TY 2015 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) JONATHAN ADLER MD...................................................................... TRUSTEE/Physician	1.0 .................	X		0	158,538	24
(2) JAMES CONWAY...................................................................... TRUSTEE	1.0 .................	X		0	0	0
(3) JAMES FICOCIELLO DDS...................................................................... TRUSTEE	1.0 .................	X		0	0	0
(4) ROBERT FORTUNATO MD...................................................................... TRUSTEE	1.0 .................	X		0	0	0
(5) ERIC HAYDEN...................................................................... TRUSTEE	1.0 .................	X		0	0	0
(6) JANICE HOUGHTON...................................................................... TRUSTEE	1.0 .................	X		0	0	0
(7) HOWARD R GRANT JD MD...................................................................... Trustee/Officer/President& CEO	1.0 .................	X	X	0	1,264,853	376,483
(8) ARTHUR LITTLE MD...................................................................... TRUSTEE	1.0 .................	X		0	0	0
(9) DALE LODGE...................................................................... CEO	43.0 .................	X	X	644,443	0	27,331
(10) JOHN MARTINI...................................................................... TRUSTEE	1.0 .................	X		0	0	0
(11) DeBORAH MCDONOUGH...................................................................... TRUSTEE	1.0 .................	X		0	0	0
(12) RICHARD OCKERBLOOM...................................................................... TRUSTEE	1.0 .................	X		0	0	0
(13) TIMOTHY O'CONNOR...................................................................... Officer/EVP/CFO & Treasurer	1.0 .................	X	X	0	676,721	183,875
(14) PETER ROTOLO MD...................................................................... TRUSTEE	1.0 .................	X		0	0	0
(15) richard sayre...................................................................... TRUSTEE	1.0 .................	X		0	0	0
(16) KEVIN SMITH...................................................................... FORMER CEO	43.0 .................	X	X	3,268,261	0	0
(17) DAVID G SPACKMAN...................................................................... Officer/SVP/Clerk/Gen Counsel	1.0 .................	X	X	0	509,537	50,683

(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)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JOSEPH TARBY iii JD........................................................................ ASSISTANT CLERK	1.0 .......................	X	X			0	0	0
(19) JOSEPH TAYLOR MD........................................................................ TRUSTEE	1.0 .......................	X				0	0	0
(20) JANE WALSH........................................................................ Trustee	1.0 .......................	X	X			0	0	0
(21) MATTHEW WOODS........................................................................ VP Finance/ASSISTANT TREASURER	43.0 .......................	X	X			356,067	0	37,568
(22) JAMES YOUNG........................................................................ TRUSTEE	1.0 .......................	X				0	0	0
(23) MARLENE WILLIAMSON........................................................................ TRUSTEE	1.0 .......................	X				0	0	0
(24) Dennis Begos MD........................................................................ TRUSTEE	1.0 .......................	X				0	0	0
(25) paul andrews........................................................................ TRUSTEE	1.0 .......................1.0	X	X			0	0	0
(26) Cynthia DeRosa........................................................................ Trustee	1.0 .......................	X				0	0	0
(27) KATHY ANN SCHULER........................................................................ V.P. - PATIENT CARE	40.0 .......................			X		297,949	0	27,362
(28) ANN LANG TALBOT........................................................................ Former V.P. - HUMAN RESOURCES	40.0 .......................			X		339,226	0	4,350
(29) ELIZABETH P CONRAD........................................................................ SVP, CHIEF HR OFFICER	1.0 .......................50.0			X		0	359,246	56,119
(30) BRUCE A METZ........................................................................ SVP Chief Info Officer	1.0 .......................40.0			X		0	442,784	32,447
(31) David W Reis........................................................................ SVP Chief Info Officer	1.0 .......................50.0			X		0	261,509	20,142
(32) RIchard J Iseke MD........................................................................ V.P. - Medical Affai	40.0 .......................				X	436,156	0	14,450
(33) Mary Elizabeth Canning........................................................................ Vice President	40.0 .......................				X	255,528	0	39,358
(34) William Robertson........................................................................ Vice President	40.0 .......................				X	269,360	0	40,389
(35) RICHARD WEINER MD........................................................................ VICE PRESIDENT	40.0 .......................				X	291,212	0	40,133
(36) NANCY SACHETTI........................................................................ HIGHLAND MANAGEMENT	.......................				X	212,865	0	35,452

(A) Name and business address	(B) Description of services	(C) Compensation
STRATA PATHOLOGY INC, 1 CRANBERRY HILL SUITE 303 LEXINGTON,MA02421	LABORATORY SERVICES	1,469,603
Laboratory Corporation of America, PO Box 4070 Portsmouth,NH03802	LAB	1,316,380
SODEXO INC AFFILIATES, PO BOX 905374 CHARLOTTE,NC28290	FOOD SERVICE	1,255,924
PATRIOT MEDICAL TECH OF OHIO INC, 7100 COMMERCE WAY SUITE 280 BRENTWOOD,TN37027	BIOMEDICAL SERVICE	1,169,294
DYNAMEX LLC, 12 CABOT RD WOBURN,MA01801	COURIER SERVICES	1,112,531
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 58

- 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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

WINCHESTER HOSPITAL

Employer identification number

04-2104434

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 (Form 990 or 990-EZ))

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

WINCHESTER HOSPITAL

Employer identification number

04-2104434

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Yes

62,117

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

62,117

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

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

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1h, LOBBYING ACTIVITIES	MASSACHUSETTS COUNCIL OF COMMUNITY HOSPITALS (MCCH): THE MASSACHUSETTS COUNCIL OF COMMUNITY HOSPITALS IS A NON-PROFIT CORPORATION FORMED TO ADVOCATE FOR THE COMMONWEALTH'S COMMUNITY HOSPITALS. THESE HOSPITALS PLAY A VITAL ROLE IN PROVIDING CONVENIENT, HIGH QUALITY HEALTH CARE AT A REASONABLE COST. FOR A NUMBER OF REASONS OUR HOSPITALS ARE OFTEN DISADVANTAGED BY THE CURRENT FINANCING AND DELIVERY SYSTEM IN GAINING ACCESS TO CAPITAL, TECHNOLOGY, AND CLINICAL RESOURCES. IT IS THE GOAL OF THE COUNCIL TO EDUCATE AND ARGUE OUR CASE TO POLICYMAKERS, EMPLOYERS, AND PAYERS TO ELIMINATE INEQUITIES IN THE SYSTEM. ANNUAL PORTION OF DUES RELATED TO LOBBYING: $4,108 MASSACHUSETTS HOSPITAL ASSOCIATION (MHA): THE MASSACHUSETTS HOSPITAL ASSOCIATION IS A VOLUNTARY, NOT-FOR-PROFIT ORGANIZATION COMPRISED OF HOSPITALS AND HEALTH SYSTEMS, RELATED ORGANIZATIONS, AND OTHER MEMBERS WITH A COMMON INTEREST IN PROMOTING THE HEALTH OF THE PEOPLE OF THE COMMONWEALTH. THROUGH LEADERSHIP IN PUBLIC ADVOCACY, EDUCATION, AND INFORMATION, MHA REPRESENTS AND ADVOCATES FOR THE COLLECTIVE INTERESTS OF ITS MEMBER HOSPITALS AND HEALTH SYSTEMS, AND SUPPORTS THEIR EFFORTS TO PROVIDE HIGH QUALITY, COST EFFECTIVE, AND ACCESSIBLE CARE. ANNUAL PORTION OF DUES RELATED TO LOBBYING - $50,235 AMERICAN HOSPITAL ASSOCIATION (AHA): THE AMERICAN HOSPITAL ASSOCIATION (AHA) IS THE NATIONAL ORGANIZATION THAT REPRESENTS AND SERVES ALL TYPES OF HOSPITALS, HEALTH CARE NETWORKS, AND THEIR PATIENTS AND COMMUNITIES. CLOSE TO 5,000 HOSPITALS, HEALTH CARE SYSTEMS, NETWORKS, OTHER PROVIDERS OF CARE AND 37,000 INDIVIDUAL MEMBERS COME TOGETHER TO FORM THE AHA. THROUGH OUR REPRESENTATION AND ADVOCACY ACTIVITIES, AHA ENSURES THAT MEMBERS' PERSPECTIVES AND NEEDS ARE HEARD AND ADDRESSED IN NATIONAL HEALTH POLICY DEVELOPMENT, LEGISLATIVE AND REGULATORY DEBATES, AND JUDICIAL MATTERS. OUR ADVOCACY EFFORTS INCLUDE THE LEGISLATIVE AND EXECUTIVE BRANCHES AND INCLUDE THE LEGISLATIVE AND REGULATORY ARENAS. FOUNDED IN 1898, THE AHA PROVIDES EDUCATION FOR HEALTH CARE LEADERS AND IS A SOURCE OF INFORMATION ON HEALTH CARE ISSUES AND TRENDS. ANNUAL PORTION OF DUES RELATED TO LOBBYING - $7,774

Return Reference

Explanation

PART II-B, LINE 1h, LOBBYING ACTIVITIES

MASSACHUSETTS COUNCIL OF COMMUNITY HOSPITALS (MCCH): THE MASSACHUSETTS COUNCIL OF COMMUNITY HOSPITALS IS A NON-PROFIT CORPORATION FORMED TO ADVOCATE FOR THE COMMONWEALTH'S COMMUNITY HOSPITALS. THESE HOSPITALS PLAY A VITAL ROLE IN PROVIDING CONVENIENT, HIGH QUALITY HEALTH CARE AT A REASONABLE COST. FOR A NUMBER OF REASONS OUR HOSPITALS ARE OFTEN DISADVANTAGED BY THE CURRENT FINANCING AND DELIVERY SYSTEM IN GAINING ACCESS TO CAPITAL, TECHNOLOGY, AND CLINICAL RESOURCES. IT IS THE GOAL OF THE COUNCIL TO EDUCATE AND ARGUE OUR CASE TO POLICYMAKERS, EMPLOYERS, AND PAYERS TO ELIMINATE INEQUITIES IN THE SYSTEM. ANNUAL PORTION OF DUES RELATED TO LOBBYING: $4,108 MASSACHUSETTS HOSPITAL ASSOCIATION (MHA): THE MASSACHUSETTS HOSPITAL ASSOCIATION IS A VOLUNTARY, NOT-FOR-PROFIT ORGANIZATION COMPRISED OF HOSPITALS AND HEALTH SYSTEMS, RELATED ORGANIZATIONS, AND OTHER MEMBERS WITH A COMMON INTEREST IN PROMOTING THE HEALTH OF THE PEOPLE OF THE COMMONWEALTH. THROUGH LEADERSHIP IN PUBLIC ADVOCACY, EDUCATION, AND INFORMATION, MHA REPRESENTS AND ADVOCATES FOR THE COLLECTIVE INTERESTS OF ITS MEMBER HOSPITALS AND HEALTH SYSTEMS, AND SUPPORTS THEIR EFFORTS TO PROVIDE HIGH QUALITY, COST EFFECTIVE, AND ACCESSIBLE CARE. ANNUAL PORTION OF DUES RELATED TO LOBBYING - $50,235 AMERICAN HOSPITAL ASSOCIATION (AHA): THE AMERICAN HOSPITAL ASSOCIATION (AHA) IS THE NATIONAL ORGANIZATION THAT REPRESENTS AND SERVES ALL TYPES OF HOSPITALS, HEALTH CARE NETWORKS, AND THEIR PATIENTS AND COMMUNITIES. CLOSE TO 5,000 HOSPITALS, HEALTH CARE SYSTEMS, NETWORKS, OTHER PROVIDERS OF CARE AND 37,000 INDIVIDUAL MEMBERS COME TOGETHER TO FORM THE AHA. THROUGH OUR REPRESENTATION AND ADVOCACY ACTIVITIES, AHA ENSURES THAT MEMBERS' PERSPECTIVES AND NEEDS ARE HEARD AND ADDRESSED IN NATIONAL HEALTH POLICY DEVELOPMENT, LEGISLATIVE AND REGULATORY DEBATES, AND JUDICIAL MATTERS. OUR ADVOCACY EFFORTS INCLUDE THE LEGISLATIVE AND EXECUTIVE BRANCHES AND INCLUDE THE LEGISLATIVE AND REGULATORY ARENAS. FOUNDED IN 1898, THE AHA PROVIDES EDUCATION FOR HEALTH CARE LEADERS AND IS A SOURCE OF INFORMATION ON HEALTH CARE ISSUES AND TRENDS. ANNUAL PORTION OF DUES RELATED TO LOBBYING - $7,774

Schedule C (Form 990 or 990EZ) 2015

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," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

WINCHESTER HOSPITAL

Employer identification number

04-2104434

Part I

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

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability?

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	22,475,805	23,661,535	20,837,955	19,506,178	20,837,590
b	Contributions ...
c	Net investment earnings, gains, and losses	-651,895	-1,185,730	2,823,580	1,331,777	-1,331,416
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	21,823,910	22,475,805	23,661,535	20,837,955	19,506,174

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

Board designated or quasi-endowment SchDMd Bullet

68.000 %

Permanent endowment SchDMd Bullet

32.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages on 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)

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

3a(ii)

If "Yes" on 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.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. 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 ...	0	16,524,129		16,524,129
b	Buildings	0	84,119,847	11,362,586	72,757,261
c	Leasehold improvements	0	11,422,881	3,413,479	8,009,403
d	Equipment ...	0	45,416,147	21,181,779	24,234,368
e	Other ...	0	10,468,036	784,540	9,683,496
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					131,208,657

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. 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
(3)Other (A) HELD BY TRUSTEE	1,519,767	F
(B) INVESTMENTS, OTHER 457B	1,125,468	F
(C) AWUL TEMP RESTR INVESTMENTS	14,349,295	F
(D) AWUL PERM RESTR INVESTMENTS	1,790,975	F
(E) TRUST - PERM RESTR IRREV TRUST	4,062,237	F
(F) LT INVESTMENTS - OTHER	142,861,957	F
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	165,709,699

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) NOTE RECEIVABLE INTERNATIONAL				2,500,000
(2) Reserve- note receivable				-2,500,000
(3) split dollar life equity				4,184,623
(4) Investment in captive insuranc				894,158
(5) Investment in JP-Shields-ONC				3,169,000
(6) Investment in JP-SHIELDS-MRI				7,877,500
(7) Investment in yankee alliance				3,143,220
(8) Note receivable - RHC Phys				179,541
(9) certificate of need - valuatio				7,000,000
(10) Clinical relationship - BCH -				1,472,500
(11) Trade name - valuation				5,700,000
(12) Professional insurance receiva				9,586,305
(13) Leaseholds valuation				2,048,436
(14) BENEFICIAL INTEREST FOUNDATION				3,170,518
(15) INDEPENDENT PHYSICIAN NETWRK				4,340,000
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				52,765,801

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
CURRENT PORTION LONG TERM DEBT AND CAPITAL LEASES	3,210,459
ESTIMATED SETTLEMENT AMOUNTS DUE THIRD-PARTY PAYORS	8,298,038
Accrued Postretirement benefits	183,788
Other long term liabilities	7,214,002
PROFESSIONAL LIABILITY RESERVES	8,431,056
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	27,337,343
2. Liability for uncertain tax positions. 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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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

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.

Return Reference	Explanation
PART X, LINE 2	WINCHESTER HOSPITAL HAS EVALUATED ITS TAX POSITIONS AND BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS.

Schedule D (Form 990) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

WINCHESTER HOSPITAL

Employer identification number

04-2104434

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 %

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: . . . . . . . .

Yes

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

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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? . . . . . .

Yes

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		(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) . . .	2,717,414		2,717,414	1.010 %
b	Medicaid (from Worksheet 3, column a) . . . . .	12,048,064	9,356,609	2,691,455	1.000 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	12,902,272	8,749,503	4,152,769	1.550 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	27,667,750	18,106,112	9,561,638	3.560 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	4,076,265	1,911,254	2,165,011	0.810 %
f	Health professions education (from Worksheet 5) . . .	86,119		86,119	0.030 %
g	Subsidized health services (from Worksheet 6) . . . .	3,845,233	149,239	3,695,994	1.380 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	88,394	59,217	29,176	0.010 %
j	Total. Other Benefits . .	8,096,011	2,119,710	5,976,300	2.230 %
k	Total. Add lines 7d and 7j .	35,763,761	20,225,822	15,537,938	5.790 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

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. ......

3,394,560

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. ......

26,478

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).....

54,943,162

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

66,578,227

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

-11,635,065

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 .........................

Yes

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 %
1NOT APPLICABLE	NOT APPLICABLE
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

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, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (Describe)
1	WINCHESTER HOSPITAL 41 HIGHLAND AVENUE WINCHESTER,MA01890	X	X	X	ACUTE CARE FACILITY

Schedule H (Form 990) 2015

Page 4

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)

	WINCHESTER HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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 (list url): www.winchesterhospital.org

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): www.winchesterhospital.org

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	WINCHESTER HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.winchesterhospital.org

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	WINCHESTER HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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 individuals regarding the individuals’ bills

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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 Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Part V, Section B, Line 5, 6A, 6B	In FY16, Winchester Hospital completed a Community Health Needs Assessment in conjunction with the three other hospitals in the Lahey Health System: 1.) Lahey Hospital & Medical Center, Burlington 2.) Northeast Health System - Beverly Hospital, Beverly & Addison Gilbert Hospital, Gloucester The purpose of the CHNA is to inform and guide the hospitals selection of and commitment to programs and initiatives that address the health needs of the communities it serves. The assessment was conducted in partnership with John Snow Inc., public health consulting and research organization.
PART V, SECTION B, LINE 16I	MEASURES TO PUBLICIZE FINANCIAL ASSISTANCE POLICY, PART V, SEC. B, LINE 14G WINCHESTER HOSPITAL PUBLICIZED ITS FINANCIAL ASSISTANCE POLICY IN BROCHURES AND PAMPHLETS.
PART V, SECTION B, LINE 22D	AMOUNTS BILLED TO INDIVIDUALS WITH NO INSURANCE, PART V, SEC. B, LINE 20D THE HOSPITAL BILLS PATIENTS WITH NO INSURANCE AND THEY SUBSEQUENTLY APPLY FOR FINANCIAL ASSISTANCE.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. 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?22
Name and address		Type of Facility (describe)
1	WINCHESTER HOSPITAL 1021 MAIN STREET WINCHESTER,MA01890	ADMIN OFFICES, BILLING, DOCTOR OFFICES
2	WINCHESTER HOSPITAL 200 UNICORN PARK WOBURN,MA01801	COMMUNITY HEALTH, MRI, BREAST CANCER CENTER
3	WINCHESTER HOSPITAL 620 WASHINGTON STREET WINCHESTER,MA01890	RADIOLOGY/ONCOLOGY SERVICES FACILITY
4	WINCHESTER HOSPITAL - BALDWIN PARK I 12 ALFRED STREET WOBURN,MA01801	COMMUNITY HEALTH INST., SLEEP CARE & ADMIN OFFICES
5	WINCHESTER HOSPITAL - BALDWIN PARK II 12 ALFRED STREET WOBURN,MA01801	BREAST CARE, IMAGING HEMOTOLOGY/ONCOLOGY LAB, PHARMACY, CHIRO
6	FAMILY MEDICAL SERVICES 500 SALEM STREET WILMINGTON,MA01887	AUDIOLOGY, OB/GYN, CARDIO-PUL, LAB, PT, URGENT CARE, PEDI
7	WINCHESTER HOSPITAL 262/264 W CUMMINGS PARK WOBURN,MA01801	LAB & HOME CARE SERVICE
8	WINCHESTER HOSPITAL RUSSELL HILL BUILDING 955 MAIN STRE WINCHESTER,MA01890	LAB, RADIOLOGY & PHYSICAL THERAPY
9	WINCHESTER HOSPITAL 150 PRUDENTIAL WAY WOBURN,MA01801	MRI SERVICE
10	READING HEALTH CENTER 20 POND MEADOW DRIVE READING,MA01867	LAB
11	PATIENT SPECIMEN COLLECTION & SERV CT 3 WOODLAND ROAD STONEHAM,MA02180	LAB
12	MONTVALE DIAGNOSTIC CENTER 88 MONTVALE AVENUE STONEHAM,MA02180	LAB
13	WINCHESTER HOSPITAL 790 BOSTON POST ROAD BILLERICA,MA01821	LAB
14	WINCHESTER HOSPITAL 100 BYPASS ROAD NORTH ANDOVER,MA01845	LAB
15	WINCHESTER HOSPITAL 101 CAMBRIDGE STREET BURLINGTON,MA01803	LAB
16	WINCHESTER HOSPITAL 11 SHORE ROAD WINCHESTER,MA01890	LAB
17	WINCHESTER HOSPITAL 75 RIVERSIDE AVENUE MEDFORD,MA02155	LAB, WEIGHT MGMT, WOUND CARE CENTER
18	WINCHESTER HOSPITAL 10P COMMERCE WAY WOBURN,MA01801	ENDOSCOPY CENTER
19	WINCHESTER HOSPITAL 21 MAIN STREET NORTH READING,MA01864	DIAGNOSTIC CENTER
20	PAIN MANAGEMENT CENTER 444 WASHINGTON STREET WOBURN,MA01801	PAIN CLINIC CENTER
21	CHOATE MEDICAL CENTER 23 WARREN AVENUE WOBURN,MA01801	PHYSICAL THERAPY
22	WINCHESTER HOSPITAL 95 MAPLE STREET STONEHAM,MA02180	STOREROOM/WAREHOUSE

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART I, LINE 7	Winchester Healthcare Management, Inc. Affiliates used their own cost accounting system to derive the number set forth in part I, line 7 instead of the charge to cost ratio option.
PART I, LINE 7 COL (F)	Bad debt expense of $6,656,000 was subtracted from total expenses reporting in form 990, part IX in calculating the percentage in part 1, line 7 column (F).
PART III, LINE 2	WINCHESTER HEALTHCARE AND AFFILIATES GRANT CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD PARTY ARRANGEMENTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR CATEGORIES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR CATEGORIES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THROUGHOUT THE YEAR, THE HOSPITAL, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, WILL WRITE OFF THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN ADDITION TO THE REVIEW OF THE CATEGORIES OF REVENUE, MANAGEMENT MONITORS THR WRITE OFFS AGAINST ESTABLISHED ALLOWANCES AS OF A POINT IN TIME TO DETERMINE THE APPROPRIATENESS OF THE UNDERLYING ASSUMPTIONS USED IN ESTIMATING THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS APPROXIMATES 13% FOR THE YEARS ENDED SEPTEMBER 30, 2016 and 2015. WINCHESTER HEALTHCARE MANAGEMENT, INC. AND AFFILIATES UTILIZED WORKSHEET A: ESTIMATED BAD DEBT EXPENSE (AT COST) TO DETERMINE THE AMOUNT FOR SCHEDULE H, PART III, LINE 2. WINCHESTER HEALTHCARE MANAGEMENT INC. AND AFFILIATES USED NET FREE CARE PROVIDED AS A PERCENTAGE OF NET PATIENT SERVICE REVENUE TO REASONABLY ESTIMATE THE AMOUNT IN BAD DEBT THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR CHARITY CARE POLICY HAD SUFFICIENT INFORMATION BEEN SUBMITTED IN ORDER TO DETERMINE ELIGIBILITY.
PART III, LINE 3	THE METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY SCHEDULE H, PART III, LINE 3 IS AS FOLLOWS: USED HEALTH SAFETY NET AS A PERCENTAGE OF NET PATIENT SERVICE REVENUE FROM THE DIVISION OF HEALTH CARE FINANCE AND POLICY 403 COST REPORT SCHEDULE VA. HEALTH SAFETY NET NET REVENUE (SCHEDULE VA LINE 52.01 COLUMN 14) OF $2,110,000, PER FY 2016 AUDITED FINANCIAL STATEMENTS, DIVIDED BY TOTAL NET PATIENT SERVICE REVENUE (SCHEDULE VA LINE 52.01 COLUMN 2) OF $269,184,000, PER AUDITED FINANCIAL STATEMENTS. THIS YIELDED A .78% THAT WAS MULTIPLIED BY THE BAD DEBT EXPENSE AT COST OF $3,394,560 RESULTING IN THE $26,478 APPLICABLE TO PATIENTS THAT WOULD HAVE QUALIFIED UNDER THE FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4	WINCHESTER HOSPITAL GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY ARRANGEMENTS. WINCHESTER HOSPITAL RECOGNIZES PATIENT SERVICE REVENUE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITABLE CARE, REVENUE IS RECOGNIZED ON THE BASIS OF ITS STANDARD RATES (SUBJECT TO DISCOUNTS) FOR SERVICES PROVIDED. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE WINCHESTER HOSPITAL'S UNINSURED PATIENTS ARE UNABLE OR FAIL TO PAY FOR THE SERVICES PROVIDED. CONSEQUENTLY, A PROVISION FOR BAD DEBTS IS RECORDED RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.
PART III, LINE 8	ALL MEDICARE COSTS ARE ALLOCATED BY COST CENTER IN ACCORDANCE WITH MEDICARE REGULATIONS. THIS IS A SIGNIFICANT BENEFIT TO THE COMMUNITY SINCE REIMBURSEMENT FROM THE FEDERAL GOVERNMENT'S MEDICARE PROGRAM IS LESS THAN THE ACTUAL COST FOR THE HEALTHCARE SERVICES PROVIDED TO THE INDIVIDUALS RECEIVING IT.
PART III, LINE 9B	THE HOSPITAL HAS A FIDUCIARY DUTY TO SEEK REIMBURSEMENT FOR SERVICES IT HAS PROVIDED FROM INDIVIDUALS WHO ARE ABLE TO PAY, FROM THIRD-PARTY INSURERS WHO COVER THE COST OF CARE, AND FROM OTHER PROGRAMS OF ASSISTANCE FOR WHICH THE PATIENT IS ELIGIBLE. TO DETERMINE WHETHER A PATIENT IS ABLE TO PAY FOR THE SERVICES PROVIDED AS WELL AS TO ASSIST THE PATIENT IN FINDING ALTERNATIVE COVERAGE OPTIONS IF THEY ARE UNINSURED OR UNDERINSURED, THE HOSPITAL FOLLOWS THE FOLLOWING CRITERIA RELATED TO BILLING AND COLLECTIONG FROM PATIENTS. THE HOSPITAL MAKES THE SAME REASONABLE EFFORTS AND FOLLOWS THE SAME REASONABLE PROCESS FOR COLLECTING ON BILLS OWED BY AN UNINSURED PATIENT AS IT DOES FOR ALL OTHER PATIENTS. THE HOSPITAL WILL FIRST SHOW THAT IT HAS A CURRENT UNPAID BALANCE THAT IS RELATED TO SERVICES PROVIDED TO THE PATIENT AND NOT COVERED BY A PRIVATE INSURER OR A FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL FOLLOWS REASONABLE COLLECTION/BILLING PROCEDURES, WHICH INCLUDE MULTIPLE PROGRESSIVE BILLING NOTICES THAT CONTAIN INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS, DOCUMENTATION OF CONTINUOUS BILLING EFFORTS, CHECKING THE MASSACHUSETTS ELIGIBILITY VERIFICATION SYSTEM TO ENSURE THE PATIENT IS NOT A LOW INCOME PATIENT, AND OUTSIDE COLLECTION AGENCIES.
PART VI, LINE 2, 4, 5	Purpose and Approach In FY16, Winchester Hospital completed a Community Health Needs Assessment in conjunction with the three other hospitals in the Lahey Health System: 1.) Lahey Hospital & Medical Center, Burlington 2.) Northeast Health System - Beverly Hospital, Beverly & Addison Gilbert Hospital, Gloucester The purpose of the CHNA is to inform and guide the hospitals selection of and commitment to programs and initiatives that address the health needs of the communities it serves. The assessment was conducted in partnership with John Snow Inc., public health consulting and research organization. Winchester Hospital Community Benefits Service Area: WHs community benefits investments are focused on expanding access, addressing barriers to care and improving the health status of residents living in nine cities and towns including Medford, North Reading, Reading, Stoneham, Tewksbury, Wakefield, Wilmington, Winchester and Woburn. Methodology: The CHNA was conducted in three phases, allowing Winchester Hospital to: - Compile an extensive amount of quantitative and qualitative data - Engage and involve key internal and external stakeholders - Develop a report and detailed Community Health Improvement Plan (CHIP) - Comply with all state and federal IRS community benefits requirements To ensure a comprehensive understanding of the issues, data was collected from a number of quantitative and qualitative sources. Quantitative Data Sources: - Massachusetts Community Health Information Profile (MassCHIP) - U.S. Census Bureau, American Community Survey 5-Year Estimates (2009-2013) - Behavioral Risk Factor Surveillance System (BRFSS) (2012-2013 aggregate) - CHIA Inpatient Discharges - Massachusetts Health Data Consortium (MHDC) ED Visits - MA Hospital IP Discharges (2008-2012) - MA Cancer Registry (2007-2011) - MA Communicable Disease Program (2011-2013) - MA Hospital ED Discharges (2008-2012) - Massachusetts Vital Records (2008-2012) - Massachusetts Bureau of Substance Abuse Services (BSAS) (2013) - Massachusetts Board of Health Qualitative Data Sources: In order to obtain targeted data and understand the health issues currently perceived by the community, interviews and listening sessions were conducted: - Informant interviews with external stakeholders (28 completed) - Random household surveys (1,022 completed in the WH service area) - Community listening sessions (two sessions, 100 attendees total) Public Reporting of Information: The results of the CHNA were made publically available in various ways including on the WH website, distribution to internal and external community stakeholders and presentations to hospital leaders and staff. In addition, report out sessions for key stakeholders in each municipality have been scheduled and will be complete by FY17. The goal of the sessions is to present the findings of the CHNA and to engage them in discussion to gain better understanding of their perceptions of the current health needs, social determinants of health, barriers to care in their communities and discuss potential opportunities for collaboration. Addressing the Identified Needs: In response to the priority health needs identified in the 2016 CHNA, WH developed a three year Community Health Improvement Plan (CHIP). The CHIP was developed with input from the Winchester Hospital Community Benefits Advisory Board and approved by the Winchester Hospital board of directors. In addition, feedback from community report out sessions was taken into consideration when developing the plan. The community benefits programs offered in FY16 were designed to address the priority health needs identified in the 2016 CHNA, along with the Massachusetts Statewide Health Priorities identified by the Executive Office of Health and Human Services. Priority Health Issues Identified in FY16 CHNA: - Behavioral Health/Substance Abuse - Elder Health Socialization, Isolation, Depression, Falls Prevention - Wellness/Chronic Disease Prevention & Management - Cancer Prevention, Management and Support FY16 Statewide Health Priorities: - Address Unmet Health Needs of the Uninsured - Chronic Disease Management in Disadvantaged Populations - Promoting Wellness of Vulnerable Populations - Reducing Health Disparities - Supporting Health Care Reform FY16 Key Community Benefit Programs & Outcomes: In collaboration with various community partners, listed below are some of the key programs WH provided in FY16: - Substance Use Disorder Community Outreach Initiative - Winchester Hospital worked collaboratively with several community partners to develop and execute a multifaceted series of programs that addressed substance use prevention, early identification, recovery and support, in conjunction with education and training sessions that utilize harm reduction techniques. In addition, Winchester Hospital staff members participated in local and regional substance abuse coalitions and task forces whose missions are to develop strategies to prevent substance abuse, reduce stigma, eliminate barriers to treatment and improve access to care. - Community Home Blood Draw Program - Improved access to phlebotomy services by providing home blood draws for 10,712 patients who were homebound due to illness, injury or transportation issues. - "Aging on Your Own Terms" Senior Outreach Initiative - Winchester Hospital partnered with local senior centers to provide free programs to 1,655 seniors in WHs service area. The topics included Safe Disposal of Medications, Spinal Deformities, and a Benefits Checkup workshop designed to help seniors on a limited income save money on prescription drugs, utilities, taxes, groceries and more. - Chronic Disease Management Program - 914 adults with chronic diseases participated in the Chronic Disease Management Program, resulting in 2,750 individual patient encounters through in-person and follow-up phone consultations. - CHAMP (Community and Hospital Asthma Management Program) - There were 116 active participants in CHAMP, a partnership between patients, their family doctor and school personnel, all with a common goal of helping children effectively manage their asthma. - Safe at School Program Training was provided to 24 nurses in three schools to improve students management of Type 1 diabetes, and increase awareness about diabetes prevention. - Support Groups - Winchester Hospital conducted support groups for 15 different diseases/conditions/concerns including cancer, Alzheimers disease, diabetes, substance abuse, grief and breast-feeding. More than 3,000 patients seeking education, resources and/or emotional support participated in FY16. - Integrative Therapies Program for Oncology Patients - Winchester Hospital provided 790 integrative therapy sessions to cancer patients before, during or after treatments. Therapies included acupuncture, massage, hypnotherapy and yoga. - Skin Cancer Awareness and Prevention Community Outreach Campaign - Reached more than 30,000 community members through in person and online events and education activities to raise awareness of the risk factors associated with developing skin cancer and to learn sun protection strategies for preventing skin cancer. FY17 Community Benefit Plans: In FY17, Winchester Hospital will continue to work with community partners and hospital leaders to address the needs identified in the 2016 CHNA while taking into consideration the Statewide Priority Needs identified by the Executive Office of Health and Human Services.
PART VI, LINE 3 - PATIENT EDUCATION	PATIENTS IN NEED OF FINANCIAL ASSISTANCE ARE REFERRED TO THE HOSPITAL'S DEDICATED PATIENT FINANCIAL SERVICES ACCOUNT REPRESENTATIVE THAT PROVIDES FINANCIAL ASSISTANCE COUNSELING. THE REPRESENTATIVE PROVIDES PATIENTS WITH INFORMATION ON THE AVAILABLE PROGRAMS AND ASSISTS PATIENTS THROUGHOUT THE APPLICATION PROCESS, INCLUDING COMPLETION OF REQUIRED FORMS TO DETERMINE ELIGIBILITY.
PART VI, LINE 6 - AFFILIATED SYSTEM	WINCHESTER HOSPITAL OFFICIALLY AFFILIATED WITH LAHEY HEALTH SYSTEM ON JULY 1, 2014 AND IN CONJUNCTION WITH LAHEY HEALTH SYSTEM, INC. ASSESSES HOW BEST TO MEET THE NEEDS OF THE COMMUNITIES IT SERVES.
PART VI, LINE 7 - STATE FILING	WINCHESTER HOSPITAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF MASSACHUSETTS.

Schedule H (Form 990) 2015

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

WINCHESTER HOSPITAL

Employer identification number

04-2104434

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 on 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
directors, trustees, officers, including 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on 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" on 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) 2015

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 on 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 in column(B) reported as deferred on 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)
1JONATHAN ADLER MDTRUSTEE/Physician	(i) (ii)	------------- 55,887	-------------	------------- 102,651	-------------	------------- 24	------------- 158,562	-------------
2HOWARD R GRANT JD MDTrustee/Officer/President& CEO	(i) (ii)	------------- 991,853	------------- 231,000	------------- 42,000	------------- 345,387	------------- 31,096	------------- 1,641,336	-------------
3DALE LODGECEO	(i) (ii)	473,474 -------------	-------------	170,969 -------------	5,709 -------------	21,622 -------------	671,774 -------------	-------------
4TIMOTHY O'CONNOROfficer/EVP/CFO & Treasurer	(i) (ii)	------------- 549,361	------------- 103,360	------------- 24,000	------------- 156,600	------------- 27,275	------------- 860,596	-------------
5KEVIN SMITHFORMER CEO	(i) (ii)	50,350 -------------	-------------	3,217,911 -------------	-------------	-------------	3,268,261 -------------	-------------
6DAVID G SPACKMANOfficer/SVP/Clerk/Gen Counsel	(i) (ii)	------------- 387,777	------------- 101,365	------------- 20,395	------------- 28,978	------------- 21,705	------------- 560,220	-------------
7MATTHEW WOODSVP Finance/ASSISTANT TREASURER	(i) (ii)	355,435 -------------	-------------	632 -------------	6,913 -------------	30,655 -------------	393,635 -------------	-------------
8RIchard J Iseke MDV.P. - Medical Affai	(i) (ii)	430,807 -------------	-------------	5,349 -------------	12,448 -------------	2,002 -------------	450,606 -------------	-------------
9KATHY ANN SCHULERV.P. - PATIENT CARE	(i) (ii)	296,138 -------------	-------------	1,811 -------------	6,821 -------------	20,541 -------------	325,311 -------------	-------------
10ANN LANG TALBOTFormer V.P. - HUMAN RESOURCES	(i) (ii)	86,094 -------------	-------------	253,132 -------------	3,479 -------------	871 -------------	343,576 -------------	-------------
11Mary Elizabeth CanningVice President	(i) (ii)	254,366 -------------	-------------	1,162 -------------	9,138 -------------	30,220 -------------	294,886 -------------	-------------
12William RobertsonVice President	(i) (ii)	268,391 -------------	-------------	969 -------------	8,757 -------------	31,632 -------------	309,749 -------------	-------------
13RICHARD WEINER MDVICE PRESIDENT	(i) (ii)	289,401 -------------	-------------	1,811 -------------	9,805 -------------	30,328 -------------	331,345 -------------	-------------
14NANCY SACHETTIHIGHLAND MANAGEMENT	(i) (ii)	211,059 -------------	-------------	1,806 -------------	6,444 -------------	29,008 -------------	248,317 -------------	-------------
15ELIZABETH P CONRADSVP, CHIEF HR OFFICER	(i) (ii)	------------- 309,316	------------- 28,000	------------- 21,930	------------- 28,978	------------- 27,141	------------- 415,365	-------------
16BRUCE A METZSVP Chief Info Officer	(i) (ii)	------------- 358,305	------------- 34,825	------------- 49,654	------------- 28,978	------------- 3,469	------------- 475,231	-------------
17David W ReisSVP Chief Info Officer	(i) (ii)	------------- 234,663	------------- 9,680	------------- 17,166	------------- 18,621	------------- 1,521	------------- 281,651	-------------

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

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.

Return Reference

Explanation

PART I, LINE 4A-4B

THE OTHER REPORTABLE COMPENSATION FOR KEVIN SMITH REFLECTS COMPENSATION DUE TO THE EXECUTIVE UNDER THE TERMS OF A TRANSITION AND SEPARATION AGREEMENT. THE REPORTED COMPENSATION IS THE AGGREGATE OF THE PAYMENTS DUE TO THE EXECUTIVE OVER A THREE YEAR PERIOD BEGINNING IN 2015 THROUGH 2018. DALE LODGE, Director, PARTICIPATES IN A SPLIT DOLLAR LIFE INSURANCE PLAN. THE IMPUTED INCOME OF $78,120 WAS REPORTED IN TAXABLE WAGES IN CALENDAR YEAR 2015. RICHARD ISEKE, DIRECTOR, PARTICIPATES IN A SPLIT DOLLAR LIFE INSURANCE PLAN. THE AMOUNT PROVIDED UNDER THE PLAN WAS $2,624 FOR CALENDAR YEAR 2015. Lahey Clinic Foundation (related organization) maintains a 457F nonqualified deferred compensation 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. Amounts provided were as follows. HOWARD R. GRANT, J.D., M.D. $220,000 TIMOTHY O'CONNOR $121,600

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 NOT LIMITED TO, THE ORGANIZATION MEETING ITS CORPORATE GOALS,INCLUDING NET INCOME, AND QUALITY MEASURES, SUCH AS PATIENT SATISFACTION AND QUALITY OF CARE.

Schedule J (Form 990) 2015

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
WINCHESTER HOSPITAL

Employer identification number
04-2104434

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	MASSACHUSETTS HEALTH AND ED FACILITIES AUTHPORITY	04-2456011	57586EWC1	09-09-2010	79,047,442	SERIAL BOND SERIES H - REFUND		X		X		X
B	MASSACHUSETTS HEALTH AND ED FACILITIES AUTHORITY	04-2456011	57586CDD4	07-08-2004	30,340,000	SERIAL OBND SERIES F- ADV. REF		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,902,442		0
2 Amount of bonds legally defeased ..............	0		0
3 Total proceeds of issue ..................	79,047,442		30,340,000
4 Gross proceeds in reserve funds .............	0		0
5 Capitalized interest from proceeds .............	0		0
6 Proceeds in refunding escrows ...............	25,510,784		29,927,552
7 Issuance costs from proceeds ...............	1,148,365		412,448
8 Credit enhancement from proceeds .............	0		0
9 Working capital expenditures from proceeds .............	0		0
10 Capital expenditures from proceeds .............	52,388,293		0
11 Other spent proceeds .............	0		0
12 Other unspent proceeds .............	0		0
13 Year of substantial completion .............	2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....		X		X
15 Were the bonds issued as part of an advance refunding issue? .....	X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2015

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
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
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 ....	0 %		0 %
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
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
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
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

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...	X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........		X
c No rebate due? .........	X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X	X
b Name of provider ..........	0		Morgan Stanley
c Term of hedge .........			20 %
d Was the hedge superintegrated? ......				X
e Was the hedge terminated? ........				X

Schedule K (Form 990) 2015

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
b Name of provider ..........	0		0
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
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

WINCHESTER HOSPITAL

Employer identification number

04-2104434

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) UMS NE LITHOTRIPSY	A. LITTLE, OWNER, I	110,000	LASER LITHO		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	(A) NAME OF PERSON: UMS NE LITHOTRIPSY (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: A. LITTLE, OWNER, IS A DIRECTOR OF WINCHESTER HOSPITAL (D) DESCRIPTION OF TRANSACTION: LASER LITHOTRIPSY SERVICES

Schedule L (Form 990 or 990-EZ) 2015

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

WINCHESTER HOSPITAL

Employer identification number

04-2104434

Return Reference	Explanation
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION	WINCHESTER HOSPITAL IS COMMITTED TO BENEFITTING ALL OF THE COMMUNITIES WE SERVE BY COLLABORATING WITH COMMUNITY PARTNERS TO IDENTIFY HEALTH NEEDS AND IMPROVE THE HEALTH STATUS OF THE COMMUNITY RESIDENTS.
FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES	PROVIDING CARE IN MAJOR CLINICAL CATEGORIES INCLUDING MEDICINE, SURGERY, PEDIATRICS, OBSTETRICS/GYNECOLOGY AND A LEVEL IIB SPECIAL CARE NURSERY, WINCHESTER HOSPITAL IS THE LEADING PROVIDER IN SUCH IMPORTANT SUBSPECIALTIES AS CARDIOLOGY, PULMONARY MEDICINE, ONCOLOGY, GASTROENTEROLOGY, ORTHOPEDICS, REHABILITATION, RADIATION ONCOLOGY AND PAIN MANAGEMENT. EXPENSES $182,791,214. INCLUDING GRANTS OF $0. REVENUE $254,687,056.
FORM 990, PART VI, SECTION A, LINE 2	MATTHEW WOODS, JOSEPH R. TARBY III, AND JAMES FICOCIELLO HAVE A BUSINESS RELATIONSHIP. THEY ARE OFFICERS/DIRECTORS OF WINCHESTER HOSPITAL AND ALSO OFFICERS/DIRECTORS OF RELATED FOR PROFIT ENTITY WINCHESTER HEALTHCARE ENTERPRISES, INC. DALE M. LODGE, MATTHEW WOODS, AND ROBERT FORTUNATO HAVE A BUSINESS RELATIONSHIP. THEY ARE OFFICERS/DIRECTORS OF WINCHESTER HOSPITAL AND ALSO OFFICERS/DIRECTORS OF RELATED FOR PROFIT ENTITY WINCHESTER PHYSICIANS ASSOCIATES, INC.
FORM 990, PART VI, SECTION A, LINE 8B	WINCHESTER HOSPITAL DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11	MANAGEMENT PREPARED THE IRS FORM 990 ALONG WITH INDEPENDENT TAX CONSULTANTS WHO SIGN THE RETURN AS A PAID PREPARER. EXECUTIVE MANAGEMENT REVIEWED AND PRESENTED A DRAFT OF THE IRS FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE LAHEY HEALTH SYSTEM, INC. BOARD OF TRUSTEES. PRIOR TO THE FILING DATE, A DRAFT OF THE IRS FORM 990 AND THE FINAL IRS FORM 990 WERE BOTH PROVIDED TO THE ENTIRE BOARD OF TRUSTEES BEFORE THE FILING DATE VIA A SECURED WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12C	SEMI-ANNUAL AUDIT AND COMPLIANCE COMMITTEE REVIEWS COMPILED CONFLICT OF INTEREST REPORT FROM LEGAL SERVICES QUESTIONNAIRES SENT TO ALL AFFILIATES, DIRECTORS, AND TRUSTEES. THE CHAIR OF THE AUDIT/COMPLIANCE COMMITTEE, IN COOPERATION WITH THE COMPLIANCE OFFICER, SHALL CONDUCT THE INITIAL REVIEW OF ANY POTENTIAL CONFLICTS OF INTEREST IDENTIFIED IN THE DISCLOSURES AND SHALL ADOPT A FINDING THAT THE ACTIVITY RAISING THE POTENTIAL CONFLICT OF INTEREST: SHOULD BE PERMITTED UNDER THE POLICY; SHOULD BE PERMITTED WITH MODIFICAION OR OVERSIGHT; IF UNDERTAKEN, WILL REQUIRE THE DIRECTOR, OR COMPLIANCE OFFICER TO ABSTAIN FROM PARTICIPATING IN GOVERNANCE/MANAGEMENT ACTIVITIES RELATED TO THE ACTIVITY; OR SHOULD NOT BE UNDERTAKEN. UPON FINAL DISPOSITION OF THE POTENTIAL CONFLICT, THE RESULTS OF THE REVIEW SHALL BE REPORTED TO THE AFFECTED LEADER. THE AUDIT/COMPLIANCE COMMITTEE SHALL PROVIDE AN ANNUAL REPORT OF ITS REVIEW TO THE BOARD OF DIRECTORS OF WINCHESTER. THE BOARD OF DIRECTORS OF WINCHESTER SHALL, UPON WRITTEN REQUEST OF THE MEMBER OF THE BOARD OF DIRECTORS OR THE COMPLIANCE OFFICER, REVIEW A FINDING OF THE AUDIT/COMPLIANCE COMMITTEE. THE BOARD OF DIRECTORS OF WINCHESTER SHALL EITHER REAFFIRM OR REVIEW THE FINDING AND SHALL REPORT SUCH FINDING TO THE AUDIT/COMPLIANCE COMMITTEE AND TO THE LEADER. THIS CONFLICT OF INTEREST POLICY SHALL BE REVIEWED ANNUALLY BY AND ON BEHALF OF WINCHESTER AND ITS AFFILIATES.
FORM 990, PART VI, SECTION B, LINE 15	WINCHESTER HOSPITAL OFFICER SALARIES AND BENEFITS ARE PAID AND DETERMINED UNDER THE COMPENSATION POLICIES WHICH INCLUDES THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, THE FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE HOSPITAL'S EXECUTIVE COMPENSATION COMMITTEE THAT IS INDEPENDENT OF MANAGEMENT AND FREE OF ANY CONFLICTS OF INTEREST THAT WOULD INTERFERE WITH THE EXERCISE OF THEIR INDEPENDENT JUDGMENT REVIEWS COMPARABILITY DATA PROVIDED BY AN INDEPENDENT EXTERNAL CONSULTANT, LAL ASSOCIATES INC., TO ESTABLISH COMPENSATION. ALL COMPENSATION DECISIONS ARE DOCUMENTED CONCURRENTLY UPON MAKING THE DECISION.
FORM 990, PART VI, SECTION C, LINE 19	WINCHESTER HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.
FORM 990, PART VII, SECTION B, LINE 1 & 2:	LAHEY HEALTH SHARED SERVICES, INC. ("LHSS") COMPENSATES (PROCESSES PAYMENT) ALL INDEPENDENT CONTRACTORS (VENDORS) ON BEHALF OF THE LAHEY HEALTH SYSTEM, INC. FAMILY OF ORGANIZATIONS. UNDER ITS TAX ID NUMBER, LHSS ISSUES FORM 1099 TO THE INDEPENDENT CONTRACTORS. IN ADDITION, IT SUBMITS THE SAME INFORMATION TO THE INTERNAL REVENUE SERVICE. THE LAHEY HEALTH SYSTEM INC. FAMILY OF ORGANIZATIONS REIMBUSES LHSS FOR ALL VENDOR PAYMENTS MADE EITHER DIRECTLY OR INDIRECTLY ON THEIR BEHALF.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS	Other: (-$144,205)

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

WINCHESTER HOSPITAL

Employer identification number

04-2104434

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on 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" on 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 hospital inc 41 mall road burlington,MA01805 04-2704686	healthcare	MA	501(C) (3)	3	lcf		No
(2)lahey clinic inc 41 mall road burlington,MA01805 04-2704683	healthcare	MA	501(C) (3)	9	lcf		No
(3)lahey health shared services inc 41 mall road burlington,MA01805 04-3178972	ADMIN SUPPORT	MA	501(C) (3)	9	LHS		No
(4)northeast health system inc 85 herrick street beverly,MA01915 04-3240453	support	MA	501(C) (3)	11C	lhs		No
(5)northeast behavioral health corporaTION 199 ROSEWOOD DRIVE SUITE 250 DANVERS,MA01923 04-2777145	HEALTHCARE	MA	501(C) (3)	7	LHS		No
(6)HES HOUSING SERVICES INC 199 ROSEWOOD DRIVE SUITE 250 DANVERS,MA01923 22-3232914	HUD HOUSING	MA	501(C) (3)	9	NBH		No
(7)NORTHEAST HOSPITAL CORPORATION 85 HERRICK STREET BEVERLY,MA01915 04-2121317	HEALTHCARE	MA	501(C) (3)	3	LHS		No
(8)NORTHEAST MEDICAL PRACTICE 85 HERRICK STREET BEVERLY,MA01915 04-3201853	HEALTHCARE	MA	501(C) (3)	9	NHC		No
(9)SEACOAST NURSING & REHABILITATION CENTER 300 WASHINGTON STREET GLOUCESTER,MA01930 04-1305001	HEALTHCARE	MA	501(C) (3)	9	LHS		No
(10)NORTHEAST PROFESSIONAL REGISTRY OF NURSE 800 CUMMINGS CENTER BEVERLY,MA01915 20-1287349	HEALTHCARE	MA	501(C) (3)	9	NSH		No
(11)NORTHEAST SENIOR HEALTH CORPORATION 85 HERRICK STREET BEVERLY,MA01915 04-2731137	HEALTHCARE	MA	501(C) (3)	9	LHS		No
(12)CAB HEALTH & RECOVERY SERVICES 199 ROSEWOOD DRIVE SUITE 250 DANVERS,MA01923 04-2400270	SUBSTANCE ABU	MA	501(C) (3)	9	NBH		No
(13)LAHEY HEALTH SYSTEM INC 41 MALL ROAD BURLINGTON,MA01805 61-1665701	SUPPORT	MA	501(C) (3)	11C	NA		No
(14)WINCHESTER HOSPITAL FOUNDATION INC 41 HIGHLAND AVENUE WINCHESTER,MA01890 04-3399570	SUPPORT	MA	501(C) (3)	11A	WHM		No
(15)WINCHESTER HEALTHCARE MANAGEMENT INC 41 HIGHLAND AVENUE WINCHESTER,MA01890 22-2701817	MANAGEMENT	MA	501(C) (3)	11A	LHS		No
(16)WINCHESTER COMMUNITY ACCOUNTABLE CARE 41 HIGHLAND AVENUE WINCHESTER,MA01890 22-3137856	ACO	MA	501(C) (3)	11A	WHM		No
(17)LAHEY CLINIC FOUNDATION 41 MALL ROAD BURLINGTON,MA01805 04-2323457	SUPPORT	MA	501(C) (3)	7	LHS		No
(18)ADDISON GILBERT SOCIETY INC 41 MALL ROAD BURLINGTON,MA01805 46-4371382	SUPPORT	MA	501(C) (3)	11A	LHS		No
(19)VISITING NURSE ASSOC OF MIDDLESEX-EAST 607 NORTH AVENUE WAKEFIELD,MA01880 04-6151873	HEALTHCARE	MA	501(C) (3)	9	LHS		No
(20)COMMUNITY CARE INC 607 NORTH AVENUE WAKEFIELD,MA01880 90-0396973	HEALTHCARE	MA	501(C) (3)	9	LHS		No
(21)LAHEY PHYSICIAN COMMUNITY ORGANIZATION I 41 MALL ROAD BURLINGTON,MA01805 47-2248298	HEALTHCARE	MA	501(C) (3)	11A	LHS		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) Radiation Therapy of Winchester 700 congress Street Quincy,MA02169 20-5330549	CANCER CENTER	MA	N/A	RELATED	216,000	1,149,000		No			No	50.000 %
(2) Winchester Shields MRI Services LLC 700 congress Street Quincy,MA02169 46-2523117	MRI Services	MA	N/A	RELATED	2,695,700	9,246,300		No			No	70.000 %
(3) Yankee Alliance LLC 138 RIVER ROAD ANDOVER,MA01810 30-0486661	SUPPLY CHAIN GPO	MA	N/A	RELATED	1,185,681	2,150,446		No			No	16.670 %
(4) BluePoint LLC 138 RIVER ROAD ANDOVER,MA01810 47-4242622	SUPPLY CHAIN ANAL	MA	N/A	UNRELATED	-207,101	68,955		No			No	16.670 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on 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	(h) Percentage ownership	(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) lahey clinic insurance co ltd po box hm 2450 HAMILTON,BERMUDA BD	insurance	BD	LHS	FOREIGN CORP					No
(2) perpetual trusts (10) 41 mall road burlington,MA01805	support	MA	see part VII	Trust	906,158	20,000,028			No
(3) remainder trusts (19) 41 mall road burlington,MA01805	support	MA	see part VII	Trust	1,518,358	6,468,375			No
(4) pooled income funds (3) 41 mall road burlington,MA01805	support	MA	see part VII	Trust		1,025,772			No
(5) northeast proprietary corporation 85 herrick street beverly,MA01915 04-2855191	MEDICAL SERVICES	MA	NHS	C Corp					No
(6) WINCHESTER PHYSICIAN HOSPITAL ORG 41 HIGHLAND AVENUE WINCHESTER,MA01890 47-2646454	PHYS HOSP ORG	MA	WHM	C CORP			100.000 %		No
(7) WINCHESTER HEALTHCARE ENTERPRISES INC 41 HIGHLAND AVENUE WINCHESTER,MA01890 04-2932059	BILLING SERVICES	MA	WHM	C CORP			100.000 %		No
(8) WINCHESTER PHYSICIAN ASSOCIATES INC 41 HIGHLAND AVENUE WINCHESTER,MA01890 04-3262963	MD PRACTICES	MA	WHM	C CORP			100.000 %		No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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 .....................

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) ............................

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) .......................

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) .................

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

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

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

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

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

Yes

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

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on 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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

FORM 990, SCHEDULE R, PART IV

Lahey Clinic Foundation, Inc., Northeast Hospital Corporation and Winchester Hospital, respectively, have FIVE, four, and one perpetual trusts. The perpetual trusts are domiciled in DELAWARE, Massachusetts, PENNSYLVANIA, AND FLORIDA. Lahey Clinic Foundation, Inc. has nineteen remainder trusts. The remainder trusts are domiciled in Massachusetts, New Hampshire, WISCONSIN, AND NEW YORK. Lahey Clinic Foundation, Inc. has three pooled income funds, domiciled IN MASSACHUSETTS.

FORM 990, SCHEDULE R, PART V

The Lahey Health Shared Services, Inc. Philanthropy Department conducts fundraising and solicitation efforts on behalf of all entities within the Lahey Health System, Inc. family of organizations. Lahey Health System, Inc. and its related organizations, Lahey Clinic Foundation, Inc. and its related organizations, Winchester Healthcare Management, Inc. and its related organizations, Northeast Behavioral Health Corporation and its related organizations, Northeast Senior Health Corporation and its related organization, Northeast Health System, Inc. and its related organization, and Northeast Hospital Corporation and its related organization, provide various corporate and OTHER SERVICES TO EACH OTHER. THE ORGANIZATIONS REIMBURSE EACH OTHER FOR EXPENSES INCURRED SUCH AS EMPLOYEE SALARIES AND BENEFITS, MATERIALS, SUPPLIES, UTILITIES, ETC. CASH IS TRANSFERRED BETWEEN THE ORGANIZATIONS.

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	25
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	19
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	2,839
6	Total number of volunteers (estimate if necessary) .............	6	805
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	6,738,302
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) .........	47,500	258,773
9	Program service revenue (Part VIII, line 2g) .........	262,592,438	270,600,973
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	49,332,016	21,829,664
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,213,914	9,097,966
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	321,185,868	301,787,376
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	148,734,575	146,181,012
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	119,146,531	126,232,292
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	267,881,106	272,413,304
19	Revenue less expenses. Subtract line 18 from line 12.......	53,304,762	29,374,072
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	418,568,237	434,583,520
21	Total liabilities (Part X, line 26).............	164,650,693	167,222,093
22	Net assets or fund balances. Subtract line 21 from line 20.....	253,917,544	267,361,427

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 17,160,562 including grants of $ ) (Revenue $ 18,205,117 )
	OBSTETRICS SERVICES WINCHESTER HOSPITAL IS PROUD TO HAVE BEEN INVOLVED IN THE BEGINNING OF MANY NEW LIVES. RECOGNIZED AS ONE OF THE AREA'S MOST PROMINENT OBSTETRIC HOSPITALS, WINCHESTER HOSPITAL HAS NEARLY 2,000 BABIES BORN PER YEAR AT OUR MOTHER BABY UNIT. THE HOSPITAL ALSO OFFERS A SPECIAL CARE NURSERY FOR NEWBORNS IN NEED OF THE CLINICAL INTERVENTION OF A LEVEL IIB NURSERY.

4b	(Code: ) (Expenses $ 16,764,374 including grants of $ ) (Revenue $ 14,845,737 )
	ORTHOPEDICS SERVICES WINCHESTER HOSPITAL PROVIDES HIGH QUALITY ORTHOPEDIC CARE IN COLLABORATION WITH WELL-TRAINED, BOARD-CERTIFIED ORTHOPEDIC SURGEONS. WE UTILIZE STATE-OF-THE-ART TECHNIQUES AND OFFER A FULL RANGE OF TREATMENTS FOR MANY DIFFERENT CONDITIONS - FROM SPORTS AND WORK-RELATED INJURIES TO MUSCULOSKELETAL DISORDERS TO JOINT DISEASES.

4c	(Code: ) (Expenses $ 12,833,862 including grants of $ ) (Revenue $ 14,049,466 )
	SURGICAL SERVICES WINCHESTER HOSPITAL HAS RECEIVED NATIONAL AND STATE RECOGNITION FOR ITS COMMITMENT TO SAFE, HIGH QUALITY SURGICAL SERVICES. THE HOSPITAL WAS NAMED A NATIONAL BARIATRIC SURGERY CENTER OF EXCELLENCE (BSCOE) BY THE AMERICAN SOCIETY FOR BARIATRIC SURGERY. IN ADDITION, WE WERE RECOGNIZED TWICE BY BLUE CROSS/BLUE SHIELD OF MASSACHUSETTS AS A BLUE DISTINCTION CENTER - BOTH FOR BARIATRIC SURGERY AND KNEE AND HIP REPLACEMENT. THE BLUE DISTINCTION DESIGNATION IS AWARDED TO MEDICAL FACILITIES THAT EXHIBIT A COMMITMENT TO HIGH QUALITY CARE, RESULTING IN BETTER OVERALL OUTCOMES FOR PATIENTS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 182,791,214 including grants of $ ) (Revenue $ 254,687,056 )
4e	Total program service expenses229,550,012

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	6,371,067	3,673,188	986,166

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	258,773

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		258,773

			Business Code
2a	Net patient service revenue	900009	264,278,861	264,278,861
b	OTHER PROGRAM REVENUE	900009	6,322,112	6,322,112
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			270,600,973

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,175,894			1,175,894
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		25,119,197
b	Less: cost or other basis and sales expenses		4,465,427
c	Gain or (loss)		20,653,770
d	Net gain or (loss).....			20,653,770			20,653,770
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
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..			0
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..			0
Business Code			Miscellaneous Revenue
11a	Laboratory Revenue		621500	4,904,818		4,904,818
b	Cafeteria		900099	880,953			880,953
c	Pediatric Revenue		621990	872,920		872,920
d	All other revenue ....			2,439,275		960,564	1,478,711
e	Total. Add lines 11a–11d ......			9,097,966
12	Total revenue. See Instructions......			301,787,376	270,600,973	6,738,302	24,189,328

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	1,209,285	1,209,285
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	114,866,707	106,265,375	8,601,332
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,251,545	3,010,603	240,942
9	Other employee benefits .......	18,371,660	17,010,304	1,361,356
10	Payroll taxes ...........	8,481,815	7,853,305	628,510
11	Fees for services (non-employees):
a	Management ......	185,767		185,767
b	Legal .........	760,167		760,167
c	Accounting ...........	227,000		227,000
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	25,140,531	20,325,346	4,815,185
12	Advertising and promotion ....	465,237	390,810	74,427
13	Office expenses .......	1,241,750	971,545	270,205
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	5,032,910	3,937,749	1,095,161
17	Travel ............	346,168	270,842	75,326
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	4,730,242	2,560,480	2,169,762
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	17,578,758	9,515,382	8,063,376
23	Insurance ...	724,763	394,180	330,583
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	SUPPLIES	44,343,702	43,974,268	369,434
b	UTILITIES	5,199,374	4,067,990	1,131,384
c	Health Safety Net Assessment	2,110,495		2,110,495
d	OTHER NON-OPERATING	495,169	416,733	78,436
e	All other expenses	17,650,259	7,375,815	10,274,444
25	Total functional expenses. Add lines 1 through 24e	272,413,304	229,550,012	42,863,292	0
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).

1	Cash–non-interest-bearing ........			28,126,535	1	37,339,666
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			26,825,485	4	30,000,721
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				0	5	0
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
				0	6	0
7	Notes and loans receivable, net ....			4,782,140	7	11,572,118
8	Inventories for sale or use ........			3,222,411	8	3,051,946
9	Prepaid expenses and deferred charges ......			4,715,275	9	2,934,912
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	167,951,040
b	Less: accumulated depreciation	10b	36,742,383	134,592,604	10c	131,208,657
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			159,868,723	12	165,709,699
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			56,435,064	15	52,765,801
16	Total assets. Add lines 1 through 15 (must equal line 34)...			418,568,237	16	434,583,520

17	Accounts payable and accrued expenses .....	42,156,746	17	41,100,424
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	101,774,891	20	98,780,491
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
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..	389,585	22	3,835
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
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	20,329,471	25	27,337,343
26	Total liabilities. Add lines 17 through 25..	164,650,693	26	167,222,093

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	230,204,124	27	244,333,389
28	Temporarily restricted net assets ...........	17,764,889	28	16,904,100
29	Permanently restricted net assets	5,948,531	29	6,123,938
	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 ...........	253,917,544	33	267,361,427
34	Total liabilities and net assets/fund balances ........	418,568,237	34	434,583,520