NORTHEAST HOSPITAL CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NORTHEAST HOSPITAL CORPORATION (EIN 04-2121317)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-14
- IRS object ID
- 201412269349302236
- Schema version
- 2012v2.3
- 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 B
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-14T11:32:27-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042121317 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 9789223000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 85 HERRICK ST | AddressLine1 |
| City | BEVERLY | City |
| State | MA | State |
| ZIP Code | 01915 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TIMOTHY O'CONNOR | Name |
| Title | TREASURER/EVP/CFO OF LHS | Title |
| Phone | 9789223000 | Phone |
| Date Signed | 2014-08-13 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Prepared | 2014-08-14 | DatePrepared |
| 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 | TIMOTHY O'CONNOR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 85 HERRICK ST | AddressLine1 |
| City | BEVERLY | City |
| State | MA | State |
| ZIP Code | 01915 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 341907355 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BEVERLYHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1893 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | PART I, LINE 1 & PART III, LINE 1 COMMITTED TO PROVIDING THE HIGHEST QUALITY MEDICAL CARE TO ALL INDIVIDUALS WHO CAN BENEFIT FROM OUR CONTINUUM OF CARE. OUR CONCEPT OF CARE BROADLY EMBRACES THE HEALTH, WELL-BEING AND DIGNITY OF THE PATIENTS WE SERVE, REGARDLESS OF ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3017 | TotalNbrEmployees |
| Total Nbr Volunteers | 350 | TotalNbrVolunteers |
| Total Gross UBI | 3799671 | TotalGrossUBI |
| Contributions Grants Prior Year | 1759752 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2213520 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 307324621 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 308436194 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3047156 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2803738 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12012298 | OtherRevenuePriorYear |
| Other Revenue Current Year | 19254658 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 324143827 | TotalRevenuePriorYear |
| Total Revenue Current Year | 332708110 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 19150 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 51030 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 178500368 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 176532853 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1248506 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 132830171 | OtherExpensePriorYear |
| Other Expenses Current Year | 136370167 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 311349689 | TotalExpensesPriorYear |
| Total Expenses Current Year | 312954050 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 12794138 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 19754060 | RevenuesLessExpensesCY |
| Total Assets BOY | 355394000 | TotalAssetsBOY |
| Total Assets EOY | 374551702 | TotalAssetsEOY |
| Total Liabilities BOY | 221845401 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 185647595 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 133548599 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 188904107 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PART I, LINE 1 & PART III, LINE 1 COMMITTED TO PROVIDING THE HIGHEST QUALITY MEDICAL CARE TO ALL INDIVIDUALS WHO CAN BENEFIT FROM OUR CONTINUUM OF CARE. OUR CONCEPT OF CARE BROADLY EMBRACES THE HEALTH, WELL-BEING AND DIGNITY OF THE PATIENTS WE SERVE, REGARDLESS OF ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 128864507 | Expense |
| Grants | 51030 | Grants |
| Revenue | 171147173 | Revenue |
| Description | INPATIENT SERVICES - NORTHEAST HOSPITAL CORPORATION (THE HOSPITAL) IS A NON-PROFIT COMMUNITY HOSPITAL PROVIDING HIGH QUALITY CARE TO THE SICK AND INJURED, REGARDLESS OF THE ABILITY TO PAY. INPATIENT CARE IS AVAILABLE IN THE AREAS OF CRITICAL CARE, GENERAL MEDICINE, SURGERY, MATERNITY/OBSTETRICS, NEWBORN SPECIAL CARE, PEDIATRICS AND PHYSCHIATRY. IN FY2013, THE HOSPITAL HAD APPROXIMATELY 24,000 INPATIENT ADMISSIONS. THE HOSPITAL HAS FOUR LOCATIONS, BEVERLY HOSPITAL, ADDISON GILBERT HOSPITAL, BEVERLY HOSPITAL AT DANVERS AND BAYRIDGE HOSPITAL. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 98034156 | Expense |
| Revenue | 130200853 | Revenue |
| Description | OUTPATIENT SERVICES - THE HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT SERVICES, PROVIDING HIGH QUALITY CARE TO THE SICK AND INJURED, REGARDLESS OF THE ABILITY TO PAY, INCLUDING (BUT NOT LIMITED TO) CARDIOLOGY, ONCOLOGY, RADIOLOGY, GERIATRICS, WOMEN'S HEALTH, REHABILITATION, ENDOSCOPY, MAMMOGRAPHY AND CARDIOPULMONARY SERVICES. IN FY2013 THE HOSPITAL HAD APPROXIMATELY 406,000 OUTPATIENT ENCOUNTERS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 19093531 | Expense |
| Revenue | 25358447 | Revenue |
| Description | EMERGENCY ROOM - THE HOSPITAL (BEVERLY AND ADDISON) HAS A 24 HOUR EMERGENCY ROOM, PROVIDING HIGH QUALITY CARE TO THE SICK AND INJURED, REGARDLESS OF THE ABILITY TO PAY. IN FY2013, THE HOSPITAL HAD APPROXIMATELY 64,000 EMERGENCY ROOM VISITS. THE EMERGENCY ROOM HAS BOARD CERTIFIED EMERGENCY MEDICINE PHYSICIANS AND SPECIALTY TRAINED EMERGENCY NURSES. PATIENTS SEEKING CARE AT THE HOSPITAL HAVE ACCESS TO ADVANCED LIFE SUPPORT, INTENSIVE CARE CAPABILITIES AND SPECIALLY TRAINED DOCTORS IN PEDIATRICS, CARDIOLOGY AND ANESTHESIA. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 245992194 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | true | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 280 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3017 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | BD | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| 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 | GARY MARLOW NORTHEAST HOSP CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9789223000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 85 HERRICK ST | AddressLine1 |
| City | BEVERLY | City |
| State | MA | State |
| ZIP Code | 01915 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (36 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| HOWARD R GRANT JD MD | ||||||||||
| PRES EFF 12/ | 1.00 | 49.00 | X | X | 0 | 1404056 | 268890 | |||
| DAVID DICHIARA MD | ||||||||||
| TRUSTEE | 2.00 | X | 15900 | 0 | 0 | |||||
| STEVEN DEFOSSEZ MD | ||||||||||
| TRUSTEE | 2.00 | X | 1880 | 0 | 0 | |||||
| NANCY PALMER | ||||||||||
| CHAIRWOMAN | 2.00 | X | 0 | 0 | 0 | |||||
| GEORGE BURKE | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| ROBERT IRWIN | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| PAUL MCCONNELL | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| ALEXANDER DUMAS MD | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| CHARLES FAVAZZO | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| CHRIS GEORGE | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| PAUL MUNIZ | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| JAGRUTI PATEL MD | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| MICHAEL SHEA | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| KURT MELDEN | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| HUGH O'FLYNN MD | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| DAVID ST LAURENT | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| TAYLOR HUGH MD | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| TIMOTHY O'CONNOR | ||||||||||
| TREASURER | 1.00 | 49.00 | X | 0 | 810958 | 141710 | ||||
| DENIS CONROY | ||||||||||
| CEO APP 12/3 | 30.00 | 10.00 | X | 453602 | 0 | 32473 | ||||
| GARY MARLOW | ||||||||||
| ASST TRSR/VP | 40.00 | X | 286940 | 0 | 33239 | |||||
| DAVID SPACKMAN JD | ||||||||||
| SECRETARY | 1.00 | 49.00 | X | 0 | 234832 | 36052 | ||||
| MARYELLEN LEAR | ||||||||||
| ASST SECRETA | 40.00 | X | 89019 | 0 | 13653 | |||||
| PAULINE PIKE | ||||||||||
| COO | 40.00 | 414716 | 0 | 22903 | X | |||||
| PETER SHORT | ||||||||||
| VP OF MED AF | 40.00 | 358238 | 0 | 30196 | X | |||||
| GREGORY BIRD | ||||||||||
| VP PATIENT C | 40.00 | 325103 | 0 | 43912 | X | |||||
| JOHANNA RODGERS | ||||||||||
| VP OF PHYSIC | 40.00 | 251448 | 0 | 40584 | X | |||||
| ALTHEA LYONS | ||||||||||
| VP OF HR | 40.00 | 242794 | 0 | 45714 | X | |||||
| JOSEPH PORCELLO | ||||||||||
| CONTROLLER | 10.00 | 30.00 | 205373 | 0 | 69715 | X | ||||
| CYNTHIA DONALDSON | ||||||||||
| VP OF ANCILL | 40.00 | 200566 | 0 | 19739 | X | |||||
| PAUL O'SHEA | ||||||||||
| FRMR VP OF A | 0.00 | 445298 | 0 | 39686 | X | |||||
| BARRY GINSBERG | ||||||||||
| MEDICAL DIRE | 40.00 | 304264 | 0 | 46312 | X | |||||
| STEVEN GILLESPIE | ||||||||||
| MD | 40.00 | 297264 | 0 | 42509 | X | |||||
| PAUL PECK | ||||||||||
| VP/CIO | 40.00 | 251816 | 0 | 32594 | X | |||||
| LISA NEVELING | ||||||||||
| VP OF MARKET | 40.00 | 207045 | 0 | 46088 | X | |||||
| KENNETH HANOVER | ||||||||||
| FR CEO RES 1 | 0.00 | 1748866 | 0 | 47812 | X | |||||
| WILLIAM DONALDSON | ||||||||||
| FR VP GEN CN | 0.00 | 329625 | 0 | 90102 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6429757 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2449846 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1143883 | TotalOtherCompensation |
| Number Individuals GT100 K | 237 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| NORTHEAST EMERGENCY ASSOCIATIONS | |||||
| 1342 BELMONT ST SUITE 205 | BROCKTON | MA | 02301 | ER DOCTORS | 8055637 |
| IPC HOSITALISTS OF NEW ENGLAND | |||||
| PO BOX 92284 | LOS ANGELES | CA | 90009 | HOSPITALISTS | 1182000 |
| FULL CONTACT ADVERTISING | |||||
| 186 LINCOLN ST SUITE 801 | BOSTON | MA | 02111 | ADVERTISING | 813593 |
| LAHEY CLINIC HOSPITAL | |||||
| 41 MALL RD | BURLINGTON | MA | 01805 | PHYSICIAN FEES | 763409 |
| TGC LLC | |||||
| PO BOX 130 | HIGHLAND | MD | 20777 | CONSULTING SRVS | 664404 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 29 | NumberOfContractorsGT100K |
| Fundraising Events | 128985 | FundraisingEvents |
| Government Grants | 181800 | GovernmentGrants |
| All Other Contributions | 1902735 | AllOtherContributions |
| Total Contributions | 2213520 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE REVENUE | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 308436194 | TotalRevenueColumn |
| Related Or Exempt Function Income | 308436194 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 308436194 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 66808 | TotalRevenueColumn |
| Related Or Exempt Function Income | 66808 | RelatedOrExemptFunctionIncome |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1309072 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1309072 | RelatedOrExemptFunctionIncome |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2914076 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 531898 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2382178 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2382178 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2382178 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9155339 | Securities |
| Other | 873807 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7947044 | Securities |
| Other | 654244 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1208295 | Securities |
| Other | 219563 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1427858 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1427858 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 54505 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 128985 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 66059 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -11554 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CHG IN VALUE OF INT RATE SWAP | 900001 | 5604797 | 5604797 | |
| LAB SSI INCOME | 900099 | 3790806 | 3790806 | |
| MEANINGFUL USE INCOME | 900099 | 2836000 | 2836000 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4652431 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4643566 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 8865 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 16884034 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 332708110 | TotalRevenueColumn |
| Related Or Exempt Function Income | 326706473 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3799671 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40000 | Total |
| Program Services | 40000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11030 | Total |
| Program Services | 11030 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2942012 | Total |
| Program Services | 17780 | ProgramServices |
| Management And General | 2924232 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 462306 | Total |
| Management And General | 462306 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142738605 | Total |
| Program Services | 116345952 | ProgramServices |
| Management And General | 25515340 | ManagementAndGeneral |
| Fundraising | 877313 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6099911 | Total |
| Program Services | 4954693 | ProgramServices |
| Management And General | 1114080 | ManagementAndGeneral |
| Fundraising | 31138 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13856286 | Total |
| Program Services | 11200968 | ProgramServices |
| Management And General | 2584925 | ManagementAndGeneral |
| Fundraising | 70393 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10433733 | Total |
| Program Services | 8330591 | ProgramServices |
| Management And General | 2050788 | ManagementAndGeneral |
| Fundraising | 52354 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1439563 | Total |
| Management And General | 1439563 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 209593 | Total |
| Management And General | 209593 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 160038 | Total |
| Management And General | 160038 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36873138 | Total |
| Program Services | 29377373 | ProgramServices |
| Management And General | 7278457 | ManagementAndGeneral |
| Fundraising | 217308 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4606900 | Total |
| Management And General | 4606900 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6184630 | Total |
| Program Services | 3949647 | ProgramServices |
| Management And General | 2234983 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3647169 | Total |
| Program Services | 2329166 | ProgramServices |
| Management And General | 1318003 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9433013 | Total |
| Program Services | 6024139 | ProgramServices |
| Management And General | 3408874 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 302109 | Total |
| Program Services | 192934 | ProgramServices |
| Management And General | 109175 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1558169 | Total |
| Management And General | 1558169 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17672392 | Total |
| Program Services | 11285996 | ProgramServices |
| Management And General | 6386396 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3616555 | Total |
| Program Services | 2309615 | ProgramServices |
| Management And General | 1306940 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| HOSPITAL MEDICAL SUPPLIES | 45575471 | 45575471 | |
| ALL OTHER EXPENSES | 2890576 | 1845988 | 1044588 |
| UNCOMPENSATED CARE | 2200851 | 2200851 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 312954050 | Total |
| Program Services | 245992194 | ProgramServices |
| Management And General | 65713350 | ManagementAndGeneral |
| Fundraising | 1248506 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15805004 | BOY |
| EOY | 20273552 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36081175 | BOY |
| EOY | 34616563 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5731388 | BOY |
| EOY | 5765454 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4150691 | BOY |
| EOY | 3917922 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 372080858 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 233459828 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141084600 | BOY |
| EOY | 138621030 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131472011 | BOY |
| EOY | 143548636 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21069131 | BOY |
| EOY | 27808545 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 355394000 | BOY |
| EOY | 374551702 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30882777 | BOY |
| EOY | 30704710 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89216492 | BOY |
| EOY | 91746459 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 289607 | BOY |
| EOY | 288546 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101456525 | BOY |
| EOY | 62907880 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221845401 | BOY |
| EOY | 185647595 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115267990 | BOY |
| EOY | 169179280 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7949199 | BOY |
| EOY | 9213602 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10331410 | BOY |
| EOY | 10511225 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133548599 | BOY |
| EOY | 188904107 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 355394000 | BOY |
| EOY | 374551702 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 19754060 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 8602615 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 26998833 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Held Works Of Art Amts HeldWorksOfArtAmts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets In Part X | 1800000 | AssetsInPartX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collect Used For Public Exhibition | X | CollectUsedForPublicExhibition |
| Collect Used For Preservation | X | CollectUsedForPreservation |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 18280609 | BeginningOfYearBalance |
| Contributions | 1516024 | Contributions |
| Investment Earnings Or Losses | 1445254 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 113205 | GrantsOrScholarships |
| Other Expenditures | 1403856 | OtherExpenditures |
| End Of Year Balance | 19274826 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 16419163 | BeginningOfYearBalance |
| Contributions | 1169967 | Contributions |
| Investment Earnings Or Losses | 2204342 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 94295 | GrantsOrScholarships |
| Other Expenditures | 1418568 | OtherExpenditures |
| End Of Year Balance | 18280609 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 17765603 | BeginningOfYearBalance |
| Contributions | 990656 | Contributions |
| Investment Earnings Or Losses | -839966 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 87321 | GrantsOrScholarships |
| Other Expenditures | 1409809 | OtherExpenditures |
| End Of Year Balance | 16419163 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13090008 | BeginningOfYearBalance |
| Contributions | 4378469 | Contributions |
| Investment Earnings Or Losses | 1545146 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 105855 | GrantsOrScholarships |
| Other Expenditures | 1142165 | OtherExpenditures |
| End Of Year Balance | 17765603 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.53000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.47000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 943315 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 19036111 | OtherCostOrOtherBasis |
| Book Value | 19979426 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 5009662 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 176319818 | OtherCostOrOtherBasis |
| Depreciation | 88915095 | Depreciation |
| Book Value | 92414385 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 504799 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 170267153 | OtherCostOrOtherBasis |
| Depreciation | 144544733 | Depreciation |
| Book Value | 26227219 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 138621030 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES (SHORT TERM) | 14319130 |
| PROFESSIONAL INSURANCE RECEIVABLE | 5810105 |
| UNAMORTIZED FINANCING COSTS | 3013831 |
| OTHER ASSETS | 1864158 |
| DUE FROM AFFILIATES (LONG TERM) | 1606076 |
| SPLIT DOLLAR LIFE INSURANCE | 1195245 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 27808545 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 216899 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (10 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION LIABILITY | $19,133,625 |
| SERIES G,H,I LIABILITY SWAPS | $10,626,058 |
| TAXABLE BOND - SERIES I | $9,500,000 |
| ESTIMATED 3RD PARTY SETTLEMENT | $8,684,084 |
| PROFESSIONAL LIABILITY RESERVE | $7,320,105 |
| DUE TO AFFILIATES | $4,623,917 |
| POST RETIREMENT MEDICAL BENEFITS | $1,634,432 |
| OTHER NON CURRENT LIABILITIES | $942,604 |
| CURRENT POST RETIREMENT MED BENEFITS | $226,156 |
| CURRENT INSTALLMENT OF LT DEBT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 62907880 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL FINANCIAL INFORMATION | Identifier |
| Return Reference | SCHEDULE D, PAGE 4, PART XIII | ReturnReference |
| Explanation | PART XIV - SUPPLEMENTAL INFORMATION PART III, LINE 4 COLLECTIONS AND RELATION TO EXEMPT PURPOSE THE ARTWORK, "OLD FORT AND TEN POUND ISLAND" BY FITZ HUGH LANE, C. 1850 IS BY A LOCAL ARIST, WHICH SERVES TO STRENGHTEN THE LINK WITH COMMUNITY RESIDENTS WHO UTILIZE THE HOSPITAL. PART V, LINE 4, INTENDED USES FOR ENDOWMENT FUNDS ENDOWMENT FUNDS ARE USED AS EARMARKED BY DONORS TO COVER COSTS OF ONGOING PROGRAMS OF THE HOSPITAL. | Explanation |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CARIBBEAN/BERMUDA | Region |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConducted |
| Specific Services Provided | INVESTMENT MGMT | SpecificServicesProvided |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 16501000 | SubtotalAmountSpent |
| Total Amount Spent | 16501000 | TotalAmountSpent |
| Transfer To Foreign Corp | true | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | false | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | true | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ACTIVITIES PER REGION | SCHEDULE F, PAGE 1, PART I, LINE 3 | CARIBBEAN/BERMUDA 0 16,501,000 |
| ADDITIONAL INFORMATION | SCHEDULE F, PAGE 5, PART V | PART I, LINE 1, COLUMNS (B) AND (C) ARE 0. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | AGH GOLF TOURNA | NameOfEvent1 |
| Gross Receipts Event1 | 77915 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 59475 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 18440 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 3920 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 13310 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 6119 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 1330 | OtherDirectExpensesEvent1 |
| Name Of Event2 | BH GOLF TOURNAM | NameOfEvent2 |
| Gross Receipts Event2 | 105575 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 69510 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 36065 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 39870 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 1510 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 183490 | GrossReceiptsTotal |
| Charitable Contributions Total | 128985 | CharitableContributionsTotal |
| Gross Revenue Total Events | 54505 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 3920 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 53180 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 6119 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 2840 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 66059 | DirectExpenseSummaryEvents |
| Net Income Summary | -11554 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 4.00000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2901 | PersonsServed |
| Total Community Benefit Expense | 5611432 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3324248 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2287184 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00730 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 53646 | PersonsServed |
| Total Community Benefit Expense | 39989157 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34291606 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5697551 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01820 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16784 | PersonsServed |
| Total Community Benefit Expense | 9233753 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6845077 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2388676 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00760 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 73331 | PersonsServed |
| Total Community Benefit Expense | 54834342 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 44460931 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10373411 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03310 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 496 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 1913493 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15964 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1897529 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00610 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 69042 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23277 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 45765 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5297 | PersonsServed |
| Total Community Benefit Expense | 24960393 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20589441 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4370952 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01400 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 79 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 137808 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 137808 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 575 | NumberOfActivitiesOrPrograms |
| Persons Served | 5297 | PersonsServed |
| Total Community Benefit Expense | 27080736 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 20628682 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6452054 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02060 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 575 | NumberOfActivitiesOrPrograms |
| Persons Served | 78628 | PersonsServed |
| Total Community Benefit Expense | 81915078 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 65089613 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16825465 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05380 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 35000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 35000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 55600 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 55600 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 5577 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5577 | NetCommunityBuildingExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 5000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5000 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 101177 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 101177 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $3,602,978 | BadDebtExpenseAmount |
| Amount Attributable To | 512232 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 96826569 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 101852483 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5025914 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | X | CostAccountingSystem |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | 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 | NORTHEAST HOSPITAL CORPORATION | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 85 HERRICK ST | AddressLine1 |
| City | BEVERLY | City |
| State | MA | State |
| ZIP Code | 01915 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST HOSPITAL CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | 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 |
| Information Gaps | X | InformationGaps |
| Other | X | Other |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 400.0 | FPGFreePercent |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | true | ExplainsBasis |
| Uninsured Discount | X | UninsuredDiscount |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | 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 |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Lowest Negotiated Rates | X | LowestNegotiatedRates |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE | PART I LINE 3C | THE HOSPITAL DID NOT USE FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS THERE ARE TWO CIRCUMSTANCES WHERE THE HOSPITAL WILL OFFER DISCOUNTED CARE TO LOW INCOME INDIVIDUALS 1PATIENTS WHO DO NOT QUALIFY FOR ENROLLMENT IN A MASSACHUSETTS STATE PUBLIC ASSISTANCE PROGRAM SUCH AS OUTOFSTATE RESIDENTS BUT WHO MAY OTHERWISE MEET THE GENERAL FINANCIAL ELIGIBILITY CATEGORIES OF A STATE PUBLIC ASSISTANCE PROGRAM MAY RECEIVE A DISCOUNTED BILL THE HOSPITAL WILL PROVIDE AN APPROPRIATE DISCOUNT ON THE BILL ONCE THE DETERMINATION IS MADE 2WHEN A PATIENT REQUESTS A DISCOUNT ON AN UNPAID BILL THE HOSPITAL WILL REVIEW THE PATIENTS DOCUMENTED FINANCIAL SITUATION AND PAYMENT ACTIVITY THIS REVIEW IS CONSIDERED A SEPARATE FINANCIAL PROGRAM OFFERED BY THE HOSPITAL AND IS APPLIED ON A UNIFORM BASIS TO ALL PATIENTS ANY DISCOUNT THE HOSPITAL PROVIDES IS CONSISTENT WITH FEDERAL AND STATE TAX REQUIREMENTS AND DOES NOT INFLUENCE A PATIENT TO RECEIVE SERVICES FROM THE HOSPITAL |
| RELATED ORGANIZATION INFORMATION | PART I LINE 6A | NORTHEAST HEALTH SYSTEM PARENT HOLDING COMPANY OF NORTHEAST HOSPITAL CORPORATION PREPARES THE COMMUNITY BENEFIT REPORT |
| SUBSIDIZED HEALTH SERVICES EXPLANATION | PART I LINE 7G | THE SUBSIDIZED HEALTH SERVICES NET COMMUNITY BENEFIT EXPENSE OF 4370952 IS A RESULT OF PROVIDING BEHAVIORALMENTAL HEALTH INPATIENT AND OUTPATIENT CARE TO THE COMMUNITY DESPITE A FINANCIAL LOSS TO THE ORGANIZATION MEDICAID AND OTHER MEANS TESTED GOVERMENT PROGRAMS WERE NOT INCLUDED IN THIS EXPENSE |
| COSTING METHODOLOGY EXPLANATION | PART I LINE 7 | LINE 7A WAS CALCULATED USING WORKSHEET 1 LINE 7B WAS CALCULATED USING AN INTERNAL COST ACCOUNTING SYSTEM THE INTERNAL COST ACCOUNTING SYSTEM PROVIDES MANAGEMENT FINANCIAL INFORMATION ACROSS ALL PAYERS AND SERVICES OF THE ORGANIZATION A COST TO CHARGE RATIO WAS USED TO CALCULATE 7A AND 7B AND WAS DERIVED FROM WORKSHEET 2 LINES 7E 7F AND 7I WERE CALCULATED BY TAKING COMMUNITY AND CHARITY CARE PROGRAM REVENUES AND EXPENSES FROM THE GENERAL LEDGER PLUS RELATED DIRECT AND INDIRECT COSTS THESE COSTS WERE CALCULATED BY TAKING THE NUMBER OF EMPLOYEE HOURS SPENT ON EACH PROGRAM MULTIPLIED BY A STANDARD RATE PLUS A FRINGE FACTOR TO CALCULATE BENEFIT COSTS LINE 7G WAS CALCULATED BY TAKING QUALIFYING SUBISIZED HEALTH SERVICES NET REVENUE LESS RELATED DIRECT AND INDIRECT COSTS EXCLUDING ANY AMOUNTS RELATED TO BAD DEBT FINANCIAL ASSISTANCE MEDICAID AND OTHER MEANSTESTED GOVERNMENT PROGRAMS FROM AN INTERNAL FINANCIAL REPORTING SYSTEM WHICH WE RECONCILE TO THE GENERAL LEDGER |
| COMMUNITY BUILDING ACTIVITIES | PART II | LINE 2 ECONOMIC DEVELOPMENT BEVERLY MAIN STREETS DOWNTOWN 2020 INITIATIVE DOWNTOWN 2020 IS BEVERLY MAIN STREETS VISION FOR WHAT DOWNTOWN BEVERLY CAN AND SHOULD BECOME A VIBRANT COMMUNITY THAT CELEBRATES THE ARTS AND CREATIVITY WITH COOL PLACES TO LIVE WORK SHOP PLAY AND EXPERIENCE THE VISION REPRESENTS MORE THAN 1000 VOICES FROM THE COMMUNITY AND IT CENTERS AROUND 3 GOALS 1DOWNTOWN BEVERLY WILL BE RECOGNIZED AS A REGIONAL CENTER FOR THE ARTS CULTURE CREATIVE INDUSTRY AND INNOVATION 2DOWNTOWN BEVERLY WILL BE THE LOCATION OF CHOICE FOR RETAIL AND CREATIVE BUSINESSES THAT APPEAL TO RESIDENTS STUDENTS AND VISITORS 3DEVELOPMENT IN DOWNTOWN BEVERLY WILL FOLLOW A CLEAR DIRECTION THAT LEVERAGES THE UNIQUE ASSETS OF EACH CORRIDOR LINE 3 COMMUNITY SUPPORT NHC GRANT PROGRAM ADDISON GILBERT BEVERLY HOSPITALS COMMUNITY COLLABORATIVE GRANT ADDRESSES SIGNIFICANT HEALTH ISSUES IN OUR NORTH SHORE CAPE ANN COMMUNITIES IN FY13 NHC LAUNCHED A NEW COMMUNITY COLLABORATIVE GRANT TO ADDRESS SIGNIFICANT HEALTH ISSUES IN THE NORTH SHORE COMMUNITIES THE GRANT PROGRAM IS A KEY ASPECT OF THE NHC COMMUNITY BENEFIT PROGRAM AND IS A DIRECT RESULT OF OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH THE GRANT NHC AWARDED FOUR 10000 GRANTS FOR INNOVATIVE COMMUNITY BASED INITIATIVES ON ONE OF THE THREE KEY AREAS 1 PROMOTION OF MENTAL AND BEHAVIORAL HEALTH EDUCATION PREVENTION AND EARLY INTERVENTION 2 PROMOTION OF HEALTHY LIFESTYLES AND 3 IMPROVING CHRONIC DISEASE PREVENTION INCLUDING DIABETES STROKE CANCER AND HEART DISEASE AND THOSE THAT IMPROVE ACCESS TO HEALTH SERVICES AND RESOURCES IN THE COMMUNITY THE GRANTS WERE MADE TO THE FOLLOWING ORGANIZATIONS 1STERLING CENTER YMCABE HEALTHY BEVERLY TO IMPLEMENT A RAISEDBED GARDEN PROGRAM WITH CURRICULUM AT EACH OF THE FIVE BEVERLY PUBLIC ELEMENTARY SCHOOLS 2 GRACE CENTER IN GLOUCESTER TO EXPAND THEIR CURRENT CASE MANAGEMENT OFFERINGS TO CLIENTELE WHO SUFFER FROM MENTAL HEALTH AND SUBSTANCE ABUSE RELATED HEALTHCARE ISSUES 3 BEVERLY PUBLIC SCHOOLS INTEGRATED COMPREHENSIVE RESOURCES IN SCHOOLS PROGRAM WHICH CALLS FOR EXPANDED MENTAL HEALTH COVERAGE IN THE SCHOOLS NURSES OFFICE FOR STUDENTS 4 EXPRESS YOURSELF INC TO EXPAND UPON THEIR CREATIVE OUTREACH PROGRAM FOR CHILDREN WHO ARE COPING WITH BEHAVIORAL HEALTH ISSUES THROUGH ART AND MUSIC BEVERLY BOOTSTRAPS MOBILE MARKET BEVERLY HOSPITAL FUNDED BEVERLY BOOTSTRAPS WITH A 10000 GRANT TO OFFER FRESH PRODUCE TO RESIDENTS OF THE BEVERLY HOUSING AUTHORITY THROUGH A MOBILE MARKET ON A WEEKLY BASIS EACH WEEK FROM JUNE TO OCTOBER RESIDENTS WERE ABLE TO ACCESS PRODUCE AT NO COST WHILE ALSO LEARNING ABOUT BASIS NUTRITION AND RECIPES FROM CLINICAL MANAGERS AT NORTHEAST HOSPITAL CORPORATION DURING THE YEAR 428 HOUSEHOLDS WERE SERVED 770 TOTAL INDIVIDUALS WERE SERVED AND 37513 POUNDS OF PRODUCE WAS DISTRIBUTED FIRST PARISH CHURCH COMMUNITY SUPPER PROGRAM IN FY13 DUE TO THE PERSISTENT UNEMPLOYMENT AND HOMELESSNESS BEVERLY BOOTSTRAPS EXPERIENCED A RECORD AMOUNT OF REQUESTS FOR ASSISTANCE IN FY13 NHC FUNDED A WEEKLY SUPPER PROGRAM AT THE FIRST PARISH CHURCH TO PROVIDE A HOT AND NUTRITIOUS MEAL EVERY TUESDAY NIGHT THE PROGRAM PROVIDED MEALS FOR MORE THAN 2200 COMMUNITY MEMBERS |
| BAD DEBT EXPENSE EXPLANATION | PART III LINE 4 | PART III LINE 2 BAD DEBT EXPENSE AT COSTBAD DEBT EXPENSE WAS CALCULATED BY TAKING BAD DEBT WRITEOFFS PER THE GENERAL LEDGER BRINGING THIS DOWN TO COST THEN NETTING THIS TOTAL BY ACTUAL BAD DEBT RECOVERIES PART III LINE 3 BAD DEBT PATIENTS ELIGIBLE FOR CHARITY CARE WAS DETERMINED BY REVIEWING SPECIFIC PATIENT BALANCES THIS AMOUNT CONSISTS OF PATIENTS WITH A BALANCE FROM A PRIOR VISIT WHO DID NOT QUALIFY FOR FREE CARE AT THAT TIME WHO LATER CAME TO THE HOSPITAL FOR A VISIT AND NOW QUALIFIES FOR FREE CARE CHARGES RELATED TO THIS PREVIOUS VISIT ARE WRITTEN OFF AS BAD DEBT SINCE THEY WERE NOT ELIGIBLE FOR FREE CARE AT THAT TIME PART III LINE 4 THE HOSPITAL INCLUDES ITS BAD DEBT EXPENSE AS A LINE ITEM PROVISION FOR BAD DEBTS NET IN THE AUDITED STATEMENT OF OPERATIONS THIS AMOUNT REPRESENTS A COMMUNITY BENEFIT BECAUSE SERVICES WERE PROVIDED TO PATIENTS THAT ULTIMATELY QUALIFIED FOR CHARITY CARE PROVISION FOR BAD DEBTS FOOTNOTE THESE AMOUNTS REPRESENT COMMUNITY BENEFITS BECAUSE THEY WERE PROVIDED TO PATIENTS THAT ULTIMATELY QUALIFIED FOR CHARITY CARE |
| MEDICARE EXPLANATION | PART III LINE 8 | PART III LINE 8 THESE COSTS REPRESENT A COMMUNITY BENEFIT BECAUSE THE PAYMENT FROM MEDICARE IS LESS THAN THE COST TO PROVIDE CARE AND THAT SHORTFALL IS ABSORBED BY THE HOSPITAL IN ADDITION THE HOSPITAL PROVIDES CARE TO A SUBSTANTIAL POPULATION OF MEDICAID PATIENTS AT PAYMENT LEVELS WELL BELOW COST |
| COLLECTION PRACTICES EXPLANATION | PART III LINE 9B | PART III LINE 9B THE HOSPITALS CREDIT AND COLLECTION POLICIES ARE DEVELOPED TO ENSURE COMPLIANCE WITH APPLICABLE CRITERIA REQUIRED UNDER 1 THE MASSACHUSETTS HEALTH SAFETY NET ELIGIBILITY REGULATION 1146 CMR 1300 2 THE CENTERS FOR MEDICARE AND MEDICAID SERVICES MEDICARE BAD DEBT REQUIREMENTS 42 CFR 41389 AND 3 THE MEDICARE PROVIDER REIMBURSEMENT MANUAL PART I CHAPTER 3 THIS POLICY IS AVAILABLE TO ALL PATIENTS UPON REQUEST FOR ANY PATIENTS WHO ARE UNINSURED OR UNDERINSURED THE HOSPITALS FINANCIAL COUNSELORS WILL WORK WITH THESE PATIENTS AND ASSIST THEM WITH FINDING A FINANCIAL ASSISTANCE PROGRAM THAT MAY COVER SOME OR ALL OF UNPAID BILLS ONCE THE HOSPITAL KNOWS PATIENTS QUALIFY FOR CHARITY CARE ALL COLLECTION PROCEDURES END AND THE FULL BALANCE OR THE AMOUNT THAT QUALIFIES UNDER FREE CARE IS WRITTEN OFF FINANCIAL ASSISTANCE IS INTENDED TO HELP LOWINCOME PATIENTS WHO DO NOT OTHERWISE HAVE THE ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES FINANCIAL ASSISTANCE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO MASSHEALTH COMMONWEALTH CARE CHILDRENS MEDICAL SECURITY PLAN HEALTHY START AND HEALTHY SAFETY NET PATIENTS UNDER THESE PROGRAMS WILL RECEIVE AN INITIAL BILL BUT ARE EXEMPT FROM ANY FURTHER COLLECTION OR BILLING PROCEDURES PURSUANT TO MASSACHUSETTS STATE REGULATIONS |
| NEEDS ASSESSMENT | PART VI | 2 NEEDS ASSESSMENT THE COMMUNITY BENEFITS PROGRAM AT NORTHEAST HOSPITAL CORPORATION NHC IS A PROGRAM ESTABLISHED TO PARTNER WITH COMMUNITY LEADERS AND ORGANIZATIONS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY NHC IS PART OF LAHEY HEALTH SYSTEM LHS A VERTICALLY AND HORIZONTALLY INTEGRATED NETWORK OF HOSPITALS LONGTERM CARE FACILITIES ASSISTED LIVING FACILITIES HEALTH AND SOCIAL SERVICE AGENCIES AND COMMUNITY BASED PRIMARY CARE AND SPECIALTY CARE NHC INCORPORATES THE COMMUNITY HEALTH CONCEPTS OF WELLNESS ADAPTATION SELFCARE AND HEALTH PROMOTION STRATEGIES USED IN COMMUNITY BENEFITS HEALTH ACTIVITIES INCLUDE PREVENTION EARLY DETECTION EARLY INTERVENTION LONGTERM MANAGEMENT AND COLLABORATIVE EFFORTS WITH THE AFFILIATE ORGANIZATIONS THAT MAKE UP LHS HEALTH ISSUES ADDRESSED ENCOMPASS SAFETY CHRONIC DISEASE INFECTIOUS DISEASE SUBSTANCE ABUSE AND BEHAVIORAL HEALTH THE IMPORTANCE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE HOSPITALS COLLECTIVE EFFORTS TO ADDRESS THE HEALTHCARE NEEDS OF THE NORTH SHORE HAVE NEVER BEEN GREATER THE ECONOMIC DOWNTURN HAS HAD A TREMENDOUS IMPACT ON THOUSANDS OF INDIVIDUALS AND FAMILIES THROUGHOUT THE REGION NHC CONTINUES TO WORK IN PARTNERSHIP WITH THE COMMUNITIES IT SERVES AND WITH HEALTHRELATED ORGANIZATIONS THROUGHOUT THE NORTH SHORE TO MEET THE AREAS HEALTHCARE NEEDS AND IMPROVE THE OVERALL HEALTH STATUS OF THE COMMUNITY THE COMMUNITY BENEFITS COMMITTEE AT NHC ENSURES THAT THE ORGANIZATION CONDUCTS HEALTH NEEDS ASSESSMENTS FOR ITS 16 TOWNCITY PRIMARY SERVICE AREA AS MANDATED BY THE MASSACHUSETTS ATTORNEY GENERAL NHC WITH THE HELP OF NORTHEAST HEALTH SYSTEM AFFILIATES WILL FOCUS THE COMMUNITY BENEFITS PLAN AROUND THE FOUR STATEWIDE PRIORITIES SET FORTH BY THE ATTORNEY GENERALS OFFICE WHICH INCLUDE CHRONIC DISEASE MANAGEMENT FOR DISADVANTAGED POPULATIONS REDUCING HEALTH DISPARITIES PROMOTING WELLNESS OF VULNERABLE POPULATIONS AND SUPPORTING HEALTH CARE REFORM NHCS MOST RECENT HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM 20102012 WHICH WAS FINALIZED IN 2013 THE HOSPITALS INTERNAL COMMITTEE NHC INTERNAL STEERING COMMITTEE OVERSEES THE ASSESSMENT ALONG WITH AN OUTSIDE CONTRACTOR JOHN SNOW INC JSI JSI AND NHC INTERNAL STEERING COMMITTEE DEVELOPED A FINAL APPROACH AND SET OF METHODS INCLUDING DATA COLLECTION COMMUNITY INVOLVEMENT STRATEGIC PLANNING AND REPORTING ACTIVITIES THAT WILL MEET IRS AND STATE COMMUNITY BENEFIT REQUIREMENTS AND THAT ARE CUSTOMIZED TO THE SERVICE AREA AND THE NEEDS OF THE HOSPITAL THE ASSESSMENT INITIATIVE WAS CONDUCTED IN TWO PHASES PHASE 1 CONDUCTED A PRELIMINARY NEEDS ASSESSMENT RELYING HEAVILY ON SECONDARY HEALTH RELATED DATA FROM THE MASSACHUSETTS DEPARTMENT OF HEALTH MASSACHUSETTS COMMUNITY HEALTH INFORMATION PROFILE MASSCHIP SYSTEM AND OTHER NATIONAL STATE AND LOCAL SOURCES JSI ASSESSED HEALTH STATUS HOSPITAL EMERGENCY DEPARTMENT AND INPATIENT TRENDS IDENTIFIED HEALTH ISSUES AND BARRIERS TO CARE AND IDENTIFIED WHAT POPULATION WAS MOST AT RISK THE INFORMATION COLLECTED RELATED TO DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS SOCIAL DETERMINANTS OF HEALTH HEALTH STATUS AND ACCESS TO CARE AND SERVICE UTILIZATION THE PROJECT TEAM ALSO INTERVIEWED OVER 50 HOSPITAL AND COMMUNITY BASED HEALTH SERVICE PROVIDERS AND OTHER KEY COMMUNITY STAKEHOLDERS THE PURPOSES OF THE INTERVIEWS WERE TO REFINE TOPICS FOR DATA COLLECTION AND ANALYSIS AND TO SET THE STAGE FOR THE DEVELOPMENT OF A COMPREHENSIVE COMMUNITY SURVEY DURING PHASE II JSI COLLECTED DATA THROUGH THE DISTRIBUTION OF COMMUNITY SURVEYS THAT WERE SENT OUT THROUGH THE MAIL TO RANDOMLY SELECTED LOCAL COMMUNITIES TOPICS ON THE TWENTY PAGE SURVEY INCLUDED ACCESS AND BARRIERS TO CARE HEALTH BEHAVIORS AND LIFESTYLE CHRONIC DISEASE AND PREVENTION SELFREPORTED HEALTH STATUS DISABILITIES AND CARE GIVING ELDER HEALTH AND PERCEIVED CONCERNS AND COMMUNITY PRIORITIES OUT OF THE 2300 SURVEYS SENT OUT 1179 WERE RECEIVED BACK KEY FINDINGS FROM THE ASSESSMENT SHOWED THAT THE NORTH SHORE AND CAPE ANN REGION OF MASSACHUSETTS ARE HEALTHIER AND HAVE BETTER ACCESS TO HEALTHCARE THAN THOSE LIVING IN ESSEX COUNTY COMMONWEALTH OF MA AND THE NATION THERE WERE DISPARITIES IN ACCESS TO HEALTH THOUGH PARTICULARLY OLDER ADULTS AND THOSE IN LOWER INCOME BRACKETS KEY FINDINGS FROM THE SECONDARY DATA REVIEW AND SURVEYS FELL INTO SEVEN CATEGORIES INCLUDING ACCESS TO CARE CHRONIC DISEASE HEALTH RISK FACTORS MENTAL HEALTH SUBSTANCE ABUSE ORAL HEALTH AND MATERNAL AND CHILD HEALTH SEE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR FURTHER INFORMATION ON THESE FINDINGS LHS AND THE STAFF AT NHC ARE COMMITTED TO DEVELOPING HOSPITAL SERVICES AND OTHER COMMUNITY BASED PROGRAMS THAT ARE ALTERED TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE THE HOSPITALS WORK COLLABORATIVELY WITH COMMUNITY PARTNERS TO DEVELOP PROGRAMS AND SERVICES THAT PROVIDE HEALTH EDUCATION EXPANDING ACCESS TO CARE ELIMINATING BARRIERS TO CARE AND IMPROVING OVERALL HEALTH STATUS |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI | 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE HOSPITAL PROVIDES PATIENTS WITH INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE THROUGH THE STATE OF MASSACHUSETTS OR THROUGH THE HOSPITALS OWN FINANCIAL ASSISTANCE PROGRAM WHICH MAY COVER ALL OR SOME OF THEIR UNPAID BILL FOR EVERY PATIENT THAT REQUIRES ANY KIND OF FINANCIAL ASSISTANCE THE HOSPITAL HAS FINANCIAL COUNSELORS AVAILABLE TO ASSIST LOWINCOME PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES SUCH ASSISTANCE TAKES INTO ACCOUNT EACH INDIVIDUALS ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE FINANCIAL ASSISTANCE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO MASSHEALTH COMMONWEALTH CARE CHILDRENS MEDICAL SECURITY PLAN HEALTHY START AND HEALTHY SAFETY NET EACH PATIENT REQUIRING ASSISTANCE COMPLETES AN APPLICATION THROUGH THE VIRTUAL GATEWAY AN INTERNET PORTAL DESIGNED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH HUMAN SERVICES TO PROVIDE THE GENERAL PUBLIC MEDICAL PROVIDERS AND COMMUNITY BASED ORGANIZATIONS WITH AN ONLINE APPLICATION FOR THE PROGRAMS OFFERED BY THE STATE OR THROUGH A STANDARD PAPER APPLICATION THAT ALSO GETS SENT TO THE MASSACHUSETTS EXECUTIVE OFFICE THIS OFFICE SOLELY MANAGES THE APPLICATION PROCESS FOR THE PROGRAMS LISTED ABOVE THE HOSPITAL ALSO INFORMS AND EDUCATES PATIENTS ABOUT STATE AND FEDERAL INSURANCE ASSISTANCE PROGRAMS BY MAKING THIS INFORMATION AVAILABLE ON PATIENT HOSPITAL BILLS ON NOTICES POSTED AT EVERY REGISTRATION SITE IN BROCHURES AT REGISTRATION DESKS AND WAITING ROOMS VIA PHONE PATIENT PHONE CALLS THROUGH COMMUNITY EVENTS AND HEALTH FAIRS AND BY ESTABLISHING RELATIONSHIPS WITH COMMUNITY AGENCIES SUCH AS SENIOR CITIZEN CENTERS SHELTERS FOOD PANTRIES BOARD OF HEALTH AND SCHOOL NURSES |
| COMMUNITY INFORMATION | PART VI | 4 COMMUNITY INFORMATION THE HOSPITAL SERVES THE NORTH SHORE COMMUNITY IN MASSACHUSETTS WHICH HAS A POPULATION OF APPROXIMATELY 300000 THIS AREA INCLUDES BEVERLY DANVERS PEABODY SAUGUS LYNN MARBLEHEAD SALEM HAMILTON IPSWICH ESSEX MANCHESTER GLOUCESTER AND ROCKPORT BUT ANYONE WHO COMES TO ONE OF THE FACILITIES AND REQUIRES CARE WILL RECEIVE IT REGARDLESS OF WHETHER THEY LIVE IN THIS COMMUNITY EIGHTY PERCENT OF THE COMMUNITY IS WHITE 813 HAVE ENGLISH HAS A FIRST LANGUAGE AND 90 HAVE GRADUATED FROM HIGH SCHOOL AS REPORTED IN OUR PUBLIC HEALTH ASSESSMENT REPORT 87 OF THE ADULTS IN THE HOSPITALS SERVICE AREA HAVE A PERSONAL HEALTH CARE PROVIDER AND 80 HAVE HEALTH INSURANCE |
| HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE | PART VI | 5 PROMOTION OF COMMUNITY HEALTH IN ADDITION TO THE HOSPITALS COMMUNITY BENEFITS PROGRAMS INITIATIVES AND ACTIVITIES AS NOTED THROUGHOUT SCHEDULE H NHC HAS FURTHER PROMOTED THE HEALTH OF THE COMMUNITY BY ENCOURAGING ITS MANAGERS AND STAFF TO ACTIVELY PARTICIPATE IN OTHER NOTFORPROFIT COMMUNITY ORGANIZATIONS EITHER AS BOARD MEMBERS OR SUPPORTERS THE HOSPITAL RESPONSIBLY MANAGES FACILITY UPDATES AND TECHNOLOGICAL IMPROVEMENT THAT ENABLES NHC TO PROVIDE THE NORTH SHORE WITH CONVENIENT SAFE AND EFFECTIVE HEALTHCARE THE HOSPITAL HAS A COMMUNITY BOARD WITH MEMBERS FROM THE NORTH SHORE AND SURROUNDING AREAS AS WELL AS AN OPEN MEDICAL STAFF WHICH ALLOWS PHYSICIANS TO APPLY AND RECEIVE HOSPITAL PRIVILEGES THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE HOSPITALS ANNUAL BUDGET AND DETERMINES ESTIMATED SURPLUS FUNDS TO BE INVESTED BACK IN THE COMMUNITY TOWARDS COMMUNITY NEEDS ASSESSMENTS HOSPITAL PROGRAMS HEALTH INITIATIVES ETC NORTHEAST HOSPITAL CORPORATION HAS SEVERAL COMMUNITY BENEFIT SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES THESE INCLUDE HEALTH SCREENINGS CLINICS AND SEMINARS DEVELOPED FOR BREAST CANCER SKIN CANCER DEPRESSION DIABETES BONE DENSITY BLOOD PRESSURE FLU AND CPR IN ADDITION RISK ASSESSMENTS ARE DEVELOPED FOR CARDIOVASCULAR OSTEOPOROSIS DIABETES BODY MASS INDEX AND BREAST CANCER A NUMBER OF DISEASE MANAGEMENT INITIATIVES HAVE BEEN INSTITUTED INCLUDING CARDIAC REHABILITATION HEART FAILURE MANAGEMENT PULMONARY REHABILITATION OSTEOPOROSIS MANAGEMENT VASCULAR HEALTH AND WOMENS HEALTH SCREENINGS THE HOSPITAL ALSO HOLDS FREE SUPPORT GROUPS TO THE COMMUNITY FOR RESIDENTS WITH BREAST CANCER MELANOMA PROSTATE CANCER ALZHEIMERS EARLY STATE OF MEMORY LOSS POSTPARTUM DEPRESSION EPILEPSY DIABETES OR HAVE EXPERIENCED A STROKE INFANT LOSS AND LOSS OF A FAMILY MEMBER IN 2003 NHC CREATED THE LIFESTYLE MANAGEMENT INSTITUTE LMI THE LMI PROVIDES PROGRAMS AND EDUCATION ON HOW TO LIVE A HEALTHY LIFESTYLE AND PROACTIVELY IDENTIFIES POPULATIONS WITH OR AT RISK OF ESTABLISHED MEDICAL CONDITIONS THE LMI OFFERS A FULL RANGE OF SERVICES TO THE COMMUNITY INCLUDING RISK ASSESSMENT PREVENTION EDUCATION DIAGNOSTIC TESTING COORDINATED MEDICAL TREATMENT AND CONTINUOUS MONITORING EFFECTIVE DISEASE MANAGEMENT USING APPROPRIATE MEDICAL PROTOCOLS REDUCES THE NUMBER OF HOSPITAL ADMISSIONS AND EMERGENCY ROOM VISITS SHORTENS THE LENGTH OF HOSPITAL STAYS AND IMPROVES THE OVERALL HEALTH AND QUALITY OF LIFE FOR PEOPLE WITH CHRONIC ILLNESS |
| AFFILIATED HEALTH CARE INFORMATION | PART VI | 6 AFFILIATED HEALTH CARE SYSTEM NORTHEAST HEALTH SYSTEM INC NHS IS AN INTEGRATED HEALTHCARE SYSTEM COMPRISED OF A NETWORK OF HOSPITALS BEHAVIORAL HEALTH LONGTERM CARE AND HUMAN SERVICE AFFILIATES OFFERING NORTH SHORE RESIDENTS GENERAL AND SPECIALIZED MEDICAL CARE NHS HAS A COMMITMENT TO BOTH PATIENTS AND THEIR FAMILIES TO PROVIDE HIGHQUALITY CARE IN A COMFORTING SETTING THE ORGANIZATIONS THAT MAKE UP THIS NETWORK INCLUDE NHC ORGANIZED FOR THE PURPOSE OF OPERATING A HOSPITAL NORTHEAST MEDICAL PRACTICE ORGANIZED TO MANAGE AND OPERATE ACCESSIBLE PHYSICIAN PRACTICES SEACOAST NURSING AND REHABILITATION CENTER ORGANIZED FOR PURPOSE OF OPERATING A NURSING HOME NORTHEAST SENIOR HEALTH CORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING ELDERLY AND ASSISTED LIVING HOUSING NORTHEAST BEHAVIORAL HEALTH ORGANIZED TO PROVIDE OUTPATIENT SERVICES CROSSCULTURAL PROGRAMS COMMUNITY SUPPORT SERVICES YOUTH RESIDENTIAL SERVICES SUBSTANCE ABUSE SERVICES PREVENTION SERVICES TRAUMA SERVICES EARLY CHILDHOOD SERVICES AND MEDICAL SERVICES IN THE GREATER NORTHSHORE AND CAB HEALTH RECOVERY ORGANIZED FOR THE PURPOSE OF PROVIDING TREATMENT FOR SUBSTANCE ABUSE THROUGH THIS CONTINUUM OF SERVICES NHS PROVIDES FOR A WIDE RANGE OF THE HEALTH NEEDS OF THE RESIDENTS OF THE NORTH SHORE IN A COORDINATED EFFICIENT AND COMPREHENSIVE MANNER LAHEY HEALTH SYSTEM INC PARENT WAS ORGANIZED IN ANTICIPATION OF THE AFFILIATION OF LAHEY CLINIC FOUNDATION INC FOUNDATION AND NORTHEAST HEALTH SYSTEM INC NHS THE TAXEXEMPT PARENT ENTITIES OF TWO PREVIOUSLY UNRELATED TAXEXEMPT HEALTH CARE SYSTEMS AS OF MAY 1 2012 PURSUANT TO THE AFFILIATION THE PARENT IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION AND NHS THE PARENT WAS FORMED TO ACT AS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTH CARE SYSTEM NHS IS THE SOLE MEMBER OF NORTHEAST HOSPITAL CORPORATION NHC AND FUNCTIONS AS THE PARENT HOLDING COMPANY FOR NORTHEAST HOSPITAL CORPORATION AND OTHER AFFILIATED ORGANIZATIONS SEE SCHEDULE R FOR FULL LIST OF AFFILIATIESRELATED ORGANIZATIONS |
| LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED | PART VI | MASSACHUSETTS |
| NORTHEAST HOSPITAL CORPORATION LINE NUMBER 1 PART V LINE 3 | PART V LINE 3 | SEE PART VI 2 |
| NORTHEAST HOSPITAL CORPORATION LINE NUMBER 1 PART V LINE 4 | PART V LINE 4 | ADDISON GILBERT BEVERLY HOSPITAL AT DANVERS |
| NORTHEAST HOSPITAL CORPORATION LINE NUMBER 1 PART V LINE 12H | PART V LINE 12H | PART V 10 SEE PART I LINE 3C FOR HOW THE HOSPITAL DETERMINED ELIGIBILITY FOR DISCOUNTED CARE |
| NORTHEAST HOSPITAL CORPORATION LINE NUMBER 1 PART V LINE 14G | PART V LINE 14G | THE HOSPITAL HAS FINANCIAL COUNSELORS AVAILABLE FOR ANY PATIENT WHO REQUIRES HELP FILING FOR FINANCIAL ASSISTANCE THE COUNSELORS PERFORM FINANCIAL SCREENING AND HELP PATIENTS WITH MASSHEALTH COMMONWEALTH CARE HEALTH SAFETY NET MEDICAL HARDSHIP DISABILITY AND LONG TERM CARE APPLICATIONS THE HOSPITAL IS ALSO INVOLVED WITH COMMUNITY LIASON OUTREACH ACTIVITIES IN ADDITION TO HELPING PATIENTS WHO ARE ADMITTED TO THE HOSPITAL FINANCIAL COUNSELORS HELP SCREEN AND ENROLL PATIENTS IN THE COMMUNITY WHEN THEY ARE REFERRED TO THE HOSPITAL AGENCIES THE HOSPITAL HAS ESTABLISHED RELATIONSHIPS WITH INCLUDE COUNCILS ON AGING SHINE SERVING HEALTH INSURANCE NEEDS OF ELDERS CHEC COMMUNITY HEALTH EDUCATION CENTER PUBLIC SCHOOLS HOMELESS SHELTERS FOOD PANTRIES BOARD OF HEALTH IN GLOUCESTER AND BEVERLY POLICE DEPT IN GLOUCESTER AND BEVERLY AND LOCAL PHYSICIAN OFFICES |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|
| STERLING CENTER YMCA | ||||||
| 254 ESSEX ST | BEVERLY | MA | 01915 | 042104913 | 10000 | CHRONIC DISEASE MGMT |
| EXPRESS YOURSELF | ||||||
| 6 ELLIS ST | PEABODY | MA | 01960 | 043294365 | 10000 | BEHAVIORAL HEALTH |
| BEVERLY PUBLIC SCHOOL DISTRICT | ||||||
| 502 CABOT ST | BEVERLY | MA | 01915 | 046001379 | 10000 | BEHAVIORAL HEALTH |
| THE GRACE CENTER | ||||||
| 60 MIDDLE ST | GLOUCESTER | MA | 01930 | 452987540 | 10000 | SUBSTANCE ABUSE |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| E. TORREY JOHNSON SCHLSHP | 9 | 7030 |
| MEDICAL STAFF SCHOLARSHIP | 2 | 4000 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES | Identifier |
| Return Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | ReturnReference |
| Explanation | GRANTS TO INDIVIDUALS INSIDE THE US THE ELIZABETH TORREY JOHNSON SCHOLARSHIP FUND IS MAINTAINED BY THE FRIENDS OF BEVERLY HOSPITAL (A GROUP WHO CREATES AND SUPPORTS PROGRAMS AND ACTIVITIES THAT ENRICH BEVERLY HOSPITAL). THE FUND WAS ESTABLISHED IN 1964 AND SINCE THEN HAS PROVIDED ANNUAL SCHOLARSHIPS TO NUMEROUS APPLICANTS. ALL ELIGIBLE APPLICANTS MUST SUBMIT AN APPLICATION THAT INCLUDES THE COST OF TUITION, ROOM & BOARD, FEES AND ALL AVAILABLE FINANCIAL RESOURCES THEY HAVE BEEN AWARDED. RECIPIENTS ARE HIGH SCHOOL STUDENTS WHO HAVE VOLUNTEERED A MINIMUM OF 100 HOURS AT THE HOSPITAL AND PLAN TO HAVE CAREERS IN HEALTH CARE. CONFIRMATION OF ENROLLMENT IN COLLEGE IS REQUIRED. THE MEDICAL STAFF SCHOLARSHIPS AWARDS 2,000 TO SEVERAL STUDENTS IN THE HOSPITAL'S PRIMARY CARE SERVICE AREA. AFTER STUDENTS APPLY FOR THE SCHOLARSHIPS THEIR APPLICATIONS ARE REVIEWED AND THE RECIPIENTS ARE CHOSEN BY A COMMITTEE OF THE MEDICAL STAFF. GRANTS TO ORGANIZATIONS INSIDE THE US NHC REQUESTS APPLICATIONS FOR FUNDING THAT RELATES TO THE MAIN FOCUSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH INCLUDES MENTAL AND BEHAVIORAL HEALTH, CHRONIC DISEASE MANAGEMENT AND ACCESS TO HEALTHCARE SERVICES. GRANT REQUESTS MAY BE SUBMITTED FOR UP TO 10,000 PER ORGANIZATION IN ANY ONE CATEGORY. PROGRAMS OR SERVICES UNDER THE GRANT INITIATIVE MUST BE DELIVERED WITHIN THE NHC PRIMARY SERVICE AREA. ELIGIBLE APPLICANTS INCLUDE LOCAL COALITIONS OR COLLABORATIVE EFFORTS THAT ARE INTERESTED IN IMPROVING COMMUNITY HEALTH. ALL APPLICANTS MUST HAVE AN APPROPRIATE FISCAL AGENT SUCH AS A 501(C)(3) OR MUNICIPALITY. AN OBJECTIVE GRANT REVIEW TEAM WILL REVIEW AND SCORE ALL PROPOSALS AND MAKE FINAL FUNDING DECISIONS. ANY APPLICATION THAT DOES NOT MEET THE TIMELINE MAY NOT BE REVIEWED AND/OR MAY RECEIVE A LOWER TOTAL SCORE. REVIEWERS WILL BE SCREENED OUT FOR ANY POTENTIAL CONFLICT OF INTEREST IN THE FUNDING DECISION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)
| TitleTitle | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOWARD R GRANT JD MD | ||||||||||||
| PRES EFF 123112 | 1020410 | 360750 | 22896 | 239397 | 29493 | 1672946 | ||||||
| TIMOTHY O'CONNOR | ||||||||||||
| TREASURER | 700450 | 87750 | 22758 | 117000 | 24710 | 952668 | ||||||
| DENIS CONROY | ||||||||||||
| CEO APP 123112 | 384176 | 62728 | 6698 | 10000 | 22473 | 486075 | ||||||
| GARY MARLOW | ||||||||||||
| ASST TRSRVP FINANCE | 269644 | 17296 | 10000 | 23239 | 320179 | |||||||
| DAVID SPACKMAN JD | ||||||||||||
| SECRETARY | 226808 | 8024 | 25202 | 10850 | 270884 | |||||||
| PAULINE PIKE | ||||||||||||
| COO | 359716 | 55000 | 10000 | 12903 | 437619 | |||||||
| PETER SHORT | ||||||||||||
| VP OF MED AFFAIRS | 327053 | 25481 | 5704 | 10000 | 20196 | 388434 | ||||||
| GREGORY BIRD | ||||||||||||
| VP PATIENT CARE SRVS | 292299 | 32804 | 10000 | 33912 | 369015 | |||||||
| JOHANNA RODGERS | ||||||||||||
| VP OF PHYSICIAN SRVS | 226075 | 25373 | 10000 | 30584 | 292032 | |||||||
| ALTHEA LYONS | ||||||||||||
| VP OF HR | 218037 | 24757 | 10000 | 35714 | 288508 | |||||||
| JOSEPH PORCELLO | ||||||||||||
| CONTROLLER | 171769 | 25000 | 8604 | 33555 | 36160 | 275088 | ||||||
| CYNTHIA DONALDSON | ||||||||||||
| VP OF ANCILLARY SRVS | 181470 | 19096 | 8114 | 11625 | 220305 | |||||||
| PAUL O'SHEA | ||||||||||||
| FRMR VP OF ADMIN | 25522 | 20000 | 399776 | 8729 | 30957 | 484984 | ||||||
| BARRY GINSBERG | ||||||||||||
| MEDICAL DIRECTOR | 304264 | 10000 | 36312 | 350576 | ||||||||
| STEVEN GILLESPIE | ||||||||||||
| MD | 297264 | 10000 | 32509 | 339773 | ||||||||
| PAUL PECK | ||||||||||||
| VPCIO | 231117 | 20699 | 10000 | 22594 | 284410 | |||||||
| LISA NEVELING | ||||||||||||
| VP OF MARKETING | 181349 | 15600 | 10096 | 7711 | 38377 | 253133 | ||||||
| KENNETH HANOVER | ||||||||||||
| FR CEO RES 123112 | 681235 | 135000 | 932631 | 10000 | 37812 | 1796678 | ||||||
| WILLIAM DONALDSON | ||||||||||||
| FR VP GEN CNSLCLERK | 206153 | 30000 | 93472 | 66801 | 23301 | 419727 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS | SCHEDULE J, PAGE 1, PART I, LINE 4 | TIMOTHY O'CONNOR 0 117,000 0 GARY MARLOW 0 16,501 0 CYNTHIA DONALDSON 0 18,017 0 PAUL O'SHEA 231,784 0 0 KENNETH HANOVER 734,000 0 0 WILLIAM DONALDSON 50,412 34,000 0 |
| NON-FIXED PAYMENTS PROVIDED | SCHEDULE J, PAGE 1, PART I, LINE 7 | THE NON-FIXED PAYMENT BONUSES REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II) ARE DETERMINED BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH INCLUDES A GROUP OF TRUSTEES. IN A SUBJECTIVE MANNER, THE COMMITTEE TAKES INTO ACCOUNT THE ACHIEVEMENTS OF BOTH THE ORGANIZATION AND THE INDIVIDUAL TO DETERMINE THE APPROPRIATE AMOUNT OF SUCH BONUSES, WHICH INCLUDE, BUT ARE NOT LIMITED TO, THE ORGANIZATION MEETING ITS CORPORATE GOALS, (INCLUDING NET INCOME) AND QUALITY MEASURES, (SUCH AS PATIENT SATISFACTION AND QUALITY OF CARE). |
| OTHER ADDITIONAL INFORMATION | SCHEDULE J, PART III | SCHEDULE J, PART II THE HOSPITAL 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. SCHEDULE J, LINE 4,NON-QUALIFIED DEFERRED COMPENSATION PLAN THE HOSPITAL MAINTAINS A 457B NONQUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVE MANAGEMENT EMPLOYEES. EMPLOYEES CONTRIBUTE A PORTION OF THEIR SALARIES (THROUGH PAYROLL DEDUCTION) TO THE PLAN. THERE ARE NO EMPLOYER CONTRIBUTIONS TO THIS PLAN. LAHEY CLINIC FOUNDATION (RELATED ORGANIZATION) MAINTAINS A 457F NONQUALIFIED DEFERRED COMPENSAION PLAN FOR CERTAIN PHYSICIANS, EXECUTIVE MANAGEMENT AND DEFINED MEDICAL STAFF. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF COMPENSATION IN ADDITION TO THEIR SALARIES. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| MASS DEV FIN AGENCY SERIES H | ||||||||
| A | 043431814 | 57586EC41 | 2012-11-30 | 23000000 | CONSTR. AMBUL FAC | false | false | false |
| MASS HLTH & EDU FAC'S AUTH SERIES G | ||||||||
| B | 042456011 | 57586CDV4 | 2004-10-27 | 55000000 | CONS/RENO BH ER/GAR | false | false | false |
| MASS HLTH & EDU FAC'S AUTH SRS M-2 | ||||||||
| C | 042456011 | 57585KA57 | 2003-05-30 | 13410000 | RENOV BH ENDO, PACU | false | false | true |
| MASS DEV FIN AGENCY SERIES J | ||||||||
| D | 043431814 | 57586EC41 | 2012-11-30 | 15065000 | REFIN SERIES F-2,F-3 | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired | Amount In Reserve FundAmountInReserveFund | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 23987136 | 22852308 | 147692 | 2007 | true | false | true | true | ||||
| B | 56994032 | 9375639 | 814592 | 2007 | true | false | true | true | 9200000 | 3990244 | 2375606 | 38370020 |
| C | 13591143 | 67050 | 2004 | false | false | true | true | 2374450 | 97184 | 12001950 | ||
| D | 15065000 | 14808680 | 256320 | 2012 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | true | false | false | true |
| B | false | false | false | false | true | false | false | true |
| C | false | false | false | false | true | false | false | true |
| D | false | false | false | false | true | false | false | false |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BANK OF AMERICA | ||||||||||||
| A | false | false | false | true | true | true | 30.0 | false | false | false | false | true |
| MERRILL LYNCH | ||||||||||||
| B | false | false | false | true | true | true | 29.8 | false | false | false | false | true |
| (no name) | ||||||||||||
| C | false | false | false | true | true | false | false | false | true | |||
| (no name) | ||||||||||||
| D | false | false | false | true | false | false | false | false | true | |||
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | true | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DATE REBATE COMPUTATION PERFORMED | SCHEDULE K | MASS DEV FIN AGENCY SERIES H 091613 MASS HLTH EDU FACS AUTH SERIES G 121713 MASS HLTH EDU FACS AUTH SRS M2 MASS DEV FIN AGENCY SERIES J 021814 |
| ADDITIONAL INFORMATION | SCHEDULE K | MASS HLTH EDU FACS AUTH SRS M2 SERIES M2 REBATE COMPUTATIONS ARE DONE AT THE POOL LEVEL ANNUALLY |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (15 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | PART I, LINE 1 & PART III, LINE 1 COMMITTED TO PROVIDING THE HIGHEST QUALITY MEDICAL CARE TO ALL INDIVIDUALS WHO CAN BENEFIT FROM OUR CONTINUUM OF CARE. OUR CONCEPT OF CARE BROADLY EMBRACES THE HEALTH, WELL-BEING AND DIGNITY OF THE PATIENTS WE SERVE, REGARDLESS OF ABILITY TO PAY. |
| EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS | FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS SUPPORT THE SERVICES OF THE HOSPITAL'S STAFF. THEY ARE TRAINED AND SUPERVISED BY EMPLOYEES OF THE DEPARMENT TO WHICH THEY ARE ASSIGNED. INDIVIDUAL VOLUNTEER SCHEDULES MAY VARY DEPENDING ON DEPARTMENT NEEDS AND MAY INCLUDE EVENING AND WEEKEND HOURS. VOLUNTEERS RECEIVE TRAINING SPECIFIC TO THEIR DUTIES PRIOR TO PERFORMING THEIR JOB AND ARE OFTEN PAIRED WITH A VETERAN VOLUNTEER OR STAFF MEMBER UNTIL THEY ARE COMFORTABLE WORKING ON THEIR OWN. VOLUNTEERS ATTEND HOSPITAL ORIENTATION TO LEARN SAFETY, INFECTION CONTROL, AND PATIENT CONFIDENTIALITY INCLUDING HIPAA REQUIREMENTS PRIOR TO BEING PLACED. THEY ARE ALSO GIVEN HEALTH SCREENINGS AND RECEIVE YEARLY SAFETY UPDATES. |
| FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES | FORM 990, PART V, LINE 4B | BERMUDA, CAYMAN ISLANDS, BRITISH VIRGIN ISLANDS |
| RELATED PARTY INFORMATION AMONG OFFICERS | FORM 990, PAGE 6, PART VI, LINE 2 | DAVID SPACKMAN NHC/NMP/NHS/PRN/NSH/SCST/NPC SECR/CLERK OFFICER FOR ALL CORPORATIONS TIM O'CONNOR NHC/NMP/NHS/PRN/NSH/SCST/NPC TRSR/DIR OFFICER FOR ALL CORPORATIONS HOWARD GRANT NHC/NMP/NHS/NSH/SCST/NPC PRESIDENT OFFICER FOR ALL CORPORATIONS MARYELLEN LEAR NHC/NMP/NHS/NSH/SCST/NPC ASST CLERK OFFICER FOR ALL CORPORATIONS GARY MARLOW NHC/NHS/NSH/SCST/NPC ASST TRSR OFFICER FOR ALL CORPORATIONS STEVEN DEFOSSEZ, MD AUGUSTINE O'KEEFE, MD TRUSTEE TRUSTEE BOTH MD'S FOR BEVERLY RAD ASC |
| SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS | FORM 990, PAGE 6, PART VI, LINE 4 | NORTHEAST HOSPITAL CORPORATION'S BY-LAWS WERE AMENDED AND RESTATED ON MARCH 29, 2013. |
| CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PAGE 6, PART VI, LINE 6 | 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 NORTHEAST HEALTH SYSTEM, INC. THE REPORTING ORGANIZATION'S MEMBER HAS, WITH RESPECT TO THE REPORTING ORGANIZATION, THE RIGHT TO EXERCISE ALL POWERS CONFERRED ON MEMBERS OF NON-PROFIT CORPORATIONS UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 180, INCLUDING, WITHOUT LIMITATION, POWERS WITH THE 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) AMENDMENTS 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. ADDITIONAL, THE RIGHT OF THE REPORTING ORGANIZATION'S MEMBER, NORTHEAST HEALTH SYSTEM, INC., TO EXERCISE ITS AUTHORITY AS A MEMBER OF THE REPORTING ORGANIZATION IS SUBJECT TO THE APPROVAL OF LCF/NHS'S CORPORATE MEMBER, LHS, WHICH MAY ALSO EXERCISE SUCH POWERS DIRECTLY. |
| ELECTION OF MEMBERS AND THEIR RIGHTS | FORM 990, PAGE 6, PART VI, LINE 7A | SEE LINE 6 |
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | SEE LINE 6 |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE HOSPITAL'S MANAGEMENT PREPARED THE IRS FORM 990 AND WAS REVIEWED BY INDEPENDENT TAX CONSULTANTS (THE CONSULTANTS DID NOT SIGN AS PAID PREPARER). THE FINAL FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES BEFORE THE FILING DATE VIA A SECURE WEBSITE. LHS'S EXECUTIVE MANAGEMENT REVIEWED AND PRESENTED THE FINAL DRAFT OF FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE LAHEY HEALTH SYSTEM, INC BOARD OF TRUSTEES PRIOR TO THE FILING DATE. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | EACH YEAR THE MEMBERS OF THE BOARD ARE PROVIDED WITH A COPY OF THE CONFLICT OF INTEREST POLICY AND ASKED TO LIST ANY POTENTIAL CONFLICTS. THIS SIGNED FORM IS KEPT ON FILE WITH THE CORPORATE RECORDS AND THE CHAIR AND CEO ARE MADE AWARE OF ANY POTENTIONAL CONFLICTS. IF ANY CONFLICTS EXIST, THE TRUSTEE IS EXCUSED FROM THE DISCUSSIONS AND THE VOTE. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT TRUSTEES, MEETS ANNUALLY TO REVIEW EXECUTIVE GOALS, SALARIES, INCENTIVES, PAYMENT PROGRAMS AND BENEFITS FOR THE CEO AND EXECUTIVE MANAGEMENT. THE COMMITTEE USES COMPARATIVE DATA FROM SULLIVAN & COTTER & LAWRENCE ASSOCIATES (EXTERNAL COMPENSATION CONSULTANTS) TO ENSURE EXECUTIVE COMPENSATION AND BENEFITS ARE IN LINE WITH THE REST OF THE INDUSTRY. OUTSIDE LEGAL COUNSEL ADVISES THE COMMITTEE AND RECORDS MINUTES FROM THE MEETINGS. THE HOSPITAL'S VP OF HUMAN RESOURCES PROVIDES THE COMMITTEE WITH ANY REQUESTED INFORMATION. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT TRUSTEES, MEETS ANNUALLY TO REVIEW EXECUTIVE GOALS, SALARIES, INCENTIVES, PAYMENT PROGRAMS AND BENEFITS FOR THE CEO, EXECUTIVE MANAGEMENT (KEY EMPLOYEES). THE COMMITTEE USES COMPARATIVE DATA FROM SULLIVAN & COTTER & LAWRENCE ASSOCIATES (EXTERNAL COMPENSATION CONSULTANTS) TO ENSURE EXECUTIVE COMPENSATION AND BENEFITS ARE IN LINE WITH THE REST OF THE INDUSTRY. OUTSIDE LEGAL COUNSEL ADVISES THE COMMITTEE AND RECORDS MINUTES FROM THE MEETINGS. THE HOSPITAL'S VP OF HUMAN RESOURCES PROVIDES THE COMMITTEE WITH ANY REQUESTED INFORMATION. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE ARTICLES OF ORGANIZATION IS A PUBLIC DOCUMENT FILED WITH THE SECRETARY OF STATE OF THE COMMONWEALTH OF MASSACHUSETTS. THE ARTICLES OF ORGANIZATION, BY-LAWS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION PUBLISHES AN ANNUAL REPORT, WHICH CONTAINS AUDITED FINANCIAL STATEMENTS AND LISTINGS OF BOARD MEMBERS. THE IRS FORM 990 AND MASSACHUSETTS FORM PC ARE AVAILABLE UPON REQUEST. IN ADDITION, THE ORGANIZATION PRESENTS FINANCIAL STATEMENTS TO THE PUBLIC AS AN ATTACHMENT TO ITS FORM PC. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | NONEMPLOYED HEALTHCARE WRKERS 16,514,935 0 0 SERVICE CONTRACTS 3,252,396 1,840,431 0 FOOD/CAFETERIA COSTS 2,471,627 1,398,617 0 PROFESSIONAL FEES 3,250,563 1,839,393 0 CONSULTING FEES 1,039,955 588,479 0 ALL OTHER EXPENSES 2,847,897 1,611,537 0 FUNDRAISING EXPENSES 0 0 217,308 |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 9 | MIN PENSION & POST RETIREMENT ADJ 26,631,280 RESTR INVESTMENT GAINS 179,699 CHNG IN INT IN BENEFICIAL TRUST 179,815 OTHER 8,039 |
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 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LAHEY CLINIC INC | |||||||||||
| 41 MALL RD | BURLINGTON | MA | 01805 | 042704683 | HEALTHCARE | MA | 501C3 | 9 | LCF INC | 1 | false |
| LAHEY CLINIC FOUNDATION INC | |||||||||||
| 41 MALL RD | BURLINGTON | MA | 01805 | 042323457 | SUPPORT | MA | 501C3 | 7 | LHS INC | 2 | false |
| LAHEY HEALTH SHARED SERVICES INC | |||||||||||
| 41 MALL RD | BURLINGTON | MA | 01805 | 043178972 | ADMIN SUPP | MA | 501C3 | 9 | LHS INC | 3 | false |
| NORTHEAST HEALTH SYSTEM INC | |||||||||||
| 85 HERRICK ST | BEVERLY | MA | 01915 | 043240453 | SUPPORT | MA | 501C3 | 11C | LHS INC | 4 | false |
| NORTHEAST MEDICAL PRACTICE INC | |||||||||||
| 85 HERRICK ST | BEVERLY | MA | 01915 | 043201853 | HEALTHCARE | MA | 501C3 | 9 | NEH CORP | 5 | true |
| SEACOAST NURSING & REHAB CTR | |||||||||||
| 300 WASHINGTON ST | GLOUCESTER | MA | 01930 | 041305001 | HEALTHCARE | MA | 501C3 | 9 | NEHS INC | 6 | false |
| NE PROFESSIONAL REG OF NURSES | |||||||||||
| 85 HERRICK ST | BEVERLY | MA | 01915 | 201287349 | HEALTHCARE | MA | 501C3 | 9 | NESH INC | 7 | false |
| NORTHEAST SENIOR HEALTH CORP | |||||||||||
| 85 HERRICK ST | BEVERLY | MA | 01915 | 042731137 | HEALTHCARE | MA | 501C3 | 9 | NEHS INC | 8 | false |
| NORTHEAST BEHAVIORAL HEALTH CORP | |||||||||||
| 131 RANTOUL ST | BEVERLY | MA | 01915 | 042777145 | BEHAV HLTH | MA | 501C3 | 7 | NEHS INC | 9 | false |
| CAB HEALTH & RECOVERY SERVICES INC | |||||||||||
| 0 CENTENNIAL DRIVE | PEABODY | MA | 01960 | 042400270 | SUBS ABUSE | MA | 501C3 | 9 | NEBH CORP | 10 | false |
| HES HOUSING SERVICES INC | |||||||||||
| 0 CENTENNIAL DRIVE | PEABODY | MA | 01960 | 223232914 | HUD HSING | MA | 501C3 | 9 | NEBH CORP | 11 | false |
| LAHEY HEALTH SYSTEM INC | |||||||||||
| 41 MALL RD | BURLINGTON | MA | 01805 | 611665701 | SUPPORT | MA | 501C3 | 11C | NA | 12 | false |
| LAHEY CLINIC HOSPITAL INC | |||||||||||
| 41 MALL RD | BURLINGTON | MA | 01805 | 042704686 | HEALTHCARE | MA | 501C3 | 3 | LCF INC | 13 | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CountryAddressForeign/Country | EINEIN | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PERPETUAL TRUSTS (7) | ||||||||||||
| 41 MALL RD | BURLINGTON | MA | 01805 | SUPPORT | MA | SEE VII | TRUST | false | ||||
| REMAINDER TRUST (17) | ||||||||||||
| 41 MALL RD | BURLINGTON | MA | 01805 | SUPPORT | MA | SEE VII | TRUST | false | ||||
| POOLED INCOME FUNDS (4) | ||||||||||||
| 41 MALL RD | BURLINGTON | MA | 01915 | SUPPORT | MA | SEE VII | TRUST | false | ||||
| NORTHEAST MASSACHUSETTS INDEMNITY | ||||||||||||
| INSURANCE | NEHS INC | C CORP | false | GOVERNORS SQ 23 LIME TREE BAY AVE | CJ | 980440187 | CJ | |||||
| NORTHEAST PROPRIETARY CORP | ||||||||||||
| 85 HERRICK ST | BEVERLY | MA | 01915 | MED SRVS | MA | NEHS INC | C CORP | false | 042855191 | |||
| LAHEY CLINIC INSURANCE CO LTD | ||||||||||||
| INSURANCE | LHS INC | C CORP | false | PO BOX HM2450 | BD | BD | ||||||
| PERPETUAL TRUSTS (7) | ||||||||||||
| 41 MALL RD | BURLINGTON | MA | 01805 | SUPPORT | MA | SEE VII | TRUST | false | ||||
| REMAINDER TRUST (17) | ||||||||||||
| 41 MALL RD | BURLINGTON | MA | 01805 | SUPPORT | MA | SEE VII | TRUST | false | ||||
| POOLED INCOME FUNDS (4) | ||||||||||||
| 41 MALL RD | BURLINGTON | MA | 01915 | SUPPORT | MA | SEE VII | TRUST | false | ||||
| NORTHEAST MASSACHUSETTS INDEMNITY | ||||||||||||
| INSURANCE | NEHS INC | C CORP | false | GOVERNORS SQ 23 LIME TREE BAY AVE | CJ | 980440187 | CJ | |||||
| NORTHEAST PROPRIETARY CORP | ||||||||||||
| 85 HERRICK ST | BEVERLY | MA | 01915 | MED SRVS | MA | NEHS INC | C CORP | false | 042855191 | |||
| LAHEY CLINIC INSURANCE CO LTD | ||||||||||||
| INSURANCE | LHS INC | C CORP | false | PO BOX HM2450 | BD | BD | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST MEDICAL PRACTICE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | A | TransactionType |
| Amount Involved | 213629 | AmountInvolved |
| Method Of Amt Determination | FMV | MethodOfAmtDetermination |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE R | ReturnReference |
| Explanation | SCHEDULE R PART IV PERPETUAL TRUSTS 7 LAHEY CLINIC FOUNDATION AND NORTHEAST HOSPITAL CORPORATION HAVE FOUR AND THREE PERPETUAL TRUSTS RESPECTIVELY THE PERPETUAL TRUSTS ARE DOMICILED IN MASSACHUSETTS AND PENNSYLVANIA SCHEDULE R PART IV REMAINDER TRUSTS 17 LAHEY CLINIC FOUNDATION HAS SEVENTEEN REMAINDER TRUSTS THE REMAINDER TRUSTS ARE DOMICILED IN MASSACHUSETTS AND NEW HAMPSHIRE SCHEDULE R PART IV POOLED INCOME FUNDS 4 LAHEY CLINIC FOUNDATION AND NORTHEAST HOSPITAL CORPORATION HAVE THREE AND ONE POOLED INCOME FUNDS RESPECTIVELY SCHEDULE R PART II PUBLIC CHARITY STATUS NORTHEAST HEALTH SYSTEM INC 11C IIIFI LAHEY HEALTH SYSTEM INC 11C IIIFI SCHEDULE R PART V LINES LS ALL ENTITIES WITHIN THE LAHEY HEALTH SYSTEM SHARE FACILITIES EQUIPMENT MAILING LISTS AND OTHER ASSETS AND PROVIDE VARIOUS CORPORATE AND OTHER SERVICES TO EACH OTHER THESE ENTITIES REIMBURSE ONE ANOTHER FOR EXPENSES INCURRED SUCH AS EMPLOYEE SALARIES MATERIALS SUPPLIES HEALTHDENTAL INSURANCE UTILITIES ETC CASH IS ALSO TRANSFERRED BETWEEN THESE CORPORATIONS FOR THESE EXPENSES | Explanation |
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