SEACOAST NURSING AND REHABILITATION CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SEACOAST NURSING AND REHABILITATION CENTER INC (EIN 04-1305001)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-14
- IRS object ID
- 201342269349302484
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-14T08:27:29-07:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 041305001 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEACOAST NURSING AND REHABILITATION CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SEAC | NameControl |
| Phone | 9782830300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 Washington St | AddressLine1 |
| City | Gloucester | City |
| State | MA | State |
| ZIP Code | 01930 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Timothy O'Connor | Name |
| Title | Treasurer/EVP/CFO | Title |
| Phone | 9789223000 | Phone |
| Date Signed | 2013-06-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Timothy O'Connor | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 85 Herrick St | AddressLine1 |
| City | Beverly | City |
| State | MA | State |
| ZIP Code | 01915 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 14306340 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | Seacoast Nursing and Rehabilitation Center's mission is to provide compassionate quality care and service excellence by highly skilled individuals using an interdisciplinary team approach for the care, comfort, and safety of all patients and residents. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 224 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15293181 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 14297721 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7818 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8619 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15300999 | TotalRevenuePriorYear |
| Total Revenue Current Year | 14306340 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8307154 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8925973 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5891275 | OtherExpensePriorYear |
| Other Expenses Current Year | 5465341 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14198429 | TotalExpensesPriorYear |
| Total Expenses Current Year | 14391314 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1102570 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -84974 | RevenuesLessExpensesCY |
| Total Assets BOY | 11613175 | TotalAssetsBOY |
| Total Assets EOY | 10731636 | TotalAssetsEOY |
| Total Liabilities BOY | 7904220 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7107655 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3708955 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3623981 | NetAssetsOrFundBalancesEOY |
| Mission Description | Seacoast Nursing and Rehabilitation Center's mission is to provide compassionate quality care and service excellence by highly skilled individuals using an interdisciplinary team approach for the care, comfort, and safety of all patients and residents. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 12739168 | Expense |
| Grants | 0 | Grants |
| Revenue | 14306340 | Revenue |
| Description | The provision of long-term residetial nursing, recreational, and restorative services to the residents of the community in which the center operations. | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 12739168 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 42 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 224 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Timothy O'Connor | NamePerson |
| Telephone Number | 9789223000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 85 Herrick St | AddressLine1 |
| City | Beverly | City |
| State | MA | State |
| ZIP Code | 01915 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Jennifer Gizmunt | |||||||||
| President | 5 | X | X | 0 | 141392 | 29692 | |||
| William Donaldson | |||||||||
| Secretary | 2 | X | X | 0 | 292695 | 30268 | |||
| Joseph Porcello | |||||||||
| Treasurer | 1 | X | X | 0 | 176008 | 35894 | |||
| James Dunne | |||||||||
| Director | 3 | X | 0 | 241665 | 30949 | ||||
| David Spackman | |||||||||
| Director | 2 | X | X | 0 | 0 | 0 | |||
| Timothy O'Connor | |||||||||
| Treasurer | 2 | X | X | 0 | 0 | 0 | |||
| Jennifer Sawyer | |||||||||
| Employee | 40 | 110923 | 0 | 17779 | X | ||||
| Candace Bauer | |||||||||
| Employee | 40 | 95487 | 0 | 16890 | X | ||||
| Rosemary Sogie | |||||||||
| Employee | 40 | 112161 | 0 | 20117 | X | ||||
| Wendy English | |||||||||
| Employee | 40 | 100110 | 0 | 18020 | X | ||||
| Ronald Williams | |||||||||
| Employee | 40 | 133522 | 0 | 19947 | X | ||||
| Richard Pomerleau | |||||||||
| Employee | 30.00 | 73294 | 0 | 11230 | X | ||||
| Stan Trocki | |||||||||
| Employee | 40 | 99471 | 0 | 15305 | X | ||||
| Jodi Fleit | |||||||||
| Secretary | 0 | 0 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 724968 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 851760 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 246091 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Kindered Rehab Services | |||||
| p o box 277365 | atlanta | GA | 30384 | rehab services | 1201113 |
| Pharmerica | |||||
| P O Box 409251 | Atlanta | GA | 30384 | OTC Meds & Medication | 261529 |
| Healthvare services | |||||
| 3220 Tillman Dr Ste 300 | Bensalem | PA | 19020 | Housekeeping Services | 307154 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14297721 | TotalRevenueColumn |
| Related Or Exempt Function Income | 14297721 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 14297721 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8619 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8619 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14306340 | TotalRevenueColumn |
| Related Or Exempt Function Income | 14306340 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 758440 | Total |
| Program Services | 758440 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5991814 | Total |
| Program Services | 5519296 | ProgramServices |
| Management And General | 472518 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1594730 | Total |
| Program Services | 1483099 | ProgramServices |
| Management And General | 111631 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 580989 | Total |
| Program Services | 540320 | ProgramServices |
| Management And General | 40669 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 551645 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 551645 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 500 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 500 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30000 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 30000 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 122048 | Total |
| Program Services | 113505 | ProgramServices |
| Management And General | 8543 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25981 | Total |
| Program Services | 24162 | ProgramServices |
| Management And General | 1819 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 916 | Total |
| Program Services | 916 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123674 | Total |
| Program Services | 115017 | ProgramServices |
| Management And General | 8657 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 466531 | Total |
| Program Services | 433874 | ProgramServices |
| Management And General | 32657 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165854 | Total |
| Program Services | 154244 | ProgramServices |
| Management And General | 11610 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| External contract services | 1711592 | 1591781 | 119811 | 0 |
| Contract labor | 126637 | 0 | 126637 | 0 |
| Bad debt | 204974 | 204974 | 0 | 0 |
| Professional fees | 267085 | 248389 | 18696 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1667904 | Total |
| Program Services | 1551151 | ProgramServices |
| Management And General | 116753 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14391314 | Total |
| Program Services | 12739168 | ProgramServices |
| Management And General | 1652146 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4369616 | BOY |
| EOY | 3822420 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1568307 | BOY |
| EOY | 1560605 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42992 | BOY |
| EOY | 41397 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105651 | BOY |
| EOY | 107029 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11223441 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6570609 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4932829 | BOY |
| EOY | 4652832 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 544316 | BOY |
| EOY | 502011 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49464 | BOY |
| EOY | 45342 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11613175 | BOY |
| EOY | 10731636 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1827445 | BOY |
| EOY | 1391141 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6055952 | BOY |
| EOY | 5686934 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20823 | BOY |
| EOY | 29580 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7904220 | BOY |
| EOY | 7107655 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3708955 | BOY |
| EOY | 3623981 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3708955 | BOY |
| EOY | 3623981 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11613175 | BOY |
| EOY | 10731636 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -84974 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 1 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14216783 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14590965 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14857327 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15293181 | CurrentTaxYearMinus1Year |
| Total | 58958256 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14216783 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14590965 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14857327 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15293181 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 58958256 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 58958256 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 38443 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12908 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7962 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7818 | CurrentTaxYearMinus1Year |
| Total | 67131 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 38443 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12908 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7962 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7818 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 67131 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14255226 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14603873 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14865289 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15300999 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 59025387 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99886 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99769 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00114 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00231 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Book Value | 0 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 9712269 | OtherCostOrOtherBasis |
| Depreciation | 5435013 | Depreciation |
| Book Value | 4277256 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1511172 | OtherCostOrOtherBasis |
| Depreciation | 1135596 | Depreciation |
| Book Value | 375576 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4652832 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued interest payable | $1,270 |
| Due to affiliates | $28,310 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 29580 | TotalOfAmounts |
| Total Revenue | 14306340 | TotalRevenue |
| Total Expenses | 14391314 | TotalExpenses |
| Excess Or Deficit For Year | -84974 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 0 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 0 | DonatedServicesAndFacilities |
| Investment Expenses | 0 | InvestmentExpenses |
| Prior Period Adjustments | 0 | PriorPeriodAdjustments |
| Other | $0 | OtherAmount |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | -84974 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 14306340 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 0 | OtherRevenues |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 14306340 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 0 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 14306340 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 14391314 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 0 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 14391314 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 14391314 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Jennifer Gizmunt | |||||||||||
| 0 | 120144 | 0 | 16394 | 0 | 4853 | 0 | 5656 | 0 | 24037 | 0 | 171084 |
| William Donaldson | |||||||||||
| 0 | 257516 | 0 | 30642 | 0 | 4537 | 0 | 10119 | 0 | 20150 | 0 | 322964 |
| James Dunne | |||||||||||
| 0 | 206661 | 0 | 35004 | 0 | 0 | 0 | 10077 | 0 | 20872 | 0 | 272614 |
| Joseph Porcello | |||||||||||
| 0 | 166730 | 0 | 0 | 0 | 9279 | 0 | 7148 | 0 | 28746 | 0 | 211903 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchJ_P01_S00_L07 | Identifier |
| Return Reference | Schedule J, Part I, Line 7 | ReturnReference |
| Explanation | The non-fixed payment bonuses reported in Schedule J, Part II, column (B)(ii) are determined by an independent compensation committee, which includes a group of trustees. In a subjective manner, the committee takes into account the achievements of both the organization and the individual to determine the appropriate amount of such bonuses, which include, but are not limited to, the organization meeting its corporate goals, (including net income) and quality measures, (such as patient satisfaction and quality of care). | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0A_L04 | Form 990, Part VI, Section A, Line 4 | EFFECTIVE MAY 1, 2012, LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HEALTH SYSTEM, INC. COMPLETED AN AFFILIATION WITH EACH OTHER AND ESTABLISHED A NEW ORGANIZATION, LAHEY HEALTH SYSTEM, INC. ("LHS"), TO SERVE AS THE PARENT OF THE COMBINED HEALTH SYSTEM. LHS IS NOW THE SOLE CORPORATE MEMBER OF LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HEALTH SYSTEM, INC. THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION IS NORTHEAST HEALTH SYSTEM, INC. THE REPORTING ORGANIZATION'S MEMBER HAS, WITH RESPECT TO THE REPORTING ORGANIZATION, THE RIGHT TO EXERCISE ALL POWERS CONFERRED ON MEMBERS OF NON-PROFIT CORPORATIONS UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 180, INCLUDING, WITHOUT LIMITATION, POWERS WITH 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, NORTHEAST HEALTH SYSTEM, INC., TO EXERCISE ITS AUTHORITY AS A MEMBER OF THE REPORTING ORGANIZATION IS SUBJECT TO THE APPROVAL OF [LCF/NHS]'S CORPORATE MEMBER, LHS, WHICH MAY ALSO EXERCISE SUCH POWERS DIRECTLY. THE ARTICLES OF INCORPORATION AND BY-LAWS OF THE REPORTING ORGANIZATION WERE AMENDED ON SEPTEMBER 21, 2012 TO REFLECT THE AFOREMENTIONED CHANGES. |
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | SEE LINE 4 |
| F990_P06_S0A_L07a | Form 990, Part VI, Section A, Line 7a | SEE LINE 4 |
| F990_P06_S0A_L07b | Form 990, Part VI, Section A, Line 7b | SEE LINE 4 |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | The final Form 990 was provided to the entire Board of Trustees before the filing date via a secure website. Northeast Health System's executive management reviewed and presented the final draft of Form 990 to the Audit and Compliance Committee of the Lahey Health System, Inc Board of Trustees prior to the filing date. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | Each year the members of the Board are provided with a copy of the conflict of interest policy and asked to list any potential conflicts. This signed form is kept on file with the corporate records and the Chair and CEO are made aware of any potentional conflicts. If any conflicts exist, the Trustee is excused from the discussions and the vote. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | The Compensation Committee, comprised of independent trustees, meets annually to review executive goals, salaries, incentives, payment programs and benefits for the CEO and executive management. The committee uses comparative data from Sullivan & Cotter & Lawrence Associates (external compensation consultants) to ensure executive compensation and benefits are in line with the rest of the industry. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The Articles of organization are public document filed with the Secretary of State of the Commonwealth of Massachusetts. The Articles of Organization, By-laws and Conflicts of interest policy are available to the public upon request. The Organization publishes an Annual Report, which contains audited financial statements and listings of board members. The IRS Form 990 and the Massachusetts Form PC are available upon request. In adition, the organization presents financials statements to the public as an attachment to its Form PC. |
| F990_P07_S0A_L01a | Form 990, Part VII, Section A, Line 1a | Name/Title/Hours David Spackman - Clerk, appinted 6/28/12 - 23 hours Timothy O'Connor - Treasurer, appointed 6/28/12 - 23 hours Joseph Porcello - Controller/Asst. Treasurer until 6/28/12 - 32 hours William Donaldson - VP Gen Counsel/Clerk until 6/28/12 - 58 hours Timothy O'Connor, Treasurer, appointed 6/28/12, received compensation from Lahey Clinic Foundation (related organization) in CY11. Since LCF was not a related organization during CY11, we have not disclosed Mr. O'Connor's compensation. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Lahey Clinic Inc | |||||||||||
| 41 Mall Rd | Burlington | MA | 01805 | 042704683 | Healthcare | MA | 501c3 | 9 | LCF | 1 | |
| Lahey Clinic Foundation Inc | |||||||||||
| 41 Mall Rd | Burlington | MA | 01805 | 042323457 | Healthcare | MA | 501c3 | 7 | LHS | 1 | |
| Lahey Clinic Affiliated Services | |||||||||||
| 41 Mall Rd | Burlington | MA | 01805 | 043178972 | Healthcare | MA | 501c3 | 9 | LCF | 1 | |
| Northeast Health System | |||||||||||
| 85 Herrick St | Beverly | MA | 01915 | 043240453 | Support | MA | 501c3 | 11c | LHS | 1 | |
| Northeast Hospital Corporation | |||||||||||
| 85 Herrick St | Beverly | MA | 01915 | 042121317 | Healthcare | MA | 501c3 | 3 | NHS | 1 | |
| Northeast Medical Practices | |||||||||||
| 85 Herrick St | Beverly | MA | 01915 | 043201853 | Healthcare | MA | 501c3 | 9 | NHC | 1 | |
| NE Professional Reg of Nurses | |||||||||||
| 800 Cummings Ctr | Beverly | MA | 01915 | 201287349 | Healthcare | MA | 501c3 | 9 | NSH | 1 | |
| Northeast Senior Health Corporation | |||||||||||
| 85 Herrick St | Beverly | MA | 01915 | 042731137 | Healthcare | MA | 501c3 | 9 | NHS | 1 | |
| Northeast Behavioral Health | |||||||||||
| 131 Rantoul St | Beverly | MA | 01915 | 042777145 | Mentally ILL | MA | 501(c)3 | 7 | NHS | 1 | |
| CAB Health and Recovery | |||||||||||
| 111 Middleton Rd | Danvers | MA | 01923 | 042400270 | Subs abuse | MA | 501c3 | 9 | NBH | 1 | |
| Health & Education Housing services | |||||||||||
| Zero Centenial Drive | Peabody | MA | 01960 | 042777145 | HUD Housing | MA | 501c3 | 9 | NBH | 1 | |
| Lahey Health System | |||||||||||
| 41 Mall Rd | Burlington | MA | 01805 | 611665701 | Support | MA | 501c3 | 11c | 1 | N/A | |
| Lahey Clinic Hospital | |||||||||||
| 41 Mall Rd | Burlington | MA | 01805 | 042704686 | Healthcare | MA | 501c3 | 3 | LCF | 1 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Northeast Proprietery Corporation | ||||||||||||||
| 85 Herrick St | Beverly | MA | 01915 | 042855191 | Med Srvs | MA | NHS | C | 0 | |||||
| Perpetual Trusts (7) | ||||||||||||||
| 41 Mall Rd | Burlington | MA | 01805 | Support | MA | See VII | T | |||||||
| Remainder Trust (17) | ||||||||||||||
| 41 Mall Rd | Burlington | MA | 01805 | Support | MA | See VII | T | |||||||
| Northeast Massachusetts Indemnity | ||||||||||||||
| 980440187 | Insurance | NHS | C | Governors Sq 23 Lime Tree Bay Ave | Grand Cayman KY1-1102 | CJ | CJ | CJ | ||||||
| Lahey Clinic Insurance Co Ltd | ||||||||||||||
| Insurance | LCF | C | P O Box HM2450 Hamilton | Hamilton | HM TX | BD | BD | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northeast Health System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | o | TransactionType |
| Amount Involved | 104232 | AmountInvolved |
| Method Of Amt Determination | Captive 4 qtrs premium(27906,24201,24201,27924) | MethodOfAmtDetermination |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchR_P04_S00_L00 | Identifier |
| Return Reference | Schedule R, Part IV | ReturnReference |
| Explanation | Perpetual Trusts (4) Lahey Clinic Foundation and Northeast Corporation have four perpetual trusts domiciled in Massachusetts and Pennsylvania. Perpetual Trusts (3) Northeast Corporation have three perpetual trusts domiciled in Massachusetts and Pennsylvania. Remainder Trusts (17) Lahey Clinic Foundation has seventeen remainder trusts domiciled in Massachusetts and New Hamshire. Pooled Income Funds (3) Lahey Clinic Foundation has three pooled fund. Pooled Income Funds (1) Northeast Hospital Corporation has one pooled Income fund. | Explanation |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Required more time to collect data to file tax. Extension has been filed and approved. | Explanation |
Comments