2016-05-16T13:38:21-05:00 2015-06-30 PricewaterhouseCoopers LLP 101 SEAPORT BOULEVARD Boston MA 02210 990 2014-07-01 900513372 Faculty Practice Foundation INC & Affiliates % MARY BETH MOLLOY FACU 6176388000 660 HARRISON AVENUE 3RD FLOOR BOSTON MA 02118 WILLIAM R CREEVY MD PRESIDENT/CEO 6175305000 2016-05-11 true ERIN COUTURE P01390592 6175305000 2014 2016-08-17 19:52:53Z William R Creevy MD 660 HARRISON AVENUE BOSTON MA 02118 339414756 true true 8094 X WWW.BMC.ORG X 1994 MA SEE SCHEDULE O. 33 0 1472 33 0 0 0 354099767 337887999 2303780 1526757 0 0 356403547 339414756 365809 108825 0 0 254408387 256205558 0 0 0 97094848 88364204 351869044 344678587 4534503 -5263831 79166680 85075907 20012036 31334559 59154644 53741348 X SEE SCHEDULE O. false false 290453785 108825 337887999 SEE SCHEDULE O. 290453785 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 true false false false true 2 0 true 1472 true true true false false false false false false false false false X 33 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 Jonathan S Olshaker MD President/TREA/CLRK/DIR - ER 50.0 5.0 X X 599768 0 61439 Susannah G Rowe MD Director-EYE 50.0 0.0 X 205967 0 50346 Manju L Subramanian MD Director-EYE 50.0 0.0 X 434598 0 30492 Daniel G Remick MD PRES/CLERK/DIR - PATH 50.0 4.0 X X 570059 0 53751 Michael J O'Brien MD Director-PATH (UNTIL 10/2/14) 50.0 0.0 X 336889 0 55931 Alexander M Norbash MD PRESIDENT/DIRECTOR - RADIO 50.0 5.0 X X 647308 0 61209 Richard K Babayan MD RES/TREA/CLERK/DIR-UROLOGY 50.0 4.0 X X 624021 0 56132 Carlos S Kase MD DIR/PRS/TRS-NEURO,DIR/PRS-REHB 50.0 4.0 X X 398131 0 53393 Paul M Hendessi MD DIRECTOR - OBGYN 50.0 4.0 X 269548 0 48827 Thomas EinhornMDUNTIL 1214 PRES/TREAS/CLERK/DIR - ORTHO 50.0 4.0 X X 720534 0 53761 Domenic CirauloMDuntil 1014 PRES/TRES/CLRK/DIR-PSYCH 50.0 1.0 X X 485768 0 53587 Keith P Lewis MD PRES/TREA/CLERK/DIRECTOR-ANES 50.0 0.0 X X 501577 0 35325 Kenneth M Grundfast MD PRESIDENT/DIRECTOR-OTO 50.0 4.0 X X 542397 0 53940 David DiFiore UNTIL 122614 Treasurer/Director-CHF 50.0 0.0 X X 0 190919 14933 David L Coleman MD PRES/TREAS/DIR - EMF 50.0 6.0 X X 691733 0 37104 STEPHEN CHRISTIANSEN MD PRES/TREA/CLERK/DIR - EYE 50.0 4.0 X X 520793 0 63149 JULIE MOTTL-SANTIAGO MD DIRECTOR-OBGYN 50.0 0.0 X 144431 0 46869 RHODA M ALANI MD PRES/TREAS/CLERK/DIR - DERM 50.0 4.0 X X 463563 0 33375 JERROLD ELLNER MD DIRECTOR-EMF (UNTIL 10/15/14) 50.0 0.0 X 378442 0 55960 MARIA TROJANOWSKA PHD DIRECTOR-EMF (UNTIL 10/15/14) 50.0 0.0 X 205782 0 36431 JOHN DURFEE MD Director-OBGYN 50.0 0.0 X 282214 0 59362 GERARD DOHERTY MD TREAS/DIRECTOR - CTS/PA/SA/GS 50.0 6.0 X X 846474 0 106527 JAMES HOLSAPPLE MD PRES/TREAS/CLERK/DIR-NEUROSURG 50.0 4.0 X X 666921 0 53761 JANE LIEBSCHUTZ MD DIRECTOR-EMF 50.0 0.0 X 211921 0 52660 JAROSLAW TKACZ MD TREASURER/DIRECTOR - RADIO 50.0 0.0 X X 366140 0 47870 RONALD IVERSON MD DIRECTOR-OBGYN 50.0 0.0 X 305734 0 84658 WUQAAS MUNIR MD DIRECTOR-EYE (UNTIL 9/9/14) 50.0 0.0 X 165120 0 27767 ROBERT J VINCI MD DIRECTOR/CLERK/PRES - CHF 50.0 5.0 X X 447454 0 59040 BRIAN JACK MD PRES/TRES/CLK/DIRECTOR- FAMILY 50.0 5.0 X X 337094 0 53385 CHRISTOPHER ANDRY PHD TREASURER/DIRECTOR - PATH 50.0 0.0 X X 213816 0 51279 AVIVA LEE-PARRITZ MD DIRECTOR/PRESIDENT - OBGYN 50.0 5.0 X X 403038 0 60252 Edward B Feinberg MD Director-EYE (as of 9/9/14) 50.0 0.0 X 5234 0 22430 Scott DuncanMDas of 1115 PRES/TREAS/CLRK/DIR - ORTHO 50.0 4.0 X X 0 0 0 Joanna Buczek as of 101814 PRES/TREAS/CLRK/DIR - PSYCH 50.0 0.0 X X 322937 0 54289 Naomi Hamburg MD Director - EMF(as of 10/15/14) 50.0 0.0 X 206608 0 19372 Kelley Saia MD DIRECTOR-OBGYN 50.0 0.0 X 165546 0 44373 Alan Farwell MD director - EMF 50.0 0.0 X 233901 0 58575 Arthur Theodore DIRECTOR - EMF 50.0 0.0 X 233174 0 58155 Katya Ravid director - emf 50.0 0.0 X 212307 0 28664 GLENN BAREST MD DIRECTOR - RADIO 50.0 0.0 X 365278 0 65192 Kevin Maguire Clerk-NEURO/TREA-REHAB 50.0 0.0 X 0 146779 38081 DIANE HOLMES UNTIL 22015 TREASURER/CLERK - DERM 50.0 0.0 X 0 157175 17475 GREGORY GRILLONE MD CLERK-OTO 50.0 0.0 X 420312 0 60846 DAVID BECK ESQ SEE SCHEDULE O 5.0 55.0 X 0 414645 60431 Julie O'Malley Treasurer - OTO 50.0 0.0 X 0 120560 27375 Carol Masters CLERK - OBGYN 50.0 0.0 X 0 48760 29518 Alda Cossi MD CLERK -RADIO 50.0 0.0 X 378533 0 53852 TED CONSTAN TREASURER - OBGYN 50.0 0.0 X 0 183251 5375 TONY TANNOURY MD PROFESSOR/PHYSICIAN - ORTHO 50.0 0.0 X 2048398 0 55730 JEFFREY SPIEGEL MD PROFESSOR/PHYSICIAN - OTO 50.0 0.0 X 821519 0 34814 WILLIAM CREEVY MD Pres-FPF/PROF/PHY-ORTHO 22.0 33.0 X 981442 0 60930 SCHARUKH JALISI MD PROFESSOR/PHYSICIAN-OTO 50.0 0.0 X 656862 0 49477 ANDREW STEIN PHYSICIAN - Orthopedics 50.0 0.0 X 826511 0 59113 Barry S Zuckerman MD FORMER PRESIDENT - CHF 0.0 0.0 X 138143 0 37371 LYNN FAIRBANK FORMER TREASURER - OTO 0.0 0.0 X 0 148731 17849 21003940 1410820 2571802 689 true true false ANESTHESIA ASSOC OF MA 690 CANTON STREET WESTWOOD MA 02090 MGMT SERVICES 7796396 PER SE TECHNOLOGIES 10 MOLLISON WAY LEWISTON ME 04240 BILLING SERVICES 2769717 BU payroll processing 881 Commonwealth Ave BOSTON MA 02215 BILLING SERVICES 859914 HART ASSOCIATES INC 3 ALLIED DRIVE DEDHAM MA 02026 BILLING SERVICES 833906 Optum360 LLC 3436 Momemtum Place CHICAGO IL 60689 Billing Services 689172 11 0 PATIENT REVENUE 900099 155342595 155342595 INSTITUTIONAL SUPPORT 541380 72718261 72718261 FREE CARE REIMBURSEMENT 900099 11271377 11271377 REIMBURSEMENT OF OPERATING EXPENSE 900099 62891519 62891519 CONTRACT & HEALTH CENTER REVENUE 900099 14688680 14688680 20975567 20975567 337887999 1493673 1493673 0 0 0 0 0 33084 0 33084 33084 33084 0 0 0 0 339414756 337887999 1526757 108825 108825 0 0 0 15938873 13520695 2418178 994917 872102 122815 185926554 155374190 30552364 26809 21447 5362 53123476 44081362 9042114 194929 163519 31410 840019 840019 10390 10390 13000 13000 0 0 201488 201488 20409165 18304660 2104505 83749 70824 12925 3595596 2948532 647064 383691 313727 69964 0 1608476 1306854 301622 830366 702009 128357 0 2315379 1924598 390781 6537 5231 1306 16729625 11327492 5402133 1219665 925961 293704 4769584 4014457 755127 BAD DEBT EXPENSE 19659350 19659350 BU ENDOWED PROFESSORSHIP 9654039 9654039 RESEARCH EXPENSES 1864463 1444402 420061 DUES, MEMBERSHIPS& LIC. MDS. 1088212 946918 141294 3081410 2762591 318819 344678587 290453785 54224802 0 21598938 17511039 0 2993283 0 0 14941005 15064048 0 0 0 0 0 0 0 0 0 0 13321240 9282416 4458873 4038824 32339466 37473116 0 0 0 0 0 0 5828398 7995597 79166680 85075907 13849732 16819959 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6162304 14514600 20012036 31334559 X 59154644 53741348 0 0 0 0 59154644 53741348 79166680 85075907 X -5263831 -69139 199930 -280256 X false true X true false X X 2 BOSTON MEDICAL CENTER 043314093 3 true 0 0 TRUSTEES OF BOSTON UNIVERSITY 042103547 2 true 0 0 2 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 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 ADVANCED SPECIALTY CARE; AFFILIATED PHYSICIANS ALSO STAFF THE LARGEST 24 HOUR LEVEL 1 TRAUMA CENTER IN NEW ENGLAND. 2320247 1077986 1242261 9317879 7017922 2299957 1683114 1186508 496606 4038824 OTHER RECEIVABLES 2719017 DUE FROM AFFILIATES 4990804 OTHER ASSETS 285776 7995597 0 DUE TO AFFILIATES 8243942 LONG TERM CAPITAL LEASE OBLIGA 299450 LNG TRM POR. OF DUE TO REL. PARTIES 5971208 14514600 X schedule d, part x - fin 48 THE FOUNDATION HAS BEEN DETERMINED TO BE A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) AND 170(C)(2) 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 FINANCIAL STATEMENTS. true Orthopaedic Research 6300 N River Rd 700 ROSEMONT IL 60018 366009467 501(c)(3) 10000 GENERAL SUPPORT Boston Medical Center 88 East Newton Street BOSTON MA 02118 043314093 501(c)(3) 76700 GENERAL SUPPORT Inter Heart Ball 7272 Greenville Ave DALLAS TX 75231 135613797 501(C)(3) 7500 GENERAL SUPPORT 3 SCHEDULE I, 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 false true X X X false true false false false false false true false Jonathan S Olshaker MD President/TREA/CLRK/DIR - ER 438290 0 0 0 161478 0 34585 0 26854 0 661207 0 0 0 Susannah G Rowe MD Director-EYE 203068 0 0 0 2899 0 27885 0 22461 0 256313 0 0 0 Manju L Subramanian MD Director-EYE 251154 0 0 0 183444 0 24185 0 6307 0 465090 0 0 0 Daniel G Remick MD PRES/CLERK/DIR - PATH 439069 0 0 0 130990 0 34585 0 19166 0 623810 0 0 0 Michael J O'Brien MD Director-PATH (UNTIL 10/2/14) 248098 0 0 0 88791 0 34585 0 21346 0 392820 0 0 0 Alexander M Norbash MD PRESIDENT/DIRECTOR - RADIO 438070 0 0 0 209238 0 34585 0 26624 0 708517 0 0 0 Richard K Babayan MD RES/TREA/CLERK/DIR-UROLOGY 435098 0 0 0 188923 0 34585 0 21547 0 680153 0 0 0 Carlos S Kase MD DIR/PRS/TRS-NEURO,DIR/PRS-REHB 377909 0 0 0 20222 0 34585 0 18808 0 451524 0 0 0 Kevin Maguire Clerk-NEURO/TREA-REHAB 0 143084 0 3695 0 0 0 10545 0 27536 0 184860 0 0 Paul M Hendessi MD DIRECTOR - OBGYN 235532 0 0 0 34016 0 23645 0 25182 0 318375 0 0 0 Thomas EinhornMDUNTIL 1214 PRES/TREAS/CLERK/DIR - ORTHO 443682 0 0 0 276852 0 34585 0 19176 0 774295 0 0 0 Domenic CirauloMDuntil 1014 PRES/TRES/CLRK/DIR-PSYCH 413599 0 0 0 72169 0 34585 0 19002 0 539355 0 0 0 Keith P Lewis MD PRES/TREA/CLERK/DIRECTOR-ANES 450000 0 0 0 51577 0 34585 0 740 0 536902 0 0 0 Kenneth M Grundfast MD PRESIDENT/DIRECTOR-OTO 437681 0 0 0 104716 0 34585 0 19355 0 596337 0 0 0 Barry S Zuckerman MD FORMER PRESIDENT - CHF 137449 0 0 0 694 0 18718 0 18653 0 175514 0 0 0 David DiFiore UNTIL 122614 Treasurer/Director-CHF 0 184919 0 6000 0 0 0 13422 0 1511 0 205852 0 0 David L Coleman MD PRES/TREAS/DIR - EMF 449265 0 0 0 242468 0 34585 0 2519 0 728837 0 0 0 STEPHEN CHRISTIANSEN MD PRES/TREA/CLERK/DIR - EYE 439130 0 0 0 81663 0 34585 0 28564 0 583942 0 0 0 DIANE HOLMES UNTIL 22015 TREASURER/CLERK - DERM 0 154115 0 3060 0 0 0 7797 0 9678 0 174650 0 0 JULIE MOTTL-SANTIAGO MD DIRECTOR-OBGYN 136209 0 0 0 8222 0 15745 0 31124 0 191300 0 0 0 GREGORY GRILLONE MD CLERK-OTO 248154 0 0 0 172158 0 34585 0 26261 0 481158 0 0 0 RHODA M ALANI MD PRES/TREAS/CLERK/DIR - DERM 437663 0 0 0 25900 0 29385 0 3990 0 496938 0 0 0 JERROLD ELLNER MD DIRECTOR-EMF (UNTIL 10/15/14) 369085 0 0 0 9357 0 34585 0 21375 0 434402 0 0 0 MARIA TROJANOWSKA PHD DIRECTOR-EMF (UNTIL 10/15/14) 204531 0 0 0 1251 0 27242 0 9189 0 242213 0 0 0 JOHN DURFEE MD Director-OBGYN 237913 0 0 0 44301 0 33118 0 26244 0 341576 0 0 0 DAVID BECK ESQ SEE SCHEDULE O 0 347851 0 63656 0 3138 0 40000 0 20431 0 475076 0 0 GERARD DOHERTY MD TREAS/DIRECTOR - CTS/PA/SA/GS 438570 0 0 0 407904 0 34585 0 71942 0 953001 0 0 0 JAMES HOLSAPPLE MD PRES/TREAS/CLERK/DIR-NEUROSURG 443682 0 0 0 223239 0 34585 0 19176 0 720682 0 0 0 JANE LIEBSCHUTZ MD DIRECTOR-EMF 190777 0 0 0 21144 0 26402 0 26258 0 264581 0 0 0 JAROSLAW TKACZ MD TREASURER/DIRECTOR - RADIO 253661 0 0 0 112479 0 28952 0 18918 0 414010 0 0 0 RONALD IVERSON MD DIRECTOR-OBGYN 254304 0 0 0 51430 0 29385 0 55273 0 390392 0 0 0 WUQAAS MUNIR MD DIRECTOR-EYE (UNTIL 9/9/14) 143923 0 0 0 21197 0 13069 0 14698 0 192887 0 0 0 ROBERT J VINCI MD DIRECTOR/CLERK/PRES - CHF 422680 0 0 0 24774 0 34585 0 24455 0 506494 0 0 0 TONY TANNOURY MD PROFESSOR/PHYSICIAN - ORTHO 249054 0 0 0 1799344 0 29385 0 26345 0 2104128 0 0 0 JEFFREY SPIEGEL MD PROFESSOR/PHYSICIAN - OTO 89227 0 0 0 732292 0 8727 0 26087 0 856333 0 0 0 WILLIAM CREEVY MD Pres-FPF/PROF/PHY-ORTHO 248310 0 0 0 733132 0 34585 0 26345 0 1042372 0 0 0 BRIAN JACK MD PRES/TRES/CLK/DIRECTOR- FAMILY 325384 0 0 0 11710 0 34585 0 18800 0 390479 0 0 0 CHRISTOPHER ANDRY PHD TREASURER/DIRECTOR - PATH 182530 0 0 0 31286 0 26461 0 24818 0 265095 0 0 0 SCHARUKH JALISI MD PROFESSOR/PHYSICIAN-OTO 250503 0 0 0 406359 0 24185 0 25292 0 706339 0 0 0 AVIVA LEE-PARRITZ MD DIRECTOR/PRESIDENT - OBGYN 391082 0 0 0 11956 0 34585 0 25667 0 463290 0 0 0 LYNN FAIRBANK FORMER TREASURER - OTO 0 145758 0 2973 0 0 0 5099 0 12750 0 166580 0 0 ANDREW STEIN PHYSICIAN - Orthopedics 251154 0 0 0 575357 0 32852 0 26261 0 885624 0 0 0 Joanna Buczek as of 101814 PRES/TREAS/CLRK/DIR - PSYCH 251709 0 0 0 71228 0 29385 0 24904 0 377226 0 0 0 Naomi Hamburg MD Director - EMF(as of 10/15/14) 205275 0 0 0 1333 0 18989 0 383 0 225980 0 0 0 Kelley Saia MD DIRECTOR-OBGYN 161773 0 0 0 3773 0 18193 0 26180 0 209919 0 0 0 Alda Cossi MD CLERK -RADIO 250600 0 0 0 127933 0 34585 0 19267 0 432385 0 0 0 Alan Farwell MD director - EMF 232897 0 0 0 1004 0 32315 0 26260 0 292476 0 0 0 Arthur Theodore DIRECTOR - EMF 231661 0 0 0 1513 0 31864 0 26291 0 291329 0 0 0 Katya Ravid director - emf 211456 0 0 0 851 0 28187 0 477 0 240971 0 0 0 TED CONSTAN TREASURER - OBGYN 0 178876 0 4375 0 0 0 5351 0 24 0 188626 0 0 GLENN BAREST MD DIRECTOR - RADIO 246807 0 0 0 118471 0 34585 0 30607 0 430470 0 0 0 LISTED INDIVIDUALS RECEIVED COMPENSATION FOR THE SERVICES THEY PROVIDE AS EMPLOYEES. THEY RECIEVE NO COMPENSATION FOR THEIR ROLES AS DIRECTORS, OFFICERS, OR FORMER OFFICERS. SCHEDULE J, PART I, LINE 1A & 1B IN CONNECTION WITH CERTAIN IMPUTED INCOME, ONE OFFICER RECEIVED A TAX GROSS-UP PAYMENT. THE AMOUNT PAID AS A GROSS-UP IS INCLUDED ON SCHEDULE J, PART II, COLUMN (B)(III). THIS GROSS-UP PAYMENT WAS MADE IN CONNECTION WITH ONE INSTANCE OF ADDITIONAL REPORTED INCOME AND NOT SUBJECT TO A WRITTEN POLICY. 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 68TH BIRTHDAY. 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 I, COLUMN B(III). FORM 990, H(B) AFFILIATES INCLUDED IN GROUP RETURN Boston University Medical Center Anesthesiologists, Inc. 88 East Newton Street A2817, 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. One Boston Medical Center, 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 Street, 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 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. 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 DIRECTORS OF BOSTON MEDICAL CENTER. GOVERNANCE, MANAGEMENT, AND DISCLOSURE 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. GOVERNANCE, MANAGEMENT, AND DISCLOSURE 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. GOVERNANCE, MANAGEMENT, AND DISCLOSURE 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. governance, management, and disclosure form 990, part vi, section b, line 12 conflict of interest questionnaires for the fiscal year ending june 30, 2015 were distributed on MARCH 25, 2016 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. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION B, LINES 15 A & B THE COMPENSATION COMMITTEE OF THE FACULTY PRACTICE FOUNDATION, A RELATED ORGANIZATION, SERVES AS THE COMPENSATION COMMITTEE OF EACH FACULTY PRACTICE PLAN TO REVIEW AND APPROVE THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF EACH FACULTY PRACTICE PLAN. The Foundation's Compensation Committee has two members including the President and CEO of Boston medical center and the Dean of Boston University School of Medicine. This Committee is responsible for approving the compensation for certain physician executives. An annual meeting of the Foundation's Compensation Committee was held FOR FY2015 to review and approve the FY2015 proposed compensation for the physician executives serving as presidents of the plans as well as the executive who serves as the department chair of Anesthesia. For FY2015 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. GOVERNANCE, MANAGEMENT, AND DISCLOSURE 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 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 29.2% of each Faculty member's salary up to a $265,000 base, for reimbursement of fringe benefits and related paymaster fees. If a particular Faculty member's salary exceeds the base amount of $265,000, the Plans further pay BU 8.0% on such excess up to an amount equal to the FICA limit for that particular year and then 1.8% on any amount in excess of the applicable FICA limit. The Plans also pay for a portion of administrative salaries and fringe benefits for nonphysician employees of BMC, who provide services to them. The plans do not pay for pension plan contributions for those employees that fall under the above-mentioned paymaster agreement(s). FORM 990, PART VII, LINE 1, LINE 44 DAVID BECK WAS ASSISTANT CLERK AT ALL REPORTING ENTITIES AND A CLERK AT EVANS MEDICAL FOUNDATION. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 NET ASSET TRANSFER ($280,256) BOSTON MEDICAL CENTER 88 EAST NEWTON STREET BOSTON MA 02118 043314093 healthcare MA 501(C)(3) 3 NA false TRUSTEES OF BOSTON UNIVERSITY 881 COMMONWEALTH AVENUE BOSTON MA 02115 042103547 EDUCATION MA 501(C)(3) 2 NA false FACULTY PRACTICE FOUNDATION INC 660 Harrison Avenue 3rd Floor Boston MA 02118 043289381 healthcare MA 501(C)(3) 11B,TYPE I NA false BMC INTEGRATED CARE SERVICES ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 043414914 HEALTHCARE MA 501(C)(3) 11A TYPE I BMC true false true false false true false false false false false true false false true true true true true true