HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC (EIN 22-2768204)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-14
- IRS object ID
- 201412269349304301
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-14T16:03:12-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO JERICHO PLAZA | AddressLine1 |
| City | JERICHO | City |
| State | NY | State |
| ZIP Code | 11753 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222768204 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARVARD MEDICAL FACULTY PHYSICIANS AT | BusinessNameLine1 |
| Business Name Line2 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HARV | NameControl |
| Phone | 6176329744 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 LONGWOOD AVENUE 3RD FLOOR | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02215 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EDWARD GRAB | Name |
| Title | TREASURER | Title |
| Phone | 6176329744 | Phone |
| Date Signed | 2014-08-14 | DateSigned |
| Authorize Third Party | 0 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTINE KAWECKI | Name |
| PTIN | P00743140 | PTIN |
| Phone | 5169187000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STUART ROSENBERG MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 LONGWOOD AVENUE 3RD FLOOR | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 430621624 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HMFP.CAREGROUP.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE EXTRAORDINARY CARE, WHERE THE PATIENT COMES FIRST, SUPPORTED BY WORLD-CLASS EDUCATION, RESEARCH AND TRAINING.THE MISSION OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) IS TO SUPPORT MEDICAL RESEARCH, PROVIDE INSTRUCTION AND PARTICIPATE IN ACTIVITIES DESIGNED TO IMPROVE THE GENERAL PUBLIC HEALTH OF PATIENTS SERVED BY BETH ISRAEL DEACONESS MEDICAL CENTER AND ITS AFFILIATES. HMFP USES ITS FUNDS TO SUPPORT THE PHYSICIAN WORK IN THE DEPARTMENTS OF ANESTHESIA, DERMATOLOGY, EMERGENCY MEDICINE, MEDICINE, NEONATOLOGY, NEUROLOGY, OBSTETRICS AND GYNECOLOGY, ORTHOPEDICS, PATHOLOGY, PSYCHIATRY, RADIOLOGY, RADIATION ONCOLOGY AND SURGERY AND TO STRENGTHEN THE DEPARTMENTS BY SUPPORTING THE EDUCATIONAL REQUIREMENTS OF THE DEPARTMENTS AND PHYSICIANS WORLDWIDE BY PROVIDING TRAINING SEMINARS AND OTHER CLASSES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 24 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1213 | TotalNbrEmployees |
| Total Nbr Volunteers | 5 | TotalNbrVolunteers |
| Total Gross UBI | 5117707 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -505590 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 406213382 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 427148913 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2388386 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3472711 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3595410 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 412197178 | TotalRevenuePriorYear |
| Total Revenue Current Year | 430621624 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 126689 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 75625 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 341197719 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 357730153 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 71662868 | OtherExpensePriorYear |
| Other Expenses Current Year | 64684187 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 412987276 | TotalExpensesPriorYear |
| Total Expenses Current Year | 422489965 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -790098 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8131659 | RevenuesLessExpensesCY |
| Total Assets BOY | 174951165 | TotalAssetsBOY |
| Total Assets EOY | 196835076 | TotalAssetsEOY |
| Total Liabilities BOY | 85902430 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 91207179 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 89048735 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 105627897 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 228536018 | Expense |
| Grants | 75625 | Grants |
| Revenue | 243864691 | Revenue |
| Description | SEE SCHEDULE O | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 72438357 | Expense |
| Revenue | 77297039 | Revenue |
| Description | SEE SCHEDULE O | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 29182042 | Expense |
| Revenue | 31139379 | Revenue |
| Description | SEE SCHEDULE O | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 65785623 | Expense |
| Revenue | 69785795 | Revenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 65785623 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 69785795 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 395942040 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 1 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 295 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1213 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 24 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMY GUAY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6176327441 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 LONGWOOD AVENUE 3RD FLOOR | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02215 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (48 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| CHAIKOF MD PHD ELLIOT | |||||||||
| DIRECTOR & SURG CHAIR | 30.00 | 35.00 | X | 454367 | 454367 | 110681 | |||
| GEBHARDT MD MARK C | |||||||||
| DIRECTOR & ORTHO CHAIR | 30.00 | 35.00 | X | 360755 | 360754 | 84485 | |||
| GREENBERG MD WILLIAM | |||||||||
| DIRECTOR & PSYCH CHAIR | 30.00 | 35.00 | X | 192810 | 192809 | 54298 | |||
| KRUSKAL MD JONATHAN B | |||||||||
| DIRECTOR & RAD CHAIR | 30.00 | 35.00 | X | 328530 | 329071 | 60598 | |||
| MCDERMOTT ESQ SHAW | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| MEHTA MD TEJAS S | |||||||||
| DIRECTOR | 59.00 | 1.00 | X | 281091 | 0 | 61348 | |||
| PURSLEY MD DEWAYNE M | |||||||||
| DIRECTOR & CHAIR, NEONATOLOGY | 30.00 | 35.00 | X | 250078 | 250078 | 73824 | |||
| RICCIOTTI MD HOPE A | |||||||||
| DIRECTOR & OBGYN CHAIR | 30.00 | 35.00 | X | 251745 | 251745 | 75224 | |||
| ROBSON MD SIMON | |||||||||
| DIRECTOR | 60.00 | 0.00 | X | 323120 | 0 | 30240 | |||
| ROSEN MD CARLO | |||||||||
| DIRECTOR | 60.00 | 0.00 | X | 381149 | 0 | 37015 | |||
| ROSENBERG MD STUART A | |||||||||
| PRESIDENT | 60.00 | 5.00 | X | 766137 | 0 | 466881 | X | ||
| SAFFITZ MD JEFFREY E | |||||||||
| DIRECTOR & PATH CHAIR | 30.00 | 35.00 | X | 296214 | 296214 | 56805 | |||
| SAPER MD CLIFFORD B | |||||||||
| DIRECTOR & NEURO CHAIR | 30.00 | 35.00 | X | 257556 | 257555 | 57413 | |||
| SCHNEIDER PHD LEWIS | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| SIMON MD PHD BRETT | |||||||||
| DIRECTOR & ANESTH CHAIR | 30.00 | 35.00 | X | 303862 | 303861 | 86227 | |||
| STEELE MD GLENN | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| STERN MD ROBERT S | |||||||||
| DIRECTOR & DERM CHAIR | 30.00 | 35.00 | X | 293005 | 293004 | 83398 | |||
| STEVENSON MD PHD MARY ANN | |||||||||
| CLERK & CHAIR, RAD ONC | 30.00 | 35.00 | X | 300638 | 300637 | 72473 | X | ||
| SWARTZ PHD KATHERINE | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| TABB MD KEVIN | |||||||||
| DIRECTOR | 1.00 | 64.00 | X | 0 | 1330803 | 48187 | |||
| WOLFE MD RICHARD E | |||||||||
| DIRECTOR & EMERG MED CHAIR | 30.00 | 35.00 | X | 254080 | 254080 | 58098 | |||
| YANG MD PHD JULIUS | |||||||||
| DIRECTOR | 60.00 | 0.00 | X | 195962 | 0 | 50438 | |||
| ZALE DONALD | |||||||||
| DIRECTOR | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| ZEIDEL MD MARK L | |||||||||
| DIRECTOR & MED CHAIR | 30.00 | 35.00 | X | 352367 | 358256 | 56575 | |||
| GOUWS PETER | |||||||||
| INTERIM CFO | 60.00 | 0.00 | 450000 | 0 | 0 | X | |||
| GRAB EDWARD | |||||||||
| TREASURER & EXECUTIVE DIRECTOR | 56.00 | 4.00 | 436526 | 0 | 67451 | X | |||
| GUAY AMY | |||||||||
| CHIEF FINANCIAL OFFICER | 60.00 | 0.00 | 0 | 0 | 0 | X | |||
| ARROYO MD JORGE | |||||||||
| OPHTHALMOLOGIST | 60.00 | 0.00 | 963611 | 0 | 47939 | X | |||
| DAS MD ANURAG | |||||||||
| SURGEON | 60.00 | 0.00 | 865563 | 0 | 74473 | X | |||
| LEE MD BERNARD | |||||||||
| RECONSTRUCT SURGEON | 60.00 | 0.00 | 911933 | 0 | 60598 | X | |||
| ROZENTAL MD TAMARA | |||||||||
| ORTHOPEDIC SURGEON | 60.00 | 0.00 | 858457 | 0 | 58823 | X | |||
| WHITE MD ANDREW | |||||||||
| ORTHOPEDIC SPINE SURGEON | 60.00 | 0.00 | 1064959 | 0 | 60598 | X | |||
| BUEHRENS ERIC P | |||||||||
| FORMER DIRECTOR | 0.00 | 60.00 | 0 | 706584 | 33190 | X | |||
| EDLOW MD JONATHAN A | |||||||||
| FORMER DIRECTOR | 60.00 | 0.00 | 325360 | 0 | 54945 | X | |||
| FISCHER MD JOSEF E | |||||||||
| FORMER DIRECTOR | 0.00 | 40.00 | 0 | 118355 | 37894 | X | |||
| HANTO MD DOUGLAS W | |||||||||
| FORMER DIRECTOR | 60.00 | 0.00 | 647554 | 0 | 57144 | X | |||
| KANE MD ROBERT | |||||||||
| FORMER DIRECTOR | 60.00 | 0.00 | 295339 | 0 | 46591 | X | |||
| KRESSEL MD HERBERT Y | |||||||||
| FORMER DIRECTOR | 60.00 | 0.00 | 529308 | 0 | 54903 | X | |||
| KROUSKOS JOHN | |||||||||
| FORMER TREASURER & CFO | 0.00 | 0.00 | 196591 | 0 | 0 | X | |||
| LAMONT MD J THOMAS | |||||||||
| FORMER DIRECTOR | 59.00 | 1.00 | 298527 | 1040 | 48192 | X | |||
| LEVY PAUL F | |||||||||
| FORMER DIRECTOR | 0.00 | 0.00 | 0 | 777205 | 9474 | X | |||
| LISBON MD ALAN | |||||||||
| FORMER DIRECTOR | 55.00 | 5.00 | 498606 | 0 | 70091 | X | |||
| PARKER MD RICHARD | |||||||||
| FORMER DIRECTOR | 0.00 | 60.00 | 0 | 394773 | 54598 | X | |||
| PHILLIPS MD RUSSELL S | |||||||||
| FORMER DIRECTOR | 30.00 | 30.00 | 183444 | 183443 | 45667 | X | |||
| RAPTOPOULOS MD VASSILIOS | |||||||||
| FORMER ACTING CHAIR, RAD | 60.00 | 0.00 | 386117 | 0 | 58098 | X | |||
| ROSEN MD MAX | |||||||||
| FORMER DIRECTOR | 60.00 | 0.00 | 185093 | 0 | 22939 | X | |||
| ROSEN MD SEYMOUR | |||||||||
| FORMER DIRECTOR | 60.00 | 0.00 | 277843 | 0 | 49092 | X | |||
| YEH MD JOHN | |||||||||
| FRMR DIR & OBGYN CHAIR | 0.00 | 0.00 | 401819 | 0 | 60 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 15620116 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 7414634 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2636968 | TotalOtherCompensation |
| Number Individuals GT100 K | 932 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BETH ISRAEL DREACONESS MEDICAL CENTER | |||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | INFORMATION SERVICES & OTHER | 50974035 |
| PHYSICIAN PROFESSIONAL SERVICES | |||||
| 10 CABOT RD STE 301 | MEDFORD | MA | 02215 | BILLING SERVICES | 5464867 |
| PER SE TECHNOLOGIES | |||||
| PO BOX 406918 | ATLANTA | GA | 30384 | BILLING SERVICES | 2132167 |
| ANESTHESIA FINANCIAL SOLUTIONS LLC | |||||
| 144 GOULD ST SUITE 150 | NEEDHAM | MA | 02492 | BILLING SERVICES | 2061376 |
| MEDICAL HEALTHCARE SOLUTIONS INC | |||||
| 100 BRICKSTONE SQUARE | ANDOVER | MA | 01810 | BILLING SERVICES | 1710564 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 66 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE | 900099 | 243864691 | 243864691 | |
| TEACHING | 541700 | 77297039 | 77297039 | |
| OTHER MEDICAL SERVICES | 541700 | 74847804 | 69785795 | 5062009 |
| RESEARCH | 611710 | 31139379 | 31139379 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 427148913 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 262220 | TotalRevenueColumn |
| Unrelated Business Revenue | 35089 | UnrelatedBusinessRevenue |
| Exclusion | $227,131 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3210491 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3210491 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3210491 | TotalRevenueColumn |
| Unrelated Business Revenue | 20609 | UnrelatedBusinessRevenue |
| Exclusion | $3,189,882 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 430621624 | TotalRevenueColumn |
| Related Or Exempt Function Income | 422086904 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 5117707 | UnrelatedBusinessRevenue |
| Exclusion | $3,417,013 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75625 | Total |
| Program Services | 75625 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11355456 | Total |
| Program Services | 4735615 | ProgramServices |
| Management And General | 6619841 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 346374697 | Total |
| Program Services | 335108030 | ProgramServices |
| Management And General | 11266667 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 754218 | Total |
| Program Services | 558092 | ProgramServices |
| Management And General | 196126 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190779 | Total |
| Program Services | 141169 | ProgramServices |
| Management And General | 49610 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5395272 | Total |
| Program Services | 3992285 | ProgramServices |
| Management And General | 1402987 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3292495 | Total |
| Program Services | 2436315 | ProgramServices |
| Management And General | 856180 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5554728 | Total |
| Program Services | 4110276 | ProgramServices |
| Management And General | 1444452 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 789362 | Total |
| Program Services | 584097 | ProgramServices |
| Management And General | 205265 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 306410 | Total |
| Program Services | 226732 | ProgramServices |
| Management And General | 79678 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1335442 | Total |
| Program Services | 988177 | ProgramServices |
| Management And General | 347265 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96160 | Total |
| Program Services | 71155 | ProgramServices |
| Management And General | 25005 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL/RESEARCH SERVIC | 15593172 | 11538323 | 4054849 |
| BILLING FEES | 12343679 | 12343679 | |
| PROF. LIABILITY INSURAN | 10679317 | 10679317 | |
| PARKING | 2647434 | 2647434 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5705719 | Total |
| Program Services | 5705719 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 422489965 | Total |
| Program Services | 395942040 | ProgramServices |
| Management And General | 26547925 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14695164 | BOY |
| EOY | 19792140 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27093030 | BOY |
| EOY | 27671414 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 252382 | BOY |
| EOY | 204062 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 18491577 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 14926805 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3317798 | BOY |
| EOY | 3564772 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76630973 | BOY |
| EOY | 83516981 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1585105 | BOY |
| EOY | 5865592 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51376713 | BOY |
| EOY | 56220115 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174951165 | BOY |
| EOY | 196835076 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23818724 | BOY |
| EOY | 29726684 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62083706 | BOY |
| EOY | 61480495 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85902430 | BOY |
| EOY | 91207179 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89048735 | BOY |
| EOY | 105627897 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89048735 | BOY |
| EOY | 105627897 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174951165 | BOY |
| EOY | 196835076 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 8131659 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 4167012 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 4280491 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 390182886 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 401673324 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 404554176 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 406213382 | CurrentTaxYearMinus1Year |
| Current Tax Year | 422086904 | CurrentTaxYear |
| Total | 2024710672 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 390182886 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 401673324 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 404554176 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 406213382 | CurrentTaxYearMinus1Year |
| Current Tax Year | 422086904 | CurrentTaxYear |
| Total | 2024710672 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 2024710672 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 108609 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 105870 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 236925 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 292811 | CurrentTaxYearMinus1Year |
| Current Tax Year | 227131 | CurrentTaxYear |
| Total | 971346 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 108609 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 105870 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 236925 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 292811 | CurrentTaxYearMinus1Year |
| Current Tax Year | 227131 | CurrentTaxYear |
| Total | 971346 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 390291495 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 401779194 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 404791101 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 406506193 | CurrentTaxYearMinus1Year |
| Current Tax Year | 422314035 | CurrentTaxYear |
| Total | 2025682018 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99950 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99930 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00050 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00070 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Total Lobbying Expenditures IIB | 0 | TotalLobbyingExpendituresIIB |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) OCCASIONALLY ENGAGES IN LOBBYING EFFORTS ON BEHALF OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) AND OTHER AFFILIATED NETWORK ENTITIES. ADDITIONALLY, HMFP MAY PAY DUES TO CERTAIN MEMBERSHIP ORGANIZATIONS, A PIECE OF WHICH MAY BE USED BY SUCH ORGANIZATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THIS INSTITUTION AND OTHER SIMILARLY SITUATED ORGANIZATIONS. HMFP TOTAL LOBBYING EXPENDITURES WERE MINIMAL AND NOT SUBSTANTIAL BASED ON REVENUES. | Explanation |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2035540 | OtherCostOrOtherBasis |
| Depreciation | 1824632 | Depreciation |
| Book Value | 210908 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16456037 | OtherCostOrOtherBasis |
| Depreciation | 13102173 | Depreciation |
| Book Value | 3353864 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3564772 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CAREGROUP INVESTMENT PARTNERSHIP, LLP | 60037027 | F |
| SAWGRASS | 23479954 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 83516981 | TotalOfBookValueSecurities |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER CURRENT ASSETS | 47685540 |
| DUE FROM AFFILIATES | 8534575 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 56220115 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHERS LIABILITIES | $46,143,733 |
| PROFESSIONAL LIABILITY | $15,336,762 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 61480495 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 458750000 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 3210491 | NetUnrealizedGainsInvestments |
| Other Revenues | 24917885 | OtherRevenues |
| Revenue Not Rptd F990 | 28128376 | RevenueNotRptdF990 |
| Revenue Subtotal | 430621624 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 430621624 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 442402000 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 19912035 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 19912035 | ExpensesNotRptdF990 |
| Expenses Subtotal | 422489965 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 422489965 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE TEXT OF THE FOOTNOTE TO THE CONSOLIDATED FINANCIAL STATEMENTS THAT ADDRESSES THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS IS AS FOLLOWS: THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. HMFP DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2013 OR 2012. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CONSOLIDATED AFFILIATES REVENUE NET OF ELIMINATIONS 24,917,885. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CONSOLIDATED AFFILIATES REVENUE NET OF ELIMINATIONS 19,912,035. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (13 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Total ExpendituresTotalExpenditures | Specific Services ProvidedSpecificServicesProvided |
|---|---|---|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | INVESTMENTS | 8807610 | |
| EAST ASIA AND THE PACIFIC | 0 | 0 | INVESTMENTS | 123262 | |
| EUROPE (INCLUDING ICELAND & GREENLAND) | 0 | 0 | INVESTMENTS | 234849 | |
| NORTH AMERICA | 0 | 0 | INVESTMENTS | 151042 | |
| SOUTH AMERICA | 0 | 0 | INVESTMENTS | 78183 | |
| EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, | 0 | 0 | UNRELATED BUSINESS | 95621 | HEALTHCARE CONSULTING |
| EUROPE (INCLUDING ICELAND & GREENLAND) | 0 | 0 | UNRELATED BUSINESS | 505966 | HEALTHCARE CONSULTING |
| MIDDLE EAST AND NORTH AFRICA | 0 | 0 | UNRELATED BUSINESS | 31851 | HEALTHCARE CONSULTING |
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | PROGRAM SERVICES | 7170 | TRAVEL |
| EAST ASIA AND THE PACIFIC | 0 | 0 | PROGRAM SERVICES | 32252 | TRAVEL |
| NORTH AMERICA | 0 | 0 | PROGRAM SERVICES | 34089 | TRAVEL |
| SOUTH ASIA | 0 | 0 | PROGRAM SERVICES | 520 | TRAVEL |
| SUB-SAHARAN AFRICA | 0 | 0 | PROGRAM SERVICES | 2077 | TRAVEL |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 10028384 | SubtotalAmountSpent |
| Cont Amount Spent | 76108 | ContAmountSpent |
| Total Amount Spent | 10104492 | TotalAmountSpent |
| Transfer To Foreign Corp | 1 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 1 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 1 | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE F, PART V, QUESTION 4 | ReturnReference |
| Explanation | ALTHOUGH HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) WAS AN INDIRECT SHAREHOLDER OF A PASSIVE FOREIGN INVESTMENT COMPANY OR A QUALIFIED ELECTING FUND DURING THE PERIOD COVERED BY THIS FILING, SUCH TRANSFERS DID NOT RESULT IN AN OBLIGATION TO FILE FORM 8621, INFORMATION RETURN BY A SHAREHOLDER OF A PASSIVE FOREIGN INVESTMENT COMPANY OR QUALIFIED ELECTING FUND. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| AMERICAN HEART ASSOCIATION INC | |||||||
| 7272 GREENVILLE AVENUE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | 30000 | COMMUNITY BENEFIT |
| BETH ISRAEL DEACONESS - NEEDHAM CAPITAL CAMPAIGN OFFICE OF DEVELOPMENT | |||||||
| 330 BROOKLINE AVENUE | BOSTON | MA | 02215 | 043229679 | 501(C)(3) | 18750 | GENERAL SUPPORT |
| DIMMOCK COMMUNITY HEALTH CENTER | |||||||
| 55 DIMMOCK STREET | ROXBURY | MA | 02119 | 043487835 | 501(C)(3) | 10000 | COMMUNITY BENEFIT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GRANTS ARE MONITORED BY THE CLINICAL DEPARTMENTS SPONSORING THIS ACTIVITY. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (42 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHAIKOF MD PHD ELLIOT | ||||||||||||||
| DIRECTOR & SURG CHAIR | 447300 | 447301 | 0 | 0 | 7067 | 7066 | 39187 | 39187 | 16153 | 16154 | 509707 | 509708 | 0 | 0 |
| GEBHARDT MD MARK C | ||||||||||||||
| DIRECTOR & ORTHO CHAIR | 352430 | 352429 | 0 | 0 | 8325 | 8325 | 29695 | 29695 | 12547 | 12548 | 402997 | 402997 | 0 | 0 |
| GREENBERG MD WILLIAM | ||||||||||||||
| DIRECTOR & PSYCH CHAIR | 186851 | 186850 | 0 | 0 | 5959 | 5959 | 13750 | 13750 | 13399 | 13399 | 219959 | 219958 | 0 | 0 |
| KRUSKAL MD JONATHAN B | ||||||||||||||
| DIRECTOR & RAD CHAIR | 319089 | 319629 | 3750 | 3750 | 5691 | 5692 | 15000 | 15000 | 15299 | 15299 | 358829 | 359370 | 0 | 0 |
| MEHTA MD TEJAS S | ||||||||||||||
| DIRECTOR | 265433 | 0 | 7105 | 0 | 8553 | 0 | 30000 | 0 | 31348 | 0 | 342439 | 0 | 0 | 0 |
| PURSLEY MD DEWAYNE M | ||||||||||||||
| DIRECTOR & CHAIR, NEONATOLOGY | 244424 | 244424 | 0 | 0 | 5654 | 5654 | 25000 | 25000 | 11912 | 11912 | 286990 | 286990 | 0 | 0 |
| RICCIOTTI MD HOPE A | ||||||||||||||
| DIRECTOR & OBGYN CHAIR | 245233 | 245233 | 0 | 0 | 6512 | 6512 | 23438 | 23438 | 14174 | 14174 | 289357 | 289357 | 0 | 0 |
| ROBSON MD SIMON | ||||||||||||||
| DIRECTOR | 312275 | 0 | 0 | 0 | 10845 | 0 | 25000 | 0 | 5240 | 0 | 353360 | 0 | 0 | 0 |
| ROSEN MD CARLO | ||||||||||||||
| DIRECTOR | 345394 | 0 | 28085 | 0 | 7670 | 0 | 30000 | 0 | 7015 | 0 | 418164 | 0 | 0 | 0 |
| ROSENBERG MD STUART A | ||||||||||||||
| PRESIDENT | 622430 | 0 | 125924 | 0 | 17783 | 0 | 446875 | 0 | 20006 | 0 | 1233018 | 0 | 0 | 0 |
| SAFFITZ MD JEFFREY E | ||||||||||||||
| DIRECTOR & PATH CHAIR | 288473 | 288473 | 0 | 0 | 7741 | 7741 | 15792 | 15791 | 12611 | 12611 | 324617 | 324616 | 0 | 0 |
| SAPER MD CLIFFORD B | ||||||||||||||
| DIRECTOR & NEURO CHAIR | 252032 | 252032 | 0 | 0 | 5524 | 5523 | 17444 | 17444 | 11263 | 11262 | 286263 | 286261 | 0 | 0 |
| SIMON MD PHD BRETT | ||||||||||||||
| DIRECTOR & ANESTH CHAIR | 298422 | 298421 | 0 | 0 | 5440 | 5440 | 37888 | 37888 | 5226 | 5225 | 346976 | 346974 | 0 | 0 |
| STERN MD ROBERT S | ||||||||||||||
| DIRECTOR & DERM CHAIR | 281505 | 281504 | 0 | 0 | 11500 | 11500 | 30398 | 30397 | 11302 | 11301 | 334705 | 334702 | 0 | 0 |
| STEVENSON MD PHD MARY ANN | ||||||||||||||
| CLERK & CHAIR, RAD ONC | 295633 | 295632 | 0 | 0 | 5005 | 5005 | 23438 | 23437 | 12799 | 12799 | 336875 | 336873 | 0 | 0 |
| TABB MD KEVIN | ||||||||||||||
| DIRECTOR | 0 | 832815 | 0 | 361512 | 0 | 136476 | 0 | 7167 | 0 | 41020 | 0 | 1378990 | 0 | 0 |
| WOLFE MD RICHARD E | ||||||||||||||
| DIRECTOR & EMERG MED CHAIR | 247719 | 247719 | 0 | 0 | 6361 | 6361 | 15000 | 15000 | 14049 | 14049 | 283129 | 283129 | 0 | 0 |
| YANG MD PHD JULIUS | ||||||||||||||
| DIRECTOR | 191473 | 0 | 0 | 0 | 4489 | 0 | 19840 | 0 | 30598 | 0 | 246400 | 0 | 0 | 0 |
| ZEIDEL MD MARK L | ||||||||||||||
| DIRECTOR & MED CHAIR | 346164 | 352054 | 0 | 0 | 6203 | 6202 | 20441 | 20440 | 7847 | 7847 | 380655 | 386543 | 0 | 0 |
| GOUWS PETER | ||||||||||||||
| INTERIM CFO | 450000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 450000 | 0 | 0 | 0 |
| GRAB EDWARD | ||||||||||||||
| TREASURER & EXECUTIVE DIRECTOR | 398723 | 0 | 30000 | 0 | 7803 | 0 | 40000 | 0 | 27451 | 0 | 503977 | 0 | 0 | 0 |
| ARROYO MD JORGE | ||||||||||||||
| OPHTHALMOLOGIST | 955895 | 0 | 0 | 0 | 7716 | 0 | 40000 | 0 | 7939 | 0 | 1011550 | 0 | 0 | 0 |
| DAS MD ANURAG | ||||||||||||||
| SURGEON | 855063 | 0 | 0 | 0 | 10500 | 0 | 46875 | 0 | 27598 | 0 | 940036 | 0 | 0 | 0 |
| LEE MD BERNARD | ||||||||||||||
| RECONSTRUCT SURGEON | 903846 | 0 | 0 | 0 | 8087 | 0 | 35000 | 0 | 25598 | 0 | 972531 | 0 | 0 | 0 |
| ROZENTAL MD TAMARA | ||||||||||||||
| ORTHOPEDIC SURGEON | 594104 | 0 | 255766 | 0 | 8587 | 0 | 35000 | 0 | 23823 | 0 | 917280 | 0 | 0 | 0 |
| WHITE MD ANDREW | ||||||||||||||
| ORTHOPEDIC SPINE SURGEON | 617329 | 0 | 439874 | 0 | 7756 | 0 | 35000 | 0 | 25598 | 0 | 1125557 | 0 | 0 | 0 |
| BUEHRENS ERIC P | ||||||||||||||
| FORMER DIRECTOR | 0 | 103861 | 0 | 0 | 0 | 602723 | 0 | 5600 | 0 | 27590 | 0 | 739774 | 0 | 0 |
| EDLOW MD JONATHAN A | ||||||||||||||
| FORMER DIRECTOR | 237329 | 0 | 31563 | 0 | 56468 | 0 | 29347 | 0 | 25598 | 0 | 380305 | 0 | 0 | 0 |
| FISCHER MD JOSEF E | ||||||||||||||
| FORMER DIRECTOR | 0 | 112717 | 0 | 0 | 0 | 5638 | 0 | 13104 | 0 | 24790 | 0 | 156249 | 0 | 0 |
| HANTO MD DOUGLAS W | ||||||||||||||
| FORMER DIRECTOR | 634079 | 0 | 0 | 0 | 13475 | 0 | 46875 | 0 | 10269 | 0 | 704698 | 0 | 0 | 0 |
| KANE MD ROBERT | ||||||||||||||
| FORMER DIRECTOR | 276165 | 0 | 7500 | 0 | 11674 | 0 | 30000 | 0 | 16591 | 0 | 341930 | 0 | 0 | 0 |
| KRESSEL MD HERBERT Y | ||||||||||||||
| FORMER DIRECTOR | 516751 | 0 | 0 | 0 | 12557 | 0 | 37312 | 0 | 17591 | 0 | 584211 | 0 | 0 | 0 |
| KROUSKOS JOHN | ||||||||||||||
| FORMER TREASURER & CFO | 0 | 0 | 0 | 0 | 196591 | 0 | 0 | 0 | 0 | 0 | 196591 | 0 | 0 | 0 |
| LAMONT MD J THOMAS | ||||||||||||||
| FORMER DIRECTOR | 278618 | 1040 | 0 | 0 | 19909 | 0 | 28101 | 0 | 20091 | 0 | 346719 | 1040 | 0 | 0 |
| LEVY PAUL F | ||||||||||||||
| FORMER DIRECTOR | 0 | 0 | 0 | 0 | 0 | 777205 | 0 | 0 | 0 | 9474 | 0 | 786679 | 0 | 0 |
| LISBON MD ALAN | ||||||||||||||
| FORMER DIRECTOR | 383101 | 0 | 86814 | 0 | 28691 | 0 | 50000 | 0 | 20091 | 0 | 568697 | 0 | 0 | 0 |
| PARKER MD RICHARD | ||||||||||||||
| FORMER DIRECTOR | 0 | 344773 | 0 | 39500 | 0 | 10500 | 0 | 25000 | 0 | 29598 | 0 | 449371 | 0 | 0 |
| PHILLIPS MD RUSSELL S | ||||||||||||||
| FORMER DIRECTOR | 174677 | 174677 | 5617 | 5616 | 3150 | 3150 | 19279 | 19278 | 3555 | 3555 | 206278 | 206276 | 0 | 0 |
| RAPTOPOULOS MD VASSILIOS | ||||||||||||||
| FORMER ACTING CHAIR, RAD | 363614 | 0 | 7500 | 0 | 15003 | 0 | 30000 | 0 | 28098 | 0 | 444215 | 0 | 0 | 0 |
| ROSEN MD MAX | ||||||||||||||
| FORMER DIRECTOR | 177239 | 0 | 4500 | 0 | 3354 | 0 | 21308 | 0 | 1631 | 0 | 208032 | 0 | 0 | 0 |
| ROSEN MD SEYMOUR | ||||||||||||||
| FORMER DIRECTOR | 251263 | 0 | 7000 | 0 | 19580 | 0 | 30001 | 0 | 19091 | 0 | 326935 | 0 | 0 | 0 |
| YEH MD JOHN | ||||||||||||||
| FRMR DIR & OBGYN CHAIR | 0 | 0 | 0 | 0 | 401819 | 0 | 0 | 0 | 60 | 0 | 401879 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | THE POLICIES OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER INCLUDE THE PROVISION THAT THE ORGANIZATION WILL PAY FOR A MEMBERSHIP IN LIMITED CIRCUMSTANCES WHEN IT IS USED PRINCIPALLY FOR BONA FIDE BUSINESS PURPOSES NECESSARY TO ADVANCE THE CHARITABLE MISSION OF THE ORGANIZATION, SUBJECT TO ADVANCE APPROVAL BY SENIOR OFFICIALS. | |
| PART III | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN CERTAIN CURRENT OR FORMER HMFP DIRECTORS REPORTED IN PART VII AND SCH J PARTICIPATE IN THE BIDMC ANNUITY RETIREMENT PLAN WHICH, UNDER THE DEFINITIONS TO THIS FORM 990, IS CONSIDERED A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PARTICIPANTS RECEIVE BOTH CURRENTLY TAXABLE AND DEFERRED BENEFITS FROM THIS PLAN AND ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW. REPORTABLE COMPENSATION LISTED IN FORM 990 PART VII INCLUDES BASE COMPENSATION, INCENTIVE COMPENSATION AND OTHER REPORTABLE COMPENSATION AS REPORTED IN FORM 990 SCHEDULE J. OTHER COMPENSATION LISTED IN FORM 990 PART VII INCLUDES DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS AS REPORTED IN FORM 990 SCHEDULE J. OTHER REPORTABLE COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED IN THIS RETURN BUT QUANTIFIED IN OTHER REPORTABLE COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: AMOUNTS DEFERRED BY THE EMPLOYEE (PLUS EARNINGS) UNDER FULLY VESTED 457(B) PLAN; INCREASE/DECREASE IN VALUE OF NONQUALIFIED FULLY VESTED 457(B) PLAN; TAXABLE EMPLOYER-SUBSIDIZED PARKING; TAXABLE MOVING EXPENSES; EARNED TIME CASHED; TAXABLE LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE; AND OTHER TAXABLE RETIREMENT BENEFITS. DEFERRED COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN DEFERRED COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: EMPLOYER CONTRIBUTIONS TO 401K RETIREMENT PLAN, EMPLOYER CONTRIBUTIONS TO 403B RETIREMENT PLAN, EMPLOYER CONTRIBUTION TO PENSION PLAN. NON-TAXABLE BENEFITS: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN NON-TAXABLE BENEFITS INCLUDE AMOUNTS FROM ONE OR MORE OF THE NON-TAXABLE BENEFITS: EMPLOYEE CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYER CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYEE CONTRIBUTIONS TO FLEXIBLE SPENDING ACCOUNTS FOR DEPENDENT CARE AND/OR MEDICAL REIMBURSEMENT, GROUP TERM LIFE INSURANCE, DISABILITY INSURANCE. ALL DIRECTORS/TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF DIRECTOR/TRUSTEE, AS DENOTED BY THE LISTED TITLES HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER AND BETH ISRAEL DEACONESS MEDICAL CENTER MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 PART VII AND FORM 990 SCHEDULE J AS HMFP AND BIDMC RESPECTIVELY. IN ADDITION, THE ENTITIES BELOW MAY BE REFERENCED AS FOLLOWS: - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION, INC. (SURGERY FDN.) - BETH ISRAEL DEACONESS ORTHOPAEDIC SURGERY FOUNDATION (ORTHOPAEDIC SURGERY FDN) - CONTINUING EDUCATION PROGRAM, INC. D/B/A BETH ISRAEL DEACONESS DEPARTMENT OF PSYCHIATRY FOUNDATION (PSYCHIATRY FDN) - BIH RADIOLOGIC FOUNDATION, INC. (RADIOLOGY FDN) - BETH ISRAEL ANAESTHESIA FOUNDATION, INC. (BIAF); - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION, INC. (BIDDM) - BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION, INC. (OB/GYN FDN) - BIH PATHOLOGY FOUNDATION, INC. (PATHOLOGY FDN) - BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION (NEONATOLOGY FDN) - BETH ISRAEL DERMATOLOGY FOUNDATION (DERMATOLOGY FDN) - BETH ISRAEL DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION (NEUROLOGY FDN) - BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM (BID-NEEDHAM) - LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. FKA CARDIOVASCULAR ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (LMIF) - MEDICAL CARE OF BOSTON MANAGEMENT CORP. D/B/A AFFILIATED PHYSICIANS GROUP (APG) CHAIKOF, M.D., PHD, ELLIOT DIRECTOR (EX-OFFICIO) AND CHAIR (SURGERY) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) AND CHIEF (SURGERY) - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND PRESIDENT - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION JOHNSON & JOHNSON PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL DR. CHAIKOF DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. CHAIKOF PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY FORM 990, ALTHOUGH DR. CHAIKOF IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. CHAIKOF'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 447,300 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,067 DEFERRED COMPENSATION: 39,187 NON-TAXABLE BENEFITS: 16,153 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 447,301 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,066 DEFERRED COMPENSATION: 39,187 NON-TAXABLE BENEFITS: 16,154 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2012 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. CHAIKOF'S POSITION AS CHIEF OF SURGERY AT BIDMC, CHAIR OF THE HMFP DEPARTMENT OF SURGERY AND JOHNSON & JOHNSON PROFESSOR OF SURGERY, HARVARD MEDICAL SCHOOL: $197,998 BASE AND OTHER REPORTABLE COMPENSATION, $31,499 DEFERRED COMPENSATION AND $6,675 NON-TAXABLE BENEFITS. GEBHARDT, M.D., MARK C. DIRECTOR AND CHAIRMAN OF ORTHOPEDIC SURGERY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF ORTHOPEDIC SURGERY - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - CAREGROUP, INC. DIRECTOR - LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. FKA CARDIOVASCULAR ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND PRESIDENT - BETH ISRAEL DEACONESS ORTHOPAEDIC SURGERY FOUNDATION FREDERIC W. & JANE M. ILFELD PROFESSOR OF ORTHOPEDIC SURGERY - HARVARD MEDICAL SCHOOL DR. GEBHARDT DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. GEBHARDT PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. GEBHARDT IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. GEBHARDT'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 352,430 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,325 DEFERRED COMPENSATION: 29,695 NON-TAXABLE BENEFITS: 12,547 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 352,429 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,325 DEFERRED COMPENSATION: 29,695 NON-TAXABLE BENEFITS: 12,548 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2012 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. GEBHARDT'S POSITION AS CHIEF OF ORTHOPEDIC SURGERY AT BIDMC, CHAIR OF THE HMFP DEPARTMENT OF ORTHOPEDIC SURGERY AND FREDERIC W. & JAMES M. ILFELD PROFESSOR OF ORTHOPEDIC SURGERY, HARVARD MEDICAL SCHOOL: $88,034 BASE AND OTHER REPORTABLE COMPENSATION, $9,390 DEFERRED COMPENSATION AND $19,855 NON-TAXABLE BENEFITS. GREENBERG, M.D., WILLIAM DIRECTOR AND CHAIRMAN OF PSYCHIATRY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF PSYCHIATRY - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND DIRECTOR - CONTINUING EDUCATION PROGRAM, INC. D/B/A BETH ISRAEL DEACONESS DEPARTMENT OF PSYCHIATRY FOUNDATION ASSISTANT PROFESSOR OF PSYCHIATRY - HARVARD MEDICAL SCHOOL DR. GREENBERG DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. GREENBERG PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. GREENBERG IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. GREENBERG'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 186,851 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,959 DEFERRED COMPENSATION: 13,750 NON-TAXABLE BENEFITS: 13,399 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 186,850 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,959 DEFERRED COMPENSATION: 13,750 NON-TAXABLE BENEFITS: 13,399 | SUPPLEMENTAL INFORMATION |
| PART III | KRUSKAL, M.D., PHD, JONATHAN B. DIRECTOR AND CHAIR (RADIOLOGY) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF RADIOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND DIRECTOR - BIH RADIOLOGIC FOUNDATION PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. KRUSKAL DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. KRUSKAL PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. KRUSKAL IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. KRUSKAL'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 319,089 INCENTIVE COMPENSATION: 3,750 OTHER REPORTABLE COMPENSATION: 5,691 DEFERRED COMPENSATION: 15,000 NON-TAXABLE BENEFITS: 15,299 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 319,089 INCENTIVE COMPENSATION: 3,750 OTHER REPORTABLE COMPENSATION: 5,692 DEFERRED COMPENSATION: 15,000 NON-TAXABLE BENEFITS: 15,299 PAYMENTS REPORTED BY BIDDM: BASE COMPENSATION: 540 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 MCDERMOTT, ESQ., SHAW DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MR. MCDERMOTT DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. MEHTA, M.D., TEJAS S. DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - BIH RADIOLOGIC FOUNDATION RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. MEHTA'S TERM ON THE HMFP AND RADIOLOGY FDN BOARDS BEGAN DECEMBER 17, 2012 AND MARCH 4, 2013, RESPECTIVELY. DR. MEHTA DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 265,433 INCENTIVE COMPENSATION: 7,105 OTHER REPORTABLE COMPENSATION: 8,553 DEFERRED COMPENSATION: 30,000 NON-TAXABLE BENEFITS: 31,348 PURSLEY, M.D., DEWAYNE M. DIRECTOR AND CHAIRMAN OF NEONATOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF NEONATOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND TREASURER - BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION ASSISTANT PROFESSOR OF PEDIATRICS - HARVARD MEDICAL SCHOOL DR. PURSLEY DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. PURSLEY SERVED AS THE TREASURER OF NEONATOLOGY FOUNDATION FROM OCTOBER 5, 2011 TO OCTOBER 9, 2012. DR. PURSLEY PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. PURSLEY IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. PURSLEY'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 244,424 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,654 DEFERRED COMPENSATION: 25,000 NON-TAXABLE BENEFITS: 11,912 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 244,424 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,654 DEFERRED COMPENSATION: 25,000 NON-TAXABLE BENEFITS: 11,912 DR. RICCIOTTI PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY FORM 990, ALTHOUGH DR. RICCIOTTI IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. RICCIOTTI'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 245,233 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,512 DEFERRED COMPENSATION: 23,438 NON-TAXABLE BENEFITS: 14,174 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 245,233 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,512 DEFERRED COMPENSATION: 23,438 NON-TAXABLE BENEFITS: 14,174 ROBSON, M.D., PHD, SIMON DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF GASTROENTEROLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHARLOTTE F. AND IRVING W. RABB PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. ROBSON'S TERM ON THE HMFP BOARD BEGAN DECEMBER 17, 2012. DR. ROBSON DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 312,275 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 10,845 DEFERRED COMPENSATION: 25,000 NON-TAXABLE BENEFITS: 5,240 | SUPPLEMENTAL INFORMATION |
| PART III | ROSEN, M.D., CARLO DIRECTOR AND RESIDENCY DIRECTOR (EMERGENCY MEDICINE) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. ROSEN DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 345,394 INCENTIVE COMPENSATION: 28,085 OTHER REPORTABLE COMPENSATION: 7,670 DEFERRED COMPENSATION: 30,000 NON-TAXABLE BENEFITS: 7,015 ROSENBERG, M.D., STUART A. DIRECTOR, PRESIDENT AND CHIEF EXECUTIVE OFFICER - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND PRESIDENT - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND PRESIDENT - LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. FKA CARDIOVASCULAR ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION DIRECTOR - BETH ISRAEL DEACONESS ORTHOPAEDIC SURGERY FOUNDATION DIRECTOR - CONTINUING EDUCATION PROGRAM, INC. D/B/A BETH ISRAEL DEACONESS DEPARTMENT OF PSYCHIATRY FOUNDATION DIRECTOR - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION DIRECTOR - BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION DIRECTOR - BETH ISRAEL DERMATOLOGY FOUNDATION DIRECTOR - BIH PATHOLOGY FOUNDATION, INC. DIRECTOR (EX-OFFICIO) - MEDICAL CARE OF BOSTON MANAGEMENT CORP., D/B/A AFFILIATED PHYSICIANS GROUP DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL - MILTON SENIOR LECTURER ON MEDICINE - HARVARD MEDICAL SCHOOL DR. ROSENBERG DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 622,430 INCENTIVE COMPENSATION: 125,924 OTHER REPORTABLE COMPENSATION: 17.783 DEFERRED COMPENSATION: 446,875 NON-TAXABLE BENEFITS: 20,006 DEFERRED COMPENSATION REPORTED BY HMFP FOR THE 2012 CALENDAR YEAR INCLUDES $400,000 RELATED TO THE IMPLEMENTATION OF A RETENTION INCENTIVE PLAN ESTABLISHED BY HMFP'S BOARD OF DIRECTORS. AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED HERE IS FOR THE CALENDAR YEAR 2012 AND NO PORTION OF THIS AMOUNT WAS VESTED OR PAID DURING THAT TIME. THIS RETENTION INCENTIVE VESTS IN PERIODIC INCREMENTS IN ACCORDANCE WITH THE PLAN TERMS AND CONDITIONS PURSUANT TO WHICH ALL AMOUNTS WILL BE FULLY PAID BY JANUARY 2015. SAFFITZ, M.D. PH.D., JEFFREY E. DIRECTOR AND CHAIR OF PATHOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF PATHOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND PRESIDENT - BIH PATHOLOGY FOUNDATION MALLINCKRODT PROFESSOR OF PATHOLOGY - HARVARD MEDICAL SCHOOL DR. SAFFITZ DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. SAFFITZ PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. SAFFITZ IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. SAFFITZ'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 288,473 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,741 DEFERRED COMPENSATION: 15,792 NON-TAXABLE BENEFITS: 12,611 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 288,473 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,741 DEFERRED COMPENSATION: 15,791 NON-TAXABLE BENEFITS: 12,611 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2012 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. SAFFITZ' POSITION AS CHIEF OF PATHOLOGY AT BIDMC, CHAIR OF PATHOLOGY AT HMFP AND MALLINCKRODT PROFESSOR OF PATHOLOGY, HARVARD MEDICAL SCHOOL: $15,836 BASE AND OTHER REPORTABLE COMPENSATION, AND $1,583 DEFERRED COMPENSATION. SAPER, M.D., CLIFFORD B. DIRECTOR AND CHAIR OF NEUROLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF NEUROLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND PRESIDENT - BETH ISRAEL DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION JAMES JACKSON PUTNAM PROFESSOR OF NEUROLOGY - HARVARD MEDICAL SCHOOL DR. SAPER DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. SAPER PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. SAPER IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. SAPER'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 252,032 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,524 DEFERRED COMPENSATION: 17,444 NON-TAXABLE BENEFITS: 11,263 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 252,032 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,523 DEFERRED COMPENSATION: 17,444 NON-TAXABLE BENEFITS: 11,262 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2012 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. SAPER'S POSITION AS CHIEF OF NEUROLOGY AT BIDMC, CHAIR OF NEUROLOGY AT HMFP AND JAMES JACKSON PUTNAM PROFESSOR OF NEUROLOGY, HARVARD MEDICAL SCHOOL: $42,538 BASE AND OTHER REPORTABLE COMPENSATION, $4,888 DEFERRED COMPENSATION AND $19,785 NON-TAXABLE BENEFITS. SCHNEIDER, PHD, LEWIS DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DR. SCHNEIDER DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. SIMON, M.D. PH.D., BRETT DIRECTOR AND CHAIRMAN OF ANESTHESIA - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF ANESTHESIA - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND PRESIDENT - BETH ISRAEL ANAESTHESIA FOUNDATION EDWARD LOWENSTEIN PROFESSOR OF ANAESTHESIA - HARVARD MEDICAL SCHOOL DR. SIMON DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. SIMON PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. SIMON IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. SIMON'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 298,422 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,440 DEFERRED COMPENSATION: 37,888 NON-TAXABLE BENEFITS: 5,226 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 298,421 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,440 DEFERRED COMPENSATION: 37,888 NON-TAXABLE BENEFITS: 5,225 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2012 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. SIMON'S POSITION AS CHIEF OF ANESTHESIA AT BIDMC, CHAIR OF ANESTHESIA AT HMFP AND LOWENSTEIN PROFESSOR OF ANAESTHESIA, HARVARD MEDICAL SCHOOL: $158,294 BASE AND OTHER REPORTABLE COMPENSATION, $25,776 DEFERRED COMPENSATION AND $684 NON-TAXABLE BENEFITS. | SUPPLEMENTAL INFORMATION |
| PART III | STEELE, M.D., GLENN DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DR. STEELE DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. STERN, M.D., ROBERT S. DIRECTOR AND CHAIR OF DERMATOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF DERMATOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND PRESIDENT - BETH ISRAEL DERMATOLOGY FOUNDATION CARL J. HERZOG PROFESSOR OF DERMATOLOGY - HARVARD MEDICAL SCHOOL DR. STERN DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. STERN PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. STERN IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. STERN'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 281,505 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 11,500 DEFERRED COMPENSATION: 30,398 NON-TAXABLE BENEFITS: 11,302 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 281,504 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 11,500 DEFERRED COMPENSATION: 30,397 NON-TAXABLE BENEFITS: 11,301 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2012 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. STERN'S POSITION AS CHIEF OF DERMATOLOGY AT BIDMC, CHAIR OF DERMATOLOGY AT HMFP AND CARL J. HERZOG PROFESSOR OF DERMATOLOGY, HARVARD MEDICAL SCHOOL: $105,270 BASE AND OTHER REPORTABLE COMPENSATION, $10,795 DEFERRED COMPENSATION AND $19,963 NON-TAXABLE BENEFITS. STEVENSON, M.D., PHD, MARY ANN DIRECTOR, CLERK AND CHAIR OF RADIATION ONCOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF RADIATION ONCOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE PROFESSOR OF RADIATION ONCOLOGY - HARVARD MEDICAL SCHOOL DR. STEVENSON DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. STEVENSON PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. STEVENSON IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. STEVENSON'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 295,633 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,005 DEFERRED COMPENSATION: 23,438 NON-TAXABLE BENEFITS: 12,799 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 295,632 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,005 DEFERRED COMPENSATION: 23,437 NON-TAXABLE BENEFITS: 12,799 SWARTZ, PHD, KATHERINE DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DR. SWARTZ DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. TABB, M.D., KEVIN DIRECTOR (EX-OFFICIO) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO), PRESIDENT AND CHIEF EXECUTIVE OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION TRUSTEE (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL - MILTON DR. TABB DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 832,815 INCENTIVE COMPENSATION: 361,512 OTHER REPORTABLE COMPENSATION: 136,476 DEFERRED COMPENSATION: 7,167 NON-TAXABLE BENEFITS: 41,020 DR. TABB COMMENCED HIS ROLES AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BIDMC DURING THE 2011 CALENDAR YEAR AND COMPLETED HIS RELOCATION TO MASSACHUSETTS DURING 2012. AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED HERE IS FOR THE CALENDAR YEAR 2012. CERTAIN PAYMENTS TO DR. TABB AND REPORTED HERE WERE INTENDED TO HELP EASE THE FINANCIAL COSTS OF RELOCATION, TEMPORARY HOUSING AND OTHER TRANSITIONAL EXPENSES INCURRED BY DR. TABB AND ARE INCLUDED HERE IN THE AMOUNT OF $93,750 INCENTIVE COMPENSATION AND OTHER REPORTABLE COMPENSATION IN THE AMOUNT OF $105,191. THESE AMOUNTS WERE PAID PURSUANT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN TREASURY REGULATIONS SECTION 53.4958-4(A)(3) AND BIDMC FOLLOWED THE REBUTTABLE PRESUMPTION PROCEDURES DESCRIBED IN TREASURY REGULATIONS SECTION 53.4958-6(C) IN SETTING DR. TABB'S COMPENSATION. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR DR. TABB INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $19,994. WOLFE, M.D., RICHARD E. DIRECTOR AND CHAIR OF EMERGENCY MEDICINE - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF EMERGENCY MEDICINE - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. FKA CARDIOVASCULAR ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. WOLFE DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. WOLFE PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. WOLFE IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. WOLFE'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 247,719 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,361 DEFERRED COMPENSATION: 15,000 NON-TAXABLE BENEFITS: 14,049 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 247,719 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,361 DEFERRED COMPENSATION: 15,000 NON-TAXABLE BENEFITS: 14,049 | SUPPLEMENTAL INFORMATION |
| PART III | YANG, M.D., PHD, JULIUS DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CLINICAL OPERATIONS DIRECTOR, GENERAL MEDICINE AND PRIMARY CARE - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. YANG'S TERM ON THE HMFP BOARD BEGAN DECEMBER 17, 2012. DR. YANG DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 191,473 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 4,489 DEFERRED COMPENSATION: 19,840 NON-TAXABLE BENEFITS: 30,598 ZALE, DONALD L. DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MR. ZALE DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. ZEIDEL, M.D., MARK L. DIRECTOR AND CHAIR OF MEDICINE - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) AND CHIEF OF MEDICINE - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP PRESIDENT - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION HERMAN LUDWIG BLUMGART PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. ZEIDEL DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. ZEIDEL PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY FORM 990, ALTHOUGH DR. ZEIDEL IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. ZEIDEL'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 346,164 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,203 DEFERRED COMPENSATION: 20,441 NON-TAXABLE BENEFITS: 7,847 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 346,164 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,202 DEFERRED COMPENSATION: 20,440 NON-TAXABLE BENEFITS: 7,847 PAYMENTS REPORTED BY BIDDM: BASE COMPENSATION: 5,890 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2012 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. ZEIDEL'S POSITION AS CHIEF OF MEDICINE AT BIDMC, CHAIR OF MEDICINE AT HMFP AND HERMAN LUDWIG BLUMGART PROFESSOR OF MEDICINE, HARVARD MEDICAL SCHOOL: $143,869 BASE AND OTHER REPORTABLE COMPENSATION, $15,881 DEFERRED COMPENSATION AND $1,825 NON-TAXABLE BENEFITS. GOUWS, PETER INTERIM CHIEF FINANCIAL OFFICER - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MR. GOUWS SERVED AS THE INTERIM CHIEF FINANCIAL OFFICER FROM OCTOBER 12, 2011 TO MAY 6, 2013. MR. GOUWS DEVOTED, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 450,000 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 HMFP UTILIZED THE SERVICES OF A HEALTHCARE CONSULTING FIRM, CULBERT HEALTHCARE SOLUTIONS, TO RETAIN PETER GOUWS IN THE ROLE OF INTERIM CHIEF FINANCIAL OFFICER THROUGH MAY, 2013. THE POSITION WAS FILLED PERMANENTLY WHEN AMY GUAY WAS HIRED BY HMFP FOR THE POSITION IN MAY, 2013. ACCORDINGLY, WITH RESPECT TO PETER GOUWS, HMFP HAS REPORTED IN PART VII, SECTION A THE AMOUNTS PAID BY HMFP TO CULBERT WHICH REPRESENT COMPENSATION ULTIMATELY RECEIVED BY PETER GOUWS TOGETHER WITH FRINGE BENEFITS, REIMBURSEMENT FOR TRAVEL, HOUSING ALLOWANCE, AND A FEE PAID TO CULBERT TO RETAIN HIS SERVICES. GRAB, EDWARD VICE PRESIDENT, CHIEF ADMINISTRATIVE AND STRATEGY OFFICER - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR, TREASURER AND CLERK - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR, TREASURER AND CLERK - LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. FKA CARDIOVASCULAR ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MR. GRAB DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 398,723 INCENTIVE COMPENSATION: 30,000 OTHER REPORTABLE COMPENSATION: 7,803 DEFERRED COMPENSATION: 40,000 NON-TAXABLE BENEFITS: 27,451 | SUPPLEMENTAL INFORMATION |
| PART III | GUAY, AMY CHIEF FINANCIAL OFFICER - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) MS. GUAY COMMENCED HER ROLE AS CHIEF FINANCIAL OFFICER OF HMFP ON MAY 6, 2013 AND DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. ARROYO, M.D., JORGE PHYSICIAN (OPHTHALMOLOGY) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE PROFESSOR OF OPHTHALMOLOGY - HARVARD MEDICAL SCHOOL DR. ARROYO DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 955,895 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,716 DEFERRED COMPENSATION: 40,000 NON-TAXABLE BENEFITS: 7,939 DAS, M.D., ANURAG UROLOGIC SURGEON - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL DR. DAS DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 855,063 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 10,500 DEFERRED COMPENSATION: 46,875 NON-TAXABLE BENEFITS: 27,598 LEE, M.D., BERNARD RECONSTRUCTIVE SURGEON - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL DR. LEE DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 903,846 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,087 DEFERRED COMPENSATION: 35,000 NON-TAXABLE BENEFITS: 25,598 ROZENTAL, M.D., TAMARA ORTHOPEDIC SURGEON - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE PROFESSOR OF ORTHOPEDIC SURGERY - HARVARD MEDICAL SCHOOL DR. ROZENTAL DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 594,104 INCENTIVE COMPENSATION: 255,766 OTHER REPORTABLE COMPENSATION: 8,587 DEFERRED COMPENSATION: 35,000 NON-TAXABLE BENEFITS: 23,823 WHITE, M.D., ANDREW ORTHOPEDIC SPINE SURGEON - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT PROFESSOR OF ORTHOPEDIC SURGERY - HARVARD MEDICAL SCHOOL DR. WHITE DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 617,329 INCENTIVE COMPENSATION: 439,874 OTHER REPORTABLE COMPENSATION: 7,756 DEFERRED COMPENSATION: 35,000 NON-TAXABLE BENEFITS: 25,598 BUEHRENS, ERIC P. FORMER DIRECTOR (EX-OFFICIO) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER INTERIM PRESIDENT AND CHIEF EXECUTIVE OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER FORMER EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER MR. BUEHRENS SERVED AS THE INTERIM PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) OF BETH ISRAEL DEACONESS MEDICAL CENTER FROM FEBRUARY 2 TO OCTOBER 17, 2011, AT WHICH TIME HE RESUMED THE POSITION OF CHIEF OPERATING OFFICER (COO). MR. BUEHRENS SERVED AS COO UNTIL JANUARY 5, 2012 AND WAS EMPLOYED BY BIDMC UNTIL FEBRUARY 29, 2012. DURING THIS TIME, MR. BUEHRENS DEVOTED, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. WHILE MR. BUEHRENS SERVED AS INTERIM PRESIDENT AND CEO OF BIDMC, HE ALSO SERVED IN THE FOLLOWING POSITIONS: DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION TRUSTEE (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 103,861 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 602,723 DEFERRED COMPENSATION: 5,600 NON-TAXABLE BENEFITS: 27,590 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. BUEHRENS INCLUDES SALARY CONTINUATION PAYMENTS PAID IN THE AMOUNT OF $568,612 DURING THE CALENDAR YEAR 2012. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. BUEHRENS INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $39,094. | SUPPLEMENTAL INFORMATION |
| PART III | EDLOW, M.D., JONATHAN A. VICE CHAIR AND PHYSICIAN (EMERGENCY MEDICINE) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. EDLOW'S TERM ON THE HMFP BOARD ENDED SEPTEMBER 27, 2010. ALL PAYMENTS TO DR. EDLOW RELATE TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2012, WHICH ARE NOTED ABOVE. DR. EDLOW DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL THE RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 237,329 INCENTIVE COMPENSATION: 31,563 OTHER REPORTABLE COMPENSATION: 56,468 DEFERRED COMPENSATION: 29,347 NON-TAXABLE BENEFITS: 25,598 FISCHER, M.D., JOSEF E. SURGEON - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER WILLIAM V. MCDERMOTT PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL FORMER DIRECTOR/CHAIRMAN OF SURGERY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR (EX-OFFICIO) AND CHIEF OF SURGERY - BETH ISRAEL DEACONESS MEDICAL CENTER DR. FISCHER SERVED AS DIRECTOR (EX-OFFICIO) AND CHIEF OF SURGERY AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH JUNE 26, 2008. ALL PAYMENTS TO DR. FISCHER RELATE TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2012 , WHICH ARE NOTED ABOVE. DR. FISCHER DEVOTES, ON AVERAGE, 40 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL THE RELATED ENTITIES FOR THE POSITIONS LISTED HERE. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. FISCHER IS PAID DIRECTLY BY HMFP, DR. FISCHER'S COMPENSATION HAS BEEN REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW: PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 112,717 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,638 DEFERRED COMPENSATION: 13,104 NON-TAXABLE BENEFITS: 24,790 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY HMFP FOR THE 2012 CALENDAR YEAR WAS PAID BY PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. FISCHER'S POSITION AS A SURGEON AND WILLIAM V. MCDERMOTT PROFESSOR OF SURGERY, HARVARD MEDICAL SCHOOL. HANTO, M.D, PH.D., DOUGLAS W. CHIEF, DIVISION OF TRANSPLANTATION - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND CLERK - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION LEWIS THOMAS PROFESSOR OF SURGERY, EMERITUS - HARVARD MEDICAL SCHOOL DR. HANTO'S TERM ON THE HMFP BOARD ENDED DECEMBER 14, 2009. DR. HANTO'S TERM ON THE SURGERY FOUNDATION AND EMPLOYMENTS BY HMFP ENDED ON DECEMBER 1, 2012. ALL PAYMENTS TO DR. HANTO RELATE TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2012 , WHICH ARE NOTED ABOVE. DR. HANTO DEVOTED, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL THE RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 634,079 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 13,475 DEFERRED COMPENSATION: 46,875 NON-TAXABLE BENEFITS: 10,269 KANE, M.D., ROBERT A. RADIOLOGIST AND FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. KANE'S TERM ON THE HMFP BOARD ENDED SEPTEMBER 27, 2010 AND HIS TERM ON RADIOLOGY FOUNDATION'S BOARD ENDED APRIL 1, 2012. ALL PAYMENTS TO DR. KANE RELATE TO HIS POSITIONS HELD DURING THE CALENDAR YEAR 2012 , WHICH ARE NOTED ABOVE. DR. KANE DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 276,165 INCENTIVE COMPENSATION: 7,500 OTHER REPORTABLE COMPENSATION: 11,674 DEFERRED COMPENSATION: 30,000 NON-TAXABLE BENEFITS: 16,591 KRESSEL, M.D., HERBERT Y. RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER RADIOLOGIST-IN-CHIEF EMERITUS - BETH ISRAEL DEACONESS MEDICAL CENTER MIRIAM H. STONEMAN PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL FORMER DIRECTOR/FORMER CHAIR OF RADIOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER CHIEF OF RADIOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER DR. KRESSEL SERVED AS DIRECTOR AND CHAIR OF RADIOLOGY AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER AND CHIEF OF RADIOLOGY AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH DECEMBER 31, 2007. ALL PAYMENTS TO DR. KRESSEL RELATE TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2012 , WHICH ARE NOTED ABOVE. DR. KRESSEL DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL THE RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 516,751 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 12,557 DEFERRED COMPENSATION: 37,312 NON-TAXABLE BENEFITS: 17,591 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY HMFP FOR THE 2012 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. KRESSEL'S POSITION AS MIRIAM H. STONEMAN PROFESSOR OF RADIOLOGY, HARVARD MEDICAL SCHOOL: $73,120 BASE AND OTHER REPORTABLE COMPENSATION AND $7,312 DEFERRED COMPENSATION. KROUSKOS, JOHN FORMER TREASURER AND CHIEF FINANCIAL OFFICER - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER TREASURER AND CLERK - LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. FKA CARDIOVASCULAR ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER TREASURER - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER TREASURER - BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION MR. KROUSKOS RESIGNED OCTOBER 5, 2011 FROM ALL THE POSITIONS LISTED ABOVE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 0 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 196,591 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 OTHER REPORTABLE COMPENSATION FOR MR. KROUSKOS REPRESENTS SALARY CONTINUATION PAYMENTS PAID DURING THE CALENDAR YEAR 2012. | SUPPLEMENTAL INFORMATION |
| PART III | LAMONT, M.D., J. THOMAS FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER GASTROENTEROLOGIST, EMERITUS DIVISION CHIEF - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHARLOTTE F. & IRVING W. RABB PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. LAMONT SERVED AS DIRECTOR AND GASTROENTEROLOGY CHIEF AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER AND CHIEF OF GASTROENTEROLOGY AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH SEPTEMBER 30, 2012. ALL PAYMENTS TO DR. LAMONT RELATE TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2012, WHICH ARE NOTED ABOVE. DR. LAMONT DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 278,618 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 19,909 DEFERRED COMPENSATION: 28,101 NON-TAXABLE BENEFITS: 20,091 PAYMENTS REPORTED BY BIDDM: BASE COMPENSATION: 1,040 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP FOR THE 2012 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. LAMONT'S POSITION AS GASTROENTEROLOGIST AND CHARLOTTE F. & IRVING W. RABB PROFESSOR OF MEDICINE HARVARD MEDICAL SCHOOL: $31,014 BASE AND OTHER REPORTABLE COMPENSATION AND $3,101 DEFERRED COMPENSATION. LEVY, PAUL F. FORMER DIRECTOR (EX-OFFICIO) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR (EX-OFFICIO), FORMER PRESIDENT AND CHIEF EXECUTIVE OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER MR. LEVY SERVED AS PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) UNTIL FEBRUARY 2, 2011. PAYMENTS MADE TO MR. LEVY ARE FURTHER OUTLINED BELOW: PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 0 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 777,205 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 9,474 OTHER REPORTABLE COMPENSATION FOR MR. LEVY REPRESENTS SALARY CONTINUATION PAYMENTS PAID DURING THE CALENDAR YEAR 2012. LISBON, M.D., ALAN ANESTHESIOLOGIST, CRITICAL CARE AND FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER EXECUTIVE VICE CHAIR, ANESTHESIA, CRITICAL CARE AND PAIN MEDICINE - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND CLERK - BETH ISRAEL ANAESTHESIA FOUNDATION (BIAF) ASSOCIATE PROFESSOR OF ANAESTHESIA - HARVARD MEDICAL SCHOOL DR. LISBON SERVED AS DIRECTOR AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH SEPTEMBER 30, 2012. ALL PAYMENTS TO DR. LISBON RELATE TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2012, WHICH ARE NOTED ABOVE. DR. LISBON DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 383,101 INCENTIVE COMPENSATION: 86,814 OTHER REPORTABLE COMPENSATION: 28,691 DEFERRED COMPENSATION: 50,000 NON-TAXABLE BENEFITS: 20,091 PARKER, M.D., RICHARD A. PHYSICIAN, GENERAL MEDICINE - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF MEDICAL OFFICER - BETH ISRAEL DEACONESS PHYSICIAN ORGANIZATION D/B/A BIDCO FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. PARKER SERVED AS DIRECTOR AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH SEPTEMBER 30, 2008. ALL PAYMENTS TO DR. PARKER RELATE TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2012, WHICH ARE NOTED ABOVE. IN 2013 DR. PARKER WAS APPOINTED AS CHIEF MEDICAL OFFICER OF BETH ISRAEL DEACONESS PHYSICIAN ORGANIZATION D/B/A BIDCO. DR. PARKER DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL THE RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 344,773 INCENTIVE COMPENSATION: 39,500 OTHER REPORTABLE COMPENSATION: 10,500 DEFERRED COMPENSATION: 25,000 NON-TAXABLE BENEFITS: 29,598 PHILLIPS, M.D. RUSSELL S. PHYSICIAN, GENERAL MEDICINE - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER WILLIAM APPLEBAUM PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. PHILLIPS SERVED AS DIRECTOR AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH DECEMBER 14, 2009 ALL PAYMENTS TO DR. PHILLIPS RELATED TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2012 AND WHICH ARE NOTED ABOVE. DR. PHILLIPS DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL THE RELATED ENTITIES FOR THE POSITIONS LISTED HERE. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. PARKER IS PAID DIRECTLY BY HMFP AND HARVARD MEDICAL SCHOOL, DR. PHILLIPS' COMPENSATION HAS BEEN REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW: PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 174,677 INCENTIVE COMPENSATION: 5,617 OTHER REPORTABLE COMPENSATION: 3,150 DEFERRED COMPENSATION: 19,279 NON-TAXABLE BENEFITS: 3,555 PAYMENTS REPORTED BY HARVARD MEDICAL SCHOOL: BASE COMPENSATION: 174,677 INCENTIVE COMPENSATION: 5,616 OTHER REPORTABLE COMPENSATION: 3,150 DEFERRED COMPENSATION: 19,278 NON-TAXABLE BENEFITS: 3,555 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY HMFP FOR THE 2012 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. PHILLIPS' POSITIONS AS DIVISION CHIEF, GENERAL MEDICINE AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER AND WILLIAM APPLEBAUM PROFESSOR OF MEDICINE AT HARVARD MEDICAL SCHOOL: $204,854 BASE AND OTHER REPORTABLE COMPENSATION, $23,557 DEFERRED COMPENSATION, AND $4,490 NON-TAXABLE BENEFITS. | SUPPLEMENTAL INFORMATION |
| PART III | RAPTOPOULOS, M.D., VASSILIOS RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - BIH RADIATION FOUNDATION PROFESSOR OF RADIOLOGY HARVARD MEDICAL SCHOOL FORMER INTERIM CHAIR OF RADIOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER INTERIM CHIEF OF RADIOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER DR. RAPTOPOULOS SERVED AS INTERIM CHAIR OF RADIOLOGY AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH SEPTEMBER 10, 2008. ALL PAYMENTS TO DR. RAPTOPOULOS RELATE TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2012, WHICH ARE NOTED ABOVE. DR. RAPTOPOULOS DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL THE RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 363,614 INCENTIVE COMPENSATION: 7,500 OTHER REPORTABLE COMPENSATION: 15,003 DEFERRED COMPENSATION: 30,000 NON-TAXABLE BENEFITS: 28,098 ROSEN, M.D., MAX FORMER DIRECTOR AND RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR - BIH RADIOLOGIC FOUNDATION VISITING PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. ROSEN'S TERMS ON THE HMFP BOARD ENDED JUNE 30, 2012. DR. ROSEN'S TERM ON THE RADIOLOGIC BOARD AND HIS EMPLOYMENT AT HMFP ENDED ON SEPTEMBER 1, 2012. ALL PAYMENTS TO DR. ROSEN RELATED TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2012, WHICH ARE NOTED ABOVE. DR. ROSEN DEVOTED, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 177,239 INCENTIVE COMPENSATION: 4,500 OTHER REPORTABLE COMPENSATION: 3,354 DEFERRED COMPENSATION: 21,308 NON-TAXABLE BENEFITS: 1,631 ROSEN, M.D., SEYMOUR PATHOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - BIH PATHOLOGY FOUNDATION PROFESSOR OF PATHOLOGY - HARVARD MEDICAL SCHOOL FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DR. ROSEN SERVED AS DIRECTOR AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH SEPTEMBER 30, 2008. ALL PAYMENTS TO DR. ROSEN RELATE TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2012, WHICH ARE NOTED ABOVE. DR. ROSEN DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL THE RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 251,263 INCENTIVE COMPENSATION: 7,000 OTHER REPORTABLE COMPENSATION: 19,580 DEFERRED COMPENSATION: 30,001 NON-TAXABLE BENEFITS: 19,091 YEH, M.D., JOHN FORMER DIRECTOR AND CHAIR OF OBSTETRICS AND GYNECOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER CHIEF OF OBSTETRICS AND GYNECOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER FORMER PRESIDENT AND DIRECTOR - BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION PROFESSOR OF OBSTETRICS, GYNECOLOGY AND REPRODUCTIVE BIOLOGY - HARVARD MEDICAL SCHOOL DR. YEH STEPPED DOWN AS CHAIR OF OBSTETRICS AND DIRECTOR OF HMFP ON JUNE 15, 2011 AND WAS EMPLOYED BY HMFP UNTIL SEPTEMBER 1, 2011. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 0 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 401,819 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 60 OTHER REPORTABLE COMPENSATION TO DR. YEH REPRESENTS SALARY CONTINUATION PAYMENTS PAID DURING THE CALENDAR YEAR 2012. | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| GAYLE MATHESON | |||
| FAMILY MEMBER | 191234 | SEE PART V | 0 |
| ELIZABETH ROSENBERG | |||
| FAMILY MEMBER | 69696 | SEE PART V | 0 |
| SUSAN FREEDMAN | |||
| FAMILY MEMBER | 227981 | SEE PART V | 0 |
| FRANKLIN ROSEN | |||
| FAMILY MEMBER | 88980 | SEE PART V | 0 |
| MATTHEW ROSEN | |||
| FAMILY MEMBER | 165625 | SEE PART V | 0 |
| JULIAN EDLOW | |||
| FAMILY MEMBER | 46403 | SEE PART V | 0 |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE L PART IV | ReturnReference |
| Explanation | HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER AND BETH ISRAEL DEACONESS MEDICAL CENTER MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 SCHEDULE L AS HMFP AND BIDMC RESPECTIVELY.DEWAYNE PURSLEY, MD, IS A DIRECTOR AND THE CHAIR (NEONATOLOGY) AT HMFP, CHIEF (NEONATOLOGY) AT BIDMC, AND THE PRESIDENT OF BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION, INC. HMFP IS THE SOLE MEMBER OF THE NEONATOLOGY FOUNDATION. DR. PURSLEY IS MARRIED TO GAYLE MATHESON, THE CHIEF ADMINISTRATIVE OFFICER, DEPARTMENT OF NEONATOLOGY, HMFP. MS. MATHESON'S SALARY AND OTHER INCOME INCLUDES:BASE COMPENSATION: $134,398BONUS AND INCENTIVE COMPENSATION: $20,160OTHER REPORTABLE COMPENSATION: $6,773DEFERRED COMPENSATION: $27,888NON-TAXABLE BENEFITS: $2,015STUART A. ROSENBERG, MD, IS PRESIDENT AND CEO OF HMFP AND A DIRECTOR (EX-OFFICIO) OF BIDMC. HMFP IS INTEGRALLY RELATED TO BIDMC. DR. ROSENBERG'S DAUGHTER, ELIZABETH ROSENBERG, IS AN ULTRASOUND TECHNOLOGIST AT BIDMC. MS. ROSENBERG'S SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $59,507BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $7DEFERRED COMPENSATION: $0NON-TAXABLE BENEFITS: $10,182MARK L. ZEIDEL, M.D., CHAIR OF THE DEPARTMENT OF MEDICINE AND BOARD DIRECTOR OF HMFP ALSO SERVES AS AN EX-OFFCIO MEMBR OF THE BIDMC BOARD OF DIRECTORS AND CLINCAL CHIEF OF MEDICINE FOR BIDMC.DR. ZEIDEL IS MARRIED TO SUSAN FREEDMAN, MD, A PHYSICIAN EMPLOYED BY HMFP AND MEDICAL CARE OF BOSTON MANAGEMENT CORP, DBA AFFILIATED PHYSICIANS GROUP (APG). HMFP IS INTEGRALLY RELATED TO BIDMC AND BIDMC IS THE SOLE MEMBER OF APG. DR. FREEDMAN'S SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $195,000BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $3,741DEFERRED COMPENSATION: $24,000NON-TAXABLE BENEFITS: $5,240SEYMOUR ROSEN, MD SERVED AS A DIRECTOR ON THE HMFP BOARD THROUGH SEPTEMBER 30, 2008. DR. ROSEN'S SON, FRANKLIN ROSEN, IS EMPLOYED BY AND, SERVES AS A REGULATORY COMPLIANCE SPECIALIST IN THE HEALTH CARE QUALITY DEPARTMENT AT BIDMC. HMFP IS INTEGRALLY RELATED TO BIDMC. MR. FRANKLIN ROSEN'S SALARY AND OTHER INCOME INCLUDES:BASE COMPENSATION: $65,376BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $40DEFERRED COMPENSATION: $1,308NON-TAXABLE BENEFITS: $22,256IN ADDITION, DR. ROSEN'S SON, MATTHEW ROSEN, IS DR. TEJAS MEHTA'S SPOUSE. DR. MEHTA SERVES AS A DIRECTOR ON THE HMFP BOARD. DR. MATTHEW ROSEN WAS EMPLOYED BY LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. FKA CAPHMFP AS A CARDIOLOGIST UNTIL MARCH 30, 2012. HMFP IS THE SOLE MEMBER OF CAPHMFP. DR. MATTHEW ROSEN'S SALARY AND OTHER INCOME INCLUDES:BASE COMPENSATION: $138,800BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $1,601DEFERRED COMPENSATION: $24,984NON-TAXABLE BENEFITS: $240JONATHAN EDLOW, MD, IS A VICE CHAIR, (EMERGENCY MEDICINE), AND A FORMER DIRECTOR OF HMFP. DR. EDLOW'S CHILD, JULIAN EDLOW, IS A COMMUNICATIONS SPECIALIST AT BIDMC. HMFP IS INTEGRALLY RELATED TO BIDMC. MS. EDLOW'S SALARY AND OTHER INCOME INCLUDEBASE COMPENSATION: $42,787BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION; $0DEFERRED COMPENSATION: $856NON-TAXABLE BENEFITS: $2,760HMFP MAINTAINS AN ACCOUNTABLE BUSINESS EXPENSE REIMBURSEMENT PLAN. FROM TIME TO TIME, HMFP MAY REIMBURSE ITS OFFICERS, DIRECTORS, TRUSTEES AND/OR KEY EMPLOYEES FOR EXPENSES THEY INCURRED AND WHICH ARE PROPERLY ORDINARY AND NECESSARY BUSINESS EXPENSES OF THE REPORTING ENTITY. THE POLICIES AND PROCEDURES REQUIRED BY THE ACCOUNTABLE BUSINESS PLAN MUST BE FOLLOWED IN ORDER TO RECEIVE REIMBURSEMENT FOR SUCH EXPENSES AND IT IS POSSIBLE THAT ONE OR MORE INDIVIDUALS RECEIVED NON-TAXABLE REIMBURSEMENTS WHICH TOTALED $1,000 OR MORE DURING THE FISCAL PERIOD COVERED BY THIS FILING.ALL OF THE ABOVE TRANSACTIONS WERE NEGOTIATED AT ARMS LENGTH AND IN ACCORDANCE WITH THE HMFP CONFLICT OF INTEREST POLICY. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION MISSION STATEMENT | FORM 990, PART III, LINE 1 | THE MISSION OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. IS TO PROVIDE EXTRAORDINARY HEALTHCARE SERVICES, WHERE THE PATIENT COMES FIRST, SUPPORTED BY WORLD-CLASS EDUCATION, RESEARCH AND TRAINING. |
| PROGRAM SERVICE STATEMENT | FORM 990, PART III, LINE 4A | PATIENT SERVICES HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC'S (HMFP) PROVIDES MEDICAL CARE AND IMPROVE THE HEALTH OF PATIENTS OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) AND OTHERS. SOME OF HMFP'S KEY STATISTICS FOR FY2013 REGARDING PATIENT VOLUME ARE IDENTIFIED BELOW: NEONATAL VISITS 22,195 DELIVERIES 1,919 GASTROINTESTINAL PROCEDURES 30,121 ANESTHESIA CASES 55,419 SURGICAL PATHOLOGY EXAM 113,005 RADIATION ONCOLOGY TREATMENTS 31,997 DERMATOLOGY PROCEDURE 38,635 EMERGENCY VISITS 58,727 HOSPITAL BASED CLINICS 30,480 OUTPATIENT VISITS 565,472 SURGICAL CASES 72,394 RADIOLOGY EXAMS 557,525 CARDIAC CATHS 2,996 OTHER UNCOMPENSATED CARE HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) ALSO PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN OTHER PROGRAMS DESIGNED TO SUPPORT LOW-INCOME FAMILIES, INCLUDING PARTICULARLY THE MEDICAID PROGRAM, WHICH IS JOINTLY FUNDED BY FEDERAL AND STATE GOVERNMENTS. THE MASSACHUSETTS HEALTH REFORM LAW PROVIDED AN INITIATIVE FOR EXPANSION OF MEDICAID COVERAGE TO GREATER POPULATIONS AND FOR ENROLLMENT OF UNINSURED PATIENTS IN OTHER INSURANCE PROGRAMS. PAYMENTS FROM MEDICAID AND OTHER PROGRAMS WHICH INSURE LOW-INCOME POPULATIONS DO NOT COVER THE COST OF SERVICES PROVIDED. HMFP ALSO PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM, THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS. BECAUSE PAYMENTS TO HOSPITALS HAVE NOT KEPT PACE WITH INFLATION IN RECENT YEARS, PAYMENTS TO HMFP FOR THOSE SERVICES ALSO DO NOT COVER THE COSTS OF SERVICES PROVIDED. IN AGGREGATE, THE COST OF CARE PROVIDED BY HMFP FOR SUCH SERVICES EXCEEDED REIMBURSEMENT BY $8,222,421 IN FY 2013. BAD DEBTS IN ADDITION TO THE SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, HMFP ALSO INCURS LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENTS FOR SERVICES OR INSURED PATIENTS WHO FAIL TO PAY COINSURANCE OR DEDUCTIBLES FOR WHICH THEY ARE RESPONSIBLE UNDER INSURANCE CONTRACTS. BAD DEBT EXPENSE IS INCLUDED IN UNCOMPENSATED CARE EXPENSE IN THE FINANCIAL STATEMENTS AND INCLUDES THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE. |
| PROGRAM SERVICE STATEMENT | FORM 990, PART III, LINE 4B | TEACHING TEACHING IS A MAJOR COMPONENT OF THE WORK DONE BY HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) PHYSICIANS AND STAFF AND THE FACULTY OF HMFP IS EXTREMELY ACTIVE IN MEDICAL SCHOOL EDUCATION AS LECTURERS, TUTORS, TEACHING ATTENDEES, AND SMALL GROUP LEADERS. THE STAFF OF HMFP IS AN IMPRESSIVE COURSE LEADERSHIP GROUP AS STAFF PHYSICIANS AT HMFP HOLD FACULTY APPOINTMENTS AT HARVARD MEDICAL SCHOOL AND INSTRUCT THE DOCTORS OF TOMORROW AS PART OF BETH ISRAEL DEACONESS MEDICAL CENTER'S GRADUATE MEDICAL EDUCATION PROGRAM AND THROUGH SUPERVISION OF THEIR DAILY PATIENT CARE AND A RANGE OF INTERACTIVE LEARNING EXPERIENCES. THE MAJOR TEACHING GOALS OF THE PHYSICIAN GROUP AT HMFP INCLUDE DEVELOPING FUTURE LEADERS IN CLINICAL CARE, EDUCATION, AND RESEARCH BY FOSTERING A CULTURE OF QUALITY INFORMED BY CUTTING EDGE KNOWLEDGE, HUMANE PHYSICIAN ROLE MODELS, AND AN EMPHASIS ON CURIOSITY AND LIFELONG LEARNING. PARTICULAR COURSES INCLUDE PATIENT DOCTOR I AND PATIENT DOCTOR II WHICH ARE BOTH YEARLONG COURSES TO TEACH STUDENTS INTERVIEWING SKILLS AND PHYSICAL DIAGNOSIS. OTHER COURSES ARE DESIGNED TO FOCUS ON HEALTH CARE QUALITY, RESEARCH, PHYSIOLOGY, AND GLOBAL HEALTH. IN THE HEALTHCARE QUALITY COURSE, RESIDENTS ROTATE ON GEOGRAPHIC UNITS AND WORK IN MULTIDISCIPLINARY GROUPS TO IMPROVE QUALITY IN THEIR "BASE UNITS." TRAINING CLINICAL RESIDENTS INCLUDES TEACHING RESIDENTS HOW TO DO RESEARCH TO FOSTER RESEARCH CAREERS AND TO GAIN AN UNDERSTANDING OF HOW RESEARCH IMPACTS THE OVERALL MEDICAL FIELD. ONE PARTICULAR RESEARCH COURSE ENTITLED "RESEARCH FOR RESIDENTS" IS COMPLETED BY THREE-QUARTERS OF THE RESIDENTS IN THE INTERNAL MEDICINE RESIDENCY PROGRAM. THE MEDICINE DEPARTMENT HAS DEVELOPED AN INTENSIVE COURSE IN COMPARATIVE PHYSIOLOGY. THE GOALS OF THE COURSE ARE TO INCREASE APPRECIATION FOR PHYSIOLOGY AND TO ENHANCE RESIDENTS' ROUTINE INCORPORATION OF PATHOPHYSIOLOGY INTO THEIR TEACHING AND CLINICAL ROLES. TRAINING IN GLOBAL HEALTH IS DONE TO ENCOURAGE RESIDENTS TO EXPAND THEIR MEDICAL EDUCATION BEYOND TRADITIONAL ROLES AND TO DEVELOP A MORE GLOBAL VISION OF HEALTH CARE. THROUGH THIS WORK, HMFP IS ABLE TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES SERVED, AND THE RESIDENTS ARE ABLE TO GAIN KNOWLEDGE AND SELF-RELIANCE AND ENRICH THEIR MEDICAL KNOWLEDGE AND CLINICAL SKILLS BY PRACTICING IN UNIQUE SETTINGS WITH LIMITED RESOURCES. |
| PROGRAM SERVICE STATEMENT | FORM 990, PART III, LINE 4C | RESEARCH PART OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC.'S (HMFP) THREE-PRONG MISSION IS TO PARTICIPATE WITH BIDMC AS A WORLD-CLASS RESEARCH INSTITUTION WHERE OUTSTANDING SCIENTISTS WORK TO DEVELOP NEW KNOWLEDGE FOR THE BETTERMENT OF THE HEALTH OF OUR LOCAL AND EXTENDED COMMUNITIES. THE RESEARCH PROGRAM STRIVES TO BE RENOWNED FOR ITS BENCH-TO-BEDSIDE MODEL OF TRANSLATIONAL RESEARCH FOR ITS COLLABORATION WITH INDUSTRY AS A PATHWAY FOR TRANSFERRING THE FRUITS OF RESEARCH INTO PRODUCTS THAT IMPROVE THE QUALITY OF LIFE. HMFP COMMITS TO MAINTAIN A COLLABORATIVE CULTURE AND MODERN, HIGH-QUALITY FACILITIES, AND TO TAKE FULL ADVANTAGE OF THE UNIQUE RELATIONSHIPS THAT EXIST AMONG HARVARD MEDICAL SCHOOL AND THE HARVARD TEACHING HOSPITALS AS WELL AS REACHING OUT AND COLLABORATING WITH NATIONALLY RECOGNIZED AND WORLD RENOWNED EXPERTS IN VARIOUS FIELDS. HMFP SCIENTISTS CONTINUALLY SEARCH FOR IMPROVED UNDERSTANDING OF DISEASES AND BETTER TREATMENTS FOR PATIENTS, WHICH IN TURN DIRECTLY IMPACT BOTH FUNDAMENTAL RESEARCH AND CLINICAL TRIALS. THIS RESEARCH IS LED BY MORE THAN 275 PRINCIPAL INVESTIGATORS WHO ARE HARVARD MEDICAL SCHOOL FACULTY: THE KEY AREAS OF RESEARCH INCLUDE VASCULAR BIOLOGY, MOLECULAR IMAGING, TRANSPLANTATION, SIGNAL TRANSDUCTION, CANCER BIOLOGY, METABOLIC DISEASE, NEUROBIOLOGY, AIDS AND CARDIOLOGY/CARDIAC SURGERY. OUR EXTRAORDINARY FACULTY HAS ESTABLISHED A CULTURE THAT IS COLLABORATIVE AND ORIENTED TOWARD TRANSLATING NEW KNOWLEDGE INTO NOVEL MEDICAL TREATMENTS AND PATIENT CARE. |
| FORM 990, PART III, LINE 4D | OTHER MEDICAL SERVICES OTHER REVENUE CONSISTS OF SUPPORT RECEIVED FROM BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) AND HARVARD MEDICAL SCHOOL FOR ADMINISTRATIVE SERVICES THAT HMFP EMPLOYEES PERFORM FOR RELATED ORGANIZATIONS. ALSO, INCLUDED IN OTHER REVENUE IS A MANAGEMENT FEE FROM CONSOLIDATED ENTITIES OF HMFP AND REVENUE FROM EXTERNAL ORGANIZATIONS OF HMFP FOR ADMINISTRATIVE AND CLINICAL SERVICES PERFORMED AT THEIR SITE. IN ADDITION TO THE ABOVE, HMFP PERFORMED EDUCATIONAL RELATED ACTIVITIES OVERSEAS. THE REVENUE RECEIVED FOR INTERNATIONAL WORK PERFORMED IS INCLUDED IN OTHER REVENUE. | |
| FORM 990, PART VI, SECTION A, LINE 2 | AS NOTED IN VARIOUS NARRATIVE DISCLOSURES WHICH SUPPORT THIS FORM 990 AND RELATED SCHEDULES, CAREGROUP, INC. (CAREGROUP) IS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CAREGROUP'S PURPOSE IS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES WHICH MAKE UP THE CAREGROUP SYSTEM. CAREGROUP SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER). BIDMC IS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, INC. (BIDN), MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A AFFILIATED PHYSICIANS GROUP (APG) AND BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON). IN ADDITION, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) IS THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER ACCOMPLISH ITS CHARITABLE PURPOSES. CAREGROUP ALSO SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF NEW ENGLAND BAPTIST HOSPITAL (NEBH) AND MOUNT AUBURN HOSPITAL (MAH), WHICH IN TURN SERVE AS THE SOLE MEMBER OF NEW ENGLAND BAPTIST MEDICAL ASSOCIATES (NEBMA) AND MOUNT AUBURN PROFESSIONAL SERVICES (MAPS), RESPECTIVELY. EACH OF THE ENTITIES LISTED IN THIS PARAGRAPH MAY, IN TURN, SERVE AS MEMBER OF ADDITIONAL ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATES. 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 BOARDS OF DIRECTORS/TRUSTEES OR BY SERVING IN EMPLOYMENT RELATIONSHIP ONE OR MORE ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATED ORGANIZATIONS. ADDITIONAL DETAIL IS PROVIDED IN THE EXPLANATORY NOTES TO THIS FORM 990 SCHEDULE J. | |
| FORM 990, PART VI, SECTION A, LINE 3 | HMFP UTILIZED THE SERVICES OF A HEALTHCARE CONSULTING FIRM, CULBERT HEALTHCARE SOLUTIONS, TO RETAIN PETER GOUWS IN THE ROLE OF INTERIM CHIEF FINANCIAL OFFICER THROUGH MAY, 2013. THE POSITION WAS FILLED PERMANENTLY WHEN AMY GUAY WAS HIRED BY HMFP FOR THE POSITION IN MAY, 2013. ACCORDINGLY, WITH RESPECT TO PETER GOUWS, HMFP HAS REPORTED IN PART VII, SECTION A THE AMOUNTS PAID BY HMFP TO CULBERT WHICH REPRESENT COMPENSATION ULTIMATELY RECEIVED BY PETER GOUWS TOGETHER WITH FRINGE BENEFITS, REIMBURSEMENT FOR TRAVEL, HOUSING ALLOWANCE, AND A FEE PAID TO CULBERT TO RETAIN HIS SERVICES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE PREPARATION AND THE FILING OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER INC. (HMFP) FORM 990 AND SUPPORTING SCHEDULES ARE THE RESPONSIBILITY OF THE CHIEF FINANCIAL OFFICER (CFO) OF HMFP. FOR FISCAL YEAR 2013, THE FORM 990 WAS PREPARED BY THE ACCOUNTING FIRM DELOITTE TAX LLP WITH ASSISTANCE AND GUIDANCE FROM HMFP'S FINANCE STAFF. THE TAX PREPARATION PROCESS WAS ALSO OVERSEEN BY THE DIRECTOR OF TAXATION OF CAREGROUP, INC. HARVARD MEDICAL FACULTY PHYSICIANS IS PART OF THE BETH ISRAEL DEACONESS MEDICAL CENTER WHICH IS A SUBSIDIARY OF CAREGROUP, INC. A DRAFT COPY OF THE FORM 990 PREPARED BY DELOITTE TAX LLP INCLUDING ALL RELATED SCHEDULES WAS PROVIDED TO THE FOUNDATION'S PRESIDENT FOR REVIEW, PARTICULARLY IN THE AREAS OF ACCURACY AND ADEQUACY OF EXPLANATIONS AND ANSWERS RELATED TO NON-FINANCIAL INFORMATION. ANY ISSUES DISCOVERED IN THE REVIEW PROCESS WERE THEN ADDRESSED BY THE FOUNDATION'S PRESIDENT WITH DELOITTE TAX LLP AND HARVARD MEDICAL FACULTY PHYSICIANS' FINANCE TEAM. ALL SUCH ISSUES WERE RESOLVED BEFORE THE 990 TAX FORM WAS FILED. THE FORM 990 IS ASSEMBLED AND REVIEWED FOR FINAL FILING BY THE FOUNDATION'S TAX PREPARER'S DELOITTE TAX LLP. ONCE ASSEMBLED, THE FOUNDATION'S PRESIDENT APPROVES AND SIGNS THE RETURN. THE COMPLETED 990 IS FILED WITH THE PROPER AUTHORITIES BY HMFP'S CFO AND HER TEAM. | |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) IS COMMITTED TO PURSUING ITS CHARITABLE MISSIONS AND CONDUCTING BUSINESS IN A RESPONSIBLE AND ETHICAL MANNER. MANY INDIVIDUALS SERVE HMFP IN A VARIETY OF CAPACITIES THAT INVOLVE MAKING OR INFLUENCING SIGNIFICANT DECISIONS. SOME OF THESE INDIVIDUALS MAY HAVE OR DEVELOP PERSONAL INTERESTS WHICH CREATE A CONFLICT BETWEEN THOSE PERSONAL INTERESTS AND THE INTERESTS OF HMFP OR WHICH COULD BE PERCEIVED AS CREATING SUCH A CONFLICT. HMFP HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH APPLIES TO HMFP TRUSTEES/DIRECTORS, STAFF AND NON-VOTING MEMBERS OF BOARD LEVEL COMMITTEES, OFFICERS, SENIOR MANAGEMENT, CHIEFS OF SERVICE, DIVISION CHIEFS, MEDICAL DIRECTORS AND OTHER EMPLOYEES AND PROFESSIONAL STAFF CATEGORIES AS IDENTIFIED FROM TIME TO TIME BY THE CHIEF EXECUTIVE OFFICER AND/OR DIRECTORS OF HMFP AND AS FILED WITH CAREGROUP'S CORPORATE AUDIT DEPARTMENT. THE STANDARDS IN THE POLICY REQUIRE THAT HMFP OFFICERS AND MANAGEMENT (AS DESCRIBED ABOVE) SHALL NOT VOTE ON, INFLUENCE, OR MAKE RECOMMENDATIONS REGARDING A TRANSACTION OR DECISION WHEN THE INDIVIDUAL OR A MEMBER OF HIS OR HER FAMILY HAS A MATERIAL INTEREST IN AN ENTITY OR PROPERTY INVOLVED IN THE TRANSACTION OR DECISION. A MATERIAL INTEREST INCLUDES, BUT IS NOT LIMITED TO AN INDIVIDUAL OR FAMILY MEMBER HAVING A COMBINED INVESTMENT INTEREST OF GREATER THAN 5% OF AN ENTITY OR PROPERTY, AN INDIVIDUAL OR FAMILY MEMBER SERVING AS A DIRECTOR, TRUSTEE, OFFICER, PARTNER, EMPLOYEE, CONSULTANT, AGENT, MEMBER OF THE ACTIVE PROFESSIONAL STAFF, RESEARCHER OR ADVISOR OF OR TO AN ENTITY (INCLUDING BUT NOT LIMITED TO HEALTH CARE PROVIDERS) OTHER THAN HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC, INC AND ITS AFFILIATES, AN INDIVIDUAL HOLDING AN ELECTED OR APPOINTED OFFICE OR POSITION IN A BRANCH OF GOVERNMENT OR IN A REGULATORY AGENCY HAVING AUTHORITY OR JURISDICTION OVER PROVIDERS OF HEALTH CARE (FOR MEMBERS OF THE JUDICIARY, AREAS OF CONFLICT WILL BE DEFINED IN THE CODE OF JUDICIAL CONDUCT, AND AN INDIVIDUAL (OR MEMBER OF HIS OR HER FAMILY) COMPETING WITH HMFP IN THE PURCHASE OR SALE OR ANY PROPERTY RIGHT, INTEREST OR SERVICE. AN INDIVIDUAL, MEMBER OF HIS OR HER FAMILY, OR AN ENTITY IN WHICH ONE OR MORE OF THEM HAS A MATERIAL INTEREST MAY NOT DO BUSINESS WITH, OR COMPETE WITH HMFP UNLESS EXPRESSLY AUTHORIZED BY THE APPROPRIATE GOVERNING BODY OR OFFICER AFTER FULL DISCLOSURE. THE STANDARDS ALSO REQUIRE THAT AN INDIVIDUAL OR MEMBER OF HIS OR HER FAMILY NOT ACCEPT GIFTS OR OTHER FAVORS WHICH MIGHT LEAD TO THE INFERENCE THAT THE GIFT OR FAVOR WAS INTENDED TO INFLUENCE HIS OR HER DECISION-MAKING WHILE SERVING HMFP. AN INDIVIDUAL SHOULD NOT DISCLOSE OR USE THE HMFP INFORMATION FOR PERSONAL PROFIT OR ADVANTAGE OR USE OR DISCLOSE CONFIDENTIAL AND/OR STRATEGIC INFORMATION IN ADVANCE OF ITS AUTHORIZED RELEASE. HMFP HAS PREPARED A FORMAL CONFLICT OF INTEREST DISCLOSURE STATEMENT WHICH IS REQUIRED TO BE COMPLETED ANNUALLY BY ALL INDIVIDUALS TO WHOM THIS POLICY APPLIES (PREVIOUSLY MENTIONED ABOVE) AND OTHER KEY HMFP PERSONNEL. IN ADDITION, THEY SHALL IMMEDIATELY UPDATE THIS STATEMENT AT ANY TIME DURING THE YEAR THAT THE INFORMATION REQUESTED ON THE STATEMENT CHANGES. THE POLICY ALSO REQUIRES ANY HMFP EMPLOYEE WHO IS IN A POSITION TO APPROVE OR INFLUENCE A PARTICULAR TRANSACTION OR DECISION IN WHICH THE EMPLOYEE (OR HIS FAMILY MEMBER) HAS A MATERIAL INTEREST TO DISCLOSE SUCH RELATIONSHIPS TO HIS OR HER SUPERVISOR AND AS APPROPRIATE THEN TO THE HMFP COMPLIANCE DEPARTMENT FOR REVIEW AND RESOLUTION PRIOR TO ANY ACTION BY HMFP. THE HMFP COMPLIANCE DEPARTMENT SHALL SEEK GUIDANCE IN THESE MATTERS FROM THE HMFP CEO OR HIS OR HER DESIGNEE AND HMPF LEGAL COUNSEL AS APPROPRIATE. TRUSTEES OR DIRECTORS HAVE SPECIFICALLY DEFINED PROCEDURES TO REPORT CONFLICTS TO THE BOARD OR BOARD COMMITTEE AND ARE DIRECTED NOT TO PARTICIPATE IN DISCUSSION OR DECISIONS AND NOT VOTE OR BE COUNTED IN A QUORUM FOR PURPOSES OF THE RELATED VOTE. IF THE BOARD (OR ANY COMMITTEE THEREOF) OF HMFP FEELS THAT ANY INDIVIDUAL HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, IT WILL INFORM THE INDIVIDUAL OF THE BASIS OF THE BELIEF AND AFFORD THE INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE OF THE INDIVIDUAL AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE INDIVIDUAL FAILED TO PROPERLY DISCLOSE A CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS. THE MINUTES OF THE BOARD OF THE CORPORATION AND ALL COMMITTEES WITH BOARD DELEGATED POWERS WILL CONTAIN THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A MATERIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE NATURE OF THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE NAMES OF THE PERSON WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, A SUMMARY OF THE DISCUSSION, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH. THE CONFLICT OF INTEREST POLICY ALSO PROVIDES FOR PERIODIC REVIEW OF VARIOUS ARRANGEMENTS AND AGREEMENTS TO PROMOTE REGULATORY COMPLIANCE, INCLUDING AVOIDANCE OF IMPERMISSIBLE PRIVATE BENEFIT, PRIVATE INUREMENT OR EXCESS BENEFIT TO PERSONS POSSESSING SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OR HMFP. THERE ARE ALSO LIMITATIONS OF VOTING POWERS REGARDING COMPENSATION AND LIMITATIONS ON THE USE OF CORPORATE NAME TO PROTECT THE INTEGRITY AND REPUTATION OF HMFP. THE ENTIRE CONFLICT OF INTEREST POLICY FOR HMFP CAN BE VIEWED ON ITS WEBSITE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS OF DETERMINING COMPENSATION OF ALL INDIVIDUALS EMPLOYED BY HMFP AND FOR SPECIFICALLY THE PRESIDENT,OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS CONDUCTED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE UTILIZES COMPARATIVE INDUSTRY DATA, OUTSIDE CONSULTANTS, AND OTHER OUTSIDE MARKET DATA TO HELP DETERMINE COMPENSATION. HMFP HAS FORMAL COMPENSATION POLICIES WHICH ARE DOCUMENTED AND REVIEWED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE PRE-APPROVES COMPENSATION PLANS WHICH ARE DOCUMENTED IN A FORMALIZED MANNER BEFORE BEING PRESENTED TO EMPLOYEES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC.'S (HMFP) GOVERNING DOCUMENTS, ITS CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE OFFICES OF HMFP LOCATED AT 375 LONGWOOD AVENUE, BOSTON, MA 02215. | |
| FORM 990, PART VI, SECTION B, LINE 16B | ALTHOUGH HMFP HAD NOT ADOPTED A FORMAL JOINT VENTURE POLICY FOR THE FISCAL PERIOD COVERED BY THIS FILING, ANY HMFP ACTIVITY AS A PARTICIPANT IN A JOINT VENTURE IS REVIEWED WITH THE LEGAL COUNSEL TO ENSURE HMFP'S TAX-EXEMPT STATUS IS PROTECTED. | |
| FORM 990, PART VI, SECTION A, LINE 6 | NO. ACCORDING TO THE BY-LAWS, THE MEMBERS OF THE HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) BOARD OF DIRECTORS SERVE AS THE MEMBERS OF THE CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | NO. THERE ARE NO MEMBERS, STOCKHOLDERS OR OTHER PERSONS WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY | |
| FORM 990, PART VI, SECTION A, LINE 7B | NO. THE MEMBERS OF THE GOVERNING BODY (TRUSTEES) HAVE THE FOLLOWING RIGHTS BY A SUPERMAJORITY VOTE: - TO APPROVE THE SALE, TRANSFER OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE HMFP'S ASSETS; - TO APPROVE THE PETITION FOR VOLUNTARY DISSOLUTION OR BANKRUPTCY OF HMFP; - TO APPROVE ANY AMENDMENT OF HMFP'S ARTICLES OF ORGANIZATION; - TO APPROVE ANY ACTION THAT WOULD CAUSE, OR COULD REASONABLY BE EXPECTED TO CAUSE, HMFP TO BREACH, WITH OR WITHOUT NOTICE OR THE PASSAGE OF TIME, ANY PROVISION OF THE AFFILIATION AGREEMENT DATED AS OF OCTOBER 1, 2006, BETWEEN HMFP AND BIDMC; - TO APPROVE ANY MERGER OR CONSOLIDATION OF HMFP; - TO APPROVE CERTAIN AMENDMENTS TO HMFP'S BYLAWS; - TO APPROVE THE ADOPTION OR IMPLEMENTATION OF ANY PLAN FOR THE SOLICITATION OF CHARITABLE CONTRIBUTIONS BY HMFP, OR THE ACCEPTANCE BY HMFP OF ANY CHARITABLE CONTRIBUTION, DONATION, AWARD OR GIFT OF ANY TYPE THAT WOULD, OR COULD REASONABLY BE EXPECTED TO, IMPOSE A MATERIAL OBLIGATION ON BIDMC OR WOULD, OR COULD REASONABLY BE EXPECTED TO, HAVE AN ADVERSE IMPACT HMFP'S OR BIDMC'S RIGHTS AND OBLIGATIONS UNDER THE AFFILIATION AGREEMENT, PROVIDED HOWEVER, THAT THIS SHALL NOT APPLY TO UNSOLICITED DONATIONS; - TO APPROVE THE INCURRENCE OF INDEBTEDNESS BY HMFP THAT WOULD RESULT IN A CONSOLIDATED DEBT TO CAPITALIZATION RATIO GREATER THAN 0.4:1.0; - TO APPROVE ANY CAPITAL EXPENDITURE OR COMMITMENT BY HMFP THAT IS REASONABLY EXPECTED TO RESULT IN DAYS OF UNRESTRICTED CONSOLIDATED CASH ON HAND BEING LESS THAN 60 DAYS; - TO APPROVE THE TRANSFER BY HMFP TO ANY OTHER ENTITY OR ENTITIES, INDIVIDUALLY OR IN THE AGGREGATE, IN ANY FISCAL YEAR OF MORE THAN 5% OF THE CONSOLIDATED UNRESTRICTED NET ASSETS (DETERMINED AS OF THE END OF THE IMMEDIATELY PRECEDING FISCAL YEAR) FOR LESS THAN FAIR MARKET VALUE; - TO APPROVE OF THE BUDGETING OF A CONSOLIDATED OPERATING LOSS BY HMFP; AND, - OTHER POWERS AND RIGHTS AS VESTED BY LAW. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | TRANSFER OF MINORITY INTEREST IN BIDCO 4,280,491. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONGWOOD ACADEMIC PHYSICIANS LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 LONGWOOD AVE | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222768204 | EIN |
| Primary Activities | TO PROVIDE PROFESSIONAL MEDICAL AND SURGICAL SERVICES | PrimaryActivities |
| Legal Domicile State | MA | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASSOC PHYS HARVARD MED FAC PHY AT BIDMC | |||||||||||
| 375 LONGWOOD AVE | BOSTON | MA | 02215 | 320058309 | TO PROVIDE EMERGENCY MEDICAL SERVICES | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI ANAESTHESIA FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042997215 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI COMMUNITY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042776678 | INACTIVE CORPORATION | MA | 501(C)(3) | LINE 7 | 0 | N/A | |
| BI DEACONESS DEPARTMENT OF MEDICINE FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043079630 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 208253452 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043030397 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF ORTHOPAEDIC SURGERY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 204974585 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF SURGERY FOUNDATION INC | |||||||||||
| 110 FRANCIS STREET | BOSTON | MA | 02215 | 020671240 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS HOSPITAL - NEEDHAM INC | |||||||||||
| 148 CHESTNUT ST | NEEDHAM | MA | 02492 | 043229679 | HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. | MA | 501(C)(3) | LINE 3 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| BETH ISRAEL DEACONESS MEDICAL CENTER | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042103881 | THE OPERAION OF A WORLD CLASS ACADEMIC MEDICAL CENTER IN BOSTON, MA | MA | 501(C)(3) | LINE 3 | CAREGROUP INC | 0 | |
| BIDMC AND CHILDREN'S HOSPITAL MEDICAL CARE CORP | |||||||||||
| 300 LONGWOOD AVE | BOSTON | MA | 02215 | 043200113 | OUTPATIENT AMBULATORY CARE CENTER IN LEXINGTON, MA | MA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| BIDMC OBSTETRICS AND GYNECOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042794855 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DERMATOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043117601 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BIH PATHOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 222548374 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BIH RADIOLOGIC FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042571853 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| LONGWOOD MEDICAL INTL FOUNDATION | |||||||||||
| 185 PILGRIM ROAD BOST | BOSTON | MA | 02215 | 043208878 | INACTIVE CORPORATION | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| CAREGROUP INC | |||||||||||
| 109 BROOKLINE AVE | BOSTON | MA | 02215 | 222629185 | OVERSEE FINCIAL HEALTH OF AFFILIATES | MA | 501(C)(3) | LINE 11D, III-O | 0 | N/A | |
| CARL J SHAPIRO INSTITUTE | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043326928 | DEVELOP INNOVATIVE PROG AND MODELS FOR TEACHING AND RESEARCH | MA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| CONTINUING EDU PROGRAM DBA BID DEPT OF PSYCH FDN | |||||||||||
| C/O HARVARD MED SCH 401 PARK DR | BOSTON | MA | 02215 | 043242952 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| MED CARE OF BOSTON MGMT CORP DBA AFFILIATED PHYS GROUP | |||||||||||
| 400 HUNNEWELL ST | NEEDHAM | MA | 02494 | 042810972 | OUTPATIENT, PRIMARY CARE AND SPECIALTY SERVICES | MA | 501(C)(3) | LINE 9 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| MOUNT AUBURN HOSPITAL | |||||||||||
| 330 MOUNT AUBURN ST | CAMBRIDGE | MA | 02138 | 042103606 | HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS | MA | 501(C)(3) | LINE 3 | CAREGROUP INC | 0 | |
| MOUNT AUBURN PROFESSIONAL SERVICES INC | |||||||||||
| 330 MOUNT AUBURN ST | CAMBRIDGE | MA | 02138 | 043026897 | OFFERING MEDICAL CARE IN GENERAL AND SPECIALIZED PRACTICES | MA | 501(C)(3) | LINE 11A, I | MOUNT AUBURN HOSPITAL | 0 | |
| NEW ENGLAND BAPTIST HOSPITAL | |||||||||||
| 125 PARKER HILL AVE | BOSTON | MA | 02120 | 042103612 | ORTHOPEDIC SPECIALTY HOSPITAL | MA | 501(C)(3) | LINE 3 | CAREGROUP INC | 0 | |
| NEW ENGLAND BAPTIST MEDICAL ASSOCIATES INC | |||||||||||
| 125 PARKER HILL AVE | BOSTON | MA | 02120 | 043235796 | OUTPATIENT MEDICAL SERVICES TO THE VARIOUS COMMUNITIES SERVICED BY NEBH | MA | 501(C)(3) | LINE 3 | NEW ENGLAND BAPTIST HOSPITAL INC | 0 | |
| RIVERBROOK CORPORATION | |||||||||||
| 109 BROOKLINE AVE | BOSTON | MA | 02215 | 042828955 | TO HOLD TITLE TO PROPERTY FOR CAREGROUP, INC. | MA | 501(C)(2) | CAREGROUP INC | 0 | ||
| HARVARD MEDICAL COLLABORATIVE INC | |||||||||||
| 25 SHATTUCK ST | BOSTON | MA | 02115 | 043476764 | COORDINATE AND PROVIDE STATEGIC PLANNING OPP FOR HMS | MA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC INC | |||||||||||
| 375 LONGWOOD AVE | BOSTON | MA | 02215 | 222768204 | GENERAL AND SPECIALIZED MEDICAL SERVICES TO THE PATIENTS OF BIDMC AND OTHERS | MA | 501(C)(3) | LINE 9 | 0 | N/A | |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 042103604 | HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. | MA | 501(C)(3) | LINE 3 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| MILTON HOSPITAL DEVELOPMENT FUND INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 222567057 | FUNDRAISING/DEVELOPMENT | MA | 501(C)(3) | LINE 7 | MILTON HOSPITAL FOUNDATION INC | 0 | |
| COMMUNITY PHYSICIAN ASSOCIATES INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 043243146 | OUTPATIENT AND PRIMARY CARE SERVICES | MA | 501(C)(3) | LINE 3 | MILTON HOSPITAL FOUNDATION INC | 0 | |
| MILTON HOSPITAL FOUNDATION INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 222566792 | PROMOTE HEALTHCARE | MA | 501(C)(3) | LINE 11A, I | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| ADVANCED VASCULAR CARE LLC | |||||||
| 375 LONGWOOD AVE | BOSTON | MA | 02215 | 261647880 | TO PROVIDE MEDICAL SUPPORT SERVICES | MA | N/A |
| BETH ISRAEL DEACONESS PHYS ORG LLC DBA BIDCO | |||||||
| 400 BLUE HILL DRIVE SUITE 2B | WESTWOOD | MA | 02090 | 043426253 | COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC | MA | N/A |
| BIDCO PHYSICIAN LLC | |||||||
| 400 BLUE HILL DRIVE SUITE 2B | WESTWOOD | MA | 02090 | 043426253 | COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC | MA | N/A |
| CAREGROUP CLINICAL RESEARCH LLC | |||||||
| 109 BROOKLINE AVENUE | BOSTON | MA | 02215 | 300228711 | TO PARTICIPATE IN A CLINICAL RESEARCH PARTNERSHIP | MA | N/A |
| CAREGROUP INVESTMENT PARTNERSHIP LLP | |||||||
| 109 BROOKLINE AVENUE | BOSTON | MA | 02215 | 043278109 | INVESTMENT PARTNERSHIP | MA | N/A |
| CHARLTON MRI SERVICES LLC | |||||||
| 330 BROOKLINE AVENUE | BOSTON | MA | 02215 | 264662778 | PROVISION OF PATIENT CARE SERVICES | MA | N/A |
| PHYSICIAN PROFESSIONAL SERVICES LLP | |||||||
| 10 CABOT ROAD | MEDFORD | MA | 02215 | 043275078 | TO PROVIDE MEDICAL BILLING SERVICES | MA | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| HORIZON VENTURES INC | |||||||||
| 199 REEDSDALE ROAD | MILTON | MA | 02186 | 042853249 | PHYSICIAN BILLING | MA | N/A | C | 0 |
| MILTON PHYSICIAN-HOSPITAL ORGANIZATION INC | |||||||||
| 199 REEDSDALE ROAD | MILTON | MA | 02186 | 043213042 | PHYSICIAN/HOSPITAL ORGANIZATION | MA | N/A | C | 0 |
| ANESTHESIA FINANCIAL SOLUTIONS INC | |||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043571311 | INACTIVE CORPORATION | MA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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