WINCHESTER HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: WINCHESTER HOSPITAL (EIN 04-2104434)
Tax period: 2016-10-01 to 2017-09-30
Filed: 2018-08-15
IRS object ID: 201832279349301128
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-15T10:12:10-05:00	ReturnTs
Tax Period End	2017-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE INTERNATIONAL PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02110	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	042104434	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WINCHESTER HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MATTHEW J WOODSVP FINANCE	InCareOfNm
Business Name Control	WINC	BusinessNameControlTxt
Phone	7817562135	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 HIGHLAND AVENUE	AddressLine1Txt
City	WINCHESTER	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	018900000	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	TIMOTHY O'CONNOR	PersonNm
Person Title	EVP/CFO/TREASURER	PersonTitleTxt
Phone	7817562135	PhoneNum
Signature	2018-08-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEFFREY ROGERS	PreparerPersonNm
PTIN	P01074284	PTIN
Phone	6174220700	PhoneNum

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	HOWARD GRANT JD MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 MALL ROAD	AddressLine1Txt
City	BURLINGTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01805	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$294,444,057	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.winchesterhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1906	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	26	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	2828	TotalEmployeeCnt
Total Volunteers	815	TotalVolunteersCnt
Total Gross UBI	$6,479,198	TotalGrossUBIAmt
PY Contributions Grants	$258,773	PYContributionsGrantsAmt
CY Contributions Grants	$672,395	CYContributionsGrantsAmt
PY Program Service Revenue	$270,600,973	PYProgramServiceRevenueAmt
CY Program Service Revenue	$263,220,712	CYProgramServiceRevenueAmt
PY Investment Income	$21,829,664	PYInvestmentIncomeAmt
CY Investment Income	$20,877,928	CYInvestmentIncomeAmt
PY Other Revenue	$9,097,966	PYOtherRevenueAmt
CY Other Revenue	$8,752,426	CYOtherRevenueAmt
PY Total Revenue	$301,787,376	PYTotalRevenueAmt
CY Total Revenue	$293,523,461	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$146,181,012	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$147,529,711	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$126,232,292	PYOtherExpensesAmt
CY Other Expenses	$130,927,343	CYOtherExpensesAmt
PY Total Expenses	$272,413,304	PYTotalExpensesAmt
CY Total Expenses	$278,457,054	CYTotalExpensesAmt
PY Revenues Less Expenses	$29,374,072	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$15,066,407	CYRevenuesLessExpensesAmt
Total Assets BOY	$434,583,520	TotalAssetsBOYAmt
Total Assets EOY	$444,751,325	TotalAssetsEOYAmt
Total Liabilities BOY	$167,222,093	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$163,216,285	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$267,361,427	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$281,535,040	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO CARE. TO HEAL. TO EXCEL. IN SERVICE TO OUR COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$14,440,910	ExpenseAmt
Revenue	$14,938,018	RevenueAmt
Desc	OBSTETRICS SERVICES WINCHESTER HOSPITAL IS PROUD TO HAVE BEEN INVOLVED IN THE BEGINNING OF MANY NEW LIVES. RECOGNIZED AS ONE OF THE AREA'S MOST PROMINENT OBSTETRIC HOSPITALS, WINCHESTER HOSPITAL HAS over 2,000 BABIES BORN PER YEAR AT OUR MOTHER BABY UNIT. THE HOSPITAL ALSO OFFERS A SPECIAL CARE NURSERY FOR NEWBORNS IN NEED OF THE CLINICAL INTERVENTION OF A LEVEL IIB NURSERY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$16,175,639	ExpenseAmt
Revenue	$14,645,344	RevenueAmt
Desc	ORTHOPEDICS SERVICES WINCHESTER HOSPITAL PROVIDES HIGH QUALITY ORTHOPEDIC CARE IN COLLABORATION WITH WELL-TRAINED, BOARD-CERTIFIED ORTHOPEDIC SURGEONS. WE UTILIZE STATE-OF-THE-ART TECHNIQUES AND OFFER A FULL RANGE OF TREATMENTS FOR MANY DIFFERENT CONDITIONS - FROM SPORTS AND WORK-RELATED INJURIES TO MUSCULOSKELETAL DISORDERS TO JOINT DISEASES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$14,728,781	ExpenseAmt
Revenue	$15,563,011	RevenueAmt
Desc	general medicine WINCHESTER HOSPITAL SERVES THE HEALTH CARE NEEDS OF NORTHWEST SUBURBAN BOSTON, INCLUDING ANDOVER, ARLINGTON, BILLERICA, BURLINGTON, MALDEN, MEDFORD, MELROSE, METHUEN, NORTH ANDOVER, NORTH READING, READING, STONEHAM, TEWKSBURY, WAKEFIELD, WINCHESTER, WILMINGTON, AND WOBURN, AS WELL AS SEVERAL OTHER SURROUNDING COMMUNITIES	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$184,103,357	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$218,074,339	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$229,448,687	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	220	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2828	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	26	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MATTHEW J WOODSVP FINANCE	PersonNm
Phone	7817449536	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 HIGHLAND AVENUE	AddressLine1Txt
City	WINCHESTER	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01890	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JONATHAN ADLER MD
TRUSTEE/Physician	1.0	0.0	Yes (X)	$0	$18,755	$0
JAMES CONWAY
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JAMES FICOCIELLO DDS
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
ROBERT FORTUNATO MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
ERIC HAYDEN
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JANICE HOUGHTON
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
HOWARD R GRANT JD MD
Trustee/Officer/President/CEO	1.0	50.0	Yes (X)	$0	$1,089,242	$279,685	Yes (X)
ARTHUR LITTLE MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JOHN MARTINI
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
DeBORAH MCDONOUGH
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
RICHARD OCKERBLOOM
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
PETER ROTOLO MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
richard sayre
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JOSEPH TARBY iii JD
TRUSTEE/OFFICER/asst. clerk	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JOSEPH TAYLOR MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
JANE WALSH
Trustee/OFFICER/Vice Chair	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
JAMES YOUNG
TRUSTEE THROUGH 01/31/2017	1.0	0.0	Yes (X)	$0	$0	$0
MARLENE WILLIAMSON
TRUSTEE/ACNO NURSING	40.0	1.0	Yes (X)	$174,318	$0	$8,455
Dennis Begos MD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
paul andrews
TRUSTEE/officer/Chair	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Cynthia DeRosa
Trustee	1.0	0.0	Yes (X)	$0	$0	$0
Debra Govostes Ciarcia
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
DALE LODGE
OFFICER/CEO	40.0	1.0		$616,671	$0	$34,063	Yes (X)
TIMOTHY O'CONNOR
Officer/EVP/CFO & Treasurer	1.0	50.0		$0	$619,326	$185,344	Yes (X)
DAVID G SPACKMAN JD
Officer/SVP GOV AFFAIR + GEN	1.0	50.0		$0	$429,989	$52,159	Yes (X)
MATTHEW WOODS
officer/VP Fin./ASt. TREASURER	40.0	1.0		$378,843	$0	$39,902	Yes (X)
KATHY ANN SCHULER
V.P. - PATIENT CARE	40.0	0.0		$317,596	$0	$32,789		Yes (X)
William Robertson
VP & Chief Facilities Officer	1.0	40.0		$0	$324,660	$54,298		Yes (X)
ELIZABETH P CONRAD
SVP, CHIEF HR OFFICER	1.0	40.0		$0	$363,901	$57,601		Yes (X)
David W Reis
SVP Chief Info Officer	1.0	40.0		$0	$318,706	$21,834		Yes (X)
RIchard J Iseke MD
V.P. - Medical Affairs	40.0	0.0		$444,652	$0	$16,696			Yes (X)
ANNe LANG TALBOT
HUMAN RESOURCES - SPECIALIST	40.0	0.0		$336,595	$0	$3,950			Yes (X)
Mary Elizabeth Canning
Vice President through 5/31/16	40.0	0.0		$268,653	$0	$13,952			Yes (X)
RICHARD WEINER MD
VICE PRESIDENT/PHYSICIAN	40.0	0.0		$299,299	$0	$41,391			Yes (X)
NANCY SACHETTI
director of highland health ip	40.0	0.0		$225,281	$0	$37,452			Yes (X)
KEVIN SMITH
FORMER CEO	0.0	0.0		$268,426	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,330,334	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,164,579	TotReportableCompRltdOrgAmt
Total Other Compensation	$879,571	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	233	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
STRATA PATHOLOGY INC
1 CRANBERRY HILL SUITE 303	LEXINGTON	MA	02421	LABORATORY SERVICES	$468,664
NEW ENGLAND INPATIENT SPECIALISTS
136 LACONIA STREET	LEXINGTON	MA	02420	HOSPITALISTS	$860,370
SODEXO INC AFFILIATES
PO BOX 905374	CHARLOTTE	NC	28290	FOOD SERVICE	$415,286
MCKESSON INFORMATION SOLUTIONS
5995 WINWARD PARKWAY	ALPHARETTA	GA	30005	HEALTH INFORMATICS	$413,111
NAVIN HAFFTY ASSOCIATES
200 CORDWAINER DR SUITE 100	NORWELL	MA	02061	AGENCY	$400,714

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	25	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$672,395	AllOtherContributionsAmt
Noncash Contributions	$190,000	NoncashContributionsAmt
Total Contributions	$672,395	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	900009	$256,777,859	$256,777,859
OTHER PROGRAM REVENUE	900009	$6,442,853	$6,442,853

Field	Value	IRS element (for citing)
Total Program Service Revenue	$263,220,712	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,417,068	TotalRevenueColumnAmt
Exclusion	$2,417,068	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$19,381,456	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$920,596	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$18,460,860	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,460,860	TotalRevenueColumnAmt
Exclusion	$18,460,860	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
LABORATORY REVENUE	621500	$4,663,849	$4,663,849
CAFETERIA	900099	$857,600		$857,600
PEDIATRIC REVENUE	621990	$895,475	$895,475

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,335,502	TotalRevenueColumnAmt
Unrelated Business Revenue	$919,874	UnrelatedBusinessRevenueAmt
Exclusion	$1,415,628	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,752,426	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$293,523,461	TotalRevenueColumnAmt
Related Or Exempt Func Income	$263,220,712	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,479,198	UnrelatedBusinessRevenueAmt
Exclusion	$23,151,156	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,477,803	TotalAmt
Program Services	$1,477,803	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$113,331,049	TotalAmt
Program Services	$105,100,498	ProgramServicesAmt
Management And General	$8,230,551	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,093,978	TotalAmt
Program Services	$2,434,342	ProgramServicesAmt
Management And General	$659,636	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,181,071	TotalAmt
Program Services	$16,665,267	ProgramServicesAmt
Management And General	$4,515,804	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,445,810	TotalAmt
Program Services	$6,645,163	ProgramServicesAmt
Management And General	$1,800,647	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$194,457	TotalAmt
Management And General	$194,457	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,528	TotalAmt
Management And General	$1,528	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$236,988	TotalAmt
Management And General	$236,988	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$27,453,620	TotalAmt
Program Services	$22,269,850	ProgramServicesAmt
Management And General	$5,183,770	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$468,507	TotalAmt
Program Services	$352,231	ProgramServicesAmt
Management And General	$116,276	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$732,154	TotalAmt
Program Services	$576,059	ProgramServicesAmt
Management And General	$156,095	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,023,539	TotalAmt
Program Services	$3,952,520	ProgramServicesAmt
Management And General	$1,071,019	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$237,227	TotalAmt
Program Services	$186,650	ProgramServicesAmt
Management And General	$50,577	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,568,152	TotalAmt
Program Services	$2,472,741	ProgramServicesAmt
Management And General	$2,095,411	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,580,870	TotalAmt
Program Services	$8,975,225	ProgramServicesAmt
Management And General	$7,605,645	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$797,540	TotalAmt
Program Services	$514,413	ProgramServicesAmt
Management And General	$283,127	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$46,188,478	$45,794,814	$393,664
UTILITIES	$5,216,524	$4,104,361	$1,112,163
HEALTH SAFETY NET ASSESSMENT	$5,376,625		$5,376,625
OTHER NON-OPERATING	$591,910	$487,734	$104,176

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,259,224	TotalAmt
Program Services	$7,439,016	ProgramServicesAmt
Management And General	$9,820,208	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$278,457,054	TotalAmt
Program Services	$229,448,687	ProgramServicesAmt
Management And General	$49,008,367	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$37,339,666	BOYAmt
EOY	$41,480,031	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$30,000,721	BOYAmt
EOY	$26,994,112	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$11,572,118	BOYAmt
EOY	$7,746,046	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,051,946	BOYAmt
EOY	$3,054,557	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,934,912	BOYAmt
EOY	$2,832,670	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$182,444,679	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$52,721,258	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$131,208,657	BOYAmt
EOY	$129,723,421	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$165,709,699	BOYAmt
EOY	$179,023,253	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$52,765,801	BOYAmt
EOY	$53,897,235	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$434,583,520	BOYAmt
EOY	$444,751,325	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,100,424	BOYAmt
EOY	$41,845,741	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$98,780,491	BOYAmt
EOY	$95,337,242	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$3,835	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,337,343	BOYAmt
EOY	$26,033,302	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$167,222,093	BOYAmt
EOY	$163,216,285	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$244,333,389	BOYAmt
EOY	$257,011,878	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,904,100	BOYAmt
EOY	$17,192,102	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,123,938	BOYAmt
EOY	$7,331,060	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$267,361,427	BOYAmt
EOY	$281,535,040	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$434,583,520	BOYAmt
EOY	$444,751,325	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$15,066,407	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,653,710	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$346,985	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$7,107,901	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,823,910	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,100,969	InvestmentEarningsOrLossesAmt
End Year Balance	$24,924,879	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,475,805	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$651,895	InvestmentEarningsOrLossesAmt
End Year Balance	$21,823,910	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,661,535	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,185,730	InvestmentEarningsOrLossesAmt
End Year Balance	$22,475,805	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,837,955	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,823,580	InvestmentEarningsOrLossesAmt
End Year Balance	$23,661,535	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,506,178	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,331,777	InvestmentEarningsOrLossesAmt
End Year Balance	$20,837,955	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.68000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.32000	PrmnntEndowmentBalanceEOYPct

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,524,129	OtherCostOrOtherBasisAmt
Book Value	$16,524,129	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$86,404,008	OtherCostOrOtherBasisAmt
Depreciation	$16,700,652	DepreciationAmt
Book Value	$69,703,356	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,419,440	OtherCostOrOtherBasisAmt
Depreciation	$4,380,414	DepreciationAmt
Book Value	$7,039,026	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,287,457	OtherCostOrOtherBasisAmt
Depreciation	$30,493,958	DepreciationAmt
Book Value	$27,793,499	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,809,646	OtherCostOrOtherBasisAmt
Depreciation	$1,146,235	DepreciationAmt
Book Value	$8,663,411	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$129,723,421	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HELD BY TRUSTEE	$1,318,923	F
INVESTMENTS, OTHER 457B	$1,061,462	F
AWUL TEMP RESTR INVESTMENTS	$16,173,503	F
AWUL PERM RESTR INVESTMENTS	$1,790,975	F
TRUST - PERM RESTR IRREV TRUST	$4,317,909	F
LT INVESTMENTS - OTHER	$154,360,481	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$179,023,253	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (15 entries)

DescDesc	Book ValueBookValueAmt
NOTE RECEIVABLE INTERNATIONAL	$2,500,000
RESERVE- NOTE RECEIVABLE	-$2,500,000
SPLIT DOLLAR LIFE EQUITY	$4,462,316
INVESTMENT IN CAPTIVE INSURANC	$894,158
INVESTMENT IN JP-SHIELDS-ONC	$3,437,000
INVESTMENT IN JP-SHIELDS-MRI	$7,335,000
INVESTMENT IN YANKEE ALLIANCE	$3,590,783
NOTE RECEIVABLE - RHC PHYS	$145,552
CERTIFICATE OF NEED - VALUATIO	$7,000,000
CLINICAL RELATIONSHIP - BCH -	$1,282,226
TRADE NAME - VALUATION	$5,700,000
PROFESSIONAL INSURANCE RECEIVA	$10,754,189
LEASEHOLDS VALUATION	$1,791,628
INTEREST IN FOUND NET ASSETS	$3,724,383
INDEPENDENT PHYSICIAN NETWRK	$3,780,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$53,897,235	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
CURRENT PORTION LONG TERM DEBT	$3,273,349
ESTIMATED SETTLEMENT AMOUNTS D	$8,512,466
ACCRUED POSTRETIREMENT BENEFIT	$109,944
OTHER LONG TERM LIABILITIES	$5,069,052
PROFESSIONAL LIABILITY RESERVE	$9,068,491

Field	Value	IRS element (for citing)
Total Liability	$26,033,302	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2	FormAndLineReferenceDesc
Explanation	WINCHESTER HOSPITAL HAS EVALUATED ITS TAX POSITIONS AND BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,930,812	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,930,812	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,403,636	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,294,582	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,109,054	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,602,501	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,761,469	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,841,032	NetCommunityBenefitExpnsAmt
Total Expense	0.02530	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,936,949	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,056,051	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,880,898	NetCommunityBenefitExpnsAmt
Total Expense	0.04390	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,481,575	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,684,567	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,797,008	NetCommunityBenefitExpnsAmt
Total Expense	0.01030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,274	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$88,274	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,900,085	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$706,940	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,193,145	NetCommunityBenefitExpnsAmt
Total Expense	0.01180	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,060	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,860	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,502,994	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,404,707	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,098,287	NetCommunityBenefitExpnsAmt
Total Expense	0.02240	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,439,943	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,460,758	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,979,185	NetCommunityBenefitExpnsAmt
Total Expense	0.06630	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,729,510	BadDebtExpenseAmt
Bad Debt Expense Attributable	$74,590	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$54,465,525	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$69,032,691	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$14,567,166	MedicareSurplusOrShortfallAmt
Costing Methodology Used		CostingMethodologyUsedGrp
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	NOT APPLICABLE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	NOT APPLICABLE	PrimaryActivitiesTxt

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WINCHESTER HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	41 HIGHLAND AVENUE	AddressLine1Txt
City	WINCHESTER	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01890	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.WINCHESTERHOSPITAL.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
Other	ACUTE CARE FACILITY	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	WINCHESTER HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.winchesterhospital.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.winchesterhospital.org	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.winchesterhospital.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.winchesterhospital.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.winchesterhospital.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section B, Line 5, 6A, 6B	In FY16, Winchester Hospital completed a Community Health Needs Assessment in conjunction with the three other hospitals in the Lahey Health System: 1.) Lahey Hospital & Medical Center, Burlington 2.) Northeast Health System - Beverly Hospital, Beverly & Addison Gilbert Hospital, Gloucester The purpose of the CHNA is to inform and guide the hospitals selection of and commitment to programs and initiatives that address the health needs of the communities it serves. The assessment was conducted in partnership with John Snow Inc., public health consulting and research organization.
PART V, SECTION B, LINE 16I	MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY, PART V, SEC. B, LINE 14G WINCHESTER HOSPITAL PUBLICIZED ITS FINANCIAL ASSISTANCE POLICY IN BROCHURES AND PAMPHLETS.
PART V, SECTION B, LINE 22D	AMOUNTS BILLED TO INDIVIDUALS WITH NO INSURANCE, PART V, SEC. B, LINE 20D THE HOSPITAL BILLS PATIENTS WITH NO INSURANCE AND THEY SUBSEQUENTLY APPLY FOR FINANCIAL ASSISTANCE.

Field	Value	IRS element (for citing)
Facility	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
WINCHESTER HOSPITAL
1021 MAIN STREET	WINCHESTER	MA	01890	ADMIN OFFICES, BILLING, DOCTOR OFFICES
WINCHESTER HOSPITAL
200 UNICORN PARK	WOBURN	MA	01801	COMMUNITY HEALTH, MRI, BREAST CANCER CENTER
WINCHESTER HOSPITAL
620 WASHINGTON STREET	WINCHESTER	MA	01890	RADIOLOGY/ONCOLOGY SERVICES FACILITY
WINCHESTER HOSPITAL - BALDWIN PARK I
12 ALFRED STREET	WOBURN	MA	01801	COMMUNITY HEALTH INST., SLEEP CARE & ADMIN OFFICES
WINCHESTER HOSPITAL - BALDWIN PARK II
12 ALFRED STREET	WOBURN	MA	01801	BREAST CARE, IMAGING HEMOTOLOGY/ONCOLOGY LAB, PHARMACY, CHIRO
FAMILY MEDICAL SERVICES
500 SALEM STREET	WILMINGTON	MA	01887	AUDIOLOGY, OB/GYN, CARDIO-PUL, LAB, PT, URGENT CARE, PEDI
WINCHESTER HOSPITAL
262/264 W CUMMINGS PARK	WOBURN	MA	01801	LAB & HOME CARE SERVICE
WINCHESTER HOSPITAL
RUSSELL HILL BUILDING 955 MAIN STRE	WINCHESTER	MA	01890	LAB, RADIOLOGY & PHYSICAL THERAPY
WINCHESTER HOSPITAL
150 PRUDENTIAL WAY	WOBURN	MA	01801	MRI SERVICE
READING HEALTH CENTER
20 POND MEADOW DRIVE	READING	MA	01867	LAB
PATIENT SPECIMEN COLLECTION & SERV CT
3 WOODLAND ROAD	STONEHAM	MA	02180	LAB
MONTVALE DIAGNOSTIC CENTER
88 MONTVALE AVENUE	STONEHAM	MA	02180	LAB
WINCHESTER HOSPITAL
790 BOSTON POST ROAD	BILLERICA	MA	01821	LAB
WINCHESTER HOSPITAL
100 BYPASS ROAD	NORTH ANDOVER	MA	01845	LAB
WINCHESTER HOSPITAL
101 CAMBRIDGE STREET	BURLINGTON	MA	01803	LAB
WINCHESTER HOSPITAL
11 SHORE ROAD	WINCHESTER	MA	01890	LAB
WINCHESTER HOSPITAL
75 RIVERSIDE AVENUE	MEDFORD	MA	02155	LAB, WEIGHT MGMT, WOUND CARE CENTER
WINCHESTER HOSPITAL
10P COMMERCE WAY	WOBURN	MA	01801	ENDOSCOPY CENTER
WINCHESTER HOSPITAL
21 MAIN STREET	NORTH READING	MA	01864	DIAGNOSTIC CENTER
PAIN MANAGEMENT CENTER
444 WASHINGTON STREET	WOBURN	MA	01801	PAIN CLINIC CENTER
CHOATE MEDICAL CENTER
23 WARREN AVENUE	WOBURN	MA	01801	PHYSICAL THERAPY
WINCHESTER HOSPITAL
95 MAPLE STREET	STONEHAM	MA	02180	STOREROOM/WAREHOUSE

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7	Winchester Healthcare Management, Inc. Affiliates used their own cost accounting system to derive the number set forth in part I, line 7 instead of the charge to cost ratio option.
PART I, LINE 7 COL (F)	Bad debt expense of $7,270,000 was subtracted from total expenses reporting in form 990, part IX in calculating the percentage in part 1, line 7 column (F).
PART III, LINE 2	WINCHESTER HEALTHCARE AND AFFILIATES GRANT CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD PARTY ARRANGEMENTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR CATEGORIES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR CATEGORIES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THROUGHOUT THE YEAR, THE HOSPITAL, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, WILL WRITE OFF THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN ADDITION TO THE REVIEW OF THE CATEGORIES OF REVENUE, MANAGEMENT MONITORS THe WRITE OFFS AGAINST ESTABLISHED ALLOWANCES AS OF A POINT IN TIME TO DETERMINE THE APPROPRIATENESS OF THE UNDERLYING ASSUMPTIONS USED IN ESTIMATING THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS APPROXIMATES 12.3% FOR THE YEAR ENDED SEPTEMBER 30, 2017 and 12.6% FOR THE YEAR ENDED SEPTEMBER 30, 2016. WINCHESTER HEALTHCARE MANAGEMENT, INC. AND AFFILIATES UTILIZED WORKSHEET A: ESTIMATED BAD DEBT EXPENSE (AT COST) TO DETERMINE THE AMOUNT FOR SCHEDULE H, PART III, LINE 2. WINCHESTER HEALTHCARE MANAGEMENT INC. AND AFFILIATES USED NET FREE CARE PROVIDED AS A PERCENTAGE OF NET PATIENT SERVICE REVENUE TO REASONABLY ESTIMATE THE AMOUNT IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR CHARITY CARE POLICY HAD SUFFICIENT INFORMATION BEEN SUBMITTED IN ORDER TO DETERMINE ELIGIBILITY.
PART III, LINE 3	THE METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY SCHEDULE H, PART III, LINE 3 IS AS FOLLOWS:USED HEALTH SAFETY NET AS A PERCENTAGE OF NET PATIENT SERVICE REVENUE FROM THE DIVISION OF HEALTH CARE FINANCE AND POLICY 403 COST REPORT SCHEDULE VA.HEALTH SAFETY NET NET REVENUE (SCHEDULE VA LINE 52.01 COLUMN 14) OF $5,377,000, PER FY 2017 AUDITED FINANCIAL STATEMENTS, DIVIDED BY TOTAL NET PATIENT SERVICE REVENUE (SCHEDULE VA LINE 52.01 COLUMN 2) OF $261,442,000, PER AUDITED FINANCIAL STATEMENTS. THIS YIELDED A 2.0% THAT WAS MULTIPLIED BY THE BAD DEBT EXPENSE AT COST OF $3,729,510 RESULTING IN THE $74,590 APPLICABLE TO PATIENTS THAT WOULD HAVE QUALIFIED UNDER THE FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4	WINCHESTER HOSPITAL GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY ARRANGEMENTS. WINCHESTER HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITABLE CARE, REVENUE IS RECOGNIZED ON THE BASIS OF ITS STANDARD RATES (SUBJECT TO DISCOUNTS) FOR SERVICES PROVIDED. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE WINCHESTER HOSPITAL'S UNINSURED PATIENTS ARE UNABLE OR FAIL TO PAY FOR THE SERVICES PROVIDED. CONSEQUENTLY, A PROVISION FOR BAD DEBTS IS RECORDED RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.
PART III, LINE 8	ALL MEDICARE COSTS ARE ALLOCATED BY COST CENTER IN ACCORDANCE WITH MEDICARE REGULATIONS. THIS IS A SIGNIFICANT BENEFIT TO THE COMMUNITY SINCE REIMBURSEMENT FROM THE FEDERAL GOVERNMENT'S MEDICARE PROGRAM IS LESS THAN THE ACTUAL COST FOR THE HEALTHCARE SERVICES PROVIDED TO THE INDIVIDUALS RECEIVING IT.
PART III, LINE 9B	THE HOSPITAL HAS A FIDUCIARY DUTY TO SEEK REIMBURSEMENT FOR SERVICES IT HAS PROVIDED FROM INDIVIDUALS WHO ARE ABLE TO PAY, FROM THIRD-PARTY INSURERS WHO COVER THE COST OF CARE, AND FROM OTHER PROGRAMS OF ASSISTANCE FOR WHICH THE PATIENT IS ELIGIBLE. TO DETERMINE WHETHER A PATIENT IS ABLE TO PAY FOR THE SERVICES PROVIDED AS WELL AS TO ASSIST THE PATIENT IN FINDING ALTERNATIVE COVERAGE OPTIONS IF THEY ARE UNINSURED OR UNDERINSURED, THE HOSPITAL FOLLOWS THE FOLLOWING CRITERIA RELATED TO BILLING AND COLLECTIOns FROM PATIENTS. tHE HOSPITAL MAKES THE SAME REASONABLE EFFORTS AND FOLLOWS THE SAME REASONABLE PROCESS FOR COLLECTING ON BILLS OWED BY AN UNINSURED PATIENT AS IT DOES FOR ALL OTHER PATIENTS. THE HOSPITAL WILL FIRST SHOW THAT IT HAS A CURRENT UNPAID BALANCE THAT IS RELATED TO SERVICES PROVIDED TO THE PATIENT AND NOT COVERED BY A PRIVATE INSURER OR A FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL FOLLOWS REASONABLE COLLECTION/BILLING PROCEDURES, WHICH INCLUDE MULTIPLE PROGRESSIVE BILLING NOTICES THAT CONTAIN INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS, DOCUMENTATION OF CONTINUOUS BILLING EFFORTS, CHECKING THE MASSACHUSETTS ELIGIBILITY VERIFICATION SYSTEM TO ENSURE THE PATIENT IS NOT A LOW INCOME PATIENT, AND OUTSIDE COLLECTION AGENCIES.
PART VI, LINE 2, 4, 5	Purpose and Approach In FY16, Winchester Hospital completed a Community Health Needs Assessment in conjunction with the three other hospitals in the Lahey Health System: 1.) Lahey Hospital & Medical Center, Burlington 2.) Northeast Health System - Beverly Hospital, Beverly & Addison Gilbert Hospital, Gloucester The purpose of the CHNA is to inform and guide the hospitals selection of and commitment to programs and initiatives that address the health needs of the communities it serves. The assessment was conducted in partnership with John Snow Inc., public health consulting and research organization. Winchester Hospital Community Benefits Service Area: WHs community benefits investments are focused on expanding access, addressing barriers to care and improving the health status of residents living in nine cities and towns including Medford, North Reading, Reading, Stoneham, Tewksbury, Wakefield, Wilmington, Winchester and Woburn. Methodology: The CHNA was conducted in three phases, allowing Winchester Hospital to: - Compile an extensive amount of quantitative and qualitative data - Engage and involve key internal and external stakeholders - Develop a report and detailed Community Health Improvement Plan (CHIP) - Comply with all state and federal IRS community benefits requirements To ensure a comprehensive understanding of the issues, data was collected from a number of quantitative and qualitative sources. Quantitative Data Sources: - Massachusetts Community Health Information Profile (MassCHIP) - U.S. Census Bureau, American Community Survey 5-Year Estimates (2009-2013) - Behavioral Risk Factor Surveillance System (BRFSS) (2012-2013 aggregate) - CHIA Inpatient Discharges - Massachusetts Health Data Consortium (MHDC) ED Visits - MA Hospital IP Discharges (2008-2012) - MA Cancer Registry (2007-2011) - MA Communicable Disease Program (2011-2013) - MA Hospital ED Discharges (2008-2012) - Massachusetts Vital Records (2008-2012) - Massachusetts Bureau of Substance Abuse Services (BSAS) (2013) - Massachusetts Board of Health Qualitative Data Sources: In order to obtain targeted data and understand the health issues currently perceived by the community, interviews and listening sessions were conducted: - Informant interviews with external stakeholders (28 completed) - Random household surveys (1,022 completed in the WH service area) - Community listening sessions (two sessions, 100 attendees total) Public Reporting of Information: The results of the CHNA were made publicly available in various ways including on the WH website, distribution to internal and external community stakeholders and presentations to hospital leaders and staff. In addition, report out sessions for key stakeholders in each municipality WERE HELD IN FY 17. The goal of the sessions WAS to present the findings of the CHNA and to engage them in discussion to gain better understanding of their perceptions of the current health needs, social determinants of health, barriers to care in their communities and discuss potential opportunities for collaboration. Addressing the Identified Needs: In response to the priority health needs identified in the 2016 CHNA, WH developed a three year Community Health Improvement Plan (CHIP). The CHIP was developed with input from the Winchester Hospital Community Benefits Advisory Board and approved by the Winchester Hospital board of directors. In addition, feedback from community report out sessions was taken into consideration when developing the plan. The community benefits programs offered in FY17 were designed to address the priority health needs identified in the 2016 CHNA, along with the FY17 Massachusetts Statewide Health Priorities identified by the Executive Office of Health and Human Services. Priority Health Issues Identified in FY16 CHNA: - Behavioral Health/Substance Abuse - Elder Health Socialization, Isolation, Depression, Falls Prevention - Wellness/Chronic Disease Prevention & Management - Cancer Prevention, Management and Support FY17 Statewide Health Priorities: - Address Unmet Health Needs of the Uninsured - Chronic Disease Management in Disadvantaged Populations - Promoting Wellness of Vulnerable Populations - Reducing Health Disparities - Supporting Health Care Reform FY17 Key Community Benefit Programs & Outcomes: In collaboration with various community partners, listed below are some of the key programs WH provided in FY17: I. Behavioral Health/Substance Use: - Substance Use Disorder Community Outreach Initiative - Winchester Hospital worked collaboratively with community partners to develop and execute a variety of programs to address substance use prevention, early identification, recovery and support. Winchester Hospital staff members also participated in local and regional substance abuse coalitions and task forces whose missions are to develop strategies to prevent substance abuse, reduce stigma, eliminate barriers to treatment and improve access to care. - Boys & Girls Club Screening, Brief Intervention, Referral to Treatment - This program utilizes an innovative approach to screening and identifying youths who have or are at risk for developing mental health and substance use disorders, and providing intervention as early as possible. Administering the program onsite at the Boys & Girls Club provides a non-authoritarian, safe environment resulting in more natural, open and honest dialogue between the staff members and the participant. In FY17 240 youths were screened, resulting in 23 referrals to treatment or counseling. - Middlesex County Youth Risk Behavior Survey - Lahey Health, in collaboration with the Middlesex League Superintendents, supported the development of an online Youth Risk Behavior Survey that included district and regional level reports. The data will be used to continue collaboration with the school districts in Middlesex County to help address disparities and needs from the survey. II. Elder Health: - "Aging on Your Own Terms" Senior Outreach Initiative - Winchester Hospital partnered with local senior centers to provide free health education programs and social events to 1,825 seniors in Winchester Hospitals service area. The health issues addressed in the educational programs included cancer prevention, detection and management; sleep disorders; reducing isolation and financial insecurity. - Fall Prevention Awareness Campaign: Winchester Hospital collaborated with community partners in Stoneham, Winchester and Woburn to implement a Falls Prevention Campaign to create awareness about the health impact of falls, and provide tools and strategies to help reduce the risk of falling. The outreach efforts included distribution of educational information, falls risk booklets, and home safety lights to increase safety in poorly lit areas of the home. In addition, participants completed a home safety assessment to reinforce the messaging of the presentations. More than 600 older adults participated. - Mount Vernon House Lifeline Program - Winchester Hospital provided the Lifeline Personal Emergency Response System for free to 12 area seniors requiring financial assistance to help keep them safer at home and ensure they get immediate medical attention if needed. - Mount Vernon House Resident Health Program - Winchester Hospital provided acupuncture and massage therapy at no cost to nearly 1,000 residents at the Mount Vernon House and to Winchester residents over the age of 68 to help relieve chronic pain and improve their health status. III. Wellness / Chronic Disease Prevention & Management: - Chronic Disease Management Program - In FY17, 914 adults with chronic diseases participated in the Chronic Disease Management Program, a program designed to help adults with chronic diseases learn to manage and improve their health. - CHAMP (Community and Hospital Asthma Management Program) - CHAMP incorporates a team approach proven to help children with asthma manage the condition more effectively. The team consists of family members, caregivers, the childs pediatrician and/or primary care physician, clinical staff from Winchester Hospital, the childs school nurse, child care personnel, classroom teachers, and anyone in a position to advise the child and the childs parents about his/her asthma management (scout leaders, athletic coaches, music teachers, etc.). The goal of the program is to reduce emergency department visits for pediatric asthma patients by ensuring effective control of the disease through treatment and through education of patients, families, physicians and other health professionals. In FY17 115 children participated in the program. - School-Based Diabetes Education Program - Recognizing that school personnel play a critical role in helping students manage their diabetes, the diabetes nurse educator from Winchester Hospitals Center for Healthy Living developed and facilitated educational sessions in schools throughout the hospitals service area to help optimize care of the student wi
PART VI, LINE 3 - PATIENT EDUCATION	PATIENTS IN NEED OF FINANCIAL ASSISTANCE ARE REFERRED TO THE HOSPITAL'S DEDICATED PATIENT FINANCIAL SERVICES ACCOUNT REPRESENTATIVE THAT PROVIDES FINANCIAL ASSISTANCE COUNSELING. THE REPRESENTATIVE PROVIDES PATIENTS WITH INFORMATION ON THE AVAILABLE PROGRAMS AND ASSISTS PATIENTS THROUGHOUT THE APPLICATION PROCESS, INCLUDING COMPLETION OF REQUIRED FORMS TO DETERMINE ELIGIBILITY.
PART VI, LINE 6 - AFFILIATED SYSTEM	WINCHESTER HOSPITAL OFFICIALLY AFFILIATED WITH LAHEY HEALTH SYSTEM ON JULY 1, 2014 AND IN CONJUNCTION WITH LAHEY HEALTH SYSTEM, INC. ASSESSES HOW BEST TO MEET THE NEEDS OF THE COMMUNITIES IT SERVES.
PART VI, LINE 7 - STATE FILING	WINCHESTER HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MASSACHUSETTS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt
HOWARD R GRANT JD MD
Trustee/Officer/President/CEO	$1,047,242	$42,000	$248,978	$30,707	$1,368,927
DALE LODGE
OFFICER/CEO						$477,865	$138,806	$12,515	$21,548	$650,734
TIMOTHY O'CONNOR
Officer/EVP/CFO & Treasurer	$579,748	$39,578	$156,600	$28,744	$804,670
KEVIN SMITH
FORMER CEO							$268,426			$268,426
DAVID G SPACKMAN JD
Officer/SVP GOV AFFAIR + GEN	$412,789	$17,200	$28,978	$23,181	$482,148
MATTHEW WOODS
officer/VP Fin./ASt. TREASURER						$363,200	$643	$10,101	$29,801	$418,745	$15,000
MARLENE WILLIAMSON
TRUSTEE/ACNO NURSING						$171,926	$2,392	$6,919	$1,536	$182,773
RIchard J Iseke MD
V.P. - Medical Affairs						$439,204	$5,448	$11,631	$5,065	$461,348
KATHY ANN SCHULER
V.P. - PATIENT CARE						$299,926	$17,670	$10,241	$22,548	$350,385
ANNe LANG TALBOT
HUMAN RESOURCES - SPECIALIST						$194,841	$141,754		$3,950	$340,545
Mary Elizabeth Canning
Vice President through 5/31/16						$141,110	$127,543	$4,966	$8,986	$282,605
William Robertson
VP & Chief Facilities Officer	$243,178	$16,482	$25,595	$28,703	$378,958							$65,000
RICHARD WEINER MD
VICE PRESIDENT/PHYSICIAN						$296,468	$2,831	$10,600	$30,791	$340,690
NANCY SACHETTI
director of highland health ip						$222,858	$2,423	$9,211	$28,241	$262,733
ELIZABETH P CONRAD
SVP, CHIEF HR OFFICER	$341,701	$22,200	$28,978	$28,623	$421,502
David W Reis
SVP Chief Info Officer	$273,180	$17,901	$18,830	$3,004	$340,540							$27,625

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 4A-4B	LHS AND ITS RELATED ORGANIZATIONS HAVE EMPLOYMENT AGGREEMENTS THAT CONTAIN SEVERANCE, TRANSITION AND SEPARATION (OR A COMBINATION THEREOF) PAYMENT PROVISIONS. THE FOLLOWING INDIVIDUALS RECEIVED SUCH PAYMENTS: KEITH SMITH $268,426 ANNE LANG TALBOT $141,754 MARY ELIZABETH CANNING $127,139 LHS AND ITS RELATED ORGANIZATIONS MAINTAIN A 457F AND 457B NONQUALIFIED DEFERRED COMPENSATION PLAN AND A SPLIT DOLLAR LIFE INSURANCE PLAN FOR CERTAIN PHYSICIANS, EXECUTIVE MANAGEMENT AND DEFINED MEDICAL STAFF. THE PLANS OFFER PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF COMPENSATION IN ADDITION TO THEIR SALARIES. FOR THE CURRENT PERIOD, THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457F NONQUALIFIED DEFERRED COMPENSATION PLAN AND/OR THE SPLIT DOLLAR LIFE INSURANCE PLAN: HOWARD R. GRANT $220,000 TIMOTHY O'CONNOR $121,600 DALE LODGE $ 87,233
PART I, LINE 7	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).
PART I, LINE 3	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.
PART II	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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MASSACHUSETTS HEALTH AND ED FACILITIES AUTHORITY
A	042456011	57586EWC1	2010-09-09	$79,047,442	SERIAL BOND SERIES H - REFUND	false	false	false
MASSACHUSETTS HEALTH AND ED FACILITIES AUTHORITY
B	042456011	57586CDD4	2004-07-08	$30,340,000	SERIAL obnd SERIES F - ADV. REFUND	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$5,902,442	$0	$79,047,442	$0	$0	$25,510,784	$1,148,365	$0	$0	$52,388,293	$0	$0	2012	false	Yes (true)	Yes (true)	Yes (true)
B	$0	$0	$30,340,000	$0	$0	$29,927,552	$412,448	$0	$0	$0	$0	$0		false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd
0
A	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)
Morgan Stanley
B	Yes (true)				Yes (true)	Yes (true)	0	false	Yes (true)	20.	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	UMS NE LITHOTRIPSY	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	A. LITTLE, OWNER, I	RelationshipDescriptionTxt
Transaction	$95,000	TransactionAmt
Transaction	LASER LITHO	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: UMS NE LITHOTRIPSY (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: A. LITTLE, OWNER, IS A DIRECTOR OF WINCHESTER HOSPITAL (D) DESCRIPTION OF TRANSACTION: LASER LITHOTRIPSY SERVICES	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp

Real Estate Commercial RealEstateCommercialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$190,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Appraisal	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION	WINCHESTER HOSPITAL IS COMMITTED TO BENEFITTING ALL OF THE COMMUNITIES WE SERVE BY COLLABORATING WITH COMMUNITY PARTNERS TO IDENTIFY HEALTH NEEDS AND IMPROVE THE HEALTH STATUS OF THE COMMUNITY RESIDENTS.
FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES	PROVIDING CARE IN MAJOR CLINICAL CATEGORIES INCLUDING MEDICINE, SURGERY, PEDIATRICS, OBSTETRICS/GYNECOLOGY AND A LEVEL IIB SPECIAL CARE NURSERY, WINCHESTER HOSPITAL IS THE LEADING PROVIDER IN SUCH IMPORTANT SUBSPECIALTIES AS CARDIOLOGY, PULMONARY MEDICINE, ONCOLOGY, GASTROENTEROLOGY, ORTHOPEDICS, REHABILITATION, RADIATION ONCOLOGY AND PAIN MANAGEMENT. EXPENSES $184,103,357. INCLUDING GRANTS OF $0. REVENUE $229,448,687.
FORM 990, PART VI, SECTION A, LINE 2	MATTHEW WOODS, JOSEPH R. TARBY III, AND JAMES FICOCIELLO HAVE A BUSINESS RELATIONSHIP. THEY ARE OFFICERS/DIRECTORS OF WINCHESTER HOSPITAL AND ALSO OFFICERS/DIRECTORS OF RELATED FOR PROFIT ENTITY WINCHESTER HEALTHCARE ENTERPRISES, INC. DALE M. LODGE, MATTHEW WOODS, AND ROBERT FORTUNATO HAVE A BUSINESS RELATIONSHIP. THEY ARE OFFICERS/DIRECTORS OF WINCHESTER HOSPITAL AND ALSO OFFICERS/DIRECTORS OF RELATED FOR PROFIT ENTITY WINCHESTER PHYSICIANS ASSOCIATES, INC.
FORM 990, PART VI, SECTION A, LINE 8B	WINCHESTER HOSPITAL DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11	MANAGEMENT PREPARED THE IRS FORM 990 ALONG WITH INDEPENDENT TAX CONSULTANTS WHO SIGN THE RETURN AS A PAID PREPARER. EXECUTIVE MANAGEMENT REVIEWED AND PRESENTED A DRAFT OF THE IRS FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE LAHEY HEALTH SYSTEM, INC. BOARD OF TRUSTEES. PRIOR TO THE FILING DATE, A DRAFT OF THE IRS FORM 990 AND THE FINAL IRS FORM 990 WERE BOTH PROVIDED TO THE ENTIRE BOARD OF TRUSTEES BEFORE THE FILING DATE VIA A SECURED WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12C	SEMI-ANNUAL AUDIT AND COMPLIANCE COMMITTEE REVIEWS COMPILED CONFLICT OF INTEREST REPORT FROM LEGAL SERVICES QUESTIONNAIRES SENT TO ALL AFFILIATES, DIRECTORS, AND TRUSTEES. THE CHAIR OF THE AUDIT/COMPLIANCE COMMITTEE, IN COOPERATION WITH THE COMPLIANCE OFFICER, SHALL CONDUCT THE INITIAL REVIEW OF ANY POTENTIAL CONFLICTS OF INTEREST IDENTIFIED IN THE DISCLOSURES AND SHALL ADOPT A FINDING THAT THE ACTIVITY RAISING THE POTENTIAL CONFLICT OF INTEREST: SHOULD BE PERMITTED UNDER THE POLICY; SHOULD BE PERMITTED WITH MODIFICAION OR OVERSIGHT; IF UNDERTAKEN, WILL REQUIRE THE DIRECTOR, OR COMPLIANCE OFFICER TO ABSTAIN FROM PARTICIPATING IN GOVERNANCE/MANAGEMENT ACTIVITIES RELATED TO THE ACTIVITY; OR SHOULD NOT BE UNDERTAKEN. UPON FINAL DISPOSITION OF THE POTENTIAL CONFLICT, THE RESULTS OF THE REVIEW SHALL BE REPORTED TO THE AFFECTED LEADER. THE AUDIT/COMPLIANCE COMMITTEE SHALL PROVIDE AN ANNUAL REPORT OF ITS REVIEW TO THE BOARD OF DIRECTORS OF WINCHESTER. THE BOARD OF DIRECTORS OF WINCHESTER SHALL, UPON WRITTEN REQUEST OF THE MEMBER OF THE BOARD OF DIRECTORS OR THE COMPLIANCE OFFICER, REVIEW A FINDING OF THE AUDIT/COMPLIANCE COMMITTEE. THE BOARD OF DIRECTORS OF WINCHESTER SHALL EITHER REAFFIRM OR REVIEW THE FINDING AND SHALL REPORT SUCH FINDING TO THE AUDIT/COMPLIANCE COMMITTEE AND TO THE LEADER. THIS CONFLICT OF INTEREST POLICY SHALL BE REVIEWED ANNUALLY BY AND ON BEHALF OF WINCHESTER AND ITS AFFILIATES.
FORM 990, PART VI, SECTION B, LINE 15	WINCHESTER HOSPITAL OFFICER SALARIES AND BENEFITS ARE PAID AND DETERMINED UNDER THE COMPENSATION POLICIES WHICH INCLUDES THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE THAT IS INDEPENDENT OF MANAGEMENT AND FREE OF ANY CONFLICTS OF INTEREST THAT WOULD INTERFERE WITH THE EXERCISE OF THEIR INDEPENDENT JUDGMENT REVIEWS COMPARABILITY DATA PROVIDED BY AN INDEPENDENT EXTERNAL CONSULTANT, LAL ASSOCIATES INC., TO ESTABLISH COMPENSATION. ALL COMPENSATION DECISIONS ARE DOCUMENTED CONCURRENTLY UPON MAKING THE DECISION.
FORM 990, PART VI, SECTION C, LINE 19	WINCHESTER HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.
FORM 990, PART VII, SECTION B, LINE 1 & 2:	LAHEY HEALTH SHARED SERVICES, INC. ("LHSS") COMPENSATES (PROCESSES PAYMENT) ALL INDEPENDENT CONTRACTORS (VENDORS) ON BEHALF OF THE LAHEY HEALTH SYSTEM, INC. FAMILY OF ORGANIZATIONS. UNDER ITS TAX ID NUMBER, LHSS ISSUES FORM 1099 TO THE INDEPENDENT CONTRACTORS. IN ADDITION, IT SUBMITS THE SAME INFORMATION TO THE INTERNAL REVENUE SERVICE. THE LAHEY HEALTH SYSTEM INC. FAMILY OF ORGANIZATIONS REIMBUSES LHSS FOR ALL VENDOR PAYMENTS MADE EITHER DIRECTLY OR INDIRECTLY ON THEIR BEHALF.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS	TRANSFER OF Net Assets: $2,947,351 Indirect Public Support: $1,316,420 Change in interest of Foundation - temp ($397,587) Change in interest of Foundation - perm $951,449 Change in valuation of Swaps (Net Assets) $2,034,596 Other changes in trust $255,672 Total: $7,107,901
FORM 990, PART XI, LINE 8	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 AGGREGATE, TO THE PRIOR PERIOD FINANCIAL STATEMENTS.
FORM 990, PART IV, LINE 4	LAHEY HEALTH SYSTEM, INC. IS IN CONTACT WITH FEDERAL AND STATE LEGISLATORS REGARDING HEALTH CARE REFORM ISSUES THAT WOULD POTENTIALLY HAVE AN IMPACT ON THE ORGANIZATION AND ITS RELATED ORGANIZATIONS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
lahey clinic hospital inc
41 mall road	burlington	MA	01805	042704686	healthcare	MA	501(C) (3)	3	lcf	false
lahey clinic inc
41 mall road	burlington	MA	01805	042704683	healthcare	MA	501(C) (3)	10	lcf	false
lahey health shared services inc
41 mall road	burlington	MA	01805	043178972	ADMIN SUPPORT	MA	501(C) (3)	10	LHS	false
northeast health system inc
85 herrick street	beverly	MA	01915	043240453	support	MA	501(C) (3)	12C	lhs	false
northeast behavioral health corporaTION
199 ROSEWOOD DRIVE SUITE 250	DANVERS	MA	01923	042777145	HEALTHCARE	MA	501(C) (3)	7	LHS	false
HES HOUSING SERVICES INC
199 ROSEWOOD DRIVE SUITE 250	DANVERS	MA	01923	223232914	HUD HOUSING	MA	501(C) (3)	10	NBH	false
NORTHEAST HOSPITAL CORPORATION
85 HERRICK STREET	BEVERLY	MA	01915	042121317	HEALTHCARE	MA	501(C) (3)	3	LHS	false
NORTHEAST MEDICAL PRACTICE
85 HERRICK STREET	BEVERLY	MA	01915	043201853	HEALTHCARE	MA	501(C) (3)	10	NHC	false
SEACOAST NURSING & REHABILITATION CENTER
300 WASHINGTON STREET	GLOUCESTER	MA	01930	041305001	HEALTHCARE	MA	501(C) (3)	10	LHS	false
NORTHEAST PROFESSIONAL REGISTRY OF NURSE
800 CUMMINGS CENTER	BEVERLY	MA	01915	201287349	HEALTHCARE	MA	501(C) (3)	10	NSH	false
NORTHEAST SENIOR HEALTH CORPORATION
85 HERRICK STREET	BEVERLY	MA	01915	042731137	HEALTHCARE	MA	501(C) (3)	10	LHS	false
CAB HEALTH & RECOVERY SERVICES
199 ROSEWOOD DRIVE SUITE 250	DANVERS	MA	01923	042400270	SUBSTANCE ABU	MA	501(C) (3)	10	NBH	false
LAHEY HEALTH SYSTEM INC
41 MALL ROAD	BURLINGTON	MA	01805	611665701	SUPPORT	MA	501(C) (3)	12C	NA	false
WINCHESTER HOSPITAL FOUNDATION INC
41 HIGHLAND AVENUE	WINCHESTER	MA	01890	043399570	SUPPORT	MA	501(C) (3)	12A	WHM	false
WINCHESTER HEALTHCARE MANAGEMENT INC
41 HIGHLAND AVENUE	WINCHESTER	MA	01890	222701817	MANAGEMENT	MA	501(C) (3)	12A	LHS	false
WINCHESTER COMMUNITY ACCOUNTABLE CARE
41 HIGHLAND AVENUE	WINCHESTER	MA	01890	223137856	ACO	MA	501(C) (3)	12A	WHM	false
LAHEY CLINIC FOUNDATION
41 MALL ROAD	BURLINGTON	MA	01805	042323457	SUPPORT	MA	501(C) (3)	7	LHS	false
ADDISON GILBERT SOCIETY INC
41 MALL ROAD	BURLINGTON	MA	01805	464371382	SUPPORT	MA	501(C) (3)	12A	LHS	false
VISITING NURSE ASSOC OF MIDDLESEX-EAST
607 NORTH AVENUE	WAKEFIELD	MA	01880	046151873	HEALTHCARE	MA	501(C) (3)	9	LHS	false
COMMUNITY CARE INC
607 NORTH AVENUE	WAKEFIELD	MA	01880	900396973	HEALTHCARE	MA	501(C) (3)	10	LHS	false
LAHEY PHYSICIAN COMMUNITY ORGANIZATION I
41 MALL ROAD	BURLINGTON	MA	01805	472248298	HEALTHCARE	MA	501(C) (3)	12A	LHS	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Radiation Therapy of Winchester
700 congress Street	Quincy	MA	02169	205330549	CANCER CENTER	MA	related	$643,000	$1,417,000	false	false	0.50000
Winchester Shields MRI Services LLC
700 congress Street	Quincy	MA	02169	462523117	MRI Services	MA	related	$2,957,500	$8,703,800	false	false	0.70000
Yankee Alliance LLC
138 RIVER ROAD	ANDOVER	MA	01810	300486661	SUPPLY CHAIN	MA	related	$1,132,604	$2,491,383	false	false	0.16670
BluePoint LLC
138 RIVER ROAD	ANDOVER	MA	01810	474242622	SUPPLY CHAIN	MA	unrelated	-$185,041	$175,580	false	false	0.16670

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	EINEIN	OwnershipOwnershipPct
lahey clinic insurance co ltd
po box hm 2450	HAMILTON	BERMUDA	BD	insurance	BD	LHS	FOREIGN CORP
perpetual trusts (8)
				support		see part VII	Trust	41 mall road	burlington	MA	01805	MA	$1,033,541	$21,148,142	false
remainder trusts (18)
				support		see part VII	Trust	41 mall road	burlington	MA	01805	MA	$94,753	$6,990,842	false
pooled income funds (3)
				support		see part VII	Trust	41 mall road	burlington	MA	01805	MA	$106,635	$825,972	false
northeast proprietary corporation
				MEDICAL SERVI		NHS	C Corp	85 herrick street	beverly	MA	01915	MA			false	042855191
WINCHESTER PHYSICIAN HOSPITAL ORG
				PHYS HOSP ORG		WHM	C CORP	41 HIGHLAND AVENUE	WINCHESTER	MA	01890	MA			false	472646454	1.00000
WINCHESTER HEALTHCARE ENTERPRISES INC
				BILLING SERVI		WHM	C CORP	41 HIGHLAND AVENUE	WINCHESTER	MA	01890	MA			false	042932059	1.00000
WINCHESTER PHYSICIAN ASSOCIATES INC
				MD PRACTICES		WHM	C CORP	41 HIGHLAND AVENUE	WINCHESTER	MA	01890	MA			false	043262963	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

FORM 990, SCHEDULE R, PART IV

Northeast Hospital Corporation, Lahey Clinic Foundation, 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 eighteen remainder trusts. The remainder trusts are domiciled in Massachusetts, New Hampshire, Delaware WISCONSIN, AND NEW YORK. Lahey Clinic Foundation, Inc. has three pooled income funds, domiciled IN MASSACHUSETTS.

FORM 990, SCHEDULE R, PART V

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.