Lahey Clinic Inc

“For the period covered by this filing, beth israel lahey health, inc. (bilh) served as direct or indirect sole member to: 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 and to affiliates of these entities. Effective july 1, 2023, bilh also became the sole member of exeter health resources, inc. (ehri) and its affiliates', including 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 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.”

“Lahey clinic, inc.'s governing body is comprised of the same individuals serving on the member's governing body.”

“The member of lahey clinic, inc. Has the following rights, as designated in lahey clinic, inc.'s bylaws: 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 system member becomes the sole corporate member of the member, the system 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 system member's board of trustees. Notwithstanding anything to the contrary herein, the powers of the member shall be subject to provisions below: "the power of the member to exercise its authority as a member of another corporation shall be subject to the following limitations: (x) all statutory powers that reside in the member as a member of another corporation under massachusetts law may be exercised by the member only at the express and explicit direction of, and with the approval of, the system member; (y) all statutory powers that reside in the member as a member of another corporation under massachusetts law may be exercised directly by the system member after consultation with the chair but otherwise without the approval or participation of the member; and (z) other than statutory powers, the [member] shall have only those powers and authorities over and with respect to the corporations of which it is a member as are expressly and explicitly delegated or directed to the member by action of the system member's board." any action to be taken by the member or the system member shall be deemed duly authorized when taken, with respect to the member, by the board of trustees of the member or its duly authorized representative, and with respect to the system member, by the system member's board or its duly authorized representative. Any such actions may be taken without a meeting if confirmed through a duly authorized written communication by the respective board or its representative filed with the clerk of the corporation. In exercising its powers with respect to the corporation, the member may consider the recommendations of the board of governors of lahey clinic, inc. 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”

“As noted in various disclosures throughout this filing, beth israel lahey health, inc. (bilh) is the direct or indirect sole member of lahey clinic, inc. 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 lahey clinic, inc. 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. Lahey clinic, inc. 's form 990 is reviewed internally by the bilh assistant vice president, taxation and externally by deloitte. Lahey clinic, inc. '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 lahey clinic, inc. 's board of trustees prior to submission to the internal revenue service.”

“As noted throughout this filing, lahey clinic, inc. 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 lahey clinic, inc. 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 lahey clinic, inc. Board of trustees as well as former officers and key employees. The coi-tq process is designed to gather the information necessary for lahey clinic, inc. 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, lahey clinic, inc. Is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as lahey clinic, inc. '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 lahey clinic, inc. '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, lahey clinic, inc. Is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as lahey clinic, inc. '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. Lahey clinic, 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 schrafft's city center, 4th floor, 529 main street charlestown, ma 02129”

“Lahey clinic (lc) provides the highest quality interdisciplinary and coordinated patient care leading to the best possible outcomes and experiences for every patient, advancing medicine through research and educating tomorrow's health care leaders. Lahey clinic also promotes health and wellness in partnership with the diverse communities served. Lahey clinic accomplishes these missions in conjunction with the lahey clinic hospital d/b/a lahey hospital & medical center and the beth israel lahey health (bilh) network of affiliates as described further in this form 990. 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.”

“Lahey clinic (lc) provides the highest quality interdisciplinary and coordinated patient care leading to the best possible outcomes and experiences for every patient, advancing medicine through research and educating tomorrow's health care leaders. Lahey clinic also promotes health and wellness in partnership with the diverse communities served. Lahey clinic accomplishes these missions in conjunction with the lahey clinic hospital d/b/a lahey hospital & medical center and the beth israel lahey health (bilh) network of affiliates as described further in this form 990. 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.”

“As noted throughout this form 990, lahey clinic (lc), is a not-for-profit physician group and member of the beth israel lahey health network of affiliates. Lc is a network of community-based physicians affiliated with beth israel lahey health and providing care in conjunction with, and in the communities served by, the lahey clinic hospital d/b/a lahey hospital & medical center (lhmc) and the beth israel lahey health (bilh) network of affiliates. These practices are committed to improving the health of the communities served by lc and (bilh) network of affiliates by providing high quality, personalized health care with compassion, dignity and respect for patient rights in a cost effective and safe environment and is dedicated to providing care to patients in the communities where they live and work, providing care to in the community to medicare, medicaid and all other patients regardless of their race, color, religion, sex, sexual orientation, national origin, ancestry, age, or disability. During the period covered by this filing, lc provided primary care to its patients. In addition, when advanced care is needed, lc provides leading edge treatment at its affiliate, lahey clinic hospital d/b/a lahey hospital & medical center and leading-edge treatment from beth israel deaconess medical center (bidmc) or lahey hospital & medical center as well as and other bilh affiliates. Lahey hospital & medical center (lhmc) or beth israel deaconess medical center (bidmc), each a level i trauma center and provide tertiary care and care in a wide range of specialties. Primary care lc with 69 physicians that specialize in the delivery of primary care and providing care in the burlington and peabody, ma, communities served by lc and lhmc. Primary care physicians (pcps) are community-based medical doctors who generally provide the first contact for a patient with a non-emergent undiagnosed health concern, as well as continuing care for a variety of medical conditions. During the fiscal year covered by this filing, lc had 105,006 primary care / family care patient visits. Specialty care in addition, to primary care, lc has specialty care providers who provide care in over 40 specialty care areas in burlington and peabody, ma.”

“In addition to the accomplishments noted above for lahey clinic, inc.(lc), and as noted throughout this form 990, lahey clinic, inc. (lc) is a member of the beth israel lahey health (bilh) network of affiliates. The bilh core values and principals are listed here as well as network-wide accomplishments during the fiscal period covered by this filing. The bilh network is delivering on the promise to bilh patients and communities to expand access and provide extraordinary care, while also advancing medicine through discovery and education. The bilh purpose statement articulates the impact that each bilh affiliate strives to make in the communities served. These shared values guide each entity's daily efforts and keep each affiliate aligned in the pursuit of the bilh purpose, showing how "we care" for patients, each other and the communities served. Purpose statement: bilh creates healthier communities one person at a time through seamless care and ground-breaking science, driven by excellence, innovation and equity. Bilh we care values: wellbeing. We provide a health-focused workplace and support a healthy work-life balance. Empathy. We do our best to understand others' feelings, needs and perspectives. Collaboration. We work together to achieve extraordinary results. Accountability. We hold ourselves and each other to behaviors necessary to achieve our collective goals. Respect. We value diversity and treat all members of our community with dignity and inclusiveness. Equity. Everyone has the opportunity to attain their full potential in our workplace and through the care we provide. Bilh is accomplishing this mission by providing support to its affiliates which include: 1. A physician enterprise that encompasses the system's network of employed primary care and specialty physicians located throughout our region; 2. A hospital and ambulatory services group that includes world-class academic medical centers and teaching hospitals with affiliations with harvard medical school, um and tufts university school of medicine; leading community hospitals; a renowned orthopedics hospital; and comprehensive ambulatory centers; 3. A population health enterprise that embraces a model of care to improve the health of all those served by bilh; the population health domain includes the system's clinically integrated network of affiliated providers and vital services, including behavioral health and home care services; 4. A robust network of administrative and operational services to advance strategic goals, both locally and at the system level, that offers expertise and standardized resources based on best practices. During the fiscal period covered by this filing, beth israel lahey health (bilh) 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 (lhss), lahey clinic foundation (lcf), winchester hospital (winchester), northeast hospital corporation (nhc) which includes beverly, addison gilbert and bayridge hospitals, northeast behavioral corporation (nbhc), anna jaques hospital (ajh), 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 lhss in turn served as the sole member of beth israel lahey health primary care. The entities listed here may have also, in turn, served as member to other network affiliates. See form 990 schedule r for additional affiliated entities. Bilh provides centralized support to its network of sup”

“Community benefits, uncompensated care, costs to provide care to medicaid and medicare patients fiscal year ended september 30, 2024 during the fiscal year covered by this filing bilh hospitals provided more than $52 million in net cost of charity care, including care for emergent services provided to non-paying patients and including payments to the health safety net trust. In addition to the charity care reported above, each of the bilh hospitals also provides care to patients who participate in other programs designed to support low-income families, including particularly the medicaid program, which is jointly funded by federal and state governments. The massachusetts health reform law provided an initiative for expansion of medicaid coverage to greater populations and for enrollment of uninsured patients in other insurance programs. Payments from medicaid and other programs that ensure low-income populations do not cover the cost of services provided. During the fiscal period covered by this filing, the cost of providing care to medicaid patients across bilh exceeded payments received for providing that care resulting in a combined shortfall exceeding $35.5 million related to treating medicaid patients. Medicare is the federally sponsored health insurance program for elderly or disabled patients. Payments from medicare do not cover the cost of services provided. All bilh hospitals provide care to patients who participate in the medicare program. During the fiscal period covered by this filing, the cost of providing care to medicare patients across bilh exceeded payments received for providing that care, resulting in a combined shortfall exceeding $161 million related to treating medicare patients. In addition to the costs noted above, during the fiscal year covered by this filing bilh hospitals provided combined community benefits, community health improvement services, cash and in-kind contributions to community health centers and other groups as well as costs incurred related to subsidies for primary and specialty care access, behavioral health care and other care provided at a loss totaling over $150 million. For additional information on these activities as well as each hospital's most recent community health needs assessment and implementation strategy, please see form 990 schedule h for each of the bilh hospitals. Education and research fiscal year ended september 30, 2024 research activities across bilh serve patient care both at bilh and beyond as part of the advancement of science. Beth israel deaconess medical center, inc. (bidmc or medical center) is a tertiary care academic medical center providing leading edge patient care, is a world class research institution and is devoted to teaching and training the medical professionals of tomorrow, embracing technological and clinical practice innovation and to that end, part of the medical center's mission is to be a world-class research institution where outstanding scientists work to develop new knowledge for the betterment of the health of our local and extended communities. Bidmc has the largest research operations across bilh and during the fiscal year covered by this filing, the medical center incurred over $370 million in research expenses, more than $91 million of which were internally funded. Across bilh hospitals, costs for training medical professionals exceeded $210 million. Reimbursement from medicare for these activities was approximately $67 million which left a combined shortfall related to these activities across bilh of over $143 million which is an investment in the health system of tomorrow. Additional bilh network activities -- expanding access and services; continuing to provide high quality care at a lower cost; behavioral health; community investments fiscal year ended september 30, 2024 throughout the period covered by this filing, beth israel lahey health ("bilh") remained committed to delivering high-quality care at a lower cost by leveraging”

“Ancillary services: radiology, diagnostic care and treatment lahey clinic (lc) physicians provide, review and interpret a wide range of diagnostic and interventional services currently available in imaging. The team of more than 40 board certified radiologists provides subspecialty expertise in breast imaging, ct scan, gastrointestinal imaging, genitourinary imaging, interventional radiology, interventional neuroradiology, mri, musculoskeletal imaging, neuroradiology, nuclear medicine (including single-photon emission computed tomography scanning capabilities and a radionuclide therapy program), pet/ct imaging, thoracic imaging, ultrasound, vascular imaging and women's imaging. Lhmc diagnostic radiology is entirely digital and lc physicians are trained to interpret scans and images on one of the most comprehensive pacs (picture archival communications system) systems in the country. Lc patients receive the most accurate diagnoses from lc trained physicians using diagnostic modalities such as digital mammography including 3-d tomosynthesis, ct scanners with radiation dose reduction software, a bariatric ct scanner and mri units including an open magnet and a 3-tesla magnet. Physicians at the lhmc burlington campus also offer a full range of cardiac diagnostic and therapeutic modalities working in a multidisciplinary manner with the cardiologists and providing care including a cardiac care in the cardiac catheterization and electrophysiology laboratories. Lc physicians review and interpret more than 400,000 imaging examinations annually in three locations: lahey hospital & medical center (lhmc), burlington, lahey medical center, peabody and lahey outpatient center, lexington. As noted further in the form 990 schedule h of lahey clinic hospital d/b/a lahey hospital & medical center (lhmc), lhmc is a teaching hospital. Lahey clinic board certified radiologists, train the radiologists of tomorrow as part of lc's commitment to medical education. Residents participate in a four-year radiology residency program and post-residency fellowship training is also offered in fields such as abdominal imaging, musculoskeletal imaging and interventional neuroradiology. Interventional radiology and radiation oncology in addition to the diagnostic care noted above, lahey clinic (lc) radiologists treat patients directly in areas such as interventional radiology and oncology. As part of lhmc's interventional radiology, lc physicians provide state-of-the-art 3-d and biplane interventional angiography, as well as interventional radiology procedures in such subspecialties as invasive cardiology, peripheral vascular and urology procedures as well as a dedicated interventional neuroradiology service where physicians provide innovative imaging-guided procedures for patients diagnosed with vascular (blood vessel) diseases of the central nervous system, including the brain and spine. Lc physicians are expert in the interventional treatment of acute strokes, aneurysms, and arteriovenous malformations (avms), a congenital condition involving a tangle of abnormally connected arteries and veins in the head. In addition, lc's multidisciplinary approach means that radiologists work closely with other clinical departments and lc physician specialists practicing in areas such as endocrinology, neurology and neurosurgery, orthopaedics and cardiology (including a full range of cardiac diagnostic and therapeutic modalities in the cardiac catheterization and electrophysiology laboratories). This multidisciplinary approach ensures the best options and best course of treatment for patients. These procedures benefit patients offering a minimally invasive option when possible, thereby eliminating the need for open surgery, treating conditions that are otherwise difficult to treat or are untreatable by open surgery and allowing for shorter patient recovery times. The lahey team has performed more than 6,000 procedures in the areas described above. Physicians within the lah”

“General medicine primary care and endoscopy: general internal medicine physicians offer a large comprehensive care team for primary health care needs in a modern patient center in burlington as well as in community based settings in lexington, peabody and other community locations throughout northeastern massachusetts. Primary care physicians (pcps) are medical doctors who generally provide the first contact for a patient with a non-emergent undiagnosed health concern, as well as continuing care for a variety of medical conditions. The patient care facility in burlington supplements primary care with a radiology suite for x-rays, a phlebotomy station for blood draws, and a pharmacy to help provide seamless care for lc patients. As experts in adult medicine, lahey clinic primary care providers work together in teams to deliver comprehensive and compassionate health care. In a typical fiscal year, approximately 60 primary care and advanced practitioners will see 90,500 annually in the burlington location alone. Endoscopy specialists at the lahey clinic treat patients in the lhmc endoscopy center, providing a full range of endoscopy care, whether patients need a diagnosis or treatment for a gastrointestinal, colon or rectal condition. This state-of-the-art endoscopy center recently expanded to more than 13,000 square feet to meet increasing patient demand while enhancing a patient's experience. The new facility includes both regular and advanced procedure rooms, pre-procedure and post-procedure bays for both outpatients and inpatients, light-filled waiting rooms and its own entrance and parking lot. The space also includes updated imaging equipment, advanced reprocessing technology and separate processes supporting the differences between outpatients and inpatients. Additionally, this new unit has the largest automated cleaning system in the region, which reduces the risk of human error and cross-contamination, ensuring safe, patient-ready endoscopes for every procedure. Lc endoscopy specialists perform screenings and procedures for conditions of the liver, biliary tree, pancreas and gastrointestinal tract, including esophagus, colon and rectum. Procedures include everything from colon cancer screenings to treatments for swallowing disorders, bile duct disorders, motility procedures, including tests that measure acid reflux, check ph levels and/or measure the muscle strength in a patient's esophagus as well as tumor diagnosis using endoscopic ultrasound. Physicians also offer many advanced procedures such as enteroscopy, ercp (endoscopic retrograde cholangiopancreatography) and euc (endoscopic ultrasound) which allow these specialists to view and treat conditions in hard-to-reach areas of the bile ducts, pancreas and small intestines. As teaching physicians, these specialists are at the forefront of finding new ways to use endoscopic tools and procedures to improve care and treatments. Advanced technology aids lc physicians in making a more precise diagnosis which in turn, allows for more targeted treatments for conditions that can be difficult to pinpoint. Patients receive a diagnosis and care quickly through lahey's endoscopy on demand service. A patient's primary care doctor can refer them and schedule diagnostic and urgent therapeutic procedures for the patient right away. A gastroenterologist will then discuss the results with the patient and their doctor.”

“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 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, 2022 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.”

“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 lahey clinic, inc. . During this same period, lahey clinic, inc. 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 lahey clinic, inc. 's balance sheet.”

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

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

“As noted throughout this filing, beth israel lahey health (bilh) served as a support organization and the direct or indirect sole member of lahey clinic, inc.. 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 lahey clinic, inc. Forms 1099 were all issued in the bilh name and under the bilh ein. However, in accordance with instructions to this form 990,lahey clinic, inc. 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 lahey clinic, inc. Each other affiliate is similarly reporting the number of forms 1099 which are attributable to their own service providers.”

“Transfer of net assets from affiliates 53,779,677. Net assets released to operations 639,088. Pension adjustment -4,573,179. Net assets released from restrictions 4,302,976. Pledge and other true-up adjustments 2,616,563.”

“As noted throughout this form 990, lahey clinic, inc. 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 lahey clinic, inc. And lahey clinic, inc. 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.”