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LAHEY CLINIC FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LAHEY CLINIC FOUNDATION INC (EIN 04-2323457)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-15
IRS object ID
201342279349303724
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-15T15:36:49-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 High StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042323457EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lahey Clinic Foundation IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% TIMOTHY O'CONNORInCareOfName
Name ControlLAHENameControl
Phone7817445100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line141 Mall RoadAddressLine1
CityBurlingtonCity
StateMAState
ZIP Code018050001ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIM O'CONNORName
TitleTREASURER/EVP/CFOTitle
Date Signed2013-08-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHoward R Grant JD MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line141 MALL ROADAddressLine1
CityBURLINGTONCity
StateMAState
ZIP Code018050001ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5970051GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.lahey.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees600TotalNbrEmployees
Total Nbr Volunteers34TotalNbrVolunteers
Total Gross UBI-294355TotalGrossUBI
Net Unrelated Business Txbl Income-300265NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2768044ContributionsGrantsPriorYear
Contributions Grants Current Year3285682ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year4236488InvestmentIncomePriorYear
Investment Income Current Year2677299InvestmentIncomeCurrentYear
Other Revenue Prior Year8134OtherRevenuePriorYear
Other Revenue Current Year7070OtherRevenueCurrentYear
Total Revenue Prior Year7012666TotalRevenuePriorYear
Total Revenue Current Year5970051TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2793488SalariesEtcPriorYear
Salaries Etc Current Year3029412SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year28666TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY141000TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year4454805TotalFundrsngExpCurrentYear
Other Expense Prior Year1743096OtherExpensePriorYear
Other Expenses Current Year1885452OtherExpensesCurrentYear
Total Expenses Prior Year4565250TotalExpensesPriorYear
Total Expenses Current Year5055864TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2447416RevenuesLessExpensesPriorYear
Revenues Less Expenses CY914187RevenuesLessExpensesCY
Total Assets BOY676307327TotalAssetsBOY
Total Assets EOY685716006TotalAssetsEOY
Total Liabilities BOY353705642TotalLiabilitiesBOY
Total Liabilities EOY332955737TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY322601685NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY352760269NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionLAHEY CLINIC FOUNDATION, INC., (FOUNDATION) IS THE SOLE CORPORATE MEMBER OF LAHEY CLINIC HOSPITAL, INC. (HOSPITAL), LAHEY CLINIC, INC. (CLINIC) AND LAHEY CLINIC AFFILIATED SERVICES, INC. (LCAS). THE FOUNDATION HOLDS CAPITAL ASSETS, INVESTMENTS, DEBT, AND INFRASTRUCTURE COSTS TO PROVIDE ASSISTANCE TO THE HOSPITAL AND CLINIC FOR THE PROVISION OF PATIENT HEALTH CARE SERVICES, PATIENT EDUCATION, COMMUNITY BENEFITS AND COMMUNITY SERVICE PROGRAMS, CONTINUING EDUCATION OF HEALTH CARE PROVIDERS, AS WELL AS HEALTH CARE RESEARCH ACTIVITIES. PHILANTHROPIC EFFORTS, ALSO IN SUPPORT OF THE HOSPITAL AND CLINIC, ARE CARRIED OUT BY THE FOUNDATION.Description
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArttrueCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096195NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees600NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Name Of Foreign CountryCANameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledARStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCOStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMOStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNMStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledRIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTIMOTHY O'CONNORNamePerson
Telephone Number7817445100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line141 MALL ROADAddressLine1
CityBurlingtonCity
StateMAState
ZIP Code018050001ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (39 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Howard R Grant JD MD
TRUSTEE/PRESIDENT/CEO8.0XX960934084545
John A Libertino MD
TRUSTEE/CHAIR DEPT OF UROLOGY1.0X081306039384
Richard W Nesto MD
TRUSTEE/EVP/CMOO/PHYSICIAN20.0X5959700101415
Roger L Jenkins MD
TRUSTEE/PHYSICIAN1.0X059213849628
Richard S D'Agostino MD
TRUSTEE/CHAIR DEPT CARDIO SURG1.0X052901352842
Judith A Melin MD
TRUSTEE UNTIL7/16/12/ASSC CQSO20.0X032746730355
Carl A Soderland MD
TRUSTEE UNTIL 07/16/12 /CHAIR1.0X038991736436
Andrew G Villanueva MD
TRUSTEE/CMO CLINIC/PHYSICIAN1.0X032704537548
Betsey Crawford MD
TRUSTEE START 7/16/12/PHYSICIA1.0X018757212386
Arthur P Mourtzinos MD
TRUSTEE START 7/16/12/PHYSICIA1.0X040320143266
Rebecca C Yang MD
TRUSTEE START 7/16/12/PHYSICIA1.0X034432241513
Irving E Rogers III
TRUST/CHAIR/CLERK UNTIL7/16/122.0XX000
Eric M Bailey
TRUSTEE1.0X000
Craig R Benson
TRUSTEE1.0X000
Ann Marie Connolly
TRUSTEE1.0X000
Jerald G Fishman
TRUSTEE UNTIL 7/16/121.0X000
James W Henderson
TRUST/VICE CHAIR UNTIL 7/16/122.0XX000
James D Irving
TRUSTEE1.0X000
Charles M Leighton
TRUSTEE UNTIL 7/16/121.0X000
Peter J Manning
TRUSTEE UNTIL 7/16/121.0X000
J William Poduska
TRUSTEE1.0X000
Windle B Priem
TRUSTEE1.0X000
James A Radley
TRUSTEE UNTIL 7/16/121.0X000
Robert L Reynolds
TRUSTEE UNTIL 7/16/121.0X000
Michael C Ruettgers
TRUSTEE/CHAIR OF BOARD2.0XX000
Carolyn Ain
TRUSTEE START 7/16/121.0X000
Jane C Edmonds
TRUSTEE START 7/16/121.0X000
Edward Eskandarian
TRUSTEE START 7/16/121.0X000
David G Spackman
CLERK START 7/16/12 /GEN COUNS8.0X000
Timothy O'Connor
OFFICER/TREASURER/EVP/CFO8.0X6835810159274
Joan M Robbio
CHIEF HUMAN RESOURCES OFFICER40.0357894026290X
Kathleen S Jose
CHIEF NURSING OFFICER40.0311548027198X
Bruce A Metz
CHIEF INFORMATION OFFICER40.0024163223880X
Phillips Axten
CORPORATE COMPLIANCE OFFIC LHS40.0347086044783X
Peter R Lloyd
VP. CORPORATE FINANCE40.0305204036728X
Theorn Bradley
VP. HUMAN RESOURCES COMPENSATI40.0278919048659X
Allen S Danis
VICE PRESIDENT CONTRACTING40.0291896019693X
Joseph C Corkery
PHYSICIAN39.0470778077279X
David M Barrett MD
FORMER TRUSTEE/PRESIDENT/CEO0.013886620200000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5992472TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4155367TotalReportableCompFrmRltdOrgs
Total Other Compensation1193102TotalOtherCompensation
Number Individuals GT100 K89NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ECLIPSYS SOLUTIONS CORP
PO BOX 8538-0133PHILADELPHIAPA191710133ELECT. HEALTH SYSTEM4162082
DELOITTE CONSULTING LLP
PO BOX 7247-6447PHILADELPHIAPA191706447CONSULTING2073831
MEDMATICA CONSULTING ASSOC INC
18 BARRINGTON LANECHESTER SPRINGSPA19425CONSULTING1902406
AMERICAN PERSONNEL HEALTHCARE SERVI
133 FEDERAL STREETBOSTONMA02110PROF. STAFFING SERV.1623589
THE OUTSOURCE GROUP
7 AUDUBON ROADWAKEFIELDMA018801248PROF. BILLING AGENCY1046182
FieldValueIRS element (for citing)
Number Of Contractors GT100 K36NumberOfContractorsGT100K
All Other Contributions3285682AllOtherContributions
Total Contributions3285682TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1873513TotalRevenueColumn
Unrelated Business Revenue1880UnrelatedBusinessRevenue
Exclusion$1,871,633ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column50TotalRevenueColumn
Exclusion$50ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities75947Securities
Other727789Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities75947Securities
Other727789Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column803736TotalRevenueColumn
Unrelated Business Revenue-296235UnrelatedBusinessRevenue
Exclusion$1,099,971ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column7070TotalRevenueColumn
Exclusion$7,070ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7070TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5970051TotalRevenueColumn
Unrelated Business Revenue-294355UnrelatedBusinessRevenue
Exclusion$2,978,724ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total27537Total
Management And General27537ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total22166Total
Management And General22166ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2258637Total
Management And General171244ManagementAndGeneral
Fundraising2087393Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total331110Total
Management And General31005ManagementAndGeneral
Fundraising300105Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total229611Total
Management And General21110ManagementAndGeneral
Fundraising208501Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total160351Total
Management And General14102ManagementAndGeneral
Fundraising146249Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total29209Total
Management And General3763ManagementAndGeneral
Fundraising25446Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2456Total
Management And General2456ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total141000Total
Fundraising141000Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total69410Total
Fundraising69410Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total367931Total
Management And General43352ManagementAndGeneral
Fundraising324579Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total8340Total
Management And General8340ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total549365Total
Management And General15649ManagementAndGeneral
Fundraising533716Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total39809Total
Management And General39809ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total340474Total
Management And General8192ManagementAndGeneral
Fundraising332282Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total19747Total
Management And General1547ManagementAndGeneral
Fundraising18200Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total6829Total
Management And General6829ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total136502Total
Management And General118300ManagementAndGeneral
Fundraising18202Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total6564Total
Management And General6564ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES36333
GENERAL SUPPLIES30878059061249719

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5055864Total
Program Services0ProgramServices
Management And General601059ManagementAndGeneral
Fundraising4454805Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY736490BOY
EOY6831224EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY65400BOY
EOY118200EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10715BOY
EOY6715EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6666439BOY
EOY4380315EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis891073181LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec554552851LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY353910643BOY
EOY336520330EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY67987057BOY
EOY90460862EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY198022672BOY
EOY194043337EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY48907911BOY
EOY53355023EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY676307327BOY
EOY685716006EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY33690024BOY
EOY37808996EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY181583991BOY
EOY176143259EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY2806849BOY
EOY2402972EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY4892555BOY
EOY2431860EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY130732223BOY
EOY114168650EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY353705642BOY
EOY332955737EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY237543125BOY
EOY258376628EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY29744396BOY
EOY36275143EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY55314164BOY
EOY58108498EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY322601685BOY
EOY352760269EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY676307327BOY
EOY685716006EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses914187ReconcilationRevenueExpenses
Reconcilation Other Changes29244397ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22246019CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3904026CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3963818CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2768044CurrentTaxYearMinus1Year
Current Tax Year3285682CurrentTaxYear
Total36167589Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22246019CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3904026CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3963818CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2768044CurrentTaxYearMinus1Year
Current Tax Year3285682CurrentTaxYear
Total36167589Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total13118661AmountsSubstContributorsTotal
Public Support Total17023048928PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6226119CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4023413CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3204960CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3684596CurrentTaxYearMinus1Year
Current Tax Year2873563CurrentTaxYear
Total20012651Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years159CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years356CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6268CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8134CurrentTaxYearMinus1Year
Current Tax Year7070CurrentTaxYear
Total21987Total
FieldValueIRS element (for citing)
Total Support56202227TotalSupport
Public Support Pertcentage1700.41011PublicSupportPertcentage170
Public Support Pertcent Prior Year0.44326PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition
Solicited Assets For SalefalseSolicitedAssetsForSale

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance266009728BeginningOfYearBalance
Contributions946986Contributions
Investment Earnings Or Losses25996140InvestmentEarningsOrLosses
Other Expenditures7824838OtherExpenditures
Administrative Expenses623817AdministrativeExpenses
End Of Year Balance284504199EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance275817593BeginningOfYearBalance
Contributions1849984Contributions
Investment Earnings Or Losses-726521InvestmentEarningsOrLosses
Other Expenditures10133190OtherExpenditures
Administrative Expenses798138AdministrativeExpenses
End Of Year Balance266009728EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance262176300BeginningOfYearBalance
Contributions814624Contributions
Investment Earnings Or Losses23033174InvestmentEarningsOrLosses
Other Expenditures9539545OtherExpenditures
Administrative Expenses666960AdministrativeExpenses
End Of Year Balance275817593EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance274357327BeginningOfYearBalance
Contributions987745Contributions
Investment Earnings Or Losses8636901InvestmentEarningsOrLosses
Other Expenditures21526729OtherExpenditures
Administrative Expenses278944AdministrativeExpenses
End Of Year Balance262176300EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.78000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.22000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis15393209OtherCostOrOtherBasis
Book Value15393209BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis486135483OtherCostOrOtherBasis
Depreciation230264265Depreciation
Book Value255871218BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8575806OtherCostOrOtherBasis
Depreciation5542068Depreciation
Book Value3033738BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis367175671OtherCostOrOtherBasis
Depreciation309321511Depreciation
Book Value57854160BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13793012OtherCostOrOtherBasis
Depreciation9425007Depreciation
Book Value4368005BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings336520330TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENTSDescription
Book Value194043337BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities194043337TotalOfBookValueSecurities

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED DEBT ISSUE COST, NET3470231
INVESTMENT-LAHEY CLINIC INSUR.120000
INVESTMENT-FELLSWAY DEVELOP.5691165
OTHER RECEIVABLES414838
ASSETS HELD UNDER SPLIT INT AG11438796
BENE INT IN PERP & LEAD TRUSTS27946231
INVESTMENTS - OTHER4273762
FieldValueIRS element (for citing)
Total Book Value Other Assets53355023TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY PAYABLES$106,849,156
SPLIT INTEREST LIABILITY$6,372,443
ASSET RETIREMENT OBLIGATION$947,051
FieldValueIRS element (for citing)
Total Of Amounts114168650TotalOfAmounts
Total Revenue5970051TotalRevenue
Total Expenses5055864TotalExpenses
Excess Or Deficit For Year1914187ExcessOrDeficitForYear
Net Unrealized GL On Investments15180857NetUnrealizedGLOnInvestments
Other$13,063,540OtherAmount
Total Adjustments28244397TotalAdjustments
Excess Or Deficit Per FS30158584ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27677510TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments15180857NetUnrealizedGainsInvestments
Other Revenues8812284OtherRevenues
Revenue Not Rptd F99023993141RevenueNotRptdF990
Revenue Subtotal3684369RevenueSubtotal
Other Revenues Not Included3285682OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt3285682RevenueNotRptdOnFinStmt
Total Revenue Per Form9906970051TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6844007TotExpensesEtcAuditedFinclStmt
Other Expenses Included1788143OtherExpensesIncluded
Expenses Not Rptd F9901788143ExpensesNotRptdF990
Expenses Subtotal5055864ExpensesSubtotal
Total Expenses Per Form9905055864TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART III, LINE 4Identifier
ExplanationTHE ORGANIZATION MAINTAINS COLLECTIONS OF ART FOR DISPLAY TO IMPROVE THE PATIENT CARE ENVIRONMENT. SCHEDULE D, PART V, LINE 4 THE ORGANIZATION'S ENDOWMENT FUNDS SUBSIDIZE THE COSTS OF PROVIDING SUPERIOR HEALTH CARE LEADING TO THE BEST POSSIBLE OUTCOME FOR EVERY PATIENT. THE COSTS ARE FOR PATIENT CARE, PATIENT EDUCATION, CONTINUING EDUCATION OF HEALTH CARE PROVIDERS, RESEARCH, AND CAPITAL EXPENDITURES. SCHEDULE D, PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. SCHEDULE D, PART XI, LINE 8 UNRESTRICTED CONTRIBUTIONS $2,985,039 ASSETS RELEASED FROM TIME RESTRICTIONS 1,571,236 ASSETS RELEASED FROM RESTRICTIONS 2,461,577 PENSION AND POST RETIREMENT RELATED CHANGES (485,876) GRANTS AND CONTRIBUTIONS (3,285,682) CHANGE IN TEMPORARY AND PERMANENT NET ASSETS 9,325,081 CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 509,923 REDESIGNATION OF GIFTS (17,758) ____________ TOTAL $13,063,540 SCHEDULE D, PART XII, LINE 2D UNRESTRICTED CONTRIBUTIONS $2,985,039 ASSETS RELEASED FROM TIME RESTRICTIONS 1,571,236 ASSETS RELEASED FROM RESTRICTIONS 2,461,577 CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 509,923 REDESIGNATION OF GIFTS (17,758) OTHER OPERATING REVENUES TRANSFERRED TO LAHEY CLINIC, INC. AND LAHEY CLINIC HOSPITAL, INC. 1,302,267 _________ TOTAL $8,812,284 SCHEDULE D, PART XII, LINE 4B CONTRIBUTIONS, GIFTS, AND GRANTS $3,285,682 SCHEDULE D, PART XIII, LINE 2D OTHER OPERATING REVENUE COLLECTED BY LAHEY CLINIC FOUNDATION, INC. AND CREDITED TO OVERHEAD EXPENSES ALLOCATED TO LAHEY CLINIC INC. AND LAHEY CLINIC HOSPITAL, INC. $1,302,267 PENSION AND POST RETIREMENT RELATED CHANGES 485,876 __________ TOTAL $1,788,143Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
North AmericaFundraising
Central America and the CaribbeanInvestments94396538
FieldValueIRS element (for citing)
Subtotal Amount Spent94396538SubtotalAmountSpent
Total Amount Spent94396538TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierPART I, LINE 3 (1)Identifier
ExplanationLAHEY CLINIC DOES NOT SEPARATELY TRACK EXPENDITURES FOR FUNDRAISING OUTSIDE THE UNITED STATES IN THE REGION.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualTHE WAYLAND GROUPNameOfIndividual

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11323 BOSTON POST ROADAddressLine1
CitySUDBURYCity
StateMAState
ZIP Code01776ZIPCode
FieldValueIRS element (for citing)
ActivityFundraising CounselActivity
Fundraiser Control Of FundsfalseFundraiserControlOfFunds
Gross Receipts0GrossReceipts
Amount Retained By Contractor141000AmountRetainedByContractor
Net To Organization-141000NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts0TotalGrossReceipts
Total Retained By Contractors141000TotalRetainedByContractors
Total Net To Organization-141000TotalNetToOrganization
Licensed StatesAZLicensedStates
Licensed StatesARLicensedStates
Licensed StatesCALicensedStates
Licensed StatesCOLicensedStates
Licensed StatesCTLicensedStates
Licensed StatesFLLicensedStates
Licensed StatesGALicensedStates
Licensed StatesILLicensedStates
Licensed StatesKYLicensedStates
Licensed StatesMELicensedStates
Licensed StatesMALicensedStates
Licensed StatesMNLicensedStates
Licensed StatesMOLicensedStates
Licensed StatesNHLicensedStates
Licensed StatesNJLicensedStates
Licensed StatesNMLicensedStates
Licensed StatesNYLicensedStates
Licensed StatesOKLicensedStates
Licensed StatesPALicensedStates
Licensed StatesRILicensedStates
Licensed StatesVALicensedStates
Licensed StatesWALicensedStates
Licensed StatesWILicensedStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Howard R Grant JD MD
9362080002472602688705765801045479000
John A Libertino MD
0684189090000038871017500021884085244400
Richard W Nesto MD
573574000223960758000256150697385000
Roger L Jenkins MD
056112900031009017500032128064176600
Richard S D'Agostino MD
049025500038758017500035342058185500
Judith A Melin MD
028882900038638017500012855035782200
Carl A Soderland MD
035102100038896017500018936042635300
Andrew G Villanueva MD
028828700038758017500020048036459300
Betsey Crawford MD
01709820001659001062601760019995800
Arthur P Mourtzinos MD
038670100016500017500025766044646700
Rebecca C Yang MD
032773200016590017500024013038583500
Timothy O'Connor
56632309500002225801345000247740842855000
David M Barrett MD
0000138866202000000001588662000
Joan M Robbio
31863200039262049000213900384184000
Kathleen S Jose
27265200038896017500096980338746000
Bruce A Metz
018719802000003443403876020004026551200
Phillips Axten
308190000388960175000272830391869000
Peter R Lloyd
283066000221380175000192280341932000
Theorn Bradley
239657000392620175000311590327578000
Allen S Danis
25300000038896017500021930311589000
Joseph C Corkery
3718820600000388960572000200790548057000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J, PART I, LINES 1A, 1B & 2Identifier
ExplanationDR. HOWARD GRANT RECEIVED THE FOLLOWING AMOUNTS IN CALENDAR YEAR 2011 FROM THE ORGANIZATION: $1,993 HOUSING ALLOWANCE (TAXABLE) $ 475 TAX GROSS UP PAYMENT FOR HOUSING RELATED EXPENSES (TAXABLE) THE ITEMS CHECKED IN SCHEDULE J, PART I, LINE 1A, VIA AN EXECUTED EMPLOYEMENT AGREEMENT, WERE NEGOTIATED AND AGREED TO BY BOTH PARTIES AND THEIR REPRESENTATIVES. SCHEDULE J, PART I LINE 4a, PART II, COLUMN B(III) AND COLUMN C DR. DAVID M. BARRETT WAS TERMINATED FROM LAHEY CLINIC FOUNDATION, INC. ON 12/31/2010. SCHEDULE J REQUIRES THE REPORTING OF COMPENSATION BASED ON CALENDAR YEAR 2011. DR. BARRETT'S COMPENSATION PAID FOR CALENDAR YEAR 2011 INCLUDES $989,983 OF SEVERANCE PAYMENTS PER DR. BARRETT'S EMPLOYMENT CONTRACT, $346,154 OF VACATION AND SICK TIME CASH-OUT AND $52,525 OF TAXABLE LIFE INSURANCE BENEFITS. THE REMAINING AMOUNT PAID TO DR. BARRETT OF $200,000 IS DEFERRED COMPENSATION UNDER A SPLIT DOLLAR AGREEMENT WITH LAHEY CLINIC HOSPITAL, INC. SCHEDULE J, PART I, LINE 4b, PART II COLUMN C THE ORGANIZATION MAINTAINS A 457F NONQUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN PHYSICIANS, EXECUTIVE MANAGEMENT AND DEFINED MEDICAL STAFF. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFFERAL OF COMPENSATION IN ADDITION TO THEIR SALARIES. FOR THE CURRENT PERIOD, THE FOLLOWING PERSONS PARTICIPATED IN THE 457F NONQUALIFIED DEFERRED COMPENSATION PLAN: TIMOTHY O'CONNOR - AMOUNT = $117,000 RICHARD W NESTO - AMOUNT = $ 58,300 JOSEPH C CORKERY - AMOUNT = $ 39,700 SCHEDULE J, PART I, LINE 7 THE NON-FIXED PAYMENT BONUSES REPORTED IN SCHEDULE J, PART II, COLUMN B(II) ARE DETERMINED BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH INCLUDES A GROUP OF TRUSTEES. IN A SUBJECTIVE MANNER, THE COMMITTEE TAKES INTO ACCOUNT THE ACHIEVEMENTS OF BOTH THE ORGANIZATION AND THE INDIVIDUAL TO DETERMINE AN APPROPRIATE AMOUNT OF SUCH BONUSES. SCHEDULE J, PART II LAHEY CLINIC FOUNDATION, INC. AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE IN THEIR CAPACITY AS TRUSTEE. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THEIR CAPACITY OTHER THAN TRUSTEE, WHICH IS LISTED ON FORM 990, PART VII, DIRECTLY FOLLOWING THE TITLE OF THE TRUSTEE.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
2005 MHEFA SERIES C BONDS
04245601157586CKW42005-07-14161296967SEE PART Vfalsefalsefalse
2007 MHEFA SERIES D BONDS
04245601157586CE682007-08-1748655976SEE PART Vfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
3388357701636660570001259007359435605132822710748446702006truefalsetruetrue
248940513888090008707650050518044002009falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruetruetruetrue0.009360.002450.01181true
falsefalsefalsefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsefalsefalsetrueXL ASSET FUND CO I1.83truefalsefalse
0
falsefalsefalsetrueAIG MATCH FUND CORP1.truefalsefalse

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonBERNARD GORDON -NamePerson
Purpose Of LoanASSET ACQUISITIONPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$5,000,000OriginalPrincipalAmount
Balance Due2402972BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due2402972TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonADAM S AINNamePerson
FieldValueIRS element (for citing)
RelationshipSON OF TRUSTEERelationship
Amount Of Transaction14080AmountOfTransaction
Description Of TransactionEMPLOYEE COMPENSATIONDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (35 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART I, LINE 1 & PART III, LINE 1LAHEY CLINIC FOUNDATION, INC. SUPPORTS LAHEY CLINIC HOSPITAL, INC., LAHEY CLINIC, INC. AND LAHEY CLINIC AFFILIATED SERVICES, INC. LAHEY HOSPITAL & MEDICAL CENTER, IN ASSOCIATION WITH THE TUFTS UNIVERSITY SCHOOL OF MEDICINE, PROVIDES SUPERIOR HEALTH CARE LEADING TO THE BEST POSSIBLE OUTCOMES FOR EVERY PATIENT. AS ONE OF THE WORLD'S PREMIER HEALTH CARE ORGANIZATIONS, LAHEY HOSPITAL & MEDICAL CENTER AIMS TO EXCEED PATIENT'S HIGH EXPECTATIONS FOR SERVICE AND ADVANCE MEDICINE THROUGH RESEARCH AND THE EDUCATION OF TOMORROW'S HEALTH CARE LEADERS. IN ADDITION, LAHEY HOSPITAL & MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF COMMUNITY RESIDENTS BY SUPPORTING LOCAL ORGANIZATIONS ALIGNED WITH THIS MISSION. FORM 990, PART IV, LINE 4 LAHEY CLINIC HOSPITAL, INC., A RELATED ORGANIZATION, IS IN CONTACT WITH FEDERAL AND STATE LEGISLATORS REGARDING HEALTH CARE REFORM ISSUES THAT WOULD POTENTIALLY HAVE AN IMPACT ON THE ORGANIZATION AND ITS RELATED ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINE 2OFFICERS AND TRUSTEES OF LAHEY CLINIC FOUNDATION, INC. ARE OFFICERS AND TRUSTEES OF LAHEY CLINIC, INC., LAHEY CLINIC HOSPITAL, INC., AND LAHEY CLINIC AFFILIATED SERVICES, INC. CERTAIN TRUSTEES ARE ALSO EMPLOYEES OF LAHEY CLINIC, INC. IN ADDITION TO THEIR ROLE AS A TRUSTEE AND/OR OFFICER, HOWARD R. GRANT, J.D., M.D., TIMOTHY O'CONNOR AND JAMES A. RADLEY (UNTIL 7/16/2012) ARE ALSO TRUSTEE AND/OR OFFICER FOR LAHEY CLINIC INSURANCE COMPANY, LTD. IN ADDITION TO THEIR ROLES AS OFFICERS OF LAHEY CLINIC FOUNDATION, INC., TIMOTHY O'CONNOR AND DAVID SPACKMAN ARE ALSO OFFICERS OF NORTHEAST PROPRIETARY CORPORATION, A RELATED ORGANIZATION. THE COMPENSATION FOR THE TRUSTEES AND OFFICERS OF LAHEY CLINIC FOUNDATION, INC. LISTED IN FORM 990, PART VII, COLUMN(E) IS FOR EMPLOYEES OF LAHEY CLINIC, INC. ALL COMPENSATION PAID IS FOR WORK IN THEIR CAPACITIES OTHER THAN AS TRUSTEES. FORM 990, PART VI, SECTION A, LINES 6 AND 7 THE LAHEY HOSPITAL & MEDICAL CENTER CONSISTS OF FOUR NON-PROFIT CORPORATIONS, LAHEY CLINIC HOSPITAL, INC. (EIN # 04-2704686), LAHEY CLINIC, INC. (EIN # 04-2704683), LAHEY CLINIC FOUNDATION, INC. (EIN # 04-2323457) AND LAHEY CLINIC AFFILIATED SERVICES, INC. (EIN # 04-3178972). ALL FOUR CORPORATIONS ARE TAX EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). LAHEY CLINIC FOUNDATION, INC. IS THE SOLE CORPORATE MEMBER OF EACH OF THE OTHER THREE CORPORATIONS. THE BOARD OF TRUSTEES (GOVERNING BODY) AND CORPORATE OFFICERS OF THE FOUR CORPORATIONS CONSISTS OF THE EXACT SAME MEMBERS. FORM 990, PART VI, SECTION A, LINES 4, 6, 7A & 7B EFFECTIVE MAY 1, 2012, LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HEALTH SYSTEM, INC. COMPLETED AN AFFILIATION WITH EACH OTHER AND ESTABLISHED A NEW ORGANIZATION, LAHEY HEALTH SYSTEM, INC. ("LHS"), TO SERVE AS THE PARENT OF THE COMBINED HEALTH SYSTEM. LHS IS NOW THE SOLE CORPORATE MEMBER OF LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HEALTH SYSTEM, INC. LAHEY HEALTH SYSTEM, INC. HAS, WITH RESPECT TO THE REPORTING ORGANIZATION, THE RIGHT TO EXERCISE ALL POWERS CONFERRED ON MEMBERS OF NON-PROFIT CORPORATIONS UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 180, INCLUDING, WITHOUT LIMITATION, POWERS WITH RESPECT TO THE FOLLOWING: (A) APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES (SUBJECT TO CERTAIN TRANSITION RULES IN PLACE THROUGH MAY 1, 2016); (B) AMENDMENT OF THE ARTICLES OF ORGANIZATION; (C) AMENDMENT OF THE BY-LAWS; (D) THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; AND (E) THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION. THE ARTICLES OF INCORPORATION OF THE REPORTING ORGANIZATION WERE AMENDED MAY 1, 2012 AND THE BY-LAWS WERE AMENDED ON SEPTEMBER 21, 2012 TO REFLECT THE AFOREMENTIONED CHANGES. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT PREPARED THE IRS FORM 990 ALONG WITH INDEPENDENT TAX CONSULTANTS WHO SIGN THE RETURN AS A PAID PREPARER. LAHEY CLINIC FOUNDATION, INC.'S EXECUTIVE MANAGEMENT REVIEWED AND, WITH THE INDEPENDENT TAX CONSULTANTS, PRESENTED THE FINAL DRAFT OF IRS FORM 990 TO THE AUDIT & COMPLIANCE COMMITTEE OF THE LAHEY HEALTH SYSTEM, INC. BOARD OF TRUSTEES PRIOR TO THE FILING DATE. THE FINAL IRS FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES BEFORE THE FILING DATE VIA A SECURED WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, TRUSTEES, KEY EMPLOYEES, PHYSICIANS AND MANAGEMENT EMPLOYEES AT ALL LEVELS, ARE REQUIRED TO FILL OUT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE LAHEY HOSPITAL & MEDICAL CENTER'S CORPORATE COMPLIANCE DEPARTMENT MONITORS AND REVIEWS EACH DISCLOSURE FOR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE CORPORATE COMPLIANCE DEPARTMENT MONITORS CONFLICTS OF INTEREST THROUGH DISCLOSURE SOFTWARE, TRAINING, AND INDIVIDUAL REVIEWS WITH PHYSICIANS, KEY EMPLOYEES, AND MANAGERS. DEPENDING ON THE CONFLICT OF INTEREST: A PERSON COULD BE ASKED TO NOT PARTICIPATE IN DECISIONS MADE ON BEHALF OF THE LAHEY HOSPITAL & MEDICAL CENTER; A PERSON MAY BE TOLD THEY CANNOT BE A PRINCIPAL INVESTIGATOR ON A RESEARCH STUDY; A PERSON MAY BE TOLD THAT THEY CANNOT PERFORM THE TASK THAT CREATES THE CONFLICT; OR A PERSON COULD BE ASKED TO REMOVE THEMSELVES FROM A COMMITTEE. FORM 990, PART VI, SECTION B, LINE 14 LAHEY HOSPITAL & MEDICAL CENTER HAS WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY KNOWN AS THE "RETENTION OF ADMINISTRATIVE AND CLINICAL DOCUMENTS". THE POLICIES, PROCEDURES, AND STANDARDS ARE MONITORED, MANAGED, AND REVISED BY THE RECORDS MANAGEMENT STEERING COMMITTEE. THE REVISED "RETENTION OF ADMINISTRATIVE AND CLINICAL DOCUMENTS" POLICY WAS APPROVED BY THE MEDICAL PRACTICE AND UTILIZATION COMMITTEE ON JULY 26, 2012. FORM 990, PART VI, SECTION B, LINE 15 & SCHEDULE J, PART I, LINE 3 INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES COMPRISE THE COMPENSATION COMMITTEE. THE COMMITTEE SETS THE COMPENSATION AND BENEFITS FOR THE CEO AND ALSO REVIEWS AND APPROVES RECOMMENDATIONS FOR THE COMPENSATION AND BENEFITS FOR DISQUALIFIED INDIVIDUALS AND OTHERS. OUTSIDE LEGAL COUNSEL ADVISES THE COMMITTEE AND RECORDS MINUTES FROM THE COMMITTEE MEETINGS. THE COMMITTEE SEEKS THE ADVICE OF EXTERNAL COMPENSATION CONSULTANTS. COMPARABILITY DATA IS PROVIDED, ANALYZED, AND DOCUMENTED BY THE EXTERNAL CONSULTANTS. THE LAHEY VICE PRESIDENT OF HUMAN RESOURCE OPERATIONS PROVIDES THE COMMITTEE WITH ANY REQUESTED INFORMATION. THE COMMITTEE MET SEVERAL TIMES THIS YEAR. FORM 990, PART VI, SECTION B, LINE 16B THE ORGANIZATION NEGOTIATES ARRANGEMENTS TO INCLUDE TERMS AND SAFEGUARDS TO ENSURE THAT THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED. FROM A LEGAL PERSPECTIVE, IN-HOUSE LEGAL COUNSEL, WITH THE INPUT OF EXTERNAL LEGAL COUNSEL, REVIEWS ALL PROPOSED JOINT VENTURE AND PARTNERSHIP AGREEMENTS. FROM A FINANCIAL PERSPECTIVE, LAHEY'S FINANCE MANAGEMENT TEAM REVIEWS ALL PROPOSED JOINT VENTURE AND PARTNERSHIP AGREEMENTS. BOTH REVIEWS TAKE PLACE BEFORE LAHEY HOSPITAL & MEDICAL CENTER ENTERS INTO ANY SUCH AGREEMENTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND OTHER COMPLIANCE POLICIES ARE MADE AVAILABLE TO THE PUBLIC VIA THE ORGANIZATION'S WEBSITE. IN ADDITION, THE ORGANIZATION PRESENTS FINANCIAL INFORMATION TO THE PUBLIC AS AN ATTACHMENT TO ITS MASSACHUSETTS OFFICE OF THE ATTORNEY GENERAL FORM PC. FORM 990, PART VII LAHEY CLINIC FOUNDATION, INC. AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE IN THEIR CAPACITY AS A TRUSTEE. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THE EMPLOYEE'S JOB TITLE, WHICH IS LISTED ON FORM 990, PART VII DIRECTLY FOLLOWING THE TITLE OF "TRUSTEE". FORM 990, PART VII; PART IX, LINE 5; SCHEDULE J COMPENSATION, BENEFIT AND PENSION EXPENSES FOR OFFICERS, TRUSTEES AND KEY EMPLOYEES, OF LAHEY CLINIC FOUNDATION, INC. ARE PAID BY LAHEY CLINIC FOUNDATION, INC. AS THE PARENT COMPANY OF LAHEY CLINIC HOSPITAL, INC., AND LAHEY CLINIC, INC., LAHEY CLINIC FOUNDATION, INC. ALLOCATES A SIGNIFICANT PORTION OF THE AFOREMENTIONED EXPENSES TO ITS AFFILIATES. THE AFFILIATES THEN REIMBURSE LAHEY CLINIC FOUNDATION, INC.
FORM 990, PART XI, LINE 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS $ 15,180,857 UNRESTRICTED CONTRIBUTIONS 2,985,039 ASSETS RELEASED FROM TIME RESTRICTIONS 1,571,236 ASSETS RELEASED FROM RESTRICTIONS 2,461,577 PENSION & POST RETIREMENT RELATED CHANGE (485,876) GRANTS & CONTRIBUTIONS (3,285,682) CHANGE IN TEMPORARY & PERMANENT NET ASSETS 9,325,081 CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 509,923 REDESIGNATION OF GIFTS (17,758) _____________ $ 28,244,397
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Howard R Grant J.D. M.D. TITLE:TRUSTEE/PRESIDENT/CEO HOURS:57FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:John A Libertino, M.D. TITLE:TRUSTEE/CHAIR DEPT OF UROLOGY HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Richard W Nesto, M.D. TITLE:TRUSTEE/EVP/CMOO/PHYSICIAN HOURS:41FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Roger L Jenkins M.D. TITLE:TRUSTEE/PHYSICIAN HOURS:40FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Richard S D'Agostino M.D. TITLE:TRUSTEE/CHAIR DEPT CARDIO SURG HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Judith A Melin M.D. TITLE:TRUSTEE UNTIL7/16/12/ASSC CQSO HOURS:41FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Carl A Soderland M.D. TITLE:TRUSTEE UNTIL 07/16/12 /CHAIR HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Andrew G Villanueva M.D. TITLE:TRUSTEE/CMO CLINIC/PHYSICIAN HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Betsey Crawford M.D. TITLE:TRUSTEE START 7/16/12/PHYSICIA HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Arthur P Mourtzinos M.D. TITLE:TRUSTEE START 7/16/12/PHYSICIA HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Rebecca C Yang M.D. TITLE:TRUSTEE START 7/16/12/PHYSICIA HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Irving E Rogers III TITLE:TRUST/CHAIR/CLERK UNTIL7/16/12 HOURS:7FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Eric M Bailey TITLE:TRUSTEE HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Craig R Benson TITLE:TRUSTEE HOURS:4FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Ann Marie Connolly TITLE:TRUSTEE HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Jerald G Fishman TITLE:TRUSTEE UNTIL 7/16/12 HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:James W Henderson TITLE:TRUST/VICE CHAIR UNTIL 7/16/12 HOURS:6FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:James D Irving TITLE:TRUSTEE HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Charles M Leighton TITLE:TRUSTEE UNTIL 7/16/12 HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Peter J Manning TITLE:TRUSTEE UNTIL 7/16/12 HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:J William Poduska TITLE:TRUSTEE HOURS:4FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Windle B Priem TITLE:TRUSTEE HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:James A Radley TITLE:TRUSTEE UNTIL 7/16/12 HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Robert L Reynolds TITLE:TRUSTEE UNTIL 7/16/12 HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Michael C Ruettgers TITLE:TRUSTEE/CHAIR OF BOARD HOURS:6FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Carolyn Ain TITLE:TRUSTEE START 7/16/12 HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Jane C Edmonds TITLE:TRUSTEE START 7/16/12 HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Edward Eskandarian TITLE:TRUSTEE START 7/16/12 HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:David G Spackman TITLE:CLERK START 7/16/12 /GEN COUNS HOURS:57FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Timothy O'Connor TITLE:OFFICER/TREASURER/EVP/CFO HOURS:57FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Joseph C Corkery TITLE:PHYSICIAN HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:David M Barrett M.D. TITLE:FORMER TRUSTEE/PRESIDENT/CEO HOURS:FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
LAHEY CLINIC HOSPITAL INC
41 MALL ROADBURLINGTONMA01805042704686HEALTH CAREMA501(C)(3)3LCF INCtrue
LAHEY CLINIC INC
41 MALL ROADBURLINGTONMA01805042704683HEALTH CAREMA501(C)(3)9LCF INCtrue
LAHEY CLINIC AFFILIATED SERVICES INC
41 MALL ROADBURLINGTONMA01805043178972HEALTH CAREMA501(C)(3)9LCF INCtrue
NORTHEAST HEALTH SYSTEM INC
85 HERRICK STBEVERLYMA01915043240453SUPPORTMA501(C)(3)11C III-FILHS INCtrue
NORTHEAST HOSPITAL CORPORATION
85 HERRICK STBEVERLYMA01915042121317HEALTH CAREMA501(C)(3)3NEHS INCtrue
NORTHEAST MEDICAL PRACTICES
85 HERRICK STBEVERLYMA01915043201853HEALTH CAREMA501(C)(3)9NEHCtrue
SEACOAST NURSING & REHABILITATION CENTER
300 WASHINGTON STGLOUCESTERMA01930041305001HEALTH CAREMA501(C)(3)9NEHS INCtrue
NORTHEAST PROFESSIONAL REG OF NURSES
800 CUMMINGS CTRBEVERLYMA01915201287349HEALTH CAREMA501(C)(3)9NESHCtrue
NORTHEAST SENIOR HEALTH CORPORATION
85 HERRICK STBEVERLYMA01915042731137HEALTH CAREMA501(C)(3)9NEHS INCtrue
NORTHEAST BEHAVIORAL HEALTH
131 RANTOUL STBEVERLYMA01915042777145MENTAL ILLMA501(C)(3)7NEHS INCtrue
CAB HEALTH & RECOVERY
111 MIDDLETON ROADDANVERSMA01923042400270SUBS ABUSEMA501(C)(3)9NEBHCtrue
HEALTH & EDUCATION HOUSING SERVICES INC
ZERO CENTENNIAL DRIVEPEABODYMA01960223232914HUD HOUSINGMA501(C)(3)9NEBHCtrue
LAHEY HEALTH SYSTEM INC
41 MALL ROADBURLINGTONMA01805611665701SUPPORTMA501(C)(3)11C III-FINAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Primary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile StateLegalDomicileStateAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/Country
LAHEY CLINIC INSURANCE CO LTD
INSURANCEBDLCF INCC-CorP0424231351.00000
PERPETUAL TRUSTS (7)
SUPPORTSEE PART VIITRUSTMA
REMAINDER TRUSTS (17)
SUPPORTSEE PART VIITRUSTMA
POOLED INCOME FUNDS (4)
SUPPORTSEE PART VIITRUSTMA
NORTHEAST PROPRIETARY CORPORATION
MEDICAL SERVICESNEHS INCC-CORPMA85 HERRICK STBEVERLYMA01915042855191
NORTHEAST MASSACHUSETTS INDEMNITY CO LTD
INSURANCECJNHS INCC-CORP980440187GOVERNORS SQ 23 LIME TREE BAY AVEGRAND CAYMAN KY1-1102GRAND CAYMAN KY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Lahey Clinic Hospital Inc
K-R9045977COST
LAHEY CLINIC INC
K-R6977791COST
PERPETUAL TRUSTS
R520106CASH
REMAINDER TRUSTS
R14192CASH
POOLED INCOME FUNDS
R135521CASH

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE R, PART IV, LINE 2Identifier
ExplanationLAHEY CLINIC FOUNDATION INC. AND NORTHEAST HOSPITAL CORPORATION, RESPECTIVELY, HAVE FOUR AND THREE PERPETUAL TRUSTS. THE PERPETUAL TRUSTS ARE DOMICILED IN MASSACHUSETTS AND PENNSYLVANIA. FORM 990, SCHEDULE R, PART IV, LINE 3 LAHEY CLINIC FOUNDATION, INC. HAS SEVENTEEN REMAINDER TRUSTS. THE REMAINDER TRUSTS ARE DOMICILED IN MASSACHUSETTS AND NEW HAMPSHIRE. FORM 990, SCHEDULE R, PART IV, LINE 4 LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HOSPITAL CORPORATION, RESPECTIVELY, HAVE THREE AND ONE POOLED INCOME FUNDS. FORM 990, SCHEDULE R, PART V, LINE K IN ADDITION TO CONDUCTING FUNDRAISING AND SOLICIATION EFFORTS ON ITS OWN BEHALF, LAHEY CLINIC FOUNDATION, INC. ALSO CONDUCTS FUNDRAISING AND SOLICITATION EFFORTS ON BEHALF OF LAHEY CLINIC HOSPITAL, INC. AND LAHEY CLINIC, INC. FORM 990, SCHEDULE R, PART V, LINE L IN ADDITION TO CONDUCTING FUNDRAISING AND SOLICITATION EFFORTS ON THEIR OWN BEHALF, LAHEY CLINIC HOSPITAL, INC. AND LAHEY CLINIC, INC. CONDUCT FUNDRAISING AND SOLICITATION EFFORTS ON BEHALF OF LAHEY CLINIC FOUNDATION, INC. FORM 990, SCHEDULE R, PART V, LINE M ALL ENTITIES WITHIN THE LAHEY HEALTH SYSTEM, INC. SHARE FACILITIES, EQUIPMENT, MAILING LISTS, AND OTHER ASSETS. FOR A LIST OF ALL ENTITIES SEE SCHEDULE R. FORM 990, SCHEDULE R, PART V, LINE N-R LAHEY CLINIC HOSPITAL, INC., LAHEY CLINIC, INC. AND LAHEY CLINIC FOUNDATION, INC., PROVIDE VARIOUS CORPORATE AND OTHER SERVICES TO EACH OTHER. THESE CORPORATIONS REIMBURSE ONE ANOTHER FOR EXPENSES INCURRED SUCH AS EMPLOYEE SALARIES, MATERIALS, SUPPLIES, UTILITIES, ETC. CASH IS ALSO TRANSFERRED BETWEEN THE THREE CORPORATIONS.Explanation