Civic Intelligence

Beth Israel Lahey Health Specialty Care Inc.

990 • Fiscal year 2017 • EIN 04-3201853

Oct 01, 2016 to Sep 30, 2017 • Filed on Aug 09, 2018

85 Herrick StBeverly, MA 01915

(978) 922-3000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

93rd percentile

1.00x

Higher debt load relative to assets than 93% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Liabilities / Revenue

54th percentile

0.35x

Higher debt load relative to revenue than 54% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Net Margin

5th percentile

-40%

Higher net margin than 5% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Top Officer Pay

96th percentile

$1,368,927

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 5.5% of source-year revenue.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Asset Growth

33rd percentile

0.9%

Faster asset growth than 33% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Revenue Growth

54th percentile

6.1%

Faster revenue growth than 54% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Assets

Up

$8,804,126

Up $79,828 (+0.9%) from 2016

Net Assets

Up

$0

Up $24,716,779 (+100%) from 2016

Liabilities

Down

$8,804,126

Down $24,636,951 (-74%) from 2016

Revenue

Up

$25,090,115

Up $1,434,069 (+6.1%) from 2016

Expenses

Up

$35,005,292

Up $885,760 (+2.6%) from 2016

Net Income

Up

-$9,915,177

Up $548,309 (+5.2%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$40M$20M$0-$20M-$40MAssets 2011: $4,673,701Liabilities 2011: $5,724,628Net Assets 2011: -$1,050,9272011Assets 2012: $8,185,000Liabilities 2012: $12,611,000Net Assets 2012: -$4,426,0002012Assets 2013: $8,481,459Liabilities 2013: $15,972,163Net Assets 2013: -$7,490,7042013Assets 2014: $7,870,096Liabilities 2014: $18,805,556Net Assets 2014: -$10,935,4602014Assets 2015: $10,169,373Liabilities 2015: $24,422,666Net Assets 2015: -$14,253,2932015Assets 2016: $8,724,298Liabilities 2016: $33,441,077Net Assets 2016: -$24,716,7792016Assets 2017: $8,804,126Liabilities 2017: $8,804,126Net Assets 2017: $02017Assets 2018: $8,876,719Liabilities 2018: $8,876,719Net Assets 2018: $02018Assets 2019: $8,678,529Liabilities 2019: $8,687,097Net Assets 2019: -$8,5682019Assets 2020: $9,391,030Liabilities 2020: $9,573,039Net Assets 2020: -$182,0092020Assets 2021: $17,051,751Liabilities 2021: $17,233,760Net Assets 2021: -$182,0092021Assets 2022: $14,184,215Liabilities 2022: $14,366,224Net Assets 2022: -$182,0092022Assets 2023: $14,179,863Liabilities 2023: $14,361,872Net Assets 2023: -$182,0092023Assets 2024: $15,719,821Liabilities 2024: $15,901,830Net Assets 2024: -$182,0092024

Highlighted filing

2017

Assets$8,804,126
Liabilities$8,804,126
Net Assets$0

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50MRevenue 2011: $14,407,479Expenses 2011: $17,968,147Net Income 2011: -$3,560,6682011Revenue 2012: $13,473,000Expenses 2012: $16,847,000Net Income 2012: -$3,374,0002012Revenue 2013: $13,759,853Expenses 2013: $16,834,855Net Income 2013: -$3,075,0022013Revenue 2014: $14,469,270Expenses 2014: $17,898,248Net Income 2014: -$3,428,9782014Revenue 2015: $16,430,018Expenses 2015: $19,747,851Net Income 2015: -$3,317,8332015Revenue 2016: $23,656,046Expenses 2016: $34,119,532Net Income 2016: -$10,463,4862016Revenue 2017: $25,090,115Expenses 2017: $35,005,292Net Income 2017: -$9,915,1772017Revenue 2018: $27,051,897Expenses 2018: $41,140,140Net Income 2018: -$14,088,2432018Revenue 2019: $28,971,161Expenses 2019: $44,483,814Net Income 2019: -$15,512,6532019Revenue 2020: $29,044,634Expenses 2020: $47,336,933Net Income 2020: -$18,292,2992020Revenue 2021: $37,267,730Expenses 2021: $53,079,089Net Income 2021: -$15,811,3592021Revenue 2022: $39,495,065Expenses 2022: $58,328,944Net Income 2022: -$18,833,8792022Revenue 2023: $42,682,630Expenses 2023: $64,346,309Net Income 2023: -$21,663,6792023Revenue 2024: $53,807,486Expenses 2024: $80,958,613Net Income 2024: -$27,151,1272024

Highlighted filing

2017

Revenue$25,090,115
Expenses$35,005,292
Net Income-$9,915,177
Jump To
Filing Snapshot
Filing Period
Oct 1, 2016 to Sep 30, 2017
Signed
Aug 9, 2018
Return Version
2016v3.1
Gross Receipts
$25,090,115
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$3,216,923$2,768,396▼ $448,527
Land, Buildings, and Equipment, Net$686,436$1,566,215▲ $879,779
Cash and Non-Interest-Bearing Accounts$1,826,557$1,497,010▼ $329,547
Other Notes and Loans Receivable, Net$295,623$217,412▼ $78,211
Prepaid Expenses and Deferred Charges$117,554$159,888▲ $42,334
Savings and Temporary Cash Investments$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$8,724,298$8,804,126▲ $79,828
Other Assets Total$2,581,205$2,595,205▲ $14,000
Liabilities
Other Liabilities$31,610,871$6,500,152▼ $25,110,719
Accounts Payable and Accrued Expenses$1,830,206$2,303,974▲ $473,768
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$33,441,077$8,804,126▼ $24,636,951
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-24,716,779$0▲ $24,716,779
Total Net Assets Fund Balance$-24,716,779$0▲ $24,716,779
Total Liabilities and Net Assets / Fund Balance$8,724,298$8,804,126▲ $79,828

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,371,021$50,025$1,421,047
Equipment$192,665$264,739$457,404
Leasehold Improvements$2,529$51,865$54,394
Other Assets Org$77,000--
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
David G Spackman JDOfficer/SVP Gov Affairs & Gen$686,193$46,007$732,200
Howard R Grant JD MDTRUSTEE/OFFICER/PRESident/CEO$603,150$52,627$655,777
Richard William Nesto MDtrustee/CMO Lahey Health$501,150$32,905$534,055
Peter R LloydOfficer/VP Corporate Finance$507,605$9,067$516,672
Timothy O'ConnorTrustee/officer/evp/CFO&treasu$222,193$235,278$457,471
Maryellen Learofficer/Director,legal support-$127,110$127,110

Board Members and Trustees

NameTitle
Philip CormierTrustee/Officer/CEO NHs
Denis W GallagherCOO Division of Primary Care
Connie WoodworthOfficer/VP Finance NHS
David Kahan MDPhysician
Kristina G Jackson MDPhysician
Michael Arsenian MDPhysician
edward j loughery mdPhysician
louis r laz mdPhysician
elizabeth p conradSVP chief hr officer
David ReisSVP Chief Info Officer
William RobertsonVP & Chief Facilities Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
None - See Sch O---
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$25,090,115
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-9,915,177
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$19,568,202
Other Expenses$15,437,090
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,949,544$415,490-$17,365,034
Fees for Services Other$10,123,448$218,952-$10,342,400
Insurance$1,220,443$915,846-$2,136,289
Other Expenses$1,191,176$331,454-$1,522,630
Other Employee Benefits$1,277,762$64,896-$1,342,658
Payroll Taxes$752,188$38,203-$790,391
Fees for Services Accounting$188,168$68,048-$256,216
Depreciation Depletion$79,852$21,355-$101,207
Travel$55,346$14,801-$70,147
Pension Plan Contributions$66,730$3,389-$70,119
Occupancy$39,781$10,639-$50,420
Information Technology$-1,322$-353-$-1,675
Total Functional Expenses$32,902,572$2,102,720$0$35,005,292
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Payables$4,166,767
Professional Liability Reserve$1,293,155
Accrued Pension Liability$783,149
Other Noncurrent Liabilities$168,000
Estimated Settlements Third Party Payors$89,081
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990 Part VI Section A Line 6, 7A, & 7B

The sole corporate member of the reporting organization is lahey health system, inc. The reporting organizations member has, with respect to the reporting organization, the right to exercise all powers conferred on members of the non-profit corporations under massachusetts general laws chapter 180, including, without limitation, powers with respect to the following: (a) appointment and removal of members of board of trustees; (b) amendment of the articles of organization; (c) amendent of the by-laws; (d) the sale, lease, exchange or other disposition of all or substqantially all of the corporations assets; and (e) the merger or consolidation with another corporation.

Form 990 Part VI Section B Line 11

Management prepared the irs form 990 along with independent tax consultants who sign the return as a paid preparer. Prior to the filing date, a draft of the irs form 990 was provided to the entire board of trustees via a secured website. In addition, the final form 990 was provided to the entire board of trustees via the same 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 complete an annual conflict of interest disclosure form. The lhs corporate compliance department monitors and reviews each disclosure for compliance with the conflict of interest policy. The corporate compliance department monitors conflicts of interest through disclosure software, training, and individual reviews with physicians, key employees, and managers. Depending on the conflict of interest, a person could be asked to not participate in decisions made on behalf of the lahey health system, inc. And affiliates; a person may be told they cannot be a principal investigator on a research study; a person may be told that they cannot perform the task that creates the conflict; a person could be asked to remove themselves from a committee.

Form 990, Part VI, Section B, Line 14

Lahey health system, inc. And affiliates has a written document retention and destruction policy known as the "retention of administrative and clinical documents". 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

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 the disqualified individuals and others. The committee seeks the advice of the external compensation consultants. Comparability data is provided, analyzed, and documentated by the external consultants. The lhs senior vp and chief human resources officer provides the committee with any requested information. The committee met several times this year.

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 SECTION A:

Lahey health system inc. And affiliates and its related organizations do not compensate any trustee and/or officer in their capacity as a trustee and/or officer. 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 "trusteeor "officer".

Form 990, Part VII, Section B, Line 1 & 2

Lahey health shared services, inc. ("lhss") compensates (process payment) all independent contractors (vendors) on behalf of the lahey health system, inc. Family of organizations. Under its tax id number, lhss issues form 1099 to the independent contractors. In addition, it submits the same information to the internal revenue service. The lahey health system inc. Family of organizations reimbuses lhss for all vendor payments made either directly or indirectly on their behalf.

Filing and Contact Details

Filer

Filer Name
NORTHEAST MEDICAL PRACTICE Inc
EIN
04-3201853
In Care Of
% TIMOTHY O'CONNOR
Phone
9789223000
Address
85 Herrick St, Beverly, MA 01915

Signing Officer

Name
TIMOTHY O'CONNOR
Title
EVP, CFO & Treasurer
Phone
9789223000
Signed
2018-08-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Howard R Grant Jd Md
Formed
1993
Legal Domicile
Ma
Voting Board Members
4
Independent Board Members
0
Employees
168
Volunteers
0

Preparer

Firm
Bdo USA Llp
Address
ONE INTERNATIONAL PLACE, BOSTON, MA 02110
Preparer
Jeffrey Rogers
Phone
6174220700
Supplemental Narrative

Additional Explanations

Form 990, Part I, Line 1 & Form 990, Part III, Line 1 -

Description of organization mission: operating as a not-for-profit medical group practice exclusively for the benefit of northeast hospital corporation providing medical services to patients of the hospital and hospital services area including medicare, medicaid, and all other patients regardless of ability to pay.

Form 990 Part IV Line 4

Lahey health system, inc. Is in contact with federal and state legislators regarding health care reform issues that would potentially have an impact on the organization and its related organizations.

Form 990, Part IV, Line 11F and Schedule D, Part X, Line 2

The organization's financial statements did not report a liability for uncertain tax positions under fin 48.

Form 990, Part XI, Line 9

Transfer of net assets: $34,631,956

Form 990 Part IX Line 11G

Description:physician fees total fees:9304711

Form 990 Part IX Line 11G

Description:contract cleaning total fees:66015

Form 990 Part IX Line 11G

Description:contract labor total fees:738700

Form 990 Part IX Line 11G

Description:purchased services total fees:208508

Form 990 Part IX Line 11G

Description:transcription services total fees:24466

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IRS990/Form990PartVIISectionAGrp/PersonNm7Connie Woodworth
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IRS990/OtherExpensesGrp/Desc1GENERAL SUPPLIES & SERVICES
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IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt0159888
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IRS990/ReportOtherAssetsInd0true
IRS990/ReportOtherLiabilitiesInd0true
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IRS990/RevenueAmt025090115
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.7$15.9$0.18$53.8$81.0$27.2
2023Detailed filing. Detailed filing data is available for this year.$14.2$14.4$0.18$42.7$64.3$21.7
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.2$14.4$0.18$39.5$58.3$18.8
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.1$17.2$0.18$37.3$53.1$15.8
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.39$9.57$0.18$29.0$47.3$18.3
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.68$8.69$0.01$29.0$44.5$15.5
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.88$8.88$0.00$27.1$41.1$14.1
2017Detailed filing. Detailed filing data is available for this year.$8.80$8.80$0.00$25.1$35.0$9.92
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.72$33.4$24.7$23.7$34.1$10.5
2015Detailed filing. Detailed filing data is available for this year.$10.2$24.4$14.3$16.4$19.7$3.32
2014Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$7.87$18.8$10.9$14.5$17.9$3.43
2013Summary only. Only limited summary data is available for this year.$8.48$16.0$7.49$13.8$16.8$3.08
2012Summary only. Only limited summary data is available for this year.$8.19$12.6$4.43$13.5$16.8$3.37
2011Summary only. Only limited summary data is available for this year.$4.67$5.72$1.05$14.4$18.0$3.56
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2017 filings • 501(c)3 • $25M-$50M nonprofits