FACULTY PRACTICE FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FACULTY PRACTICE FOUNDATION INC (EIN 90-0513372)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201421359349302492
Schema version
2012v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T09:12:26-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 High StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN900513372EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Faculty Practice FoundationBusinessNameLine1
Business Name Line2INC & AffiliatesBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% KATHRYN BEACHInCareOfName
Name ControlFACUNameControl
Phone6176388000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1660 HARRISON AVENUE 3RD FLOORAddressLine1
Address Line2SuiteAddressLine2
CityBOSTONCity
StateMAState
ZIP Code02118ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM R CREEVY MDName
TitlePRESIDENT/CEOTitle
Phone6176388000Phone
Date Signed2014-05-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWilliam R Creevy MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1660 HARRISON AVENUEAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02118ZIPCode
FieldValueIRS element (for citing)
Gross Receipts342603224GrossReceipts
Group Return For AffiliatestrueGroupReturnForAffiliates
All Affiliates IncludedtrueAllAffiliatesIncluded
Group Exemption Number8094GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.BMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O.ActivityOrMissionDescription
Nbr Voting Members Governing Body37NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees1226TotalNbrEmployees
Total Nbr Volunteers36TotalNbrVolunteers
Total Gross UBI9897TotalGrossUBI
Net Unrelated Business Txbl Income-7477NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year324714689ProgramServiceRevenuePriorYear
Program Service Revenue CY341608300ProgramServiceRevenueCY
Investment Income Prior Year940999InvestmentIncomePriorYear
Investment Income Current Year994924InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year325655688TotalRevenuePriorYear
Total Revenue Current Year342603224TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year139684GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY107448GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year252579756SalariesEtcPriorYear
Salaries Etc Current Year247906520SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year79407912OtherExpensePriorYear
Other Expenses Current Year94087324OtherExpensesCurrentYear
Total Expenses Prior Year332127352TotalExpensesPriorYear
Total Expenses Current Year342101292TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6471664RevenuesLessExpensesPriorYear
Revenues Less Expenses CY501932RevenuesLessExpensesCY
Total Assets BOY74311871TotalAssetsBOY
Total Assets EOY75975238TotalAssetsEOY
Total Liabilities BOY23898544TotalLiabilitiesBOY
Total Liabilities EOY23314386TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY50413327NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY52660852NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense279230999Expense
Grants107448Grants
Revenue341608300Revenue
DescriptionSEE SCHEDULE O.Description
Total Program Service Expense279230999TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1226NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members37NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKATHRYN BEACHNamePerson
Telephone Number6176383565TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1660 HARRISON AVENUE GAMBRO 3 RM 3AddressLine1
CityBOSTONCity
StateMAState
ZIP Code02118ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (67 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedReportable Comp From Related OrgsReportableCompFromRelatedOrgsHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Jonathan S Olshaker MD
President/TREA/CLERK-ER50.0XX55002261300
Susannah G Rowe MD
Director-EYE50.0X26112654114
Manju L Subramanian MD
Director-EYE50.0X30001630769
Daniel G Remick MD
President/TREASURER-PATH50.0XX566881550984.0
Michael J O'Brien MD
Director-PATH50.0X305260340940
Alexander M Norbash MD
President-RADIO50.0XX638386535454.0
Ewa Kuligowska MD
clerk - Radio/DIR50.0XX12262215559
Richard K Babayan MD
Pres/TREA/CLERK-UROLOGY50.0XX60507654556
Carlos S Kase MD
President-NEURO/REHAB50.0XX376503512064.0
Paul M Hendessi MD
Dir./Pres. - OBGYN50.0XX272670457584.0
Thomas A Einhorn MD
Pres/TREA/CLERK-ORTHO50.0XX722252514724.0
Gregory A Antoine MD
SEE SCHEDULE O50.0XX49479949409
Domenic A Ciraulo MD
Pres/TREA/CLERK-PSYCH50.0XX475561515174.0
Benedict D Daly MD
SEE SCHEDULE O50.0XX51872956105
Keith P Lewis MD
Pres/TREA/CLERK-ANES50.0XX41711333899
Kenneth M Grundfast MD
President-OTO50.0XX507172517644.0
Barry S Zuckerman MD
President-CHF (UNTIL 7/1/12)50.0XX1103844510970
David DiFiore
Treasurer/Director-CHF50.0XX014925171720
David L Coleman MD
President-EMF50.0XX642386357035.0
STEPHEN CHRISTIANSEN MD
PRES/TREA/CLERK-EYE50.0XX479261604614.0
DAVID NUNES MD
DIRECTOR-EMF50.0X27494442079
EMELIA BENJAMIN MD
DIRECTOR-EMF50.0X245629631660
STEPHANIE LEE MD
DIRECTOR-EMF50.0X19238131651
JULIE MOTTL-SANTIAGO CNM
DIRECTOR-OBGYN50.0X13040038774
JULIO MAZUL MD
DIRECTOR-OBGYN (until 11/1/12)50.0X1811078706
RHODA M ALANI MD
PRESIDENT-DERM50.0XX423682338754.0
JERROLD ELLNER MD
DIRECTOR-EMF50.0X36905956048
MARIA TROJANOWSKA PHD
DIRECTOR-EMF50.0X20134535336
JOHN DURFEE MD
Director-OBGYN50.0X25118551063
CHARLES WILLIAMS MD
PRES/TREA/CLERK (until 8/9/12)50.0XX268564341864.00
ELIZABETH GITTINGER MD
DIRECTOR-OBGYN50.0X212903235470
GERARD DOHERTY MD
Pres/Treas/Clerk-CTS/PA/Gen/SA50.0XX910821358285.0
JAMES HOLSAPPLE MD
Pres/Treas/Clerk - Neurosurg50.0XX62010451472
JANE LIEBSCHUTZ MD
DIRECTOR-EMF50.0X19702755766
JAROSLAW TKACZ MD
TREASURER-RADIO50.0XX34988841199
RONALD IVERSON MD
DIRECTOR-OBGYN50.0X23241066812
WUQAAS MUNIR MD
DIRECTOR-EYE50.0X34863245421
ROBERT J VINCI MD
CLERK - CHF50.0XX34872161056
BRIAN JACK MD
Pres/Tres/CLK-Fam (8/10/12)50.0XX269782510074.00
SACHEEN NATHAN MD
Director - OBGYN (as of 11/12)50.0X201300347140
CHRISTOPHER ANDRY PHD
clrk/dir - Path(AS OF 10/9/12)50.0XX18596646354
AVIVA LEE-PARRITZ MD
DIRECTOR-OBGYN50.0X283600364640.00
William A Macone
Treasurer-DERM (until 7/7/12)50.0X17236218470
Glenn Barest MD
Director-RADIO50.0X36676153250
Kevin Maguire
Clerk-NEURO/TREA-REHAB50.0X045708147001
Kathryn Knight
Treasurer-OBGYN50.0X026278105244
DIANE HOLMES
SEE SCHEDULE O50.0X025408182663
GREGORY GRILLONE MD
CLERK-OTO50.0X31901158166
JOHN WOOD
CLERK-OBGYN (until 6/1/13)50.0X0840455899
DAVID BECK ESQ
SEE SCHEDULE O5.0X04813355.5333801
BRIAN ROUX
TREASURER-OTO (until 8/24/12)50.0X0820380836
Julie O'Malley
Treasurer - OTO50.0X08620101280
Carol Masters
Clerk - OBGYN (AS OF 3/2013)50.0X000
LYNN FAIRBANK
Treasurer-OTO (until 4/30/13)50.0X014706150827
TONY TANNOURY MD
PROFESSOR/PHYSICIAN-ORTHO50.089418449502X
JEFFREY SPIEGEL MD
PROFESSOR/PHYSICIAN-OTO50.093509447744X
WILLIAM CREEVY MD
Pres-FPF/PROF/PHY-ORTHO22.09383815825232.0X
KARL KARLSON MD
Professor/Physician - C&T50.072330020023X
ANDREW STEIN
PHYSICIAN - Orthopedics50.0703993531680X
Steve R Williams MD
Frmr Pres/director Rehab50.017046213561X
Larry Culpepper MD
Frmr Pres - Family50.022497131217X
James M Becker MD
Frmr Pres - GSA & SA50.023297613558X
William R Cranley MD
Frmr Treasurer Radio50.010617916083X
Linda J Heffner md phd
FMR PRES OB (UNTIL 5/1/12)50.014936221503X
Lewis Braverman MD
FMR CLERK/DIRECTOR-EMF50.02030141221X
Stephanie Lovell ESQ
Frmr Assistant Clerk00342267X
BARBARA GILCHREST MD
FMR PRESIDENT/DIRECTOR-DERM50.012080123463X
FieldValueIRS element (for citing)
Total Reportable Comp From Org22319980TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1671538TotalReportableCompFrmRltdOrgs
Total Other Compensation2521516TotalOtherCompensation
Number Individuals GT100 K713NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ANESTHESIA ASSOC OF MA
690 CANTON STREETWESTWOODMA02090MGMT SERVICES9098112
PER SE TECHNOLOGIES
10 MOLLISON WAYLEWISTONME04240BILLING SERVICES3191855
Springfield Service Corporation
8151 W 183rd Street Suite BTINLEY PARKIL60487BILLING SERVICES1388222
HART ASSOCIATES INC
3 ALLIED DRIVEDEDHAMMA02026BILLING SERVICES1426260
OPTUMINSIGHT
13625 TECHNOLOGY DRIVEEDEN PRARIEMN55344BILLING SVCS601716
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE900099143736020143736020
INSTITUTIONAL SUPPORT5413806495165064951650
FREE CARE REIMBURSEMENT90009982540688254068
RESEARCH SUPPORT900099697081697081
OTHER HEALTH REVENUE90009960086297600764009897

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column63883184TotalRevenueColumn
Related Or Exempt Function Income63883184RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue341608300TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column994924TotalRevenueColumn
Exclusion$994,924ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column342603224TotalRevenueColumn
Related Or Exempt Function Income341598403RelatedOrExemptFunctionIncome
Unrelated Business Revenue9897UnrelatedBusinessRevenue
Exclusion$994,924ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total107448Total
Program Services107448ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total20457808Total
Program Services17487331ProgramServices
Management And General2970477ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total653800Total
Program Services653800ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total176484887Total
Program Services144242552ProgramServices
Management And General32242335ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total17439Total
Program Services13951ProgramServices
Management And General3488ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total50114175Total
Program Services40819927ProgramServices
Management And General9294248ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total178411Total
Program Services146961ProgramServices
Management And General31450ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total699750Total
Management And General699750ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total30441Total
Management And General30441ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total274699Total
Management And General274699ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total18055946Total
Program Services15770796ProgramServices
Management And General2285150ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total308417Total
Program Services265222ProgramServices
Management And General43195ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2755120Total
Program Services2231969ProgramServices
Management And General523151ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total314803Total
Program Services260405ProgramServices
Management And General54398ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1769050Total
Program Services1409000ProgramServices
Management And General360050ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total971137Total
Program Services799810ProgramServices
Management And General171327ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2258160Total
Program Services1844041ProgramServices
Management And General414119ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5520Total
Program Services5436ProgramServices
Management And General84ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total41388004Total
Program Services29858022ProgramServices
Management And General11529982ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1218800Total
Program Services922151ProgramServices
Management And General296649ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4768693Total
Program Services3993234ProgramServices
Management And General775459ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE1358445213584452
RESEARCH EXPENSE18686961413410455286
DUES, MEMBERSHIPS & LIC. MDS1118730959317159413
MEDICAL AND SURGICAL SUPPLIES871699871699

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1825207Total
Program Services1570065ProgramServices
Management And General255142ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total342101292Total
Program Services279230999ProgramServices
Management And General62870293ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY20927890BOY
EOY18195156EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13649756BOY
EOY14779828EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13226900LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8220365LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5178011BOY
EOY5006535EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY23656108BOY
EOY26727261EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10900106BOY
EOY11266458EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY74311871BOY
EOY75975238EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8721426BOY
EOY12075432EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15177118BOY
EOY11238954EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23898544BOY
EOY23314386EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY50413327BOY
EOY52660852EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY50413327BOY
EOY52660852EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY74311871BOY
EOY75975238EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses501932ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1215446ReconciliationUnrealizedInvest
Reconcilation Other Changes530147ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
BOSTON MEDICAL CENTER
04331409303truetruetrue$0
TRUSTEES OF BOSTON UNIVERSITY
04210354702truetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2393560OtherCostOrOtherBasis
Depreciation1007287Depreciation
Book Value1386273BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis9242650OtherCostOrOtherBasis
Depreciation6244339Depreciation
Book Value2998311BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1590690OtherCostOrOtherBasis
Depreciation968739Depreciation
Book Value621951BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5006535TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES2674189
DUE FROM AFFILIATES7995288
OTHER CURRENT ASSETS287025
OTHER ASSETS309956
FieldValueIRS element (for citing)
Total Book Value Other Assets11266458TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$11,140,814
LONG TERM CAPITAL LEASE OBLIGA$98,140
FieldValueIRS element (for citing)
Total Of Amounts11238954TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
Identifierschedule d, part x - fin 48Identifier
Return ReferenceTHE FOUNDATION HAS BEEN DETERMINED TO BE A TAX-EXEMPT ORGANIZATION UNDERReturnReference
ExplanationSECTION 501(C)(3) AND 170(C)(2) OF THE INTERNAL REVENUE CODE AS EVIDENCED BY A DETERMINATION LETTER DATED MAY 29, 1997 AS PART OF A GROUP FILING WITH THE PLANS AND FACULTY. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Orthopaedic Research
Education Foundation6300 N River Rd 700ROSEMONTIL60018366009467501(c)(3)11000GENERAL SUPPORT
Massachusetts Association of Mental Health Inc
130 Bowdoin StreetBOSTONMA02108042104711501(c)(3)11000GENERAL SUPPORT
International Mental Health Organization
PO BOX 680RutherfordCA94573680359707501(c)(3)10000GENERAL SUPPORT
Boston Medical Center
88 East Newton StreetBOSTONMA02118043314093501(c)(3)50500GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE I, PART I, LINE 2Identifier
ExplanationTHE FACULTY PRACTICE FOUNDATION INC. AND AFFILIATES DO NOT DISTRIBUTE RESEARCH OR EDUCATIONAL GRANTS TO OTHER ORGANIZATIONS. THE FUNDS NOTED IN PART II REFLECT DONATIONS MADE BY THE FACULTY PRACTICE FOUNDATION, INC. AND AFFILIATES TO QUALIFIED 501(C)(3) ORGANIZATIONS. ALL DONATIONS ARE SUBJECT TO REVIEW AND APPROVAL BY THE INDIVIDUAL PRACTICE ADMINISTRATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (62 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Jonathan S Olshaker MD
President/TREA/CLERK-ER4387581112643324028060611322
Steve R Williams MD
Frmr Pres/director Rehab15784312619106622899184023
William A Macone
Treasurer-DERM (until 7/7/12)63302109060750110969190832
Susannah G Rowe MD
Director-EYE231766293602824025874315240
Manju L Subramanian MD
Director-EYE24003659980232407529330785
Larry Culpepper MD
Frmr Pres - Family907221342491197319244256188
James M Becker MD
Frmr Pres - GSA & SA7449815847889794579246534
Daniel G Remick MD
President/TREASURER-PATH4401071267743324021858621979
Michael J O'Brien MD
Director-PATH3036681592332408543393540000000
Alexander M Norbash MD
President-RADIO4384781999082824025305691931
William R Cranley MD
Frmr Treasurer Radio1048821297132392844122262
Glenn Barest MD
Director-RADIO2415131252482824025010420011
Richard K Babayan MD
Pres/TREA/CLERK-UROLOGY4659011391753324021316659632
Carlos S Kase MD
President-NEURO/REHAB3589201758333240179664277090
Kevin Maguire
Clerk-NEURO/TREA-REHAB000001363360288477811029635412192709
Linda J Heffner md phd
FMR PRES OB (UNTIL 5/1/12)13550213860119529551170865
Paul M Hendessi MD
Dir./Pres. - OBGYN26455281182324022518318428
Thomas A Einhorn MD
Pres/TREA/CLERK-ORTHO4440002782523324018232773724
Gregory A Antoine MD
SEE SCHEDULE O440931538683324016169544208
Domenic A Ciraulo MD
Pres/TREA/CLERK-PSYCH413201623603324018277527078
Benedict D Daly MD
SEE SCHEDULE O3863001324293324022865574834
Keith P Lewis MD
Pres/TREA/CLERK-ANES3944152269833240659451012
Kenneth M Grundfast MD
President-OTO462377447953324018524558936
Barry S Zuckerman MD
President-CHF (UNTIL 7/1/12)294559809285332401785711549410000000
David DiFiore
Treasurer/Director-CHF00000164927025024291118503075186645
Lewis Braverman MD
FMR CLERK/DIRECTOR-EMF179574234401221204235
David L Coleman MD
President-EMF449279193107332402463678089
Stephanie Lovell ESQ
Frmr Assistant Clerk0000000034226700342267
STEPHEN CHRISTIANSEN MD
PRES/TREA/CLERK-EYE439597396643324027221539722
DIANE HOLMES
SEE SCHEDULE O000001678440014819530920099208071
DAVID NUNES MD
DIRECTOR-EMF2701204824332408839317023
EMELIA BENJAMIN MD
DIRECTOR-EMF236597903233240299263087950000000
STEPHANIE LEE MD
DIRECTOR-EMF1880724309257385913224032
BARBARA GILCHREST MD
FMR PRESIDENT/DIRECTOR-DERM120345456154608003144264
JULIE MOTTL-SANTIAGO CNM
DIRECTOR-OBGYN12474556551423724537169174
JULIO MAZUL MD
DIRECTOR-OBGYN (until 11/1/12)17994411638706189813
GREGORY GRILLONE MD
CLERK-OTO238717802943324024926377177
RHODA M ALANI MD
PRESIDENT-DERM423000682282405635457557
JERROLD ELLNER MD
DIRECTOR-EMF2390001300593324022808425107
MARIA TROJANOWSKA PHD
DIRECTOR-EMF2001331212266608676236681
JOHN DURFEE MD
Director-OBGYN221523296622616224901302248
CHARLES WILLIAMS MD
PRES/TREA/CLERK (until 8/9/12)26830825623240109463027500000000
DAVID BECK ESQ
SEE SCHEDULE O0000027069005500081112916618967381934
ELIZABETH GITTINGER MD
DIRECTOR-OBGYN2127261771954740002364500000000
GERARD DOHERTY MD
Pres/Treas/Clerk-CTS/PA/Gen/SA47221743860435828946649
JAMES HOLSAPPLE MD
Pres/Treas/Clerk - Neurosurg4440001761043324018232671576
JANE LIEBSCHUTZ MD
DIRECTOR-EMF181109159182584029926252793
JAROSLAW TKACZ MD
TREASURER-RADIO2421431077452324017959391087
RONALD IVERSON MD
DIRECTOR-OBGYN23097014402682039992299222
WUQAAS MUNIR MD
DIRECTOR-EYE2425531060792324022181394053
ROBERT J VINCI MD
CLERK - CHF329787189343324027816409777
SHALENDER BHASIN MD
DIRECTOR-EMF (UNTIL 10/1/11)264272423333240519302264
TONY TANNOURY MD
PROFESSOR/PHYSICIAN-ORTHO2424826517022449025012943686
JEFFREY SPIEGEL MD
PROFESSOR/PHYSICIAN-OTO2336337014612274025004982838
WILLIAM CREEVY MD
Pres-FPF/PROF/PHY-ORTHO2415136968683324025012996633
BRIAN JACK MD
Pres/Tres/CLK-Fam (8/10/12)264943483933240177673207890000000
SACHEEN NATHAN MD
Director - OBGYN (as of 11/12)20113216818747159672360140000000
CHRISTOPHER ANDRY PHD
clrk/dir - Path(AS OF 10/9/12)17959163752425522099232320
KARL KARLSON MD
Professor/Physician - C&T23916148413920023743323
AVIVA LEE-PARRITZ MD
DIRECTOR-OBGYN247221363793324032243200640000000
LYNN FAIRBANK
Treasurer-OTO (until 4/30/13)000001307910020036412610580165533
ANDREW STEIN
PHYSICIAN - Orthopedics24159746239628240249287571610000000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierALL INDIVIDUALS WERE COMPENSATED FOR THEIR ROLES AS PHYSICIANS AND/ORIdentifier
Return ReferenceDEPARTMENT CHAIRS, NOT FOR THEIR ROLES AS DIRECTORS, OFFICERS, OR FORMERReturnReference
Explanationofficers. SCHEDULE J, PART I, LINE 4A AS OF DECEMBER 12, 2011, UNDER THE TERMS OF STEPHANIE LOVELL'S EMPLOYMENT CONTRACT, SHE WILL RECEIVE TWELVE MONTHS OF SALARY CONTINUATION WITH PARTIAL PAY OFFSET FOR MONTH SEVEN TO MONTH TWELVE. THE AMOUNT PAID IN 2012 WAS $260,481. AS A RESULT OF A CHANGE IN ROLES AND RESPONSIBILITIES AND IN RECOGNITION OF 36 YEARS OF SERVICE, BARRY ZUCKERMAN RECEIVED A PAYMENT OF $786,295 IN CALENDAR YEAR 2012 WHICH IS REPORTED ON SCHEDULE J, COLUMN B(III) AS OTHER REPORTABLE COMPENSATION. SCHEDULE J, PART I, LINE 4B BOSTON MEDICAL CENTER PROVIDED A NON-QUALIFIED DEFINED BENEFIT PLAN TO CERTAIN EXECUTIVES. IN 2012, THIS PLAN WAS TERMINATED BY THE ORGANIZATION AND AMOUNTS DUE UNDER THE PLAN WERE FULLY PAID TO PARTICIPANTS. THE AMOUNTS PAID TO THE FOLLOWING EXECUTIVES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(III). Lovell - $81,786 SCHEDULE J, PART I, LINE 7 THE FACULTY PRACTICE FOUNDATION, INC. AND AFFILIATES DO NOT DISTRIBUTE COMPENSATION CONTINGENT ON REVENUE OR NET EARNINGS OF THE ORGANIZATION AS A WHOLE, NOR THE INDIVIDUAL PRACTICES. HOWEVER, BASED ON THE INDIVIDUAL PHYSICIAN ACTIVITY INCOME STATEMENT, A PHYSICIAN MAY BE PAID COMPENSATION, WHICH IS REPORTED AS "OTHER NON-FIXED PAYMENTS" ON SCHEDULE J, PART I, COLUMN B(III).Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
DANIELLE CIRAULO
CHILD OF OFFICER68780EMPLOYEE AT BUPAfalse
ANN MARIE CIRAULO
SPOUSE OF OFFICER78700EMPLOYEE AT BUPAfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, H(b) AFFILIATES INCLUDED IN GROUP RETURNBoston University Medical Center Anesthesiologists, Inc. 88 East Newton Street A2817, Boston, MA 02118 04-3276227 Boston Emergency Physician Foundation, Inc. 860 Harrison Avenue, Boston, MA 02118 04-3286156 Boston University Cardiac & Thoracic Surgical Foundation, Inc. 88 East Newton Street, Boston, MA 02118 04-2966416 Boston University Dermatology, Inc. 609 Albany Street, Boston, MA 02118 04-3335166 Boston University Dermatology Support Services I, Inc. 609 Albany Street, Boston, MA 02118 04-3452877 Boston University Dermatology Support Services II, Inc. 609 Albany Street, Boston, MA 02118 04-3452874 Boston University Surgical Associates, Inc. 88 East Newton Street, Suite C500, Boston, MA 02118 04-3291148 Evans Medical Foundation, Inc. 88 East Newton Street, Boston, MA 02118 51-0172171 Boston University Eye Associates, Inc. 2005 Bay Street, Suite 201, Taunton, MA 02780 04-3137333 Boston University Family Medicine, Inc. One Boston Medical Center, Dowling 5 South, Boston, MA 02118 04-3354353 Boston University Mallory Pathology Associates, Inc. 670 Albany Street, 3rd Floor, Boston, MA 02118 04-2794543 Boston University Neurology Associates, Inc. 72 East Concord Street C3, Boston, MA 02118 04-3428462 Boston University Neurosurgical Associates, Inc. 72 East Concord Street C3, Boston, MA 02118 04-3296068 Boston University Obstetrics & Gynecology Foundation, Inc. 85 East Concord Street, 6th Floor, Boston, MA 02118 04-3067465 Boston University Orthopaedic Surgical Associates, Inc. 720 Harrison Avenue, DOB Suite 808, Boston, MA 02118 04-3354360 Boston University Medical Center Otolaryngologic Foundation, Inc. 820 Harrison Avenue FGH BLDG 4th Floor Street, Boston, MA 02118 04-3156471 Child HeaLth Foundation of Boston, Inc. 771 Albany Street, Dowling 3 South, Boston, MA 02118 04-2472758 Boston University Plastic Surgery Associates, Inc. 720 Harrison Avenue, DOB 9th Floor, Boston, MA 02118 04-3555478 Boston University Psychiatry Associates, Inc. 85 East Newton Street, Suite 802, Boston, MA 02118 04-3355267 Boston University Medical Center Radiologists, Inc. 820 Harrison Avenue FGH Bldg 3rd Floor Street, Boston, MA 02118 04-3283573 Boston Rehabilitation Medicine Associates, Inc. 732 Harrison Avenue, Suite 511, Boston, MA 02118 04-3286641 Boston University General Surgical Associates, Inc. 88 East Newton Street, Suite C500, Boston, MA 02118 04-3265008 Boston University Medical Center Urologists, Inc. 725 Albany Street Shapiro 3B, Boston, MA 02118 04-3286643
ORGANIZATION'S MISSIONTHE FACULTY PRACTICE PLANS ("THE PLANS") WERE ESTABLISHED AS NOT-FOR-PROFIT CORPORATIONS OPERATING EXCLUSIVELY FOR THE BENEFIT OF BOSTON MEDICAL CENTER AND BOSTON UNIVERSITY SCHOOL OF MEDICINE. THE PLANS' PURPOSE IS TO PROVIDE, COORDINATE AND FACILITATE THE DELIVERY OF PATIENT CARE SERVICES AND TO PROMOTE THE DEVELOPMENT OF AN INTEGRATED SYSTEM OF DELIVERY TO MORE EFFICIENTLY AND EFFECTIVELY MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED BY THE INSTITUTIONS. THE PLANS PROVIDE AMBULATORY SERVICES RANGING FROM PRIMARY ADULT AND PEDIATRIC CARE TO ADVANCED SPECIALTY CARE; AFFILIATED PHYSICIANS ALSO STAFF THE LARGEST 24 HOUR LEVEL 1 TRAUMA CENTER IN NEW ENGLAND. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINES 1B AND 2 ALL OFFICERS AND DIRECTORS ARE EMPLOYEES OF EITHER THE INDIVIDUAL PRACTICE PLAN, BOSTON UNIVERSITY OR BOSTON MEDICAL CENTER, RELATED ORGANIZATIONS. CERTAIN OFFICERS AND DIRECTORS OF THE PRACTICE PLANS ALSO SERVE AS OFFICERS AND DIRECTORS OF BOSTON MEDICAL CENTER. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 6 WITH THE EXCEPTION OF THOSE LISTED BELOW, THE SOLE MEMBER OF THE ORGANIZATION IS FACULTY PRACTICE FOUNDATION, INC. BU SURGICAL ASSOCIATES IS THE SOLE MEMBER OF THE FOLLOWING: - BOSTON UNIVERSITY CARDIAC AND THORACIC SURGICAL FOUNDATION, INC. - BOSTON UNIVERSITY GENERAL SURGICAL ASSOCIATES, INC. - BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES, INC. - BOSTON UNIVERSITY ORTHOPAEDIC SURGICAL ASSOCIATES, INC. - BOSTON UNIVERSITY PLASTIC SURGERY ASSOCIATES, INC. - BOSTON UNIVERSITY MEDICAL CENTER UROLOGISTS, INC. - BUMC OTOLARYNGOLOGIC FOUNDATION, INC. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS MUST BE APPROVED BY THE ORGANIZATION'S SOLE CORPORATE MEMBER, AS SET FORTH IN THE BYLAWS, INCLUDING ADOPTION OF THE BUDGET, ANY MERGER, CONSOLIDATION, LIQUIDATION OR DISSOLUTION, ANY CAPITAL TRANSACTION, AND INCURRENCE OF DEBT. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO THE FILING OF THE FORM 990 WITH THE IRS, THE FORM 990 WAS PREPARED BY OUR OUTSIDE TAX CONSULTANTS AND REVIEWED BY INTERNAL MANAGEMENT. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOSTON MEDICAL CENTER BOARD OF TRUSTEES THEN REVIEWED THE RETURN. EACH MEMBER OF THE PLANS' BOARD WAS PROVIDED A COPY OF THE FINAL FORM 990 PRIOR TO FILING. governance, management, and disclosure form 990, part vi, section b, line 12 conflict of interest questionnaires for the fiscal year ending june 30, 2013 were distributed on MARCH 17, 2014 by the compliance and legal services department. THE OFFICE OF GENERAL COUNSEL queries TRUSTEES, officers and directors on at least an annual basis regarding relationships that may create potential conflicts of interest. The OFFICE OF GENERAL COUNSEL reviews all disclosures and determines whether there are actual or potential conflicts of interest. The General Counsel advises the board of trustees and officers of the corporation accordingly. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION B, LINES 15 A & B THE COMPENSATION COMMITTEE OF THE FACULTY PRACTICE FOUNDATION, A RELATED ORGANIZATION, SERVES AS THE COMPENSATION COMMITTEE OF EACH FACULTY PRACTICE PLAN TO REVIEW AND APPROVE THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF EACH FACULTY PRACTICE PLAN. The Foundation Compensation Committee has two members including the President and CEO of Boston medical center and the Dean of Boston University School of Medicine. This Committee is responsible for approving the compensation for certain physician executives. An annual meeting of the Foundation's Compensation Committee was held FOR FY2013 to review and approve the FY2013 proposed compensation for the physician executives serving as presidents of the plans as well as the executive who serves as the department chair of Anesthesia. For FY2013 the salary of each of the physician executives under consideration was provided to the Committee. The Committee evaluated and relied upon comparable data in making its decision. The comparable data consisted of compensation survey information from the AAMC for each specialty where available, listing both the fiftieth and seventy-fifth salary percentiles. The proposed compensation as submitted or amended by the Committee was voted upon by the Committee. The Committee's assessment of these considerations is contained in the official minutes. GOVERNANCE, MANAGEMENT, AND DISCLOSURE Form 990, part VI, Section C, line 19 THE plans DO NOT MAKE their GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE. Shared Services Agreement Form 990, part VII, Section A The plans are affiliated with Boston Medical Center ("BMC") and Boston University School of Medicine ("BUSM"). The Plans each entered into a common paymaster agreement with BMC and the Trustees of Boston University ("BU"). Under the terms of the physician practice agreements, faculty physicians and practitioners ("Faculty Members") are employed by the individual Plans. The Faculty serves the benefit of BMC (by providing clinical services) and BUSM (by serving as faculty members of BUSM). Each Plan, with respect to each Faculty member that the Plan employs, pays BU 27.8% of each Faculty member's salary up to a $255,000 base, for reimbursement of fringe benefits and related paymaster fees. If a particular Faculty member's salary exceeds the base amount of $255,000, the Plans further pay BU 8.0% on such excess up to an amount equal to the FICA limit for that particular year and then 1.8% on any amount in excess of the applicable FICA limit. The Plans also pay for a portion of administrative salaries and fringe benefits for nonphysician employees of BMC, who provide services to them. The plans do not pay for pension plan contributions for those employees that fall under the above-mentioned paymaster agreement(s). FORM 990, PART VII, LINE 1, LINE 56 DAVID BECK WAS ASSISTANT CLERK AT ALL REPORTING ENTITIES AND A CLERK AT EVANS MEDICAL FOUNDATION. DIANE HOLMES BECAME TREASURER OF Boston University Dermatology, Inc. AS OF 9/27/2012 AND WAS DIRECTOR AT Evans Medical Foundation, Inc. UNTIL 9/27/2012. Gregory A. Antoine, M.D. WAS PRESIDENT, TREASURER, AND CLERK OF Boston University Plastic Surgery Associates, Inc. UNTIL 07/01/12. Benedict D. Daly, M.D. WAS PRESIDENT, TREASURER, AND CLERK AT Boston University Cardiac and Thoracic Surgical Foundation, Inc. UNTIL 07/01/12. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 9 DONATED SERVICES $530,147.FORM 990, PART I, LINE 1 AND PART III, LINES 1 AND 4

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BOSTON MEDICAL CENTER
88 EAST NEWTON STREETBOSTONMA02118043314093healthcareMA501(C)(3)3NAfalse
TRUSTEES OF BOSTON UNIVERSITY
881 COMMONWEALTH AVENUEBOSTONMA02115042103547EDUCATIONMA501(C)(3)2NAfalse
FACULTY PRACTICE FOUNDATION INC
660 Harrison Avenue 3rd FloorBostonMA02118043289381healthcareMA501(C)(3)11b IINAfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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