2014-08-13T15:44:16-05:00 2013-09-30 042684828 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2012-10-01 042704686 LAHEY CLINIC HOSPITAL INC LAHE 7817445100 41 MALL ROAD BURLINGTON MA 018050001 TIMOTHY O'CONNOR 7817445100 2014-08-12 1 ALAN GAROFALO P00744592 6177427788 2012 2015-11-30 17:44:51Z HOWARD R GRANT JD MD 41 MALL ROAD BURLINGTON MA 018050001 795374938 0 X WWW.LAHEY.ORG X 1980 MA SEE SCHEDULE O 21 11 4792 311 177330 56996 0 0 793005182 786135436 152867 37141 9812447 9175123 802970496 795347700 0 0 0 0 401269566 398285685 0 0 0 333140817 336558110 734410383 734843795 68560113 60503905 392952442 426599861 463337910 268137951 -70385468 158461910 X 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. 0 0 568658033 778376663 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. 30285087 7656459 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. 598943120 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 307 0 1 4792 1 1 1 0 0 0 0 0 0 0 0 0 X 21 11 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 1.00 50.00 X 0 1404056 268890 JOHN A LIBERTINO MD 1.00 40.00 X 0 774869 64613 RICHARD W NESTO MD 1.00 40.00 X 0 782068 97938 ROGER L JENKINS MD 1.00 40.00 X 0 645142 49359 RICHARD S D'AGOSTINO MD 1.00 40.00 X 0 628799 46859 ANDREW G VILLANUEVA MD 1.00 40.00 X 0 363060 35366 BETSEY CRAWFORD MD 1.00 40.00 X 0 201368 1096 ARTHUR P MOURTZINOS MD 1.00 40.00 X 0 471126 57092 REBECCA C YANG MD 1.00 40.00 X 0 371361 40004 ERIC M BAILEY 1.00 X 0 0 0 CRAIG R BENSON 1.00 X 0 0 0 ANN MARIE CONNOLLY 2.00 X X 0 0 0 JAMES D IRVING 1.00 X 0 0 0 J WILLIAM PODUSKA 1.00 X 0 0 0 WINDLE B PRIEM 1.00 X 0 0 0 MICHAEL C RUETTGERS 2.00 X X 0 0 0 CAROLYN AIN 1.00 X 0 0 0 JANE C EDMUNDS 1.00 X 0 0 0 DEBORAH MCKENNA 1.00 X 0 0 0 DAVID WAJSGRAS 1.00 X 0 0 0 EDWARD ESKANDARIAN 1.00 X 0 0 0 TIMOTHY O'CONNOR 1.00 50.00 X 0 810958 141710 DAVID SPACKMAN JD 1.00 50.00 X 0 234832 36052 MARYELLEN LEAR 1.00 40.00 X 0 89019 13653 PETER LLOYD 1.00 40.00 X 0 337924 21070 DONALD F SNELL 40.00 X 714976 0 106148 ROBERT J SCHNEIDER 40.00 X 386860 0 37680 JEFFREY P DORAN 40.00 X 371324 0 39204 STANLEY BELLO 40.00 X 275247 0 24570 RICHARD R BIAS 40.00 X 387063 0 77044 BRUCE A METZ 40.00 X 386071 0 47101 RICHARD J GUARINO 40.00 X 239921 0 26210 LYNN A STOFER 40.00 X 482755 0 41710 NAIMUDDIN SHAIKH 40.00 X 267559 0 32475 STEPHEN L DEMERS 40.00 X 255573 0 28870 SAMUEL J SKURA 40.00 X 236743 0 77804 CONSTANCE M CROWLEY GANSER 40.00 X 235345 0 29710 DAVID M BARRETT MD 0.00 X 0 746929 200000 4239437 7861511 1642228 511 1 1 0 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 16 NET PATIENT SERVICE REVENUE 624100 774773384 774773384 OTHER PATIENT REVENUES 621400 11259738 11259738 OUTSIDE LABORATORY SERVICES 621500 102314 102314 786135436 29879 29879 241116 0 241116 241116 241116 34500 27238 7262 7262 7262 CAFETERIA REVENUES 722210 4082388 4082388 PARKING GARAGE REVENUES 812930 3304628 3304628 GIFT SHOP REVENUES 453220 75016 75016 1471975 1471975 8934007 795347700 786033122 177330 9137248 4365533 4365533 288620940 230937842 57683098 47639337 42106143 5533194 37650748 33422645 4228103 20009127 16034587 3974540 90048 90048 540441 540441 352778 352778 27768639 9894900 17873739 904997 904997 6792683 2594713 4197970 6132827 36983 6095844 14340151 11927115 2413036 777218 433517 343701 9055006 8204544 850462 50228113 45510599 4717514 987030 894326 92704 MEDICAL SUPPLIES 145996089 145846881 149208 GENERAL SUPPLIES 63715396 41316634 22398762 MASS HEALTH SAFETY NET 8876694 8876694 734843795 598943120 135900675 0 245073177 253398742 84864102 89854979 237019 162109 13069671 13128453 4746497 6347668 10952778 10901526 34009198 52806384 392952442 426599861 413004447 219006864 14363049 12819590 35970414 36311497 463337910 268137951 X -70385468 158461910 -70385468 158461910 392952442 426599861 X 60503905 -401214 168744687 X 0 1 X 1 0 X 0 1 0 1 1000 0 0 1 199436 1 59890 0 260326 0 PART IV, SUPPLEMENTAL INFORMATION: 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 41697276 OTHER INVESTMENTS 561791 INVESTMENT IN NEPC 7100 MALPRACTICE INSURANCE FUNDS RECEIVABLE 6139584 INVESTMENT IN SHIELDS MRI 4400633 52806384 ESTIMATE DUE TO THIRD PARTY INSURANCE 36311497 36311497 950530470 -401214 156599157 156197943 794332527 1015173 1015173 795347700 733828622 0 733828622 1015173 1015173 734843795 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 4159230 4159230 0.00570 30287239 28158833 2128406 0.00290 24599221 16111022 8488199 0.01160 59045690 44269855 14775835 0.02020 6646195 6646195 0.00900 30285087 7730253 22554834 0.03070 31532677 27007601 4525076 0.00620 1309025 1309025 0.00180 69772984 34737854 35035130 0.04770 128818674 79007709 49810965 0.06790 1 16970799 2691577 223505928 246047010 -22541082 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 10 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 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. 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 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. 0 1 0 0 0 0 0 1 0 HOWARD R GRANT JD MD 0 1020410 0 360750 0 22896 0 239397 0 29493 0 1672946 0 0 JOHN A LIBERTINO MD 0 751998 0 0 0 22871 0 43600 0 21013 0 839482 0 0 RICHARD W NESTO MD 0 636722 0 122450 0 22896 0 73300 0 24638 0 880006 0 0 ROGER L JENKINS MD 0 622246 0 0 0 22896 0 17000 0 32359 0 694501 0 0 RICHARD S D'AGOSTINO MD 0 606041 0 0 0 22758 0 17000 0 29859 0 675658 0 0 ANDREW G VILLANUEVA MD 0 340302 0 0 0 22758 0 17000 0 18366 0 398426 0 0 BETSEY CRAWFORD MD 0 179602 0 0 0 21766 0 0 0 1096 0 202464 0 0 ARTHUR P MOURTZINOS MD 0 454072 0 0 0 17054 0 34000 0 23092 0 528218 0 0 REBECCA C YANG MD 0 354271 0 0 0 17090 0 17000 0 23004 0 411365 0 0 TIMOTHY O'CONNOR 0 700450 0 87750 0 22758 0 117000 0 24710 0 952668 0 0 DAVID SPACKMAN JD 0 226808 0 0 0 8024 0 25202 0 10850 0 270884 0 0 PETER LLOYD 0 315286 0 0 0 22638 0 0 0 21070 0 358994 0 0 DONALD F SNELL 604468 0 87750 0 22758 0 85078 0 21070 0 821124 0 0 0 ROBERT J SCHNEIDER 363964 0 0 0 22896 0 16410 0 21270 0 424540 0 0 0 JEFFREY P DORAN 348566 0 0 0 22758 0 17000 0 22204 0 410528 0 0 0 STANLEY BELLO 251985 0 0 0 23262 0 0 0 24570 0 299817 0 0 0 RICHARD R BIAS 364167 0 0 0 22896 0 44397 0 32647 0 464107 0 0 0 BRUCE A METZ 363175 0 0 0 22896 0 43932 0 3169 0 433172 0 0 0 RICHARD J GUARINO 217283 0 0 0 22638 0 0 0 26210 0 266131 0 0 0 LYNN A STOFER 460117 0 0 0 22638 0 17000 0 24710 0 524465 0 0 0 NAIMUDDIN SHAIKH 244663 0 0 0 22896 0 11897 0 20578 0 300034 0 0 0 STEPHEN L DEMERS 251257 0 0 0 4316 0 4226 0 24644 0 284443 0 0 0 SAMUEL J SKURA 219683 0 0 0 17060 0 51160 0 26644 0 314547 0 0 0 CONSTANCE M CROWLEY GANSER 212587 0 0 0 22758 0 0 0 29710 0 265055 0 0 0 DAVID M BARRETT MD 0 699503 0 0 0 47426 0 0 0 200000 0 946929 0 0 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. SUPPLEMENTAL INFORMATION 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. 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: PENSION PLAN CHANGES 156,599,157. CLOSE-OUT OF AFFILIATED SERVICES 12,145,530. 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 N/A 0 LAHEY CLINIC FOUNDATION INC 41 MALL ROAD BURLINGTON MA 01805 042323457 SUPPORT MA 501(C) (3) 7 LHS INC 0 LAHEY CLINIC INSURANCE CO LTD PO BOX HM 2450 HAMILTON BD INSURANCE BD LHS INC C 0 PERPETUAL TRUSTS (7) 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 (4) 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 NEHS INC C 0 NORTHEAST MASSACHUSETTS INDEMNITY CO LTD GOVERNORS SQ 23 LIME TREE BAY AVE GRAND CAYMAN CJ KY1-1102 980440187 INSURANCE CJ NHS INC C 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 1 1 1 1 1 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.