Mount Auburn Hospital

“For the period covered by this filing, beth israel lahey health, inc. Served as the sole member of beth israel deaconess medical center, inc. (bidmc), mount auburn hospital (mah), new england baptist hospital (nebh), beth israel deaconess hospital milton, inc. (milton), beth israel deaconess hospital needham, inc. (needham), beth israel deaconess hospital plymouth, inc. (plymouth), lahey health shared services, lahey clinic foundation, winchester hospital (winchester), northeast hospital corporation (nhc), northeast behavioral health corporation (nbhc) and anna jaques hospital). Each of these affiliates may have, in turn, served as member of additional entities within the bilh network of affiliates. In addition, harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp) is the dedicated physician practice of bidmc and an entity integrally related to helping bidmc and other affiliates in the bilh network accomplish their charitable purposes. For this same period hmfp served as the sole member of affiliated physicians of harvard medical faculty physicians at beth israel deaconess medical center (aphmfp) as well as several additional entities. Two or more of the persons listed in this form 990 part vii have a business relationship with each other by virtue of sitting on one or more boards of directors/trustees or by serving in an employment relationship with one or more entities within the network of the affiliated organizations noted above. Additional detail is provided in the explanatory notes to this form 990 schedule j.”

“Effective march 1, 2019, beth israel lahey health, inc. (bilh) is the sole member of mount auburn hospital, the member of mount auburn hospital.”

“The member has the exclusive authority to (a) appoint and reappoint trustees, (b) fill any vacancies in the offices of trustees, and (c) acting by vote of not less than three quarters (3/4) of the member's trustees then in office, remove, with or without cause, a trustee.”

“The member of mount auburn hospital has the following rights, as designated in mount auburn hospital's by-laws: subject to the provisions of the articles of organization and these bylaws, the member shall have the right to exercise all powers, both positive and negative, conferred by massachusetts general laws ("m.g.l.") chapter 180, as amended, on members of corporations organized under m.g.l. Chapter 180. In addition, except as are expressly granted to the board of trustees of the corporation ("board") in these bylaws, the member shall have the right to exercise all powers, positive and negative, conferred by m.g.l. Chapter 180 on boards of corporations organized under m.g.l. Chapter 180. Notwithstanding the foregoing, the member may not take any of the following actions without the approval of the board: (a) approve or require any change in, or consolidation of philanthropic gifts, assets, and programs of the corporation, which shall remain under the corporation's control and be used for the benefit of the corporation and not for other components of the member's system, except to the extent that such changes involve back-office consolidation with other direct or indirect subsidiaries of the member; (b) approve or require any change in the name, brand, or trademark of the corporation or any of its subsidiaries, except such complementary changes as the member may determine are reasonably appropriate in establishing a system-wide identity for the affiliated entities; or (c) amend or restate these bylaws to change or eliminate either of the foregoing limitations on its powers. For the period ending on the third anniversary of the date the member becomes the sole corporate member of the corporation, the member's authority to change the medical school affiliation of the corporation or any of its subsidiaries is subject to the requirement that it obtain the unanimous consent of the corporation's designated trustees (as defined in the bylaws of the member) and the approval of the member's board of trustees (the "member's board"). The member may not cause the corporation to cease operating a separately licensed hospital facility, or close any essential service of such hospital facility, without consulting with the board prior to taking such action. The powers and responsibilities of the board include the following: (a) providing recommendations to the member regarding (i) appointment, reappointment and removal of trustees, (ii) the establishment of the corporation's policies, (iii) the maintenance of patient care quality, and (iv) the provision of clinical services and community service planning in a manner responsive to local community needs; (b) ensuring compliance with all licensure and accreditation requirements, including credentialing and other medical staff matters; (c) providing oversight for institutional planning, making recommendations for new clinical services, and participating in an annual review of the corporation's strategic and financial plan and goals; (d) reviewing and recommending approval of operating and capital budgets as well as making recommendations with respect to capital expenditures; (e) making recommendations with respect to quality assessment and improvement programs; (f) providing oversight of risk management programs relating to patient care and safety; (g) reviewing disaster plans that deal with both internal (e.g., fire) and external disasters; and (h) evaluating recruitment needs to ensure adequate medical staff capacity to continue to meet community needs. Except as otherwise provided in these bylaws, the board shall act in an advisory capacity and consistent therewith shall have only the following powers: (a) powers expressly granted by the member from time to time; (b) power to exercise its authority as a member of other corporations; (c) power to enforce any rights vested in the corporation under the bylaws of the member (as defined under the bylaws of the member) or under these bylaws with re”

“As noted in various disclosures throughout this filing, beth israel lahey health, inc. (bilh) is the sole member of mount auburn hospital. This form 990 is prepared in conjunction with the mount auburn hospital finance staff. In addition, the bilh tax department works with other disciplines and departments within bilh, mount auburn hospital and other affiliates to ensure that other financial and non-financial disclosures are complete and accurate. Examples of such departments may include: financial assistance and reimbursement, compliance, graduate medical education, legal, community benefits, governance, development, human resources and payroll, government relations, research and/or research finance. The tax returns reviewed by the bilh executive director, taxation, mount auburn hospital's chief financial officer and deloitte tax, llp. A copy of the complete return is then provided to each member of mount auburn hospital's board of trustees prior to submission to the internal revenue service.”

“Mount auburn hospital is a member of the beth israel lahey health (bilh) system of affiliates. All entities in the bilh network adhere to the bilh conflict of interest policy and maintain a written, comprehensive conflict of interest policy at the entity level. Pursuant to these policies, all of [first-tier entity]'s officers, trustees and key employees are required to complete the annual conflict of interest and tax questionnaire which is designed to require disclosure of any business relationships and affiliations maintained by officers, trustees, or key employees and their family members and which may result in a real or perceived conflict of interest. The bilh office of integrity and compliance, in conjunction with the bilh tax department, administers the conflict of interest and tax questionnaire process annually. Bilh integrity and compliance collects and reviews all disclosures. Disclosures for bilh executives and key employees are assigned appropriate follow-up action in accordance with the bilh policy. A summary of positive responses of mount auburn hospital is provided to the [first-tier entity]'s compliance officer for review final determination of any potential or actual conflict. Any activity that requires action under the conflict of interest policies is subject to ongoing review by mount auburn hospital as well as the bilh integrity and compliance office. Pursuant to the bilh conflict of interest policy, certain activities which could create conflicts of interest are prohibited while other types of relationships are permitted, subject to compliance with a management plan to require disclosure and recusal, including appropriate documentation in the minutes. In addition as noted above, the annual conflict of interest process outline above is jointly issued by the bilh tax department, to ensure that the questionnaire is distributed to all current and former members of the mount auburn hospital board of trustees as well as former officers and key employees. The tax questionnaire process is designed to gather the information necessary for mount auburn hospital to completely and accurately complete form 990 schedule l, transactions with interested persons and form 990, part vi, question 2, family and business relationships between officers, directors/trustees and key employees.”

“As noted throughout this filing, mount auburn hospital and mount auburn professional services (mah and maps respectively) are members of the beth israel lahey health (bilh) network of affiliates with bilh serving as mah's sole member and mah serving as the sole member of maps. In this role bilh maintains the responsibility for setting compensation for employees and senior management of the entities which comprised the beth israel lahey health network and to that end, bilh has a compensation committee composed of independent members of its board of trustees and except as otherwise noted below, compensation reported in this form 990 for mah's and map's officers, trustees and key employees was set by the bilh compensation committee. The bilh compensation committee process for setting compensation is below. The bilh compensation committee establishes the policies and the compensation structure, including benefits, for the beth israel lahey health network of affiliates including the bilh chief executive officer as well as other members of senior management at bilh and its affiliates. The compensation committee is responsible for assuring that the total compensation provided to these individuals is fair and reasonable using current and credible market practice information and is responsible for ensuring compliance with applicable legal and regulatory guidelines, in setting compensation, the compensation committee relies upon published compensation surveys and studies produced by independent compensation consulting firms that regularly assess executive compensation and benefits of substantially similar organizations. The compensation committee meets to review the compensation structure of the individuals described above and at that time reviews the compensation survey details prepared by the independent compensation consulting firm. For some categories of positions, the compensation committee will review the compensation structure and targets as a group, rather than by individual. Compensation for the bilh ceo and other senior executives is reviewed on an individual basis. The compensation committee then votes to approve the compensation arrangements of all individuals described above except for the bilh ceo. The compensation package for the bilh ceo voted by the compensation committee is submitted to the full board of trustees for approval. All deliberations were contemporaneously documented in minutes. The compensation committee processes and procedures as described above are designed to meet the requirements of treasury regulation section 53.4958-6(c), rebuttable presumption that a transaction is not an excess benefit transaction. In addition, as required by this form 990 and for the fiscal year ended september 30, 2020, compensation reported herein is calendar year 2019 compensation. Prior to the march 1, 2019 when bilh became the sole member of mah compensation for mah and maps was set by the mah compensation committee which was comprised of independent members of the mah board. The mah compensation committee established the policies and the compensation structure, including benefits, for mah and maps members of senior management. The compensation committee was responsible for assuring that the total compensation provided to these individuals was fair and reasonable using current and credible market practice information and was responsible for ensuring compliance with applicable legal and regulatory guidelines, in setting compensation, the compensation committee relied upon published compensation surveys and studies produced by independent compensation consulting firms that regularly assess executive compensation and benefits of substantially similar organizations. The compensation committee meets to review the compensation structure of the individuals described above and at that time reviews the compensation survey details prepared by the independent compensation consulting firm. Compensation for the mah and maps ceo and other”

“Mount auburn hospital's governing documents, conflict of interest policy and financial statements are available to the general public upon request at the following location: beth israel lahey health tax department 109 brookline avenue, suite 300 boston, ma 02215”

“Mount auburn hospital's (mah or hospital) primary purpose is to improve the health of the residents of cambridge, ma and the surrounding communities. The hospital's services are delivered in a personable, convenient and compassionate manner, with respect for the dignity of our patients and their families.”

“Inpatient medical / surgical services surgeons in mount auburn hospital's general surgery division use the latest technologies combined with advanced surgical expertise to perform surgeries that are as minimally invasive and painless as possible. Mah surgeons perform both elective and emergent surgeries. Elective surgery involves a combination of diagnostic and interventional procedures resulting in pertinent follow-up with the patient's referring physician. It is planned for and scheduled in advance. Emergent surgery is most often the result of a medical emergency, and is most often referred from an emergency department physician. In either situation, mount auburn's surgeons are available twenty-four hours a day, seven days a week, to ensure that patients receive the most advanced treatment possible. Mah surgeons focus on a dual mission of clinical care and patient education. Because the hospital is a teaching hospital of harvard medical school, it is able to offer more surgical services than most hospitals of similar size, including neurosurgery and cardiovascular surgical procedures, as well as continual surgical responses in all disciplines. Mah is also small enough to offer personalized care throughout a patient's surgery, including preparation and recovery. The hospital is enriched by the enthusiasm of our medical residents. Along with primary care (internal medicine) and general surgery, mount auburn hospital staffs physicians who specialize in a wide variety of medical and surgical disciplines including, allergy, anesthesiology, cardiology, cardiovascular and thoracic surgery, dermatology, ear nose and throat, emergency medicine, endocrinology and metabolism, family medicine, gastroenterology, geriatric medicine, hand surgery, hematology/oncology, infectious diseases, nephrology, neurology, neurosurgery, occupational health, ophthalmology, oral surgery, orthopedic surgery, pathology, plastic surgery, podiatry, pulmonary medicine, rheumatology, urology and vascular surgery. During fiscal 2020, mount auburn hospital had 183 licensed medical/surgical beds, and provided inpatient medical services to 5,949 patients, and inpatient surgical services to 1,372 patients.”

“Outpatient surgery mount auburn hospital provides same day surgical services in both the main operating room where we have 10 operating rooms and a dedicated pre-surgical area and pacu as well as in a separate surgical day care area with an additional 3 operating rooms and dedicated pacu space. Same day outpatient surgeries include procedures in the following specialties: opthamology, podiatry, general surgery, orthopedic, gynecology, hand, urology, ent and plastics/cosmetics. During fiscal 2020, mount auburn hospital performed 5,184 surgeries on an outpatient basis.”

“Inpatient obstetrics / newborn services at mount auburn hospital, all patients can be assured that an exceptional level of care and support is available for expectant and new mothers and newborns throughout pregnancy and delivery. Women can choose from a variety of highly talented providers, including obstetricians, nurse-midwives and nurse practitioners, all of whom collaborate with each other as needed. These providers offer personal and individualized care, providing support through labor and encouraging family participation. The hospital's goal is a safe and healthy pregnancy and delivery for each mother and baby. Mount auburn hospital offers guidance, options and a seasoned team of providers who are committed to delivering individualized care. Women who seek a more natural approach to childbirth are encouraged and supported. Women whose pregnancies are considered to be high risk, such as those having twins or medical problems complicating the pregnancy, will find the specialized expertise and technology that they need. For example, if a woman develops complications during pregnancy, she can continue to receive prenatal care from her nurse-midwife in addition to seeing maternal-fetal medicine specialists on a regular basis. In addition, mah's specialized expertise includes a level ii nursery for newborns who require extra medical attention and monitoring during the first days of life. Labor, delivery and postpartum care are all centered at the birthplace, mount auburn's obstetrical unit. After delivery, most new mothers need support from nursing staff and lactation consultants on infant care and breastfeeding. Mount auburn's birthplace is where new mothers and babies receive all the attention they need. Mount auburn's main providers include: obstetricians - doctors who specialize in pregnancy and childbirth; they have the training to provide the full scope of obstetrical practice, including performing cesarean sections nurse-midwives - nurses who specialize in normal pregnancy and childbirth and collaborate with obstetricians in cases where complications arise; nurse-midwives support women throughout labor and encourage family involvement nurse practitioners - nurses with specialized experience in obstetrics who practice in collaboration with obstetricians and nurse-midwives in providing prenatal care maternal-fetal medicine specialists - obstetricians who have special training in the complications of pregnancy and childbirth mount auburn hospital has a talented nursing staff in prenatal/antenatal testing, labor and delivery, on the postpartum unit and in the nursery. Anesthesiologists are available 24 hours a day to provide pain relief during labor. In addition, neonatologists, who specialize in caring for newborns, and pediatricians are on site around the clock to care for newborns. Mount auburn also offers additional services to women who are planning to have their babies at our hospital: fertility services, including options, testing and treatment: many couples need the expertise of a fertility specialist. Mount auburn hospital has fertility specialists on staff that counsel couples on the most current available options and direct the necessary testing and treatment aimed at a healthy pregnancy and birth. This includes access to in vitro fertilization and other procedures. High-risk pregnancy specialists: a full range of services is available for women who are experiencing high-risk pregnancies. In those instances, a maternal-fetal medicine specialist, a physician who specializes in the complications of pregnancy and childbirth, becomes part of the team and sees the woman on a regular basis. Nurseries, caring for your baby: most newborns spend most of the day with their mothers. When newborns need special care, they stay in the hospital's level ii nursery, which is staffed by neonatologists and neonatal nurses. By staying at mount auburn, where a pediatrician is on site 24 hours a day, babies remain close to their fami”

“Mount auburn hospital's numerous clinical strengths are the result of a commitment to excellence by the hospital and its staff, which includes recognized and respected professionals, as well as talented students and trainees who come to mount auburn hospital for the outstanding educational opportunities it provides. This commitment by our staff is matched by the cutting-edge clinical technology used throughout the hospital. At mount auburn, patients receive care that is first-rate, as well as compassionate. Mount auburn hospital's clinical service beyond those listed above include: cancer care, diabetes education, employee assistance program, outpatient radiology, nutrition services, occupational health, pediatrics, pharmacy, prevention and recovery, psychiatry, quality and safety, rehabilitation, home care, laboratory, travel medicine, urogynecology and walk-in clinic. During fiscal 2020, mount auburn hospital had 15 licensed inpatient psychiatry beds, and provided inpatient psychiatry services to 170 patients. The hospital has a 24 hour emergency department that serviced $28,366 visits. In addition, the hospital provided a variety of outpatient services to more than 67,000 patients in various specialties listed above, and conducted more than 120,000 visits to patient's homes through our home care department. For additional information on mah's accomplishments and how it helps support cambridge and the surrounding communities, please see the detail related to mount auburn hospital community benefits activities included in the supplemental narrative to schedule h. Bilh's covid-19 response in fy 2020 beth israel lahey health ("bilh") quickly and effectively marshalled its resources to mount a comprehensive response to the covid-19 pandemic. Since the start of the pandemic (through june of 2021), bilh has treated over 8,500 hospitalized patients with covid-19 and performed more than 700,000 covid-19 diagnostic tests. Highlights of the system's pandemic response in fy 2020 include: bilh quickly established an emergency operations center ("eoc") to align system efforts across its hospitals and other business units and with external entities, including the state government. The eoc held regular meetings with incident commanders, emergency managers, and senior leaders from bilh hospitals, primary care, and other system entities to coordinate plans, policies, and communications. It participated in weekly conference of boston teaching hospitals ("cobth") calls and massachusetts department of public health command center calls. A key role of the eoc involved managing the flow of internal and external information to ensure situational awareness and alignment of responses to the pandemic. Finally, the eoc worked with internal and external partners to centralize covid-19 related data collection and reporting for the system, commonwealth, and federal government. In march 2020, beth israel deaconess medical center ("bidmc") became one of the first hospital laboratories in the state to begin in-house high-throughput polymerase chain reaction ("pcr") covid-19 testing for patients and healthcare workers. Bidmc's laboratory provided this test to bilh hospitals and other community partners, such as health centers and corrections facilities, at a time of critical supply shortage. Throughout the pandemic, bilh worked toward additional in-house testing capabilities, including high-throughput thermo fisher instruments at lahey hospital & medical center ("lhmc"). The system operationalized multiple drive-through covid-19 testing sites to enable easy access for patients and staff. In the summer of 2020, to expand hospital and clinic-based covid-19 testing sites, bilh opened an additional high-capacity drive-through testing site in woburn. To ensure continued access to care for its patients, bilh primary care rapidly deployed a telehealth strategy, quickly transitioned to cohort clinics to care for sick patients, and successfully managed a phased reope”

“As described in this form 990, beth israel lahey health, inc. (bilh) is an entity exempt from income tax under section 501(c)(3) of the internal revenue code of 1986, as amended and served as a support organization of and sole member of mount auburn hospital. During this same period, mount auburn hospital was a member of the bilh obligated group and its tax exempt bond financing was issued through bilh or through a previous obligated group which is now a part of the bilh obligated group. The schedule k as included in this form 990 includes all of the bilh obligated group outstanding tax exempt debt for bonds issued after december 31, 2002, only a portion of which is allocable to and reported on mount auburn hospital's balance sheet.”

“As reported on the form 990 schedule k, the lahey health system inc. (lhsi) series f bonds which were issued in 2015 are now part of the beth israel lahey health (bilh) obligated group debt. The bonds were issued in 2015 and as of september 30, 2020 there was a balance remaining in the construction fund. Proceeds in the construction fund were unexpectedly held beyond the three-year temporary period, and were yield restricted in compliance with federal tax requirements. Although these bonds are not on the mount auburn hospital balance sheet, mount auburn hospital is including this disclosure in its form 990 because mount auburn hospital is a member of the bilh obligated group.”

“The boston, ma office of kpmg issued an unqualified opinion on the consolidated audited financial statements of the beth israel lahey health, inc. And affiliates for fiscal period ended september 30, 2020 these statements were prepared in accordance with generally accepted accounting principles (gaap) and included the accounts of the beth israel lahey health, inc. (bilh), and the entities for which beth israel lahey health, inc. (bilh) served as sole member during the fiscal period covered by this filing, (beth israel deaconess medical center (bidmc), mount auburn hospital (mah), new england baptist hospital (nebh), beth israel deaconess hospital milton, inc. (milton), beth israel deaconess hospital needham, inc. (needham), beth israel deaconess hospital plymouth, inc. (plymouth), lahey clinic foundation, lahey health shared services, winchester hospital (winchester), northeast hospital corporation (nhc), northeast behavioral health corporation (nbhc) and anna jaques hospital). Each of these affiliates may in turn serve as member of additional entities within the network of affiliates, and whose accounts are included in the bilh audited financial statements. The financial statements also include the accounts of harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp), the dedicated physician practice of beth israel deaconess medical center and an entity integrally related to helping bidmc and other affiliates in the bilh network accomplish their charitable purposes.”

“Mount auburn hospital did not receive any contributions of intellectual property and as such, was not required to file form 8899.”

“Mount auburn hospital did not receive any contributions of cars, boats, airplanes or other vehicles and as such, was not required to file form 1098-c.”

“Transfer to affiliates -26,816,361. Fas 158 -24,706. Gifts in kind used for operations -181,549. Unrealized change in equity interest in lps -1,124,344.”