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LAHEY CLINIC FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LAHEY CLINIC FOUNDATION INC (EIN 04-2323457)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201232289349301443
Schema version
2010v3.7
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)
Timestamp2012-08-15T09:22:31-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

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 Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042323457EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lahey Clinic Foundation IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAHENameControl
Phone7817445100Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY O'CONNORName
TitleTREASURER/EVP/CFOTitle
Date Signed2012-08-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts7012666GrossReceipts
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 Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees629TotalNbrEmployees
Total Nbr Volunteers37TotalNbrVolunteers
Total Gross UBI18689TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3963818ContributionsGrantsPriorYear
Contributions Grants Current Year2768044ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year5150136InvestmentIncomePriorYear
Investment Income Current Year4236488InvestmentIncomeCurrentYear
Other Revenue Prior Year6268OtherRevenuePriorYear
Other Revenue Current Year8134OtherRevenueCurrentYear
Total Revenue Prior Year9120222TotalRevenuePriorYear
Total Revenue Current Year7012666TotalRevenueCurrentYear
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 Year3271597SalariesEtcPriorYear
Salaries Etc Current Year2793488SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year15500TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY28666TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3949059TotalFundrsngExpCurrentYear
Other Expense Prior Year1667294OtherExpensePriorYear
Other Expenses Current Year1743096OtherExpensesCurrentYear
Total Expenses Prior Year4954391TotalExpensesPriorYear
Total Expenses Current Year4565250TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4165831RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2447416RevenuesLessExpensesCY
Total Assets BOY680936786TotalAssetsBOY
Total Assets EOY676307327TotalAssetsEOY
Total Liabilities BOY355390489TotalLiabilitiesBOY
Total Liabilities EOY353705642TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY325546297NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY322601685NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense0Expense
Grants0Grants
Revenue0Revenue
DescriptionLAHEY CLINIC FOUNDATION, INC., (FOUNDATION) IS THE SOLE 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.Description
Total Program Service Expense0TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 FundraisingfalseProfessionalFundraising
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 ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
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
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096265NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees629NumberOfEmployees
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 Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
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 (38 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/PRES/CEO START11/15/1020.0XX740881027627
John A Libertino MD
TRUSTEE/CHAIR DEPT OF UROLOGY1.0X081378634907
Richard W Nesto MD
TRUSTEE/CHIEF MED OPER OFFICER20.0X712610038434
Roger L Jenkins MD
TRUSTEE/CHAIR DIV OF SURGERY1.0X059232541093
Richard S D'Agostino MD
TRUSTEE/CHAIR DEPT CARDIO SURG1.0X052619947609
Judith A Melin MD
TRUSTEE/CHIEF MED SERV OFFICER20.0X033464025462
Carl A Soderland MD
TRUSTEE/CHAIR DIV OF COMMU MED1.0X039026532253
Andrew G Villanueva MD
TRUSTEE/CHIEF MED OFFICER CLIN1.0X032221038829
Irving E Rogers III
TRUSTEE/CHAIR OF BOARD/CLERK2.0XX000
Eric M Bailey
TRUSTEE1.0X000
Craig R Benson
TRUSTEE1.0X000
Ann Marie Connolly
TRUSTEE1.0X000
Jerald G Fishman
TRUSTEE1.0X000
James W Henderson
TRUSTEE/VICE CHAIR OF BOARD2.0XX000
James D Irving
TRUSTEE1.0X000
Charles M Leighton
TRUSTEE1.0X000
Peter J Manning
TRUSTEE1.0X000
J William Poduska
TRUSTEE1.0X000
Windle B Priem
TRUSTEE1.0X000
James A Radley
TRUSTEE1.0X000
Robert L Reynolds
TRUSTEE1.0X000
Michael C Ruettgers
TRUSTEE1.0X000
David M Barrett MD
TRUSTEE/PRES/CEO UNTIL12/31/1037.0XX13889170216490
William L Healy MD
TRUSTEE UNTIL 01/24/11 /PHY.1.0X056974541313
Jospeh C Corkery MD
TRUSTEE UNTIL 01/24/11 /PHY.20.0X510826033397
Robert E Wise MD
TRUSTEE UNTIL 01/24/11 /ADMIN17.0X191812011509
Stephen R Freidberg MD
TRUSTEE UNTIL 01/24/11 /PHY.1.0X011209515540
Timothy O'Connor
OFFICER/TREASURER/EVP/CFO20.0X801167037641
Joan M Robbio
CHIEF HUMAN RESOURCES OFFICER40.0350992035208X
Kathleen S Jose
CHIEF NURSING OFFICER40.0305460023797X
Helaine C Ahern
VP, PHILANTHR UNTIL 07/01/201040.0272402016098X
Seamus Collins
VP, PHILANTHR UNTIL 08/11/201140.0260613043488X
Phillips Axten
CHIEF LEGAL OFFICER40.0342141038665X
Peter R Lloyd
VICE PRESIDENT CORP FINANCE40.0299797037655X
Theron Bradley
VICE PRESIDENT HUMAN RES COMPE40.0277501041137X
Allen S Danis
VICE PRESIDENT CONTRACTING40.0287972016211X
Nelson R Gagnon
VICE PRESIDENT INFORMATION TEC40.0283346016269X
Sanford R Kurtz MD
FORMER TRUSTEE/FORMER C000.091884200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org7945279TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3661265TotalReportableCompFrmRltdOrgs
Total Other Compensation910632TotalOtherCompensation
Number Individuals GT100 K88NumberIndividualsGT100K
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
AMERICAN PERSONNEL HEALTH CARE SERV
133 FEDERAL STREETBOSTONMA02110PROF. STAFFING SERV.1239740
TOWERS WATSON DELAWARE INC
PO BOX 277665ATLANTAGA30384RETIR. PROG. CONSULT702662
PRICEWATERHOUSECOOPERS LLP
PO BOX 7247-8001PHILADELPHIAPA191708001TAX/AUDIT/CONSULT.644116
HEIDRICK STRUGGLES INC
1133 PAYSPHERE CIRCLECHICAGOIL60674LEADERSHIP ADV SERV628262
TAYLOR PARTNERS INC
77 SUMMER STREETBOSTONMA021101021ARCHITECTURE SERVICE545184
FieldValueIRS element (for citing)
Number Of Contractors GT100 K27NumberOfContractorsGT100K
All Other Contributions2768044AllOtherContributions
Noncash Contributions98183NoncashContributions
Total Contributions2768044TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3681299TotalRevenueColumn
Exclusion$3,681,299ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column3297TotalRevenueColumn
Exclusion$3,297ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities654962Securities
Other-103070Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities654962Securities
Other-103070Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column551892TotalRevenueColumn
Unrelated Business Revenue18689UnrelatedBusinessRevenue
Exclusion$533,203ExclusionAmount

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 Column8134TotalRevenueColumn
Exclusion$8,134ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue8134TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7012666TotalRevenueColumn
Unrelated Business Revenue18689UnrelatedBusinessRevenue
Exclusion$4,225,933ExclusionAmount

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)
Total425580Total
Program Services0ProgramServices
Management And General32160ManagementAndGeneral
Fundraising393420Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1770093Total
Management And General179615ManagementAndGeneral
Fundraising1590478Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total247175Total
Management And General24623ManagementAndGeneral
Fundraising222552Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total208985Total
Management And General21101ManagementAndGeneral
Fundraising187884Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total141655Total
Management And General12805ManagementAndGeneral
Fundraising128850Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5707Total
Management And General5707ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2502Total
Management And General2502ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total28666Total
Fundraising28666Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total78633Total
Fundraising78633Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total290326Total
Management And General38067ManagementAndGeneral
Fundraising252259Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total5941Total
Management And General5941ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total584664Total
Management And General14681ManagementAndGeneral
Fundraising569983Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total22254Total
Management And General22254ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total334378Total
Management And General7154ManagementAndGeneral
Fundraising327224Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total27601Total
Management And General1798ManagementAndGeneral
Fundraising25803Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total5822Total
Management And General5822ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total62047Total
Management And General62047ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4622Total
Management And General4622ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES16030130
GENERAL SUPPLIES318439175262143177

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4565250Total
Program Services0ProgramServices
Management And General616191ManagementAndGeneral
Fundraising3949059Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY-359179BOY
EOY736490EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY84885BOY
EOY65400EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2230BOY
EOY10715EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5270482BOY
EOY6666439EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis869850717LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec515940074LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY347644649BOY
EOY353910643EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY74877287BOY
EOY67987057EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY200940305BOY
EOY198022672EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY52474492BOY
EOY48907911EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY680936786BOY
EOY676307327EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31638191BOY
EOY33690024EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY186808093BOY
EOY181583991EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY3188390BOY
EOY2806849EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY609501BOY
EOY4892555EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY133146314BOY
EOY130732223EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY355390489BOY
EOY353705642EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY235751684BOY
EOY237543125EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY34388548BOY
EOY29744396EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY55406065BOY
EOY55314164EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY325546297BOY
EOY322601685EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY680936786BOY
EOY676307327EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2447416ReconcilationRevenueExpenses
Reconcilation Other Changes-5392028ReconcilationOtherChanges
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 Years7020388CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22246019CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3904026CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3963818CurrentTaxYearMinus1Year
Current Tax Year2768044CurrentTaxYear
Total39902295Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7020388CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22246019CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3904026CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3963818CurrentTaxYearMinus1Year
Current Tax Year2768044CurrentTaxYear
Total39902295Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total12932996AmountsSubstContributorsTotal
Public Support Total17026969299PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3787339CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6226119CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4023413CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3204960CurrentTaxYearMinus1Year
Current Tax Year3684596CurrentTaxYear
Total20926427Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years140CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years159CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years356CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6268CurrentTaxYearMinus1Year
Current Tax Year8134CurrentTaxYear
Total15057Total
FieldValueIRS element (for citing)
Total Support60843779TotalSupport
Public Support Pertcentage1700.44326PublicSupportPertcentage170
Public Support Pertcent Prior Year0.46280PublicSupportPertcentPriorYear
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 Balance275817593BeginningOfYearBalance
Contributions1849984Contributions
Investment Earnings Or Losses-726521InvestmentEarningsOrLosses
Other Expenditures10133190OtherExpenditures
Administrative Expenses798138AdministrativeExpenses
End Of Year Balance266009728EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Balance0.79000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.21000PermanentEndowmentEOYBalance
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 Basis486006995OtherCostOrOtherBasis
Depreciation213304731Depreciation
Book Value272702264BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8436347OtherCostOrOtherBasis
Depreciation4831929Depreciation
Book Value3604418BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis346735440OtherCostOrOtherBasis
Depreciation289332136Depreciation
Book Value57403304BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13278726OtherCostOrOtherBasis
Depreciation8471278Depreciation
Book Value4807448BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings353910643TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENTSDescription
Book Value198022672BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities198022672TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED DEBT ISSUE COST, NET3769049
INVESTMENT-LAHEY CLINIC INSUR.120000
INVESTMENT-FELLSWAY DEVELOP.5330976
ASSTS HELD UNDER SPLIT INT AGR11339545
BENE INT IN PERP & LEAD TRUSTS24965655
INVESTMENTS - OTHER3382686
FieldValueIRS element (for citing)
Total Book Value Other Assets48907911TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
INTERCOMPANY PAYABLES$122,872,924
SPLIT INTEREST LIABILITY$6,950,376
ASSET RETIREMENT OBLIGATION$908,923
FieldValueIRS element (for citing)
Total Of Amounts130732223TotalOfAmounts
Total Revenue7012666TotalRevenue
Total Expenses4565250TotalExpenses
Excess Or Deficit For Year2447416ExcessOrDeficitForYear
Net Unrealized GL On Investments-5085978NetUnrealizedGLOnInvestments
Other-$306,050OtherAmount
Total Adjustments-5392028TotalAdjustments
Excess Or Deficit Per FS-2944612ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7982987TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-5085978NetUnrealizedGainsInvestments
Other Revenues8824343OtherRevenues
Revenue Not Rptd F9903738365RevenueNotRptdF990
Revenue Subtotal4244622RevenueSubtotal
Other Revenues Not Included2768044OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2768044RevenueNotRptdOnFinStmt
Total Revenue Per Form9907012666TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6191546TotExpensesEtcAuditedFinclStmt
Other Expenses Included1626296OtherExpensesIncluded
Expenses Not Rptd F9901626296ExpensesNotRptdF990
Expenses Subtotal4565250ExpensesSubtotal
Total Expenses Per Form9904565250TotalExpensesPerForm990

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 $2,516,069 ASSETS RELEASED FROM TIME RESTRICTIONS 1,562,962 ASSETS RELEASED FROM RESTRICTIONS 3,638,625 PENSION AND POST RETIREMENT RELATED CHANGES (326,651) GRANTS AND CONTRIBUTIONS (2,768,044) CHANGE IN TEMPORARY AND PERMANENT NET ASSETS (4,736,053) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS (191,238) REDESIGNATION OF GIFTS (1,720) ___________ TOTAL $(306,050) SCHEDULE D, PART XII, LINE 2D UNRESTRICTED CONTRIBUTIONS $2,516,069 ASSETS RELEASED FROM TIME RESTRICTIONS 1,562,962 ASSETS RELEASED FROM RESTRICTIONS 3,638,625 CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS (191,238) REDESIGNATION OF GIFTS (1,720) OTHER OPERATING REVENUES TRANSFERRED TO LAHEY CLINIC, INC. AND LAHEY CLINIC HOSPITAL, INC. 1,299,645 _________ TOTAL $8,824,343 SCHEDULE D, PART XII, LINE 4B CONTRIBUTIONS, GIFTS, AND GRANTS $2,768,044 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. $1,299,645 PENSION AND POST RETIREMENT RELATED CHANGES 326,651 __________ TOTAL $1,626,296Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
North AmericaFundraising
Central America and the CaribbeanInvestments93943435
FieldValueIRS element (for citing)
Subtotal Amount Spent93943435SubtotalAmountSpent
Total Amount Spent93943435TotalAmountSpent
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 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 PlanfalseSupplementalNonqualRetirePlan
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 (23 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
516431000224450021987056400768508000
John A Libertino MD
0685255090000038531014700020207084869300
Richard W Nesto MD
58021401100000223960147000237340751044000
Roger L Jenkins MD
056027500032050014700026393063341800
Richard S D'Agostino MD
048744100038758014700032909057380800
Judith A Melin MD
0286002010000038638014700010762036010200
Carl A Soderland MD
035136900038896014700017553042251800
Andrew G Villanueva MD
028345200038758014700024129036103900
Timothy O'Connor
6839090950000222580147000229410838808000
David M Barrett MD
841224046000008769302147000179001605407000
Sanford R Kurtz MD
0046885104499910000091884203938510
William L Healy MD
053769500032050014700026613061105800
Jospeh C Corkery MD
4119300600000388960147000186970544223000
Robert E Wise MD
1918120000011509000203321000
Joan M Robbio
311730000392620147000205080386200000
Kathleen S Jose
26656400038896014700090970329257000
Phillips Axten
303245000388960147000239650380806000
Peter R Lloyd
277659000221380147000229550337452000
Theron Bradley
238605000388960147000264370318638000
Allen S Danis
24907600038896014700015110304183000
Nelson R Gagnon
283088000258014700015690299615000
Helaine C Ahern
11820700015419507092090060288500000
Seamus Collins
238593000220200147000287880304101000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J, PART I, LINES 1B & 2Identifier
Return ReferenceTHE ITEMS CHECKED IN SCHEDULE J, PART I, LINE 1A, VIA AN EXECUTEDReturnReference
ExplanationEMPLOYEMENT AGREEMENT, WERE NEGOTIATED AND AGREED TO BY BOTH PARTIES AND THEIR REPRESENTATIVES. SCHEDULE J, PART I, LINE 7 THE NON-FIXED PAYMENT BONUSES REPORTED IN SCHEDULE J, PART II, COLUMN B(II) ARE DETERMINED BY A COMPENSATION COMMITTEE, WHICH IS COMPRISED OF 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. 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 2010 SALARY INFORMATION. DR. BARRETT WORKED FOR LAHEY CLINIC FOUNDATION, INC. FOR THE ENTIRE CALENDAR YEAR 2010, WHICH IS REFLECTED AND INCLUDED IN DR. BARRETT'S COMPENSATION AMOUNTS LISTED IN SCHEDULE J. DR. SANFORD R. KURTZ WAS TERMINATED FROM LAHEY CLINIC HOSPITAL, INC. ON 09/30/2009. $449,991 OF DR. KURTZ'S COMPENSATION LISTED IN THE "OTHER REPORTABLE COMPENSATION" COLUMN ON SCHEDULE J ARE SEVERANCE PAYMENTS PER DR. KURTZ'S EMPLOYMENT CONTRACT. $393,851 OF THE TOTAL AMOUNT LISTED IN THE "BONUS & INCENTIVE COMPENSATION" COLUMN FOR DR. KURTZ ON SCHEDULE J ARE PAYMENTS FOR COMPENSATION THAT WERE ACCRUED FOR DR. KURTZ IN PRIOR YEARS PER HIS EMPLOYMENT CONTRACT. PER IRS FORM 990 INSTRUCTIONS, THE $393,851 HAS BEEN PREVIOUSLY REPORTED ON PRIOR YEAR IRS 990 TAX RETURNS. HELAINE C. AHERN WAS TERMINATED FROM LAHEY CLINIC FOUNDATION, INC. ON 07/01/2010. $137,497 OF THE TOTAL AMOUNT LISTED FOR MS. AHERN IN THE "OTHER REPORTABLE COMPENSATION" COLUMN ON SCHEDULE J ARE SEVERANCE PAYMENTS PER MS. AHERN'S EMPLOYMENT CONTRACT. DR. JOSEPH C. CORKERY IS LISTED ON SCHEDULE J AS A "TRUSTEE UNTIL 01/24/2011". ALTHOUGH DR. CORKERY IS NO LONGER A TRUSTEE FOR LAHEY CLINIC FOUNDATION, INC. AND AFFILIATES, DR. CORKERY IS STILL A FULL TIME EMPLOYEE PERFORMING WORK AS A PHYSICIAN AND AS LAHEY CLINIC'S CHIEF INSTITUTIONAL ADVANCEMENT OFFICER. DR. WILLIAM L. HEALY IS LISTED ON SCHEDULE J AS A "TRUSTEE UNTIL 01/24/2011". ALTHOUGH DR. HEALY IS NO LONGER A TRUSTEE FOR LAHEY CLINIC FOUNDATION, INC. AND AFFILIATES, DR. HEALY IS STILL A FULL TIME EMPLOYEE PERFORMING WORK AS A PHYSICIAN AND A DEPARTMENT CHAIR. DR. ROBERT E. WISE IS LISTED ON SCHEDULE J AS A "TRUSTEE UNTIL 01/24/2011". ALTHOUGH DR. WISE IS NO LONGER A TRUSTEE FOR LAHEY CLINIC FOUNDATION, INC. AND AFFILIATES, DR. WISE IS STILL A PART TIME EMPLOYEE PERFORMING WORK AS AN ADMINISTRATOR AND AS HEAD OF THE ROBERT E. WISE INSTITUTE. SCHEDULE J, PART II, COLUMN B(III) INCLUDED IN THIS COLUMN FOR DR. BARRETT IS IMPUTED INCOME ASSOCIATED WITH THE VALUE OF A ONE YEAR TERM INSURANCE POLICY UNDER A SPLIT DOLLAR AGREEMENT WITH LAHEY CLINIC HOSPITAL, INC. SCHEDULE J, PART II, COLUMN C INCLUDED IN DR. BARRETT'S "RETIREMENT & OTHER DEFERRED COMPENSATION" IS $200,000 PER A SPLIT DOLLAR AGREEMENT WITH LAHEY CLINIC HOSPITAL, INC.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
04245601157586CKW42005-07-14161295967SEE PART Vfalsefalsefalse
2007 MHEFA SERIES D BONDS
04245601157586CE682007-08-1748655976SEE PART Vfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount UnspentAmountUnspent
2838798216164774594340512590073594356483665101074844672006truefalsetruetrue
513888706773461870765434805342009falsefalsetruetrue264110

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalse0.012580.01258true
falsefalsefalsefalse0.011720.01172true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
XL ASSET FUND CO I
falsefalsefalsetrue1.83truefalsefalse
AIG MATCH FUND CORP
falsefalsefalsetrue1.truefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE K, PART IIdentifier
ExplanationTHE SERIES C BOND WAS USED TO REFUND A 1993 BOND ISSUE AND TO FINANCE THE CONSTRUCTION OF A PARKING GARAGE AND TO FUND ROUTINE CAPITAL PROJECTS. THE SERIES D BOND WAS USED TO FINANCE THE EXPANSION, RENOVATION AND EQUIPPING OF AN AMBULATORY CARE CENTER. TOTAL PROCEEDS OF ISSUE SCHEDULE K, PART II, LINE 3, COLUMNS A & B. THIS AMOUNT INCLUDES INVESTMENT EARNINGS.Explanation

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 Due2806849BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due2806849TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonEMC INCNamePerson
FieldValueIRS element (for citing)
RelationshipTRUSTEE ON EMC BOARDRelationship
Amount Of Transaction267525AmountOfTransaction
Description Of TransactionPURCHASE OF PRODUCTSDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9905800NoncashContribsRptdF990
Method Of Determining RevenuesAPPRAISALMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions17NumberOfContributions
Noncash Contribs Rptd F99092383NoncashContribsRptdF990
Method Of Determining RevenuesHIGH-LOW AVERAGEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Number Of8283 Received1NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierSCHEDULE M, PART I, COLUMN (B)Identifier
Return ReferenceTHE ORGANZATION IS REPORTING THE NUMBER OF NON-CASH CONTRIBUTIONS.ReturnReference

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (18 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 CLINIC 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 CLINIC 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 CLINIC 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 1, LINE 5; PART V, LINES 1A & 2A; PART VII, COLUMNS D & E; AND PART VII, LINE 2 IN FISCAL YEAR 2010, LAHEY CLINIC FOUNDATION, INC. BECAME THE SOLE MEMBER OF LAHEY CLINIC, INC., LAHEY CLINIC HOSPITAL, INC., AND LAHEY CLINIC AFFILIATED SERVICES, INC. LAHEY CLINIC FOUNDATION, INC. HOLDS CAPITAL ASSETS, INVESTMENTS, DEBT, AND INFRASTRUCTURE COSTS. INFRASTRUCTURE COSTS, INCLUDING COMPENSATION, BENEFITS, SUPPLIES AND OTHER EXPENSES, PREVIOUSLY HOUSED IN LAHEY CLINIC HOSPITAL, INC., WERE TRANSFERRED TO LAHEY CLINIC FOUNDATION, INC. INFRASTRUCTURE COSTS/DEPARTMENTS INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING; INFORMATION SYSTEMS, HUMAN RESOURCES, ADMINISTRATION, FINANCE AND LEGAL SERVICES. FOR PART 1, LINE 5; PART V, LINES 1A & 2A; AND PART VII, LINE 2, THE INCREASE IN FORMS W-2 AND 1099 IN LAHEY CLINIC FOUNDATION, INC. IS OFFSET BY A DECREASE IN LAHEY CLINIC HOSPITAL, INC. FOR PART VII, COLUMNS D & E, CERTAIN EMPLOYEES REPORTED IN COLUMN E IN TAX YEAR 2009 ARE NOW REPORTED IN COLUMN D IN TAX YEAR 2010. 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., JOSEPH C. CORKERY, M.D., TIMOTHY O'CONNOR AND JAMES A. RADLEY ARE ALSO TRUSTEE AND/OR OFFICER FOR LAHEY CLINIC INSURANCE COMPANY, LTD. 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. FORM 990, PART VI, SECTION A, LINES 6 AND 7 THE LAHEY CLINIC SYSTEM IS MADE UP 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 OF THE LAHEY CLINIC 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 EACH OF THE FOUR LAHEY CLINIC CORPORATIONS ARE MADE UP OF THE EXACT SAME MEMBERS. 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 PRESENTED THE FINAL DRAFT OF IRS FORM 990 TO THE AUDIT & COMPLIANCE COMMITTEE OF THE LAHEY CLINIC FOUNDATION, 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 CLINIC SYSTEM'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 CLINIC SYSTEM; 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 CLINIC FOUNDATION, INC. AND AFFILIATES HAVE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY, WHICH HAS BEEN REVIEWED & REVISED AND WILL BE PRESENTED FOR ADOPTION BY THE BOARD OF TRUSTEES AND/OR AUTHORIZED COMMITTEE OF THE BOARD OF TRUSTEES. 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 VENTURES AND PARTNERSHIP AGREEMENTS. BOTH REVIEWS TAKE PLACE BEFORE LAHEY 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 FILING AND PROVIDES SELECTED FINANCIAL DATA IN ITS ANNUAL REPORT. 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, DIRECTORS, 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 VIII, LINE IH CONTRIBUTIONS ARE NET OF WRITE-OFFS OR PRIOR YEAR PLEDGES.
FORM 990, PART XI, LINE 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS $(5,085,978) UNRESTRICTED CONTRIBUTION 2,516,069 ASSETS RELEASED FROM TIME RESTRICTIONS 1,562,962 ASSETS RELEASED FROM RESTRICTIONS 3,638,625 PENSION & POST RETIREMENT RELATED CHANGE (326,651) GRANTS & CONTRIBUTIONS (2,768,044) CHANGE IN TEMPORARY & PERMANENT NET ASSETS (4,736,053) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS (191,238) REDESIGNATION OF GIFTS (1,720) _____________ $(5,392,028)
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Howard R Grant J.D. M.D. TITLE:TRUSTEE/PRES/CEO START11/15/10 HOURS:41FORM 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/CHIEF MED OPER OFFICER HOURS:41FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Roger L Jenkins M.D. TITLE:TRUSTEE/CHAIR DIV OF SURGERY HOURS:39FORM 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/CHIEF MED SERV OFFICER HOURS:41FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Carl A Soderland M.D. TITLE:TRUSTEE/CHAIR DIV OF COMMU MED HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Andrew G Villanueva M.D. TITLE:TRUSTEE/CHIEF MED OFFICER CLIN HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:David M Barrett M.D. TITLE:TRUSTEE/PRES/CEO UNTIL12/31/10 HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:William L Healy M.D. TITLE:TRUSTEE UNTIL 01/24/11 /PHY. HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Jospeh C Corkery M.D. TITLE:TRUSTEE UNTIL 01/24/11 /PHY. HOURS:41FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Robert E Wise M.D. TITLE:TRUSTEE UNTIL 01/24/11 /ADMIN HOURS:3FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Stephen R Freidberg M.D. TITLE:TRUSTEE UNTIL 01/24/11 /PHY. HOURS:19FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Timothy O'Connor TITLE:OFFICER/TREASURER/EVP/CFO HOURS:41FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Sanford R Kurtz M.D. TITLE:FORMER TRUSTEE/FORMER C00 HOURS:FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 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

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Primary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipLegal Domicile StateLegalDomicileState
LAHEY CLINIC INSURANCE CO LTD
INSURANCEBDnaC-CorP0422594051.00000
PERPETUAL TRUSTS (4)
SUPPORTNATRUSTMA
REMAINDER TRUSTS (17)
SUPPORTNATRUSTMA
POOLED INCOME FUNDS (3)
SUPPORTNATRUSTMA
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 (6 entries)

Transaction TypeTransactionTypeMethod Of Amt DeterminationMethodOfAmtDeterminationAmount InvolvedAmountInvolved
Lahey Clinic Hospital Inc
K-RCOST
LAHEY CLINIC INC
K-RCOST
LAHEY CLINIC AFFILIATED SERVICES INC
K-RCOST
PERPETUAL TRUSTS
RCASH609672
REMAINDER TRUSTS
RCASH14192
POOLED INCOME FUNDS
RCASH27387

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE R, PART IV, LINE 2Identifier
Return ReferencePERPETUAL TRUSTS ARE DOMICILED IN MASSACHUSETTS AND PENNSYLVANIA.ReturnReference
ExplanationFORM 990, SCHEDULE R, PART IV, LINE 3 REMAINDER TRUSTS ARE DOMICILED IN MASSACHUSETTS AND NEW HAMPSHIRE. 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 FOUR LAHEY CLINIC CORPORATIONS, CONSISTING OF THE LAHEY CLINIC HOSPITAL, INC., THE LAHEY CLINIC, INC., THE LAHEY CLINIC FOUNDATION, INC., AND THE LAHEY CLINIC AFFILIATED SERVICES, INC., SHARE FACILITIES, EQUIPMENT, MAILING LISTS AND OTHER ASSETS. 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