TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) HOWARD R GRANT JD MD........................................................................ PRES EFF 12/	1.00 .......................49.00	X	X	0	1,404,056	268,890
(2) DAVID DICHIARA MD........................................................................ TRUSTEE	2.00 .......................	X		15,900	0	0
(3) STEVEN DEFOSSEZ MD........................................................................ TRUSTEE	2.00 .......................	X		1,880	0	0
(4) NANCY PALMER........................................................................ CHAIRWOMAN	2.00 .......................	X		0	0	0
(5) GEORGE BURKE........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(6) ROBERT IRWIN........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(7) PAUL MCCONNELL........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(8) ALEXANDER DUMAS MD........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(9) CHARLES FAVAZZO........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(10) CHRIS GEORGE........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(11) PAUL MUNIZ........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(12) JAGRUTI PATEL MD........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(13) MICHAEL SHEA........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(14) KURT MELDEN........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(15) HUGH O'FLYNN MD........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(16) DAVID ST LAURENT........................................................................ TRUSTEE	2.00 .......................	X		0	0	0
(17) TAYLOR HUGH MD........................................................................ TRUSTEE	2.00 .......................	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) TIMOTHY O'CONNOR........................................................................ TREASURER	1.00 .......................49.00	X				0	810,958	141,710
(19) DENIS CONROY........................................................................ CEO APP 12/3	30.00 .......................10.00	X				453,602	0	32,473
(20) GARY MARLOW........................................................................ ASST TRSR/VP	40.00 .......................	X				286,940	0	33,239
(21) DAVID SPACKMAN JD........................................................................ SECRETARY	1.00 .......................49.00	X				0	234,832	36,052
(22) MARYELLEN LEAR........................................................................ ASST SECRETA	40.00 .......................	X				89,019	0	13,653
(23) PAULINE PIKE........................................................................ COO	40.00 .......................		X			414,716	0	22,903
(24) PETER SHORT........................................................................ VP OF MED AF	40.00 .......................		X			358,238	0	30,196
(25) GREGORY BIRD........................................................................ VP PATIENT C	40.00 .......................		X			325,103	0	43,912
(26) JOHANNA RODGERS........................................................................ VP OF PHYSIC	40.00 .......................		X			251,448	0	40,584
(27) ALTHEA LYONS........................................................................ VP OF HR	40.00 .......................		X			242,794	0	45,714
(28) JOSEPH PORCELLO........................................................................ CONTROLLER	10.00 .......................30.00		X			205,373	0	69,715
(29) CYNTHIA DONALDSON........................................................................ VP OF ANCILL	40.00 .......................		X			200,566	0	19,739
(30) PAUL O'SHEA........................................................................ FRMR VP OF A	0.00 .......................			X		445,298	0	39,686
(31) BARRY GINSBERG........................................................................ MEDICAL DIRE	40.00 .......................			X		304,264	0	46,312
(32) STEVEN GILLESPIE........................................................................ MD	40.00 .......................			X		297,264	0	42,509
(33) PAUL PECK........................................................................ VP/CIO	40.00 .......................			X		251,816	0	32,594
(34) LISA NEVELING........................................................................ VP OF MARKET	40.00 .......................			X		207,045	0	46,088
(35) KENNETH HANOVER........................................................................ FR CEO RES 1	0.00 .......................				X	1,748,866	0	47,812
(36) WILLIAM DONALDSON........................................................................ FR VP GEN CN	0.00 .......................				X	329,625	0	90,102

(A) Name and business address	(B) Description of services	(C) Compensation
NORTHEAST EMERGENCY ASSOCIATIONS1342 BELMONT ST SUITE 205BROCKTONMA02301	ER DOCTORS	8,055,637
IPC HOSITALISTS OF NEW ENGLANDPO BOX 92284LOS ANGELESCA90009	HOSPITALISTS	1,182,000
FULL CONTACT ADVERTISING186 LINCOLN ST SUITE 801BOSTONMA02111	ADVERTISING	813,593
LAHEY CLINIC HOSPITAL41 MALL RDBURLINGTONMA01805	PHYSICIAN FEES	763,409
TGC LLCPO BOX 130HIGHLANDMD20777	CONSULTING SRVS	664,404
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 29

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	40,000	40,000
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	11,030	11,030
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,942,012	17,780	2,924,232
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	462,306		462,306
7	Other salaries and wages	142,738,605	116,345,952	25,515,340	877,313
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	6,099,911	4,954,693	1,114,080	31,138
9	Other employee benefits .......	13,856,286	11,200,968	2,584,925	70,393
10	Payroll taxes ...........	10,433,733	8,330,591	2,050,788	52,354
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	1,439,563		1,439,563
c	Accounting ...........	209,593		209,593
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	160,038		160,038
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	36,873,138	29,377,373	7,278,457	217,308
12	Advertising and promotion ....	4,606,900		4,606,900
13	Office expenses .......	6,184,630	3,949,647	2,234,983
14	Information technology ......	3,647,169	2,329,166	1,318,003
15	Royalties ..
16	Occupancy ...........	9,433,013	6,024,139	3,408,874
17	Travel ............	302,109	192,934	109,175
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........	1,558,169		1,558,169
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	17,672,392	11,285,996	6,386,396
23	Insurance ..............	3,616,555	2,309,615	1,306,940
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	HOSPITAL MEDICAL SUPPLIES	45,575,471	45,575,471
b	ALL OTHER EXPENSES	2,890,576	1,845,988	1,044,588
c	UNCOMPENSATED CARE	2,200,851	2,200,851
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	312,954,050	245,992,194	65,713,350	1,248,506
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............		1
2	Savings and temporary cash investments .........	15,805,004	2	20,273,552
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	36,081,175	4	34,616,563
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	5,731,388	8	5,765,454
9	Prepaid expenses and deferred charges ..........	4,150,691	9	3,917,922
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	372,080,858
b	Less: accumulated depreciation .....	10b	233,459,828	141,084,600	10c	138,621,030
11	Investments—publicly traded securities ..........	131,472,011	11	143,548,636
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	21,069,131	15	27,808,545
16	Total assets. Add lines 1 through 15 (must equal line 34)......	355,394,000	16	374,551,702
	17	Accounts payable and accrued expenses .........	30,882,777	17	30,704,710
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	89,216,492	20	91,746,459
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	289,607	23	288,546
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	101,456,525	25	62,907,880
26	Total liabilities. Add lines 17 through 25.........	221,845,401	26	185,647,595
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	115,267,990	27	169,179,280
28	Temporarily restricted net assets ...........	7,949,199	28	9,213,602
29	Permanently restricted net assets ...........	10,331,410	29	10,511,225
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	133,548,599	33	188,904,107
34	Total liabilities and net assets/fund balances ........	355,394,000	34	374,551,702

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization NORTHEAST HOSPITAL CORPORATION

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization NORTHEAST HOSPITAL CORPORATION

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

$ 1,800,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back
1a	Beginning of year balance ....	18,280,609	16,419,163	17,765,603	13,090,008
b	Contributions ........	1,516,024	1,169,967	990,656	4,378,469
c	Net investment earnings, gains, and losses	1,445,254	2,204,342	-839,966	1,545,146
d	Grants or scholarships .....	113,205	94,295	87,321	105,855
e	Other expenditures for facilities and programs ........	1,403,856	1,418,568	1,409,809	1,142,165
f	Administrative expenses ....
g	End of year balance ......	19,274,826	18,280,609	16,419,163	17,765,603

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

53.000 %

Temporarily restricted endowment SchDMd Bullet

47.000 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

Yes

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	943,315	19,036,111		19,979,426
b	Buildings ................	5,009,662	176,319,818	88,915,095	92,414,385
c	Leasehold improvements ............
d	Equipment ................	504,799	170,267,153	144,544,733	26,227,219
e	Other .................
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					138,621,030

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES (SHORT TERM)				14,319,130
(2) PROFESSIONAL INSURANCE RECEIVABLE				5,810,105
(3) UNAMORTIZED FINANCING COSTS				3,013,831
(4) OTHER ASSETS				1,864,158
(5) DUE FROM AFFILIATES (LONG TERM)				1,606,076
(6) SPLIT DOLLAR LIFE INSURANCE				1,195,245



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				27,808,545

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		216,899
ACCRUED PENSION LIABILITY		19,133,625
SERIES G,H,I LIABILITY SWAPS		10,626,058
TAXABLE BOND - SERIES I		9,500,000
ESTIMATED 3RD PARTY SETTLEMENT		8,684,084
PROFESSIONAL LIABILITY RESERVE		7,320,105
DUE TO AFFILIATES		4,623,917
POST RETIREMENT MEDICAL BENEFITS		1,634,432
OTHER NON CURRENT LIABILITIES		942,604
CURRENT POST RETIREMENT MED BENEFITS		226,156
CURRENT INSTALLMENT OF LT DEBT
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		62,907,880
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
SUPPLEMENTAL FINANCIAL INFORMATION	SCHEDULE D, PAGE 4, PART XIII	PART XIV - SUPPLEMENTAL INFORMATION PART III, LINE 4 COLLECTIONS AND RELATION TO EXEMPT PURPOSE THE ARTWORK, "OLD FORT AND TEN POUND ISLAND" BY FITZ HUGH LANE, C. 1850 IS BY A LOCAL ARIST, WHICH SERVES TO STRENGHTEN THE LINK WITH COMMUNITY RESIDENTS WHO UTILIZE THE HOSPITAL. PART V, LINE 4, INTENDED USES FOR ENDOWMENT FUNDS ENDOWMENT FUNDS ARE USED AS EARMARKED BY DONORS TO COVER COSTS OF ONGOING PROGRAMS OF THE HOSPITAL.

Schedule D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization
NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of the grants or

assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award

the grants or assistance? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	CARIBBEAN/BERMUDA	INVESTMENTS	INVESTMENT MGMT
















3a	Sub-total .....			16,501,000
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)			16,501,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012

Schedule F (Form 990) 2012

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2012

Schedule F (Form 990) 2012Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2012

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2012

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation
ACTIVITIES PER REGION	SCHEDULE F, PAGE 1, PART I, LINE 3	CARIBBEAN/BERMUDA 0 16,501,000
ADDITIONAL INFORMATION	SCHEDULE F, PAGE 5, PART V	PART I, LINE 1, COLUMNS (B) AND (C) ARE 0.

Schedule F (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. Form 990-EZ filers are not required to complete this part. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization
NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total .................

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2012

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 AGH GOLF TOURNA (event type)	(b) Event #2 BH GOLF TOURNAM (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	77,915	105,575	183,490
2	Less: Contributions . .	59,475	69,510	128,985
3	Gross income (line 1 minus line 2) . . .	18,440	36,065	54,505
4	Cash prizes . . .
5	Noncash prizes . .	3,920		3,920
6	Rent/facility costs . .	13,310	39,870	53,180
7	Food and beverages .	6,119		6,119
8	Entertainment . . .
9	Other direct expenses .	1,330	1,510	2,840
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........			66,059
11	Net income summary. Combine line 3, column (d), and line 10. ..........			-11,554

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2012

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 400.000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..		2,901	5,611,432	3,324,248	2,287,184	0.730 %
b	Medicaid (from Worksheet 3, column a) ....		53,646	39,989,157	34,291,606	5,697,551	1.820 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .		16,784	9,233,753	6,845,077	2,388,676	0.760 %
d	Total Financial Assistance and Means-Tested Government Programs .		73,331	54,834,342	44,460,931	10,373,411	3.310 %
Other Benefits		496		1,913,493	15,964	1,897,529	0.610 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	496		1,913,493	15,964	1,897,529	0.610 %
f	Health professions education (from Worksheet 5) ..			69,042	23,277	45,765	0.010 %
g	Subsidized health services (from Worksheet 6) ..		5,297	24,960,393	20,589,441	4,370,952	1.400 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	79		137,808		137,808	0.040 %
j	Total. Other Benefits ..	575	5,297	27,080,736	20,628,682	6,452,054	2.060 %
k	Total. Add lines 7d and 7j .	575	78,628	81,915,078	65,089,613	16,825,465	5.380 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	1	35,000	35,000	0.010 %
3	Community support	4	55,600	55,600	0.020 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	5	5,577	5,577
7	Community health improvement advocacy
8	Workforce development
9	Other	1	5,000	5,000
10	Total	11	101,177	101,177	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,602,978

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

512,232

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

96,826,569

Enter Medicare allowable costs of care relating to payments on line 5.....

101,852,483

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-5,025,914

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, and primary website address
1	NORTHEAST HOSPITAL CORPORATION 85 HERRICK ST BEVERLY,MA01915	X	X	X

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	NORTHEAST HOSPITAL CORPORATION
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Yes

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 400.0% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: % If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE	PART I LINE 3C	THE HOSPITAL DID NOT USE FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS THERE ARE TWO CIRCUMSTANCES WHERE THE HOSPITAL WILL OFFER DISCOUNTED CARE TO LOW INCOME INDIVIDUALS 1PATIENTS WHO DO NOT QUALIFY FOR ENROLLMENT IN A MASSACHUSETTS STATE PUBLIC ASSISTANCE PROGRAM SUCH AS OUTOFSTATE RESIDENTS BUT WHO MAY OTHERWISE MEET THE GENERAL FINANCIAL ELIGIBILITY CATEGORIES OF A STATE PUBLIC ASSISTANCE PROGRAM MAY RECEIVE A DISCOUNTED BILL THE HOSPITAL WILL PROVIDE AN APPROPRIATE DISCOUNT ON THE BILL ONCE THE DETERMINATION IS MADE 2WHEN A PATIENT REQUESTS A DISCOUNT ON AN UNPAID BILL THE HOSPITAL WILL REVIEW THE PATIENTS DOCUMENTED FINANCIAL SITUATION AND PAYMENT ACTIVITY THIS REVIEW IS CONSIDERED A SEPARATE FINANCIAL PROGRAM OFFERED BY THE HOSPITAL AND IS APPLIED ON A UNIFORM BASIS TO ALL PATIENTS ANY DISCOUNT THE HOSPITAL PROVIDES IS CONSISTENT WITH FEDERAL AND STATE TAX REQUIREMENTS AND DOES NOT INFLUENCE A PATIENT TO RECEIVE SERVICES FROM THE HOSPITAL
RELATED ORGANIZATION INFORMATION	PART I LINE 6A	NORTHEAST HEALTH SYSTEM PARENT HOLDING COMPANY OF NORTHEAST HOSPITAL CORPORATION PREPARES THE COMMUNITY BENEFIT REPORT
SUBSIDIZED HEALTH SERVICES EXPLANATION	PART I LINE 7G	THE SUBSIDIZED HEALTH SERVICES NET COMMUNITY BENEFIT EXPENSE OF 4370952 IS A RESULT OF PROVIDING BEHAVIORALMENTAL HEALTH INPATIENT AND OUTPATIENT CARE TO THE COMMUNITY DESPITE A FINANCIAL LOSS TO THE ORGANIZATION MEDICAID AND OTHER MEANS TESTED GOVERMENT PROGRAMS WERE NOT INCLUDED IN THIS EXPENSE
COSTING METHODOLOGY EXPLANATION	PART I LINE 7	LINE 7A WAS CALCULATED USING WORKSHEET 1 LINE 7B WAS CALCULATED USING AN INTERNAL COST ACCOUNTING SYSTEM THE INTERNAL COST ACCOUNTING SYSTEM PROVIDES MANAGEMENT FINANCIAL INFORMATION ACROSS ALL PAYERS AND SERVICES OF THE ORGANIZATION A COST TO CHARGE RATIO WAS USED TO CALCULATE 7A AND 7B AND WAS DERIVED FROM WORKSHEET 2 LINES 7E 7F AND 7I WERE CALCULATED BY TAKING COMMUNITY AND CHARITY CARE PROGRAM REVENUES AND EXPENSES FROM THE GENERAL LEDGER PLUS RELATED DIRECT AND INDIRECT COSTS THESE COSTS WERE CALCULATED BY TAKING THE NUMBER OF EMPLOYEE HOURS SPENT ON EACH PROGRAM MULTIPLIED BY A STANDARD RATE PLUS A FRINGE FACTOR TO CALCULATE BENEFIT COSTS LINE 7G WAS CALCULATED BY TAKING QUALIFYING SUBISIZED HEALTH SERVICES NET REVENUE LESS RELATED DIRECT AND INDIRECT COSTS EXCLUDING ANY AMOUNTS RELATED TO BAD DEBT FINANCIAL ASSISTANCE MEDICAID AND OTHER MEANSTESTED GOVERNMENT PROGRAMS FROM AN INTERNAL FINANCIAL REPORTING SYSTEM WHICH WE RECONCILE TO THE GENERAL LEDGER
COMMUNITY BUILDING ACTIVITIES	PART II	LINE 2 ECONOMIC DEVELOPMENT BEVERLY MAIN STREETS DOWNTOWN 2020 INITIATIVE DOWNTOWN 2020 IS BEVERLY MAIN STREETS VISION FOR WHAT DOWNTOWN BEVERLY CAN AND SHOULD BECOME A VIBRANT COMMUNITY THAT CELEBRATES THE ARTS AND CREATIVITY WITH COOL PLACES TO LIVE WORK SHOP PLAY AND EXPERIENCE THE VISION REPRESENTS MORE THAN 1000 VOICES FROM THE COMMUNITY AND IT CENTERS AROUND 3 GOALS 1DOWNTOWN BEVERLY WILL BE RECOGNIZED AS A REGIONAL CENTER FOR THE ARTS CULTURE CREATIVE INDUSTRY AND INNOVATION 2DOWNTOWN BEVERLY WILL BE THE LOCATION OF CHOICE FOR RETAIL AND CREATIVE BUSINESSES THAT APPEAL TO RESIDENTS STUDENTS AND VISITORS 3DEVELOPMENT IN DOWNTOWN BEVERLY WILL FOLLOW A CLEAR DIRECTION THAT LEVERAGES THE UNIQUE ASSETS OF EACH CORRIDOR LINE 3 COMMUNITY SUPPORT NHC GRANT PROGRAM ADDISON GILBERT BEVERLY HOSPITALS COMMUNITY COLLABORATIVE GRANT ADDRESSES SIGNIFICANT HEALTH ISSUES IN OUR NORTH SHORE CAPE ANN COMMUNITIES IN FY13 NHC LAUNCHED A NEW COMMUNITY COLLABORATIVE GRANT TO ADDRESS SIGNIFICANT HEALTH ISSUES IN THE NORTH SHORE COMMUNITIES THE GRANT PROGRAM IS A KEY ASPECT OF THE NHC COMMUNITY BENEFIT PROGRAM AND IS A DIRECT RESULT OF OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH THE GRANT NHC AWARDED FOUR 10000 GRANTS FOR INNOVATIVE COMMUNITY BASED INITIATIVES ON ONE OF THE THREE KEY AREAS 1 PROMOTION OF MENTAL AND BEHAVIORAL HEALTH EDUCATION PREVENTION AND EARLY INTERVENTION 2 PROMOTION OF HEALTHY LIFESTYLES AND 3 IMPROVING CHRONIC DISEASE PREVENTION INCLUDING DIABETES STROKE CANCER AND HEART DISEASE AND THOSE THAT IMPROVE ACCESS TO HEALTH SERVICES AND RESOURCES IN THE COMMUNITY THE GRANTS WERE MADE TO THE FOLLOWING ORGANIZATIONS 1STERLING CENTER YMCABE HEALTHY BEVERLY TO IMPLEMENT A RAISEDBED GARDEN PROGRAM WITH CURRICULUM AT EACH OF THE FIVE BEVERLY PUBLIC ELEMENTARY SCHOOLS 2 GRACE CENTER IN GLOUCESTER TO EXPAND THEIR CURRENT CASE MANAGEMENT OFFERINGS TO CLIENTELE WHO SUFFER FROM MENTAL HEALTH AND SUBSTANCE ABUSE RELATED HEALTHCARE ISSUES 3 BEVERLY PUBLIC SCHOOLS INTEGRATED COMPREHENSIVE RESOURCES IN SCHOOLS PROGRAM WHICH CALLS FOR EXPANDED MENTAL HEALTH COVERAGE IN THE SCHOOLS NURSES OFFICE FOR STUDENTS 4 EXPRESS YOURSELF INC TO EXPAND UPON THEIR CREATIVE OUTREACH PROGRAM FOR CHILDREN WHO ARE COPING WITH BEHAVIORAL HEALTH ISSUES THROUGH ART AND MUSIC BEVERLY BOOTSTRAPS MOBILE MARKET BEVERLY HOSPITAL FUNDED BEVERLY BOOTSTRAPS WITH A 10000 GRANT TO OFFER FRESH PRODUCE TO RESIDENTS OF THE BEVERLY HOUSING AUTHORITY THROUGH A MOBILE MARKET ON A WEEKLY BASIS EACH WEEK FROM JUNE TO OCTOBER RESIDENTS WERE ABLE TO ACCESS PRODUCE AT NO COST WHILE ALSO LEARNING ABOUT BASIS NUTRITION AND RECIPES FROM CLINICAL MANAGERS AT NORTHEAST HOSPITAL CORPORATION DURING THE YEAR 428 HOUSEHOLDS WERE SERVED 770 TOTAL INDIVIDUALS WERE SERVED AND 37513 POUNDS OF PRODUCE WAS DISTRIBUTED FIRST PARISH CHURCH COMMUNITY SUPPER PROGRAM IN FY13 DUE TO THE PERSISTENT UNEMPLOYMENT AND HOMELESSNESS BEVERLY BOOTSTRAPS EXPERIENCED A RECORD AMOUNT OF REQUESTS FOR ASSISTANCE IN FY13 NHC FUNDED A WEEKLY SUPPER PROGRAM AT THE FIRST PARISH CHURCH TO PROVIDE A HOT AND NUTRITIOUS MEAL EVERY TUESDAY NIGHT THE PROGRAM PROVIDED MEALS FOR MORE THAN 2200 COMMUNITY MEMBERS
BAD DEBT EXPENSE EXPLANATION	PART III LINE 4	PART III LINE 2 BAD DEBT EXPENSE AT COSTBAD DEBT EXPENSE WAS CALCULATED BY TAKING BAD DEBT WRITEOFFS PER THE GENERAL LEDGER BRINGING THIS DOWN TO COST THEN NETTING THIS TOTAL BY ACTUAL BAD DEBT RECOVERIES PART III LINE 3 BAD DEBT PATIENTS ELIGIBLE FOR CHARITY CARE WAS DETERMINED BY REVIEWING SPECIFIC PATIENT BALANCES THIS AMOUNT CONSISTS OF PATIENTS WITH A BALANCE FROM A PRIOR VISIT WHO DID NOT QUALIFY FOR FREE CARE AT THAT TIME WHO LATER CAME TO THE HOSPITAL FOR A VISIT AND NOW QUALIFIES FOR FREE CARE CHARGES RELATED TO THIS PREVIOUS VISIT ARE WRITTEN OFF AS BAD DEBT SINCE THEY WERE NOT ELIGIBLE FOR FREE CARE AT THAT TIME PART III LINE 4 THE HOSPITAL INCLUDES ITS BAD DEBT EXPENSE AS A LINE ITEM PROVISION FOR BAD DEBTS NET IN THE AUDITED STATEMENT OF OPERATIONS THIS AMOUNT REPRESENTS A COMMUNITY BENEFIT BECAUSE SERVICES WERE PROVIDED TO PATIENTS THAT ULTIMATELY QUALIFIED FOR CHARITY CARE PROVISION FOR BAD DEBTS FOOTNOTE THESE AMOUNTS REPRESENT COMMUNITY BENEFITS BECAUSE THEY WERE PROVIDED TO PATIENTS THAT ULTIMATELY QUALIFIED FOR CHARITY CARE
MEDICARE EXPLANATION	PART III LINE 8	PART III LINE 8 THESE COSTS REPRESENT A COMMUNITY BENEFIT BECAUSE THE PAYMENT FROM MEDICARE IS LESS THAN THE COST TO PROVIDE CARE AND THAT SHORTFALL IS ABSORBED BY THE HOSPITAL IN ADDITION THE HOSPITAL PROVIDES CARE TO A SUBSTANTIAL POPULATION OF MEDICAID PATIENTS AT PAYMENT LEVELS WELL BELOW COST
COLLECTION PRACTICES EXPLANATION	PART III LINE 9B	PART III LINE 9B THE HOSPITALS CREDIT AND COLLECTION POLICIES ARE DEVELOPED TO ENSURE COMPLIANCE WITH APPLICABLE CRITERIA REQUIRED UNDER 1 THE MASSACHUSETTS HEALTH SAFETY NET ELIGIBILITY REGULATION 1146 CMR 1300 2 THE CENTERS FOR MEDICARE AND MEDICAID SERVICES MEDICARE BAD DEBT REQUIREMENTS 42 CFR 41389 AND 3 THE MEDICARE PROVIDER REIMBURSEMENT MANUAL PART I CHAPTER 3 THIS POLICY IS AVAILABLE TO ALL PATIENTS UPON REQUEST FOR ANY PATIENTS WHO ARE UNINSURED OR UNDERINSURED THE HOSPITALS FINANCIAL COUNSELORS WILL WORK WITH THESE PATIENTS AND ASSIST THEM WITH FINDING A FINANCIAL ASSISTANCE PROGRAM THAT MAY COVER SOME OR ALL OF UNPAID BILLS ONCE THE HOSPITAL KNOWS PATIENTS QUALIFY FOR CHARITY CARE ALL COLLECTION PROCEDURES END AND THE FULL BALANCE OR THE AMOUNT THAT QUALIFIES UNDER FREE CARE IS WRITTEN OFF FINANCIAL ASSISTANCE IS INTENDED TO HELP LOWINCOME PATIENTS WHO DO NOT OTHERWISE HAVE THE ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES FINANCIAL ASSISTANCE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO MASSHEALTH COMMONWEALTH CARE CHILDRENS MEDICAL SECURITY PLAN HEALTHY START AND HEALTHY SAFETY NET PATIENTS UNDER THESE PROGRAMS WILL RECEIVE AN INITIAL BILL BUT ARE EXEMPT FROM ANY FURTHER COLLECTION OR BILLING PROCEDURES PURSUANT TO MASSACHUSETTS STATE REGULATIONS
NEEDS ASSESSMENT	PART VI	2 NEEDS ASSESSMENT THE COMMUNITY BENEFITS PROGRAM AT NORTHEAST HOSPITAL CORPORATION NHC IS A PROGRAM ESTABLISHED TO PARTNER WITH COMMUNITY LEADERS AND ORGANIZATIONS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY NHC IS PART OF LAHEY HEALTH SYSTEM LHS A VERTICALLY AND HORIZONTALLY INTEGRATED NETWORK OF HOSPITALS LONGTERM CARE FACILITIES ASSISTED LIVING FACILITIES HEALTH AND SOCIAL SERVICE AGENCIES AND COMMUNITY BASED PRIMARY CARE AND SPECIALTY CARE NHC INCORPORATES THE COMMUNITY HEALTH CONCEPTS OF WELLNESS ADAPTATION SELFCARE AND HEALTH PROMOTION STRATEGIES USED IN COMMUNITY BENEFITS HEALTH ACTIVITIES INCLUDE PREVENTION EARLY DETECTION EARLY INTERVENTION LONGTERM MANAGEMENT AND COLLABORATIVE EFFORTS WITH THE AFFILIATE ORGANIZATIONS THAT MAKE UP LHS HEALTH ISSUES ADDRESSED ENCOMPASS SAFETY CHRONIC DISEASE INFECTIOUS DISEASE SUBSTANCE ABUSE AND BEHAVIORAL HEALTH THE IMPORTANCE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE HOSPITALS COLLECTIVE EFFORTS TO ADDRESS THE HEALTHCARE NEEDS OF THE NORTH SHORE HAVE NEVER BEEN GREATER THE ECONOMIC DOWNTURN HAS HAD A TREMENDOUS IMPACT ON THOUSANDS OF INDIVIDUALS AND FAMILIES THROUGHOUT THE REGION NHC CONTINUES TO WORK IN PARTNERSHIP WITH THE COMMUNITIES IT SERVES AND WITH HEALTHRELATED ORGANIZATIONS THROUGHOUT THE NORTH SHORE TO MEET THE AREAS HEALTHCARE NEEDS AND IMPROVE THE OVERALL HEALTH STATUS OF THE COMMUNITY THE COMMUNITY BENEFITS COMMITTEE AT NHC ENSURES THAT THE ORGANIZATION CONDUCTS HEALTH NEEDS ASSESSMENTS FOR ITS 16 TOWNCITY PRIMARY SERVICE AREA AS MANDATED BY THE MASSACHUSETTS ATTORNEY GENERAL NHC WITH THE HELP OF NORTHEAST HEALTH SYSTEM AFFILIATES WILL FOCUS THE COMMUNITY BENEFITS PLAN AROUND THE FOUR STATEWIDE PRIORITIES SET FORTH BY THE ATTORNEY GENERALS OFFICE WHICH INCLUDE CHRONIC DISEASE MANAGEMENT FOR DISADVANTAGED POPULATIONS REDUCING HEALTH DISPARITIES PROMOTING WELLNESS OF VULNERABLE POPULATIONS AND SUPPORTING HEALTH CARE REFORM NHCS MOST RECENT HEALTH NEEDS ASSESSMENT WAS CONDUCTED FROM 20102012 WHICH WAS FINALIZED IN 2013 THE HOSPITALS INTERNAL COMMITTEE NHC INTERNAL STEERING COMMITTEE OVERSEES THE ASSESSMENT ALONG WITH AN OUTSIDE CONTRACTOR JOHN SNOW INC JSI JSI AND NHC INTERNAL STEERING COMMITTEE DEVELOPED A FINAL APPROACH AND SET OF METHODS INCLUDING DATA COLLECTION COMMUNITY INVOLVEMENT STRATEGIC PLANNING AND REPORTING ACTIVITIES THAT WILL MEET IRS AND STATE COMMUNITY BENEFIT REQUIREMENTS AND THAT ARE CUSTOMIZED TO THE SERVICE AREA AND THE NEEDS OF THE HOSPITAL THE ASSESSMENT INITIATIVE WAS CONDUCTED IN TWO PHASES PHASE 1 CONDUCTED A PRELIMINARY NEEDS ASSESSMENT RELYING HEAVILY ON SECONDARY HEALTH RELATED DATA FROM THE MASSACHUSETTS DEPARTMENT OF HEALTH MASSACHUSETTS COMMUNITY HEALTH INFORMATION PROFILE MASSCHIP SYSTEM AND OTHER NATIONAL STATE AND LOCAL SOURCES JSI ASSESSED HEALTH STATUS HOSPITAL EMERGENCY DEPARTMENT AND INPATIENT TRENDS IDENTIFIED HEALTH ISSUES AND BARRIERS TO CARE AND IDENTIFIED WHAT POPULATION WAS MOST AT RISK THE INFORMATION COLLECTED RELATED TO DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS SOCIAL DETERMINANTS OF HEALTH HEALTH STATUS AND ACCESS TO CARE AND SERVICE UTILIZATION THE PROJECT TEAM ALSO INTERVIEWED OVER 50 HOSPITAL AND COMMUNITY BASED HEALTH SERVICE PROVIDERS AND OTHER KEY COMMUNITY STAKEHOLDERS THE PURPOSES OF THE INTERVIEWS WERE TO REFINE TOPICS FOR DATA COLLECTION AND ANALYSIS AND TO SET THE STAGE FOR THE DEVELOPMENT OF A COMPREHENSIVE COMMUNITY SURVEY DURING PHASE II JSI COLLECTED DATA THROUGH THE DISTRIBUTION OF COMMUNITY SURVEYS THAT WERE SENT OUT THROUGH THE MAIL TO RANDOMLY SELECTED LOCAL COMMUNITIES TOPICS ON THE TWENTY PAGE SURVEY INCLUDED ACCESS AND BARRIERS TO CARE HEALTH BEHAVIORS AND LIFESTYLE CHRONIC DISEASE AND PREVENTION SELFREPORTED HEALTH STATUS DISABILITIES AND CARE GIVING ELDER HEALTH AND PERCEIVED CONCERNS AND COMMUNITY PRIORITIES OUT OF THE 2300 SURVEYS SENT OUT 1179 WERE RECEIVED BACK KEY FINDINGS FROM THE ASSESSMENT SHOWED THAT THE NORTH SHORE AND CAPE ANN REGION OF MASSACHUSETTS ARE HEALTHIER AND HAVE BETTER ACCESS TO HEALTHCARE THAN THOSE LIVING IN ESSEX COUNTY COMMONWEALTH OF MA AND THE NATION THERE WERE DISPARITIES IN ACCESS TO HEALTH THOUGH PARTICULARLY OLDER ADULTS AND THOSE IN LOWER INCOME BRACKETS KEY FINDINGS FROM THE SECONDARY DATA REVIEW AND SURVEYS FELL INTO SEVEN CATEGORIES INCLUDING ACCESS TO CARE CHRONIC DISEASE HEALTH RISK FACTORS MENTAL HEALTH SUBSTANCE ABUSE ORAL HEALTH AND MATERNAL AND CHILD HEALTH SEE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT REPORT FOR FURTHER INFORMATION ON THESE FINDINGS LHS AND THE STAFF AT NHC ARE COMMITTED TO DEVELOPING HOSPITAL SERVICES AND OTHER COMMUNITY BASED PROGRAMS THAT ARE ALTERED TO MEET THE NEEDS OF THE COMMUNITIES THEY SERVE THE HOSPITALS WORK COLLABORATIVELY WITH COMMUNITY PARTNERS TO DEVELOP PROGRAMS AND SERVICES THAT PROVIDE HEALTH EDUCATION EXPANDING ACCESS TO CARE ELIMINATING BARRIERS TO CARE AND IMPROVING OVERALL HEALTH STATUS
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI	3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE HOSPITAL PROVIDES PATIENTS WITH INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE THROUGH THE STATE OF MASSACHUSETTS OR THROUGH THE HOSPITALS OWN FINANCIAL ASSISTANCE PROGRAM WHICH MAY COVER ALL OR SOME OF THEIR UNPAID BILL FOR EVERY PATIENT THAT REQUIRES ANY KIND OF FINANCIAL ASSISTANCE THE HOSPITAL HAS FINANCIAL COUNSELORS AVAILABLE TO ASSIST LOWINCOME PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES SUCH ASSISTANCE TAKES INTO ACCOUNT EACH INDIVIDUALS ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE FINANCIAL ASSISTANCE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO MASSHEALTH COMMONWEALTH CARE CHILDRENS MEDICAL SECURITY PLAN HEALTHY START AND HEALTHY SAFETY NET EACH PATIENT REQUIRING ASSISTANCE COMPLETES AN APPLICATION THROUGH THE VIRTUAL GATEWAY AN INTERNET PORTAL DESIGNED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH HUMAN SERVICES TO PROVIDE THE GENERAL PUBLIC MEDICAL PROVIDERS AND COMMUNITY BASED ORGANIZATIONS WITH AN ONLINE APPLICATION FOR THE PROGRAMS OFFERED BY THE STATE OR THROUGH A STANDARD PAPER APPLICATION THAT ALSO GETS SENT TO THE MASSACHUSETTS EXECUTIVE OFFICE THIS OFFICE SOLELY MANAGES THE APPLICATION PROCESS FOR THE PROGRAMS LISTED ABOVE THE HOSPITAL ALSO INFORMS AND EDUCATES PATIENTS ABOUT STATE AND FEDERAL INSURANCE ASSISTANCE PROGRAMS BY MAKING THIS INFORMATION AVAILABLE ON PATIENT HOSPITAL BILLS ON NOTICES POSTED AT EVERY REGISTRATION SITE IN BROCHURES AT REGISTRATION DESKS AND WAITING ROOMS VIA PHONE PATIENT PHONE CALLS THROUGH COMMUNITY EVENTS AND HEALTH FAIRS AND BY ESTABLISHING RELATIONSHIPS WITH COMMUNITY AGENCIES SUCH AS SENIOR CITIZEN CENTERS SHELTERS FOOD PANTRIES BOARD OF HEALTH AND SCHOOL NURSES
COMMUNITY INFORMATION	PART VI	4 COMMUNITY INFORMATION THE HOSPITAL SERVES THE NORTH SHORE COMMUNITY IN MASSACHUSETTS WHICH HAS A POPULATION OF APPROXIMATELY 300000 THIS AREA INCLUDES BEVERLY DANVERS PEABODY SAUGUS LYNN MARBLEHEAD SALEM HAMILTON IPSWICH ESSEX MANCHESTER GLOUCESTER AND ROCKPORT BUT ANYONE WHO COMES TO ONE OF THE FACILITIES AND REQUIRES CARE WILL RECEIVE IT REGARDLESS OF WHETHER THEY LIVE IN THIS COMMUNITY EIGHTY PERCENT OF THE COMMUNITY IS WHITE 813 HAVE ENGLISH HAS A FIRST LANGUAGE AND 90 HAVE GRADUATED FROM HIGH SCHOOL AS REPORTED IN OUR PUBLIC HEALTH ASSESSMENT REPORT 87 OF THE ADULTS IN THE HOSPITALS SERVICE AREA HAVE A PERSONAL HEALTH CARE PROVIDER AND 80 HAVE HEALTH INSURANCE
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE	PART VI	5 PROMOTION OF COMMUNITY HEALTH IN ADDITION TO THE HOSPITALS COMMUNITY BENEFITS PROGRAMS INITIATIVES AND ACTIVITIES AS NOTED THROUGHOUT SCHEDULE H NHC HAS FURTHER PROMOTED THE HEALTH OF THE COMMUNITY BY ENCOURAGING ITS MANAGERS AND STAFF TO ACTIVELY PARTICIPATE IN OTHER NOTFORPROFIT COMMUNITY ORGANIZATIONS EITHER AS BOARD MEMBERS OR SUPPORTERS THE HOSPITAL RESPONSIBLY MANAGES FACILITY UPDATES AND TECHNOLOGICAL IMPROVEMENT THAT ENABLES NHC TO PROVIDE THE NORTH SHORE WITH CONVENIENT SAFE AND EFFECTIVE HEALTHCARE THE HOSPITAL HAS A COMMUNITY BOARD WITH MEMBERS FROM THE NORTH SHORE AND SURROUNDING AREAS AS WELL AS AN OPEN MEDICAL STAFF WHICH ALLOWS PHYSICIANS TO APPLY AND RECEIVE HOSPITAL PRIVILEGES THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE HOSPITALS ANNUAL BUDGET AND DETERMINES ESTIMATED SURPLUS FUNDS TO BE INVESTED BACK IN THE COMMUNITY TOWARDS COMMUNITY NEEDS ASSESSMENTS HOSPITAL PROGRAMS HEALTH INITIATIVES ETC NORTHEAST HOSPITAL CORPORATION HAS SEVERAL COMMUNITY BENEFIT SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES THESE INCLUDE HEALTH SCREENINGS CLINICS AND SEMINARS DEVELOPED FOR BREAST CANCER SKIN CANCER DEPRESSION DIABETES BONE DENSITY BLOOD PRESSURE FLU AND CPR IN ADDITION RISK ASSESSMENTS ARE DEVELOPED FOR CARDIOVASCULAR OSTEOPOROSIS DIABETES BODY MASS INDEX AND BREAST CANCER A NUMBER OF DISEASE MANAGEMENT INITIATIVES HAVE BEEN INSTITUTED INCLUDING CARDIAC REHABILITATION HEART FAILURE MANAGEMENT PULMONARY REHABILITATION OSTEOPOROSIS MANAGEMENT VASCULAR HEALTH AND WOMENS HEALTH SCREENINGS THE HOSPITAL ALSO HOLDS FREE SUPPORT GROUPS TO THE COMMUNITY FOR RESIDENTS WITH BREAST CANCER MELANOMA PROSTATE CANCER ALZHEIMERS EARLY STATE OF MEMORY LOSS POSTPARTUM DEPRESSION EPILEPSY DIABETES OR HAVE EXPERIENCED A STROKE INFANT LOSS AND LOSS OF A FAMILY MEMBER IN 2003 NHC CREATED THE LIFESTYLE MANAGEMENT INSTITUTE LMI THE LMI PROVIDES PROGRAMS AND EDUCATION ON HOW TO LIVE A HEALTHY LIFESTYLE AND PROACTIVELY IDENTIFIES POPULATIONS WITH OR AT RISK OF ESTABLISHED MEDICAL CONDITIONS THE LMI OFFERS A FULL RANGE OF SERVICES TO THE COMMUNITY INCLUDING RISK ASSESSMENT PREVENTION EDUCATION DIAGNOSTIC TESTING COORDINATED MEDICAL TREATMENT AND CONTINUOUS MONITORING EFFECTIVE DISEASE MANAGEMENT USING APPROPRIATE MEDICAL PROTOCOLS REDUCES THE NUMBER OF HOSPITAL ADMISSIONS AND EMERGENCY ROOM VISITS SHORTENS THE LENGTH OF HOSPITAL STAYS AND IMPROVES THE OVERALL HEALTH AND QUALITY OF LIFE FOR PEOPLE WITH CHRONIC ILLNESS
AFFILIATED HEALTH CARE INFORMATION	PART VI	6 AFFILIATED HEALTH CARE SYSTEM NORTHEAST HEALTH SYSTEM INC NHS IS AN INTEGRATED HEALTHCARE SYSTEM COMPRISED OF A NETWORK OF HOSPITALS BEHAVIORAL HEALTH LONGTERM CARE AND HUMAN SERVICE AFFILIATES OFFERING NORTH SHORE RESIDENTS GENERAL AND SPECIALIZED MEDICAL CARE NHS HAS A COMMITMENT TO BOTH PATIENTS AND THEIR FAMILIES TO PROVIDE HIGHQUALITY CARE IN A COMFORTING SETTING THE ORGANIZATIONS THAT MAKE UP THIS NETWORK INCLUDE NHC ORGANIZED FOR THE PURPOSE OF OPERATING A HOSPITAL NORTHEAST MEDICAL PRACTICE ORGANIZED TO MANAGE AND OPERATE ACCESSIBLE PHYSICIAN PRACTICES SEACOAST NURSING AND REHABILITATION CENTER ORGANIZED FOR PURPOSE OF OPERATING A NURSING HOME NORTHEAST SENIOR HEALTH CORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING ELDERLY AND ASSISTED LIVING HOUSING NORTHEAST BEHAVIORAL HEALTH ORGANIZED TO PROVIDE OUTPATIENT SERVICES CROSSCULTURAL PROGRAMS COMMUNITY SUPPORT SERVICES YOUTH RESIDENTIAL SERVICES SUBSTANCE ABUSE SERVICES PREVENTION SERVICES TRAUMA SERVICES EARLY CHILDHOOD SERVICES AND MEDICAL SERVICES IN THE GREATER NORTHSHORE AND CAB HEALTH RECOVERY ORGANIZED FOR THE PURPOSE OF PROVIDING TREATMENT FOR SUBSTANCE ABUSE THROUGH THIS CONTINUUM OF SERVICES NHS PROVIDES FOR A WIDE RANGE OF THE HEALTH NEEDS OF THE RESIDENTS OF THE NORTH SHORE IN A COORDINATED EFFICIENT AND COMPREHENSIVE MANNER LAHEY HEALTH SYSTEM INC PARENT WAS ORGANIZED IN ANTICIPATION OF THE AFFILIATION OF LAHEY CLINIC FOUNDATION INC FOUNDATION AND NORTHEAST HEALTH SYSTEM INC NHS THE TAXEXEMPT PARENT ENTITIES OF TWO PREVIOUSLY UNRELATED TAXEXEMPT HEALTH CARE SYSTEMS AS OF MAY 1 2012 PURSUANT TO THE AFFILIATION THE PARENT IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION AND NHS THE PARENT WAS FORMED TO ACT AS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTH CARE SYSTEM NHS IS THE SOLE MEMBER OF NORTHEAST HOSPITAL CORPORATION NHC AND FUNCTIONS AS THE PARENT HOLDING COMPANY FOR NORTHEAST HOSPITAL CORPORATION AND OTHER AFFILIATED ORGANIZATIONS SEE SCHEDULE R FOR FULL LIST OF AFFILIATIESRELATED ORGANIZATIONS
LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED	PART VI	MASSACHUSETTS
NORTHEAST HOSPITAL CORPORATION LINE NUMBER 1 PART V LINE 3	PART V LINE 3	SEE PART VI 2
NORTHEAST HOSPITAL CORPORATION LINE NUMBER 1 PART V LINE 4	PART V LINE 4	ADDISON GILBERT BEVERLY HOSPITAL AT DANVERS
NORTHEAST HOSPITAL CORPORATION LINE NUMBER 1 PART V LINE 12H	PART V LINE 12H	PART V 10 SEE PART I LINE 3C FOR HOW THE HOSPITAL DETERMINED ELIGIBILITY FOR DISCOUNTED CARE
NORTHEAST HOSPITAL CORPORATION LINE NUMBER 1 PART V LINE 14G	PART V LINE 14G	THE HOSPITAL HAS FINANCIAL COUNSELORS AVAILABLE FOR ANY PATIENT WHO REQUIRES HELP FILING FOR FINANCIAL ASSISTANCE THE COUNSELORS PERFORM FINANCIAL SCREENING AND HELP PATIENTS WITH MASSHEALTH COMMONWEALTH CARE HEALTH SAFETY NET MEDICAL HARDSHIP DISABILITY AND LONG TERM CARE APPLICATIONS THE HOSPITAL IS ALSO INVOLVED WITH COMMUNITY LIASON OUTREACH ACTIVITIES IN ADDITION TO HELPING PATIENTS WHO ARE ADMITTED TO THE HOSPITAL FINANCIAL COUNSELORS HELP SCREEN AND ENROLL PATIENTS IN THE COMMUNITY WHEN THEY ARE REFERRED TO THE HOSPITAL AGENCIES THE HOSPITAL HAS ESTABLISHED RELATIONSHIPS WITH INCLUDE COUNCILS ON AGING SHINE SERVING HEALTH INSURANCE NEEDS OF ELDERS CHEC COMMUNITY HEALTH EDUCATION CENTER PUBLIC SCHOOLS HOMELESS SHELTERS FOOD PANTRIES BOARD OF HEALTH IN GLOUCESTER AND BEVERLY POLICE DEPT IN GLOUCESTER AND BEVERLY AND LOCAL PHYSICIAN OFFICES

Schedule H (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
NORTHEAST HOSPITAL CORPORATION

Employer identification number
04-2121317

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) STERLING CENTER YMCA 254 ESSEX ST BEVERLY,MA01915	04-2104913	10,000	CHRONIC DISEASE MGMT
(2) EXPRESS YOURSELF 6 ELLIS ST PEABODY,MA01960	04-3294365	10,000	BEHAVIORAL HEALTH
(3) BEVERLY PUBLIC SCHOOL DISTRICT 502 CABOT ST BEVERLY,MA01915	04-6001379	10,000	BEHAVIORAL HEALTH
(4) THE GRACE CENTER 60 MIDDLE ST GLOUCESTER,MA01930	45-2987540	10,000	SUBSTANCE ABUSE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) E. TORREY JOHNSON SCHLSHP	9	7,030
(2) MEDICAL STAFF SCHOLARSHIP	2	4,000

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES	SCHEDULE I, PAGE 1, PART I, LINE 2	GRANTS TO INDIVIDUALS INSIDE THE US THE ELIZABETH TORREY JOHNSON SCHOLARSHIP FUND IS MAINTAINED BY THE FRIENDS OF BEVERLY HOSPITAL (A GROUP WHO CREATES AND SUPPORTS PROGRAMS AND ACTIVITIES THAT ENRICH BEVERLY HOSPITAL). THE FUND WAS ESTABLISHED IN 1964 AND SINCE THEN HAS PROVIDED ANNUAL SCHOLARSHIPS TO NUMEROUS APPLICANTS. ALL ELIGIBLE APPLICANTS MUST SUBMIT AN APPLICATION THAT INCLUDES THE COST OF TUITION, ROOM & BOARD, FEES AND ALL AVAILABLE FINANCIAL RESOURCES THEY HAVE BEEN AWARDED. RECIPIENTS ARE HIGH SCHOOL STUDENTS WHO HAVE VOLUNTEERED A MINIMUM OF 100 HOURS AT THE HOSPITAL AND PLAN TO HAVE CAREERS IN HEALTH CARE. CONFIRMATION OF ENROLLMENT IN COLLEGE IS REQUIRED. THE MEDICAL STAFF SCHOLARSHIPS AWARDS 2,000 TO SEVERAL STUDENTS IN THE HOSPITAL'S PRIMARY CARE SERVICE AREA. AFTER STUDENTS APPLY FOR THE SCHOLARSHIPS THEIR APPLICATIONS ARE REVIEWED AND THE RECIPIENTS ARE CHOSEN BY A COMMITTEE OF THE MEDICAL STAFF. GRANTS TO ORGANIZATIONS INSIDE THE US NHC REQUESTS APPLICATIONS FOR FUNDING THAT RELATES TO THE MAIN FOCUSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH INCLUDES MENTAL AND BEHAVIORAL HEALTH, CHRONIC DISEASE MANAGEMENT AND ACCESS TO HEALTHCARE SERVICES. GRANT REQUESTS MAY BE SUBMITTED FOR UP TO 10,000 PER ORGANIZATION IN ANY ONE CATEGORY. PROGRAMS OR SERVICES UNDER THE GRANT INITIATIVE MUST BE DELIVERED WITHIN THE NHC PRIMARY SERVICE AREA. ELIGIBLE APPLICANTS INCLUDE LOCAL COALITIONS OR COLLABORATIVE EFFORTS THAT ARE INTERESTED IN IMPROVING COMMUNITY HEALTH. ALL APPLICANTS MUST HAVE AN APPROPRIATE FISCAL AGENT SUCH AS A 501(C)(3) OR MUNICIPALITY. AN OBJECTIVE GRANT REVIEW TEAM WILL REVIEW AND SCORE ALL PROPOSALS AND MAKE FINAL FUNDING DECISIONS. ANY APPLICATION THAT DOES NOT MEET THE TIMELINE MAY NOT BE REVIEWED AND/OR MAY RECEIVE A LOWER TOTAL SCORE. REVIEWERS WILL BE SCREENED OUT FOR ANY POTENTIAL CONFLICT OF INTEREST IN THE FUNDING DECISION.

Schedule I (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)HOWARD R GRANT JD MDPRES EFF 123112	(i) (ii)	1,020,410	360,750	22,896	239,397	29,493	1,672,946
(2)TIMOTHY O'CONNORTREASURER	(i) (ii)	700,450	87,750	22,758	117,000	24,710	952,668
(3)DENIS CONROYCEO APP 123112	(i) (ii)	384,176	62,728	6,698	10,000	22,473	486,075
(4)GARY MARLOWASST TRSRVP FINANCE	(i) (ii)	269,644	17,296		10,000	23,239	320,179
(5)DAVID SPACKMAN JDSECRETARY	(i) (ii)	226,808		8,024	25,202	10,850	270,884
(6)PAULINE PIKECOO	(i) (ii)	359,716	55,000		10,000	12,903	437,619
(7)PETER SHORTVP OF MED AFFAIRS	(i) (ii)	327,053	25,481	5,704	10,000	20,196	388,434
(8)GREGORY BIRDVP PATIENT CARE SRVS	(i) (ii)	292,299	32,804		10,000	33,912	369,015
(9)JOHANNA RODGERSVP OF PHYSICIAN SRVS	(i) (ii)	226,075	25,373		10,000	30,584	292,032
(10)ALTHEA LYONSVP OF HR	(i) (ii)	218,037	24,757		10,000	35,714	288,508
(11)JOSEPH PORCELLOCONTROLLER	(i) (ii)	171,769	25,000	8,604	33,555	36,160	275,088
(12)CYNTHIA DONALDSONVP OF ANCILLARY SRVS	(i) (ii)	181,470	19,096		8,114	11,625	220,305
(13)PAUL O'SHEAFRMR VP OF ADMIN	(i) (ii)	25,522	20,000	399,776	8,729	30,957	484,984
(14)BARRY GINSBERGMEDICAL DIRECTOR	(i) (ii)	304,264			10,000	36,312	350,576
(15)STEVEN GILLESPIEMD	(i) (ii)	297,264			10,000	32,509	339,773
(16)PAUL PECKVPCIO	(i) (ii)	231,117	20,699		10,000	22,594	284,410
(17)LISA NEVELINGVP OF MARKETING	(i) (ii)	181,349	15,600	10,096	7,711	38,377	253,133
(18)KENNETH HANOVERFR CEO RES 123112	(i) (ii)	681,235	135,000	932,631	10,000	37,812	1,796,678
(19)WILLIAM DONALDSONFR VP GEN CNSLCLERK	(i) (ii)	206,153	30,000	93,472	66,801	23,301	419,727

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS	SCHEDULE J, PAGE 1, PART I, LINE 4	TIMOTHY O'CONNOR 0 117,000 0 GARY MARLOW 0 16,501 0 CYNTHIA DONALDSON 0 18,017 0 PAUL O'SHEA 231,784 0 0 KENNETH HANOVER 734,000 0 0 WILLIAM DONALDSON 50,412 34,000 0
NON-FIXED PAYMENTS PROVIDED	SCHEDULE J, PAGE 1, PART I, LINE 7	THE NON-FIXED PAYMENT BONUSES REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II) ARE DETERMINED BY AN INDEPENDENT COMPENSATION COMMITTEE, WHICH INCLUDES A GROUP OF TRUSTEES. IN A SUBJECTIVE MANNER, THE COMMITTEE TAKES INTO ACCOUNT THE ACHIEVEMENTS OF BOTH THE ORGANIZATION AND THE INDIVIDUAL TO DETERMINE THE APPROPRIATE AMOUNT OF SUCH BONUSES, WHICH INCLUDE, BUT ARE NOT LIMITED TO, THE ORGANIZATION MEETING ITS CORPORATE GOALS, (INCLUDING NET INCOME) AND QUALITY MEASURES, (SUCH AS PATIENT SATISFACTION AND QUALITY OF CARE).
OTHER ADDITIONAL INFORMATION	SCHEDULE J, PART III	SCHEDULE J, PART II THE HOSPITAL 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. SCHEDULE J, LINE 4,NON-QUALIFIED DEFERRED COMPENSATION PLAN THE HOSPITAL MAINTAINS A 457B NONQUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVE MANAGEMENT EMPLOYEES. EMPLOYEES CONTRIBUTE A PORTION OF THEIR SALARIES (THROUGH PAYROLL DEDUCTION) TO THE PLAN. THERE ARE NO EMPLOYER CONTRIBUTIONS TO THIS PLAN. LAHEY CLINIC FOUNDATION (RELATED ORGANIZATION) MAINTAINS A 457F NONQUALIFIED DEFERRED COMPENSAION PLAN FOR CERTAIN PHYSICIANS, EXECUTIVE MANAGEMENT AND DEFINED MEDICAL STAFF. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF COMPENSATION IN ADDITION TO THEIR SALARIES.

Schedule J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
NORTHEAST HOSPITAL CORPORATION

Employer identification number
04-2121317

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MASS DEV FIN AGENCY SERIES H	04-3431814	57586EC41	11-30-2012	23,000,000	CONSTR. AMBUL FAC		X		X		X
B	MASS HLTH & EDU FAC'S AUTH SERIES G	04-2456011	57586CDV4	10-27-2004	55,000,000	CONS/RENO BH ER/GAR		X		X		X
C	MASS HLTH & EDU FAC'S AUTH SRS M-2	04-2456011	57585KA57	05-30-2003	13,410,000	RENOV BH ENDO, PACU		X		X	X
D	MASS DEV FIN AGENCY SERIES J	04-3431814	57586EC41	11-30-2012	15,065,000	REFIN SERIES F-2,F-3		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	9,200,000		9,200,000		2,374,450
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	23,987,136		56,994,032		13,591,143		15,065,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	3,990,244		3,990,244		97,184
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .	22,852,308		9,375,639				14,808,680
7 Issuance costs from proceeds . . . . . . . . . . . .	147,692		814,592		67,050		256,320
8 Credit enhancement from proceeds . . . . . . . . . . .	2,375,606		2,375,606
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	38,370,020		38,370,020		12,001,950
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2007		2007		2004		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X			X	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	%		%		%		%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	%		%		%		%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	%		%		%		%
7 Does the bond issue meet the private security or payment test? . . . . .	X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X			X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X		X
c No rebate due? . . . . . . . . . .	X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X		X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X			X		X
b Name of provider . . . . . . . . .	BANK OF AMERICA		MERRILL LYNCH
c Term of hedge . . . . . . . . . .	30.0		29.8
d Was the hedge superintegrated? . . . . . .		X		X
e Was a hedge terminated? . . . . . . .		X		X

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
DATE REBATE COMPUTATION PERFORMED	SCHEDULE K	MASS DEV FIN AGENCY SERIES H 091613 MASS HLTH EDU FACS AUTH SERIES G 121713 MASS HLTH EDU FACS AUTH SRS M2 MASS DEV FIN AGENCY SERIES J 021814
ADDITIONAL INFORMATION	SCHEDULE K	MASS HLTH EDU FACS AUTH SRS M2 SERIES M2 REBATE COMPUTATIONS ARE DONE AT THE POOL LEVEL ANNUALLY

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Identifier	Return Reference	Explanation
ORGANIZATION'S MISSION	FORM 990 - ORGANIZATION'S MISSION	PART I, LINE 1 & PART III, LINE 1 COMMITTED TO PROVIDING THE HIGHEST QUALITY MEDICAL CARE TO ALL INDIVIDUALS WHO CAN BENEFIT FROM OUR CONTINUUM OF CARE. OUR CONCEPT OF CARE BROADLY EMBRACES THE HEALTH, WELL-BEING AND DIGNITY OF THE PATIENTS WE SERVE, REGARDLESS OF ABILITY TO PAY.
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	VOLUNTEERS SUPPORT THE SERVICES OF THE HOSPITAL'S STAFF. THEY ARE TRAINED AND SUPERVISED BY EMPLOYEES OF THE DEPARMENT TO WHICH THEY ARE ASSIGNED. INDIVIDUAL VOLUNTEER SCHEDULES MAY VARY DEPENDING ON DEPARTMENT NEEDS AND MAY INCLUDE EVENING AND WEEKEND HOURS. VOLUNTEERS RECEIVE TRAINING SPECIFIC TO THEIR DUTIES PRIOR TO PERFORMING THEIR JOB AND ARE OFTEN PAIRED WITH A VETERAN VOLUNTEER OR STAFF MEMBER UNTIL THEY ARE COMFORTABLE WORKING ON THEIR OWN. VOLUNTEERS ATTEND HOSPITAL ORIENTATION TO LEARN SAFETY, INFECTION CONTROL, AND PATIENT CONFIDENTIALITY INCLUDING HIPAA REQUIREMENTS PRIOR TO BEING PLACED. THEY ARE ALSO GIVEN HEALTH SCREENINGS AND RECEIVE YEARLY SAFETY UPDATES.
FINANCIAL ACCOUNTS IN FOREIGN COUNTRIES	FORM 990, PART V, LINE 4B	BERMUDA, CAYMAN ISLANDS, BRITISH VIRGIN ISLANDS
RELATED PARTY INFORMATION AMONG OFFICERS	FORM 990, PAGE 6, PART VI, LINE 2	DAVID SPACKMAN NHC/NMP/NHS/PRN/NSH/SCST/NPC SECR/CLERK OFFICER FOR ALL CORPORATIONS TIM O'CONNOR NHC/NMP/NHS/PRN/NSH/SCST/NPC TRSR/DIR OFFICER FOR ALL CORPORATIONS HOWARD GRANT NHC/NMP/NHS/NSH/SCST/NPC PRESIDENT OFFICER FOR ALL CORPORATIONS MARYELLEN LEAR NHC/NMP/NHS/NSH/SCST/NPC ASST CLERK OFFICER FOR ALL CORPORATIONS GARY MARLOW NHC/NHS/NSH/SCST/NPC ASST TRSR OFFICER FOR ALL CORPORATIONS STEVEN DEFOSSEZ, MD AUGUSTINE O'KEEFE, MD TRUSTEE TRUSTEE BOTH MD'S FOR BEVERLY RAD ASC
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PAGE 6, PART VI, LINE 4	NORTHEAST HOSPITAL CORPORATION'S BY-LAWS WERE AMENDED AND RESTATED ON MARCH 29, 2013.
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	EFFECTIVE MAY 1, 2012, LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HEALTH SYSTEM, INC. COMPLETED AN AFFILIATION WITH EACH OTHER AND ESTABLISHED A NEW ORGANIZATION, LAHEY HEALTH SYSTEM, INC. ("LHS"), TO SERVE AS THE PARENT OF THE COMBINED HEALTH SYSTEM. LHS IS NOW THE SOLE CORPORATE MEMBER OF LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HEALTH SYSTEM, INC. THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION IS NORTHEAST HEALTH SYSTEM, INC. THE REPORTING ORGANIZATION'S MEMBER HAS, WITH RESPECT TO THE REPORTING ORGANIZATION, THE RIGHT TO EXERCISE ALL POWERS CONFERRED ON MEMBERS OF NON-PROFIT CORPORATIONS UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 180, INCLUDING, WITHOUT LIMITATION, POWERS WITH THE RESPECT TO THE FOLLOWING: (A) APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES (SUBJECT TO CERTAIN TRANSITION RULES IN PLACE THROUGH MAY 1, 2016); (B) AMENDMENT OF THE ARTICLES OF ORGANIZATION; (C) AMENDMENTS OF THE BY-LAWS; (D) THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS AND (E) THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION. ADDITIONAL, THE RIGHT OF THE REPORTING ORGANIZATION'S MEMBER, NORTHEAST HEALTH SYSTEM, INC., TO EXERCISE ITS AUTHORITY AS A MEMBER OF THE REPORTING ORGANIZATION IS SUBJECT TO THE APPROVAL OF LCF/NHS'S CORPORATE MEMBER, LHS, WHICH MAY ALSO EXERCISE SUCH POWERS DIRECTLY.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	SEE LINE 6
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	SEE LINE 6
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE HOSPITAL'S MANAGEMENT PREPARED THE IRS FORM 990 AND WAS REVIEWED BY INDEPENDENT TAX CONSULTANTS (THE CONSULTANTS DID NOT SIGN AS PAID PREPARER). THE FINAL FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES BEFORE THE FILING DATE VIA A SECURE WEBSITE. LHS'S EXECUTIVE MANAGEMENT REVIEWED AND PRESENTED THE FINAL DRAFT OF FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE LAHEY HEALTH SYSTEM, INC BOARD OF TRUSTEES PRIOR TO THE FILING DATE.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	EACH YEAR THE MEMBERS OF THE BOARD ARE PROVIDED WITH A COPY OF THE CONFLICT OF INTEREST POLICY AND ASKED TO LIST ANY POTENTIAL CONFLICTS. THIS SIGNED FORM IS KEPT ON FILE WITH THE CORPORATE RECORDS AND THE CHAIR AND CEO ARE MADE AWARE OF ANY POTENTIONAL CONFLICTS. IF ANY CONFLICTS EXIST, THE TRUSTEE IS EXCUSED FROM THE DISCUSSIONS AND THE VOTE.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT TRUSTEES, MEETS ANNUALLY TO REVIEW EXECUTIVE GOALS, SALARIES, INCENTIVES, PAYMENT PROGRAMS AND BENEFITS FOR THE CEO AND EXECUTIVE MANAGEMENT. THE COMMITTEE USES COMPARATIVE DATA FROM SULLIVAN & COTTER & LAWRENCE ASSOCIATES (EXTERNAL COMPENSATION CONSULTANTS) TO ENSURE EXECUTIVE COMPENSATION AND BENEFITS ARE IN LINE WITH THE REST OF THE INDUSTRY. OUTSIDE LEGAL COUNSEL ADVISES THE COMMITTEE AND RECORDS MINUTES FROM THE MEETINGS. THE HOSPITAL'S VP OF HUMAN RESOURCES PROVIDES THE COMMITTEE WITH ANY REQUESTED INFORMATION.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	THE COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT TRUSTEES, MEETS ANNUALLY TO REVIEW EXECUTIVE GOALS, SALARIES, INCENTIVES, PAYMENT PROGRAMS AND BENEFITS FOR THE CEO, EXECUTIVE MANAGEMENT (KEY EMPLOYEES). THE COMMITTEE USES COMPARATIVE DATA FROM SULLIVAN & COTTER & LAWRENCE ASSOCIATES (EXTERNAL COMPENSATION CONSULTANTS) TO ENSURE EXECUTIVE COMPENSATION AND BENEFITS ARE IN LINE WITH THE REST OF THE INDUSTRY. OUTSIDE LEGAL COUNSEL ADVISES THE COMMITTEE AND RECORDS MINUTES FROM THE MEETINGS. THE HOSPITAL'S VP OF HUMAN RESOURCES PROVIDES THE COMMITTEE WITH ANY REQUESTED INFORMATION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE ARTICLES OF ORGANIZATION IS A PUBLIC DOCUMENT FILED WITH THE SECRETARY OF STATE OF THE COMMONWEALTH OF MASSACHUSETTS. THE ARTICLES OF ORGANIZATION, BY-LAWS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION PUBLISHES AN ANNUAL REPORT, WHICH CONTAINS AUDITED FINANCIAL STATEMENTS AND LISTINGS OF BOARD MEMBERS. THE IRS FORM 990 AND MASSACHUSETTS FORM PC ARE AVAILABLE UPON REQUEST. IN ADDITION, THE ORGANIZATION PRESENTS FINANCIAL STATEMENTS TO THE PUBLIC AS AN ATTACHMENT TO ITS FORM PC.
OTHER FEES FOR SERVICES	FORM 990, PART IX, LINE 11G	NONEMPLOYED HEALTHCARE WRKERS 16,514,935 0 0 SERVICE CONTRACTS 3,252,396 1,840,431 0 FOOD/CAFETERIA COSTS 2,471,627 1,398,617 0 PROFESSIONAL FEES 3,250,563 1,839,393 0 CONSULTING FEES 1,039,955 588,479 0 ALL OTHER EXPENSES 2,847,897 1,611,537 0 FUNDRAISING EXPENSES 0 0 217,308
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	MIN PENSION & POST RETIREMENT ADJ 26,631,280 RESTR INVESTMENT GAINS 179,699 CHNG IN INT IN BENEFICIAL TRUST 179,815 OTHER 8,039

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) LAHEY CLINIC INC 41 MALL RD BURLINGTON,MA01805 04-2704683	HEALTHCARE	MA	501C3	9	LCF INC 1		No
(2) LAHEY CLINIC FOUNDATION INC 41 MALL RD BURLINGTON,MA01805 04-2323457	SUPPORT	MA	501C3	7	LHS INC 2		No
(3) LAHEY HEALTH SHARED SERVICES INC 41 MALL RD BURLINGTON,MA01805 04-3178972	ADMIN SUPP	MA	501C3	9	LHS INC 3		No
(4) NORTHEAST HEALTH SYSTEM INC 85 HERRICK ST BEVERLY,MA01915 04-3240453	SUPPORT	MA	501C3	11C	LHS INC 4		No
(5) NORTHEAST MEDICAL PRACTICE INC 85 HERRICK ST BEVERLY,MA01915 04-3201853	HEALTHCARE	MA	501C3	9	NEH CORP 5	Yes
(6) SEACOAST NURSING & REHAB CTR 300 WASHINGTON ST GLOUCESTER,MA01930 04-1305001	HEALTHCARE	MA	501C3	9	NEHS INC 6		No
(7) NE PROFESSIONAL REG OF NURSES 85 HERRICK ST BEVERLY,MA01915 20-1287349	HEALTHCARE	MA	501C3	9	NESH INC 7		No
(8) NORTHEAST SENIOR HEALTH CORP 85 HERRICK ST BEVERLY,MA01915 04-2731137	HEALTHCARE	MA	501C3	9	NEHS INC 8		No
(9) NORTHEAST BEHAVIORAL HEALTH CORP 131 RANTOUL ST BEVERLY,MA01915 04-2777145	BEHAV HLTH	MA	501C3	7	NEHS INC 9		No
(10) CAB HEALTH & RECOVERY SERVICES INC 0 CENTENNIAL DRIVE PEABODY,MA01960 04-2400270	SUBS ABUSE	MA	501C3	9	NEBH CORP 10		No
(11) HES HOUSING SERVICES INC 0 CENTENNIAL DRIVE PEABODY,MA01960 22-3232914	HUD HSING	MA	501C3	9	NEBH CORP 11		No
(12) LAHEY HEALTH SYSTEM INC 41 MALL RD BURLINGTON,MA01805 61-1665701	SUPPORT	MA	501C3	11C	NA 12		No
(13) LAHEY CLINIC HOSPITAL INC 41 MALL RD BURLINGTON,MA01805 04-2704686	HEALTHCARE	MA	501C3	3	LCF INC 13		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) PERPETUAL TRUSTS (7) 41 MALL RD BURLINGTON,MA01805	SUPPORT	MA	SEE VII	TRUST				No
(2) REMAINDER TRUST (17) 41 MALL RD BURLINGTON,MA01805	SUPPORT	MA	SEE VII	TRUST				No
(3) POOLED INCOME FUNDS (4) 41 MALL RD BURLINGTON,MA01915	SUPPORT	MA	SEE VII	TRUST				No
(4) NORTHEAST MASSACHUSETTS INDEMNITY GOVERNORS SQ 23 LIME TREE BAY AVE CJ 98-0440187	INSURANCE	CJ	NEHS INC	C CORP				No
(5) NORTHEAST PROPRIETARY CORP 85 HERRICK ST BEVERLY,MA01915 04-2855191	MED SRVS	MA	NEHS INC	C CORP				No
(6) LAHEY CLINIC INSURANCE CO LTD PO BOX HM2450 BD	INSURANCE	BD	LHS INC	C CORP				No
(7) PERPETUAL TRUSTS (7) 41 MALL RD BURLINGTON,MA01805	SUPPORT	MA	SEE VII	TRUST				No
(8) REMAINDER TRUST (17) 41 MALL RD BURLINGTON,MA01805	SUPPORT	MA	SEE VII	TRUST				No
(9) POOLED INCOME FUNDS (4) 41 MALL RD BURLINGTON,MA01915	SUPPORT	MA	SEE VII	TRUST				No
(10) NORTHEAST MASSACHUSETTS INDEMNITY GOVERNORS SQ 23 LIME TREE BAY AVE CJ 98-0440187	INSURANCE	CJ	NEHS INC	C CORP				No
(11) NORTHEAST PROPRIETARY CORP 85 HERRICK ST BEVERLY,MA01915 04-2855191	MED SRVS	MA	NEHS INC	C CORP				No
(12) LAHEY CLINIC INSURANCE CO LTD PO BOX HM2450 BD	INSURANCE	BD	LHS INC	C CORP				No

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) NORTHEAST MEDICAL PRACTICE	A	213,629	FMV

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation
ADDITIONAL INFORMATION	SCHEDULE R	SCHEDULE R PART IV PERPETUAL TRUSTS 7 LAHEY CLINIC FOUNDATION AND NORTHEAST HOSPITAL CORPORATION HAVE FOUR AND THREE PERPETUAL TRUSTS RESPECTIVELY THE PERPETUAL TRUSTS ARE DOMICILED IN MASSACHUSETTS AND PENNSYLVANIA SCHEDULE R PART IV REMAINDER TRUSTS 17 LAHEY CLINIC FOUNDATION HAS SEVENTEEN REMAINDER TRUSTS THE REMAINDER TRUSTS ARE DOMICILED IN MASSACHUSETTS AND NEW HAMPSHIRE SCHEDULE R PART IV POOLED INCOME FUNDS 4 LAHEY CLINIC FOUNDATION AND NORTHEAST HOSPITAL CORPORATION HAVE THREE AND ONE POOLED INCOME FUNDS RESPECTIVELY SCHEDULE R PART II PUBLIC CHARITY STATUS NORTHEAST HEALTH SYSTEM INC 11C IIIFI LAHEY HEALTH SYSTEM INC 11C IIIFI SCHEDULE R PART V LINES LS ALL ENTITIES WITHIN THE LAHEY HEALTH SYSTEM SHARE FACILITIES EQUIPMENT MAILING LISTS AND OTHER ASSETS AND PROVIDE VARIOUS CORPORATE AND OTHER SERVICES TO EACH OTHER THESE ENTITIES REIMBURSE ONE ANOTHER FOR EXPENSES INCURRED SUCH AS EMPLOYEE SALARIES MATERIALS SUPPLIES HEALTHDENTAL INSURANCE UTILITIES ETC CASH IS ALSO TRANSFERRED BETWEEN THESE CORPORATIONS FOR THESE EXPENSES

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PART I, LINE 1 & PART III, LINE 1 COMMITTED TO PROVIDING THE HIGHEST QUALITY MEDICAL CARE TO ALL INDIVIDUALS WHO CAN BENEFIT FROM OUR CONTINUUM OF CARE. OUR CONCEPT OF CARE BROADLY EMBRACES THE HEALTH, WELL-BEING AND DIGNITY OF THE PATIENTS WE SERVE, REGARDLESS OF ABILITY TO PAY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	3,017
6	Total number of volunteers (estimate if necessary) .............	6	350
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,799,671
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,759,752	2,213,520
9	Program service revenue (Part VIII, line 2g) .........	307,324,621	308,436,194
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,047,156	2,803,738
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	12,012,298	19,254,658
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	324,143,827	332,708,110
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	19,150	51,030
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	178,500,368	176,532,853
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 1,248,506
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	132,830,171	136,370,167
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	311,349,689	312,954,050
19	Revenue less expenses. Subtract line 18 from line 12.......	12,794,138	19,754,060
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	355,394,000	374,551,702
21	Total liabilities (Part X, line 26).............	221,845,401	185,647,595
22	Net assets or fund balances. Subtract line 21 from line 20.....	133,548,599	188,904,107

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 128,864,507 including grants of $ 51,030 ) (Revenue $ 171,147,173 )
	INPATIENT SERVICES - NORTHEAST HOSPITAL CORPORATION (THE HOSPITAL) IS A NON-PROFIT COMMUNITY HOSPITAL PROVIDING HIGH QUALITY CARE TO THE SICK AND INJURED, REGARDLESS OF THE ABILITY TO PAY. INPATIENT CARE IS AVAILABLE IN THE AREAS OF CRITICAL CARE, GENERAL MEDICINE, SURGERY, MATERNITY/OBSTETRICS, NEWBORN SPECIAL CARE, PEDIATRICS AND PHYSCHIATRY. IN FY2013, THE HOSPITAL HAD APPROXIMATELY 24,000 INPATIENT ADMISSIONS. THE HOSPITAL HAS FOUR LOCATIONS, BEVERLY HOSPITAL, ADDISON GILBERT HOSPITAL, BEVERLY HOSPITAL AT DANVERS AND BAYRIDGE HOSPITAL.

4b	(Code: ) (Expenses $ 98,034,156 including grants of $ ) (Revenue $ 130,200,853 )
	OUTPATIENT SERVICES - THE HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF OUTPATIENT SERVICES, PROVIDING HIGH QUALITY CARE TO THE SICK AND INJURED, REGARDLESS OF THE ABILITY TO PAY, INCLUDING (BUT NOT LIMITED TO) CARDIOLOGY, ONCOLOGY, RADIOLOGY, GERIATRICS, WOMEN'S HEALTH, REHABILITATION, ENDOSCOPY, MAMMOGRAPHY AND CARDIOPULMONARY SERVICES. IN FY2013 THE HOSPITAL HAD APPROXIMATELY 406,000 OUTPATIENT ENCOUNTERS.

4c	(Code: ) (Expenses $ 19,093,531 including grants of $ ) (Revenue $ 25,358,447 )
	EMERGENCY ROOM - THE HOSPITAL (BEVERLY AND ADDISON) HAS A 24 HOUR EMERGENCY ROOM, PROVIDING HIGH QUALITY CARE TO THE SICK AND INJURED, REGARDLESS OF THE ABILITY TO PAY. IN FY2013, THE HOSPITAL HAD APPROXIMATELY 64,000 EMERGENCY ROOM VISITS. THE EMERGENCY ROOM HAS BOARD CERTIFIED EMERGENCY MEDICINE PHYSICIANS AND SPECIALTY TRAINED EMERGENCY NURSES. PATIENTS SEEKING CARE AT THE HOSPITAL HAVE ACCESS TO ADVANCED LIFE SUPPORT, INTENSIVE CARE CAPABILITIES AND SPECIALLY TRAINED DOCTORS IN PEDIATRICS, CARDIOLOGY AND ANESTHESIA.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses245,992,194

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	6,429,757	2,449,846	1,143,883

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		128,985
d	Related organizations...1d
e	Government grants (contributions)1e		181,800

f	All other contributions, gifts, grants, and similar amounts not included above1f		1,902,735

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,213,520
			Business Code
2a	NET PATIENT SERVICE REVENUE		624100	308,436,194	308,436,194
b
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			308,436,194
3	Investment income (including dividends, interest, and other similar amounts).......			66,808	66,808
4	Income from investment of tax-exempt bond proceeds..			1,309,072	1,309,072
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	2,914,076
b	Less: rental expenses	531,898
c	Rental income or (loss)	2,382,178
d	Net rental income or (loss).......			2,382,178	2,382,178
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	9,155,339	873,807
b	Less: cost or other basis and sales expenses	7,947,044	654,244
c	Gain or (loss)	1,208,295	219,563
d	Net gain or (loss)..........			1,427,858	1,427,858
8a	Gross income from fundraising events (not including $ 128,985 of contributions reported on line 1c). See Part IV, line 18 ..
	a		54,505
b	Less: direct expenses ...b		66,059
c	Net income or (loss) from fundraising events..			-11,554
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	CHG IN VALUE OF INT RATE SWAP		900001	5,604,797	5,604,797
b	LAB SSI INCOME		900099	3,790,806		3,790,806
c	MEANINGFUL USE INCOME		900099	2,836,000	2,836,000
d	All other revenue ....			4,652,431	4,643,566	8,865
e	Total. Add lines 11a–11d ......			16,884,034
12	Total revenue. See Instructions......			332,708,110	326,706,473	3,799,671


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............				1
2	Savings and temporary cash investments .........			15,805,004	2	20,273,552
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			36,081,175	4	34,616,563
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			5,731,388	8	5,765,454
9	Prepaid expenses and deferred charges ..........			4,150,691	9	3,917,922
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	372,080,858
b	Less: accumulated depreciation .....	10b	233,459,828	141,084,600	10c	138,621,030
11	Investments—publicly traded securities ..........			131,472,011	11	143,548,636
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			21,069,131	15	27,808,545
16	Total assets. Add lines 1 through 15 (must equal line 34)......			355,394,000	16	374,551,702
17	Accounts payable and accrued expenses .........			30,882,777	17	30,704,710
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			89,216,492	20	91,746,459
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			289,607	23	288,546
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			101,456,525	25	62,907,880
26	Total liabilities. Add lines 17 through 25.........			221,845,401	26	185,647,595
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			115,267,990	27	169,179,280
28	Temporarily restricted net assets ...........			7,949,199	28	9,213,602
29	Permanently restricted net assets ...........			10,331,410	29	10,511,225
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			133,548,599	33	188,904,107
34	Total liabilities and net assets/fund balances ........			355,394,000	34	374,551,702

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No