Winchester Hospital

“For the period covered by this filing, beth israel lahey health, inc. (bilh) served as direct or indirect 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 clinic foundation (lcf) , lahey clinic (lci), lahey clinic hospital d/b/a lahey hospital and medical center (lhmc), winchester hospital (winchester), northeast hospital corporation (northeast), anna jaques hospital (ajh), beth israel lahey health pharmacy, joslin diabetes center, exeter health resources, inc. (ehri) and exeter 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 the direct or indirect member of 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.”

“For the period covered by this filing, beth israel lahey health, inc. (bilh) served as direct or indirect 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 clinic foundation (lcf) , lahey clinic (lci), lahey clinic hospital d/b/a lahey hospital and medical center (lhmc), winchester hospital (winchester), northeast hospital corporation (northeast), anna jaques hospital (ajh), beth israel lahey health pharmacy, joslin diabetes center, exeter health resources, inc. (ehri), exeter hospital and to affiliates of these entities.”

“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 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.”

“As noted in various disclosures throughout this filing, beth israel lahey health, inc. (bilh) is the direct or indirect sole member of winchester hospital . This form 990 is prepared by the bilh tax department in conjunction with deloitte tax, llp (deloitte). As part of this process, the bilh tax department works with other disciplines and functions within bilh and winchester hospital to ensure that all financial and non-financial disclosures are complete and accurate. Examples of such departments include but are not limited to: finance and accounting, human resources and payroll, treasury, compliance, legal, community benefits, financial assistance and reimbursement, governance, development, graduate medical education, government relations, research and/or research finance. Winchester hospital 's form 990 is reviewed internally by the bilh assistant vice president, taxation and externally by deloitte. Winchester hospital 's form 990, along with the forms 990 of all entities in the bilh network, are discussed with the bilh audit and compliance committee. Deloitte signs the final returns. A copy of the complete return is then provided to each member of winchester hospital 's board of trustees prior to submission to the internal revenue service.”

“As noted throughout this filing, winchester 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, bilh entities' officers, trustees and key employees as well as certain other individuals are required to complete the annual conflict of interest and tax questionnaire (coi-tq). The coi-tq is designed to require disclosure of any business and family 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 coi-tq 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 for each bilh affiliate is provided to the compliance officer for that entity 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 winchester 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 coi-tq process outlined above is jointly issued by the bilh tax department, to ensure that the questionnaire is distributed to all current and former members of the winchester hospital board of trustees as well as former officers and key employees. The coi-tq process is designed to gather the information necessary for winchester 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, winchester hospital is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as winchester hospital 's sole member, or if not as direct sole member, indirectly as the member in its capacity as parent of the beth israel lahey health network. In this role bilh maintains the responsibility for setting compensation for executives and senior management of the entities which comprised the beth israel lahey health network. The bilh compensation committee is therefore 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, the bilh compensation committee is composed of independent members of its board of trustees and except as otherwise noted below or in form 990 schedule j, the compensation reported in this form 990 for winchester hospital 's officers, trustees and key employees was set by the bilh compensation committee. The bilh compensation committee process for setting compensation is below. The beth israel lahey health (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. The bilh compensation committee is composed of independent members of its board of trustees 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 as voted by the compensation committee is submitted to the full board of trustees for approval. All deliberations for both the compensation committee and the board of trustees are 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.”

“As noted throughout this filing, winchester hospital is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as winchester hospital 's sole member, or if not as direct sole member, indirectly as the member in its capacity as parent of the beth israel lahey health network. Winchester 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 schrafft's city center, 4th floor, 529 main street charlestown, ma 02129”

“As noted throughout this filing, winchester hospital is a member of the beth israel lahey health (bilh) system of affiliates and bilh serves as winchester hospital's direct or indirect sole member. Although winchester hospital's board has not formally adopted a written document retention and destrution policy, because of the close connection and affiliation between winchester hospital and bilh, winchester hospital follows the formal written policy which was adopted by the bilh board.”

“As noted throughout this filing, beth israel lahey health (bilh) serves as the direct or indirect sole member of winchester hospital. Although winchester hospital's board has not formally adopted a written policy regarding investment in, contribution of assets to and/or participation in a joint venture with a taxable entity, procedurally if/when any such transaction is contemplated by any bilh affiliate, both the bilh office of general counsel and bilh tax department are involved to evaluate participation. Outside counsel is also consulted where needed. These steps are taken to ensure that participation in any joint venture arrangement has been reviewed under applicable federal tax law and to ensure that winchester hospital's exempt status is safeguarded.”

“The mission of winchester hospital is "to care. To heal. To excel." this ethos provides each and every staff member with clear expectations, promoting teamwork and respect while ensuring safety, quality and empathy for patients. Winchester hospital's success is based on this shared commitment to excellence. The hospital and its staff take pride in offering an exceptional patient care experience, providing safe, high-quality, community-based health care and access to tertiary care in close collaboration with its affiliates in the beth israel lahey health network with the ultimate goal of improving the health of the hospital's patients and the communities served. 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), the beth israel lahey health performance network (bilhpn), exeter health resources inc. (ehri) and the beth israel lahey health pharmacy. 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) and exeter health resources inc served as the sole member of exeter hospital. Each of the entities listed here may have also, in turn, served as member to other network affiliates.”

“The mission of winchester hospital is "to care. To heal. To excel." this ethos provides each and every staff member with clear expectations, promoting teamwork and respect while ensuring safety, quality and empathy for patients. Winchester hospital's success is based on this shared commitment to excellence. The hospital and its staff take pride in offering an exceptional patient care experience, providing safe, high-quality, community-based health care and access to tertiary care in close collaboration with its affiliates in the beth israel lahey health network with the ultimate goal of improving the health of the hospital's patients and the communities served. 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), the beth israel lahey health performance network (bilhpn), exeter health resources inc. (ehri) and the beth israel lahey health pharmacy. 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) and exeter health resources inc served as the sole member of exeter hospital. Each of 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 southern new hampshire 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 4,700 physicians and 39,000 employees.”

“Outpatient clinics and services winchester hospital's tremendous presence and commitment in the community is exemplified by the various outpatient facilities throughout the north-of-boston area, including woburn, stoneham, wilmington and medford. The ambulatory surgery center in winchester is a state-of-the-art outpatient surgery center offering advanced day surgery. The center features reduced wait times for surgical care, expanded capacity and services to address patient needs, and a facility that will allow for future expansion. The facility is also home to the hospital's center for cancer care, which was created based on the vision to develop a state-of-the art, community-based center dedicated to an integrated model of cancer care. Winchester hospital is proud to offer patients diagnosed with cancer easy access to the most advanced clinical care in an environment uniquely dedicated to meeting their medical and emotional needs. Winchester hospital in conjunction with the medical staff provides outpatient primary care as well as endoscopic, chemotherapeutic and cancer management, cardiac rehabilitation and diabetes management services, wound care and hyperbaric programs, and sleep clinic services. Winchester hospital also offers occupational, physical, and speech health services and nutritional counseling. Diagnostic facilities include ct scanning, ultrasound, mri, mammography and interventional radiology. Additionally, through the center for healthy living, winchester hospital helps community members take responsibility for their health and wellbeing by offering education and resources that focus on healthy living, yoga, wellness, and childbirth (including lactation). During the period covered by this filing, winchester hospital had 491,260 outpatient encounters. This included 30,812 urgent care visits, 2,297 observation cases, 3,558 pain clinic visits, 3,306 wound center visits, 7,257 outpatient ambulatory surgeries, 10,409 outpatient endoscopy visits, 11,280 outpatient oncology visits, 4,600 outpatient oncology infusions, 21,454 outpatient ekg exams, 2,557 outpatient orthopedic procedures, 63,197 outpatient radiology exams, 29,187 outpatient ct scans, 19,929 outpatient ultrasounds, 19,748 outpatient mris, 1,438 other nuclear medicine tests, 34,463 breast imaging exams, 1,891,060 outpatient lab tests, 48,219 outpatient rehabilitation/physical therapy visits, and 52,221 other tests and procedures.”

“Inpatient medical / surgical and intensive care winchester hospital provides a wide range of inpatient care including pediatrics, obstetrics and maternity including a special care nursery, general surgical services, intensive care and complete diagnostic facilities. The hospital's inpatient facilities include medical/surgical beds, obstetric beds and an intensive 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. The hospital's highly qualified surgeons perform orthopedic procedures and implants, plastic, general surgical (including breast), gynecologic, and urological procedures. Other surgical specialties include colon and rectal, ent, dermatologic, oral, and thoracic and weight loss surgery. Patients are under the care of the medical staff, hospitalists and/or general surgeons along with nurses who are trained in caring for patients with complex medical needs. The hospital was the first community hospital in eastern massachusetts to perform robotic surgery with the da vinci surgical system, and the first community hospital in massachusetts to achieve magnet recognition. The magnet program was established by the american nurses credentialing center to recognize health care organizations that provide the very best in nursing care and uphold the tradition of professional nursing practice. It is their highest honor for nursing excellence. The nursing care team consists of registered nurses, surgical technicians and qualified ancillary personnel working collaboratively with surgical and anesthesia physicians. The scope of nursing practice in the perioperative area includes preoperative assessment and planning, intra-operative intervention, postoperative assessment and intervention, discharge planning and documentation to ensure high quality patient care and safety. During its fiscal year ended september 30, 2024, winchester hospital had 13,568 inpatient discharges with 48,771 patient days, 3,543, performed 1,331 inpatient surgeries and delivered 2,5717 babies.”

“Emergency department winchester's hospital's emergency department offers advanced emergency medicine services to local communities north of boston. The emergency department is open 24 hours a day, seven days a week and provides emergent care regardless of a patient's ability to pay. The hospital is staffed by board-certified, emergency medicine physicians and nurses who are extensively trained in emergency medicine and certified in advanced cardiac life support (acls) and pediatric advanced life support (pals). Winchester hospital is also a primary stroke service hospital, as designated by the massachusetts department of public health, providing leading-edge stroke care. The hospital also offers specialized pediatric care provided by an on-site pediatrician from boston children's hospital specializing in emergency medicine. On-site pediatric emergency physicians are available every day from noon to midnight and 24-hour pediatrician consultation coverage is also available. During the fiscal year covered by this filing, winchester hospital had 52,134 adult and pediatric emergency department visits. In addition to the program service accomplishments noted above, the bilh network had significant activities across entities related to both behavioral health and other healthcare initiatives. See the narrative support for schedule h for additional details.”

“As described in this form 990 and for the period covered by this filing, 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 direct or indirect sole member of winchester hospital. During this same period, winchester hospital was a member of the bilh obligated group which has issued tax-exempt bond financing through either the bilh obligated group 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 winchester 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, 2023 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 winchester hospital's balance sheet, winchester hospital is including this disclosure in its form 990 because winchester 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, 2024. 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, (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), the beth israel lahey health performance network (bilhpn), the joslin diabetes center, exeter health resources, inc. (ehri) and the beth israel lahey health pharmacy. 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). Ehri in turn served as the sole member of exeter hospital and other affiliates of ehri. Each of these bilh 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. In addition, the bilh 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. The accounts of the entities for which hmfp serves as member are also included in the hmfp and bilh audited financial statements. The audit and compliance committee of bilh's board of trustees assumes responsibility for oversight of the consolidated audit for the network as a whole.”

“As noted throughout this filing, beth israel lahey health (bilh) served as a support organization and the direct or indirect sole member of winchester hospital. As part of that relationship, bilh provided centralized support to its network of supported organizations, including among other things, operational support such as processing payroll and accounts payable. In this capacity bilh issued all forms 1099 to not only its own vendors and service providers, but also to those who provided services to winchester hospital. Forms 1099 were all issued in the bilh name and under the bilh ein. However, in accordance with instructions to this form 990, winchester hospital is reporting the number of forms 1099 related to services performed for and payments related to, its service providers as if they were processed directly by winchester hospital. Each other affiliate is similarly reporting the number of forms 1099 which are attributable to their own service providers.”

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

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

“Net assets released for capital 135,048. Other adjustments -112,665. Restricted funds adjustment 0.”

“As noted throughout this form 990, winchester hospital is a member of the beth israel lahey health network of affiliates. Beth israel lahey health (bilh) serves as the direct or indirect member of winchester hospital and winchester hospital is included in the consolidated audited financial statements of beth israel lahey health. The audit and compliance committee of bilh's board of trustees assumes responsibility for oversight of the consolidated audit for the network as a whole.”