Seacoast Affiliated Group Practices Inc

“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 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) 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). 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 care to 20,692 patients in the communities they serve.”

“Specialty care: 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 68,130 patient visits 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 1,600 inpatients. In addition to the program service accomplishments noted above, the bilh network had significant activities across entities related to both behavioral health and its response to the ongoing covid-19 pandemic. Details on both are below. Bilh behavioral health services the beth israel lahey health network (bilh) is committed to the behavioral health needs of the patients and communities serviced. Below are some of activities that bilh behavioral services (bilhbs) has provided to the patients and communities served by bilh and its affiliated entities. Bilhbs (which includes the activities of bilh's tax-exempt affiliate northeast behavioral health corp) is the largest network of mental health and substance use disorder services in eastern massachusetts. Bilhbs' network of behavioral health care includes services for children and adults ranging from inpatient treatment to community-based programs. Services include: inpatient psychiatric and detoxification treatment; emergency psychiatric and mobile emergency services teams; outpatient mental health and addiction treatment; individual/couple/family therapy; medication assisted treatment programs for persons with opioid use disorders; and school-based and home-based counseling for youth and their families. Since the creation of bilh in march 2019, bilh has invested significantly in improving access to behavioral health care through a system-wide approach to care delivery. First, it has made a multi-year commitment to provide behavioral health support to its employed primary care practices using an evidence-based approach known as the impact model. By the end of fy 2021, bilh had implemented the impact model in 67% of its employed primary care practices as part of its collaborative care program implementation. In 2021, bilhbs expanded its primary care behavioral health integration (pcbhi) services by incorporating a dsrip pilot project aimed at interprofessional psychiatric consults. The pcbhi interprofessional consultation includes an assessment and management service in which a patient's primary care provider (pcp) requests the opinion and/or treatment advice of a psychiatric consultant to assist in the diagnosis and/or management of the patient's behavioral health condition without the need for the patient's face-to-face contact with the consultant. Interprofessional consultation enables a comprehensive assessment, enhances patient care, reduces misdiagnosis, and supports the integration of disciplines in the delivery of care. The pcbhi interprofessional psychiatric consultants provide pcps with another avenue for integrated care. The implementation of pcbhi interprofessional services will be offered in practices where collaborative care is not currently available. Additionally, in 2021, bilhbs continued to oversee the bilh-wide centralized behavioral health (bh) bed management, which supports inpatient behavioral health bed capacity and improving access to these beds, with the parallel goal of reducing boarding by behavioral health patients in the emergency departments ("eds"). As part of the centralized bh bed management, bilh staff engage in a daily huddle with representatives from bilh hospitals' eds and behavioral health units to discuss patients appropriate for transfer to the unit. The daily huddles have become a forum for which participants discuss behavioral health patient volume and bed capacity across the system, as well as discharge planning and placement opportunities for difficult-to-place patients. Separately, in march 2021, bilhbs launched its centralized bed finding team. This team is part of our central call center, which centralizes calls to bilhbs' three emergency service program (esp) catchment areas reducing redundancies across the agency and s”

“Beth israel lahey health's covid-19 pandemic response as in the prior year, beth israel lahey health's ("bilh") hospitals and other patient care organizations expended significant time and resources across fy 2021 in their continued efforts to respond to the covid-19 pandemic. In addition to providing covid-19 testing and treatment, the health system initiated patient and staff vaccination efforts in fy 2021, reaching out to 1.3 million patients using a multichannel, multilingual approach and ultimately delivering over 400,000 vaccine doses. The system successfully undertook these efforts while also navigating unprecedented financial and operational challenges stemming from the pandemic, including ongoing workforce disruption and a decline in patient volume due to the curtailment of elective services and staffing challenges. Highlights of the system's pandemic response in fy 2021 include: staff testing, vaccination, and support in november 2020, bilh implemented a program to provide its 36,000 employees with access to onsite, voluntary, and free-of-charge covid-19 pcr testing, even if they had no known exposure or symptoms. In addition to serving as an important element to contain community spread of covid-19, this effort boosted bilh staff morale and confidence during this challenging period. In december 2020, bilh stood up staff vaccination sites at its local hospitals, ultimately delivering 70,000 vaccine doses to its workforce in fy 2021. The system took progressive measures around employee paid time off to support vaccination efforts as well as family care needs and time missed due to covid-19 illness or testing. In the summer of 2021, bilh communicated that covid-19 and flu vaccine would be required as a condition of employment; the covid-19 vaccination deadline was successfully completed on october 31, 2021. Bilh operationalized a centralized call center to support staff with symptom reporting, covid-19 testing, and return-to-work processes. The call center ensured convenient and accessible information for a workforce spread throughout eastern massachusetts. At its peak, the centralized call center handled over 1,000 phone calls per day. Patient vaccination nearly immediately upon receiving vaccine supply that could be used for patients, bilh opened and operated 10 vaccine administration sites across eastern massachusetts. The locations were selected based on several criteria, including proximity to hard-hit communities and ease of access in terms of transportation. This was a significant logistical feat in light of the shifting forecasts in vaccine supply and special handling required for the pfizer vaccine. Bilh developed its own vaccination scheduling tool, covax, to support staff and patient vaccination efforts. This tool enabled bilh to identify patients eligible for vaccination based on state guidelines, schedule appointments, and track vaccination activity. Bilh led a targeted campaign to support health equity by prioritizing for vaccination bilh patients who resided in a community or town identified as having among the highest cumulative incidence of covid-19 within the state of massachusetts. Bilh also coordinated with multiple community health centers to provide their patients with priority access to vaccination appointments. Due to these efforts, beth israel deaconess care organization ("bidco"), an accountable care organization ("aco") within bilh, had the highest covid-19 vaccination rate for medicaid members among all medicaid acos in the state. Bilh established the covid-19 health equity advisory council ("the council") with a goal to address health disparities brought on by the pandemic, language barriers, and other social determinants of health. Its membership included key bilh stakeholders and community health center chief medical officers. As part of its responsibility, the council reviewed the system's vaccine rollout strategy, including the patient prioritization and scheduling strategy, call center”

“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, 2021. 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.”