2018-05-11T09:58:24-05:00 2017-06-30 134008324 PRICEWATERHOUSECOOPERS LLP 101 SEAPORT BOULEVARD BOSTON MA 02210 990 2016-07-01 900513372 Faculty Practice Foundation INC & Affiliates FACU 6176388000 660 HARRISON AVENUE 3RD FLOOR BOSTON MA 02118 WILLIAM R CREEVY MD PRESIDENT 6176388000 2018-05-09 1 ERIN COUTURE P01390592 6175305000 2016 2022-09-23 18:48:47Z William R Creevy MD 660 HARRISON AVENUE BOSTON MA 02118 391640274 1 1 8094 X WWW.BMC.ORG X 1994 MA SEE SCHEDULE O. 40 0 1681 40 1963470 -515535 0 0 364609754 386354879 1282325 5285395 0 0 365892079 391640274 116850 151800 0 0 276676013 294739047 0 0 0 87654642 90437581 364447505 385328428 1444574 6311846 89663744 92839577 32580057 30899884 57083687 61939693 X SEE SCHEDULE O. 0 0 326027827 151800 386354879 SEE SCHEDULE O. 326027827 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 1681 1 1 1 0 0 0 0 0 0 0 0 0 X 40 0 1 0 0 0 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X MARY BETH MOLLOY 6174144030 660 HARRISON AVENUE BOSTON MA 02118 X ARTHUR THEODORE MD Director - EMF (Until 8/24/16) 50.00 0.00 X 248830 0 50399 AVIVA LEE-PARRITZ MD Director/President - OBGYN 50.00 4.00 X X 508202 0 59386 BRIAN JACK MD Pres/Tres/Clk/Director - Family 50.00 4.00 X X 406807 0 52344 CHRISTOPHER ANDRY PHD Treasurer/Director - Path 50.00 0.00 X X 253298 0 77654 CLAUDIA HOCHBERG MD Director - EMF (As of 8/24/16) 50.00 0.00 X 258471 0 24023 DANIEL REMICK MD Pres/Clerk/Dir - Path 50.00 4.00 X X 615615 0 52641 DARRELL KOTTON MD Director - EMF (As of 8/24/16) 50.00 0.00 X 245241 0 27295 DAVID COLEMAN MD Pres/Treas/Dir - EMF 50.00 5.00 X X 716979 0 36894 DAVID GREER MD Prs/Trs/Dir-Rehab/Neuro 50.00 0.00 X X 0 0 0 DAVID HENDERSON MD Pres/Treas/Clerk/Dir - Psych 50.00 4.00 X X 416739 0 22298 DAVID MCANENY MD Dir/Prs/Trs/Clrk-Cts/Ps/Sa/Gs 50.00 4.00 X X 456777 0 59140 EDWARD FEINBERG MD Director - Eye 10.00 0.00 X 6841 0 3954 FREDERICK RUBERG MD Director - EMF 50.00 0.00 X 233589 0 50301 GERALD DENIS MD Director - EMF (As of 8/24/16) 50.00 0.00 X 124212 0 15788 GERARD DOHERTY MDUT 10116 Dir/Prs/Trs/Clrk-Cts/Ps/Sa/Gs 50.00 5.00 X X 836074 0 76635 GLENN BAREST MD Director - Radio (Until 10/11/16) 50.00 0.00 X 383298 0 60424 ILSE CASTRO-ARAGON MD Clerk/Dir - Radio (As of 10/11/16) 50.00 0.00 X X 373402 0 49398 JAMES HOLSAPPLE MD Pres/Treas/Clerk/Dir-Neurosurg 50.00 0.00 X X 842894 0 52617 JAROSLAW TKACZ MD Treasurer/Director - Radio 50.00 0.00 X X 387805 0 47139 JONATHAN OLSHAKER MD President/trea/Clrk/Dir - ER 50.00 4.00 X X 765153 0 59423 JORGE SOTO MD Pres/Dir - Radio 50.00 0.00 X X 570916 0 102761 JULIE MOTTL-SANTIAGO MD Director - OBGYN 50.00 0.00 X 144723 0 47449 KATHARINE WHITE MD Director - OBGYN (as of 10/1/16) 50.00 0.00 X 229125 0 25195 KEITH LEWIS MD Pres/Trea/Clerk/Director-Anes 50.00 0.00 X X 640476 0 35822 KELLEY SAIA MD Director - OBGYN 50.00 0.00 X 158087 0 41740 KENNETH GRUNDFAST MD President/Director - Oto 50.00 4.00 X X 573300 0 52374 MANJU SUBRAMANIAN MD Director - Eye 50.00 0.00 X 386124 0 31306 MARIE SAINT-HILAIRE MD Prs/Dir/Trs - Neuro 50.00 4.00 X X 206746 0 53030 MINH-TAM TRUONG MD Pres/Dir/Treas/Clerk - Rad Onc 50.00 0.00 X X 320733 0 1851 NAOMI HAMBURG MD Director - EMF 50.00 0.00 X 236389 0 27135 NATASHA HOCHBERG MD Director - EMF (as of 10/24/16) 50.00 0.00 X 164746 0 43490 PADMASINI KANDADAI MD Director - OBGYN (as of 10/1/16) 50.00 0.00 X 227728 0 15218 PAUL HENDESSI MD Director - OBGYN 50.00 0.00 X 290405 0 53840 PAUL TORNETTA MD Prs/Trs/Clrk/Dir-Ortho (as of 1/1/17) 50.00 0.00 X X 485828 0 43647 RAJA SAYEGH MD Director - OBGYN (as of 10/1/16) 50.00 0.00 X 206512 0 49832 RHODA ALANI MD Pres/Dir - Derm 50.00 4.00 X X 687272 0 35824 RICHARD BABAYAN MD Pres/Trea/Clerk/Dir - Urology 50.00 0.00 X X 638747 0 55031 ROBERT VINCI MD Director/Clerk/Pres - CHF 50.00 4.00 X X 528763 0 52621 RONALD IVERSON MD Director-OBGYN 50.00 0.00 X 293311 0 70635 SCOTT DUNCAN MD Prs/Trs/Clrk/Dir - Ortho (until 1/1/17) 50.00 4.00 X X 696278 0 9064 STEPHEN CHRISTIANSEN MD Pres/Trea/Clerk/Dir - Eye 50.00 4.00 X X 632133 0 59363 SUSANNAH ROWE MD Director - Eye 50.00 0.00 X 142952 0 18607 TED CONSTAN Treas-OBGYN, Dir/Treas-CHF 50.00 0.00 X X 0 220219 6431 VICTORIA BOLOTINA MD Director - EMF (as of 8/24/16) 50.00 0.00 X 176918 0 31655 CAROL MASTERS Clerk - OBGYN 50.00 0.00 X 0 51258 20475 DAVID BECK ESQ See Schedule O 5.00 54.00 X 0 462589 64323 GREGORY GRILLONE MD Clerk - Oto 50.00 0.00 X 335739 0 59140 JASON SILVER MD Treas/Clerk - Derm 50.00 0.00 X 135908 0 31143 JULIE O'MALLEY Treasurer - Oto (until 12/1/16) 50.00 0.00 X 0 131057 36627 KEVIN MAGUIRE Clrk-Neuro/Trea-Rehab (UT 5/17/17) 50.00 0.00 X 0 163638 41553 ANDREW STEIN MD Physician - Orthopaedics 50.00 0.00 X 733663 0 59140 ERIC SMITH MD Physician - Ortho 50.00 0.00 X 973761 0 216 ROBERT NICOLETTA MD Professor/Physician - Ortho 50.00 0.00 X 773171 0 30322 TONY TANNOURY MD Professor/Physician - Ortho 50.00 0.00 X 2796830 0 53924 WILLIAM CREEVY MD Pres-FPF/Prof/Phy-Ortho 22.00 32.00 X 1067108 0 59224 JOANNA BUCZEK Fmr Officer/Dir-Psych 50.00 0.00 X 344354 0 57060 CARLOS KASE MD Fmr Officer/Dir-Rehb/Neuro 0.00 0.00 X 225040 0 34299 LYNN FAIRBANK Former Treasurer - Oto 50.00 0.00 X 0 150755 20779 24104013 1179516 2409899 759 1 1 0 ANESTHESIA ASSOC OF MA 690 CANTON STREET WESTWOOD MA 02090 MGMT SERVICES 7449221 PST SERVICES INC 10 MOLLISON WAY LEWISTON ME 04240 BILLING SERVICES 4312185 CHILDREN'S HOSPITAL OF BOSTON 300 LONGWOOD AVENUE BOSTON MA 02215 PHYSICIAN SERVICES 1036702 BU PAYROLL PROCESSING 881 COMMONWEALTH AVENUE BOSTON MA 02215 BILLING SERVICES 960659 OPTUM360 LLC 3436 MOMENTUM PLACE CHICAGO IL 60589 BILLING SERVICES 561807 13 PATIENT REVENUE 900099 173867777 171904307 1963470 INSTITUTIONAL SUPPORT 541380 92205798 92205798 REIMBURSEMENT OF OPERATING EXPENS 900099 72700991 72700991 CONTRACT & HEALTH CENTER REVENUE 900099 17900970 17900970 FREE CARE REIMBURSEMENT 900099 8132681 8132681 21546662 21546662 386354879 5284669 5284669 726 0 726 726 726 391640274 384391409 1963470 5285395 151800 151800 17756254 15246834 2509420 1444905 1095750 349155 218895933 182482028 36413905 39328 31850 7478 56384749 46605034 9779715 217878 181329 36549 620977 620977 20392 20392 422666 422666 24941265 22689388 2251877 72166 62196 9970 3607528 2960654 646874 517077 427869 89208 1785070 1442272 342798 909573 751526 158047 2099892 1743423 356469 12203 10290 1913 19439486 16329168 3110318 1456309 1118440 337869 5028740 4225286 803454 BAD DEBT EXPENSE 23584496 23584496 MEDICAL AND SURGICAL SU 1477346 1240971 236375 RESEARCH EXPENSES 1268072 962061 306011 DUES/MEMBERSHIPS/LIC. M 1056158 905903 150255 2118165 1779259 338906 385328428 326027827 59300601 0 22006594 17949499 2387119 2123671 15918486 16724568 13902522 11116511 3922320 2786011 36487227 38463241 8941998 14792587 89663744 92839577 19412236 20600920 13167821 10298964 32580057 30899884 X 57083687 61939693 57083687 61939693 89663744 92839577 6311846 -1700273 244433 0 X 0 1 X 1 0 X X 2 BOSTON MEDICAL CENTER 043314093 3 1 0 0 TRUSTEES OF BOSTON UNIVERSITY 042103547 2 1 0 0 2 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 SCHEDULE A, PART IV, SECTION A, LINE 6 IN ADDITION TO PROVIDING GRANTS TO ITS SUPPORTED ORGANIZATIONS, THE FACULTY PRACTICE PLANS (FPPS) ALSO PROVIDE GRANTS TO ORGANIZATIONS THAT ADVANCE THE MISSION OF THE FPPS 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. 2559112 1910807 648305 9847949 7999099 1848850 1495461 1206605 288856 2786011 OTHER RECEIVABLES 3884344 DUE FROM AFFILIATES 10655277 OTHER ASSETS 252966 14792587 DUE TO AFFILIATES 9752167 LONG TERM CAPITAL LEASE OBLIGA 343797 LNG TRM POR. OF DUE TO REL. PA 203000 10298964 X Part X, Line 2: THE FACULTY PRACTICE FOUNDATION, INC. ("FACULTY") AND ITS AFFILIATED FACULTY PRACTICE PLANS ("PLANS") ARE INCLUDED IN COMBINED FINANCIAL STATEMENTS. THE TEXT OF THE FIN 48 FOOTNOTE INCLUDED IN THESE COMBINED FINANCIAL STATEMENTS IS AS FOLLOWS: FACULTY AND THE PLANS HAVE BEEN DETERMINED TO BE TAX-EXEMPT ORGANIZATIONS UNDER SECTIONS 501(C)(3) OF THE INTERNAL REVENUE CODE AS EVIDENCED BY A DETERMINATION LETTER DATED MAY 29, 1997, AS PART OF A GROUP FILING WITH THE PLANS AND FACULTY. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. 1 Orthopaedic Research 6300 N River Rd 700 ROSEMONT IL 60018 366009467 501(c)(3) 8000 GENERAL SUPPORT Boston Medical Center 88 East Newton Street BOSTON MA 02118 043314093 501(c)(3) 100000 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 7272 Greenville Ave DALLAS TX 75231 135613797 501(C)(3) 15000 GENERAL SUPPORT AMERICAN THORACIC SOCIETY 25 BROADWAY NEW YORK NY 10004 061548706 501(C)(3) 10000 GENERAL SUPPORT 4 Part I, Line 2: THE 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 THE 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 0 1 0 0 0 0 0 1 0 ARTHUR THEODORE MD Director - EMF (Until 8/24/16) 245851 0 0 0 2979 0 33197 0 17202 0 299229 0 0 0 AVIVA LEE-PARRITZ MD Director/President - OBGYN 464870 0 0 0 43332 0 35260 0 24126 0 567588 0 0 0 BRIAN JACK MD Pres/Tres/Clk/Director - Family 379971 0 0 0 26836 0 35260 0 17084 0 459151 0 0 0 CHRISTOPHER ANDRY PHD Treasurer/Director - Path 216549 0 0 0 36749 0 31975 0 45679 0 330952 0 0 0 CLAUDIA HOCHBERG MD Director - EMF (As of 8/24/16) 252214 0 0 0 6257 0 23671 0 352 0 282494 0 0 0 DANIEL REMICK MD Pres/Clerk/Dir - Path 443109 0 0 0 172506 0 35260 0 17381 0 668256 0 0 0 DARRELL KOTTON MD Director - EMF (As of 8/24/16) 237103 0 0 0 8138 0 26960 0 335 0 272536 0 0 0 DAVID COLEMAN MD Pres/Treas/Dir - EMF 449475 0 0 0 267504 0 35260 0 1634 0 753873 0 0 0 DAVID HENDERSON MD Pres/Treas/Clerk/Dir - Psych 391411 0 0 0 25328 0 0 0 22298 0 439037 0 0 0 DAVID MCANENY MD Dir/Prs/Trs/Clrk-Cts/Ps/Sa/Gs 278584 0 0 0 178193 0 35260 0 23880 0 515917 0 0 0 FREDERICK RUBERG MD Director - EMF 229569 0 0 0 4020 0 26752 0 23549 0 283890 0 0 0 GERARD DOHERTY MDUT 10116 Dir/Prs/Trs/Clrk-Cts/Ps/Sa/Gs 330945 0 0 0 505129 0 35260 0 41375 0 912709 0 0 0 GLENN BAREST MD Director - Radio (Until 10/11/16) 257610 0 0 0 125688 0 35260 0 25164 0 443722 0 0 0 ILSE CASTRO-ARAGON MD Clerk/Dir - Radio (As of 10/11/16) 258477 0 0 0 114925 0 25102 0 24296 0 422800 0 0 0 JAMES HOLSAPPLE MD Pres/Treas/Clerk/Dir-Neurosurg 445650 0 0 0 397244 0 35260 0 17357 0 895511 0 0 0 JAROSLAW TKACZ MD Treasurer/Director - Radio 260628 0 0 0 127177 0 29960 0 17179 0 434944 0 0 0 JONATHAN OLSHAKER MD President/trea/Clrk/Dir - ER 440750 0 0 0 324403 0 35260 0 24163 0 824576 0 0 0 JORGE SOTO MD Pres/Dir - Radio 363714 0 0 0 207202 0 35260 0 67501 0 673677 0 0 0 JULIE MOTTL-SANTIAGO MD Director - OBGYN 137683 0 0 0 7040 0 18665 0 28784 0 192172 0 0 0 KATHARINE WHITE MD Director - OBGYN (as of 10/1/16) 224455 0 0 0 4670 0 0 0 25195 0 254320 0 0 0 KEITH LEWIS MD Pres/Trea/Clerk/Director-Anes 450000 0 0 0 190476 0 35260 0 562 0 676298 0 0 0 KELLEY SAIA MD Director - OBGYN 155424 0 0 0 2663 0 17897 0 23843 0 199827 0 0 0 KENNETH GRUNDFAST MD President/Director - Oto 442729 0 0 0 130571 0 35260 0 17114 0 625674 0 0 0 MANJU SUBRAMANIAN MD Director - Eye 255656 0 0 0 130468 0 24660 0 6646 0 417430 0 0 0 MARIE SAINT-HILAIRE MD Prs/Dir/Trs - Neuro 204998 0 0 0 1748 0 28414 0 24616 0 259776 0 0 0 MINH-TAM TRUONG MD Pres/Dir/Treas/Clerk - Rad Onc 316113 0 0 0 4620 0 0 0 1851 0 322584 0 0 0 NAOMI HAMBURG MD Director - EMF 235774 0 0 0 615 0 26801 0 334 0 263524 0 0 0 NATASHA HOCHBERG MD Director - EMF (as of 10/24/16) 161181 0 0 0 3565 0 15658 0 27832 0 208236 0 0 0 PADMASINI KANDADAI MD Director - OBGYN (as of 10/1/16) 218138 0 0 0 9590 0 3834 0 11384 0 242946 0 0 0 PAUL HENDESSI MD Director - OBGYN 255834 0 0 0 34571 0 29960 0 23880 0 344245 0 0 0 PAUL TORNETTA MD Prs/Trs/Clrk/Dir-Ortho (as of 1/1/17 262918 0 0 0 222910 0 35260 0 8387 0 529475 0 0 0 RAJA SAYEGH MD Director - OBGYN (as of 10/1/16) 202604 0 0 0 3908 0 27719 0 22113 0 256344 0 0 0 RHODA ALANI MD Pres/Dir - Derm 449464 0 0 0 237808 0 35260 0 564 0 723096 0 0 0 RICHARD BABAYAN MD Pres/Trea/Clerk/Dir - Urology 443006 0 0 0 195741 0 35260 0 19771 0 693778 0 0 0 ROBERT VINCI MD Director/Clerk/Pres - CHF 446753 0 0 0 82010 0 35260 0 17361 0 581384 0 0 0 RONALD IVERSON MD Director-OBGYN 258818 0 0 0 34493 0 35260 0 35375 0 363946 0 0 0 SCOTT DUNCAN MD Prs/Trs/Clrk/Dir - Ortho (until 1/1/ 444308 0 0 0 251970 0 0 0 9064 0 705342 0 0 0 STEPHEN CHRISTIANSEN MD Pres/Trea/Clerk/Dir - Eye 443870 0 0 0 188263 0 35260 0 24103 0 691496 0 0 0 SUSANNAH ROWE MD Director - Eye 111349 0 0 0 31603 0 913 0 17694 0 161559 0 0 0 TED CONSTAN Treas-OBGYN, Dir/Treas-CHF 0 214864 0 5355 0 0 0 6431 0 0 0 226650 0 0 VICTORIA BOLOTINA MD Director - EMF (as of 8/24/16) 175487 0 0 0 1431 0 23318 0 8337 0 208573 0 0 0 DAVID BECK ESQ See Schedule O 0 375198 0 85183 0 2208 0 43650 0 20673 0 526912 0 0 GREGORY GRILLONE MD Clerk - Oto 255834 0 0 0 79905 0 35260 0 23880 0 394879 0 0 0 JASON SILVER MD Treas/Clerk - Derm 135831 0 0 0 77 0 11160 0 19983 0 167051 0 0 0 JULIE O'MALLEY Treasurer - Oto (until 12/1/16) 0 113082 0 0 0 17975 0 6467 0 30160 0 167684 0 0 KEVIN MAGUIRE Clrk-Neuro/Trea-Rehab (UT 5/17/17) 0 161113 0 2525 0 0 0 11790 0 29763 0 205191 0 0 ANDREW STEIN MD Physician - Orthopaedics 258894 0 0 0 474769 0 35260 0 23880 0 792803 0 0 0 ERIC SMITH MD Physician - Ortho 197220 0 0 0 776541 0 0 0 216 0 973977 0 0 0 ROBERT NICOLETTA MD Professor/Physician - Ortho 262103 0 0 0 511068 0 29960 0 362 0 803493 0 0 0 TONY TANNOURY MD Professor/Physician - Ortho 256703 0 0 0 2540127 0 29960 0 23964 0 2850754 0 0 0 WILLIAM CREEVY MD Pres-FPF/Prof/Phy-Ortho 258810 0 132978 0 675320 0 35260 0 23964 0 1126332 0 0 0 JOANNA BUCZEK Fmr Officer/Dir-Psych 256771 0 0 0 87583 0 33481 0 23579 0 401414 0 0 0 CARLOS KASE MD Fmr Officer/Dir-Rehb/Neuro 196341 0 0 0 28699 0 25749 0 8550 0 259339 0 0 0 LYNN FAIRBANK Former Treasurer - Oto 0 146965 0 3790 0 0 0 7586 0 13193 0 171534 0 0 SCHEDULE J, PART II 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 EXECUTIVE 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 SCHEDULE J, PART I, LINE 7 THE FACULTY PRACTICE FOUNDATION, INC. AND AFFILIATES DO NOT DISTRIBUTE COMPENSATION CONTINGENT ON REVENUE OR NET EARNINGS OF THE ORGANIZATION AS A WHOLE, NOR THE INDIVIDUAL PRACTICES. HOWEVER, BASED ON THE INDIVIDUAL PHYSICIAN ACTIVITY INCOME STATEMENT, A PHYSICIAN MAY BE PAID COMPENSATION, WHICH IS REPORTED AS "OTHER NON-FIXED PAYMENTS" ON SCHEDULE J, PART II, COLUMN B(III). IN CONNECTION WITH HIS ROLE AS THE PRESIDENT OF FACULTY PRACTICE PLAN, INC., A HIGHLY COMPENSATED INDIVIDUAL IS PROVIDED INCENTIVE COMPENSATION BASED ON PERFORMANCE TARGETS THAT ARE ESTABLISHED AND APPROVED BY THE COMPENSATION COMMITTEE. THIS AMOUNT IS REPORTED ON SCHEDULE J, PART II, COLUMN B(II). Form 990, Part VI, Section A, line 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 DIRECTORS OF BOSTON MEDICAL CENTER. 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 PLANS' BOARD WAS PROVIDED A COPY OF THE FINAL FORM 990 PRIOR TO FILING. Form 990, Part VI, Section B, line 12c CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING JUNE 30, 2017 WERE DISTRIBUTED ON MARCH 27, 2018 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, line 15 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 FY2017 PROPOSED COMPENSATION FOR THE PHYSICIAN EXECUTIVE SERVING AS PRESIDENTS OF THE PLANS AS WELL AS THE EXECUTIVE WHO SERVES AS THE DEPARTMENT CHAIR OF ANESTHESIA. FOR FY2017 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 AAMC 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. FORM 990, H(B) AFFILIATES INCLUDED IN GROUP RETURN BOSTON UNIVERSITY MEDICAL CENTER ANESTHESIOLOGISTS, INC. 88 EAST NEWTON STREET, BOSTON, MA 02118 04-3276227 BOSTON EMERGENCY PHYSICIAN FOUNDATION, INC. 860 HARRISON AVENUE, BOSTON, MA 02118 04-3286156 BOSTON UNIVERSITY CARDIAC & THORACIC SURGICAL FOUNDATION, INC. 88 EAST NEWTON STREET, BOSTON MA 02118 04-2966416 BOSTON UNIVERSITY DERMATOLOGY, INC. 609 ALBANY STREET, BOSTON, MA 02118 04-3335166 BOSTON UNIVERSITY DERMATOLOGY SUPPORT SERVICES I, INC. 609 ALBANY STREET, BOSTON, MA 02118 04-3452877 BOSTON UNIVERSITY DERMATOLOGY SUPPORT SERVICES II, INC. 609 ALBANY STREET, BOSTON, MA 02118 04-3452874 BOSTON UNIVERSITY SURGICAL ASSOCIATES, INC. 88 EAST NEWTON STREET, SUITE C500, BOSTON, MA 02118 04-3291148 EVANS MEDICAL FOUNDATION, INC. 88 EAST NEWTON STREET, BOSTON, MA 02118 51-0172171 BOSTON UNIVERSITY EYE ASSOCIATES, INC. 2005 BAY STREET, SUITE 201, TAUNTON, MA 02780 04-3137333 BOSTON UNIVERSITY FAMILY MEDICINE, INC. 1 BOSTON MEDICAL CENTER, SUITE DOWLING 5 SOUTH, BOSTON, MA 02118 04-3354353 BOSTON UNIVERSITY MALLORY PATHOLOGY ASSOCIATES, INC. 670 ALBANY STREET, 3RD FLOOR, BOSTON, MA 02118 04-2794543 BOSTON UNIVERSITY NEUROLOGY ASSOCIATES, INC. 72 EAST CONCORD STREET C3, BOSTON, MA 02118 04-3428462 BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES, INC. 72 EAST CONCORD STREET C3, BOSTON, MA 02118 04-3296068 BOSTON UNIVERSITY OBSTETRICS & GYNECOLOGY FOUNDATION, INC. 85 EAST CONCORD STREET, 6TH FLOOR, BOSTON, MA 02118 04-3067465 BOSTON UNIVERSITY ORTHOPAEDIC SURGICAL ASSOCIATES, INC. 720 HARRISON AVENUE, DOB SUITE 808, BOSTON, MA 02118 04-3354360 BOSTON UNIVERSITY MEDICAL CENTER OTOLARYNGOLOGIC FOUNDATION, INC. 820 HARRISON AVENUE FGH BLDG 4TH FLOOR STREET, BOSTON, MA 02118 04-3156471 CHILD HEALTH FOUNDATION OF BOSTON, INC. 771 ALBANY STREET, DOWLING 3 SOUTH, BOSTON, MA 02118 04-2472758 BOSTON UNIVERSITY PLASTIC SURGERY ASSOCIATES, INC. 720 HARRISON AVENUE, DOB 9TH FLOOR, BOSTON, MA 02118 04-3555478 BOSTON UNIVERSITY PSYCHIATRY ASSOCIATES, INC. 85 EAST NEWTON STREET, SUITE 802, BOSTON, MA 02118 04-3355267 BOSTON UNIVERSITY MEDICAL CENTER RADIOLOGISTS, INC. 820 HARRISON AVENUE FGH BLDG 3RD FLOOR, BOSTON, MA 02118 04-3283573 BOSTON REHABILITATION MEDICINE ASSOCIATES, INC. 732 HARRISON AVENUE, SUITE 511, BOSTON, MA 02118 04-3286641 BOSTON UNIVERSITY GENERAL SURGICAL ASSOCIATES, INC. 88 EAST NEWTON STREET, SUITE C500, BOSTON, MA 02118 04-3265008 BOSTON UNIVERSITY MEDICAL CENTER UROLOGISTS, INC. 725 ALBANY STREET SHAPIRO 3B, BOSTON, MA 02118 04-3286643 BOSTON UNIVERSITY RADIATION ONCOLOGY, INC. 1 BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118 81-0716773 ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 AND 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. 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 THE PHYSICIAN PRACTICE AGREEMENTS, FACULTY PHYSICIANS AND PRACTITIONERS ("FACULTY MEMBERS") ARE EMPLOYED BY THE INDIVIDUAL PLANS. THE FACULTY SERVES THE BENEFIT OF 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. 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 1, LINE 43 DAVID BECK WAS ASSISTANT CLERK AT ALL REPORTING ENTITIES AND A CLERK AT EVANS MEDICAL FOUNDATION. BOSTON MEDICAL CENTER 88 EAST NEWTON STREET BOSTON MA 02118 043314093 healthcare MA 501(C)(3) Line 3 N/A 0 TRUSTEES OF BOSTON UNIVERSITY 881 COMMONWEALTH AVENUE BOSTON MA 02115 042103547 EDUCATION MA 501(C)(3) Line 2 N/A 0 FACULTY PRACTICE FOUNDATION INC 660 Harrison Avenue 3rd Floor Boston MA 02118 043289381 healthcare MA 501(C)(3) 12B,TYPE I N/A 0 0 1 0 0 1 0 0 0 0 0 1 0 0 1 1 1 1 1 1