2014-05-21T14:56:59-05:00 2013-06-30 042684828 FEELEY & DRISCOLL PC 200 PORTLAND STREET BOSTON MA 02114 990 2012-07-01 042777145 NORTHEAST BEHAVIORAL HEALTH CORPORATION NORT 9785247100 131 RANTOUL STREET BEVERLY MA 01915 KEVIN P NORTON 9785247100 2014-05-21 1 ALAN GAROFALO P00744592 6177427788 2012 2016-03-07 17:11:31Z LAHEY HEALTH BEHAVIORAL SERVICES KEVIN P NORTON ONE CENTENNIAL DRIVE PEABODY MA 01960 70129029 0 X WWW.NEBHEALTH.ORG X 1970 MA NORTHEAST BEHAVIORAL HEALTH DELIVERS OUTPATIENT, RESIDENTIAL, EMERGENCY, AND DAY SERVICES TO THE MENTALLY ILL, EMOTIONALLY DISTURBED, AND SIMILARLY DISABLED PERSONS. 10 7 1844 100 0 0 588801 306913 70353987 67866724 -33043 -507394 462956 534804 71372701 68201047 0 0 0 0 52285205 59158713 0 0 0 18300952 9930407 70586157 69089120 786544 -888073 20679997 16279428 12908944 9396448 7771053 6882980 X DELIVERY OF OUTPATIENT, RESIDENTIAL, EMERGENCY, AND DAY SERVICES TO THE MENTALLY ILL, EMOTIONALLY DISTURBED, AND SIMILARLY DISABLED PERSONS. 0 0 8213061 8465793 DELIVERY OF OUTPATIENT, RESIDENTIAL, EMERGENCY, AND DAY SERVICES TO THEMENTALLY ILL, EMOTIONALLY DISTURBED, AND SIMILARLY DISABLED PERSONS OF THE COMMUNITY; CHILDREN'S RESIDENTIAL SERVICES, INCLUDING 26,995 DAYS OF CARE FOR THE YEAR ENDED JUNE 30, 2013. 10339713 12887823 DELIVERY OF OUTPATIENT, RESIDENTIAL, EMERGENCY, AND DAY SERVICES TO THEMENTALLY ILL, EMOTIONALLY DISTURBED, AND SIMILARLY DISABLED PERSONS OF THE COMMUNITY; EMERGENCY SERVICES, INCLUDING 87,786 ENCOUNTERS FOR THE YEAR ENDED JUNE 30, 2013. 14363604 15522367 DELIVERY OF OUTPATIENT, RESIDENTIAL, EMERGENCY, AND DAY SERVICES TO THEMENTALLY ILL, EMOTIONALLY DISTURBED, AND SIMILARLY DISABLED PERSONS OF THE COMMUNITY; AMBULATORY SERVICES, INCLUDING 420,428 SESSIONS PROVIDED FOR THE YEAR ENDED JUNE 30, 2013. 29707027 31135221 OTHER PROGRAMS INCLUDE INPATIENT SERVICES, CHILDREN'S BEHAVIORAL HEALTH & FAMILY SUPPORT, HIV/AIDS & COMMUNITY SUPPORT SERVICES. 29707027 31135221 62623405 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 92 0 1844 1 0 0 0 0 0 0 0 0 X 10 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 0 MA X X ARTHUR MCLEOD 9785247100 131 RANTOUL STREET BEVERLY MA 019160424 VINCENT MARTELLI JR 1.00 X X 0 0 0 SHELDON ARONSON 1.00 X 0 0 0 KATE BARRAND 1.00 X 0 0 0 VICTOR CAPOCCIA 1.00 X 0 0 0 MARJORIE DETKIN 1.00 X 0 0 0 BARRY GINSBERG MD 1.00 40.00 X 0 304264 46312 MONICA NOETHER 1.00 X 0 0 0 A HEATON ROBERTSON 1.00 X 0 0 0 DENIS CONROY 1.00 40.00 X 0 453602 32473 HOWARD R GRANT JD MD 1.00 40.00 X X 0 1404056 250683 TIMOTHY O'CONNOR 1.00 40.00 X 0 810958 140158 DAVID SPACKMAN 1.00 X 0 0 0 KEVIN NORTON 1.00 40.00 X 0 287834 31544 ARTHUR MCLEOD 40.00 X 213117 0 870 MONA BASTIDE 40.00 X 228984 0 6194 ELISE CAMPAGNOLO WEIKEL 40.00 X 212871 0 0 CANH VU 40.00 X 211720 0 6239 STEPHEN WIEDER 40.00 X 211059 0 0 BEATRICE SZETO 40.00 X 204936 0 12005 PAUL FALLON 40.00 X 190708 0 11137 KENNETH HANOVER 0.00 40.00 X 0 1748866 47812 1473395 5009580 585427 36 1 1 0 HILL ASSOCIATES PO BOX 674330 DETROIT MI 48267 THIRD PARTY BILLING 1831471 JACKSON & COKER PO BOX 277638 ATLANTA GA 30384 TEMPORARY STAFFING SERVICES 228055 RETRIEVEX PO BOX 415938 BOSTON MA 02241 DOCUMENT STORAGE SERVICES 109648 CLEAN TECH SYSTEMS INC 153 ANDOVER STREET DANVERS MA 01923 CLEANING SERVICES 107375 4 159860 147053 306913 NET PROGRAM SERVICE FE 624100 39874140 39874140 CONTRACT REVENUE 624100 26841620 26841620 PROGRAM FEES 624100 1150964 1150964 67866724 2965 2965 390324 0 390324 390324 390324 1417623 1927982 -510359 -510359 -510359 HOSPITAL CONSULTATION 624100 144480 144480 144480 68201047 68011204 0 -117070 1473395 1031294 442101 47463756 44721385 2742371 6818219 6611754 206465 3403343 2852487 550856 69123 2579 66544 97530 97530 2307210 445826 1861384 27676 10165 17511 512245 161632 350613 212654 54875 157779 3469353 2926054 543299 686402 634837 51565 7848 2544 5304 196392 157018 39374 174670 174670 744896 477411 267485 798905 42875 756030 MISCELLANEOUS 983958 750661 233297 UTILITIES 836211 712116 124095 FOOD AND MEDICINE 553383 541199 12184 PROGRAM SUPPLIES AND MA 492663 486693 5970 -2240712 -2240712 69089120 62623405 6465715 0 3741851 1914052 4061140 4580309 1274248 283349 18260441 9299286 10799483 8961155 803275 540563 20679997 16279428 8148290 6408392 3533678 2111000 1226976 877056 12908944 9396448 X 5125030 4294962 2646023 2588018 7771053 6882980 20679997 16279428 -888073 0 X 0 1 X 1 0 X 372183 418382 297385 588801 306913 1983664 372183 418382 297385 588801 306913 1983664 942331 1041333 3860 1811 2046 775 2965 11457 1995121 207704612 0.52190 0.63220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4884889 4884889 5176663 2124312 3052351 1337281 1140014 197267 6861608 6034960 826648 8961155 DUE TO AFFILIATE- CURRENT 139556 DUE TO AFFILIATE- NON CURRENT 737500 877056 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES FOOTNOTE PER THE NORTHEAST BEHAVIORAL HEALTH, INC. & AFFILIATES CONSOLIDATED FINANCIAL STATEMENTS: IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. X X X 1 1 0 0 0 0 0 0 0 BARRY GINSBERG MD 0 304264 0 0 0 0 0 10000 0 36312 0 350576 0 0 DENIS CONROY 0 384176 0 62728 0 6698 0 10000 0 22473 0 486075 0 0 HOWARD R GRANT JD MD 0 1003410 0 360750 0 39896 0 222397 0 28286 0 1654739 0 0 TIMOTHY O'CONNOR 0 700450 0 87750 0 22758 0 117000 0 23158 0 951116 0 0 KEVIN NORTON 0 281647 0 0 0 6187 0 8750 0 22794 0 319378 0 0 ARTHUR MCLEOD 192569 0 20548 0 0 0 870 0 0 0 213987 0 0 0 MONA BASTIDE 208399 0 20585 0 0 0 6194 0 0 0 235178 0 0 0 ELISE CAMPAGNOLO WEIKEL 212871 0 0 0 0 0 0 0 0 0 212871 0 0 0 CANH VU 211720 0 0 0 0 0 6239 0 0 0 217959 0 0 0 STEPHEN WIEDER 211059 0 0 0 0 0 0 0 0 0 211059 0 0 0 BEATRICE SZETO 204936 0 0 0 0 0 12005 0 0 0 216941 0 0 0 PAUL FALLON 190708 0 0 0 0 0 11137 0 0 0 201845 0 0 0 KENNETH HANOVER 0 681235 0 135000 0 932631 0 10000 0 37812 0 1796678 0 0 PART I, LINES 4A-B THE FORMER PRESIDENT AND CEO OF NORTHEAST HEALTH SYSTEM (NHS), A RELATED ORGANIZATION, RECEIVED SEVERANCE PAYMENTS PURSUANT TO HIS AGREEMENT WITH NHS. THESE AMOUNTS HAVE BEEN INCLUDED IN PART VII AND SCHEDULE J. COMPENSATION OF OFFICERS: COMPENSATION OF OFFICERS IS FOR THE SERVICES OF OFFICERS OF NORTHEAST BEHAVIORAL HEALTH CORPORATION. NO COMPENSATION WAS RECEIVED BY THE DIRECTORS FOR THEIR SERVICES AS DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 NORTHEAST HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF NORTHEAST BEHAVIORAL HEALTH CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A NORTHEAST HEALTH SYSTEM, AS SOLE CORPORATE MEMBER, HAS THE ABILITY TO APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B NORTHEAST HEALTH SYSTEM, AS SOLE CORPORATE MEMBER, HAS THE ABILITY TO MAKE DECISIONS AND APPROVE BUDGETS. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S FORM 990 WAS PREPARED BY ITS OUTSIDE INDEPENDENT CERTIFIED PUBLIC ACCOUNTANT IN COLLABORATION WITH MANAGEMENT. THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES MUST ANNUALLY DISCLOSE CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT THIRD PARTY CONDUCTS MARKET ANALYSIS OF COMPARABLE POSITIONS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORMS 990 AND 1023 ARE AVAILABLE ON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FORM 990 IS AVAILABLE ON THE WEBSITE OF THE MASSACHUSETTS ATTORNEY GENERAL. FORM 990, PART VI, SECTION C, LINE 19 ALL SUCH DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. DURING 2013 THE ORGANIZATION CHANGED ITS FISCAL YEAR END FROM JUNE 30 TO SEPTEMBER 30. THEREFORE, THE AUDITED FINANCIAL STATEMENTS FOR 2013 ARE FOR THE 15 MONTHS JULY 1, 2012 - SEPTEMBER 30, 2013. LAHEY CLINICAL PERFORMANCE NETWORK LLC 41 MALL ROAD BURLINGTON MA 01805 273336906 RISK CONTRACTING MA 0 0 LHS INC LAHEY CLINICAL PERFORMANCE ACO LLC 41 MALL ROAD BURLINGTON MA 01805 455449249 COORDINATION OF MEDICAL MANAGEMENT UNDER MEDICARE RISK PROGRAMS MA 0 0 LHS INC HES HOUSING SERVICES INC 131 RANTOUL ST BEVERLY MA 01915 223232914 HUD HOUSING MA 501(C)(3) 9 NORTHEAST BEHAVIORAL HEALTH CORPORATION 1 NORTHEAST HEALTH SYSTEMS INC 85 HERRICK STREET BEVERLY MA 01915 043240453 SUPPORT MA 501(C)(3) 11C 1 CAB HEALTH & RECOVERY SERVICES INC ZERO CENTENNIAL DRIVE PEABODY MA 01960 042400270 SUBSTANCE ABUSE MA 501(C)(3) 9 NORTHEAST BEHAVIORAL HEALTH CORPORATION 1 LAHEY HEALTH SYSTEM INC 41 MALL ROAD BURLINGTON MA 01805 611665701 SUPPORT MA 501(C)(3) 11C 0 LAHEY CLINIC INC 41 MALL ROAD BURLINGTON MA 01805 042704683 HEALTHCARE MA 501(C)(3) 9 LCF INC 1 LAHEY CLINIC HOSPITAL INC 41 MALL ROAD BURLINGTON MA 01805 042704686 HEALTHCARE MA 501(C)(3) 3 LCF INC 1 LAHEY CLINIC FOUNDATION INC 41 MALL ROAD BURLINGTON MA 01805 042323457 SUPPORT MA 501(C)(3) 7 LHS 1 NORTHEAST HOSPITAL CORPORATION 85 HERRICK STREET BEVERLY MA 01915 042121317 HEALTHCARE MA 501(C)(3) 3 NEHS 1 NORTHEAST MEDICAL PRACTICES 85 HERRICK STREET BEVERLY MA 01915 043201853 HEALTHCARE MA 501(C)(3) 9 NEHC 1 SEACOAST NURSING & REHABILITATION CENTER 300 WASHINGTON STREET GLOUCESTER MA 01930 041305001 HEALTHCARE MA 501(C)(3) 9 NEHS 1 NORTHEAST PROFESSIONAL REGISTRY OF NURSES 85 HERRICK STREET BEVERLY MA 01915 201287349 HEALTHCARE MA 501(C)(3) 9 NESH 1 NORTHEAST SENIOR HEALTH CORP 85 HERRICK STREET BEVERLY MA 01915 042731137 HEALTHCARE MA 501(C)(3) 9 NEHS 1 LAHEY HEALTH SHARED SERVICES INC 41 MALL ROAD BURLINGTON MA 01805 043178972 ADMINISTRATIVE SUPPORT TO LAHEY HEALTH SYSTEM AND ITS AFFILIATES MA 501(C)(3) 9 LHS 1 LAHEY CLINIC INSURANCE CO LTD PO BOX HM2450 HAMILTON BD INSURANCE BD LHS INC C 0 PERPETUAL TRUSTS (7) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA T 0 REMAINDER TRUSTS (17) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA T 0 POOLED INCOME FUNDS (4) 41 MALL ROAD BURLINGTON MA 01805 SUPPORT MA T 0 NORTHEAST PROPRIETARY CORP 85 HERRICK STREET BEVERLY MA 01915 042855191 MEDICAL SERVICES MA NEHS C 0 NORTHEAST MASSACHUSETTS INDEMNITY CO LT GOVERNORS SQUARE 23 LIME TREE BAY A GRAND CAYMAN CJ KY1-1102 INSURANCE CJ C 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 1 1 1 0 CAB HEALTH AND RECOVERY SERVICES INC Q 2240712 FAIR VALUE HES HOUSING SERVICES Q 3200 FAIR VALUE