2021-05-13T11:04:49-05:00 2020-06-30 KPMG LLP 60 South Street Boston MA 02111 990 2019-07-01 900513372 Faculty Practice Foundation Inc & Affiliates % MARY BETH MOLLOY FACU 6176388000 One Boston Medical Center Place BOSTON MA 02118 WILLIAM R CREEVY MD PRESIDENT 6176388000 2021-05-03 true Smita Baliga P01643271 6179881000 2021-05-11 2019 2022-09-23 18:48:47Z WILLIAM R CREEVY MD One Boston Medical Center PL BOSTON MA 02118 418623139 true true 8094 X WWW.BMC.ORG X 1994 MA SEE SCHEDULE O 41 0 1816 44 797151 -434883 0 0 388970400 417202786 1008196 1216233 0 0 389978596 418419019 148925 35477 0 0 306687571 348803312 0 0 0 83951858 74972390 390788354 423811179 -809758 -5392160 88623010 86602730 25098810 27901927 63524200 58700803 X SEE SCHEDULE O false false 362939816 35477 417202786 SEE SCHEDULE O 362939816 true false false false false false false false false false true false false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false true 0 0 true 1816 true true true false false false false false false false false false false false X 41 0 true false false false true false true true true false true true true true true true true true true true false MA X MARY BETH MOLLOY 6174144030 660 HARRISON AVENUE BOSTON MA 02118 X Tony Tannoury MD Professor/Physician - Ortho 50.0 0.0 X 1703278 0 157349 William Creevy MD Pres - FPF, Prof/Phys - Ortho 22.0 32.0 X 1062807 0 58310 Andrew Stein MD Physician - Ortho 50.0 0.0 X 1048880 0 58257 Jennifer Tseng MD Prs/Trs/Clrk/Dir-CT,PS,SA,GS 50.0 4.0 X X 1012451 0 38793 Xinning Li MD Physician - Ortho 50.0 0.0 X 971386 0 44351 Paul Tornetta MD Pres/Treas/Clerk/Dir - Ortho 50.0 0.0 X X 971498 0 41951 Chadi Tannoury MD Physician - Ortho 50.0 0.0 X 929382 0 49841 James Holsapple MD Pres/Director - NeuroSurg 50.0 0.0 X X 922539 0 51141 David Coleman MD Pres/Treas/Dir - EMF 50.0 5.0 X X 782366 0 34370 David Beck Schedule O Disclosure 5.0 54.0 X 0 700866 44102 Gregory Grillone MD Pres/Director - Oto 50.0 4.0 X X 675598 0 60888 Jorge Soto MD Pres/Director - Radio 50.0 0.0 X X 669348 0 61179 Rhoda Alani MD Pres/Director - Derm 50.0 4.0 X X 692188 0 36197 Stephen Christiansen MD Pres/Treas/Clerk/Dir - Eye 50.0 4.0 X X 662450 0 58488 Jonathan Olshaker MD Pres/Treas/Clerk/Dir - ER 50.0 4.0 X X 657624 0 61211 Rafael Ortega MD Pres/Dir/Treas/Clerk - Anes 50.0 0.0 X X 615865 0 58793 David Greer MD PR/DIR-NEURO&PR/TRS/DIR-REHAB 50.0 0.0 X X 610322 0 61078 Minh-Tam Truong MD Pres/Treas/Clerk/Dir - Rad Onc 50.0 0.0 X X 635024 0 34338 David McAneny MD Fmr Pr/Trs/Clk/Dir-CT,PS,SA,GS 50.0 4.0 X 588231 0 61001 Robert Vinci MD Pres/Clerk/Dir - CHF 50.0 4.0 X X 541287 0 53671 Jacob Noordzij MD Clerk - Oto 50.0 0.0 X 408829 0 137681 David Henderson MD Pres/Treas/Clerk/Dir - Psych 50.0 4.0 X X 471477 0 59096 Aviva Lee-Parritz MD Pres/Director - Obgyn 50.0 4.0 X X 469303 0 50679 Daniel Remick MD Pres/Clrk/Dir-Path (U 8/31/19) 50.0 4.0 X X 450372 0 50375 Christopher Manasseh MD Prs/Trs/Clrk/Dir-Fam(U 4/1/20) 50.0 4.0 X X 369734 0 109018 Jaroslaw Tkacz MD Treasurer/Director - Radio 50.0 0.0 X X 411425 0 50263 Joanna Piechniczek-Buczek MD Fmr Prs/Trs/Clrk/Dir - Psych 50.0 0.0 X 400729 0 58202 Ilse Castro-Aragon MD Clerk/Director - Radio 50.0 0.0 X X 380591 0 55055 Richard Babayan MD Prs/Trs/Clrk/Dir-Uro(U 8/1/19) 50.0 0.0 X X 373717 0 56246 Manju Subramanian MD Director - Eye 50.0 0.0 X 357890 0 39240 Ronald Iverson MD Director - Obgyn 50.0 0.0 X 292040 0 101581 Christopher Andry PhD Pres/Treas/Clerk/Dir - Path 50.0 0.0 X X 327864 0 57867 Paul Hendessi MD Director - Obgyn 50.0 0.0 X 290363 0 58517 Kenneth Grundfast MD FMR Pres/Dir - OTO 50.0 4.0 X 289081 0 55098 Toby Chai Prs/Trs/Clrk/Dir-Uro(B 8/1/19) 50.0 0.0 X X 322019 0 11947 Katharine White MD Director - Obgyn 50.0 0.0 X 277976 0 52871 Claudia Hochberg MD Director - EMF 50.0 0.0 X 300074 0 29499 Vipul Chitalia MD Director - EMF 50.0 0.0 X 225867 0 103626 Frederick Ruberg MD Director - EMF 50.0 0.0 X 265032 0 54184 Darrell Kotton MD Director - EMF 50.0 0.0 X 283154 0 35752 Marie Saint-Hilaire MD FMR Pres/Treas/Dir - Neuro 50.0 4.0 X 260172 0 57951 Ted Constan Treas/Dir - Obgyn, CHF 50.0 0.0 X X 0 227803 53322 Susannah Rowe MD Director - Eye 50.0 0.0 X 220390 0 50572 Samantha Kaplan MD Director- Obgyn (as of 7/1/19) 50.0 0.0 X 211579 0 54129 Karen Lasser MD Director - EMF 50.0 0.0 X 233696 0 29748 Elisabeth Woodhams MD Director- Obgyn (As of 7/1/19) 50.0 0.0 X 215675 0 46763 Padmasini Kandadai MD Director - Obgyn 50.0 0.0 X 225709 0 33358 Manish Sagar MD Director - EMF 50.0 0.0 X 217217 0 28701 Natasha Hochberg MD Director - EMF 50.0 0.0 X 192193 0 50709 Carlos Arellano Treasurer - Oto 50.0 0.0 X 0 216178 17698 Brian Jack Fmr Pres/Treas/Clrk/Dir - Fam 50.0 4.0 X 179382 0 38447 Jamie Levy Treas/Clrk-Derm (as of 3/1/20) 50.0 0.0 X 0 162276 29758 Julie Mottl-Santiago CNM Director - Obgyn 50.0 0.0 X 140879 0 49178 Victoria Bolotina MD Director - EMF 50.0 0.0 X 152302 0 28334 Kettie Louis DNP Director- OBGYN (as of 2/1/20) 50.0 0.0 X 143489 0 34231 Laura Kelsey McRichards Trs/Clrk-NeuroSurg(U 11/22/19) 50.0 0.0 X 0 117479 33357 Gerald Denis MD Director - EMF 50.0 0.0 X 126505 0 14161 Daniel Holman Treas/Clerk - Derm (U 8/1/19) 50.0 0.0 X 0 108305 26824 Jason Silver Fmr Treas/Clerk - Derm 50.0 0.0 X 122809 0 10639 Carol Boudrot Clerk - Obgyn 50.0 0.0 X 0 61007 28103 Sheila Phicil Trs/Clrk-Neuro (as of 8/19/19) 50.0 0.0 X 0 55382 6132 Mallory Davis Trs/Clrk-NeuroSurg(B 11/22/19) 50.0 0.0 X 0 21057 251 Edward Feinberg MD Director - Eye 50.0 0.0 X 6590 0 7371 Stephen Wilson Prs/Trs/Clrk/Dir-Fam(B 4/1/20) 50.0 0.0 X X 0 0 0 17922239 700866 1532158 789 true true false Change Healthcare LLC 5995 Windward Parkway ALPHARETTA GA 30005 Billing Services 3949346 Children's Hospital of Boston 300 Longwood Avenue BOSTON MA 02115 Physician Services 1237329 BU Payroll Processing 881 Commonwealth Avenue BOSTON MA 02215 Payroll Services 869771 OPTUM360 LLC 3436 Momentum Place CHICAGO IL 60589 Billing Services 720219 PST Services Inc 10 Mollison Way LEWISTON ME 04240 Billing Services 627757 15 0 PATIENT REVENUE 900099 176998182 176201031 797151 INSTITUTIONAL SUPPORT 541380 126257366 126257366 CAPITATION INCOME 900099 321051 321051 REIMBURSEMENT OF OPERATING EXPENSE 900099 74102410 74102410 CONTRACT & HEALTH CENTER REVENUE 900099 16951787 16951787 22571990 22571990 417202786 1239919 0 1239919 0 0 0 0 0 180434 204120 -23686 -23686 -23686 0 0 0 0 0 0 0 0 0 0 418419019 416405635 797151 1216233 35477 35477 0 0 0 15667618 13501914 2165704 0 2427538 2057703 369835 0 271264528 229356556 41907972 0 28298 22658 5640 0 59161973 49399207 9762766 0 253357 212466 40891 0 153590 153590 0 29504 29504 0 0 0 0 0 0 0 464546 464546 0 14325018 12519172 1805846 148854 125598 23256 0 4210658 3416819 793839 0 347836 313252 34584 0 0 0 1605598 1290190 315408 0 743025 644564 98461 0 0 0 1732955 1468280 264675 0 17987 14487 3500 0 6429212 5605673 823539 0 623342 503615 119727 0 7791670 6642999 1148671 0 BAD DEBT EXPENSE 26241850 26241850 DUES, MEMBERSHIPS & LIC. MDS. 1217033 1051981 165052 MEDICAL & SURGICAL SUPPLIES 1660715 1660715 BU ENDOWED PROFESSORS 5000000 5000000 2228997 1854640 374357 423811179 362939816 60871363 0 12131458 8690781 69999 993100 0 0 22741162 18120246 0 0 0 0 0 0 0 0 0 0 10574403 8161072 2544029 2413331 42411751 44455400 0 0 0 0 0 0 8724611 11929872 88623010 86602730 16065634 10100588 0 0 0 5339006 0 0 0 0 0 0 0 0 0 0 9033176 12462333 25098810 27901927 X 63524200 58700803 0 0 63524200 58700803 88623010 86602730 -5392160 557263 11500 X false true X true false X X 2 BOSTON MEDICAL CENTER 043314093 3 true 15850 0 TRUSTEES OF BOSTON UNIVERSITY 042103547 2 true 0 0 2 15850 true false false false false true false false false false false false false false false false false true true false X true true 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART IV, SECTION A, LINE 6 IN ADDITION TO PROVIDING GRANTS TO THEIR SUPPORTED ORGANIZATIONS, THE FACULTY PRACTICE PLANS ALSO PROVIDE GRANTS TO ORGANIZATIONS THAT ADVANCE THE MISSION OF THE PLANS AND THEIR SUPPORTED ORGANIZATIONS TO PROVIDE, COORDINATE, AND FACILITATE THE DELIVERY OF PATIENT CARE SERVICES. GRANTS ARE INCLUDED ON FORM 990, SCHEDULE I. SCHEDULE A, PART IV, SECTION E, LINE 2A & 2B THE FACULTY PRACTICE PLANS ("THE PLANS") WERE ESTABLISHED AS NOT-FOR-PROFIT CORPORATIONS OPERATING EXCLUSIVELY FOR THE BENEFIT OF BOSTON MEDICAL CENTER AND BOSTON UNIVERSITY SCHOOL OF MEDICINE. THE PLANS' PURPOSE IS TO PROVIDE, COORDINATE AND FACILITATE THE DELIVERY OF PATIENT CARE SERVICES AND TO PROMOTE THE DEVELOPMENT OF AN INTEGRATED SYSTEM OF DELIVERY TO MORE EFFICIENTLY AND EFFECTIVELY MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED BY THE INSTITUTIONS. THE PLANS PROVIDE AMBULATORY SERVICES RANGING FROM PRIMARY ADULT AND PEDIATRIC CARE TO ADVANCE SPECIALTY CARE; AFFILIATED PHYSICIANS ALSO STAFF THE LARGEST 24 HOUR LEVEL 1 TRAUMA CENTER IN NEW ENGLAND. 2578043 1962605 615438 6279719 5185378 1094341 1716641 1013089 703552 2413331 OTHER RECEIVABLES 3375450 DUE FROM AFFILIATES 8341717 OTHER ASSETS 212705 11929872 0 DUE TO AFFILIATES 9624228 LONG TERM CAPITAL LEASE OBLIGATION 151795 LONG TERM PORTION DUE TO REL. ORG. 2250000 OTHER LIABILITIES 436310 12462333 X PART X, LINE 2 FACULTY PRACTICE FOUNDATION, INC. ("FACULTY") AND ITS AFFILIATED FACULTY PRACTICE PLANS ("PLANS") ARE INCLUDED IN COMBINED FINANCIAL STATEMENTS. THE TEXT OF THE UNCERTAIN TAX POSITIONS FOOTNOTE INCLUDED IN THESE FINANCIAL STATEMENTS IS AS FOLLOWS: THE HEALTH SYSTEM CORPORATION, THE MEDICAL CENTER, BMCHP, UDF, ECMF, BUAP, FACULTY AND THE PLANS, BACO, BMCICS, AND BMCIC OF VERMONT ARE ALL NONPROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE SHAREHOLDERS OF NAB, BEFORE IT WAS TERMINATED WERE NONPROFIT, TAX EXEMPT CORPORATIONS. THE HEALTH SYSTEM RECOGNIZED INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED AS OF SEPTEMBER 30, 2020 AND 2019. THE HEALTH SYSTEM ANNUALLY ASSESSES WHETHER IT MUST RECOGNIZE AN UNRELATED BUSINESS INCOME TAX EXPENSE (UBIT). THE AMOUNTS RECOGNIZED AS UBIT EXPENSE WERE NOT MATERIAL TO THE HEALTH SYSTEM'S CONSOLIDATED OPERATIONS OR CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2020 AND 2019. true BOSTON MEDICAL CENTER ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 043314093 501(C)(3) 15850 GENERAL SUPPORT ORTHOPAEDIC RESEARCH 6300 N RIVER ROAD 700 ROSEMONT IL 60018 366009467 501(C)(3) 9500 GENERAL SUPPORT 2 PART I, LINE 2 Faculty Practice Foundation, Inc. and Affiliates do not distribute research or educational grants to other organizations. The funds noted in part II reflect donations made by Faculty Practice Foundation, Inc. and Affiliates to qualified 501(c)(3) organizations. All donations are subject to review and approval by the individual practice administration. X X X false true false false false true false true false Tony Tannoury MD Professor/Physician - Ortho 1700656 2622 32388 124961 1860627 William Creevy MD Pres - FPF, Prof/Phys - Ortho 920803 135100 6904 32388 25922 1121117 Andrew Stein MD Physician - Ortho 1044233 4647 32388 25869 1107137 Jennifer Tseng MD Prs/Trs/Clrk/Dir-CT,PS,SA,GS 948638 63813 32388 6405 1051244 Xinning Li MD Physician - Ortho 958513 12873 23988 20363 1015737 Paul Tornetta MD Pres/Treas/Clerk/Dir - Ortho 957304 9500 4694 32388 9563 1013449 Chadi Tannoury MD Physician - Ortho 928320 1062 23988 25853 979223 James Holsapple MD Pres/Director - NeuroSurg 915641 6898 32388 18753 973680 David Coleman MD Pres/Treas/Dir - EMF 775431 6935 32388 1982 816736 David Beck Schedule O Disclosure 433758 92400 174708 19600 24502 744968 67100 Gregory Grillone MD Pres/Director - Oto 669629 5969 32388 28500 736486 Jorge Soto MD Pres/Director - Radio 667593 1755 32388 28791 730527 Rhoda Alani MD Pres/Director - Derm 688902 3286 32388 3809 728385 Stephen Christiansen MD Pres/Treas/Clerk/Dir - Eye 657563 4887 32388 26100 720938 Jonathan Olshaker MD Pres/Treas/Clerk/Dir - ER 652769 4855 32388 28823 718835 Rafael Ortega MD Pres/Dir/Treas/Clerk - Anes 611250 4615 32388 26405 674658 David Greer MD PR/DIR-NEURO&PR/TRS/DIR-REHAB 608754 1568 32388 28690 671400 Minh-Tam Truong MD Pres/Treas/Clerk/Dir - Rad Onc 633996 1028 29588 4750 669362 David McAneny MD Fmr Pr/Trs/Clk/Dir-CT,PS,SA,GS 556754 27543 3934 32388 28613 649232 Robert Vinci MD Pres/Clerk/Dir - CHF 534546 6741 32388 21283 594958 Jacob Noordzij MD Clerk - Oto 385944 11859 11026 32388 105293 546510 David Henderson MD Pres/Treas/Clerk/Dir - Psych 469215 2262 32388 26708 530573 Aviva Lee-Parritz MD Pres/Director - Obgyn 465969 3334 32388 18291 519982 Daniel Remick MD Pres/Clrk/Dir-Path (U 8/31/19) 447344 3028 32388 17987 500747 Christopher Manasseh MD Prs/Trs/Clrk/Dir-Fam(U 4/1/20) 368829 905 32388 76630 478752 Jaroslaw Tkacz MD Treasurer/Director - Radio 398882 11616 927 32066 18197 461688 Joanna Piechniczek-Buczek MD Fmr Prs/Trs/Clrk/Dir - Psych 399865 864 31788 26414 458931 Ilse Castro-Aragon MD Clerk/Director - Radio 368452 11500 639 29588 25467 435646 Richard Babayan MD Prs/Trs/Clrk/Dir-Uro(U 8/1/19) 370634 3083 32388 23858 429963 Manju Subramanian MD Director - Eye 325786 31589 515 29588 9652 397130 Ronald Iverson MD Director - Obgyn 291364 676 32388 69193 393621 Christopher Andry PhD Pres/Treas/Clerk/Dir - Path 309387 17089 1388 32388 25479 385731 Paul Hendessi MD Director - Obgyn 289579 784 30176 28341 348880 Kenneth Grundfast MD FMR Pres/Dir - OTO 287917 1164 32388 22710 344179 Toby Chai Prs/Trs/Clrk/Dir-Uro(B 8/1/19) 312703 9316 11947 333966 Katharine White MD Director - Obgyn 277556 420 29588 23283 330847 Claudia Hochberg MD Director - EMF 298394 1230 450 29099 400 329573 Vipul Chitalia MD Director - EMF 224553 817 497 26388 77238 329493 Frederick Ruberg MD Director - EMF 261931 2706 395 28382 25802 319216 Darrell Kotton MD Director - EMF 277077 5448 629 32388 3364 318906 Marie Saint-Hilaire MD FMR Pres/Treas/Dir - Neuro 249390 9127 1655 29973 27978 318123 Ted Constan Treas/Dir - Obgyn, CHF 214097 13706 11430 41892 281125 Susannah Rowe MD Director - Eye 208686 10672 1032 25428 25144 270962 Samantha Kaplan MD Director- Obgyn (as of 7/1/19) 211119 460 23488 30641 265708 Karen Lasser MD Director - EMF 230658 2532 506 26433 3315 263444 Elisabeth Woodhams MD Director- Obgyn (As of 7/1/19) 215475 200 18944 27819 262438 Padmasini Kandadai MD Director - Obgyn 225491 218 19663 13695 259067 Manish Sagar MD Director - EMF 208015 8758 444 23662 5039 245918 Natasha Hochberg MD Director - EMF 188018 3903 272 18961 31748 242902 Carlos Arellano Treasurer - Oto 203278 12900 10208 7490 233876 Brian Jack Fmr Pres/Treas/Clrk/Dir - Fam 178325 1057 20711 17736 217829 Jamie Levy Treas/Clrk-Derm (as of 3/1/20) 157469 4807 8018 21740 192034 Julie Mottl-Santiago CNM Director - Obgyn 138969 1910 16188 32990 190057 Victoria Bolotina MD Director - EMF 150706 440 1156 17400 10934 180636 Kettie Louis DNP Director- OBGYN (as of 2/1/20) 143030 459 16483 17748 177720 Laura Kelsey McRichards Trs/Clrk-NeuroSurg(U 11/22/19) 117479 3634 29723 150836 Jason Silver Fmr Treas/Clerk - Derm 122753 56 8499 2140 133448 Listed Individuals Listed individuals receive compensation for the services they provide as employees. They receive no compensation for their roles as directors, officers, or former officers. Schedule J, Part I, Line 4B BOSTON MEDICAL CENTER PROVIDES A SUPPLEMENTAL EXECTUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. AMOUNTS ARE CREDITED TO PARTICIPANTS' ACCOUNTS EACH YEAR. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE PLAN AGREEMENT. BOSTON MEDICAL CENTER MAINTAINS AN EXECUTIVE BENEFIT PLAN WHICH OFFERS PARTICIPATING EXECUTIVES THE OPTION OF ANNUALLY ALLOCATING BENEFIT DOLLARS TO A SUPPLEMENTAL RETIREMENT/PRE-TAX SAVINGS ACCOUNT. AMOUNTS VEST ON SPECIFIED DATES BASED ON CONTINUED EMPLOYMENT BUT NO LATER THAN THE EXECUTIVE'S 62ND BIRTHDAY. AMOUNTS ACCRUED IN THE PLAN ARE REPORTED IN SCHEDULE J, PART II, COLUMN C. Boston Medical Center provided a 457(f) nonqualified deferred compensation plan to David Beck, Senior Vice President, Chief Legal Counsel, and Clerk of Boston Medical Center. David Beck reached the plan retirement age in 2019 and vested 100% in the plan. The balance of $124,608 in the plan was paid out in 2019. In addition, pursuant to the terms of the plan, once the plan participant reaches the plan retirement age, all future contributions are made in cash. Accordingly, the remaining $50,100 was paid to David Beck in cash in 2019 as well. Schedule J, Part I, Line 6a Employees of the Faculty Practice Plans are subject to the Plans' individual compensation policies and/or the compensation policies of Boston Medical Center. Based on these policies, employees may receive compensation based on net earnings of the department. Schedule J, Part I, Line 7 Employees of the Faculty Practice Plans are subject to the Plans' individual compensation policies and/or the compensation policies of Boston Medical Center. Based on these policies, physicians may receive non-fixed bonus payments reported on Schedule J, Part II, Column B(ii). FORM 990 H(B) AFFILIATES INCLUDED IN GROUP RETURN BOSTON UNIVERSITY MEDICAL CENTER ANESTHESIOLOGISTS, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3276227 BOSTON EMERGENCY PHYSICIAN FOUNDATION, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3286156 BOSTON UNIVERSITY CARDIAC & THORACIC SURGICAL FOUNDATION, INC. One Boston Medical Center Place, BOSTON MA 02118 04-2966416 BOSTON UNIVERSITY DERMATOLOGY, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3335166 BOSTON UNIVERSITY DERMATOLOGY SUPPORT SERVICES I, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3452877 BOSTON UNIVERSITY DERMATOLOGY SUPPORT SERVICES II, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3452874 BOSTON UNIVERSITY SURGICAL ASSOCIATES, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3291148 EVANS MEDICAL FOUNDATION, INC. One Boston Medical Center Place, BOSTON, MA 02118 51-0172171 BOSTON UNIVERSITY EYE ASSOCIATES, INC. One Boston Medical Center Place, Boston, MA 02780 04-3137333 BOSTON UNIVERSITY FAMILY MEDICINE, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3354353 BOSTON UNIVERSITY MALLORY PATHOLOGY ASSOCIATES, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-2794543 BOSTON UNIVERSITY NEUROLOGY ASSOCIATES, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3428462 BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3296068 BOSTON UNIVERSITY OBSTETRICS & GYNECOLOGY FOUNDATION, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3067465 BOSTON UNIVERSITY ORTHOPAEDIC SURGICAL ASSOCIATES, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3354360 BOSTON UNIVERSITY MEDICAL CENTER OTOLARYNGOLOGIC FOUNDATION, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3156471 CHILD HEALTH FOUNDATION OF BOSTON, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-2472758 BOSTON UNIVERSITY PLASTIC SURGERY ASSOCIATES, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3555478 BOSTON UNIVERSITY PSYCHIATRY ASSOCIATES, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3355267 BOSTON UNIVERSITY MEDICAL CENTER RADIOLOGISTS, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3283573 BOSTON REHABILITATION MEDICINE ASSOCIATES, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3286641 BOSTON UNIVERSITY GENERAL SURGICAL ASSOCIATES, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3265008 BOSTON UNIVERSITY MEDICAL CENTER UROLOGISTS, INC. One Boston Medical Center Place, BOSTON, MA 02118 04-3286643 BOSTON UNIVERSITY RADIATION ONCOLOGY, INC. One Boston Medical Center Place, BOSTON, MA 02118 81-0716773 ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 & PART III, LINES 1 AND 4 THE FACULTY PRACTICE PLANS ("THE PLANS") WERE ESTABLISHED AS NOT-FOR-PROFIT CORPORATIONS OPERATING EXCLUSIVELY FOR THE BENEFIT OF BOSTON MEDICAL CENTER AND BOSTON UNIVERSITY SCHOOL OF MEDICINE. THE PLANS' PURPOSE IS TO PROVIDE, COORDINATE AND FACILITATE THE DELIVERY OF PATIENT CARE SERVICES AND TO PROMOTE THE DEVELOPMENT OF AN INTEGRATED SYSTEM OF DELIVERY TO MORE EFFICIENTLY AND EFFECTIVELY MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED BY THE INSTITUTIONS. THE PLANS PROVIDE AMBULATORY SERVICES RANGING FROM PRIMARY ADULT AND PEDIATRIC CARE TO ADVANCED SPECIALTY CARE; AFFILIATED PHYSICIANS ALSO STAFF THE LARGEST 24 HOUR LEVEL 1 TRAUMA CENTER IN NEW ENGLAND. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINES 1B AND 2 ALL OFFICERS AND DIRECTORS ARE EMPLOYEES OF EITHER THE INDIVIDUAL PRACTICE PLAN, BOSTON UNIVERSITY OR BOSTON MEDICAL CENTER, RELATED ORGANIZATIONS. CERTAIN OFFICERS AND DIRECTORS OF THE PRACTICE PLANS ALSO SERVE AS OFFICERS AND TRUSTEES OF BOSTON MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 2 Claudia Hochberg and Natasha Hochberg have a family relationship. They are each directors of Evans Medical Foundation, Inc., an affiliate of Faculty Practice Foundation, Inc. FORM 990, PART VI, SECTION A, LINE 6 WITH THE EXCEPTION OF THOSE LISTED BELOW, THE SOLE MEMBER OF THE ORGANIZATION IS FACULTY PRACTICE FOUNDATION, INC. BU SURGICAL ASSOCIATES IS THE SOLE MEMBER OF THE FOLLOWING: - BOSTON UNIVERSITY CARDIAC AND THORACIC SURGICAL FOUNDATION, INC. - BOSTON UNIVERSITY GENERAL SURGICAL ASSOCIATES, INC. - BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES, INC. - BOSTON UNIVERSITY ORTHOPAEDIC SURGICAL ASSOCIATES, INC. - BOSTON UNIVERSITY PLASTIC SURGERY ASSOCIATES, INC. - BOSTON UNIVERSITY MEDICAL CENTER UROLOGISTS, INC. - BUMC OTOLARYNGOLOGIC FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS MUST BE APPROVED BY THE ORGANIZATION'S SOLE CORPORATE MEMBER, AS SET FORTH IN THE BYLAWS, INCLUDING ADOPTION OF THE BUDGET, ANY MERGER, CONSOLIDATION, LIQUIDATION OR DISSOLUTION, ANY CAPITAL TRANSACTION, AND INCURRENCE OF DEBT. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO THE FILING OF THE FORM 990 WITH THE IRS, THE FORM 990 WAS PREPARED BY OUR OUTSIDE TAX CONSULTANTS AND REVIEWED BY INTERNAL MANAGEMENT. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOSTON MEDICAL CENTER BOARD OF TRUSTEES THEN REVIEWED THE RETURN. EACH MEMBER OF THE BOARD OF EACH PLAN WAS PROVIDED A COPY OF THE FINAL FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12 CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING JUNE 30, 2020 WERE DISTRIBUTED ON 3/1/2021 BY THE COMPLIANCE AND LEGAL SERVICES DEPARTMENT. THE CHIEF COMPLIANCE OFFICER QUERIES TRUSTEES, OFFICERS, AND DIRECTORS ON AT LEAST AN ANNUAL BASIS REGARDING RELATIONSHIPS THAT MAY CREATE POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER ADVISES THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION ACCORDINGLY. FORM 990, PART VI, SECTION B, LINES 15 A&B A COMMITTEE COMPOSED OF THE PRESIDENT AND CEO OF BOSTON MEDICAL CENTER AND THE DEAN OF BOSTON UNIVERSITY SCHOOL OF MEDICINE, THE FOUNDATION'S CORPORATE MEMBERS, APPROVES THE COMPENSATION FOR CERTAIN PHYSICIAN EXECUTIVES. A MEETING OF THE COMMITTEE WAS HELD TO REVIEW AND APPROVE THE FY2020 PROPOSED COMPENSATION FOR THE PHYSICIAN EXECUTIVES SERVING AS PRESIDENTS OF THE PLANS. FOR FY2020 THE SALARY OF EACH OF THE PHYSICIAN EXECUTIVES UNDER CONSIDERATION WAS PROVIDED TO THE COMMITTEE. THE COMMITTEE EVALUATED AND RELIED UPON COMPARABLE DATA IN MAKING ITS DECISION. THE COMPARABLE DATA CONSISTED OF COMPENSATION SURVEY INFORMATION FROM THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES FOR EACH SPECIALTY WHERE AVAILABLE, LISTING BOTH THE FIFTIETH AND SEVENTY-FIFTH SALARY PERCENTILES. THE PROPOSED COMPENSATION AS SUBMITTED OR AMENDED BY THE COMMITTEE WAS VOTED UPON BY THE COMMITTEE. THE COMMITTEE'S ASSESSMENT OF THESE CONSIDERATIONS IS CONTAINED IN THE OFFICIAL MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE PLANS DO NOT MAKE THEIR GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE. SHARED SERVICES AGREEMENT FORM 990, PART VII, SECTION A THE PLANS ARE AFFILIATED WITH BOSTON MEDICAL CENTER ("BMC") AND BOSTON UNIVERSITY SCHOOL OF MEDICINE ("BUSM"). THE PLANS EACH ENTERED INTO A COMMON PAYMASTER AGREEMENT WITH BMC AND THE TRUSTEES OF BOSTON UNIVERSITY ("BU"). UNDER THE TERMS OF THEIR PHYSICIAN PRACTICE AGREEMENTS, FACULTY PHYSICIANS AND PRACTITIONERS ("FACULTY MEMBERS") ARE EMPLOYED BY THE INDIVIDUAL PLANS. THE FACULTY MEMBERS SERVE THE BENEFIT OF BOTH BMC (BY PROVIDING CLINICAL SERVICES) AND BUSM (BY SERVING AS FACULTY MEMBERS OF BUSM). EACH PLAN, WITH RESPECT TO EACH FACULTY MEMBER THAT THE PLAN EMPLOYS, PAYS BU A PERCENTAGE OF THE FACULTY MEMBER'S SALARY AND REIMBURSEMENT FOR FRINGE BENEFITS AND RELATED PAYMENT FEES. BOSTON UNIVERSITY, AS COMMON PAYMASTER, THEN MAKES SALARY PAYMENTS AND PROVIDES BENEFITS TO FACULTY MEMBERS. THE PLANS ALSO PAY FOR A PORTION OF ADMINISTRATIVE SALARIES AND FRINGE BENEFITS FOR NONPHYSICIAN EMPLOYEES OF BMC, WHO PROVIDE SERVICES TO THEM. FORM 990, PART VII, LINE 48 DAVID BECK IS ASSISTANT CLERK FOR ALL REPORTING ENTITIES EXCEPT EVANS MEDICAL FOUNDATION AND BOSTON REHABILITATION MEDICINE ASSOCIATES, INC. FOR EVANS AND REHAB, HE SERVES AS CLERK. FOR FACULTY PRACTICE FOUNDATION, INC. HE WAS ASSISTANT CLERK UNTIL 9/9/19. BOSTON MEDICAL CENTER One Boston Medical Center Pl BOSTON MA 02118 043314093 HEALTHCARE MA 501(C)(3) LINE 3 false TRUSTEES OF BOSTON UNIVERSITY 881 COMMONWEALTH AVENUE BOSTON MA 02115 042103547 EDUCATION MA 501(C)(3) LINE 2 false FACULTY PRACTICE FOUNDATION INC One Boston Medical Center Pl BOSTON MA 02118 043289381 HEALTHCARE MA 501(C)(3) 12B,TYPE 1 false false true false false true false false false false false true false false true true true true true true