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      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
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      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Howard R Grant JD MD</PersonNm>
        <TitleTxt>TRUSTEE/officer/PRESIDENT/CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>1049316</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>1613057</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>29298</DeferredCompRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Timothy O'Connor</PersonNm>
        <TitleTxt>TRUSTEE/OFFICER/EVP/CFO/treasu</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>627294</CompensationBasedOnRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID G SPACKMAN JD</PersonNm>
        <TitleTxt>TRUSTEE/OFFICER/SVP GOV AFFAIR</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>25522</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>465633</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Peter R Lloyd</PersonNm>
        <TitleTxt>officer/VP CORPORATE FINANCE</TitleTxt>
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        <OtherCompensationFilingOrgAmt>24000</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>36000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25493</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>408020</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Elizabeth P Conrad</PersonNm>
        <TitleTxt>SVP Chief HR Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>350430</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>24000</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>29296</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>435294</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gregory A Bazylewicz MD</PersonNm>
        <TitleTxt>SVP Chief Netwrk Dvlp Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>371281</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>242681</OtherCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Pauline M Lodge</PersonNm>
        <TitleTxt>SVP Bus Dev Mkt&amp;Communication</TitleTxt>
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        <OtherCompensationFilingOrgAmt>24100</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Reis</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM ROBERTSON</PersonNm>
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        <OtherCompensationFilingOrgAmt>11440</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25884</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES E THOMPSON</PersonNm>
        <TitleTxt>SVP PHILANTHROPY</TitleTxt>
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        <BonusFilingOrganizationAmount>12750</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>22378</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>29298</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25538</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HAROLD E LAWSON JR</PersonNm>
        <TitleTxt>SVP CHIEF REVENUE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>321176</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>30767</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>29298</DeferredCompensationFlngOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC D BERGER</PersonNm>
        <TitleTxt>VP OF SUPPLY CHAIN</TitleTxt>
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        <OtherCompensationFilingOrgAmt>8416</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>33820</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Vincent McDermott</PersonNm>
        <TitleTxt>Sr. VP Finance</TitleTxt>
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        <OtherCompensationFilingOrgAmt>200666</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15816</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARLEEN L SOUZA</PersonNm>
        <TitleTxt>VP Human Resources</TitleTxt>
        <BaseCompensationFilingOrgAmt>170071</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>165165</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13667</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TONYA HONGSERMEIER</PersonNm>
        <TitleTxt>Chief Medical Info Officer</TitleTxt>
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        <BonusFilingOrganizationAmount>25000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>24000</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>41931</NontaxableBenefitsFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>INDEPENDENT MEMBERS OF THE LAHEY HEALTH SYSTEM, INC. ("LHS") BOARD OF TRUSTEES COMPRISE THE COMPENSATION COMMITTEE. THE COMMITTEE SETS THE COMPENSATION AND BENEFITS FOR THE CEO. THE COMMITTEE SEEKS THE ADVICE OF EXTERNAL COMPENSATION CONSULTANTS. COMPARABILITY DATA IS PROVIDED, ANALYZED AND DOCUMENTED BY THE EXTERNAL CONSULTANTS. LHS AND ITS RELATED ORGANIZATIONS' SENIOR VP AND CHIEF HUMAN RESOURCES OFFICER PROVIDES THE COMMITTEE WITH ANY REQUESTED INFORMATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>LHS AND ITS RELATED ORGANIZATIONS HAVE EMPLOYMENT AGREEMENTS THAT CONTAIN SEVERANCE, TRANSITION AND SEPARATION (OR A COMBINATION THEREOF) PAYMENT PROVISIONS. THE FOLLOWING INDIVIDUALS RECEIVED SUCH PAYMENTS: VINCENT MCDERMOTT, Sr. VP Finance $188,996 DARLEEN SOUZA, VP Human Resources $158,122 Gregory Bazylewicz, SVP Chief Netwrk Dvlp Officer $208,332</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART 1, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>As required by this Form 990, Schedule J, Compensation Information, the compensation detail included in Lahey Health Shared Services, Inc. (LHSS) Form 990 for the fiscal year ended September 30, 2018 is calendar year 2017 detail. During the 2017 calendar year, Lahey Health System, Inc. and related organizations were participating employers in the Lahey Clinic 457(f) Non-Qualified Contribution Plan and the Lahey Clinic 457(b) retirement Savings Plan. Pursuant to these plans, eligible employees received certain retirement benefits and/or could defer part of their compensation. Under the definitions to this Form 990, these plans are considered supplemental non-qualified retirement plans. Amounts deferred by participants or received by participants and related to these plans are included in Form 990 Schedule J, Part II, Column B(iii), Other Reportable Compensation and/or Form 990, Schedule J, Part II, Column C, Deferred Compensation in accordance with the instructions to this Form 990. Lahey Clinic 457(f) Non-Qualified Defined Contribution Plan: For the period covered by this filing Mr. Timothy OConnor served as Executive Vice President, Chief Financial Officer, and Treasurer of the entities listed below and during the 2017 calendar year he received a $128,000 employer contribution to his 457f plan. This amount has been reported in Form 990, Schedule J, Part II, Column C, Deferred Compensation in accordance with the instructions to this Form 990. As of December 31, 2017, that amount was unvested. - Lahey Health System, Inc. - Lahey Clinic Foundation, Inc. - Lahey Clinic Hospital, Inc. - Lahey Clinic, Inc. - Lahey Health Shared Services, Inc. - Lahey Physician Community Organization I, Inc. - Northeast Hospital Corporation - Northeast Medical Practice, Inc. - Northeast Health System, Inc. - Northeast Senior Health Corporation - Northeast Professional Registry of Nurses, Inc. - Northeast Behavioral Health Corporation - CAB Health and Recovery Services, Inc. - Health and Education Housing Services, Inc. - Seacoast Nursing and Rehabilitation Center, Inc. - Addison Gilbert Society, Inc. - Winchester Healthcare Management, Inc. - Winchester Hospital - Winchester Hospital Foundation, Inc. For the period covered by this filing, Dr. Howard Grant served as President, Chief Executive Officer and Trustee (Ex-Officio) for the entities listed below. Other Reportable Compensation for Dr. Grant includes $1,570,457 related to a 457f benefit. This amount represents a retirement benefit that was earned and accrued, although not vested, over a six year period. The benefit contained a cliff vesting provision which was achieved in 2017. As required by Form 990, employer contributions for prior reporting periods were reported as deferred compensation in each previous year as accrued, even though when reported as deferred compensation the amounts were not vested. Those amounts are reported again in this filing as Other Reportable Compensation as required. - Lahey Health System, Inc. - Lahey Clinic Foundation, Inc. - Lahey Clinic Hospital, Inc. - Lahey Clinic, Inc. - Lahey Health Shared Services, Inc. - Lahey Physician Community Organization I, Inc. - Northeast Hospital Corporation - Northeast Medical Practice, Inc. - Northeast Health System, Inc. - Northeast Senior Health Corporation - Northeast Professional Registry of Nurses, Inc. - Northeast Behavioral Health Corporation - CAB Health and Recovery Services, Inc. - Health and Education Housing Services, Inc. - Seacoast Nursing and Rehabilitation Center, Inc. - Addison Gilbert Society, Inc. - Winchester Healthcare Management, Inc. - Winchester Hospital - Winchester Hospital Foundation, Inc. Lahey Clinic 457(b) Retirement Savings Plan: As noted above, Lahey Health System, Inc. and related organizations were participating employers in the Lahey Clinic 457(b) Retirement Savings Plan. During the period covered by this filing, eligible employees were entitled to defer a portion of their income pursuant to this plan. This plan is completely employee funded. Employees listed in this Form 990 Part VII and Schedule J and who participated in this plan during the 2017 calendar year are listed below with the amounts deferred. In accordance with the instructions to this Form 990, these amounts have been included in Other Reportable Income for each employee listed here. Dr. Howard Grant, see above for titles and responsible legal entities; Amount deferred $18,000 Dr. Gregory Bazylewicz, SVP Chief Network Development Officer and Physician; Amount deferred $17,073 Mr. James Thompson, SVP Philanthropy; Amount deferred $18,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The non-fixed payment bonuses reported in Schedule J, Part II, column (b)(ii) are determined by THE compensation committee, which includes 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; FINANCIAL PERFORMANCE MEASURES AND QUALITY MEASURES (such as patient satisfaction and quality of CARE).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>LHS AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE OR OFFICER IN THEIR CAPACITY AS TRUSTEE OR OFFICER. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THEIR CAPACITY OTHER THAN TRUSTEE OR OFFICER, WHICH IS LISTED ON FORM 990, PART VII, DIRECTLY FOLLOWING THE TITLE OF TRUSTEE AND/OR OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION IS LAHEY HEALTH SYSTEM, INC. ("LHS"). LHS IS IN CONTACT WITH FEDERAL AND STATE LEGISLATORS REGARDING HEALTH CARE REFORM ISSUES THAT COULD POTENTIALLY HAVE AN IMPACT ON THE ORGANIZATION AND ITS RELATED ORGANIZATIONS. POLITICAL CAMPAIGNS AND LOBBYING ACTIVITIES ARE REPORTED ON FORM 990 SCHEDULE C FILED BY LHS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV, LINE 11(F) AND SCH D, PART X, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6, 7(A) AND 7(B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION IS LAHEY HEALTH SYSTEM, INC. THE REPORTING ORGANIZATIONS MEMBER HAS, WITH RESPECT TO THE REPORTING ORGANIZATION, THE RIGHT TO EXERCISE ALL POWERS CONFERRED ON MEMBERS OF THE 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; (B) AMENDMENT OF THE ARTICLES OF ORGANIZATION; (C) AMENDENT OF THE BY-LAWS; (D) THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATIONS ASSETS; AND (E) THE MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT PREPARED THE IRS FORM 990 ALONG WITH INDEPENDENT TAX CONSULTANTS WHO SIGN THE RETURN AS A PAID PREPARER. PRIOR TO THE FILING DATE, A DRAFT OF THE IRS FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES VIA A SECURE WEBSITE. IN ADDITION, THE FINAL FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES VIA THE SAME SECURE WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12(C):</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS, TRUSTEES, KEY EMPLOYEES, PHYSICIANS AND MANAGEMENT EMPLOYEES AT ALL LEVELS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE LHS 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 HEALTH SYSTEM, INC. AND AFFILIATES; A PERSON MAY BE TOLD THAT 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 14:</FormAndLineReferenceDesc>
        <ExplanationTxt>LAHEY HEALTH SYSTEM, INC. HAS A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY KNOWN AS THE "RETENTION OF ADMINISTRATIVE AND CLINICAL DOCUMENTS" WHICH WAS APPROVED BY THE MEDICAL PRACTICE AND UTILIZATION COMMITTEE ON JULY 26, 2012.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15:</FormAndLineReferenceDesc>
        <ExplanationTxt>INDEPENDENT MEMBERS OF THE LAHEY HEALTH SYSTEM 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 THE DISQUALIFIED INDIVIDUALS AND OTHERS. THE COMMITTEE SEEKS THE ADVICE OF THE EXTERNAL COMPENSATION CONSULTANTS. COMPARABILITY DATA IS PROVIDED, ANALYZED, AND DOCUMENTED BY THE EXTERNAL CONSULTANTS. THE LHS SENIOR VP AND CHIEF HUMAN RESOURCES OFFICER PROVIDES THE COMMITTEE WITH ANY REQUESTED INFORMATION. THE COMMITTEE MET SEVERAL TIMES THIS YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 16(B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 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, LHS'S FINANCE MANAGEMENT TEAM REVIEWS ALL PROPOSED JOINT VENTURE AND PARTNERSHIP AGREEMENTS. BOTH REVIEWS TAKE PLACE BEFORE LAHEY HEALTH SYSTEM, INC. AND AFFILIATES ENTERS INTO ANY SUCH AGREEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A:</FormAndLineReferenceDesc>
        <ExplanationTxt>LAHEY HEALTH SYSTEM INC &amp; ITS AFFILIATES 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".</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, PART IX AND SCHEDULE J:</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEFIT AND PENSION EXPENSES FOR OFFICERS AND KEY EMPLOYEES OF LAHEY HEALTH SHARED SERVICES, INC. ARE PAID BY LAHEY CLINIC FOUNDATION, INC. LAHEY CLINIC FOUNDATION, INC. ALLOCATES THE AFOREMENTIONED EXPENSES TO RELATED ORGANIZATIONS. THE RELATED ORGANIZATIONS THEN REIMBURSE LAHEY CLINIC FOUNDATION, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2017, MANAGEMENT BECAME AWARE OF A MISSTATEMENT THAT RELATES TO PRIOR YEARS AND AS A RESULT, CERTAIN PRIOR YEAR AMOUNTS HAVE BEEN REVISED. THE MISSTATEMENT RELATES TO CERTAIN INTERCOMPANY ACTIVITIES DUE TO AND FROM RELATED ORGANIZATIONS. MANAGEMENT DOES NOT BELIEVE THE MISSTATEMENTS ARE MATERIAL, EITHER INDIVIDUALLY OR IN THE AGGREGATE, TO THE PRIOR PERIOD FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I:</FormAndLineReferenceDesc>
        <ExplanationTxt>LAHEY HEALTH SYSTEM AND BETH ISRAEL DEACONESS MEDICAL CENTER, MOUNT AUBURN HOSPITAL, NEW ENGLAND BAPTIST HOSPITAL, INC., SEACOAST REGIONAL HEALTH SYSTEMS, INC. (PARENT CORPORATION TO ANNA JAQUES HOSPITAL) AND BETH ISRAEL DEACONESS PHYSICIAN ORGANIZATION, LLC OFFICIALLY MERGED ON MARCH 1, 2019 AFTER RECEIVING APPROVAL FROM THE MASSACHUSETTS ATTORNEY GENERAL AND THE FEDERAL TRADE COMMISSION. EFFECTIVE MARCH 1, 2019 BETH ISRAEL LAHEY HEALTH, INC. BECAME THE SOLE MEMBER OF LAHEY HEALTH SHARED SERVICES, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line I; Part III, Line I, Organization Mission:</FormAndLineReferenceDesc>
        <ExplanationTxt>LAHEY HEALTH SHARED SERVICES, INC. (LHSS) ADMINISTRATIVELY SUPPORTS LAHEY HEALTH SYSTEM, INC. AND AFFILIATES (LHS OR ORGANIZATION) IN ITS MISSION TO PROVIDE SUPERIOR HEALTHCARE LEADING TO THE BEST POSSIBLE OUTCOME FOR EVERY PATIENT. AS ONE OF THE WORLD'S PREMIER HEALTH CARE ORGANIZATIONS, LHS AIMS TO EXCEED PATIENT'S HIGH EXPECTATIONS FOR SERVICE AND TO ADVANCE MEDICINE THROUGH RESEARCH AND THE EDUCATION OF TOMORROW'S HEALTH CARE LEADERS. IN ADDITION, LHS IS COMMITTED TO IMPROVING THE HEALTH OF AND QUALITY OF LIFE FOR COMMUNITY RESIDENTS BY SUPPORTING ORGANIZATIONS ALIGNED WITH THIS MISSION. ADMINISTRATIVE SUPPORT SERVICES PROVIDED TO LHS BY LHSS INCLUDE, BUT ARE NOT LIMITED, TO THE FOLLOWING; INFORMATION SYSTEMS, HUMAN RESOURCES, PATIENT FINANCIAL SERVICES, PAYROLL, ACCOUNTS PAYABLE, GENERAL ACCOUNTING, BUDGETING, LEGAL, PHILANTHROPY, MARKETING, COMMUNICATIONS, ETC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONSULTING FEES TOTAL FEES:2144977</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PHYSICIAN FEES TOTAL FEES:44746</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT LABOR TOTAL FEES:11226697</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICES TOTAL FEES:12685201</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:RECRUITMENT AGENCY FEES TOTAL FEES:428934</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:COLLECTION SERVICES TOTAL FEES:6334620</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:INTERPRETER SERVICES TOTAL FEES:1517</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:RECRUITMENT TOTAL FEES:828898</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:RECRUITMENT ADVERTISING FEES TOTAL FEES:668051</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:LAB QUALITY CONTROL TOTAL FEES:135</ExplanationTxt>
      </SupplementalInformationDetail>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LAHEY CLINIC INSURANCE CO LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX HM 2450</AddressLine1Txt>
          <CityNm>HAMILTON</CityNm>
          <ProvinceOrStateNm>BERMUDA</ProvinceOrStateNm>
          <CountryCd>BD</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>BD</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>LHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>FOREIGN CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PERPETUAL TRUSTS (8)</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>41 mall road</AddressLine1Txt>
          <CityNm>burlington</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01805</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SEE PART VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Trust</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>1212992</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>21349557</ShareOfEOYAssetsAmt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>REMAINDER TRUSTS (16)</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>41 mall road</AddressLine1Txt>
          <CityNm>burlington</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01805</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SEE PART VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Trust</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>341910</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>6715118</ShareOfEOYAssetsAmt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>POOLED INCOME FUNDS (3)</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>41 mall road</AddressLine1Txt>
          <CityNm>burlington</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01805</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>support</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SEE PART VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Trust</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>12695</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>900091</ShareOfEOYAssetsAmt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>northeast proprietary corporation</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>85 herrick street</AddressLine1Txt>
          <CityNm>beverly</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01915</ZIPCd>
        </USAddress>
        <EIN>042855191</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVI</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WINCHESTER HEALTHCARE ENTERPRISES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>41 HIGHLAND AVENUE</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01890</ZIPCd>
        </USAddress>
        <EIN>042932059</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WHM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WINCHESTER PHYSICIAN ASSOCIATES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>41 HIGHLAND AVENUE</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01890</ZIPCd>
        </USAddress>
        <EIN>043262963</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN SER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WHM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>see part vii</BusinessNameLine1Txt>
        </OtherOrganizationName>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE R, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>Northeast Hospital Corporation, Lahey Clinic Foundation, Inc., and Winchester Hospital, respectively, have four, three, and one perpetual trusts. The perpetual trusts are domiciled in Massachusetts, Pennsylvania, and Florida. Lahey Clinic Foundation, Inc. has sixteen remainder trusts. The remainder trusts are domiciled in Massachusetts, New Hampshire, Delaware, and New York. Lahey Clinic Foundation, Inc. has three pooled income funds, domiciled in Massachusetts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE R, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>The Lahey Health Shared Services, Inc. Philanthropy Department conducts fundraising and solicitation efforts on behalf of all entities within the Lahey Health System, Inc. family of organizations. Lahey Health System, Inc. and its related organizations, Lahey Clinic Foundation, Inc. and its related organizations, Winchester Healthcare Management, Inc. and its related organizations, Northeast Behavioral Health Corporation and its related organizations, Northeast Senior Health Corporation and its related organization, Northeast Health System, Inc. and its related organization, and Northeast Hospital CORPORATION AND ITS RELATED ORGANIZATION, PROVIDE VARIOUS CORPORATE AND OTHER SERVICES TO EACH OTHER. THE ORGANIZATIONS REIMBURSE EACH OTHER FOR EXPENSES INCURRED SUCH AS EMPLOYEE SALARIES AND BENEFITS, MATERIALS, SUPPLIES, UTILITIES, ETC. CASH IS TRANSFERRED BETWEEN THE ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>