2013-08-14T08:27:29-07:00 2012-09-30 990 2011-10-01 041305001 SEACOAST NURSING AND REHABILITATION CENTER INC SEAC 9782830300 300 Washington St Gloucester MA 01930 Timothy O'Connor 9789223000 2013-06-15 2011 2016-03-07 17:11:31Z Timothy O'Connor 85 Herrick St Beverly MA 01915 14306340 0 X X 1991 MA 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. 3 0 224 0 0 0 0 0 15293181 14297721 7818 8619 0 0 15300999 14306340 0 0 0 0 8307154 8925973 0 0 0 5891275 5465341 14198429 14391314 1102570 -84974 11613175 10731636 7904220 7107655 3708955 3623981 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. 0 0 12739168 0 14306340 The provision of long-term residetial nursing, recreational, and restorative services to the residents of the community in which the center operations. 0 0 0 12739168 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 42 0 1 224 1 0 0 0 0 0 0 X 3 0 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X Timothy O'Connor 9789223000 85 Herrick St Beverly MA 01915 X Jennifer Gizmunt 5 X X 0 141392 29692 William Donaldson 2 X X 0 292695 30268 Joseph Porcello 1 X X 0 176008 35894 James Dunne 3 X 0 241665 30949 David Spackman 2 X X 0 0 0 Timothy O'Connor 2 X X 0 0 0 Jennifer Sawyer 40 X 110923 0 17779 Candace Bauer 40 X 95487 0 16890 Rosemary Sogie 40 X 112161 0 20117 Wendy English 40 X 100110 0 18020 Ronald Williams 40 X 133522 0 19947 Richard Pomerleau 30.00 X 73294 0 11230 Stan Trocki 40 X 99471 0 15305 Jodi Fleit 0 X 0 0 0 724968 851760 246091 5 1 1 0 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 3 0 14297721 14297721 0 0 14297721 8619 8619 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14306340 14306340 0 0 0 0 0 0 758440 758440 0 0 0 5991814 5519296 472518 0 0 1594730 1483099 111631 0 580989 540320 40669 0 551645 0 551645 0 500 0 500 0 30000 0 30000 0 122048 113505 8543 0 25981 24162 1819 0 916 916 0 0 123674 115017 8657 0 466531 433874 32657 0 165854 154244 11610 0 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 1667904 1551151 116753 0 14391314 12739168 1652146 0 4369616 3822420 1568307 1560605 42992 41397 105651 107029 11223441 6570609 4932829 4652832 544316 502011 49464 45342 11613175 10731636 1827445 1391141 6055952 5686934 20823 29580 7904220 7107655 X 3708955 3623981 0 0 0 0 3708955 3623981 11613175 10731636 -84974 0 X 1 1 1 X 0 X 14216783 14590965 14857327 15293181 58958256 14216783 14590965 14857327 15293181 0 58958256 58958256 38443 12908 7962 7818 67131 38443 12908 7962 7818 0 67131 14255226 14603873 14865289 15300999 0 59025387 0.99886 0.99769 0.00114 0.00231 X 0 0 0 0 9712269 5435013 4277256 0 0 0 0 0 1511172 1135596 375576 0 0 0 0 4652832 0 Accrued interest payable 1270 Due to affiliates 28310 29580 14306340 14391314 -84974 0 0 0 0 0 0 -84974 14306340 0 0 0 0 0 14306340 0 0 0 14306340 14391314 0 0 0 0 0 14391314 0 0 0 14391314 X X X X X 0 0 0 0 0 0 0 1 0 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 SchJ_P01_S00_L07 Schedule J, Part I, Line 7 The non-fixed payment bonuses reported in Schedule J, Part II, column (B)(ii) are determined by an independent compensation committee, which includes a group of trustees. In a subjective manner, the committee takes into account the achievements of both the organization and the individual to determine the appropriate amount of such bonuses, which include, but are not limited to, the organization meeting its corporate goals, (including net income) and quality measures, (such as patient satisfaction and quality of care). 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. 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 N/A 1 Lahey Clinic Hospital 41 Mall Rd Burlington MA 01805 042704686 Healthcare MA 501c3 3 LCF 1 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 Governors Sq 23 Lime Tree Bay Ave Grand Cayman KY1-1102 CJ CJ 980440187 Insurance CJ NHS C Lahey Clinic Insurance Co Ltd P O Box HM2450 Hamilton Hamilton HM TX BD Insurance BD LCF C 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 Northeast Health System o 104232 Captive 4 qtrs premium(27906,24201,24201,27924) SchR_P04_S00_L00 Schedule R, Part IV 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. Required more time to collect data to file tax. Extension has been filed and approved.