FURP.ORG / PUBLIC DATA EXPLORER

LAHEY CLINIC FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LAHEY CLINIC FOUNDATION INC (EIN 04-2323457)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-13
IRS object ID
201442259349301684
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-13T15:44:16-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN042684828EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042323457EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAHEY CLINIC FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAHENameControl
Phone7817445100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 MALL ROADAddressLine1
CityBURLINGTONCity
StateMAState
ZIP Code01805ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHOWARD R GRANT JD MDName
TitlePRESIDENT/CEOTitle
Phone7817445100Phone
Date Signed2014-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameALAN GAROFALOName
PTINP00744592PTIN
Phone6177427788Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHOWARD R GRANT JD MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line141 MALL ROADAddressLine1
CityBURLINGTONCity
StateMAState
ZIP Code01805ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24292344GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LAHEY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionLAHEY CLINIC FOUNDATION, INC. SUPPORTS LAHEY CLINIC HOSPITAL, INC., LAHEY CLINIC, INC. AND LAHEY CLINIC AFFILIATED SERVICES, INC. (THROUGH JULY 31, 2013) LAHEY HOSPITAL & MEDICAL CENTER, IN ASSOCIATION WITH THE TUFTS UNIVERSITY SCHOOL OF MEDICINE, PROVIDES SUPERIOR HEALTH CARE LEADING TO THE BEST POSSIBLE OUTCOMES FOR EVERY PATIENT. AS ONE OF THE WORLD'S PREMIER HEALTH CARE ORGANIZATIONS, LAHEY HOSPITAL & MEDICAL CENTER AIMS TO EXCEED PATIENT'S HIGH EXPECTATIONS FOR SERVICE AND ADVANCE MEDICINE THROUGH RESEARCH AND THE EDUCATION OF TOMORROW'S HEALTH CARE LEADERS. IN ADDITION, LAHEY HOSPITAL & MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF COMMUNITY RESIDENTS BY SUPPORTING LOCAL ORGANIZATIONS ALIGNED WITH THIS MISSION.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees616TotalNbrEmployees
Total Nbr Volunteers37TotalNbrVolunteers
Total Gross UBI-30972TotalGrossUBI
Net Unrelated Business Txbl Income-30972NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3285682ContributionsGrantsPriorYear
Contributions Grants Current Year4626570ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2677299InvestmentIncomePriorYear
Investment Income Current Year19512605InvestmentIncomeCurrentYear
Other Revenue Prior Year7070OtherRevenuePriorYear
Other Revenue Current Year153169OtherRevenueCurrentYear
Total Revenue Prior Year5970051TotalRevenuePriorYear
Total Revenue Current Year24292344TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3029412SalariesEtcPriorYear
Salaries Etc Current Year4017842SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year141000TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY405408TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year6078758TotalFundrsngExpCurrentYear
Other Expense Prior Year1885452OtherExpensePriorYear
Other Expenses Current Year2242025OtherExpensesCurrentYear
Total Expenses Prior Year5055864TotalExpensesPriorYear
Total Expenses Current Year6665275TotalExpensesCurrentYear
Revenues Less Expenses Prior Year914187RevenuesLessExpensesPriorYear
Revenues Less Expenses CY17627069RevenuesLessExpensesCY
Total Assets BOY685716006TotalAssetsBOY
Total Assets EOY851356383TotalAssetsEOY
Total Liabilities BOY332955737TotalLiabilitiesBOY
Total Liabilities EOY479699756TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY352760269NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY371656627NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionLAHEY CLINIC FOUNDATION, INC., (FOUNDATION) IS THE SOLE CORPORATE MEMBER OF LAHEY CLINIC HOSPITAL, INC. (HOSPITAL), LAHEY CLINIC, INC. (CLINIC) AND LAHEY CLINIC AFFILIATED SERVICES, INC. (LCAS). THE FOUNDATION HOLDS CAPITAL ASSETS, INVESTMENTS, DEBT, AND INFRASTRUCTURE COSTS TO PROVIDE ASSISTANCE TO THE HOSPITAL AND CLINIC FOR THE PROVISION OF PATIENT HEALTH CARE SERVICES, PATIENT EDUCATION, COMMUNITY BENEFITS AND COMMUNITY SERVICE PROGRAMS, CONTINUING EDUCATION OF HEALTH CARE PROVIDERS, AS WELL AS HEALTH CARE RESEARCH ACTIVITIES. PHILANTHROPIC EFFORTS, ALSO IN SUPPORT OF THE HOSPITAL AND CLINIC, ARE CARRIED OUT BY THE FOUNDATION.Description
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art1CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096196NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees616NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCANameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCOStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMOStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNMStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledRIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TIMOTHY O'CONNORBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7817445100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line141 MALL ROADAddressLine1
CityBURLINGTONCity
StateMAState
ZIP Code01805ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
HOWARD R GRANT JD MD
TRUSTEE/PRESIDENT/CEO50.001.00XX14040560268890
JOHN A LIBERTINO MD
TRUSTEE/CHAIR DEPT OF UROLOGY1.0040.00X077486964613
RICHARD W NESTO MD
TRUSTEE/EVP/CMOO/PHYSICIAN40.001.00X782068097938
ROGER L JENKINS MD
TRUSTEE/PHYSICIAN1.0040.00X064514249359
RICHARD S D'AGOSTINO MD
TRUSTEE/CHAIR DEPT CARDIO SURG1.0040.00X062879946859
ANDREW G VILLANUEVA MD
TRUSTEE/CMO CLINIC/PHYSICIAN1.0040.00X036306035366
BETSEY CRAWFORD MD
TRUSTEE/PHYSICIAN1.0040.00X02013681096
ARTHUR P MOURTZINOS MD
TRUSTEE/PHYSICIAN1.0040.00X047112657092
REBECCA C YANG MD
TRUSTEE/PHYSICIAN1.0040.00X037136140004
ERIC M BAILEY
TRUSTEE1.00X000
CRAIG R BENSON
TRUSTEE1.00X000
ANN MARIE CONNOLLY
TRUSTEE/BOARD CHAIR START 2/25/132.00X000
JAMES D IRVING
TRUSTEE1.00X000
J WILLIAM PODUSKA
TRUSTEE1.00X000
WINDLE B PRIEM
TRUSTEE1.00X000
MICHAEL C RUETTGERS
TRUSTEE/BOARD CHAI UNTIL 2/25/132.00X000
CAROLYN AIN
TRUSTEE1.00X000
JANE C EDMUNDS
TRUSTEE1.00X000
DEBORAH MCKENNA
TRUSTEE START 12/21/121.00X000
DAVID WAJSGRAS
TRUSTEE START 12/21/121.00X000
EDWARD ESKANDARIAN
TRUSTEE1.00X000
TIMOTHY O'CONNOR
OFFICER/TREASURER/EVP/CFO50.001.00X8109580141710
DAVID SPACKMAN JD
CLERK/GEN COUNSEL50.001.00X234832036052
MARYELLEN LEAR
ASST CLERK START 2/25/131.0040.00X08901913653
PETER LLOYD
ASST TREASURER START 2/25/1340.001.00X337924021070
ROBERT E WISE DECEASED 81212
ADMINISTRATOR40.0062983000X
JOSEPH C CORKERY
CHIEF INST. ADV. OFFICER40.00477907038754X
JOAN M ROBBIO
CHIEF HUMAN RESOURCES OFFICER40.00435914065523X
KATHLEEN S JOSE
CHIEF NURSING OFFICER40.00374399025848X
BRUCE A METZ
CIO1.0040.00038607147101X
DONALD F SNELL
EVP & COO1.0040.000714976106148X
PHILLIPS AXTEN
CORPORATE COMPLIANCE OFFICER LHS40.00380154016194X
THEORN BRADLEY
VP. HUMAN RESOURCES COMPENSATI40.00361486070871X
NELSON R GAGNON
VP. INFORMATION SERVICES40.0031920301714X
ROGER J CAMERON
VP PATIENT FINANCIAL SERVICES40.00274711032850X
ALLEN S DANIS
VP. CONTRACTING40.00316264017662X
DAVID M BARRETT MD
FORMER TRUSTEE/PRESIDENT/CEO0.007469290200000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7886635TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4645791TotalReportableCompFrmRltdOrgs
Total Other Compensation1496367TotalOtherCompensation
Number Individuals GT100 K97NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DELOITTE CONSULTING LLP
PO BOX 7247-6447PHILADELPHIAPA19170EHS CONSULTING2532066
AMERICAN PERSONNEL HEALTHCARE SERVICES
133 FEDERAL STREET 4TH FLOORBOSTONMA02110PROFESSIONAL STAFFING SERVICES2020796
ECLIPSYS SOLUTIONS CORPORATION
PO BOX 8538-0133PHILADELPHIAPA19171ELECTRONIC HEALTH SYSTEM1756268
MEDMATICA CONSULTING ASSOCIATES INC
18 BARRINGTON LANECHESTER SPRINGSPA19425EHS CONSULTING1519887
BRAND UNION CO INC
PO BOX 7247-7196PHILADELPHIAPA19170MARKETING CONSULTING SERVICES1368060
FieldValueIRS element (for citing)
Number Of Contractors GT100 K47NumberOfContractorsGT100K
All Other Contributions4626570AllOtherContributions
Total Contributions4626570TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3429382TotalRevenueColumn
Unrelated Business Revenue-30972UnrelatedBusinessRevenue
Exclusion$3,460,354ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column50301TotalRevenueColumn
Exclusion$50,301ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities14886103Securities
Other1146819Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities14886103Securities
Other1146819Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column16032922TotalRevenueColumn
Exclusion$16,032,922ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column153169TotalRevenueColumn
Exclusion$153,169ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue153169TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24292344TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue-30972UnrelatedBusinessRevenue
Exclusion$19,696,746ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total27537Total
Management And General27537ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total8086Total
Management And General8086ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3166280Total
Management And General194728ManagementAndGeneral
Fundraising2971552Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total350763Total
Management And General24572ManagementAndGeneral
Fundraising326191Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total246446Total
Management And General16869ManagementAndGeneral
Fundraising229577Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total218730Total
Management And General16653ManagementAndGeneral
Fundraising202077Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total31176Total
Management And General6787ManagementAndGeneral
Fundraising24389Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2740Total
Management And General2740ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total405408Total
Fundraising405408Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total66520Total
Fundraising66520Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total608633Total
Management And General91155ManagementAndGeneral
Fundraising517478Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total21915Total
Management And General21915ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total221197Total
Management And General16686ManagementAndGeneral
Fundraising204511Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total22987Total
Management And General22987ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total444279Total
Management And General13270ManagementAndGeneral
Fundraising431009Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total17738Total
Management And General3927ManagementAndGeneral
Fundraising13811Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total13922Total
Management And General13922ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total51611Total
Management And General51611ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2782Total
Management And General2782ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionGENERAL SUPPLIESDescription
Total736525Total
Management And General50290ManagementAndGeneral
Fundraising686235Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6665275Total
Program Services0ProgramServices
Management And General586517ManagementAndGeneral
Fundraising6078758Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6831224BOY
EOY13982926EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY118200BOY
EOY71000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6715BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4380315BOY
EOY4436944EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis912621527LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec551719937LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY336520330BOY
EOY360901590EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY90460862BOY
EOY138257750EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY194043337BOY
EOY274788583EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY53355023BOY
EOY58917590EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY685716006BOY
EOY851356383EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY37808996BOY
EOY56800457EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY176143259BOY
EOY293867743EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY2402972BOY
EOY1975450EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2431860BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY114168650BOY
EOY127056106EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY332955737BOY
EOY479699756EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY258376628BOY
EOY272282903EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY36275143BOY
EOY39937449EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY58108498BOY
EOY59436275EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY352760269BOY
EOY371656627EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY685716006BOY
EOY851356383EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses17627069ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-7656416ReconciliationUnrealizedInvest
Reconcilation Other Changes8925705ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3904026CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3963818CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2768044CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3285682CurrentTaxYearMinus1Year
Current Tax Year4626570CurrentTaxYear
Total18548140Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3904026CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3963818CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2768044CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3285682CurrentTaxYearMinus1Year
Current Tax Year4626570CurrentTaxYear
Total18548140Total
FieldValueIRS element (for citing)
Public Support Total17018548140PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4023413CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3204960CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3684596CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2873563CurrentTaxYearMinus1Year
Current Tax Year3479683CurrentTaxYear
Total17266215Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years356CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6268CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8134CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7070CurrentTaxYearMinus1Year
Current Tax Year153169CurrentTaxYear
Total174997Total
FieldValueIRS element (for citing)
Total Support35989352TotalSupport
Public Support Pertcentage1700.51540PublicSupportPertcentage170
Public Support Pertcent Prior Year0.41010PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Solicited Assets For Sale0SolicitedAssetsForSale

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance284504199BeginningOfYearBalance
Contributions688023Contributions
Investment Earnings Or Losses16904514InvestmentEarningsOrLosses
Other Expenditures6048789OtherExpenditures
Administrative Expenses642533AdministrativeExpenses
End Of Year Balance295405414EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance266009728BeginningOfYearBalance
Contributions946986Contributions
Investment Earnings Or Losses25996140InvestmentEarningsOrLosses
Other Expenditures7824838OtherExpenditures
Administrative Expenses623817AdministrativeExpenses
End Of Year Balance284504199EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance275817593BeginningOfYearBalance
Contributions1849984Contributions
Investment Earnings Or Losses-726521InvestmentEarningsOrLosses
Other Expenditures10133190OtherExpenditures
Administrative Expenses798138AdministrativeExpenses
End Of Year Balance266009728EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance262176300BeginningOfYearBalance
Contributions814624Contributions
Investment Earnings Or Losses23033174InvestmentEarningsOrLosses
Other Expenditures9539545OtherExpenditures
Administrative Expenses666960AdministrativeExpenses
End Of Year Balance275817593EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance274357327BeginningOfYearBalance
Contributions987745Contributions
Investment Earnings Or Losses8636901InvestmentEarningsOrLosses
Other Expenditures21526729OtherExpenditures
Administrative Expenses278944AdministrativeExpenses
End Of Year Balance262176300EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.77000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.23000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis15393209OtherCostOrOtherBasis
Book Value15393209BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis528411529OtherCostOrOtherBasis
Depreciation247399425Depreciation
Book Value281012104BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis9215827OtherCostOrOtherBasis
Depreciation6331212Depreciation
Book Value2884615BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis345706147OtherCostOrOtherBasis
Depreciation287578159Depreciation
Book Value58127988BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13894815OtherCostOrOtherBasis
Depreciation10411141Depreciation
Book Value3483674BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings360901590TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionOTHER INVESTMENTSDescription
Book Value274788583BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities274788583TotalOfBookValueSecurities

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED DEBT ISSUE COSTS, NET3587471
INVESTMENT - LAHEY CLINIC INSURANCE120000
INVESTMENT - JOINT VENTURE - FELLSWAY DEVELOPMENT6478936
OTHER RECEIVABLES - EMPLOYEES370604
ASSETS HELD UNDER SPLIT INTEREST AGREEMENTS11367452
BENEFICIAL INTEREST IN PERPETUAL AND LEAD TRUSTS30011435
INVESTMENTS - OTHER4805121
INTERCOMPANY RECEIVABLES2176571
FieldValueIRS element (for citing)
Total Book Value Other Assets58917590TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY PAYABLES$119,902,431
SPLIT INTEREST LIABILITY$6,166,768
CONDITIONAL ASSET RETIREMENT OBLIGATION$986,907
FieldValueIRS element (for citing)
Total Of Amounts127056106TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt28669187TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-7656416NetUnrealizedGainsInvestments
Other Revenues16659829OtherRevenues
Revenue Not Rptd F9909003413RevenueNotRptdF990
Revenue Subtotal19665774RevenueSubtotal
Other Revenues Not Included4626570OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4626570RevenueNotRptdOnFinStmt
Total Revenue Per Form99024292344TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14762886TotExpensesEtcAuditedFinclStmt
Other Expenses Included8097611OtherExpensesIncluded
Expenses Not Rptd F9908097611ExpensesNotRptdF990
Expenses Subtotal6665275ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906665275TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART III, LINE 1A:THE ORGANIZATION MAINTAINS COLLECTIONS OF ART FOR DISPLAY TO IMPROVE THE PATIENT CARE ENVIRONMENT.
PART III, LINE 4:THE ORGANIZATION MAINTAINS COLLECTIONS OF ART FOR DISPLAY TO IMPROVE THE PATIENT CARE ENVIRONMENT.
PART V, LINE 4:THE ORGANIZATION'S ENDOWMENT FUNDS SUBSIDIZE THE COSTS OF PROVIDING SUPERIOR HEALTH CARE LEADING TO THE BEST POSSIBLE OUTCOME FOR EVERY PATIENT. THE COSTS ARE FOR PATIENT CARE, PATIENT EDUCATION, CONTINUING EDUCATION OF HEALTH CARE PROVIDERS, RESEARCH, AND CAPITAL EXPENDITURES.DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
UNRESTRICTED CONTRIBUTIONS 4,559,051. ASSETS RELEASED FROM TIME RESTRICTIONS 737,679. ASSETS RELEASED FROM RESTRICTIONS 1,925,648. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 256,008. REDESIGNATION OF GIFTS 70,001. OTHER OPERATING REVENUES TRANSFER TO LAHEY CLINIC, INC. AND LAHEY CLINIC HOSPITAL INC. 9,111,442.PART XI, LINE 2D - OTHER ADJUSTMENTS:
CONTRIBUTIONS, GIFTS, AND GRANTS 4,626,570.PART XI, LINE 4B - OTHER ADJUSTMENTS:
OTHER OPERATING REVENUE COLLECTED BY LAHEY CLINIC FOUNDATION, INC. AND CREDITED TO OVERHEAD EXPENSES ALLOCATED TO LAHEY CLINIC INC. AND LAHEY CLINIC HOSPITAL, INC. 9,111,420. PENSION AND POST RETIREMENT RELATED CHANGES -1,013,809.PART XII, LINE 2D - OTHER ADJUSTMENTS:

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
NORTH AMERICA00FUNDRAISING202476
CENTRAL AMERICA/CARIBBEAN00INVESTMENTS57168474
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent57370950SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent57370950TotalAmountSpent
Transfer To Foreign Corp1TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co1PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE F, PART I, LINE 3 (1)ReturnReference
ExplanationLAHEY CLINIC FOUNDATION DOES NOT SEPARATELY TRACK EXPENDITURES FOR FUNDRAISING OUTSIDE THE UNITED STATES IN THE REGION.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Agreement Ref Fundraising0AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
NEWPORT CREATIVE COMMUNICATIONS
33 RAILROAD AVENUEDUXBURYMA02332DIRECT MAILING01342000391696-391696
PUBLIC INTEREST COMMUNICATIONS
7700 LEESBURG PIKE SUITE 301 NORTHFALLS CHURCHVA22043TELEMARKETING01510013712-13712
FieldValueIRS element (for citing)
Total Gross Receipts1357100TotalGrossReceipts
Total Retained By Contractors405408TotalRetainedByContractors
Total Net To Organization-405408TotalNetToOrganization
Licensed StatesAZLicensedStates
Licensed StatesARLicensedStates
Licensed StatesCALicensedStates
Licensed StatesCOLicensedStates
Licensed StatesCTLicensedStates
Licensed StatesFLLicensedStates
Licensed StatesGALicensedStates
Licensed StatesILLicensedStates
Licensed StatesKYLicensedStates
Licensed StatesMALicensedStates
Licensed StatesMELicensedStates
Licensed StatesMNLicensedStates
Licensed StatesMOLicensedStates
Licensed StatesNHLicensedStates
Licensed StatesNJLicensedStates
Licensed StatesNMLicensedStates
Licensed StatesNYLicensedStates
Licensed StatesOKLicensedStates
Licensed StatesPALicensedStates
Licensed StatesRILicensedStates
Licensed StatesVALicensedStates
Licensed StatesWALicensedStates
Licensed StatesWILicensedStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
HOWARD R GRANT JD MD
TRUSTEE/PRESIDENT/CEO10204100360750022896023939702949301672946000
JOHN A LIBERTINO MD
TRUSTEE/CHAIR DEPT OF UROLOGY075199800022871043600021013083948200
RICHARD W NESTO MD
TRUSTEE/EVP/CMOO/PHYSICIAN63672201224500228960733000246380880006000
ROGER L JENKINS MD
TRUSTEE/PHYSICIAN062224600022896017000032359069450100
RICHARD S D'AGOSTINO MD
TRUSTEE/CHAIR DEPT CARDIO SURG060604100022758017000029859067565800
ANDREW G VILLANUEVA MD
TRUSTEE/CMO CLINIC/PHYSICIAN034030200022758017000018366039842600
BETSEY CRAWFORD MD
TRUSTEE/PHYSICIAN0179602000217660001096020246400
ARTHUR P MOURTZINOS MD
TRUSTEE/PHYSICIAN045407200017054034000023092052821800
REBECCA C YANG MD
TRUSTEE/PHYSICIAN035427100017090017000023004041136500
TIMOTHY O'CONNOR
OFFICER/TREASURER/EVP/CFO70045008775002275801170000247100952668000
DAVID SPACKMAN JD
CLERK/GEN COUNSEL22680800080240252020108500270884000
PETER LLOYD
ASST TREASURER START 2/25/1331528600022638000210700358994000
ROBERT E WISE DECEASED 81212
ADMINISTRATOR629830000000000629830000
JOSEPH C CORKERY
CHIEF INST. ADV. OFFICER455011000228960170000217540516661000
JOAN M ROBBIO
CHIEF HUMAN RESOURCES OFFICER412652000232620435190220040501437000
KATHLEEN S JOSE
CHIEF NURSING OFFICER35150300022896017000088480400247000
BRUCE A METZ
CIO03631750002289604393203169043317200
DONALD F SNELL
EVP & COO0604468087750022758085078021070082112400
PHILLIPS AXTEN
CORPORATE COMPLIANCE OFFICER LHS36235000017804013056031380396348000
THEORN BRADLEY
VP. HUMAN RESOURCES COMPENSATI338224000232620413120295590432357000
NELSON R GAGNON
VP. INFORMATION SERVICES31880700039600017140320917000
ROGER J CAMERON
VP PATIENT FINANCIAL SERVICES251953000227580103330225170307561000
ALLEN S DANIS
VP. CONTRACTING2933680002289601700006620333926000
DAVID M BARRETT MD
FORMER TRUSTEE/PRESIDENT/CEO699503000474260200000000946929000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 3THE ITEMS CHECKED IN SCHEDULE J, PART I, LINE 1A, VIA AN EXECUTED EMPLOYMENT AGREEMENT, WERE NEGOTIATED AND AGREED TO BY BOTH PARTIES AND THEIR REPRESENTATIVES.
PART I, LINES 4A-BDR. DAVID M. BARRETT WAS TERMINATED FROM LAHEY CLINIC FOUNDATION, INC. ON 12/31/2010. SCHEDULE J REQUIRES THE REPORTING OF COMPENSATION BASED ON CALENDAR YEAR 2012. DR. BARRETT'S COMPENSATION PAID FOR CALENDAR YEAR 2012 INCLUDES $699,503 OF SEVERANCE PAYMENTS PER DR. BARRETT'S EMPLOYMENT CONTRACT, AND $47,426 OF TAXABLE LIFE INSURANCE BENEFITS. THE REMAINING AMOUNT PAID TO DR. BARRETT OF $200,000 IS DEFERRED COMPENSATION UNDER A SPLIT DOLLAR AGREEMENT WITH LAHEY CLINIC HOSPITAL, INC. SCHEDULE J, PART I, LINE 4B, PART II COLUMN C THE ORGANIZATION MAINTAINS A 457F NONQUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN PHYSICIANS, EXECUTIVE MANAGEMENT AND DEFINED MEDICAL STAFF. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFFERAL OF COMPENSATION IN ADDITION TO THEIR SALARIES. FOR THE CURRENT PERIOD, THE FOLLOWING PERSONS PARTICIPATED IN THE 457F NONQUALIFIED DEFERRED COMPENSATION PLAN: RICHARD W NESTO- AMOUNT $58,300 TIMOTHY O'CONNOR- AMOUNT $117,000 HOWARD R GRANT, J.D., M.D. - AMOUNT = $195,000 DONALD F. SNELL - AMOUNT $58,500 ELIZABETH A. POMFRET - AMOUNT $50,000
PART I, LINE 7THE NON-FIXED PAYMENT BONUSES REPORTED IN SCHEDULE J, PART II, COLUMN B(II) ARE DETERMINED BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH INCLUDES A GROUP OF TRUSTEES. IN A SUBJECTIVE MANNER, THE COMMITTEE TAKES INTO ACCOUNT THE ACHIEVEMENTS OF BOTH THE ORGANIZATION AND THE INDIVIDUAL TO DETERMINE AN APPROPRIATE AMOUNT OF SUCH BONUSES.
PART IIISCHEDULE J, PART II LAHEY CLINIC FOUNDATION, INC. AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE IN THEIR CAPACITY AS TRUSTEE. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THEIR CAPACITY OTHER THAN TRUSTEE, WHICH IS LISTED ON FORM 990, PART VII, DIRECTLY FOLLOWING THE TITLE OF THE TRUSTEE.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
2005 MHEFA SERIES C BONDS
A04245601157586CKW42005-07-14161296967REFUNDING AND DEFEASANCE OF EXISTING LONG-TERM DEBT AND A NEW PARKING GARAGE000
2007 MHEFA SERIES D BONDS
B04245601157586CE682007-08-1748655976EXPANSION, RENOVATION, FURNISHING AND EQUIPPING OF AN AMBULATORY CARE CENTER000
2013 MDFA SERIES E BONDS
C1349946502013-03-07130000000CONSTRUCTION/EQUIPPING OF A POWER PLANT AND ACQUISITION OF CAPITAL ASSETS000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount UnspentAmountUnspent
A39498956163666057125900735943565132822710748446720061011
B29756513888098707655051804420090011
C6615000130050301500000119881190001117562182

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0111110.009400.002400.01180000
B0000000
C0000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsBusiness Name Line2NameOfGICProvider/BusinessNameLine2
XL ASSET FUND CO I
A00010011.830000000000100
AIG MATCH FUND
B00010011.000000000000100CORP
(no name)
C000100000

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1

Schedule L IRS990ScheduleL

Loan Table LoanTable

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BERNARD GORDONBusinessNameLine1
FieldValueIRS element (for citing)
Relationship With OrganizationFORMER TRUSTEERelationshipWithOrganization
Purpose Of LoanASSET ACQUISITIONPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$5,000,000OriginalPrincipalAmount
Balance Due1975450BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due1975450TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ADAM S AIN
SON OF TRUSTEE14080EMPLOYEE COMPENSATION.0
ERIC M BAILEY
TRUSTEE OF LAHEY CLINIC FOUNDATION, INC.35000LAHEY CLINIC HOSPITAL, INC. PURCHASES MEDICAL EQUIPMENT AND SUPPLIES FROM NEUROLOGICA, INC., A COMPANY FOR WHICH MR. BAILEY IS THE PRESIDENT AND CEO.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART IV, LINE 11(F) AND SCHEDULE D, PART X, LINE 2THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48.
FORM 990, PART VI, SECTION A, LINE 6THE LAHEY HOSPITAL AND MEDICAL CENTER CONSISTS OF THREE NON-PROFIT CORPORATIONS, LAHEY CLINIC HOSPITAL, INC. (EIN # 04-2704686), LAHEY CLINIC, INC. (EIN # 04-2704683), LAHEY CLINIC FOUNDATION, INC. (EIN # 04-2323457) ALL THREE OF THE CORPORATIONS ARE TAX EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C) (3). LAHEY CLINIC FOUNDATION, INC. IS THE SOLE CORPORATE MEMBER OF EACH OF THE OTHER TWO CORPORATIONS. THE BOARD OF TRUSTEES (GOVERNING BODY) AND CORPORATE OFFICERS OF THE THREE CORPORATIONS CONSIST OF THE EXACT SAME MEMBERS. EFFECTIVE MAY 1, 2012, LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HEALTH SYSTEM, INC. COMPLETED AN AFFILIATION WITH EACH OTHER AND ESTABLISHED A NEW ORGANIZATION, LAHEY HEALTH SYSTEM, INC. ("LHS"), TO SERVE AS THE PARENT OF THE COMBINED HEALTH SYSTEM. LHS IS NOW THE SOLE CORPORATE MEMBER OF LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HEALTH SYSTEM,INC. THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION IS LAHEY CLINIC FOUNDATION, INC. THE REPORTING ORGANIZATION'S MEMBER HAS, WITH RESPECT TO THE REPORTING ORGANIZATION, THE RIGHT TO EXERCISE ALL POWERS CONFERRED ON MEMBERS OF NON-PROFIT CORPORATIONS UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 180, INCLUDING, WITHOUT LIMITATION, POWERS WITH RESPECT TO THE FOLLOWING: (A) APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES (SUBJECT TO CERTAIN TRANSITION RULES IN PLACE THROUGH MAY 1, 2016); (B) AMENDMENT OF THE ARTICLES OF ORGANIZATION; (C) AMENDMENT OF THE BY-LAWS; (D) THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; AND (E) THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION. ADDITIONALLY, THE RIGHT OF THE REPORTING ORGANIZATION'S MEMBER, LAHEY CLINIC FOUNDATION, INC., TO EXERCISE ITS AUTHORITY AS A MEMBER OF THE REPORTING ORGANIZATION IS SUBJECT TO THE APPROVAL OF LCF'S CORPORATE MEMBER, LHS, WHICH MAY ALSO EXERCISE SUCH POWERS DIRECTLY. THE ARTICLES OF INCORPORATION OF THE REPORTING ORGANIZATION WERE AMENDED MAY 1, 2012 AND THE BY-LAWS WERE AMENDED ON SEPTEMBER 21, 2012 TO REFLECT THE AFOREMENTIONED CHANGES.
FORM 990, PART VI, SECTION A, LINE 7APLEASE SEE PREVIOUS DISCLOSURE FOR FORM 990, PART VI, SECTION A, LINE 6
FORM 990, PART VI, SECTION A, LINE 7BPLEASE SEE PREVIOUS DISCLOSURE FOR FORM 990, PART VI, SECTION A, LINE 6
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT PREPARED THE IRS FORM 990 ALONG WITH INDEPENDENT TAX CONSULTANTS WHO SIGN THE RETURN AS A PAID PREPARER. EXECUTIVE MANAGEMENT REVIEWED AND PRESENTED A DRAFT OF THE IRS FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE LAHEY HEALTH SYSTEM, INC. BOARD OF TRUSTEES. PRIOR TO THE FILING DATE, A DRAFT OF THE IRS FORM 990 AND THE FINAL IRS FORM 990 WERE BOTH PROVIDED TO THE ENTIRE BOARD OF TRUSTEES BEFORE THE FILING DATE VIA A SECURED WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12CALL OFFICERS, TRUSTEES, KEY EMPLOYEES, PHYSICIANS AND MANAGEMENT EMPLOYEES AT ALL LEVELS, ARE REQUIRED TO FILL OUT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE LAHEY HOSPITAL AND MEDICAL CENTER'S CORPORATE COMPLIANCE DEPARTMENT MONITORS AND REVIEWS EACH DISCLOSURE FOR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE CORPORATE COMPLIANCE DEPARTMENT MONITORS CONFLICTS OF INTEREST THROUGH DISCLOSURE SOFTWARE, TRAINING, AND INDIVIDUAL REVIEWS WITH PHYSICIANS, KEY EMPLOYEES, AND MANAGERS. DEPENDING ON THE CONFLICT OF INTEREST: A PERSON COULD BE ASKED TO NOT PARTICIPATE IN DECISIONS MADE ON BEHALF OF THE LAHEY HOSPITAL AND MEDICAL CENTER; A PERSON MAY BE TOLD THEY CANNOT BE A PRINCIPAL INVESTIGATOR ON A RESEARCH STUDY; A PERSON MAY BE TOLD THAT THEY CANNOT PERFORM THE TASK THAT CREATES THE CONFLICT; A PERSON COULD BE ASKED TO REMOVE THEMSELVES FROM A COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES COMPRISE THE COMPENSATION COMMITTEE. THE COMMITTEE SETS THE COMPENSATION AND BENEFITS FOR THE CEO AND ALSO REVIEWS AND APPROVES RECOMMENDATIONS FOR THE COMPENSATION AND BENEFITS FOR DISQUALIFIED INDIVIDUALS AND OTHERS. THE COMMITTEE SEEKS THE ADVICE OF EXTERNAL COMPENSATION CONSULTANTS. COMPARABILITY DATA IS PROVIDED, ANALYZED, AND DOCUMENTED BY THE EXTERNAL CONSULTANTS. THE LAHEY VICE PRESIDENT OF HUMAN RESOURCE OPERATIONS PROVIDES THE COMMITTEE WITH ANY REQUESTED INFORMATION. THE COMMITTEE MET SEVERAL TIMES THIS YEAR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND OTHER COMPLIANCE POLICIES ARE MADE AVAILABLE TO THE PUBLIC VIA THE ORGANIZATION'S WEBSITE. IN ADDITION, THE ORGANIZATION PRESENTS FINANCIAL INFORMATION TO THE PUBLIC AS AN ATTACHMENT TO ITS MASSACHUSETTS OFFICE OF THE ATTORNEY GENERAL FORM PC.
FORM 990, PART VIITHE COMPENSATION FOR THE TRUSTEES AND OFFICERS OF LAHEY CLINIC FOUNDATION, INC. LISTED IN FORM 990, PART VII, COLUMN E IS FOR EMPLOYEES OF LAHEY CLINIC FOUNDATION, INC., LAHEY CLINIC, INC. AND NORTHEAST HOSPITAL CORPORATION. ALL COMPENSATION PAID IS FOR WORK IN THEIR CAPACITIES OTHER THAN AS TRUSTEES.COMPENSATION
FORM 990, PART XI, LINE 9:UNRESTRICTED CONTRIBUTIONS 4,559,051. ASSETS RELEASED FROM TIME RESTRICTIONS 737,679. ASSETS RELEASED FROM RESTRICTIONS 1,925,648. PENSION AND POST RETIREMENT RELATED CHANGES 1,013,805. GRANTS AND CONTRIBUTIONS -4,626,570. CHANGES IN TEMPORARY AND PERMANENT NET ASSETS 4,990,083. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 256,008. REDESIGNATION OF GIFTS 70,001.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART IV, LINE 4LAHEY CLINIC HOSPITAL, INC., A RELATED ORGANIZATION, IS IN CONTACT WITH FEDERAL AND STATE LEGISLATORS REGARDING HEALTH CARE REFORM ISSUES THAT WOULD POTENTIALLY HAVE AN IMPACT ON THE ORGANIZATION AND ITS RELATED ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINES 6, 7A & 7BEFFECTIVE 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. LAHEY HEALTH SYSTEM, INC. HAS, WITH RESPECT TO THE REPORTING ORGANIZATION, THE RIGHT TO EXERCISE ALL POWERS CONFERRED ON MEMBERS OF NON-PROFIT CORPORATIONS UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 180, INCLUDING, WITHOUT LIMITATION, POWERS WITH RESPECT TO THE FOLLOWING: (A) APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES (SUBJECT TO CERTAIN TRANSITION RULES IN PLACE THROUGH MAY 1, 2016); (B) AMENDMENT OF THE ARTICLES OF ORGANIZATION; (C) AMENDMENT OF THE BY-LAWS; (D) THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; AND (E) THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION. THE ARTICLES OF INCORPORATION OF THE REPORTING ORGANIZATION WERE AMENDED MAY 1, 2012 AND THE BY-LAWS WERE AMENDED ON SEPTEMBER 21, 2012 TO REFLECT THE AFOREMENTIONED CHANGES.
FORM 990, PART VI, SECTION B, LINE 14LAHEY HOSPITAL & MEDICAL CENTER HAS WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY KNOWN AS THE "RETENTION OF ADMINISTRATIVE AND CLINICAL DOCUMENTS". THE POLICIES, PROCEDURES, AND STANDARDS ARE MONITORED, MANAGED, AND REVISED BY THE RECORDS MANAGEMENT STEERING COMMITTEE. THE REVISED "RETENTION OF ADMINISTRATIVE AND CLINICAL DOCUMENTS" POLICY WAS APPROVED BY THE MEDICAL PRACTICE AND UTILIZATION COMMITTEE ON JULY 26, 2012.
FORM 990, PART VI, SECTION B, LINE 16BTHE ORGANIZATION NEGOTIATES ARRANGEMENTS TO INCLUDE TERMS AND SAFEGUARDS TO ENSURE THAT THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED. FROM A LEGAL PERSPECTIVE, IN-HOUSE LEGAL COUNSEL, WITH THE INPUT OF EXTERNAL LEGAL COUNSEL, REVIEWS ALL PROPOSED JOINT VENTURE AND PARTNERSHIP AGREEMENTS. FROM A FINANCIAL PERSPECTIVE, LAHEY'S FINANCE MANAGEMENT TEAM REVIEWS ALL PROPOSED JOINT VENTURE AND PARTNERSHIP AGREEMENTS. BOTH REVIEWS TAKE PLACE BEFORE LAHEY HOSPITAL & MEDICAL CENTER ENTERS INTO ANY SUCH AGREEMENTS.
FORM 990, PART VIILAHEY CLINIC FOUNDATION, INC. AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE IN THEIR CAPACITY AS A TRUSTEE. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THE EMPLOYEE'S JOB TITLE, WHICH IS LISTED ON FORM 990, PART VII DIRECTLY FOLLOWING THE TITLE OF "TRUSTEE".
FORM 990, PART VII; PART IX, LINE 5; SCHEDULE JCOMPENSATION, BENEFIT AND PENSION EXPENSES FOR OFFICERS, TRUSTEES AND KEY EMPLOYEES, OF LAHEY CLINIC FOUNDATION, INC. ARE PAID BY LAHEY CLINIC FOUNDATION, INC. AS THE PARENT COMPANY OF LAHEY CLINIC HOSPITAL, INC., AND LAHEY CLINIC, INC., LAHEY CLINIC FOUNDATION, INC. ALLOCATES A SIGNIFICANT PORTION OF THE AFOREMENTIONED EXPENSES TO ITS AFFILIATES. THE AFFILIATES THEN REIMBURSE LAHEY CLINIC FOUNDATION, INC.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
LAHEY CLINICAL HOSPITAL INC
41 MALL ROADBURLINGTONMA01805042704686HEALTHCAREMA501(C) (3)3LCF INC1
LAHEY CLINIC INC
41 MALL ROADBURLINGTONMA01805042704683HEALTHCAREMA501(C) (3)9LCF INC1
LAHEY HEALTH SHARED SERVICES INC
41 MALL ROADBURLINGTONMA01805043178972ADMINISTRATIVE SUPPORT TO LHS AND AFFILIATESMA501(C) (3)9LHS INC1
NORTHEAST HEALTH SYSTEM INC
85 HERRICK STREETBEVERLYMA01915043240453SUPPORTMA501(C) (3)11CLHS INC0
NORTHEAST BEHAVIORAL HEALTH CORPORATION
ZERO CENTENNIAL DRIVEPEABODYMA01960042777145BEHAVIORAL HEALTH CAREMA501(C) (3)7NEHS INC0
HEALTH AND EDUCATION HOUSING SERVICES INC
131 RANTOUL STREETBEVERLYMA01915223232914HUD HOUSINGMA501(C) (3)9NEBH CORP0
NORTHEAST HOSPITAL CORPORATION
85 HERRICK STREETBEVERLYMA01915042121317HEALTHCAREMA501(C) (3)3NEHS INC0
NORTHEAST MEDICAL PRACTICES INC
85 HERRICK STREETBEVERLYMA01915043201853HEALTHCAREMA501(C) (3)9NEH CORP0
SEACOAST NURSING & REHABILITATION CENTER
300 WASHINGTON STREETGLOUCESTERMA01930041305001HEALTHCAREMA501(C) (3)9NEHS INC0
NORTHEAST PROFESSIONAL REGISTRY OF NURSES
800 CUMMINGS CENTERBEVERLYMA01915201287349HEALTHCAREMA501(C) (3)9NESH CORP0
NORTHEAST SENIOR HEALTH CORPORATION
131 RANTOUL STREETBEVERLYMA01915042731137HEALTHCAREMA501(C) (3)9NEHS INC0
CAB HEALTH & RECOVERY
111 MIDDLETON ROADDANVERSMA01923042400270SUBSTANCE ABUSEMA501(C) (3)9NEBH CORP0
LAHEY HEALTH SYSTEM INC
41 MALL ROADBURLINGTONMA01805611665701SUPPORTMA501(C) (3)11C III-FI0N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateShare Of Total IncomeShareOfTotalIncomeEINEINPostal CodeAddressForeign/PostalCode
LAHEY CLINIC INSURANCE CO LTD
PO BOX HM 2450HAMILTONBDINSURANCEBDLHS INCC658762081.000000
PERPETUAL TRUSTS (7)
SUPPORTSEE PART VIIT139595881.00000041 MALL ROADBURLINGTONMA01805MA566574
REMAINDER TRUSTS (17)
SUPPORTSEE PART VIIT160518471.00000041 MALL ROADBURLINGTONMA01805MA588395
POOLED INCOME FUNDS (4)
SUPPORTSEE PART VIIT113674521.00000041 MALL ROADBURLINGTONMA01805MA764918
NORTHEAST PROPRIETARY CORPORATION
MEDICAL SERVICESNEHS INCC085 HERRICK STREETBEVERLYMA01915MA042855191
NORTHEAST MASSACHUSETTS INDEMNITY CO LTD
GOVERNORS SQ 23 LIME TREE BAY AVEGRAND CAYMANCJINSURANCECJNHS INCC0980440187KY1-1102
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LAHEY CLINIC INC
N176421148FMV
LAHEY CLINIC HOSPITAL INC
N-294226333FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, SCHEDULE R, PART IV, LINE 2LAHEY CLINIC FOUNDATION INC. AND NORTHEAST HOSPITAL CORPORATION, RESPECTIVELY, HAVE FOUR AND THREE PERPETUAL TRUSTS. THE PERPETUAL TRUSTS ARE DOMICILED IN MASSACHUSETTS AND PENNSYLVANIA.
FORM 990, SCHEDULE R, PART IV, LINE 3LAHEY CLINIC FOUNDATION, INC. HAS SEVENTEEN REMAINDER TRUSTS. THE REMAINDER TRUSTS ARE DOMICILED IN MASSACHUSETTS AND NEW HAMPSHIRE.
FORM 990, SCHEDULE R, PART IV, LINE 4LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HOSPITAL CORPORATION, RESPECTIVELY, HAVE THREE AND ONE POOLED INCOME FUNDS.
FORM 990, SCHEDULE R, PART V, LINE LIN ADDITION TO CONDUCTING FUNDRAISING AND SOLICIATION EFFORTS ON ITS OWN BEHALF, LAHEY CLINIC FOUNDATION, INC. ALSO CONDUCTS FUNDRAISING AND SOLICITATION EFFORTS ON BEHALF OF LAHEY CLINIC HOSPITAL, INC. AND LAHEY CLINIC, INC.
FORM 990, SCHEDULE R, PART V, LINE MIN ADDITION TO CONDUCTING FUNDRAISING AND SOLICITATION EFFORTS ON THEIR OWN BEHALF, LAHEY CLINIC HOSPITAL, INC. AND LAHEY CLINIC, INC. CONDUCT FUNDRAISING AND SOLICITATION EFFORTS ON BEHALF OF LAHEY CLINIC FOUNDATION, INC.
FORM 990, SCHEDULE R, PART V, LINE NALL ENTITIES WITHIN THE LAHEY HEALTH SYSTEM, INC. SHARE FACILITIES, EQUIPMENT, MAILING LISTS, AND OTHER ASSETS. FOR A LIST OF ALL ENTITIES SEE SCHEDULE R.
FORM 990, SCHEDULE R, PART V, LINE O-SLAHEY HEALTH SYSTEM, INC. AND ITS RELATED ORGANIZATIONS, LAHEY CLINIC FOUNDATION, INC. AND ITS RELATED ORGANIZATIONS, AND NORTHEAST HEALTH SYSTEM, INC. AND ITS RELATED ORGANIZATIONS, PROVIDE VARIOUS CORPORATE AND OTHER SERVICES TO EACH OTHER. THESE ORGANIZATIONS REIMBURSE ONE ANOTHER FOR EXPENSES INCURRED SUCH AS EMPLOYEE SALARIES, MATERIALS, SUPPLIES, UTILITIES, ETC. CASH IS ALSO TRANSFERRED BETWEEN THE THREE CORPORATIONS.