Winchester Healthcare Management

What it reported doing in 2024

Community benefits, uncompensated care, costs to provide care to medicaid and medicare patients fiscal year ended september 30, 2025during the fiscal year covered by this filing bilh hospitals provided more than $62 million in net cost of unreimbursed charity care, including care for emergent services provided to non-paying patients and including payments to the Massachusetts health safety net trust (hsn).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. Payments from medicaid for low-income populations do not cover the cost of services provided. During the fiscal period covered by this filing, across the bilh hospitals the cost of providing care to medicaid patients exceeded payments received for providing that care resulting in a combined shortfall of approximately $104 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 $251 million related to treating medicare patients. In addition to the costs noted above, during the fiscal year covered by this filing bilh, inc. And 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 behavioral health care at a cost of over $64 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 listed below:1. Anna jaques hospital, inc. EIN: 04-21043382. Beth israel deaconess hospital milton EIN: 04-21036043. Beth israel deaconess hospital - needham, inc. EIN: 0432296794. Beth israel deaconess hospital - plymouth, inc. EIN: 22-26673545. Beth israel deaconess medical center, inc. EIN: 04-21038816. Exeter hospital, inc. EIN: 22-26740147. Lahey clinic hospital, inc. D/b/a lahey clinic, lahey clinic peabody and lahey clinic outpatient rehabilitation services at danvers EIN: 04-27046868. Mount auburn hospital EIN: 04-21036069. New england baptist hospital EIN: 04-xxx-xx-xxxx. Northeast hospital corporation EIN: 04-xxx-xx-xxxx. Winchester hospital EIN: 04-2104434 education and research fiscal year ended september 30, 2025research activities across bilh serve and further 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 $398 million in research expenses, approximately $94 million of which were internally funded.across bilh hospitals, costs for training medical professionals exceeded $216 million. Reimbursement from medicare for these activities was approximately $70 million which left a combined shortfall related

Financial Efficiency

• Mission deployment rate: Limited
• Program expense ratio: Limited

Transparency & Controls

• Consistency checks: 50%; rating input score 50; 0th percentile among comparable filings
• Major donor itemization: Limited

Sustainability

• Operating margin: Limited
• Total-asset coverage ratio: Limited
• Liabilities to assets ratio: 0; rating input score 68; 68th percentile among comparable filings
• Officer compensation ratio: Limited

Growth

• Program expense growth: Limited
• Revenue growth: Limited
• Asset growth: -33.4% per year; rating input score 0; 6th percentile among comparable filings