Beth Israel Lahey Health 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.”

“Effective march 29, 2024 beth israel lahey health, inc. Made the following amendment to its articles: expanded the definition of its supported organizations to include identifying a list of entities by name as well as relationship to bilh. The amendment did not impact bilh's primary mission, function or purposes.”

“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 bilh's affiliates 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. Bilh's form 990 is reviewed internally by the bilh assistant vice president, taxation and externally by deloitte. The bilh 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 the bilh board of trustees prior to submission to the internal revenue service.”

“As noted throughout this filing, beth israel lahey health, 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 beth israel lahey health, 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 beth israel lahey health, inc. 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 lahey health, 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.”

“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 lahey health, inc. Is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as beth israel lahey health, 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. Beth israel lahey health, 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”

“Beth israel lahey health inc.'s mission is to support its affiliates and their healthcare missions, to improve the health of patients, their families and the communities served and as a network its purpose is to create healthier communities one person at a time through seamless care and ground-breaking science, driven by excellence and innovation. Bilh strives to accomplish this mission by providing services to its affiliates which support the delivering the high-quality health care that every patient deserves. Bilh believes that effective care is easily accessible and simple to access so it is bilh's focus to provide patients with care that is in close proximity and convenient regardless of where patients live, their health history or stage of life. Bilh is a purpose-driven, values-based organization that unites 39,000 people who provide exceptional health care to everyone served by the network.”

“Beth israel lahey health's mission is to support its affiliates and those affiliates' missions to improve the health of patients, their families and the communities served. Bilh strives to accomplish this mission by providing services to its affiliates which support the delivering the high-quality health care that every patient deserves. Bilh believes that effective care is easily accessible and simple to access so it is bilh's focus to provide patients with care that is in close proximity and convenient regardless of where patients live, their health history or stage of life. Bilh is a purpose-driven, values-based organization that unites 39,000 people who provide exceptional health care to everyone served by the network.”

“Beth israel lahey health (bilh) is the parent and a support organization of the bilh network of affiliates. The network is an integrated health care delivery 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 includes 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. In addition to the accomplishments noted above for bilh , and as noted throughout this form 990, bilh 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 hospita”

“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”

“The boston, ma office of kpmg issued an unqualified opinion on the consolidated audited financial statements of the beth israel lahey health, inc. And affiliates for fiscal period ended september 30, 2024. These statements were prepared in accordance with generally accepted accounting principles (gaap) and included the accounts of the beth israel lahey health, inc. (bilh), and the entities for which beth israel lahey health, inc. (bilh) served as sole member during the fiscal period covered by this filing, (anna jaques hospital (ajh), beth israel deaconess medical center, inc. (bidmc), mount auburn hospital (mah), new england baptist hospital (nebh), beth israel deaconess hospital -- milton, inc. (milton), beth israel deaconess hospital -- needham, inc. (needham), beth israel deaconess hospital -- plymouth, inc. (plymouth), lahey health shared services (lhss), lahey clinic foundation (lcf), winchester hospital (winchester), northeast hospital corporation (nhc) which includes beverly, addison gilbert and bayridge hospitals, northeast behavioral corporation (nbhc), the beth israel lahey health performance network (bilhpn), the joslin diabetes center, exeter health resources, inc. (ehri) and the beth israel lahey health pharmacy. The lahey clinic foundation in turn served as the sole member of lahey clinic inc, and lahey clinic hospital d/b/a lahey hospital and medical center (lhmc). Ehri in turn served as the sole member of exeter hospital and other affiliates of ehri. Each of these bilh affiliates may in turn serve as member of additional entities within the network of affiliates, and whose accounts are included in the bilh audited financial statements. In addition, the bilh financial statements also include the accounts of harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp), the dedicated physician practice of beth israel deaconess medical center and an entity integrally related to helping bidmc and other affiliates in the bilh network accomplish their charitable purposes. The accounts of the entities for which hmfp serves as member are also included in the hmfp and bilh audited financial statements. The audit and compliance committee of bilh's board of trustees assumes responsibility for oversight of the consolidated audit for the network as a whole.”

“As noted throughout this filing, beth israel lahey health (bilh) served as a support organization and the direct or indirect sole member of the bilh network of affiliates. As part of that relationship, bilh provides 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 its affiliates. Forms 1099 were all issued in the bilh name and under the bilh ein. However, in accordance with instructions to this form 990, bilh is only reporting the number of forms 1099 related to services performed for and payments related to, direct activities of bilh. Each other affiliate reported the number of forms 1099 which are attributable to their own service providers.”

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

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

“Professional services: program service expenses 12,454,733. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,454,733. Hr & benefits services: program service expenses 7,257,006. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,257,006. Revenue cycle mgmt services: program service expenses 38,097,253. Management and general expenses 0. Fundraising expenses 0. Total expenses 38,097,253. Comm & marketing services: program service expenses 4,079,005. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,079,005. Transcription services: program service expenses 3,912,695. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,912,695. Finance & tax consulting services: program service expenses 8,106,497. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,106,497. Recruitment: program service expenses 5,230,292. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,230,292. Healthcare mgmt consulting: program service expenses 1,907,494. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,907,494. Fundraising: program service expenses 2,331,391. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,331,391. Quality and safety: program service expenses 1,281,815. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,281,815. Medical staff services: program service expenses 977,136. Management and general expenses 0. Fundraising expenses 0. Total expenses 977,136. Microfilming and photography: program service expenses 179,453. Management and general expenses 0. Fundraising expenses 0. Total expenses 179,453. Contract services shared: program service expenses 292,929. Management and general expenses 0. Fundraising expenses 0. Total expenses 292,929. Miscellaneous services: program service expenses 6,552,961. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,552,961. Offsite storage: program service expenses 877,552. Management and general expenses 0. Fundraising expenses 0. Total expenses 877,552. Laboratory services: program service expenses 632,651. Management and general expenses 0. Fundraising expenses 0. Total expenses 632,651. Physician services: program service expenses 1,095,593. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,095,593. Clinical prof. Fees: program service expenses 152,600. Management and general expenses 0. Fundraising expenses 0. Total expenses 152,600. Interpreter services: program service expenses 14,940. Management and general expenses 0. Fundraising expenses 0. Total expenses 14,940. Outside labor: program service expenses 5,323,168. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,323,168.”

“Transfer of net assets from affiliates 174,000. Lcpn - effects of acquistion 272,713. Discretionary/temp restricted offset -6,192.”

“The boston office of kpmg performs an annual audit and signs a consolidated financial statement audit of beth israel lahey health (bilh) and its affiliates. 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.”