Seacoast Affiliated Group Practices Inc

“The following seacoast affiliated group practice, inc. Officers, director/trustees, and key employees have business and/or family relationships: george ellison and david laflamme business relationship for the period covered by this filing, beth israel lahey health, inc. 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, lahey clinic foundation, winchester hospital (winchester), northeast hospital corporation (nhc), northeast behavioral health corporation (nbhc) and anna jaques 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.”

“Effective march 1, 2019, beth israel lahey health, inc. (bilh) is the sole member of anna jaques hospital, the member of seacoast affiliated group practices, inc.”

“The member has the authority to elect up to seven members of the governing body; physician employees of seacoast affiliated group practice, inc have the authority to elect two members of the governing body”

“The member of seacoast affiliated group practice, inc has the following rights, as designated in seacoast affiliated group practice, inc's bylaws: the member may take any action permitted or required of it by law, the articles of organization or these by laws by vote of its board of trustees or by or through any person or persons designated by its board of trustees to act on its behalf. Any such action may also be taken without a meeting by written communication of a duly authorized representative of the member acting within the limits of said representative's authority. Any such action by the member or its duly authorized representative shall be filed with the clerk of the corporation. The annual election of the board of directors of the corporation shall be considered the annual membership meeting. Except as otherwise provided by law, the articles of organization or these by laws, all powers of the corporation shall be exercised by and under the authority of the board of directors. Notwithstanding any provision of these by laws to the contrary, the approval of the member shall be required for the following actions: (a) the adoption of annual operating and capital budgets; (b) the merger or consolidation of the corporation with any other corporation, and the formation or dissolution of subsidiaries of the corporation; and (c) a decision to conduct any fund raising activities.”

“As noted in various disclosures throughout this filing, beth israel lahey health, inc. (bilh) is the sole member of anna jaques hospital (ajh), which is in turn, the sole member of seacoast affiliated group practice, inc. This form 990 is prepared in conjunction with the ajh finance staff. In addition, the bilh tax department works with other disciplines and departments within bilh, ajh, seacoast affiliated group practice, inc and other affiliates to ensure that other financial and non-financial disclosures are complete and accurate. Examples of such departments may include: financial assistance and reimbursement, compliance, graduate medical education, legal, community benefits, governance, development, human resources and payroll, government relations, research and/or research finance. The tax returns reviewed by the bilh executive director, taxation, seacoast affiliated group practice, inc's chief financial officer and deloitte tax, llp. A copy of the complete return is then provided to each member of seacoast affiliated group practice, inc's board of trustees prior to submission to the internal revenue service.”

“Seacoast affiliated group practice (sagp) has a written, conflict of interest policy. Trustees and senior executives review the conflict of interest policy annually and each is asked to complete an annual conflict seacoast affiliated group practice, inc 04-3485648 of interest form to disclose possible conflicts. Responses are reviewed by the board chair to determine if any conflict exists. Any individual with a conflict is asked to abstain from voting on a related matter. The board chair and/or secretary monitor surveys to ensure compliance.”

“As noted throughout this filing, anna jaques hospital, seacoast affiliated group practice and anna jaques community health foundation (ajh, sagp and ajchf respectively) are members of the beth israel lahey health (bilh) network of affiliates with bilh serving as ajh's sole member and ajh serving as the sole member of sagp and ajchf. In this role bilh maintains the responsibility for setting compensation for employees and senior management of the entities which comprised the beth israel lahey health network and to that end, bilh has a compensation committee composed of independent members of its board of trustees and except as otherwise noted below, compensation reported in this form 990 for all three entities officers, trustees and key employees was set by the bilh compensation committee. The bilh compensation committee process for setting compensation is below. The 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, 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 voted by the compensation committee is submitted to the full board of trustees for approval. All deliberations were 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. In addition, as required by this form 990 and for the fiscal year ended september 30, 2020, compensation reported herein is calendar year 2019 compensation. Prior to the march 1, 2019 when bilh became the sole member of ajh compensation for the three entities was set by the ajh compensation committee which was comprised of independent members of the ajh board. The ajh compensation committee established the policies and the compensation structure, including benefits, for all three entities' members of senior management. The compensation committee was responsible for assuring that the total compensation provided to these individuals was fair and reasonable using current and credible market practice information and was responsible for ensuring compliance with applicable legal and regulatory guidelines, in setting compensation, the compensation committee relied 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 compe”

“Seacoast affiliated group practice''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 109 brookline avenue, suite 300 boston, ma 02215”

“Seacoast affiliated group practice (sagp) is a network of community-based physicians affiliated with anna jaques hospital (ajh or hospital). These practices are committed to improving the health of the communities served by ajh and sagp by providing high quality, personalized health care with compassion, dignity and respect for patient rights in a cost effective and safe environment. Sagp is dedicated to providing care to patients in the communities where they live and work, regardless of their race, color, religion, sex, sexual orientation, national origin, ancestry, age, or disability.”

“Seacoast affiliated group practice (sagp) is a network of community-based physicians affiliated with anna jaques hospital (ajh or hospital). These practices are committed to improving the health of the communities served by ajh and sagp by providing high quality, personalized health care with compassion, dignity and respect for patient rights in a cost effective and safe environment. Sagp is dedicated to providing care to patients in the communities where they live and work, regardless of their race, color, religion, sex, sexual orientation, national origin, ancestry, age, or disability. 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) and the beth israel lahey health performance network (bilhpn). 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). 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 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 4,000 physicians and 35,000 employees.”

“Seacoast affiliate group practice (sagp) has two physician offices that specialize in the delivery of primary care in newburyport and the other communities served by sagp and anna jaques hospital (ajh or hospital). 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. Sagp physicians are able to provide care across the continuum including in the acute care setting at ajh and in the post-acute care phase in community skilled nursing facilities. When advanced care is needed, sagp provides leading edge treatment at its sister hospital, beth israel deaconess medical center, a world-renowned tertiary care academic medical center. Sagp primary care provided 36,871 billable units to patients in the communities they serve.”

“Sagp provides specialty care to the community in the areas of infectious disease, obstetrics/gynecology (including collaborative care between physicians and midwives), endocrinology, gastroenterology, general surgery, pulmonary medicine and breast surgery. During the period covered by this filing, sagp specialists provided 57,734 billable units to patients in the communities they serve.”

“Sagp provides physician services to hospital inpatients in the areas of nursery, surgery, inpatient adult medicine and critical care. During the period covered by this filing, sagp providers discharged 1,564 inpatients. Beth israel lahey health ("bilh") quickly and effectively marshalled its resources to mount a comprehensive response to the covid-19 pandemic. Since the start of the pandemic (through june of 2021), bilh has treated over 8,500 hospitalized patients with covid-19 and performed more than 700,000 covid-19 diagnostic tests. Highlights of the system's pandemic response in fy 2020 include: bilh quickly established an emergency operations center ("eoc") to align system efforts across its hospitals and other business units and with external entities, including the state government. The eoc held regular meetings with incident commanders, emergency managers, and senior leaders from bilh hospitals, primary care, and other system entities to coordinate plans, policies, and communications. It participated in weekly conference of boston teaching hospitals ("cobth") calls and massachusetts department of public health command center calls. A key role of the eoc involved managing the flow of internal and external information to ensure situational awareness and alignment of responses to the pandemic. Finally, the eoc worked with internal and external partners to centralize covid-19 related data collection and reporting for the system, commonwealth, and federal government. In march 2020, beth israel deaconess medical center ("bidmc") became one of the first hospital laboratories in the state to begin in-house high-throughput polymerase chain reaction ("pcr") covid-19 testing for patients and healthcare workers. Bidmc's laboratory provided this test to bilh hospitals and other community partners, such as health centers and corrections facilities, at a time of critical supply shortage. Throughout the pandemic, bilh worked toward additional in-house testing capabilities, including high-throughput thermo fisher instruments at lahey hospital & medical center ("lhmc"). The system operationalized multiple drive-through covid-19 testing sites to enable easy access for patients and staff. In the summer of 2020, to expand hospital and clinic-based covid-19 testing sites, bilh opened an additional high-capacity drive-through testing site in woburn. To ensure continued access to care for its patients, bilh primary care rapidly deployed a telehealth strategy, quickly transitioned to cohort clinics to care for sick patients, and successfully managed a phased reopening by july 2020. Bilh established a temporary community crisis stabilization unit at new england baptist hospital to manage behavioral health patient volume during the pandemic. Bilh established a daily huddle consisting of bilh ed and behavioral health leaders to determine appropriate patient transfers to the unit. Bilh's virtual transfer center was formed in september 2019 to optimize system-wide bed capacity using real-time information exchange among the three existing transfer centers at bidmc, lhmc and mount auburn hospital ("mah"). The transfer team personnel at these centers work together as a single "virtual" center to accommodate incoming transfer requests by making all beds available in the system based on facility capacity and level of care required. The transfer center enhanced patient quality, safety, and access by load balancing covid patients across all of its hospitals so that these patients received timely access to the type of bed and level of care needed. Bilh collaborated with external entities to stand up a 1,000-bed field hospital, the boston hope hospital, and open and staff a covid hotel for underserved communities. Bilh launched a website titled the coronavirus resource center to provide its patient community with up-to-date information regarding the system's response to the pandemic, available resources such as testing sites, and innovation efforts underway”

“Seacoast affiliated group practice, inc did not receive any contributions of intellectual property and as such, was not required to file form 8899. Form 990, part v, line 7h: seacoast affiliated group practice, 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 fees: program service expenses 1,258,168. Management and general expenses 104,445. Fundraising expenses 0. Total expenses 1,362,613. Contract services: program service expenses 158,248. Management and general expenses 14,023. Fundraising expenses 0. Total expenses 172,271. Consulting: program service expenses 17,473. Management and general expenses 300. Fundraising expenses 0. Total expenses 17,773. Other fees: program service expenses 192,462. Management and general expenses 31,675. Fundraising expenses 0. Total expenses 224,137.”

“Transfer from affiliates 5,300,000. Gain on acquisition”

“Transfer from affiliates 5,300,000 total to form 990, part xi, line 5,300,000”

“On march 1, 2019, lahey health system including the lahey clinic and lahey clinic hospital d/b/a lahey hospital and medical center, winchester hospital, northeast hospital corporation d/b/a beverly hospital, addison gilbert hospital and bayridge hospital, the beth israel deaconess system including beth israel deaconess medical center, beth israel deaconess milton, beth israel deaconess needham and beth israel deaconess plymouth, mount auburn hospital, new england baptist seacoast affiliated group practice, inc 04-3485648 hospital, anna jaques hospital as well as entities for which these listed organizations serve as sole member and additional affiliates came together to form beth israel lahey health (bilh). As a newly created healthcare system, bilh engaged kpmg to perform a financial audit of the system. 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, 2020. These statements were prepared in accordance with generally accepted accounting principles (gaap) and included the accounts of the beth israel lahey health, inc. And its affiliates.”