2014-08-14T16:03:12-05:00 2013-09-30 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2012-10-01 222768204 HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER INC HARV 6176329744 375 LONGWOOD AVENUE 3RD FLOOR BOSTON MA 02215 EDWARD GRAB 6176329744 2014-08-14 0 CHRISTINE KAWECKI P00743140 5169187000 2012 2015-11-30 17:44:51Z STUART ROSENBERG MD 375 LONGWOOD AVENUE 3RD FLOOR BOSTON MA 02215 430621624 0 X WWW.HMFP.CAREGROUP.ORG X 1998 MA 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. 24 5 1213 5 5117707 -505590 0 0 406213382 427148913 2388386 3472711 3595410 0 412197178 430621624 126689 75625 0 0 341197719 357730153 0 0 0 71662868 64684187 412987276 422489965 -790098 8131659 174951165 196835076 85902430 91207179 89048735 105627897 X SEE SCHEDULE O 0 0 228536018 75625 243864691 SEE SCHEDULE O 72438357 77297039 SEE SCHEDULE O 29182042 31139379 SEE SCHEDULE O 65785623 69785795 65785623 69785795 395942040 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 295 0 1 1213 1 1 1 0 0 0 0 0 0 0 0 0 X 24 5 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 MA X AMY GUAY 6176327441 375 LONGWOOD AVENUE 3RD FLOOR BOSTON MA 02215 CHAIKOF MD PHD ELLIOT 30.00 35.00 X 454367 454367 110681 GEBHARDT MD MARK C 30.00 35.00 X 360755 360754 84485 GREENBERG MD WILLIAM 30.00 35.00 X 192810 192809 54298 KRUSKAL MD JONATHAN B 30.00 35.00 X 328530 329071 60598 MCDERMOTT ESQ SHAW 1.00 0.00 X 0 0 0 MEHTA MD TEJAS S 59.00 1.00 X 281091 0 61348 PURSLEY MD DEWAYNE M 30.00 35.00 X 250078 250078 73824 RICCIOTTI MD HOPE A 30.00 35.00 X 251745 251745 75224 ROBSON MD SIMON 60.00 0.00 X 323120 0 30240 ROSEN MD CARLO 60.00 0.00 X 381149 0 37015 ROSENBERG MD STUART A 60.00 5.00 X X 766137 0 466881 SAFFITZ MD JEFFREY E 30.00 35.00 X 296214 296214 56805 SAPER MD CLIFFORD B 30.00 35.00 X 257556 257555 57413 SCHNEIDER PHD LEWIS 1.00 0.00 X 0 0 0 SIMON MD PHD BRETT 30.00 35.00 X 303862 303861 86227 STEELE MD GLENN 1.00 0.00 X 0 0 0 STERN MD ROBERT S 30.00 35.00 X 293005 293004 83398 STEVENSON MD PHD MARY ANN 30.00 35.00 X X 300638 300637 72473 SWARTZ PHD KATHERINE 1.00 0.00 X 0 0 0 TABB MD KEVIN 1.00 64.00 X 0 1330803 48187 WOLFE MD RICHARD E 30.00 35.00 X 254080 254080 58098 YANG MD PHD JULIUS 60.00 0.00 X 195962 0 50438 ZALE DONALD 1.00 0.00 X 0 0 0 ZEIDEL MD MARK L 30.00 35.00 X 352367 358256 56575 GOUWS PETER 60.00 0.00 X 450000 0 0 GRAB EDWARD 56.00 4.00 X 436526 0 67451 GUAY AMY 60.00 0.00 X 0 0 0 ARROYO MD JORGE 60.00 0.00 X 963611 0 47939 DAS MD ANURAG 60.00 0.00 X 865563 0 74473 LEE MD BERNARD 60.00 0.00 X 911933 0 60598 ROZENTAL MD TAMARA 60.00 0.00 X 858457 0 58823 WHITE MD ANDREW 60.00 0.00 X 1064959 0 60598 BUEHRENS ERIC P 0.00 60.00 X 0 706584 33190 EDLOW MD JONATHAN A 60.00 0.00 X 325360 0 54945 FISCHER MD JOSEF E 0.00 40.00 X 0 118355 37894 HANTO MD DOUGLAS W 60.00 0.00 X 647554 0 57144 KANE MD ROBERT 60.00 0.00 X 295339 0 46591 KRESSEL MD HERBERT Y 60.00 0.00 X 529308 0 54903 KROUSKOS JOHN 0.00 0.00 X 196591 0 0 LAMONT MD J THOMAS 59.00 1.00 X 298527 1040 48192 LEVY PAUL F 0.00 0.00 X 0 777205 9474 LISBON MD ALAN 55.00 5.00 X 498606 0 70091 PARKER MD RICHARD 0.00 60.00 X 0 394773 54598 PHILLIPS MD RUSSELL S 30.00 30.00 X 183444 183443 45667 RAPTOPOULOS MD VASSILIOS 60.00 0.00 X 386117 0 58098 ROSEN MD MAX 60.00 0.00 X 185093 0 22939 ROSEN MD SEYMOUR 60.00 0.00 X 277843 0 49092 YEH MD JOHN 0.00 0.00 X 401819 0 60 15620116 7414634 2636968 932 1 1 1 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 66 PATIENT SERVICE 900099 243864691 243864691 TEACHING 541700 77297039 77297039 OTHER MEDICAL SERVICES 541700 74847804 69785795 5062009 RESEARCH 611710 31139379 31139379 427148913 262220 35089 227131 3210491 0 3210491 3210491 20609 3189882 430621624 422086904 5117707 3417013 75625 75625 11355456 4735615 6619841 346374697 335108030 11266667 754218 558092 196126 190779 141169 49610 5395272 3992285 1402987 3292495 2436315 856180 5554728 4110276 1444452 789362 584097 205265 306410 226732 79678 1335442 988177 347265 96160 71155 25005 MEDICAL/RESEARCH SERVIC 15593172 11538323 4054849 BILLING FEES 12343679 12343679 PROF. LIABILITY INSURAN 10679317 10679317 PARKING 2647434 2647434 5705719 5705719 422489965 395942040 26547925 0 14695164 19792140 27093030 27671414 252382 204062 18491577 14926805 3317798 3564772 76630973 83516981 1585105 5865592 51376713 56220115 174951165 196835076 23818724 29726684 62083706 61480495 85902430 91207179 X 89048735 105627897 89048735 105627897 174951165 196835076 X 8131659 4167012 4280491 X X 0 1 X 1 0 X 390182886 401673324 404554176 406213382 422086904 2024710672 390182886 401673324 404554176 406213382 422086904 2024710672 0 0 0 2024710672 108609 105870 236925 292811 227131 971346 108609 105870 236925 292811 227131 971346 390291495 401779194 404791101 406506193 422314035 2025682018 0.99950 0.99930 0.00050 0.00070 X 0 0 0 0 0 0 0 0 1 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: 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. 2035540 1824632 210908 16456037 13102173 3353864 3564772 CAREGROUP INVESTMENT PARTNERSHIP, LLP 60037027 F SAWGRASS 23479954 F 83516981 OTHER CURRENT ASSETS 47685540 DUE FROM AFFILIATES 8534575 56220115 OTHERS LIABILITIES 46143733 PROFESSIONAL LIABILITY 15336762 61480495 X 458750000 3210491 24917885 28128376 430621624 0 430621624 442402000 19912035 19912035 422489965 0 422489965 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. 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 HEALTHCARE CONSULTING 95621 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 UNRELATED BUSINESS HEALTHCARE CONSULTING 505966 MIDDLE EAST AND NORTH AFRICA 0 0 UNRELATED BUSINESS HEALTHCARE CONSULTING 31851 CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES TRAVEL 7170 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES TRAVEL 32252 NORTH AMERICA 0 0 PROGRAM SERVICES TRAVEL 34089 SOUTH ASIA 0 0 PROGRAM SERVICES TRAVEL 520 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES TRAVEL 2077 0 0 0 0 0 0 10028384 76108 10104492 1 0 0 1 0 1 SCHEDULE F, PART V, QUESTION 4 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. 1 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 3 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS ARE MONITORED BY THE CLINICAL DEPARTMENTS SPONSORING THIS ACTIVITY. X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 CHAIKOF MD PHD ELLIOT 447300 447301 0 0 7067 7066 39187 39187 16153 16154 509707 509708 0 0 GEBHARDT MD MARK C 352430 352429 0 0 8325 8325 29695 29695 12547 12548 402997 402997 0 0 GREENBERG MD WILLIAM 186851 186850 0 0 5959 5959 13750 13750 13399 13399 219959 219958 0 0 KRUSKAL MD JONATHAN B 319089 319629 3750 3750 5691 5692 15000 15000 15299 15299 358829 359370 0 0 MEHTA MD TEJAS S 265433 0 7105 0 8553 0 30000 0 31348 0 342439 0 0 0 PURSLEY MD DEWAYNE M 244424 244424 0 0 5654 5654 25000 25000 11912 11912 286990 286990 0 0 RICCIOTTI MD HOPE A 245233 245233 0 0 6512 6512 23438 23438 14174 14174 289357 289357 0 0 ROBSON MD SIMON 312275 0 0 0 10845 0 25000 0 5240 0 353360 0 0 0 ROSEN MD CARLO 345394 0 28085 0 7670 0 30000 0 7015 0 418164 0 0 0 ROSENBERG MD STUART A 622430 0 125924 0 17783 0 446875 0 20006 0 1233018 0 0 0 SAFFITZ MD JEFFREY E 288473 288473 0 0 7741 7741 15792 15791 12611 12611 324617 324616 0 0 SAPER MD CLIFFORD B 252032 252032 0 0 5524 5523 17444 17444 11263 11262 286263 286261 0 0 SIMON MD PHD BRETT 298422 298421 0 0 5440 5440 37888 37888 5226 5225 346976 346974 0 0 STERN MD ROBERT S 281505 281504 0 0 11500 11500 30398 30397 11302 11301 334705 334702 0 0 STEVENSON MD PHD MARY ANN 295633 295632 0 0 5005 5005 23438 23437 12799 12799 336875 336873 0 0 TABB MD KEVIN 0 832815 0 361512 0 136476 0 7167 0 41020 0 1378990 0 0 WOLFE MD RICHARD E 247719 247719 0 0 6361 6361 15000 15000 14049 14049 283129 283129 0 0 YANG MD PHD JULIUS 191473 0 0 0 4489 0 19840 0 30598 0 246400 0 0 0 ZEIDEL MD MARK L 346164 352054 0 0 6203 6202 20441 20440 7847 7847 380655 386543 0 0 GOUWS PETER 450000 0 0 0 0 0 0 0 0 0 450000 0 0 0 GRAB EDWARD 398723 0 30000 0 7803 0 40000 0 27451 0 503977 0 0 0 ARROYO MD JORGE 955895 0 0 0 7716 0 40000 0 7939 0 1011550 0 0 0 DAS MD ANURAG 855063 0 0 0 10500 0 46875 0 27598 0 940036 0 0 0 LEE MD BERNARD 903846 0 0 0 8087 0 35000 0 25598 0 972531 0 0 0 ROZENTAL MD TAMARA 594104 0 255766 0 8587 0 35000 0 23823 0 917280 0 0 0 WHITE MD ANDREW 617329 0 439874 0 7756 0 35000 0 25598 0 1125557 0 0 0 BUEHRENS ERIC P 0 103861 0 0 0 602723 0 5600 0 27590 0 739774 0 0 EDLOW MD JONATHAN A 237329 0 31563 0 56468 0 29347 0 25598 0 380305 0 0 0 FISCHER MD JOSEF E 0 112717 0 0 0 5638 0 13104 0 24790 0 156249 0 0 HANTO MD DOUGLAS W 634079 0 0 0 13475 0 46875 0 10269 0 704698 0 0 0 KANE MD ROBERT 276165 0 7500 0 11674 0 30000 0 16591 0 341930 0 0 0 KRESSEL MD HERBERT Y 516751 0 0 0 12557 0 37312 0 17591 0 584211 0 0 0 KROUSKOS JOHN 0 0 0 0 196591 0 0 0 0 0 196591 0 0 0 LAMONT MD J THOMAS 278618 1040 0 0 19909 0 28101 0 20091 0 346719 1040 0 0 LEVY PAUL F 0 0 0 0 0 777205 0 0 0 9474 0 786679 0 0 LISBON MD ALAN 383101 0 86814 0 28691 0 50000 0 20091 0 568697 0 0 0 PARKER MD RICHARD 0 344773 0 39500 0 10500 0 25000 0 29598 0 449371 0 0 PHILLIPS MD RUSSELL S 174677 174677 5617 5616 3150 3150 19279 19278 3555 3555 206278 206276 0 0 RAPTOPOULOS MD VASSILIOS 363614 0 7500 0 15003 0 30000 0 28098 0 444215 0 0 0 ROSEN MD MAX 177239 0 4500 0 3354 0 21308 0 1631 0 208032 0 0 0 ROSEN MD SEYMOUR 251263 0 7000 0 19580 0 30001 0 19091 0 326935 0 0 0 YEH MD JOHN 0 0 0 0 401819 0 0 0 60 0 401879 0 0 0 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. SUPPLEMENTAL INFORMATION 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. 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 SCHEDULE L PART IV 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. 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. 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