Beth Israel Deaconess Hospital - Needham

“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 of beth israel deaconess hospital has the following rights, as designated in lahey health shared services, inc's bylaws: establishment or modification of compensation of or removal of the chief executive officer, if any, or president of the corporation; - entering into of contracts which bind the corporation and which are managed care contracts, exclusive contracts, agreements-not-to-compete or use similar arrangements, contracts for management services or other multi-year service contracts with potentially significant multi-year budgetary impact; - adoption of a mission statement and strategic, financial and operational plan for the corporation; - adoption of an annual operating budget and all capital budgets; the borrowing of, or incidence of debt in, any amount other than (i) for purpose of securing working capital from a lender which shall have been approved by the member and pursuant to then existing and provisions relating to such borrowing which shall have been approved by the member, and (ii) debt incurred in the ordinary course of business which is anticipated in and consistent with the annual operating budget or a capital budget which shall have been approved by the member for the year in which incurred; - any voluntary dissolution, merger or consolidation of the corporation the sale or transfer of all or substantially all of the corporation's assets, the creation, acquisition or disposal of any subsidiary or affiliated corporation or the addition or elimination of any clinical department or program, which department or program could reasonably be anticipated would materially affect the financial status of the corporation, or its ability to conduct its business, or the entering into of any joint venture or other partnership arrangements by the entity; and, - initiation of any bankruptcy or insolvency action on behalf of the corporation or any subsidiary thereof.”

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

“As noted throughout this filing, beth israel deaconess hospital - needham 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 beth israel deaconess hospital - needham 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 beth israel deaconess hospital - needham board of trustees as well as former officers and key employees. The coi-tq process is designed to gather the information necessary for beth israel deaconess hospital - needham 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, beth israel deaconess hospital - needham is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as beth israel deaconess hospital - needham '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 beth israel deaconess hospital - needham '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, beth israel deaconess hospital - needham is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as beth israel deaconess hospital - needham '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. Beth israel deaconess hospital - needham '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”

“The mission of the beth israel deaconess hospital - needham, inc. (bidn or hospital) is committed to improving the health of the communities served by providing high quality, personalized health care with compassion, dignity and respect for patient rights in a cost effective and safe environment. Bidn provides care to patients in the communities where they live and work and provides care to medicare, medicaid and all other patients regardless of their race, color, religion, sex, national origin, ancestry, age, or disability. Bidn accomplishes this mission in close connection with the other members of the beth israel lahey health network of affiliates. In addition, as part of its dedication to providing community benefits, bidn is committed to working in partnership with residents and community leaders as well as civic, social and medical organizations from the communities it serves. Bidn is dedicated to the planning, development, implementation and monitoring of programs that address the health care needs of the community and offer clinical, educational and financial resources. These programs are designed to improve awareness of the health care issues in the communities served and increase participation in wellness and preventative health activities. For additional detail, see form 990 schedule h. 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 beth israel deaconess hospital - needham (bidn or hospital), is a 73-bed acute care community hospital that has serving the residents of needham and surrounding communities. The hospital provides a comprehensive program of clinical services encompassing general internal medicine and all the subspecialties of internal medicine, covering the gamut of services from primary to tertiary care as well as providing surgical services on an outpatient basis and works in close collaboration with its bilh affiliates. Bidn's medical staff blends experienced primary care physicians and specialists in a full spectrum of disciplines. In addition, bidn has a complete 24-hour laboratory as well as a full range of diagnostic imaging services. Beth israel deaconess medical center (bidmc or medical center), is a nationally recognized tertiary care academic medical center, is a teaching hospital of harvard medical school and a sister hospital of bidn. Bidmc is exempt from income tax under section 501(c)(3) of the internal revenue code of 1986, as amended and is recognized nationally for the clinical excellence of its faculty and the patient care provided, as well as for the magnitude and breadth of its research and for its commitment to medical education. Many bidmc physicians also hold appointments at harvard or other major medical schools and are tied closely with their colleagues at other academic medical centers. Patients at bidn have seamless access to bidmc when needed. During the period covered by this filing, bidn had 218,237 outpatient encounters. This included 33,580 hospital clinic visits, 2,386 observation cases, 2,457 pain clinic visits, 1,759 would center visits, 4,414 outpatient ambulatory surgeries, 5,876 outpatient endoscopy procedures, 4,534 outpatient ekg exams, 894 outpatient orthopedic procedures, 26,801 outpatient radiology exams, 19,986 outpatient ct scans, 8,078 outpatient ultrasounds, 7,524 outpatient mris, 1,171 other nuclear medicine tests, 13,420 breast imaging exams, 499,614 outpatient lab tests, 5,044 outpatient rehabilitation/physical therapy visits and 27, 992 other tests and procedures.”

“Inpatient medical / surgical and intensive care bidn provides a wide range of inpatient care including surgical services, intensive and cardiac care and complete diagnostic facilities. Bidn's inpatient facilities include medical/surgical beds as well as intensive and cardiac care beds. 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. Bidn's highly qualified surgeons perform a wide range of surgeries covering many surgical subspecialties. Patients are under the care of medical staff, hospitalists and/or general surgeons along with nurses who are trained in caring for patients with complex medical needs. 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 bidn had 5,335 inpatient discharges with 21,817 patient days and performed 536 inpatient surgeries.”

“Emergency department bidn operates an emergency department (ed) which is open to all patients in need of emergent care, regardless of ability to pay. The ed is open 24 hours a day, 7 days a week, 365 days a year. During the fiscal year covered by this filing, bidn had 27,591 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.”

“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 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 beth israel deaconess hospital - needham. During this same period, beth israel deaconess hospital - needham 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 beth israel deaconess hospital - needham'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 beth israel deaconess hospital - needham's balance sheet, beth israel deaconess hospital - needham is including this disclosure in its form 990 because beth israel deaconess hospital - needham is a member of the bilh obligated group.”

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

“For the calendar year 2023, beth israel deaconess medical center (bidmc)(ein: 04-2103881) served as the common pay agent for beth israel deaconess hospital - needham, inc. (ein: xxx-xx-xxxx). As noted throughout this filing and in this form 990, schedule r, both entities are exempt from income tax under irc section 501(c)(3) and are members of the beth israel lahey health network. In accordance with instructions to this form 990, beth israel deaconess hospital - needham, inc. Is reporting those forms w-2 issued by bidmc as its agent.”

“Beth israel deaconess hospital - needham, inc. Did not receive any contributions of intellectual property and as such, was not required to file form 8899.”

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

“Physician services: program service expenses 10,749,216. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,749,216. Purchased services: program service expenses 9,339,030. Management and general expenses 15,663. Fundraising expenses 0. Total expenses 9,354,693. Outside labor: program service expenses 3,724,918. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,724,918. Professional fees: program service expenses 475,017. Management and general expenses 2,632. Fundraising expenses 0. Total expenses 477,649. Clinical professional services: program service expenses 20,151. Management and general expenses 0. Fundraising expenses 0. Total expenses 20,151.”

“Net assets released from restriction 1,356,435. Transfer and other adjustments -421,643. Reclassification adjustment 0. Restricted fund adjustment”

“As noted throughout this form 990, beth israel deaconess hospital - needham 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 beth israel deaconess hospital - needham and beth israel deaconess hospital - needham 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.”