2014-08-14T11:32:27-05:00 2013-09-30 990 2012-10-01 042121317 NORTHEAST HOSPITAL CORPORATION NORT 9789223000 85 HERRICK ST BEVERLY MA 01915 TIMOTHY O'CONNOR 9789223000 2014-08-13 false 2014-08-14 2012 2015-11-30 17:44:51Z TIMOTHY O'CONNOR 85 HERRICK ST BEVERLY MA 01915 341907355 false X WWW.BEVERLYHOSPITAL.ORG X 1893 MA 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. 17 14 3017 350 3799671 1759752 2213520 307324621 308436194 3047156 2803738 12012298 19254658 324143827 332708110 19150 51030 0 178500368 176532853 0 1248506 132830171 136370167 311349689 312954050 12794138 19754060 355394000 374551702 221845401 185647595 133548599 188904107 X 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. false false 128864507 51030 171147173 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. 98034156 130200853 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. 19093531 25358447 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. 245992194 true true false false false false false true false true true false false true true false false true false false true false false false true false true true true true true true false false false false false false false false false false false false false false false true true true false false true X 280 0 true 3017 true true true true BD false false false true true false false false false X 17 14 true false true false true true true true true false true true true true true true true true true true true true MA X X GARY MARLOW NORTHEAST HOSP CORP 9789223000 85 HERRICK ST BEVERLY MA 01915 HOWARD R GRANT JD MD 1.00 49.00 X X 0 1404056 268890 DAVID DICHIARA MD 2.00 X 15900 0 0 STEVEN DEFOSSEZ MD 2.00 X 1880 0 0 NANCY PALMER 2.00 X 0 0 0 GEORGE BURKE 2.00 X 0 0 0 ROBERT IRWIN 2.00 X 0 0 0 PAUL MCCONNELL 2.00 X 0 0 0 ALEXANDER DUMAS MD 2.00 X 0 0 0 CHARLES FAVAZZO 2.00 X 0 0 0 CHRIS GEORGE 2.00 X 0 0 0 PAUL MUNIZ 2.00 X 0 0 0 JAGRUTI PATEL MD 2.00 X 0 0 0 MICHAEL SHEA 2.00 X 0 0 0 KURT MELDEN 2.00 X 0 0 0 HUGH O'FLYNN MD 2.00 X 0 0 0 DAVID ST LAURENT 2.00 X 0 0 0 TAYLOR HUGH MD 2.00 X 0 0 0 TIMOTHY O'CONNOR 1.00 49.00 X 0 810958 141710 DENIS CONROY 30.00 10.00 X 453602 0 32473 GARY MARLOW 40.00 X 286940 0 33239 DAVID SPACKMAN JD 1.00 49.00 X 0 234832 36052 MARYELLEN LEAR 40.00 X 89019 0 13653 PAULINE PIKE 40.00 X 414716 0 22903 PETER SHORT 40.00 X 358238 0 30196 GREGORY BIRD 40.00 X 325103 0 43912 JOHANNA RODGERS 40.00 X 251448 0 40584 ALTHEA LYONS 40.00 X 242794 0 45714 JOSEPH PORCELLO 10.00 30.00 X 205373 0 69715 CYNTHIA DONALDSON 40.00 X 200566 0 19739 PAUL O'SHEA 0.00 X 445298 0 39686 BARRY GINSBERG 40.00 X 304264 0 46312 STEVEN GILLESPIE 40.00 X 297264 0 42509 PAUL PECK 40.00 X 251816 0 32594 LISA NEVELING 40.00 X 207045 0 46088 KENNETH HANOVER 0.00 X 1748866 0 47812 WILLIAM DONALDSON 0.00 X 329625 0 90102 6429757 2449846 1143883 237 true true false 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 29 128985 181800 1902735 2213520 NET PATIENT SERVICE REVENUE 624100 308436194 308436194 308436194 66808 66808 1309072 1309072 2914076 531898 2382178 2382178 2382178 9155339 873807 7947044 654244 1208295 219563 1427858 1427858 54505 128985 66059 -11554 CHG IN VALUE OF INT RATE SWAP 900001 5604797 5604797 LAB SSI INCOME 900099 3790806 3790806 MEANINGFUL USE INCOME 900099 2836000 2836000 4652431 4643566 8865 16884034 332708110 326706473 3799671 X 40000 40000 11030 11030 2942012 17780 2924232 462306 462306 142738605 116345952 25515340 877313 6099911 4954693 1114080 31138 13856286 11200968 2584925 70393 10433733 8330591 2050788 52354 1439563 1439563 209593 209593 160038 160038 36873138 29377373 7278457 217308 4606900 4606900 6184630 3949647 2234983 3647169 2329166 1318003 9433013 6024139 3408874 302109 192934 109175 1558169 1558169 17672392 11285996 6386396 3616555 2309615 1306940 HOSPITAL MEDICAL SUPPLIES 45575471 45575471 ALL OTHER EXPENSES 2890576 1845988 1044588 UNCOMPENSATED CARE 2200851 2200851 312954050 245992194 65713350 1248506 15805004 20273552 36081175 34616563 5731388 5765454 4150691 3917922 372080858 233459828 141084600 138621030 131472011 143548636 21069131 27808545 355394000 374551702 30882777 30704710 89216492 91746459 289607 288546 101456525 62907880 221845401 185647595 X 115267990 169179280 7949199 9213602 10331410 10511225 133548599 188904107 355394000 374551702 19754060 8602615 26998833 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1800000 X X false 18280609 1516024 1445254 113205 1403856 19274826 16419163 1169967 2204342 94295 1418568 18280609 17765603 990656 -839966 87321 1409809 16419163 13090008 4378469 1545146 105855 1142165 17765603 0.53000 0.47000 true false 943315 19036111 19979426 5009662 176319818 88915095 92414385 504799 170267153 144544733 26227219 138621030 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 27808545 216899 ACCRUED PENSION LIABILITY 19133625 SERIES G,H,I LIABILITY SWAPS 10626058 TAXABLE BOND - SERIES I 9500000 ESTIMATED 3RD PARTY SETTLEMENT 8684084 PROFESSIONAL LIABILITY RESERVE 7320105 DUE TO AFFILIATES 4623917 POST RETIREMENT MEDICAL BENEFITS 1634432 OTHER NON CURRENT LIABILITIES 942604 CURRENT POST RETIREMENT MED BENEFITS 226156 CURRENT INSTALLMENT OF LT DEBT 62907880 SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIII 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. false CARIBBEAN/BERMUDA INVESTMENTS INVESTMENT MGMT 16501000 16501000 true false false false true false 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. AGH GOLF TOURNA 77915 59475 18440 3920 13310 6119 1330 BH GOLF TOURNAM 105575 69510 36065 39870 1510 183490 128985 54505 3920 53180 6119 2840 66059 -11554 true true true X 4.00000 false true true false true true 2901 5611432 3324248 2287184 0.00730 53646 39989157 34291606 5697551 0.01820 16784 9233753 6845077 2388676 0.00760 73331 54834342 44460931 10373411 0.03310 496 1913493 15964 1897529 0.00610 69042 23277 45765 0.00010 5297 24960393 20589441 4370952 0.01400 79 137808 137808 0.00040 575 5297 27080736 20628682 6452054 0.02060 575 78628 81915078 65089613 16825465 0.05380 1 35000 35000 0.00010 4 55600 55600 0.00020 5 5577 5577 1 5000 5000 11 101177 101177 0.00030 false 3602978 512232 96826569 101852483 -5025914 X true false 1 1 NORTHEAST HOSPITAL CORPORATION

85 HERRICK ST BEVERLY MA 01915

X X X NORTHEAST HOSPITAL CORPORATION 1 true X X X X X X X X X X 12 true true true X X X X X X X X X true false true true 400.0 false true X X true true X X X X X X X true false true X X X false false 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 true 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 E. TORREY JOHNSON SCHLSHP 9 7030 MEDICAL STAFF SCHOLARSHIP 2 4000 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 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. X X X X X X true true false false false false false true false HOWARD R GRANT JD MD 1020410 360750 22896 239397 29493 1672946 TIMOTHY O'CONNOR 700450 87750 22758 117000 24710 952668 DENIS CONROY 384176 62728 6698 10000 22473 486075 GARY MARLOW 269644 17296 10000 23239 320179 DAVID SPACKMAN JD 226808 8024 25202 10850 270884 PAULINE PIKE 359716 55000 10000 12903 437619 PETER SHORT 327053 25481 5704 10000 20196 388434 GREGORY BIRD 292299 32804 10000 33912 369015 JOHANNA RODGERS 226075 25373 10000 30584 292032 ALTHEA LYONS 218037 24757 10000 35714 288508 JOSEPH PORCELLO 171769 25000 8604 33555 36160 275088 CYNTHIA DONALDSON 181470 19096 8114 11625 220305 PAUL O'SHEA 25522 20000 399776 8729 30957 484984 BARRY GINSBERG 304264 10000 36312 350576 STEVEN GILLESPIE 297264 10000 32509 339773 PAUL PECK 231117 20699 10000 22594 284410 LISA NEVELING 181349 15600 10096 7711 38377 253133 KENNETH HANOVER 681235 135000 932631 10000 37812 1796678 WILLIAM DONALDSON 206153 30000 93472 66801 23301 419727 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. A MASS DEV FIN AGENCY SERIES H 043431814 57586EC41 2012-11-30 23000000 CONSTR. AMBUL FAC false false false B MASS HLTH & EDU FAC'S AUTH SERIES G 042456011 57586CDV4 2004-10-27 55000000 CONS/RENO BH ER/GAR false false false C MASS HLTH & EDU FAC'S AUTH SRS M-2 042456011 57585KA57 2003-05-30 13410000 RENOV BH ENDO, PACU false false true D MASS DEV FIN AGENCY SERIES J 043431814 57586EC41 2012-11-30 15065000 REFIN SERIES F-2,F-3 false false false A 23987136 22852308 147692 2007 true false true true B 9200000 56994032 3990244 9375639 814592 2375606 38370020 2007 true false true true C 2374450 13591143 97184 67050 12001950 2004 false false true true D 15065000 14808680 256320 2012 true false true true 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 A false false false true true true BANK OF AMERICA 30.0 false false false false true B false false false true true true MERRILL LYNCH 29.8 false false false false true C false false false true true false false false true D false false false true false false false false true A true 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 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 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 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 GOVERNORS SQ 23 LIME TREE BAY AVE CJ 980440187 INSURANCE CJ NEHS INC C CORP false NORTHEAST PROPRIETARY CORP 85 HERRICK ST BEVERLY MA 01915 042855191 MED SRVS MA NEHS INC C CORP false LAHEY CLINIC INSURANCE CO LTD PO BOX HM2450 BD INSURANCE BD LHS INC C CORP false 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 GOVERNORS SQ 23 LIME TREE BAY AVE CJ 980440187 INSURANCE CJ NEHS INC C CORP false NORTHEAST PROPRIETARY CORP 85 HERRICK ST BEVERLY MA 01915 042855191 MED SRVS MA NEHS INC C CORP false LAHEY CLINIC INSURANCE CO LTD PO BOX HM2450 BD INSURANCE BD LHS INC C CORP false true false false true false false false false false true false false true true true true true true true NORTHEAST MEDICAL PRACTICE A 213629 FMV ADDITIONAL INFORMATION SCHEDULE R 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