Anna Jaques Hospital Inc

“The following anna jaques hospital, inc. Officers, director/trustees, and key employees have business relationships: george ellison david laflamme 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 corporation (nbc), and anna jaques hospital. The lahey clinic foundation in turn serves as sole member to lahey clinic inc, and lahey clinic hospital dba lahey hospital and medical center (lhmc). Additional entities listed here may also in turn serve as member to other network affiliates. 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 affiliated organizations. Additional anna jaques hospital, inc. 04-2104338 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 anna jaques hospital, inc. Seacoast regional health systems, which merged into anna jaques hospital, inc. Effective march 1, 2019, previously served as sole member.”

“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 anna jaques hospital, inc. 04 2104338 in office, remove, with or without cause, a trustee.”

“The member of anna jaques hospital, inc. Has the following rights, as designated in anna jaques hospital, inc.'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 anna jaques hospital, inc. 04-2104338 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 anna jaques hospital, inc. 04-2104338 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 o”

“As noted in various disclosures throughout this filing, beth israel lahey health, inc. (bilh) is the sole member of anna jaques hospital, inc.. This form 990 is prepared in conjunction with the anna jaques hospital, inc. Finance staff. In addition, the bilh tax department works with other disciplines and departments within bilh, anna jaques hospital, inc. 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, anna jaques hospital, inc.'s chief financial officer and deloitte tax, llp. A copy of the complete return is then provided to each member of anna jaques hospital, inc.'s board of trustees prior to submission to the internal revenue service.”

“Anna jaques hospital has a written, conflict of interest policy. Trustees and senior executives review the conflict of interest policy annually and each is asked to complete an annual conflict of interest form to disclose possible conflicts. Responses are reviewed by the board chair to determine if any conflict exists. Any individual with a conflict is asked to abstain from voting on a related matter. The board chair and/or secretary monitor surveys to ensure compliance.”

“As noted throughout this filing, anna jaques hospital and seacoast affiliated group practice (ajh and sagp respectively) along with their other related entities became members of the beth israel lahey health network of affiliates with bilh serving as ajh's sole member and ajh, in turn serving as sagp's sole member, effective march 1, 2019. Prior to that date, seacoast regional health systems, inc.(srhs) which was also an entity anna jaques hospital, inc. 04-2104338 exempt from income tax under section 501(c)(3) of the internal revenue code of 1986, as amended, served as the sole member of both ajh and sagp and maintained a compensation committee that was composed of members of the board of trustees. All members were independent. As required by this form 990 for the fiscal year ended september 30, 2020, compensation reported herein is calendar year 2019 compensation. As such, compensation reported in this form 990 for ajh and sagp officers, trustees and key employees was set by the srhs compensation committee and guided by the committee's process as outlined below. The compensation of the senior executive team was reviewed annually by an independent committee of the parent's (srhs) board. The committee used data received from an independent compensation consulting firm to determine the fairness and overall comparability of each executive's compensation package including potential incentive compensation. The committee relied on the salary survey data to inform whether any changes to an executive's compensation was appropriate. In addition, the committee agreed on and set benchmarks for executive incentive payments at the start of each year, and reviewed progress related to those benchmarks at the conclusion of the year to determine whether incentives would be paid and if so, at what level.”

“Anna jaques hospital, inc.'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 anna jaques hospital, inc. 04-2104338 109 brookline avenue, suite 300 boston, ma 02215”

“The mission of anna jaques hospital (ajh or hospital) is to provide the highest quality medical care and improve the health of the community in alliance with the medical staff. Ajh is recognized for delivering high quality community health care at a lower cost, with an emphasis on patient satisfaction. Ajh provides this care regardless of the patient's ability to pay, race, color, religion, sex, sexual orientation, national origin, ancestry, age, or disability. Ajh aspires to be among the best community hospitals in eastern massachusetts.”

“The mission of anna jaques hospital (ajh or hospital) is to provide the highest quality medical care and improve the health of the communities served by ajh in alliance with the ajh medical staff. Ajh is recognized for delivering high quality community health care at a lower cost, with an emphasis on patient satisfaction. Ajh provides this care regardless of the patient's ability to pay, race, color, religion, sex, sexual orientation, national origin, ancestry, age, or disability. Ajh aspires to be among the best community hospitals in eastern massachusetts. During the fiscal period covered by this filing, beth israel lahey health (bilh) served as the sole member of anna jaques hospital (ajh), 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 (lhss), lahey clinic foundation (lcf), winchester hospital (winchester), northeast hospital corporation (nhc) which includes beverly, addison gilbert and bayridge hospitals, northeast behavioral corporation (nbhc) and the beth israel lahey health performance network (bilhpn). The lahey clinic foundation in turn served as the sole member of lahey clinic inc, and lahey clinic hospital d/b/a lahey hospital and medical center (lhmc). The entities listed here may have also, in turn, served as member to other network affiliates. Bilh is an integrated health care system committed to expanding access to extraordinary patient care across eastern massachusetts and advancing the science and practice of medicine through groundbreaking research and education. The bilh system is comprised of academic and teaching hospitals, a premier orthopedics hospital, primary care and specialty care providers, ambulatory surgery centers, urgent care centers, community hospitals, homecare services, outpatient behavioral health centers and addiction treatment programs. Bilh's community of clinicians, caregivers and staff includes approximately 4,000 physicians and 35,000 employees. In addition to being a member beth israel lahey health, anna jaques hospital is also a clinical affiliate and sister entity of beth israel deaconess medical center (bidmc or medical center), which is a nationally recognized tertiary care academic medical center and a teaching hospital of harvard medical school. Bidmc is exempt from income tax under section 501(c)(3) of the internal revenue code of 1986, as amended and is recognized nationally for the clinical excellence of its faculty and the patient care provided, as well as for the magnitude and breadth of its research and for its commitment to medical education.”

“Inpatient anna jaques hospital (ajh or hospital), is a 123-bed acute care hospital that serves patients of all ages and serves communities in northern massachusetts and southern new hampshire. The hospital provides a wide range of inpatient care including medical surgical services, obstetrics, intensive and cardiac care and complete anna jaques hospital, inc. 04-2104338 diagnostic facilities. Ajh inpatient facilities include 63 medical/surgical beds and an eight-bed intensive unit. The 12-bed birth center sees 650 deliveries annually and also supports mothers with high-risk pregnancies with the level iib neonatal care center. The hospital has a surgical suite with six fully equipped operating rooms including a cardiac catherization laboratory, four ambulatory procedure rooms and a post-operative care unit. Surgical services are available 24 hours a day for critically ill or injured patients requiring immediate surgical intervention, or for other patients on a non-emergent or elective basis. Ajh is the only community hospital in the region to provide inpatient psychiatric services to adults, adolescents and children. Inpatient psychiatric care at anna jaques hospital provides short-term, acute inpatient care to adults and adolescents ages 16 and older with a broad spectrum of psychiatric problems. The inpatient program is a 20-bed acute care co-ed unit. The anna jaques child and adolescent psychiatry program provides structured and secure inpatient psychiatric services to children and adolescents ages 4-17. The 12-bed program offers short-term inpatient treatment and stabilization. Ajh's surgeons perform orthopedic procedures and implants, plastic reconstruction, gastrointestinal, general surgical (including breast) gynecological, ophthalmologic, podiatric, and urological procedures. Patients are under the care of the hospital's medical staff, hospitalists and/or general surgeons along with nurses and physician assistants who are trained in caring for patients with complex medical needs, including intensivists in the icu. The nursing care team consists of registered nurses, surgical technicians and qualified ancillary personnel working collaboratively with surgical and anesthesia physicians. During the period october 1, 2018 to september 30, 2019, anna jaques hospital had 7,109 inpatient discharges with 30,579 patient days, and 839 total inpatient surgeries. Adult psych days were 5,661 and pedi psych days were 3,723.”

“Outpatient clinics and services anna jaques hospital provides a comprehensive program of clinical services encompassing general internal medicine and all the subspecialties of internal medicine, covering the gamut of services from primary to tertiary care as well as providing surgical services on an outpatient basis. The hospital's medical staff blends experienced primary care physicians and specialists in a wide variety of disciplines. Theprimary care and specialists at ajh provide outpatient primary care as well as gastrointestinal, ophthalmologic, orthopedic, cardiac, dermatologic, urological and podiatric procedures, pain management, cardiac rehabilitation, pulmonary rehabilitation, diabetes management services, and nutritional counseling. Diagnostic facilities at ajh include a complete 24-hour laboratory and anna jaques hospital, inc. 04-2104338 blood banking services as well as diagnostic imaging including ct scanning, ultrasound, mri, 3d mammography, ultrasonic cardiography, bone densitometry, nuclear medicine, plain film radiology and fluoroscopy. The anna jaques cancer center cancer, affiliated with beth israel deaconess medical center, provides a full array of community-based cancer services in newburyport and when needed, advanced treatment options and specialists at bidmc in boston. During the fiscal period october 1, 2018 to september 30, 2019, anna jaques hospital had 258,902 outpatient encounters. Hospital clinics had 22,807 visits, and performed 4,275 endoscopy procedures. Oncology had 1,953 visits and 3,723 infusions. In addition, ajh outpatient cardiology physicians and professionals performed 9,063 ekg exams and orthopedists performed 714 outpatient procedures. Ajh general radiology performed 25,127 outpatient exams, 13,409 cat scan outpatient exams, 16,000 outpatient ultrasound procedures, over 6,365 mri exams and 1,402 nuclear medicine tests. Finally, during the period covered by this filing ajh performed 492,916 outpatient lab tests, and 22,607 rehabilitation visits. See schedule h for additional information on charity care and community benefits.”

“Emergency department anna jaques hospital's emergency department (ed) is open 24 hours a day, 7 days a week and provides emergency care to all patients, regardless of ability to pay. The physicians provide around the clock physician patient care coverage and medical direction of the ajh emergency department. A highly trained nursing staff also provides care to patients in the ed. Ajh operates as a level iii trauma center and certified stroke center. The hospital operates a tele-stroke program with beth israel deaconess medical center where neurological images can be transmitted between ajh and bidmc, meaning that patients in the greater newburyport area have access to the same world-class specialists as patients at bidmc in boston. The system facilitates, when necessary, multi-disciplinary evaluation of images, resulting in improved technical performance and feedback and diagnoses with greater diagnostic accuracy. During the fiscal period october 1, 2018 to september 30, 2019, anna jaques hospital had 26,500 emergency department visits. 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 reopening by july 2020. Bilh established a temporary community crisis stabilization unit at new england baptist hospital to manage behavioral health patient volume during the pandemic. Bilh established a daily huddle consisting of bilh ed and behavioral health leaders to determine appropriate patient transfers to the unit. Bilh's virtual transfer center was formed in september 2019 to optimize system-wide bed capacity using real-time information exchange among the three existing transfer centers at bidmc, lhmc and mount auburn hospital ("mah"). The transfer team personnel”

“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 anna jaques hospital, inc. 04-2104338 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 accomplish its charitable purposes, as well as all entities for which these entities serve as member.”

“Statement regarding tax exempt bond issue. 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 entiy. During this same period, anna jaques hospital, inc. 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 anna jaques hospital, inc'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 anna jaques hospital's balance sheet, anna jaques hospital is including this disclosure in its form 990 because anna jaques hospital is a member of the bilh obligated group.”

“Anna jaques hospital, inc. Did not receive any contributions of intellectual property and as such, was not required to file form 8899.”

“Anna jaques hospital, inc. Did not receive any contributions of cars, boats, airplanes or other vehicles and as such, was not required to file form 1098-c.”

“Transfers/distributions gain upon acquisition loss on ext of debt change in min pension liab -945,303. Transfers to affiliates -5,283,336. Change in value of swap mk to mkt change in value of life ins”

“On march 1, 2019, lahey health system including the lahey clinic and lahey clinic hospital d/b/a lahey hospital and medical center, winchester hospital, northeast hospital corporation d/b/a beverly hospital, addison gilbert hospital and bayridge hospital, the beth israel deaconess system including beth israel deaconess medical center, beth israel deaconess milton, beth israel deaconess needham and beth israel deaconess plymouth, mount auburn hospital, new england baptist hospital, anna jaques hospital as well as entities for which these listed organizations serve as sole member and additional affiliates came together to form beth israel lahey health (bilh). As a newly created healthcare system, bilh engaged kpmg to perform a financial audit of the system. 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 anna jaques hospital, inc. 04-2104338 ended september 30, 2019. These statements were prepared in accordance with generally accepted accounting principles (gaap) and included the accounts of the beth israel lahey health, inc. And its affiliates.”