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) Charles Favazzo...................................................................... Trustee through 6/20/16	1.0 ................. 0.0	X		0	0	0
(2) Christopher George...................................................................... Trustee	1.0 ................. 0.0	X		0	0	0
(3) Robert Irwin...................................................................... Trustee through 6/20/16	1.0 ................. 0.0	X		0	0	0
(4) Paul Lundberg...................................................................... Trustee	1.0 ................. 0.0	X		0	0	0
(5) Paul McConnell...................................................................... Trustee through 6/20/16	1.0 ................. 0.0	X		0	0	0
(6) Kurt Melden...................................................................... Trustee through 6/20/16	1.0 ................. 0.0	X		0	0	0
(7) Paul Muniz...................................................................... Trustee through 6/20/16	1.0 ................. 0.0	X		0	0	0
(8) Hugh O'Flynn MD...................................................................... Trustee through 6/20/16	1.0 ................. 0.0	X		0	0	0
(9) Nancy Palmer...................................................................... Trustee through 6/20/16	1.0 ................. 0.0	X		0	0	0
(10) Hugh Taylor MD...................................................................... Trustee	1.0 ................. 0.0	X		0	0	0
(11) Robert Tufts MD...................................................................... Trustee, Ex Officio	1.0 ................. 0.0	X		0	0	0
(12) Howard R Grant JD MD...................................................................... TRUSTEE/OFFICER/President/CEO	1.0 ................. 50.0	X	X	0	1,264,853	376,483
(13) Alexander Doumas MD...................................................................... Trustee/Physician	1.0 ................. 40.0	X		0	330,492	25,743
(14) Timothy O'Connor...................................................................... Officer/EVP CFO & Treasurer	1.0 ................. 50.0		X	0	676,721	183,875
(15) David G Spackman...................................................................... Officer/SVP GOV AFFAIRS & Gen	1.0 ................. 50.0		X	0	509,537	50,683
(16) Philip Cormier...................................................................... Officer/CEO NHC	40.0 ................. 1.0		X	501,481	0	32,513
(17) Maryellen Lear...................................................................... Officer/Director, Legal Suppor	1.0 ................. 40.0		X	0	103,586	2,082

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Gary P Marlow........................................................................ Officer/VP FINANCE NHS	40.0 .......................1.0	X			0	337,474	50,593
(19) Connie Woodworth........................................................................ Officer/VP Finance	40.0 .......................1.0	X			0	182,931	70
(20) Bruce A Metz........................................................................ SVP Chief Info Officer	1.0 .......................40.0		X		0	442,784	32,447
(21) Elizabeth P Conrad........................................................................ SVP Chief HR Officer	1.0 .......................40.0		X		0	359,246	56,119
(22) David Reis........................................................................ SVP Chief Info Officer	1.0 .......................40.0		X		0	261,509	20,142
(23) Pauline M Lodge........................................................................ SVP Bus Dev Mkt & Communicatio	1.0 .......................40.0		X		0	436,380	44,090
(24) Nicole Devita........................................................................ COO BH/AGH	40.0 .......................1.0		X		369,294	0	31,023
(25) Kimberly A Perryman........................................................................ CNO Beverly Hospital	40.0 .......................1.0		X		308,868	0	52,775
(26) Cynthia C Donaldson........................................................................ VP Ancillary Services	40.0 .......................1.0		X		270,896	0	32,705
(27) Denis S Conroy........................................................................ PRESIDENT/CEO NHS THRU 1/15/15	40.0 .......................1.0			X	550,418	0	4,700
(28) Leslie Sebba MD........................................................................ CMO-ACNO LCPN	40.0 .......................1.0			X	403,311	0	41,133
(29) Peter H Short MD........................................................................ SVP Medical Affairs	40.0 .......................1.0			X	379,077	0	30,790
(30) Steven A Gillespie MD........................................................................ PHYSICIAN	40.0 .......................1.0			X	340,905	0	39,983
(31) Barry Ginsberg MD........................................................................ Medical Director	40.0 .......................1.0			X	336,242	0	39,567

- 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.
right arrow

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

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

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

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

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (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 B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

2015

Name of the organization

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

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

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization NORTHEAST HOSPITAL CORPORATION

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization NORTHEAST HOSPITAL CORPORATION		Employer identification number 04-2121317

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization NORTHEAST HOSPITAL CORPORATION			Employer identification number 04-2121317
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

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

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" 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 ....	17,166,663	16,416,238	15,809,826	14,545,609	13,124,163
b	Contributions ...	487,483	2,229,079	2,052,818	1,516,024	1,169,967
c	Net investment earnings, gains, and losses	979,956	-994,506	1,200,588	1,265,254	1,764,342
d	Grants or scholarships ...	13,909	43,458	123,430	113,205	94,295
e	Other expenditures for facilities and programs ...	2,018,963	440,690	2,523,564	1,403,856	1,418,568
f	Administrative expenses ....
g	End of year balance ......	16,601,230	17,166,663	16,416,238	15,809,826	14,545,609

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

41.200 %

Temporarily restricted endowment SchDMd Bullet

58.800 %

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)

Yes

(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	5,163,015		5,163,015
b	Buildings	0	185,272,583	101,623,692	83,648,891
c	Leasehold improvements	0	4,929,165	4,135,863	793,302
d	Equipment ...	0	127,252,352	87,068,929	40,183,423
e	Other ...	0	10,868,399	6,176,500	4,691,899
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					134,480,530

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) OTHER INVESTMENTS	80,591,436	F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	80,591,436

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) Due from Affiliates (Short ter				35,103,353
(2) Professional Insurance Receiva				7,699,122
(3) DEFERRED DEBT ISSUE COSTS				2,518,303
(4) OTHER LONG TERM ASSETS				3,236,215
(5) Due from Affiliates (Long term				1,050,069
(6) DEPOSIT INSURANCE RECEIVABLE				5,334,044
(7) ASSETS W/LIMITED USE				628,584
(8) ASSETS UNDER BOND INDENTURE				5,343,043
(9) INVESTMENTS, OTHER				1,020,949
(10) BENEFICIAL INTEREST IN TRUSTS				4,016,077
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				65,949,759

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
ACCRUED PENSION COSTS	72,894,006
OTHER NON-CURRENT LIABILITIES	17,574,548
Taxable Bond - Series I	9,500,000
Estimated 3rd PArty Settlement	6,953,260
Professional Liability Reserve	10,614,361
Due to Affiliates	16,026,123
Post Retirement Medical Benefits	1,306,871
bond interest payable	102,403
ACCRUED PENSION	186,137
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	135,157,709
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	340,553,569
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	11,648,042
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	11,648,042
3	Subtract line 2e from line 1..................			3	328,905,527
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	19,889,818
c	Add lines 4a and 4b....................			4c	19,889,818
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	348,795,345

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	332,957,222
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	332,957,222
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	332,957,222

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 III, LINE 4	Collections and Relation to Exempt Purpose The Addison Gilbert Hospital has an extensive collection of art that has been painted or donated by area residents. The art is exhibited within the hospital and is loaned to a local museum for wider community access. The local nature of the artists and subjects serves to strengthen the link with community residents who utilizer the hospital and it's attendant facilities.
PART V, LINE 4	Endowment funds are used as earmarked by donors to cover costs of ongoing programs of the hospital.
PART X, LINE 1	The Organization's Financial Statements did not report a liability for uncertain tax positions under Fin 48.
Part XI, line 4b	Adjustment to Pension OCI (19,889,818)

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

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

Information about Schedule G (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
NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

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

Form 990-EZ filers are not required to complete this part.

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

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

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

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

YesNo

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

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










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

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

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

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

		(a) Event #1 Golf Tournament (event type)	(b) Event #2 2015 Gala (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	139,909	89,488	229,397
2	Less: Contributions . . . .	80,315	71,186	151,501
3	Gross income (line 1 minus line 2) . . . . . .	59,594	18,302	77,896

4	Cash prizes . . . . .
5	Noncash prizes . . . .	11,795	910	12,705
6	Rent/facility costs . . . .	20,489	5,334	25,823
7	Food and beverages . . .	20,104		20,104
8	Entertainment . . . .		5,900	5,900
9	Other direct expenses . . .	7,206	6,158	13,364
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .			77,896
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .

Part III

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

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	7,206	6,158	13,364

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

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

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

YesNo

If "No," explain:

10a

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

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

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

YesNo

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

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

YesNo

Indicate the percentage of gaming activity conducted in:

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

13a

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

13b

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

Name

Address

15a

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

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

YesNo

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

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

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

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

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

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

YesNo

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

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

Part IV

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

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 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

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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? . . . . . .

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) . . .	1,256,001		1,256,001	0.380 %
b	Medicaid (from Worksheet 3, column a) . . . . .	55,954,618	52,925,768	3,028,850	0.910 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	2,086,489		2,086,489	0.630 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	59,297,108	52,925,768	6,371,340	1.920 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,406,633		2,406,633	0.720 %
f	Health professions education (from Worksheet 5) . . .	160,080	14,992	145,088	0.040 %
g	Subsidized health services (from Worksheet 6) . . . .	30,509,696	25,897,917	4,611,778	1.390 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	177,203		177,203	0.050 %
j	Total. Other Benefits . .	33,253,612	25,912,909	7,340,702	2.200 %
k	Total. Add lines 7d and 7j .	92,550,720	78,838,677	13,712,042	4.120 %

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.

		(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing	0	0
2	Economic development	25,000	25,000
3	Community support	28,910	28,910
4	Environmental improvements	0	0
5	Leadership development and training for community members	14,348	14,348
6	Coalition building	20,000	20,000
7	Community health improvement advocacy	284,786	284,786
8	Workforce development	0	0
9	Other	30,890	30,890
10	Total	403,934	403,934

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. ......

2,659,596

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. ......

505,802

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).....

111,830,126

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

106,077,244

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

5,752,882

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 %
1
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)
1	Northeast Hospital Corporation 85 Herrick Street Beverly,MA01915	X	X	X

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)

	Northeast Hospital Corporation
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. ............................

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): beverlyhospital.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 16

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

Yes

If "Yes" (list url): beverlyhospital.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)

	Northeast Hospital Corporation
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 150.% and FPG family income limit for eligibility for discounted care of 300.%

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.beverlyhospital.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)

	Northeast Hospital Corporation
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;	See Part VI, Question 2 - Needs Assessment
Part V, Section B, Line 6a	Lahey Outpatient Clinic Danvers Addison Gilbert Hospital Bayridge Hospital
Part V, Section B, Line 11;	See Part VI, Question 2 - Needs Assessment
Part V, Section B, Line 16j;	The Hospital has financial counselors available for any patient who requires help filing for financial assistance. The counselors perform financial screening and help patients with Masshealth, Commonwealth Care, Health Safety Net, medical hardship, disability and long term care applications. In addition to working with patients who are admitted to the hospital, financial counselors help screen and enroll patients in the community when they are referred to the hospital. The hospital has established relationships with agencies including: Councils on Aging, SHINE (Serving Health Insurance Needs of Elders), CHEC (Community Health Education Center), public schools, homeless shelters, food pantries, boards of health and police departments in Gloucester and Beverly and local physician offices.

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?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

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 6a;	Northeast Hospital Corporation prepares the Community Benefit Report.
Part I, Line 7	Line 7a was calculated using worksheet # 1 Lines 7b & 7c were calculated using an internal cost accounting system which provides management with financial information across all payors and services of the organization. A cost to charge ratio was used to calculate 7a and 7b and was derived from worksheet # 2. Line 7e is based on the expenditures for Community Benefits Programs from the Mass Attorney General's report and interpreter services provided by the organization at no cost to patients. Line 7g is a net community benefit expense of $4,611,778 as a result of providing behavioral/mental health inpatient and outpatient care to the community despite a financial loss to the organization.
Part II, Line 2 - Economic Development	Downtown 2020 is Beverly's Main Streets' vision for what downton Beverly can and should become. A vibrant community that celebrates the arts and creativity with cool places to live, work, shop and play. The vision represents input from more than 1,000 voices from the Beverly community.
Part II, Line 3 - Community Support	Name: Beverly Bootstraps Amount: $10,000 Purpose: Support of the Beverly Bootstraps Mobile Market which provides free, fresh fruits and vegetables along with nutrition and health information to eligible households in the Beverly area. Name: The Open Door Amount: $10,000 Purpose: Support of the Open Door Mobile Market which provides qualified households access to fresh produce in Gloucester and surrounding towns.
Part II, Line 7 - Community Health Improvement Advocacy	Name: Backyard Growers Amount: $10,000 Purpose: Implementation and support of a school based gardening program to promote healthy choices among students. Name: The Open Door - Senior Circle of Care Amount: $10,000 Purpose: Provided a unique wrap-around approach to support senior's nutritional needs by giving them the option of cooking at home or meeting for group meals. Name: Danvers SBIRT Implementation Amount: $5,000 Purpose: Assisted Danvers Public Schools in implementing universal substance abuse screening and referral for students utilizing an evidence-based screening process referred to as SBIRT (screening, brief intervention, referral and treatment). Name: Housing to Healing Action, Inc. Amount: $10,000 Purpose: Supported the salary of a shelter counselor who provides case management and counseling services to homeless individuals staying at the Action, Inc emergency homeless shelter in Gloucester, Ma.
Part III, Line 2	This amount includes all actual bad debt write-offs and subsequent recoveries on patient activity as well as an estimate of the allowance for bad debts on outstanding receivables
Part III, Line 3	This activity represents charges written-off to bad debt expense for uninsured patients who were treated in the emergency room.
Part III, Line 4	The hospital includes its bad debt expense as a line item "Provision for Bad Debts, Net" in its audited Statement of Operations. In addition to reviewing the major categories of revenue, inpatient, outpatient and professional, management monitors the write-offs against established allowances to determine the appropriateness of the underlying assumptions used in estimating the allowance.
Part III, Line 8	These costs represent a community benefit because the payment from Medicare is less than the cost to provide care and that shortfall is absorbed by the hospital. In addition, the hospital provides care to a substantial population of Medicaid patients at payment levels well below cost.
Part III, Line 9B:	THE HOSPITAL'S CREDIT AND COLLECTION POLICIES ARE DEVELOPED TO ENSURE COMPLIANCE WITH APPLICABLE CRITERIA REQUIRED UNDER (1) THE MASSACHUSETTS HEALTH SAFETY NET ELIGIBILITY REGULATION (114.6 CMR 13.00), (2) THE CENTERS FOR MEDICARE AND MEDICAID SERVICES MEDICARE BAD DEBT REQUIREMENTS (42 CFR 413.89), AND (3) THE MEDICARE PROVIDER REIMBURSEMENT MANUAL (PART I, CHAPTER 3). THIS POLICY IS AVAILABLE TO ALL PATIENTS UPON REQUEST. FOR ANY PATIENTS WHO ARE UNINSURED OR UNDERINSURED THE HOSPITAL'S FINANCIAL COUNSELORS WILL WORK WITH THESE PATIENTS AND ASSIST THEM WITH FINDING A FINANCIAL ASSISTANCE PROGRAM THAT MAY COVER SOME OR ALL OF THEIR UNPAID MEDICAL BILLS. ONCE THE HOSPITAL KNOWS PATIENTS QUALIFY FOR CHARITY CARE, ALL COLLECTION PROCEDURES END AND THE FULL BALANCE OR THE AMOUNT THAT QUALIFIES UNDER FREE CARE IS WRITTEN OFF. FINANCIAL ASSISTANCE IS INTENDED TO HELP LOW-INCOME PATIENTS WHO DO NOT OTHERWISE HAVE THE ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES. FINANCIAL ASSISTANCE PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, THE HEALTHY START PROGRAM AND HEALTH SAFETY NET, PATIENTS UNDER THESE PROGRAMS WILL RECEIVE AN INITIAL BILL BUT ARE EXEMPT FROM ANY FURTHER COLLECTION OR BILLING PROCEDURES, PURSUANT TO MASSACHUSETTS STATE REGULATIONS.
Part VI, Q2 - Needs Assessment	Purpose and Approach: In FY16, Northeast Hospital Corporation, in conjunction with all hospitals in the Lahey Health System, completed the required triennial Community Health Needs Assessment (CHNA). The purpose of the CHNA is to inform and guide the hospital's 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., a public health consulting and research organization. Northeast Hospital Service Area: NHC's community benefits investments are focused on expanding access, addressing barriers to care and improving the health status of residents living in 13 municipalities located in Essex County: Beverly, Boxford, Danvers, Essex, Gloucester, Hamilton, Ipswich, Manchester-by-the-Sea, Middleton, Peabody, Rockport, Topsfield and Wenham. Methodology: The CHNA was conducted in three phases, allowing Northeast Hospital Corporation to: - Compile an extensive amount of quantitative and qualitative data - Engage and involve key internal and external shareholders - Develop a report and detailed Community Health Improvement Plan (CHIP) - Comply with all state and federal IRS community benefits requirements 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 (2001-2013) - 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 what health issues are currently perceived by the community, interviews and listening sessions were conducted: - Informant interviews with external stakeholders - Random household surveys - Community listening sessions Public Reporting on Information: The results of the CHNA were made publically available in various ways including on the Beverly Hospital 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. Priority Target Populations: NHC focuses its activities to meet the needs of all segments of the population with respect to age, race, ethnicity, income and gender identity to ensure that all residents have the opportunity to live healthy lives. However, based on the assessment's quantitative and qualitative findings, there was broad agreement that NHC's Community Health Improvement Plan should target low-income populations (e.g., low-income individuals/families, older adults on fixed incomes, homeless), older adult populations (e.g., frail, isolated older adults), youth/adolescents (especially those ages 13-18) and other vulnerable populations (e.g., diverse racial/ethnic minorities and linguistically isolated populations) that are more likely than other cohorts to face disparities in access and healthy outcomes. Community Health Priorities: NHC's CHNA approach and process provided ample opportunity to vet the quantitative and qualitative data compiled during the assessment. NHC has framed the community health needs in four priority areas, which together encompass the broad range of health issues and social determinants of health facing the service area. These four areas are (1) Wellness, Prevention and Chronic Disease Management; (2) Elder Health; (3) Behavioral Health; and (4) Maternal and Child Health. NHC already has a robust Community Health Improvement Plan that has been addressing all the issues identified, but this CHNA has provided new guidance and invaluable insight into quantitative trends and community perceptions that can be used to inform and refine NHC's efforts. In addition to our well-established community benefits program, NHC also has a diverse and far-reaching community outreach program that provides service and support to local communities in a variety of ways. Support includes participation in or support of food and clothing drives, health fairs, leadership on local nonprofit and community boards, and sponsorship of community events and initiatives. Activities for FY16 included: - Community Speakers Bureau - Provided funding to support summer reading initiatives in Gloucester and Beverly - Sponsored 10 American Red Cross blood drives - Partnered with the Beverly Council on Aging on Falls Awareness & Prevention event - Partnered with the Gloucester High School Diabetes Support Group - Provided a free supermarket guided nutrition tour - Held a Holiday Gift Drive and Mitten Tree - Held food drives to support the Beverly and Gloucester food pantries - Cape Ann Farmers Market - Gloucester Sidewalk Bazaar - Beverly Council on Aging Senior Day in the Park - Healthy Kid Day in Gloucester, Ipswich and Beverly - Danvers Kiwanis Bike Rodeo and helmet fitting - Beverly and Danvers Relay for Life - Sponsored several community events including Danvers Family Festival, Beverly's First Night, Rockport's First Night and Beverly Homecoming - Participated in 12 health fairs and several health screenings across the North Shore and Cape Ann - Supported 15 road races with over 5,500 total participants
Form 990, Schedule H, Part VI, Question 3 - Patient Education	The Hospital provides patients with information about the availability of financial assistance programs that are available through the State of Massachusetts or through the Hospital's own financial assistance program, which may cover all or some of their unpaid bill. For every patient that requires any kind of financial assistance, the Hospital has financial counselors available to assist low-income patients who do not have the ability to pay for their health care services. Such assistance takes into account each individual's ability to contribute to the cost of his or her care. Financial assistance programs include, but are not limited to, MassHealth, Commonwealth Care, Children's Medical Security Plan, The Healthy Start Program and Health Safety Net. Each patient requiring assistance completes an application through the Virtual Gateway (an internet portal designed by the Massachusetts Executive Office of Health & Human Services to provide the general public, medical providers and community based organizations with an online application for the programs offered by the state) or through a standard paper application that also gets sent to the Massachusetts Executive Office of Health and Human Services. This office solely manages the application process for the programs listed above. The Hospital also informs and educates patients about state and federal insurance assistance programs by making this information available on patient hospital bills, on notices posted at every registration site, in brochures at registration desks and waiting rooms, via phone during patient phone calls, through community events and health fairs and by establishing relationships with community agencies such as senior citizens centers, shelters, food pantries, boards of health and school nurses.
Form 990, Schedule H, Part VI, Question 4 - Community Information	The Hospital serves the North Shore Community in Massachusetts, which has a population of approximately 300,000. This area includes Beverly, Danvers, Peabody, Saugus, Lynn, Marblehead, Salem, Hamilton, Ipswich, Essex, Manchester, Gloucester and Rockport but anyone who comes to one of the facilities and requires care will receive it, regardless of whether they live in this community. 80% of the community is white, 81.3% have English as a first language and 90% have graduated from high school. As reported in our Public Health Assessment Report, 87% of the adults in the Hospital's service area have a personal health care provider and 80% have health insurance.
Form 990, Schedule H, Part VI, Question 5 - Community Health	In addition to the Hospital's community benefits programs, initiatives and activities as noted throughout Schedule H, NHC further promotes the health of the community by encouraging its managers and staff to actively participate in other not-for-profit community organizations, either as board members or supporters. The Hospital responsibly manages facility updates and technological improvements that enable NHC to provide the North Shore with convenient, safe and effective healthcare. The Hospital has a community board with members from the North Shore and surrounding areas, as well as an open medical staff, which allows local area physicians to apply for and receive hospital privileges. The Board of Trustees reviews and approves the Hospital's annual budget and determines estimated surplus funds to be invested back into the community (towards community needs assessments, hospital programs, health initiatives, etc.) Northeast Hospital Corporation has several community benefit services that promote the health of the communities the organization serves. These include health screenings, clinics and seminars developed for breast cancer, skin cancer, depression, diabetes, bone density, blood pressure, flu and CPR. In addition, risk assessments have been developed for cardiovascular, osteoporosis, diabetes, body mass index and breast cancer. A number of disease management initiatives have also been instituted including cardiac rehabilitation, heart failure management, pulmonary rehabilitation, osteoporosis management, vascular health and woman's health screenings. The Hospital also sponsors free support groups within the community for residents dealing with breast cancer, melanoma, prostate cancer, Alzheimer's, early stages of memory loss, post-partum depression, epilepsy and diabetes or who have experienced a stroke, infant loss or the loss of a family member.
Form 990, Schedule H, Part VI, Question 6 - Affiliated Health Care System	Lahey Health System, Inc. ("Parent") was organized to act as the parent of an integrated health care system. The Parent is the sole corporate member of Lahey Clinic Foundation, Inc. and the Lahey Affiliates ("Lahey") and Northeast Health System, Inc. and the Northeast Affiliates ("Northeast") and as of July 1, 2014, Winchester Healthcare Management, Inc. and the Winchester Affiliates ("Winchester"). Until July 1, 2014 Northeast was the sole member of Northeast Hospital Corporation ("NHC") and functioned as the parent holding company for NHC and other affiliated organizations. Effective July 1, 2014, the Parent is the sole corporate member of NHS, NHC, AND AFFILIATED ORGANIZATIONS. NHC is the sole member of Northeast Medical Practice, Inc. ("NMP"), a corporation organized to manage and operate physician practices. NHC, known as Beverly Hospital, has acute care facilities in northeastern Massachusetts and provides inpatient, outpatient, and emergency care services. Admitting physicians are primarily practitioners in the local area. See Schedule R for a full list of affiliates and related organizations.
Form 990, Schedule H, Part VI, Question 7 - States Where Report Filed	Massachusetts

Schedule H (Form 990) 2015

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
NORTHEAST HOSPITAL CORPORATION

Employer identification number
04-2121317

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) Backyard Growers 269 Main Street gloucester,MA01930	47-1553021	501(c)(3)	10,000	IMPLEMENT SCHOOL BASED RAISED BED GARDEN PROGRAM AT ELEMENTARY SCHOOLS
(2) Beverly bootstraps 198 rantoul street beverly,MA01915	04-3254507	501(c)(3)	10,000	Mobile food market
(3) The Open Door 28 Emerson Ave Gloucester,MA01930	22-2513482	501(c)(3)	20,000	Support for open door food pantry
(4) Housing to Healing Action Inc 180 Main St Gloucester,MA01930	04-2389332	501(c)(3)	10,000	Services for the Homeless

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

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

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

(1) Elizabeth Torrey Johnson Scholarshi	8	8,675
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

PART I, LINE 2

The Elizabeth Torrey Johnson Scholarship Fund is maintained by the Friends of Beverly Hospital (a group whICH creates and supports programs and activities that enrich Beverly Hospital). The Fund was established in 1964 and since then has been providing annual scholarships to numerous recipients. All eligible applicants must submit an application that INCLUDES THE COST OF TUITION, ROOM & BOARD, FEES AND ALL AVAILABLE FINANCIAL RESOURCES THEY HAVE BEEN AWARDED. RECIPIENTS ARE HIGH SCHOOL STUDENTS WHO HAVE VOLUNTEERED A MINIMUM OF 100 HOURS AT THE HOSPITAL AND PLAN TO HAVE CAREERS IN HEALTH CARE. CONFIRMATION OF ENROLLMENT IN COLLEGE IS REQUIRED.

GRANTS TO ORGANIZATIONS INSIDE THE US

NHC ENCOURAGES APPLICATIONS FOR FUNDING THAT RELATE TO THE MAIN FOCUSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDING MENTAL BEHAVIORAL HEALTH, CHRONIC DISEASE MANAGEMENT, AND ACCESS TO HEALTHCARE SERVICES. GRANT REQUESTS MAY BE SUBMITTED FOR UP TO $10,000 PER ORGANIZATION IN ANY ONE CATEGORY. PROGRAMS OR SERVICES UNDER THE GRANT INITIATIVE MUST BE DELIVERED WITHIN THE NHC PRIMARY SERVICE AREA WITH ELIGIBLE APPLICANTS INCLUDING LOCAL COALITIONS OR COLLABORATIVE EFFORTS THAT ARE INTERESTED IN IMPROVING COMMUNITY HEALTH. ALL APPLICANTS MUST HAVE AN APPROPRIATE FISCAL AGENT SUCH AS A DESIGNATED 501(C)(3) ORGANIZATION OR BE A MUNICIPALITY. AN OBJECTIVE GRANT REVIEW TEAM REVIEWS AND SCORES ALL PROPOSALS AND MAKES FINAL FUNDING DECISIONS. ANY APPLICATION THAT DOES NOT MEET THE TIMELINE MAY NOT BE REVIEWED AND/OR MAY RECEIVE A LOWER TOTAL SCORE. REVIEWERS ARE SCREENED OUT FOR ANY POTENTIAL CONFLICT OF INTEREST IN THE FUNDING DECISION.

Schedule I (Form 990) 2015

Additional Data

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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

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed 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)
1Howard R Grant JD MDTRUSTEE/OFFICER/President/CEO	(i) (ii)	------------- 991,853	------------- 231,000	------------- 42,000	------------- 345,387	------------- 31,096	------------- 1,641,336	-------------
2Timothy O'ConnorOfficer/EVP CFO & Treasurer	(i) (ii)	------------- 549,361	------------- 103,360	------------- 24,000	------------- 156,600	------------- 27,275	------------- 860,596	-------------
3David G SpackmanOfficer/SVP GOV AFFAIRS & Gen	(i) (ii)	------------- 387,777	------------- 101,365	------------- 20,395	------------- 28,978	------------- 21,705	------------- 560,220	-------------
4Alexander Doumas MDTrustee/Physician	(i) (ii)	------------- 312,492	-------------	------------- 18,000	-------------	------------- 25,743	------------- 356,235	-------------
5Philip CormierOfficer/CEO NHC	(i) (ii)	405,575 -------------	53,906 -------------	42,000 -------------	10,600 -------------	21,913 -------------	533,994 -------------	-------------
6Gary P MarlowOfficer/VP FINANCE NHS	(i) (ii)	------------- 275,620	------------- 37,500	------------- 24,354	------------- 28,978	------------- 21,615	------------- 388,067	-------------
7Connie WoodworthOfficer/VP Finance	(i) (ii)	------------- 141,605	------------- 17,326	------------- 24,000	-------------	------------- 70	------------- 183,001	-------------
8Bruce A MetzSVP Chief Info Officer	(i) (ii)	------------- 358,305	------------- 34,825	------------- 49,654	------------- 28,978	------------- 3,469	------------- 475,231	-------------
9Elizabeth P ConradSVP Chief HR Officer	(i) (ii)	------------- 309,316	------------- 28,000	------------- 21,930	------------- 28,978	------------- 27,141	------------- 415,365	-------------
10David ReisSVP Chief Info Officer	(i) (ii)	------------- 234,663	------------- 9,680	------------- 17,166	------------- 18,621	------------- 1,521	------------- 281,651	-------------
11Pauline M LodgeSVP Bus Dev Mkt & Communicatio	(i) (ii)	------------- 356,955	------------- 56,000	------------- 23,425	------------- 25,595	------------- 18,495	------------- 480,470	-------------
12Nicole DevitaCOO BH/AGH	(i) (ii)	294,838 -------------	40,370 -------------	34,086 -------------	21,116 -------------	9,907 -------------	400,317 -------------	-------------
13Kimberly A PerrymanCNO Beverly Hospital	(i) (ii)	253,170 -------------	42,656 -------------	13,042 -------------	25,595 -------------	27,180 -------------	361,643 -------------	0 -------------
14Cynthia C DonaldsonVP Ancillary Services	(i) (ii)	205,528 -------------	22,968 -------------	42,400 -------------	10,136 -------------	22,569 -------------	303,601 -------------	-------------
15Denis S ConroyPRESIDENT/CEO NHS THRU 1/15/15	(i) (ii)	96,693 -------------	52,552 -------------	401,173 -------------	3,867 -------------	833 -------------	555,118 -------------	-------------
16Leslie Sebba MDCMO-ACNO LCPN	(i) (ii)	295,784 -------------	48,834 -------------	58,693 -------------	10,600 -------------	30,533 -------------	444,444 -------------	-------------
17Peter H Short MDSVP Medical Affairs	(i) (ii)	304,335 -------------	51,496 -------------	23,246 -------------	10,600 -------------	20,190 -------------	409,867 -------------	-------------
18Steven A Gillespie MDPHYSICIAN	(i) (ii)	315,105 -------------	-------------	25,800 -------------	10,600 -------------	29,383 -------------	380,888 -------------	-------------
19Barry Ginsberg MDMedical Director	(i) (ii)	296,967 -------------	12,863 -------------	26,412 -------------	10,600 -------------	28,967 -------------	375,809 -------------	-------------

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-B	THE ORGANIZATION MAINTAINS A 457F NON-QUALIFIED 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. FOR THE CURRENT PERIOD, THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457F NON-QUALIFIED DEFERRED COMPENSATION PLAN- 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 ARE NOT LIMITED TO, THE ORGANIZATION MEETING ITS CORPORATE GOALS (INCLUDING NET INCOME) AND QUALITY MEASURES (SUCH AS PATIENT SATISFACTION AND QUALITY OF CARE).
FORM 990, PART VII AND SCHEDULE J, PART II	NORTHEAST HOSPITAL CORPORATION AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE IN THEIR CAPACITY AS A TRUSTEE. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THE EMPLOYEE'S JOB TITLE, WHICH IS LISTED ON FORM 990, PART II DIRECTLY FOLLOWING THE TITLE OF "TRUSTEE".

Schedule J (Form 990) 2015

Additional Data

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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
NORTHEAST HOSPITAL CORPORATION

Employer identification number
04-2121317

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MASS DEV FIN AGENCY SERIES H	04-3431814	57586EC41	11-30-2012	23,000,000	CONSTRUCT AMBULATORY FACILITY		X		X		X
B	MASS HEALTH & EDU FAC AUTH SERIES G	04-3431814	57586EC41	10-27-2004	55,000,000	CONSTRUCT BH ER & GARAGE		X		X		X
C	MASS HEALTH & EDUCATION FAC AUTH SERIES M	04-2456011	57585KA57	05-30-2003	13,410,000	RENOVATE BH ENDOSCOPY& PACU		X		X	X
D	MASS DEV FIN AGENCY SERIES J	04-3431814	57586EC41	11-30-2012	15,065,000	REFINANCE SERIES F-2, F-3		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		11,100,000		3,162,134		6,000,000
2 Amount of bonds legally defeased ..............	0		0		0		0
3 Total proceeds of issue ..................	23,987,136		57,055,604		13,591,182		15,065,000
4 Gross proceeds in reserve funds .............	0		4,085,669		89,384		0
5 Capitalized interest from proceeds .............	0		0		0		0
6 Proceeds in refunding escrows ...............	22,814,350		9,375,639		0		14,945,250
7 Issuance costs from proceeds ...............	147,692		814,592		67,050		256,320
8 Credit enhancement from proceeds .............	0		2,375,606		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	0		38,370,020		12,001,950		0
11 Other spent proceeds .............	0		0		0		0
12 Other unspent proceeds .............	0		0		0		0
13 Year of substantial completion .............	2007		2007		2004		2012
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X			X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part III

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 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		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %		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		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X		X		X
If "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		X			X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X		X			X		X
b Name of provider ..........	BANK OF AMERICA		Merrill Lynch		0		0
c Term of hedge .........	30 %		2980 %
d Was the hedge superintegrated? ......		X		X
e Was the hedge terminated? ........		X		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		X		X
b Name of provider ..........	0		0		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		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part V

Procedures To Undertake Corrective Action

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

Part VI

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

Return Reference	Explanation
SCHEDULE K - REBATE DATE COMPUTATION	MASS DEVELOPMENT FINANCE AGENCY SERIES H - 09/06/2013 REMARKETED MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES G - 02/23/2015 MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES M-2 DONE AT POOL LEVEL ANNUALLY MASS DEVELOPMENT FINANCE AGENCY SERIES J - 01/11/2016
SCHEDULE K - ADDITIONAL INFORMATION	MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY SERIES M-2 REBATE COMPUTATIONS ARE DONE AT THE POOL LEVEL ANNUALLY.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......	X		1,515	Donor Valuation
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	9	36,266	High-low Average
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..	X	1	37,000	Independent Appraisa
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( Auction Items )	X	3	1,501	Donor Valuation
26 Other ( Child Car Seats )	X	1	7,500	Actual Value
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE M, LINE 32B	The organization uses an independent broker to sell donated securities.

Schedule M (Form 990) (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

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

Return Reference	Explanation
FORM 990, PART I, LINE 1	COMMITTED TO PROVIDING THE HIGHEST QUALITY MEDICAL SERVICES TO ALL INDIVIDUALS WHO CAN BENEFIT FROM OUR CONTINUUM OF CARE. OUR CONCEPT OF CARE BROADLY EMBRACES THE HEALTH, WELL-BEING, AND DIGNITY OF THE PATIENTS WE SERVE, COMBINED WITH COMMUNITY OUTREACH AND SUPPORT FOR ORGANIZATIONS ALIGNED WITH OUR MISSION OF IMPROVING THE OVERALL HEALTH OF THE AREA RESIDENTS.
FORM 990, PART I, LINE 6	Volunteers support the services of the hospital's staff. They are trained and supervised by employees of the department to which they are assigned. Individual volunteer schedules vary depending on department needs and may include evening and weekend hours. Total hours provided by volunteers in FY16 were 24,444. Volunteers receive training specific to their duties prior to performing their job and are often paired with a veteran volunteer or staff member until they are comfortable working on their own. Volunteers attend hospital orientation to learn safety, infection control, and patient confidentiality including HIPAA requirements prior to being placed. They are also given health screenings and receive yearly safety updates.
FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7B	EFFECTIVE MAY 1, 2012, LAHEY CLINIC FOUNDATION, INC. AND NORTHEAST HEALTH SYSTEM, INC. COMPLETED AN AFFILIATION WITH EACH OTHER AND ESTABLISHED A NEW ORGANIZATION, LAHEY HEALTH SYSTEM, INC. ("LHS"), TO SERVE AS THE PARENT OF EACH AND THE HEALTH SYSTEM. ON JULY 1, 2014, LHS AND WINCHESTER HEALTHCARE MANAGEMENT, INC. ENTERED INTO AN AFFILIATION. THE SOLE CORPORATE MEMBER OF THE REPORTING ORGANIZATION IS LAHEY HEALTH SYSTEM, INC. THE REPORTING ORGANIZATION'S MEMBER HAS, WITH RESPECT TO THE REPORTING ORGANIZATION, THE RIGHT TO EXERCISE ALL POWERS CONFERRED ON MEMBERS OF NON-PROFIT CORPORATIONS UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 180, INCLUDING, WITHOUT LIMITATION, POWERS WITH RESPECT TO THE FOLLOWING: (A) APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD OF TRUSTEES; (B) AMENDMENT OF THE ARTICLES OF ORGANIZATION; (C) AMENDMENT OF THE BY-LAWS; (D) THE SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; AND (E) THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION. THE ARTICLES OF INCORPORATION OF THE REPORTING ORGANIZATION WERE AMENDED JULY 1, 2014 AND THE BY-LAWS WERE AMENDED ON JULY 1, 2014 TO REFLECT THE AFOREMENTIONED CHANGES.
FORM 990, PART VI, SECTION B, LINE 11	MANAGEMENT PREPARED THE IRS FORM 990 ALONG WITH INDEPENDENT TAX CONSULTANTS WHO SIGN THE RETURN AS A PAID PREPARER. PRIOR TO THE FILING DATE, A DRAFT OF THE IRS FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES VIA A SECURE WEBSITE. IN ADDITION, THE FINAL FORM 990 WAS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES VIA THE SAME SECURE WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12C	ALL OFFICERS, TRUSTEES, KEY EMPLOYEES, PHYSICIANS, AND MANAGEMENT EMPLOYEES AT ALL LEVELS, ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE LHS CORPORATE COMPLIANCE DEPARTMENT MONITORS AND REVIEWS EACH DISCLOSURE FOR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH DISCLOSURE SOFTWARE, TRAINING, AND INDIVIDUAL REVIEWS WITH PHYSICIANS, KEY EMPLOYEEES, AND MANAGERS. IF A CONFLICT IS IDENTIFIED THAT INDIVIDUAL WILL NOT BE ALLOWED TO PARTICIPATE IN ANY ACTIVITY RELATED TO THE SAID CONFLICT.
FORM 990, PART VI, SECTION B, LINE 14	LAHEY HEALTH SYSTEM, INC. AND AFFILIATES HAVE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY KNOWN AS THE "RETENTION OF ADMINISTRATIVE AND CLINICAL DOCUMENTS".
FORM 990, PART VI, SECTION B, LINE 16B	THE ORGANIZATION NEGOTIATES ARRANGEMENTS TO INCLUDE TERMS AND SAFEGUARDS TO ENSURE THAT THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED. FROM A LEGAL PERSPECTIVE, IN-HOUSE LEGAL COUNSEL, WITH THE INPUT OF EXTERNAL LEGAL COUNSEL, REVIEWS ALL PROPOSED JOINT VENTURE AND PARTNERSHIP AGREEMENTS. FROM A FINANCIAL PERSPECTIVE, LHS'S FINANCE MANAGEMENT TEAM REVIEWS ALL PROPOSED JOINT VENTURE AND PARTNERSHIP AGREEMENTS. BOTH REVIEWS TAKE PLACE BEFORE LAHEY HEALTH SYSTEM, INC. AND AFFILIATES ENTERS INTO ANY SUCH AGREEMENTS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND OTHER COMPLIANCE POLICIES ARE MADE AVAILABLE TO THE PUBLIC VIA THE ORGANIZATION'S WEBSITE. IN ADDITION, THE ORGANIZATION PRESENTS FINANCIAL INFORMATION TO THE PUBLIC AS AN ATTACHMENT TO ITS MASSACHUSETTS OFFICE OF THE ATTORNEY GENERAL FORM PC WHICH IS OPEN TO PUBLIC INSPECTION ON THE MASS.GOV WEBSITE.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS	ADJUSTMENT TO PENSION OCI (19,889,818) TOTAL TO FORM 990, PART XI, LINE 9 (19,889,818)
FORM 990, PART VII, SECTION A	NORTHEAST HOSPITAL CORPORATION AND ITS RELATED ORGANIZATIONS DO NOT COMPENSATE ANY TRUSTEE IN THEIR CAPACITY AS A TRUSTEE. ALL COMPENSATION PAID IS FOR WORK PERFORMED IN THE EMPLOYEE'S JOB TITLE, WHICH IS LISTED ON FORM 990, PART VII DIRECTLY FOLLOWING THE TITLE OF "TRUSTEE".
FORM 990, PART IV, LINE 4	LAHEY HEALTH SYSTEM, INC. IS IN CONTACT WITH FEDERAL AND STATE LEGISLATORS REGARDING HEALTH CARE REFORM ISSUES THAT COULD POTENTIALLY HAVE AN IMPACT ON THE ORGANIZATION AND ITS RELATED ORGANIZATIONS.
FORM 990, PART VII, SCHEDULE B, LINE 1 & 2:	LAHEY HEALTH SHARED SERVICES, INC. ("LHSS") COMPENSATES (PROCESSES PAYMENT) ALL INDEPENDENT CONTRACTORS (VENDORS) ON BEALF OF THE LAHEY HEALTH SYSTEM, INC. FAMILY OF ORGANIZATIONS UNDER ITS TAX ID NUMBER. LHSS ISSUES FORM 1099S TO THE INDEPENDENT CONTRACTORS AND SUBMITS THE SAME INFORMATION TO THE INTERNAL REVENUE SERVICE. THE LAHEY HEALTH SYSTEM, INC. FAMILY OF ORGANIZATIONS REIMBURSES LHSS FOR ALL VENDOR PAYMENTS MADE EITHER DIRECTLY OR INDIRECTLY ON THEIR BEHALF.

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

NORTHEAST HOSPITAL CORPORATION

Employer identification number

04-2121317

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 health system inc 41 mall road burlington,MA01805 61-1665701	support	MA	501(C)(3)	11C	na		No
(2)Lahey Clinic Foundation Inc 41 mall road burlington,MA01805 04-2323457	Support	MA	501(C)(3)	7	LHS		No
(3)lahey clinic hospital inc 41 mall road burlington,MA01805 04-2704686	hEALTHCARE	MA	501(C)(3)	3	lcf		No
(4)LAHEY clinic inc 41 mall road burlington,MA01805 04-2704683	hEALTHCARE	MA	501(C)(3)	9	lcf		No
(5)lahey health shared services inc 41 mall road burlington,MA01805 04-3178972	ADMIN SUPPORT	MA	501(C)(3)	9	LHS		No
(6)LAHEY PHYSICIAN COMMUNITY ORGANIZATION I 41 MALL ROAD BURLINGTON,MA01805 47-2248298	HEALTHCARE	MA	501(C)(3)	11A	LHS		No
(7)WINCHESTER HEALTHCARE MANAGEMENT INC 41 HIGHLAND AVENUE WINCHESTER,MA01890 22-2701817	management	MA	501(C)(3)	11A	LHS		No
(8)WINCHESTER HOSPITAL FOUNDATION INC 41 HIGHLAND AVENUE WINCHESTER,MA01890 04-3399570	SUPPORT	MA	501(C)(3)	11a	WHM		No
(9)WINCHESTER HOSPITAL 41 HIGHLAND AVENUE WINCHESTER,MA01890 04-2104434	HEALTHCARE	MA	501(C)(3)	3	WHM		No
(10)WINCHESTER COMMUNITY ACCOUNTABLE CARE OR 41 HIGHLAND AVENUE WINCHESTER,MA01890 22-3137856	ACO	MA	501(C)(3)	11A	WHM		No
(11)VISITING NURSE ASSOC OF MIDDLESEX-EAST 607 NORTH AVENUE WAKEFIELD,MA01880 04-6151873	HEALTHCARE	MA	501(C)(3)	9	LHS		No
(12)COMMUNITY CARE INC 607 NORTH AVENUE WAKEFIELD,MA01880 90-0396973	HEALTHCARE	MA	501(C)(3)	9	LHS		No
(13)NORTHEAST MEDICAL PRACTICE INC 85 HERRICK STREET BEVERLY,MA01915 04-3201853	HEALTHCARE	MA	501(C)(3)	9	NHC	Yes
(14)NORTHEAST BEHAVIORAL HEALTH CORPORATION 199 ROSEWOOD DRIVE SUITE 250 DANVERS,MA01923 04-2777145	HEALTHCARE	MA	501(C)(3)	7	LHS		No
(15)HES HOUSING SERVICES INC 199 ROSEWOOD DRIVE SUITE 250 DANVERS,MA01923 22-3232914	HUD HOUSING	MA	501(C)(3)	9	NBH		No
(16)CAB HEALTH & RECOVERY SERVICES INC 199 ROSEWOOD DRIVE SUITE 250 DANVERS,MA01923 04-2400270	SUBSTANCE ABU	MA	501(C)(3)	9	NBH		No
(17)NORTHEAST SENIOR HEALTH CORPORATION 85 HERRICK STREET BEVERLY,MA01915 04-2731137	HEALTHCARE	MA	501(C)(3)	9	LHS		No
(18)NORTHEAST PROF REGISTRY OF NURSES 800 CUMMINGS CENTER BEVERLY,MA01915 20-1287349	HEALTHCARE	MA	501(C)(3)	9	NSH		No
(19)SEACOAST NURSING & REHABILITATION CENTER 300 WASHINGTON STREET GLOUCESTER,MA01930 04-1305001	HEALTHCARE	MA	501(C)(3)	9	LHS		No
(20)ADDISON GILBERT SOCIETY INC 41 MALL ROAD BURLINGTON,MA01805 46-4371382	SUPPORT	MA	501(C)(3)	7	LHS		No
(21)NORTHEAST HEALTH SYSTEM INC 85 HERRICK STREET BEVERLY,MA01915 04-3240453	SUPPORT	MA	501(C)(3)	11C	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	(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 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

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	(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) Winchester Healthcare Enterprises 41 Highland Avenue Winchester,MA01890 04-2932059	Healthcare	MA	WHM	C CORP				No
(3) Winchester Physician Associates Inc 41 Highland Avenue winchester,MA01890 04-3262963	Physician Service	MA	WHM	C Corp				No
(4) Northeast Propietary Corporation 85 Herrick Street Beverly,MA01915 04-2855191	MANAGEMENT	MA	NHS	C CORP				No
(5) Perpetual Trusts (10) 41 Mall Road Burlington,MA01805	Support	MA	See Part VII	Trust	906,158	20,000,028		No
(6) REMAINDER TRUSTS (19) 41 MALL ROAD BURLINGTON,MA01805	SUPPORT	MA	SEE Part VII	TRUST	1,518,358	6,468,375		No
(7) POOLED INCOME FUNDS (3) 41 MALL ROAD BURLINGTON,MA01805	SUPPORT	MA	SEE Part VII	TRUST		1,025,772		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 .....................

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

Yes

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

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) NORTHEAST MEDICAL PRACTICE INC	A	324,797	fmv

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 four, four and one perpetual trusts. The perpetual trusts are domiciled in 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, except "Winchester" as listed in IRS Form 990, Schedule R, Part II. The Winchester Hospital Foundation, Inc. Philanthropy Department conducts fundraising and solicitation efforts on behalf of all entities within "Winchester", also listed in IRS Form 990, Schedule R, Part II. 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	6
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	2,840
6	Total number of volunteers (estimate if necessary) .............	6	312
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,345,928
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	67,419

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,563,259	1,144,857
9	Program service revenue (Part VIII, line 2g) .........	338,233,983	343,724,660
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	6,882,884	1,339,523
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,884,650	2,586,305
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	352,564,776	348,795,345
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	58,948	63,675
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)	172,908,326	174,151,763
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)....	164,682,780	158,741,784
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	337,650,054	332,957,222
19	Revenue less expenses. Subtract line 18 from line 12.......	14,914,722	15,838,123
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	424,505,420	442,760,457
21	Total liabilities (Part X, line 26).............	234,998,306	245,656,996
22	Net assets or fund balances. Subtract line 21 from line 20.....	189,507,114	197,103,461

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 143,985,006 including grants of $ ) (Revenue $ 188,164,586 )
	Inpatient Services - Northeast Hospital Corporation (the Hospital) is a non-profit community hospital providing high quality care to the sick and injured, regardless of the ability to pay. Inpatient care is available in the areas of critical care, general medicine, surgery, maternity/obstetrics, newborn special care, pediatrics and physchiatry. In FY2016, the Hospital had approximately 22,000 inpatient admissions. The Hospital has four locations, Beverly Hospital, Addison Gilbert Hospital, Lahey Outpatient Center at Danvers and Bayridge Hospital.

4b	(Code: ) (Expenses $ 117,138,982 including grants of $ 58,675 ) (Revenue $ 127,033,593 )
	Outpatient Services - The Hospital provides a comprehensive range of outpatient services, providing high quality of care to the sick and injured, regardless of the ability to pay, including (but not limited to) cardiology, oncology, radiology, geriatrics, women's health, rehabilitation, endoscopy, mamography, and cardiopulmonary services. In FY2016 the Hospital had approximately 376,000 outpatient encounters.

4c	(Code: ) (Expenses $ 19,496,789 including grants of $ ) (Revenue $ 22,522,196 )
	Emergency Room - The Hospital (Beverly and Addison) has a 24 hour emergency room, providing high quality care to the sick and injured, regardless of the ability to pay. In FY2016, the Hospital had approximately 44,000 emergency room visits. The emergency room has board certified emergency medicine physicians and specialty trained emergency nurses. Patients seeking care at the hospital have access to advanced life support, intensive care capabilities, and specially trained doctors in pediatrics, cardiology, and anesthesia.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses280,620,777

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,460,492	4,905,513	1,147,516

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	151,501
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	993,356

g	Noncash contributions included in lines 1a-1f:$ 83,782
h Total.Add lines 1a-1f.......		1,144,857

			Business Code
2a	NET PATIENT SERVICE REVENUE	621400	335,374,447	335,374,447
b	OTHER OPERATING REVENUE	621400	7,165,828		7,165,828
c	PROGRAM RESTRICTED REVENUE	621400	1,184,385	1,184,385
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			343,724,660

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,586,714			1,586,714
4 Income from investment of tax-exempt bond proceeds			40,119			40,119
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		3,428,612
b	Less: rental expenses		270,089
c	Rental income or (loss)	0	3,158,523
d	Net rental income or (loss)......			3,158,523	3,158,523
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	803,065	103,994
b	Less: cost or other basis and sales expenses	1,194,369
c	Gain or (loss)	-391,304	103,994
d	Net gain or (loss).....			-287,310	-391,304		103,994
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		77,896
b	Less: direct expenses ...b		77,896
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	2,142,576		2,142,576
b	Other Operating Revenues		621400	203,352		203,352
c	Non-operating Revenues		624100	-2,749,612			-2,749,612
d	All other revenue ....			-168,534			-168,534
e	Total. Add lines 11a–11d ......			-572,218
12	Total revenue. See Instructions......			348,795,345	339,326,051	2,345,928	5,978,509

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	55,000	55,000
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	8,675	8,675
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 ....	1,887,004	1,759,693	127,311
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	138,046,648	129,065,053	8,981,595
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	7,729,120	7,101,236	627,884
9	Other employee benefits .......	16,381,779	15,050,988	1,330,791
10	Payroll taxes ...........	10,107,212	9,286,140	821,072
11	Fees for services (non-employees):
a	Management ......	75		75
b	Legal .........	135,103		135,103
c	Accounting ...........	0
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)	20,881,554	17,121,684	3,759,870
12	Advertising and promotion ....	42,493		42,493
13	Office expenses .......	1,494,415	1,010,590	483,825
14	Information technology ......	867,654	634,342	233,312
15	Royalties ..	0
16	Occupancy ...........	5,663,741	4,140,761	1,522,980
17	Travel ............	585,511	428,067	157,444
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	3,384,383	2,474,322	910,061
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	18,600,144	13,598,565	5,001,579
23	Insurance ...	-962,470	-962,470
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	MEDICAL SUPPLIES	45,373,394	45,367,354	6,040
b	GENERAL SUPPLIES AND SERVICES	21,832,154	15,281,728	6,550,426
c	MASS HEALTH SAFETY NET	2,086,489	1,525,432	561,057
d	ADMINISTRATIVE & GENERAL	38,757,144	17,673,617	21,083,527
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	332,957,222	280,620,777	52,336,445	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 ........			0	1	0
2	Savings and temporary cash investments .........			39,099,860	2	46,448,677
3	Pledges and grants receivable, net ......			462,064	3	344,556
4	Accounts receivable, net .............			40,819,964	4	35,262,565
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 ....			0	7	0
8	Inventories for sale or use ........			6,135,653	8	5,849,831
9	Prepaid expenses and deferred charges ......			1,509,290	9	2,229,723
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	333,485,513
b	Less: accumulated depreciation	10b	199,004,983	148,874,173	10c	134,480,530
11	Investments—publicly traded securities .			66,049,193	11	71,603,380
12	Investments—other securities. See Part IV, line 11 .....			72,924,505	12	80,591,436
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 ...........			48,630,718	15	65,949,759
16	Total assets. Add lines 1 through 15 (must equal line 34)...			424,505,420	16	442,760,457

17	Accounts payable and accrued expenses .....	24,581,784	17	28,074,996
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	85,618,878	20	82,424,291
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..	0	22	0
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	124,797,644	25	135,157,709
26	Total liabilities. Add lines 17 through 25..	234,998,306	26	245,656,996

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	168,497,970	27	176,486,153
28	Temporarily restricted net assets ...........	10,320,127	28	9,754,694
29	Permanently restricted net assets	10,689,017	29	10,862,614
	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 ...........	189,507,114	33	197,103,461
34	Total liabilities and net assets/fund balances ........	424,505,420	34	442,760,457