Seacoast Affiliated Group Practices Inc

“For the period covered by this filing, beth israel lahey health, inc. (bilh) served as direct or indirect sole member to: 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 and to affiliates of these entities. Effective july 1, 2023, bilh also became the sole member of exeter health resources, inc. (ehri) and its affiliates', including 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 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 and to affiliates of these entities. Effective july 1, 2023, bilh also became the sole member of exeter health resources, inc. (ehri) and its affiliates', including exeter hospital. Each of these affiliates may have, in turn, served as member of additional entities within the bilh network of affiliates.”

“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 direct or indirect sole member of seacoast affiliated group practice, inc. 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 seacoast affiliated group practice, inc. 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. Seacoast affiliated group practice, inc. 's form 990 is reviewed internally by the bilh assistant vice president, taxation and externally by deloitte. Seacoast affiliated group practice, inc.'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 seacoast affiliated group practice, inc.'s board of trustees prior to submission to the internal revenue service.”

“As noted throughout this filing, seacoast affiliated group practice, 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 seacoast affiliated group practice, 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 seacoast affiliated group practice, inc. Board of trustees as well as former officers and key employees. The coi-tq process is designed to gather the information necessary for seacoast affiliated group practice, 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.”

“As noted throughout this filing, seacoast affiliated group practice, inc. Is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as seacoast affiliated group practice, 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. 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 seacoast affiliated group practice, inc.'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, seacoast affiliated group practice, inc. Is a member of the beth israel lahey health (bilh) network of affiliates with bilh serving as seacoast affiliated group practice, 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. Seacoast affiliated group practice, 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”

“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). In addition, as of july 1, 2023, bilh became the sole member of exeter health resources, inc which in turns serves as the sole member of exeter hospital. 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 4,800 physicians and 38,000 employees.”

“Primary care 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 affiliate, anna jaques hospital and leading-edge treatment from beth israel deaconess medical center (bidmc) or lahey hospital and medical center as well as and other bilh affiliates. Lahey hospital & medical center (lhmc) or beth israel deaconess medical center (bidmc), each a level i trauma center and providing tertiary care and care in a wide range of specialties. In a typical fiscal year, sagp primary care provides care to more than 19,000 patients in the communities it serves.”

“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 53,052 patient visits in the communities they serve.”

“Inpatient care at anna jaques hospital sagp provides physician services to hospital inpatients in the areas of nursery, surgery, inpatient adult medicine and critical care. In a typical fiscal year, sagp providers discharge 1,300 inpatients.”

“In addition to seacoast affiliated group practice, inc.'s program service accomplishments described above, and as noted further below, the beth israel lahey health (bilh) network engaged in significant activities focused on expanding access to care and services, including underserved patient populations in order to reduce health inequities. There was also a strong focus on continuing to provide high quality care at a lower cost, when appropriate. Bilh continues to focus on the behavioral health care needs of its communities as well. Bilh network accomplishments and activities fiscal year ended september 30, 2023 throughout the period covered by this filing, beth israel lahey health ("bilh") and its affiliates focused on expanding access and services, including to underserved patient populations in order to reduce health inequities. In addition, there was a strong focus on continuing to provide high quality care at a lower cost, when appropriate, as demonstrated by bilh's efforts to leverage community settings, keep care within the bilh performance network ("bilhpn"), and allow patients to receive care in their homes. The following highlights specific efforts during the period covered by this filing: access & expansion to pharmacy services bilh pharmacy has continued to expand its contractual relationships, allowing more patients to utilize its pharmacy for their prescriptions. In fy 2023, bilh pharmacy successfully negotiated access to the point32health specialty pharmacy network as well as the wellsense medicaid accountable care organization ("aco") plan. Examples of bilh pharmacy's other efforts to expand patient access to medications include: enhanced medication authorization and access services to help patients obtain necessary insurance authorizations and find co-pay assistance, expanded the medication refill center to assist patients and providers in expediting medication renewals and ensuring prescribed medication and dosage are still appropriate, extended patient co-pay assistance programs to the joslin adult diabetes clinic and northeast hospital corporation patients, and expanded clinical pharmacy services in ambulatory clinics to help manage and optimize patients' complex medication therapies. Bilh pharmacy also expanded its clinical pharmacy presence in clinics to reduce the health equity gap in the use of highly impactful medications to treat patients with diabetes and atherosclerotic cardiovascular diseases by improving their blood pressure and hemoglobin a1c. Interventions centered around prescribing evidence-based medications, educating patients about their conditions, and ensuring access to medication. Initial results have demonstrated an increase in the use of glp-1 agonists and sglt-2 inhibitors by 32% in black and hispanic populations, an average reduction in hemoglobin a1c of 0.8, and a decrease of systolic and diastolic blood pressures of 7mmhg and 2mmhg respectively. Improvement in lab services bilh optimized the transportation routes of collected laboratory specimens to testing laboratories, ensuring high standards for turnaround times and maximum efficiency. This is foundational to the system's ability to consolidate testing, expand access to in-network laboratory services which in turn generally reduces cost, and support the provision of high-quality care and the clinician and patient experience. Focus remained strong in developing physician practice delivery models and re-opening patient service centers. These efforts enhance community providers' ability to use bilh labs and increase patient access to bilh labs. Leveraging in-network care bilh operates a transfer center that facilitates patient access to the appropriate placement of patient transfers. With the creation of the transfer center, bilh has been able to retain patients who might otherwise have gone outside of the system. By expanding its focus to community hospitals, bilh has enhanced its ability to place patients, including at locations p”

“Bilh continues to invest in the cca chcs and snas, enabling them to expand their capabilities and care for more historically underserved patients. In fy 2022, bilh invested over $8 million in its chcs and snas, in addition to engaging in regional planning and collaborative program development. These investments represent only a portion of a much larger community benefits investment portfolio that is described in greater detail in this and other bilh network tax filings. Bilh continues to explore additional opportunities with chcs in essex and middlesex counties. For example, bilh has established a telehealth pilot program between physicians at addison gilbert and beverly hospitals and patients at north shore community health center. 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; and school-based and home-based counseling for youth and their families. Bilhbs serves approximately 35,000 unduplicated individuals annually, offering a full continuum of care for children and adults. Services range from inpatient to home and community-based services. Bilhbs operates over 250 beds in 9 facilities for clients requiring acute psychiatric care, detoxification and residential step-down services. During the period covered by this filing, community-based services included mobile emergency services teams in three catchment areas and home-based counseling for adults, youth and their families. Bilhbs also provided services in 63 middle and high schools, as well as 9 police departments. Since its creation in march 2019, bilh has continued to invest significantly in improving access to behavioral health care through a system-wide approach to care delivery. As one of several ongoing initiatives, bilh 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. More than 75% of bilh employed primary care practices participated in this collaborative care program implementation. Bilhbs has a centralized bed finding team that is responsible for conducting bed searches for patients seen through the emergency services program and who are awaiting an inpatient psychiatric placement. This team directly increases the availability of clinicians to continue to see patients in the emergency department (ed) and the community who are experiencing a behavioral health and/or co-occurring substance use disorder crisis while other team members search for available inpatient placements. This initiative supports decreased response time to responding to new patients in crisis and reduces ed boarding time for patients who can be safely managed in the community. During the period covered by this filing, and in the area of addiction services, bilhbs serves approximately 17,000 individuals annually, providing over 380,000 units of service, in a vast array of settings based on their needs. Bilh bs' ambulatory division serves nearly 4,300 patients every year, delivering more than 108,000 units of services in various settings. More than 43,000 were delivered by telehealth ambulatory programs and services offe”

“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, 2023. 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 direct or indirect sole member during the fiscal period covered by this filing: 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 and their affiliates. Effective july 1, 2023, bilh became the sole member of exeter health resources, inc. (ehri) and three months of ehri's activity as well as three months of ehri's affiliates' activity, including exeter hospital, are included in the audited financial statements of bilh and affiliates. The financial statements of the system also include the accounts of, harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp), the dedicated physician practice of bidmc and hmfp's affiliates. Hmfp and its affiliates are integrally related to helping bilh, bidmc and other affiliates in the bilh network accomplish their charitable purposes.”

“Seacoast affiliated group practice, inc. Did not receive any contributions of intellectual property and as such, was not required to file form 8899.”

“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.”

“As noted throughout this form 990, seacoast affiliated group practice, inc. 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 seacoast affiliated group practice, inc. And seacoast affiliated group practice, inc. 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.”