Lahey Clinic Hospital Inc

“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.”

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

“The member of lahey clinic hospital, inc. Has the following rights, as designated in lahey clinic hospital, 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 car”

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

“As noted throughout this filing, lahey clinic hospital, 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 hospital, 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 hospital, 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 hospital, 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 hospital, inc. Is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as lahey clinic hospital, 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 hospital, 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 hospital, inc. Is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as lahey clinic hospital, 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 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 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 hospital d/b/a lahey hospital & medical center (lhmc) is committed to providing superior health care leading to the best possible outcomes and experiences for every patient, advancing medicine through research and the education of tomorrow's health care leaders, and promoting health and wellness in partnership with the diverse communities served. Lhmc accomplish these missions in conjunction with the beth israel lahey health (bilh) network of affiliates, including the lahey clinic, as described further in this form 990. Beth israel lahey health (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 4,800 physicians and 38,000 employees. 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 lahey clinic hospital d/b/a lahey hospital & medical center (lhmc) operates two campuses, one in burlington and a second in peabody. Lhmc burlington, is a tertiary care facility and academic medical center. Lhmc, peabody, is a full-service, community-based hospital and medical center. Lhmc recognizes the increasing demand for efficient, high-quality, responsive health care services in the community. Lhmc proudly addresses this need by providing top-quality, superior patient care through a wide range of outpatient services, including oncology, radiology, pulmonology, cardiology and urology as well as rehabilitation and recovery services. At both facilities, health care providers and other clinical staff work together in a coordinated, multidisciplinary approach to provide patients with integrated, comprehensive care and the most advanced treatments to achieve the best possible outcomes. Hospital activities are supported by a variety of diagnostic services. Programs available in diagnostic radiology include magnetic resonance imaging (mri), magnetic resonance angiography, functional magnetic resonance imaging, computerized axial tomography (cat) and computerized tomography angiography and positron emission tomography (pet-ct), in addition to a nuclear medicine program. The hospital's burlington location also has a dedicated interventional neuroradiology service. Over 80,000 patients are treated annually across these diagnostic services. Radiation oncology provides comprehensive treatment for patients with cancer through the use of three linear accelerators and sophisticated computer equipment for treatment planning, which includes cat simulators. The burlington campus also offers a full range of cardiac diagnostic and therapeutic modalities, including a cardiac catheterization laboratory and two electrophysiology laboratories. Other services include a fully accredited mammography service, magnetic resonance mammography and ultrasound services utilized by a range of medical and surgical subspecialties. During the period covered by this filing, lahey clinic hospital had 1,119,751 outpatient encounters. This included 3,458 hospital clinic encounters, 5,649 pain clinic visits, 15,558 outpatient ambulatory surgeries, 12,858 outpatient endoscopy visits, 37,742 outpatient ekg exams, 3,460 outpatient orthopedic procedures, 79,221 outpatient radiology exams, 61,585 outpatient ct scans, 24,169 outpatient ultrasounds, 26,538 outpatient mris, 3,237 other nuclear medicine tests, 42,866 breast imaging exams, and 1,979,182 outpatient lab tests.”

“Inpatient medical / surgical and intensive care lhmc's burlington campus provides high quality inpatient care in the areas of general medicine, critical care and surgery. The burlington campus has 333 licensed beds, including 272 medical/surgical beds,53 intensive care beds, and 8 coronary care beds. Medical/surgical patient accommodations are all single-bed rooms located in nine inpatient units. Critically ill patients are cared for either in the medical intensive care unit, the cardiac intensive care unit or the surgical intensive care unit. In addition, the peabody facility has 10 inpatient licensed medical/surgical beds. Combined the two campuses cared for over 22,000 inpatients whose total length of stay was 128,000 patient days. There are 22 operating suites on the burlington campus and the peabody campus has five operating suites. The surgical staff specializes in areas such as liver and kidney transplants, major surgery of the digestive organs, cardiac and pulmonary systems, total joint replacements, colon and rectal surgery, minimally invasive surgical techniques including robotic surgery, and urologic, neurosurgical and laser procedures, among others. During the period covered by this filing the 27 combined operating rooms performed nearly 21,000 inpatient and ambulatory surgeries. The liver transplantation team at lhmc burlington was the first in new england to perform adult living-donor transplant procedures. Today, surgeons use advanced technology to perform minimally invasive surgery to reduce recovery time for transplant and other procedures. Lhmc burlington also has one of the largest cardiovascular treatment centers in the region, providing expertise in advanced cardiology services such as angioplasty and electrophysiology. Lhmc's cerebrovascular disease center is also among the most advanced in the region for the treatment of strokes and brain aneurysms.”

“Emergency services lhmc includes 24-hour emergency departments in both burlington and peabody. The care team includes full-time, board-certified emergency physicians and nurses with extensive training in emergency medicine. As a teaching hospital, lhmc also trains future leaders in emergency medicine to deliver the best possible care to patients. Lhmc in burlington is the only level i trauma center north of boston, with specially trained clinicians and facilities ready to provide time-sensitive, critical care for hundreds of thousands of people in our region. Lhmc has a state-of-the-art emergency department in burlington, offering advanced emergency care in a facility built specifically to meet the needs of the communities served by the hospital. The facility features 36 private patient rooms, an advanced imaging suite for ct scans and x-rays, four trauma bays, and three private exam rooms for patients in need of behavioral health services as well as enhanced infection and decontamination areas and a fast track triage area that provides improved access to care and less time spent in the waiting room in addition, the hospital's peabody location also includes an emergency department. The facility is open 24 hours a day, 7 days a week, and is staffed by specialty-trained emergency medicine personnel. During the fiscal year covered by this filing, lhmc had 67.972 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 lahey clinic hospital, inc. During this same period, lahey clinic hospital, inc. Was a member of the bilh obligated group and its tax-exempt bond financing was issued 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 hospital, inc.'s balance sheet.”

“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.”

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

“Lahey clinic 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.”

“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 hospital, 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 hospital, 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 hospital, 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 hospital, inc. Each other affiliate is similarly reporting the number of forms 1099 which are attributable to their own service providers.”

“Net assets transfers to affiliates 289,755,422. Pension adjustment -10,670,752. Net assets released from restrictions 1,298,704. Gifts in kind -122,708.”

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