2013-08-15T15:36:49-05:00 2012-09-30 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2011-10-01 043178972 Lahey Clinic Affiliated Services Inc % TIMOTHY O'CONNOR LAHE 7817445100 41 Mall Road Burlington MA 018050001 TIM O'CONNOR 2013-08-12 true 6175305000 2011 2016-02-24 21:20:13Z Howard R Grant JD MD 41 MALL ROAD BURLINGTON MA 018050001 2008159 false X www.lahey.org X 1992 MA SEE SCHEDULE O 19 9 0 0 0 0 1742364 2008159 0 0 0 0 1742364 2008159 0 0 0 0 0 0 0 0 0 0 0 0 0 1742364 2008159 8981548 10989707 0 0 8981548 10989707 X SEE SCHEDULE O false false 0 0 2008159 Lahey Clinic Affiliated Services, Inc. is a charitable organization that provides magnetic resonance imaging services and other ancillary services to the surrounding communities and their patients. 0 true false false false false false false false false false false false false true false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 0 0 true 0 false false false false false false false false false false X 19 9 true false true false true true true true true false false true true true true true false false false true false MA X TIMOTHY O'CONNOR 7817445100 41 MALL ROAD Burlington MA 018050001 X Howard R Grant JD MD 1.0 X X 0 960934 84545 John A Libertino MD 1.0 X 0 813060 39384 Richard W Nesto MD 1.0 X 0 595970 101415 Roger L Jenkins MD 1.0 X 0 592138 49628 Richard S D'Agostino MD 1.0 X 0 529013 52842 Judith A Melin MD 1.0 X 0 327467 30355 Carl A Soderland MD 1.0 X 0 389917 36436 Andrew G Villanueva MD 1.0 X 0 327045 37548 Betsey Crawford MD 1.0 X 0 187572 12386 Arthur P Mourtzinos MD 1.0 X 0 403201 43266 Rebecca C Yang MD 1.0 X 0 344322 41513 Irving E Rogers III 2.0 X X 0 0 0 Eric M Bailey 1.0 X 0 0 0 Craig R Benson 1.0 X 0 0 0 Ann Marie Connolly 1.0 X 0 0 0 Jerald G Fishman 1.0 X 0 0 0 James W Henderson 2.0 X X 0 0 0 James D Irving 1.0 X 0 0 0 Charles M Leighton 1.0 X 0 0 0 Peter J Manning 1.0 X 0 0 0 J William Poduska 1.0 X 0 0 0 Windle B Priem 1.0 X 0 0 0 James A Radley 1.0 X 0 0 0 Robert L Reynolds 1.0 X 0 0 0 Michael C Ruettgers 2.0 X X 0 0 0 Carolyn Ain 1.0 X 0 0 0 Jane C Edmonds 1.0 X 0 0 0 Edward Eskandarian 1.0 X 0 0 0 David G Spackman 1.0 X 0 0 0 Timothy O'Connor 1.0 X 0 683581 159274 David M Barrett MD 0.0 X 0 1388662 200000 0 7542882 888592 0 true true false 0 0 PATIENT REVENUE FROM JOINT PARTNERSHIP WITH SHIELDS MRI 900099 2008159 2008159 2008159 0 0 0 0 0 0 0 0 2008159 2008159 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8981548 10989707 8981548 10989707 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8981548 10989707 0 0 0 0 8981548 10989707 8981548 10989707 2008159 X false true true X false X 654439 1147101 2469183 1742364 2008159 8021246 654439 1147101 2469183 1742364 2008159 8021246 8021246 654439 1147101 2469183 1742364 2008159 8021246 1.00000 1.00000 0.00000 0.00000 X INVESTMENT IN SHIELDS MRI 1287262 INTERCOMPANY RECEIVABLES 9702445 10989707 Schedule D, Part X THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. true true false false false false false false false Howard R Grant JD MD 0 936208 0 0 0 24726 0 26887 0 57658 0 1045479 0 0 John A Libertino MD 0 684189 0 90000 0 38871 0 17500 0 21884 0 852444 0 0 Richard W Nesto MD 0 573574 0 0 0 22396 0 75800 0 25615 0 697385 0 0 Roger L Jenkins MD 0 561129 0 0 0 31009 0 17500 0 32128 0 641766 0 0 Richard S D'Agostino MD 0 490255 0 0 0 38758 0 17500 0 35342 0 581855 0 0 Judith A Melin MD 0 288829 0 0 0 38638 0 17500 0 12855 0 357822 0 0 Carl A Soderland MD 0 351021 0 0 0 38896 0 17500 0 18936 0 426353 0 0 Andrew G Villanueva MD 0 288287 0 0 0 38758 0 17500 0 20048 0 364593 0 0 Betsey Crawford MD 0 170982 0 0 0 16590 0 10626 0 1760 0 199958 0 0 Arthur P Mourtzinos MD 0 386701 0 0 0 16500 0 17500 0 25766 0 446467 0 0 Rebecca C Yang MD 0 327732 0 0 0 16590 0 17500 0 24013 0 385835 0 0 Timothy O'Connor 0 566323 0 95000 0 22258 0 134500 0 24774 0 842855 0 0 David M Barrett MD 0 0 0 0 0 1388662 0 200000 0 0 0 1588662 0 0 SCHEDULE J, PART I LINE 4A, PART II COLUMN B(III) AND COLUMN C DR. 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 2011. DR. BARRETT'S COMPENSATION PAID FOR CALENDAR YEAR 2011 INCLUDES $989,983 OF SEVERANCE PAYMENTS PER DR. BARRETT'S EMPLOYMENT CONTRACT, $346,154 OF VACATION AND SICK TIME CASHED-OUT AND $52,525 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: TIMOTHY O'CONNOR - AMOUNT = $117,000 RICHARD W NESTO - AMOUNT = $ 58,300 SCHEDULE J, PART II LAHEY CLINIC FOUNDATION, INC. AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE IN THEIR CAPACITY AS TRUSTEE. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THEIR CAPACITY OTHER THAN TRUSTEE, WHICH IS LISTED ON FORM 990, PART VII, DIRECTLY FOLLOWING THE TITLE OF THE TRUSTEE. FORM 990, PART I, LINE 1 & PART III, LINE 1 LAHEY CLINIC AFFILIATED SERVICES, INC. PROVIDES SUPERIOR HEALTH CARE LEADING TO THE BEST POSSIBLE OUTCOMES FOR EVERY PATIENT. AS ONE OF THE WORLD'S PREMIER HEALTH CARE ORGANIZATIONS, LAHEY CLINIC AFFILIATED SERVICES, INC. AIMS TO EXCEED EACH DAY ITS PATIENT'S HIGH EXPECTATIONS FOR SERVICE, AND ADVANCE MEDICINE THROUGH RESEARCH AND THE EDUCATION OF TOMORROW'S HEALTH CARE LEADERS. IN ADDITION, LAHEY CLINIC AFFILIATED SERVICES, INC. IS COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF COMMUNITY RESIDENTS BY SUPPORTING LOCAL ORGANIZATIONS ALIGNED WITH THIS MISSION. FORM 990, PART IV, LINE 4 LAHEY 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, LINE 2 OFFICERS AND TRUSTEES OF LAHEY CLINIC AFFILIATED SERVICES, INC. ARE OFFICERS AND TRUSTEES OF LAHEY CLINIC FOUNDATION, INC., LAHEY CLINIC, INC. AND LAHEY CLINIC HOSPITAL, INC. CERTAIN TRUSTEES ARE ALSO EMPLOYEES OF LAHEY CLINIC FOUNDATION, INC. OR LAHEY CLINIC, INC. IN ADDITION TO THEIR ROLE AS A TRUSTEE AND/OR OFFICER, HOWARD R. GRANT, J.D., M.D., TIMOTHY O'CONNOR AND JAMES A. RADLEY (UNTIL 07/16/2012) ARE ALSO A TRUSTEE AND/OR OFFICER FOR LAHEY CLINIC INSURANCE COMPANY, LTD. IN ADDITION TO THEIR ROLES AS OFFICERS OF LAHEY CLINIC AFFILIATED SERVICES, INC., TIMOTHY O'CONNOR AND DAVID SPACKMAN ARE ALSO OFFICERS OF NORTHEAST PROPRIETARY CORPORATION, A RELATED ORGANIZATION. THE COMPENSATION FOR THE TRUSTEES AND OFFICERS OF LAHEY CLINIC AFFILIATED SERVICES, INC. LISTED IN FORM 990, PART VII, COLUMN (E) IS FOR EMPLOYEES OF LAHEY CLINIC FOUNDATION, INC. OR LAHEY CLINIC, INC. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THEIR CAPACITIES OTHER THAN AS TRUSTEES. FORM 990, PART VI, SECTION A, LINES 6 AND 7 THE LAHEY HOSPITAL AND MEDICAL CENTER CONSISTS OF FOUR NON-PROFIT CORPORATIONS, LAHEY CLINIC HOSPITAL, INC. (EIN # 04-2704686), LAHEY CLINIC, INC. (EIN # 04-2704683), LAHEY CLINIC FOUNDATION, INC. (EIN # 04-2323457) AND LAHEY CLINIC AFFILIATED SERVICES, INC. (EIN # 04-3178972). ALL FOUR 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 THREE CORPORATIONS. THE BOARD OF TRUSTEES (GOVERNING BODY) AND CORPORATE OFFICERS OF THE FOUR CORPORATIONS CONSIST OF THE EXACT SAME MEMBERS. FORM 990, PART VI, SECTION A, LINES 4, 6, 7A & 7B 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 B, LINE 11B MANAGEMENT PREPARED THE IRS FORM 990 ALONG WITH INDEPENDENT TAX CONSULTANTS WHO SIGN THE RETURN AS A PAID PREPARER. LAHEY CLINIC AFFILIATED SERVICES, INC.'S EXECUTIVE MANAGEMENT REVIEWED AND WITH THE INDEPENDENT TAX CONSULTANTS PRESENTED THE FINAL DRAFT OF IRS FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTE OF THE LAHEY HEALTH SYSTEM, INC. BOARD OF TRUSTEES PRIOR TO THE FILING DATE. THE FINAL IRS FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES BEFORE THE FILING DATE VIA A SECURED WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, TRUSTEES, KEY EMPLOYEES, PHYSICIANS AND MANAGEMENT EMPLOYEES AT ALL LEVELS, ARE REQUIRED TO FILL OUT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE LAHEY HOSPITAL AND MEDICAL CENTER'S CORPORATE COMPLIANCE DEPARTMENT MONITORS AND REVIEWS EACH DISCLOSURE FOR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE CORPORATE COMPLIANCE DEPARTMENT MONITORS CONFLICTS OF INTEREST THROUGH DISCLOSURE SOFTWARE, TRAINING, AND INDIVIDUAL REVIEWS WITH PHYSICIANS, KEY EMPLOYEES, AND MANAGERS. DEPENDING ON THE CONFLICT OF INTEREST: A PERSON COULD BE ASKED TO NOT PARTICIPATE IN DECISIONS MADE ON BEHALF OF LAHEY HOSPITAL AND MEDICAL CENTER; A PERSON MAY BE TOLD THEY CANNOT BE A PRINCIPAL INVESTIGATOR ON A RESEARCH STUDY; A PERSON MAY BE TOLD THAT THEY CANNOT PERFORM THE TASK THAT CREATES THE CONFLICT; A PERSON COULD BE ASKED TO REMOVE THEMSELVES FROM A COMMITTEE. FORM 990, PART VI, SECTION B, LINE 14 LAHEY HOSPITAL & MEDICAL CENTER HAS A 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 15 & SCHEDULE J, PART I, LINE 3 THE ORGANIZATION RELIES ON RELATED ORGANIZATIONS TO ESTABLISH THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE RELATED ORGANIZATIONS USE THE FOLLOWING PROCESS: INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES COMPRISE THE COMPENSATION COMMITTEE. THE COMMITTEE SETS THE COMPENSATION AND BENEFITS FOR THE CEO AND ALSO REVIEWS AND APPROVES RECOMMENDATIONS FOR THE COMPENSATION AND BENEFITS FOR DISQUALIFIED INDIVIDUALS AND OTHERS. OUTSIDE LEGAL COUNSEL ADVISES THE COMMITTEE AND RECORDS MINUTES FROM THE COMMITTEE MEETINGS. 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 B, LINE 16B THE ORGANIZATION NEGOTIATES ARRANGEMENTS TO INCLUDE SUCH 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 VENTURES AND PARTNERSHIP AGREEMENTS. BOTH REVIEWS TAKE PLACE BEFORE LAHEY HOSPITAL AND MEDICAL CENTER ENTERS INTO ANY SUCH AGREEMENTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND OTHER COMPLIANCE POLICIES ARE MADE AVAILABLE TO THE PUBLIC VIA THE ORGANIZATION'S WEBSITE. IN ADDITION, THE ORGANIZATION PRESENTS FINANCIAL INFORMATION TO THE PUBLIC AS AN ATTACHMENT TO ITS MASSACHUSETTS OFFICE OF THE ATTORNEY GENERAL FORM PC. FORM 990, PART VII LAHEY CLINIC AFFILIATED SERVICES, 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". HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Howard R Grant J.D. M.D. TITLE:TRUSTEE/PRESIDENT/CEO HOURS:64 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John A Libertino M.D. TITLE:TRUSTEE/CHAIR DEPT OF UROLOGY HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Richard W Nesto M.D. TITLE:TRUSTEE/EVP/CMOO/PHYSICIAN HOURS:60 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Roger L Jenkins M.D. TITLE:TRUSTEE/PHYSICIAN HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Richard S D'Agostino M.D. TITLE:TRUSTEE/CHAIR DEPT CARDIO SURG HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Judith A Melin M.D. TITLE:TRUSTEE UNTIL7/16/12/ASSC CQSO HOURS:60 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Carl A Soderland M.D. TITLE:TRUSTEE UNTIL 7/16/12/CHAIR HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Andrew G Villanueva M.D. TITLE:TRUSTEE/CMO CLINIC/PHYSICIAN HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Betsey Crawford M.D. TITLE:TRUSTEE START 7/16/12/PHYSICIA HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Arthur P Mourtzinos M.D. TITLE:TRUSTEE START 7/16/12/PHYSICIA HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Rebecca C Yang M.D. TITLE:TRUSTEE START 7/16/12/PHYSICIA HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Irving E Rogers III TITLE:TRUST/CHAIR/CLERK UNTIL7/16/12 HOURS:7 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Eric M Bailey TITLE:TRUSTEE HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Craig R Benson TITLE:TRUSTEE HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Ann Marie Connolly TITLE:TRUSTEE HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Jerald G Fishman TITLE:TRUSTEE UNTIL 7/16/12 HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:James W Henderson TITLE:TRUST/VICE CHAIR UNTIL 7/16/12 HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:James D Irving TITLE:TRUSTEE HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Charles M Leighton TITLE:TRUSTEE UNTIL 7/16/12 HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Peter J Manning TITLE:TRUSTEE UNTIL 7/16/12 HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:J William Poduska TITLE:TRUSTEE HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Windle B Priem TITLE:TRUSTEE HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:James A Radley TITLE:TRUSTEE UNTIL 7/16/12 HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robert L Reynolds TITLE:TRUSTEE UNTIL 7/16/12 HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael C Ruettgers TITLE:TRUSTEE/CHAIR OF BOARD HOURS:6 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Carolyn Ain TITLE:TRUSTEE START 7/16/12 HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Jane C Edmonds TITLE:TRUSTEE START 7/16/12 HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Edward Eskandarian TITLE:TRUSTEE START 7/16/12 HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David G Spackman TITLE:CLERK START 7/16/12 /GEN COUNS HOURS:64 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Timothy O'Connor TITLE:OFFICER/TREASURER/EVP/CFO HOURS:64 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David M Barrett M.D. TITLE:FORMER TRUSTEE/PRES/CEO HOURS: LAHEY CLINIC HOSPITAL INC 41 MALL ROAD BURLINGTON MA 01805 042704686 HEALTH CARE MA 501(C)(3) 3 LCF INC true LAHEY CLINIC INC 41 MALL ROAD BURLINGTON MA 01805 042704683 HEALTH CARE MA 501(C)(3) 9 LCF INC true LAHEY CLINIC FOUNDATION INC 41 MALL ROAD BURLINGTON MA 01805 042323457 SUPPORT MA 501(C)(3) 7 LHS INC true NORTHEAST HEALTH SYSTEMS INC 85 HERRICK ST BEVERLY MA 01915 043240453 SUPPORT MA 501(C)(3) 11C III-FI LHS INC true NORTHEAST HOSPITAL CORPORATION HERRICK ST BEVERLY MA 01915 042121317 HEALTH CARE MA 501(C)(3) 3 NEHS INC true NORTHEAST MEDICAL PRACTICES 85 HERRICK ST BEVERLY MA 01915 043201853 HEALTH CARE MA 501(C)(3) 9 NEHC true SEACOAST NURSING & REHABILITATION CENTER 300 WASHINGTON ST GLOUCESTER MA 01930 041305001 HEALTH CARE MA 501(C)(3) 9 NEHS INC true NORTHEAST PROFESSIONAL REG OF NURSES 800 CUMMINGS CTR BEVERLY MA 01915 201287349 HEALTH CARE MA 501(C)(3) 9 NESHC true NORTHEAST SENIOR HEALTH CORPORATION 85 HERRICK ST BEVERLY MA 01915 042731137 HEALTH CARE MA 501(C)(3) 9 NEHS INC true NORTHEAST BEHAVIORAL HEALTH CORPORATION 131 RANTOUL ST BEVERLY MA 01915 042777145 MENTAL ILL MA 501(C)(3) 7 NEHS INC true CAB HEALTH & RECOVERY 111 MIDDLETON ROAD DANVERS MA 01923 042400270 SUBS ABUSE MA 501(C)(3) 9 NEHBC true HEALTH & EDUCATION HOUSING SERVICES INC 0 CENTENNIAL DRIVE PEABODY MA 01960 223232914 HUD HOUSING MA 501(C)(3) 9 NEBHC true LAHEY HEALTH SYSTEM INC 41 MALL ROAD BURLINGTON MA 01805 611665701 SUPPORT MA 501(C)(3) 11C III-FI NA false LAHEY CLINIC INSURANCE CO LTD INSURANCE BD LCF INC C-CORP PERPETUAL TRUSTS (7) SUPPORT MA SEE PART VII TRUST REMAINDER TRUSTS (17) SUPPORT MA SEE PART VII TRUST POOLED INCOME FUNDS (4) SUPPORT MA SEE PART VII TRUST NORTHEAST PROPRIETARY CORPORATION 85 HERRICK ST BEVERLY MA 01915 042855191 MEDICAL SERVICES MA NEHS INC C-CORP NORTHEAST MASSACHUSETTS INDEMNITY CO LTD GOVERNORS SQ 23 LIME TREE BAY AVE GRAND CAYMAN KY1-1102 GRAND CAYMAN KY1-1102 CJ 980440187 INSURANCE CJ NHS INC C-CORP false false false false false false false false false false false false true false false false false false LAHEY CLINIC INC M 1347500 COST FORM 990, SCHEDULE R, PART IV, LINE 2 LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HOSPITAL CORPORATION, RESPECTIVELY, HAVE FOUR AND THREE PERPETUAL TRUSTS. THE PERPETUAL TRUSTS ARE DOMICILED IN MASSACHUSETTS AND PENNSYLVANIA. FORM 990, SCHEDULE R, PART IV, LINE 3 LAHEY CLINIC FOUNDATION, INC. HAS SEVENTEEN REMAINDER TRUSTS. THE REMAINDER TRUSTS ARE DOMICILED IN MASSACHUSETTS AND NEW HAMPSHIRE. FORM 990, SCHEDULE R, PART IV, LINE 4 LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HOSPITAL CORPORATION, RESPECTIVELY, HAVE THREE AND ONE POOLED INCOME FUNDS. FORM 990, SCHEDULE R, PART V, LINE M ALL ENTITIES WITHIN THE LAHEY HEALTH SYSTEM, INC. SHARE FACILITIES, EQUIPMENT, MAILING LISTS AND OTHER ASSETS. FOR A LIST OF ALL ENTITIES SEE SCHEDULE R.