2012-08-15T09:22:31-05:00 2011-09-30 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2010-10-01 042323457 Lahey Clinic Foundation Inc LAHE 7817445100 41 Mall Road Burlington MA 018050001 TIMOTHY O'CONNOR 2012-08-13 6175305000 2010 2016-02-24 21:20:13Z Howard R Grant JD MD 41 MALL ROAD BURLINGTON MA 018050001 7012666 false X www.lahey.org X 1963 MA SEE SCHEDULE O 22 12 629 37 18689 0 3963818 2768044 0 0 5150136 4236488 6268 8134 9120222 7012666 0 0 0 0 3271597 2793488 15500 28666 3949059 1667294 1743096 4954391 4565250 4165831 2447416 680936786 676307327 355390489 353705642 325546297 322601685 X SEE SCHEDULE O false false 0 0 0 LAHEY 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. 0 true true false false false false true false true true true false true true false false true false false true false false false false false false false false true true false false false false false true false false false true true true false false false true true true false false true X 265 0 true 629 true true true true BD CA false false false false false false false false X 22 12 true false false false false false false true true false false true true true true true false true true true false AZ AR CA CO CT FL GA IL KY ME MA MN MO NH NJ NM NY OK PA RI VA WA WI X TIMOTHY O'CONNOR 7817445100 41 MALL ROAD Burlington MA 018050001 X Howard R Grant JD MD 20.0 X X 740881 0 27627 John A Libertino MD 1.0 X 0 813786 34907 Richard W Nesto MD 20.0 X 712610 0 38434 Roger L Jenkins MD 1.0 X 0 592325 41093 Richard S D'Agostino MD 1.0 X 0 526199 47609 Judith A Melin MD 20.0 X 0 334640 25462 Carl A Soderland MD 1.0 X 0 390265 32253 Andrew G Villanueva MD 1.0 X 0 322210 38829 Irving E Rogers III 2.0 X X 0 0 0 Eric M Bailey 1.0 X 0 0 0 Craig R Benson 1.0 X 0 0 0 Ann Marie Connolly 1.0 X 0 0 0 Jerald G Fishman 1.0 X 0 0 0 James W Henderson 2.0 X X 0 0 0 James D Irving 1.0 X 0 0 0 Charles M Leighton 1.0 X 0 0 0 Peter J Manning 1.0 X 0 0 0 J William Poduska 1.0 X 0 0 0 Windle B Priem 1.0 X 0 0 0 James A Radley 1.0 X 0 0 0 Robert L Reynolds 1.0 X 0 0 0 Michael C Ruettgers 1.0 X 0 0 0 David M Barrett MD 37.0 X X 1388917 0 216490 William L Healy MD 1.0 X 0 569745 41313 Jospeh C Corkery MD 20.0 X 510826 0 33397 Robert E Wise MD 17.0 X 191812 0 11509 Stephen R Freidberg MD 1.0 X 0 112095 15540 Timothy O'Connor 20.0 X 801167 0 37641 Joan M Robbio 40.0 X 350992 0 35208 Kathleen S Jose 40.0 X 305460 0 23797 Helaine C Ahern 40.0 X 272402 0 16098 Seamus Collins 40.0 X 260613 0 43488 Phillips Axten 40.0 X 342141 0 38665 Peter R Lloyd 40.0 X 299797 0 37655 Theron Bradley 40.0 X 277501 0 41137 Allen S Danis 40.0 X 287972 0 16211 Nelson R Gagnon 40.0 X 283346 0 16269 Sanford R Kurtz MD 0.0 X 918842 0 0 7945279 3661265 910632 88 true true false AMERICAN PERSONNEL HEALTH CARE SERV 133 FEDERAL STREET BOSTON MA 02110 PROF. 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CONSULT 702662 PRICEWATERHOUSECOOPERS LLP PO BOX 7247-8001 PHILADELPHIA PA 191708001 TAX/AUDIT/CONSULT. 644116 HEIDRICK STRUGGLES INC 1133 PAYSPHERE CIRCLE CHICAGO IL 60674 LEADERSHIP ADV SERV 628262 TAYLOR PARTNERS INC 77 SUMMER STREET BOSTON MA 021101021 ARCHITECTURE SERVICE 545184 27 2768044 98183 2768044 0 3681299 3681299 3297 3297 0 654962 -103070 654962 -103070 551892 18689 533203 0 0 0 OTHER REVENUE 900099 8134 8134 8134 7012666 18689 4225933 0 0 0 0 425580 0 32160 393420 0 1770093 179615 1590478 247175 24623 222552 208985 21101 187884 141655 12805 128850 0 5707 5707 2502 2502 0 28666 28666 78633 78633 290326 38067 252259 5941 5941 584664 14681 569983 22254 22254 0 334378 7154 327224 27601 1798 25803 0 0 5822 5822 0 62047 62047 4622 4622 MEDICAL SUPPLIES 160 30 130 GENERAL SUPPLIES 318439 175262 143177 4565250 0 616191 3949059 -359179 736490 84885 65400 2230 10715 5270482 6666439 869850717 515940074 347644649 353910643 74877287 67987057 200940305 198022672 52474492 48907911 680936786 676307327 31638191 33690024 186808093 181583991 3188390 2806849 609501 4892555 133146314 130732223 355390489 353705642 X 235751684 237543125 34388548 29744396 55406065 55314164 325546297 322601685 680936786 676307327 X 2447416 -5392028 X false true true X false X 7020388 22246019 3904026 3963818 2768044 39902295 7020388 22246019 3904026 3963818 2768044 39902295 12932996 26969299 3787339 6226119 4023413 3204960 3684596 20926427 140 159 356 6268 8134 15057 60843779 0.44326 0.46280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X false 275817593 1849984 -726521 10133190 798138 266009728 262176300 814624 23033174 9539545 666960 275817593 274357327 987745 8636901 21526729 278944 262176300 0.79000 0.21000 false false 15393209 15393209 486006995 213304731 272702264 8436347 4831929 3604418 346735440 289332136 57403304 13278726 8471278 4807448 353910643 INVESTMENTS 198022672 F 198022672 DEFERRED DEBT ISSUE COST, NET 3769049 INVESTMENT-LAHEY CLINIC INSUR. 120000 INVESTMENT-FELLSWAY DEVELOP. 5330976 ASSTS HELD UNDER SPLIT INT AGR 11339545 BENE INT IN PERP & LEAD TRUSTS 24965655 INVESTMENTS - OTHER 3382686 48907911 0 INTERCOMPANY PAYABLES 122872924 SPLIT INTEREST LIABILITY 6950376 ASSET RETIREMENT OBLIGATION 908923 130732223 7012666 4565250 2447416 -5085978 -306050 -5392028 -2944612 7982987 -5085978 8824343 3738365 4244622 2768044 2768044 7012666 6191546 1626296 1626296 4565250 4565250 SCHEDULE D, PART III, LINE 4 THE 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 $1,626,296 North America Fundraising Central America and the Caribbean Investments 93943435 93943435 93943435 true false true true false false PART I, LINE 3 (1) LAHEY CLINIC DOES NOT SEPARATELY TRACK EXPENDITURES FOR FUNDRAISING OUTSIDE THE UNITED STATES IN THE REGION. X X false false X X X X X true false false false false false false true false Howard R Grant JD MD 516431 0 0 0 224450 0 21987 0 5640 0 768508 0 0 0 John A Libertino MD 0 685255 0 90000 0 38531 0 14700 0 20207 0 848693 0 0 Richard W Nesto MD 580214 0 110000 0 22396 0 14700 0 23734 0 751044 0 0 0 Roger L Jenkins MD 0 560275 0 0 0 32050 0 14700 0 26393 0 633418 0 0 Richard S D'Agostino MD 0 487441 0 0 0 38758 0 14700 0 32909 0 573808 0 0 Judith A Melin MD 0 286002 0 10000 0 38638 0 14700 0 10762 0 360102 0 0 Carl A Soderland MD 0 351369 0 0 0 38896 0 14700 0 17553 0 422518 0 0 Andrew G Villanueva MD 0 283452 0 0 0 38758 0 14700 0 24129 0 361039 0 0 Timothy O'Connor 683909 0 95000 0 22258 0 14700 0 22941 0 838808 0 0 0 David M Barrett MD 841224 0 460000 0 87693 0 214700 0 1790 0 1605407 0 0 0 Sanford R Kurtz MD 0 0 468851 0 449991 0 0 0 0 0 918842 0 393851 0 William L Healy MD 0 537695 0 0 0 32050 0 14700 0 26613 0 611058 0 0 Jospeh C Corkery MD 411930 0 60000 0 38896 0 14700 0 18697 0 544223 0 0 0 Robert E Wise MD 191812 0 0 0 0 0 11509 0 0 0 203321 0 0 0 Joan M Robbio 311730 0 0 0 39262 0 14700 0 20508 0 386200 0 0 0 Kathleen S Jose 266564 0 0 0 38896 0 14700 0 9097 0 329257 0 0 0 Phillips Axten 303245 0 0 0 38896 0 14700 0 23965 0 380806 0 0 0 Peter R Lloyd 277659 0 0 0 22138 0 14700 0 22955 0 337452 0 0 0 Theron Bradley 238605 0 0 0 38896 0 14700 0 26437 0 318638 0 0 0 Allen S Danis 249076 0 0 0 38896 0 14700 0 1511 0 304183 0 0 0 Nelson R Gagnon 283088 0 0 0 258 0 14700 0 1569 0 299615 0 0 0 Helaine C Ahern 118207 0 0 0 154195 0 7092 0 9006 0 288500 0 0 0 Seamus Collins 238593 0 0 0 22020 0 14700 0 28788 0 304101 0 0 0 SCHEDULE J, PART I, LINES 1B & 2 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 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. 2005 MHEFA SERIES C BONDS 042456011 57586CKW4 2005-07-14 161295967 SEE PART V false false false 2007 MHEFA SERIES D BONDS 042456011 57586CE68 2007-08-17 48655976 SEE PART V false false false 28387982 161647745 943405 1259007 3594356 48366510 107484467 2006 true false true true 51388870 6773461 870765 43480534 264110 2009 false false true true false false false false 0.01258 0.01258 true false false false false 0.01172 0.01172 true false false false true XL ASSET FUND CO I 1.83 true false false false false false true AIG MATCH FUND CORP 1. true false false SCHEDULE K, PART I THE 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. BERNARD GORDON - ASSET ACQUISITION X 5000000 2806849 false true true 2806849 EMC INC TRUSTEE ON EMC BOARD 267525 PURCHASE OF PRODUCTS false X 1 5800 APPRAISAL X 17 92383 HIGH-LOW AVERAGE 1 false true false SCHEDULE M, PART I, COLUMN (B) THE ORGANZATION IS REPORTING THE NUMBER OF NON-CASH CONTRIBUTIONS. FORM 990, PART I, LINE 1 & PART III, LINE 1 LAHEY 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 2 OFFICERS 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 5 NET 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 ORGANIZATION FORM 990 PART VII NAME:Howard R Grant J.D. M.D. TITLE:TRUSTEE/PRES/CEO START11/15/10 HOURS:41 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John A Libertino, M.D. TITLE:TRUSTEE/CHAIR DEPT OF UROLOGY HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Richard W Nesto, M.D. TITLE:TRUSTEE/CHIEF MED OPER OFFICER HOURS:41 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Roger L Jenkins M.D. TITLE:TRUSTEE/CHAIR DIV OF SURGERY HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Richard S D'Agostino M.D. TITLE:TRUSTEE/CHAIR DEPT CARDIO SURG HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Judith A Melin M.D. TITLE:TRUSTEE/CHIEF MED SERV OFFICER HOURS:41 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Carl A Soderland M.D. TITLE:TRUSTEE/CHAIR DIV OF COMMU MED HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Andrew G Villanueva M.D. TITLE:TRUSTEE/CHIEF MED OFFICER CLIN HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:David M Barrett M.D. TITLE:TRUSTEE/PRES/CEO UNTIL12/31/10 HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:William L Healy M.D. TITLE:TRUSTEE UNTIL 01/24/11 /PHY. HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Jospeh C Corkery M.D. TITLE:TRUSTEE UNTIL 01/24/11 /PHY. HOURS:41 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Robert E Wise M.D. TITLE:TRUSTEE UNTIL 01/24/11 /ADMIN HOURS:3 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Stephen R Freidberg M.D. TITLE:TRUSTEE UNTIL 01/24/11 /PHY. HOURS:19 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Timothy O'Connor TITLE:OFFICER/TREASURER/EVP/CFO HOURS:41 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Sanford R Kurtz M.D. TITLE:FORMER TRUSTEE/FORMER C00 HOURS: LAHEY CLINIC HOSPITAL INC 41 MALL ROAD BURLINGTON MA 01805 042704686 HEALTH CARE MA 501(C)(3) 3 LCF INC true LAHEY CLINIC INC 41 MALL ROAD BURLINGTON MA 01805 042704683 HEALTH CARE MA 501(C)(3) 9 LCF INC true LAHEY CLINIC AFFILIATED SERVICES INC 41 MALL ROAD BURLINGTON MA 01805 043178972 HEALTH CARE MA 501(C)(3) 9 LCF INC true LAHEY CLINIC INSURANCE CO LTD INSURANCE BD na C-CorP 0 42259405 1.00000 PERPETUAL TRUSTS (4) SUPPORT MA NA TRUST REMAINDER TRUSTS (17) SUPPORT MA NA TRUST POOLED INCOME FUNDS (3) SUPPORT MA NA TRUST false false false false false false false false false false true true true true true true true true Lahey Clinic Hospital Inc K-R COST LAHEY CLINIC INC K-R COST LAHEY CLINIC AFFILIATED SERVICES INC K-R COST PERPETUAL TRUSTS R 609672 CASH REMAINDER TRUSTS R 14192 CASH POOLED INCOME FUNDS R 27387 CASH FORM 990, SCHEDULE R, PART IV, LINE 2 PERPETUAL TRUSTS ARE DOMICILED IN MASSACHUSETTS AND PENNSYLVANIA. FORM 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.