEL J SKURA | ||||||||||
| VP DIVISION OF MEDICINE | 40.00 | 236743 | 0 | 77804 | X | |||||
| CONSTANCE M CROWLEY GANSER | ||||||||||
| SVP, QUALITY & PATIENT SAFETY | 40.00 | 235345 | 0 | 29710 | X | |||||
| DAVID M BARRETT MD | ||||||||||
| FORMER TRUSTEE/PRES/CEO | 0.00 | 0 | 746929 | 200000 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4239437 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 7861511 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1642228 | TotalOtherCompensation |
| Number Individuals GT100 K | 511 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BAYSTATE INTERPRETERS INC | |||||
| 32 PLEASANT STREET 3RD FLOOR | GARDNER | MA | 01440 | INITERPRETER SERVICES | 1259556 |
| FMN SERVICES INC | |||||
| 323 ANDOVER STREET SUITE 7 | WILMINGTON | MA | 01887 | ENVIRONMENTAL SERVICES | 978392 |
| ANTHONY VANARIA AND SONS | |||||
| 45 FELTON STREET | WALTHAM | MA | 02453 | MAINTENANCE SERVICES | 746425 |
| CLINICAL FINANCIAL RESOURCES INC | |||||
| PO BOX 100 | SEEKONK | MA | 02771 | BILLING SERVICES | 696780 |
| AMERICAN TRANSLATION PARTNERS INC | |||||
| 839 ALBANY STREET | BOSTON | MA | 02119 | INITERPRETER SERVICES | 696284 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | 774773384 | 774773384 | |
| OTHER PATIENT REVENUES | 621400 | 11259738 | 11259738 | |
| OUTSIDE LABORATORY SERVICES | 621500 | 102314 | 102314 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 786135436 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29879 | TotalRevenueColumn |
| Exclusion | $29,879 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 241116 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 241116 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 241116 | TotalRevenueColumn |
| Exclusion | $241,116 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 34500 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 27238 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7262 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7262 | TotalRevenueColumn |
| Exclusion | $7,262 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CAFETERIA REVENUES | 722210 | 4082388 | $4,082,388 | |
| PARKING GARAGE REVENUES | 812930 | 3304628 | $3,304,628 | |
| GIFT SHOP REVENUES | 453220 | 75016 | 75016 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1471975 | TotalRevenueColumn |
| Exclusion | $1,471,975 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 8934007 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 795347700 | TotalRevenueColumn |
| Related Or Exempt Function Income | 786033122 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 177330 | UnrelatedBusinessRevenue |
| Exclusion | $9,137,248 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4365533 | Total |
| Management And General | 4365533 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 288620940 | Total |
| Program Services | 230937842 | ProgramServices |
| Management And General | 57683098 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47639337 | Total |
| Program Services | 42106143 | ProgramServices |
| Management And General | 5533194 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37650748 | Total |
| Program Services | 33422645 | ProgramServices |
| Management And General | 4228103 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20009127 | Total |
| Program Services | 16034587 | ProgramServices |
| Management And General | 3974540 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90048 | Total |
| Management And General | 90048 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 540441 | Total |
| Management And General | 540441 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 352778 | Total |
| Management And General | 352778 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27768639 | Total |
| Program Services | 9894900 | ProgramServices |
| Management And General | 17873739 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 904997 | Total |
| Program Services | 904997 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6792683 | Total |
| Program Services | 2594713 | ProgramServices |
| Management And General | 4197970 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6132827 | Total |
| Program Services | 36983 | ProgramServices |
| Management And General | 6095844 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14340151 | Total |
| Program Services | 11927115 | ProgramServices |
| Management And General | 2413036 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 777218 | Total |
| Program Services | 433517 | ProgramServices |
| Management And General | 343701 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9055006 | Total |
| Program Services | 8204544 | ProgramServices |
| Management And General | 850462 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50228113 | Total |
| Program Services | 45510599 | ProgramServices |
| Management And General | 4717514 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 987030 | Total |
| Program Services | 894326 | ProgramServices |
| Management And General | 92704 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 145996089 | 145846881 | 149208 |
| GENERAL SUPPLIES | 63715396 | 41316634 | 22398762 |
| MASS HEALTH SAFETY NET | 8876694 | 8876694 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 734843795 | Total |
| Program Services | 598943120 | ProgramServices |
| Management And General | 135900675 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 245073177 | BOY |
| EOY | 253398742 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84864102 | BOY |
| EOY | 89854979 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 237019 | BOY |
| EOY | 162109 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13069671 | BOY |
| EOY | 13128453 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4746497 | BOY |
| EOY | 6347668 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10952778 | BOY |
| EOY | 10901526 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34009198 | BOY |
| EOY | 52806384 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 392952442 | BOY |
| EOY | 426599861 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 413004447 | BOY |
| EOY | 219006864 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14363049 | BOY |
| EOY | 12819590 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35970414 | BOY |
| EOY | 36311497 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 463337910 | BOY |
| EOY | 268137951 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -70385468 | BOY |
| EOY | 158461910 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -70385468 | BOY |
| EOY | 158461910 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 392952442 | BOY |
| EOY | 426599861 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 60503905 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -401214 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 168744687 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 1 | MailingsMembers |
| Mailings Members | $1,000 | MailingsMembersAmount |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $199,436 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $59,890 | RalliesDemonstrationsAmount |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 260326 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV, SUPPLEMENTAL INFORMATION: | Identifier |
| Explanation | 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. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTERCOMPANY RECEIVABLES | 41697276 |
| OTHER INVESTMENTS | 561791 |
| INVESTMENT IN NEPC | 7100 |
| MALPRACTICE INSURANCE FUNDS RECEIVABLE | 6139584 |
| INVESTMENT IN SHIELDS MRI | 4400633 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 52806384 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ESTIMATE DUE TO THIRD PARTY INSURANCE | Description |
| Amount | $36,311,497 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 36311497 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 950530470 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -401214 | NetUnrealizedGainsInvestments |
| Other Revenues | 156599157 | OtherRevenues |
| Revenue Not Rptd F990 | 156197943 | RevenueNotRptdF990 |
| Revenue Subtotal | 794332527 | RevenueSubtotal |
| Other Revenues Not Included | 1015173 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1015173 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 795347700 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 733828622 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 733828622 | ExpensesSubtotal |
| Other Expenses Not Included | 1015173 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1015173 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 734843795 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | PENSION PLAN, POST RETIREMENT RELATED CHANGES, AND CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE 156,599,157. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | REVENUE COLLECTED BY LAHEY CLINIC FOUNDATION, INC. AND TRANSFERRED TO LAHEY CLINIC HOSPITAL, INC. 1,015,173. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | REVENUE COLLECTED BY LAHEY CLINIC FOUNDATION, INC. AND TRANSFERRED TO LAHEY CLINIC HOSPITAL, INC. 1,015,173. |
| THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4159230 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4159230 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30287239 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 28158833 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2128406 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24599221 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16111022 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8488199 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01160 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 59045690 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 44269855 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14775835 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02020 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6646195 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6646195 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00900 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 30285087 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7730253 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22554834 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03070 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31532677 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27007601 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4525076 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1309025 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1309025 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 69772984 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34737854 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35035130 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04770 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 128818674 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 79007709 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 49810965 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06790 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $16,970,799 | BadDebtExpenseAmount |
| Amount Attributable To | 2691577 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 223505928 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 246047010 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -22541082 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAHEY CLINIC HOSPITAL INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 41 MALL ROAD | AddressLine1 |
| City | BURLINGTON | City |
| State | MA | State |
| ZIP Code | 01805 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
| Other | MEDICAL RESEARCH CONDUCTED UNDER THE LAHEY CLINIC, INC. | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAHEY CLINIC HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Other | X | Other |
| Needs Assessment Conducted | 10 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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 ($22,541,082) 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 09/30/2013. 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. | |
| 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. | |
| 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 5C: 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. | LAHEY CLINIC HOSPITAL, INC. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOWARD R GRANT JD MD | ||||||||||||||
| TRUSTEE/PRESIDENT/CEO | 0 | 1020410 | 0 | 360750 | 0 | 22896 | 0 | 239397 | 0 | 29493 | 0 | 1672946 | 0 | 0 |
| JOHN A LIBERTINO MD | ||||||||||||||
| TRUSTEE/CHAIR DEPT OF UROLOGY | 0 | 751998 | 0 | 0 | 0 | 22871 | 0 | 43600 | 0 | 21013 | 0 | 839482 | 0 | 0 |
| RICHARD W NESTO MD | ||||||||||||||
| TRUSTEE/EVP/CMOO/PHYSICIAN | 0 | 636722 | 0 | 122450 | 0 | 22896 | 0 | 73300 | 0 | 24638 | 0 | 880006 | 0 | 0 |
| ROGER L JENKINS MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | 0 | 622246 | 0 | 0 | 0 | 22896 | 0 | 17000 | 0 | 32359 | 0 | 694501 | 0 | 0 |
| RICHARD S D'AGOSTINO MD | ||||||||||||||
| TRUSTEE/CHAIR DEPT CARDIO SURG | 0 | 606041 | 0 | 0 | 0 | 22758 | 0 | 17000 | 0 | 29859 | 0 | 675658 | 0 | 0 |
| ANDREW G VILLANUEVA MD | ||||||||||||||
| TRUSTEE/CMO CLINIC/PHYSICIAN | 0 | 340302 | 0 | 0 | 0 | 22758 | 0 | 17000 | 0 | 18366 | 0 | 398426 | 0 | 0 |
| BETSEY CRAWFORD MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | 0 | 179602 | 0 | 0 | 0 | 21766 | 0 | 0 | 0 | 1096 | 0 | 202464 | 0 | 0 |
| ARTHUR P MOURTZINOS MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | 0 | 454072 | 0 | 0 | 0 | 17054 | 0 | 34000 | 0 | 23092 | 0 | 528218 | 0 | 0 |
| REBECCA C YANG MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | 0 | 354271 | 0 | 0 | 0 | 17090 | 0 | 17000 | 0 | 23004 | 0 | 411365 | 0 | 0 |
| TIMOTHY O'CONNOR | ||||||||||||||
| OFFICER/TREASURER/EVP/CFO | 0 | 700450 | 0 | 87750 | 0 | 22758 | 0 | 117000 | 0 | 24710 | 0 | 952668 | 0 | 0 |
| DAVID SPACKMAN JD | ||||||||||||||
| CLERK/GEN COUNSEL | 0 | 226808 | 0 | 0 | 0 | 8024 | 0 | 25202 | 0 | 10850 | 0 | 270884 | 0 | 0 |
| PETER LLOYD | ||||||||||||||
| ASSISTANT TREASURER START 2/25/13 | 0 | 315286 | 0 | 0 | 0 | 22638 | 0 | 0 | 0 | 21070 | 0 | 358994 | 0 | 0 |
| DONALD F SNELL | ||||||||||||||
| EVP/COO LAHEY HEALTH | 604468 | 0 | 87750 | 0 | 22758 | 0 | 85078 | 0 | 21070 | 0 | 821124 | 0 | 0 | 0 |
| ROBERT J SCHNEIDER | ||||||||||||||
| COO LAHEY NORTH SHORE | 363964 | 0 | 0 | 0 | 22896 | 0 | 16410 | 0 | 21270 | 0 | 424540 | 0 | 0 | 0 |
| JEFFREY P DORAN | ||||||||||||||
| COO HOSPITAL | 348566 | 0 | 0 | 0 | 22758 | 0 | 17000 | 0 | 22204 | 0 | 410528 | 0 | 0 | 0 |
| STANLEY BELLO | ||||||||||||||
| COO PRIMARY CARE | 251985 | 0 | 0 | 0 | 23262 | 0 | 0 | 0 | 24570 | 0 | 299817 | 0 | 0 | 0 |
| RICHARD R BIAS | ||||||||||||||
| VP. QUALITY AND SAFETY | 364167 | 0 | 0 | 0 | 22896 | 0 | 44397 | 0 | 32647 | 0 | 464107 | 0 | 0 | 0 |
| BRUCE A METZ | ||||||||||||||
| CHIEF INFORMATION OFFICER | 363175 | 0 | 0 | 0 | 22896 | 0 | 43932 | 0 | 3169 | 0 | 433172 | 0 | 0 | 0 |
| RICHARD J GUARINO | ||||||||||||||
| VP. HOSPITAL SERVICES | 217283 | 0 | 0 | 0 | 22638 | 0 | 0 | 0 | 26210 | 0 | 266131 | 0 | 0 | 0 |
| LYNN A STOFER | ||||||||||||||
| SVP BUSINESS DEVELOPMENT | 460117 | 0 | 0 | 0 | 22638 | 0 | 17000 | 0 | 24710 | 0 | 524465 | 0 | 0 | 0 |
| NAIMUDDIN SHAIKH | ||||||||||||||
| SR. PHYSICIST | 244663 | 0 | 0 | 0 | 22896 | 0 | 11897 | 0 | 20578 | 0 | 300034 | 0 | 0 | 0 |
| STEPHEN L DEMERS | ||||||||||||||
| VP SURGICAL SERVICES | 251257 | 0 | 0 | 0 | 4316 | 0 | 4226 | 0 | 24644 | 0 | 284443 | 0 | 0 | 0 |
| SAMUEL J SKURA | ||||||||||||||
| VP DIVISION OF MEDICINE | 219683 | 0 | 0 | 0 | 17060 | 0 | 51160 | 0 | 26644 | 0 | 314547 | 0 | 0 | 0 |
| CONSTANCE M CROWLEY GANSER | ||||||||||||||
| SVP, QUALITY & PATIENT SAFETY | 212587 | 0 | 0 | 0 | 22758 | 0 | 0 | 0 | 29710 | 0 | 265055 | 0 | 0 | 0 |
| DAVID M BARRETT MD | ||||||||||||||
| FORMER TRUSTEE/PRES/CEO | 0 | 699503 | 0 | 0 | 0 | 47426 | 0 | 0 | 0 | 200000 | 0 | 946929 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | |
| PART III | SCHEDULE J, PART I, LINE 4B, PART II COLUMN C 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 DEFFERAL OF COMPENSATION IN ADDITION TO THEIR SALARIES. FOR THE CURRENT PERIOD, THE FOLLOWING PERSONS PARTICIPATED IN THE 457F NONQUALIFIED DEFERRED COMPENSATION PLAN: TIMOTHY O'CONNOR - AMOUNT = $117,000 RICHARD W NESTO - AMOUNT = $58,300 HOWARD R GRANT, J.D., M.D. - AMOUNT = $195,000 DONALD F SNELL - AMOUNT = $58,500 ELIZABETH A. POMFRET - AMOUNT = $50,000 SCHEDULE J, 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. SCHEDULE J, PART II LAHEY CLINIC FOUNDATION, INC. AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE IN THEIR CAPACITY AS TRUSTEE. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THEIR CAPACITY OTHER THAN TRUSTEE, WHICH IS LISTED ON FORM 990, PART VII, DIRECTLY FOLLOWING THE TITLE OF THE TRUSTEE. | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| CR BARD COMPANIES INC | |||
| TRUSTEE ON C.R. BARD BOARD | 492544 | PURCHASE OF PRODUCTS. | 0 |
| ERIC M BAILEY | |||
| TRUSTEE OF LAHEY CLINIC FOUNDATION | 35000 | PURCHASE OF MEDICAL EQUIPMENT AND SUPPLIES FROM NEUROLOGICA, INC. A COMPANY OF WHICH MR. BAILEY IS THE PRESIDENT AND CEO. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990 PART I, LINE 1 & PART III, LINE 1 | LAHEY CLINIC HOSPITAL, INC., A TEACHING HOSPITAL OF TUFTS UNIVERSITY, 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. | |
| FORM 990, PART IV, LINE 11(F) AND SCHEDULE D, PART X, LINE 2 | THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. | |
| 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. | |
| FORM 990, PART VI, SECTION A, LINE 7A | EFFECTIVE MAY 1, 2012, LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HEALTH SYSTEM, INC. COMPLETED AN AFFILIATION WITH EACH OTHER AND ESTABLISHED A NEW ORGANIZATION, LAHEY HEALTH SYSTEM, INC. ("LHS"), TO SERVE AS THE PARENT OF THE COMBINED HEALTH SYSTEM. LHS IS NOW THE SOLE CORPORATE MEMBER OF LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HEALTH SYSTEM, INC. THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION IS LAHEY CLINIC FOUNDATION, 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, LAHEY CLINIC FOUNDATION, INC., TO EXERCISE ITS AUTHORITY AS A MEMBER OF THE REPORTING ORGANIZATION IS SUBJECT TO THE APPROVAL OF LCF'S CORPORATE MEMBER, LHS, WHICH MAY ALSO EXERCISE SUCH POWERS DIRECTLY. | |
| 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 FILL OUT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE LAHEY HOSPITAL AND MEDICAL CENTER'S 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 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 | THE ORGANIZATION RELIES ON A RELATED ORGANIZATION TO ESTABLISH THE COMPENSATION OF OFFICERS. THE RELATED ORGANIZATION USES THE FOLLOWING PROCESS: 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 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 HOSPITAL, 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 156,599,157. CLOSE-OUT OF AFFILIATED SERVICES 12,145,530. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | NEHS 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 | NEHS 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 | NEHS 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 | NEHS 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 | 0 | N/A | |
| LAHEY CLINIC FOUNDATION INC | |||||||||||
| 41 MALL ROAD | BURLINGTON | MA | 01805 | 042323457 | SUPPORT | MA | 501(C) (3) | 7 | LHS INC | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)
| Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState | EINEIN | Postal CodeAddressForeign/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAHEY CLINIC INSURANCE CO LTD | ||||||||||||||
| PO BOX HM 2450 | HAMILTON | BD | INSURANCE | BD | LHS INC | C | 0 | |||||||
| PERPETUAL TRUSTS (7) | ||||||||||||||
| SUPPORT | SEE PART VII | T | 0 | 41 MALL ROAD | BURLINGTON | MA | 01805 | MA | ||||||
| REMAINDER TRUSTS (17) | ||||||||||||||
| SUPPORT | SEE PART VII | T | 0 | 41 MALL ROAD | BURLINGTON | MA | 01805 | MA | ||||||
| POOLED INCOME FUNDS (4) | ||||||||||||||
| SUPPORT | SEE PART VII | T | 0 | 41 MALL ROAD | BURLINGTON | MA | 01805 | MA | ||||||
| NORTHEAST PROPRIETARY CORPORATION | ||||||||||||||
| MEDICAL SERVICES | NEHS INC | C | 0 | 85 HERRICK STREET | BEVERLY | MA | 01915 | MA | 042855191 | |||||
| NORTHEAST MASSACHUSETTS INDEMNITY CO LTD | ||||||||||||||
| GOVERNORS SQ 23 LIME TREE BAY AVE | GRAND CAYMAN | CJ | INSURANCE | CJ | NHS INC | C | 0 | 980440187 | KY1-1102 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, SCHEDULE R, PART IV, LINE 2 | LAHEY CLINIC FOUNDATION INC. AND NORTHEAST HOSPITAL CORPORATION, RESPECTIVELY, HAVE FOUR AND THREE PERPETUAL TRUSTS. THE PERPETUAL TRUSTS ARE DOMICILED IN MASSACHUSETTS AND PENNSYLVANIA. |
| FORM 990, SCHEDULE R, PART IV, LINE 3 | LAHEY CLINIC FOUNDATION, INC. HAS SEVENTEEN REMAINDER TRUSTS. THE REMAINDER TRUSTS ARE DOMICILED IN MASSACHUSETTS AND NEW HAMPSHIRE. |
| FORM 990, SCHEDULE R, PART IV, LINE 4 | LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HOSPITAL CORPORATION, RESPECTIVELY, HAVE THREE AND ONE POOLED INCOME FUNDS. |
| FORM 990, SCHEDULE R, PART V, LINE L | IN ADDITION TO CONDUCTING FUNDRAISING AND SOLICIATION EFFORTS ON ITS OWN BEHALF, LAHEY CLINIC FOUNDATION, INC. ALSO CONDUCTS FUNDRAISING AND SOLICITATION EFFORTS ON BEHALF OF LAHEY CLINIC HOSPITAL, INC. AND LAHEY CLINIC, INC. |
| FORM 990, SCHEDULE R, PART V, LINE M | IN ADDITION TO CONDUCTING FUNDRAISING AND SOLICITATION EFFORTS ON THEIR OWN BEHALF, LAHEY CLINIC HOSPITAL, INC. AND LAHEY CLINIC, INC. CONDUCT FUNDRAISING AND SOLICITATION EFFORTS ON BEHALF OF LAHEY CLINIC FOUNDATION, INC. |
| FORM 990, SCHEDULE R, PART V, LINE N | ALL ENTITIES WITHIN THE LAHEY HEALTH SYSTEM, INC. SHARE FACILITIES, EQUIPMENT, MAILING LISTS, AND OTHER ASSETS. FOR A LIST OF ALL ENTITIES SEE SCHEDULE R. |
| FORM 990, SCHEDULE R, PART V, LINE O-S | LAHEY HEALTH SYSTEM, INC. AND ITS RELATED ORGANIZATIONS, LAHEY CLINIC FOUNDATION, INC. AND ITS RELATED ORGANIZATIONS, AND NORTHEAST HEALTH SYSTEM, INC AND ITS RELATED ORGANIZATIONS 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 THREE CORPORATIONS. |
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