2014-08-14T16:03:12-05:00 2013-09-30 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2012-10-01 042571853 BIH RADIOLOGIC FOUNDATION INC BIHR 6176672204 330 BROOKLINE AVENUE BOSTON MA 02215 CARL NICKERSON 6176672204 2014-08-13 0 CHRISTINE KAWECKI P00743140 5169187000 2012 2015-11-30 17:44:51Z CARL NICKERSON 330 BROOKLINE AVENUE BOSTON MA 02215 4554222 0 X N/A X 1975 MA SEE SCHEDULE O. 8 0 10 0 6286 0 0 3900 5096153 4239594 182001 256346 50000 54382 5328154 4554222 0 811497 0 0 252218 28497 0 0 0 5460290 3485914 5712508 4325908 -384354 228314 8782092 9092364 1255727 705437 7526365 8386927 X SEE SCHEDULE O. 0 0 3890449 811497 4135427 SEE SCHEDULE O. 247759 0 158549 SEE SCHEDULE O. 4138208 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 4 0 1 10 1 1 1 0 0 0 0 0 0 0 0 0 X 8 0 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 1 1 0 MA X CARL NICKERSON 6176679553 330 BROOKLINE AVENUE BOSTON MA 02215 X BOISELLE MD PHILLIP 1.00 59.00 X 0 343841 45091 GROSS MD PETER 1.00 59.00 X 0 297365 39438 HOCHMAN MD MARY G 1.00 59.00 X 0 235891 34954 KRUSKAL MD JONATHAN 2.00 63.00 X X 0 657601 60598 LEVINE MD DEBORAH 1.00 59.00 X 0 353955 60598 MEHTA MD TEJAS S 1.00 59.00 X 0 281091 61348 MORTELE MD KOENRAAD 1.00 59.00 X 0 333225 37938 RAPTOPOULOS MD VASSILIOS 1.00 59.00 X 0 386117 58098 MONKS ANNAMARIE 5.00 55.00 X 0 284714 0 NICKERSON CARL F 2.00 58.00 X 0 135971 17195 CLOUSE MD MELVIN 0.00 60.00 X 0 183220 41297 KANE MD ROBERT 0.00 60.00 X 0 295339 46591 KRESSEL MD HERBERT 0.00 60.00 X 0 529308 54903 ROSEN MD MAX P 0.00 60.00 X 0 185093 22939 0 4502731 580988 0 1 1 1 HARVARD MEDICAL FACULTY PHYS 375 LONGWOOD AVE 3RD FLOOR BOSTON MA 02215 PHYSICIAN AND STAFF SERVICES 2762974 SIEMENS MEDICAL SOLUTIONS INC 333 CONEY ST EAST WALPOLE MA 02032 EQUIPMENT SUPPORT SERVICES 224365 2 3900 3900 NET PATIENT REVENUE 900099 4188436 4188436 MEDICAL TRAINING REV. 923110 51158 51158 4239594 28697 3841 24856 227649 0 227649 227649 2445 225204 FLOOD INS. REIMBURSEME 524298 49154 49154 5228 5228 54382 4554222 4293976 6286 250060 811497 811497 20435 20435 8062 8062 2356 2356 20500 20500 90119 90119 21186 21186 465185 465185 26627 26627 15176 15176 211459 211459 3434 3434 HMFP PURCHASED SERVICES 963887 963887 HMFP CONTRACT LABOR 757516 757516 CONTRACTED PROFESSIONAL 330951 330951 CONTRACT LABOR - OTHER 259685 259685 317833 258284 59549 4325908 4138208 187700 0 387399 176596 0 309666 528530 403281 4047137 3729689 528907 317448 7330886 7876053 6370 9320 8782092 9092364 1096775 521209 158952 176230 0 7998 1255727 705437 X 7265603 8126165 260762 260762 7526365 8386927 8782092 9092364 228314 632248 0 X X 0 1 X 1 0 X X 0 0 0 BETH ISRAEL DEACONESS MEDICAL CENTER 042103881 3 1 318118 HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER 222768204 9 1 2437974 PRESIDENT & FELLOWS OF HARVARD COLLEGE 042103580 2 1 0 3 2756092 SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: NARRATIVE FOR SUPPORTED ORGANIZATIONS WITH ZERO MONETARY SUPPORT B.I.H. RADIOLOGIC FOUNDATION, INC. PROVIDES INDIRECT SUPPORT TO ITS SUPPORTED ORGANIZATIONS BY PERFORMING TASKS THAT WOULD OTHERWISE HAVE BEEN THE RESPONSIBILITY OF THE SUPPORTED ORGANIZATIONS INCLUDING RESEARCH AND TEACHING. IN ADDITION TO INDIRECT SUPPORT, THE FOUNDATION MAY ALSO PROVIDE GRANTS AND MONETARY SUPPORT TO THE SUPPORTED ORGANIZATIONS. 0 0 0 0 0 0 0 0 1 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: BIDMC, ONE OF THE ENTITIES SUPPORTED BY B.I.H. RADIOLOGIC FOUNDATION, INC. MAY HAVE ENGAGED IN SOME LOBBYING EFFORTS ON BEHALF OF THIS ENTITY AND OTHER AFFILIATED NETWORK ENTITIES. ADDITIONALLY, B.I.H. RADIOLOGIC FOUNDATION, INC. 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. TOTAL LOBBYING EXPENSES ON BEHALF OF B.I.H. RADIOLOGIC FOUNDATION, INC. WERE MINIMAL AND NOT SUBSTANTIAL BASED UPON REVENUES. HMFP WAS NOT MADE AWARE OF ANY EXPENSES/DUES PAID TO OUTSIDE ORGANIZATIONS THAT WERE PARTIALLY ALLOCABLE TO LOBBYING. 1032142 862729 169413 3014995 2866960 148035 317448 JEWISH COMMUNITY ENDOWMENT POOL, LLP 7876053 F 7876053 DUE TO AFFILIATES 7998 7998 X 458750000 632248 453563530 454195778 4554222 0 4554222 442402000 438076092 438076092 4325908 0 4325908 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 453,563,530. PART XII, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED AFFILIATES EXPENSES NET OF ELIMINATIONS 438,076,092. CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTMENTS 1162599 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 16511 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 28201 NORTH AMERICA 0 0 INVESTMENTS 20260 SOUTH AMERICA 0 0 INVESTMENTS 5518 0 0 0 0 0 0 1233089 0 1233089 1 0 0 1 0 0 SCHEDULE F PART IV, QUESTION 1 ALTHOUGH B.I.H. RADIOLOGIC FOUNDATION (THE FOUNDATION) WAS AN INDIRECT TRANSFEROR OF FUNDS TO A FOREIGN CORPORATION DURING THE PERIOD COVERED BY THIS FILING, SUCH TRANSFERS DID NOT RESULT IN AN OBLIGATION TO FILE FORM 926, RETURN OF A U.S. TRANSFEROR OF PROPERTY TO A FOREIGN CORPORATION. SCHEDULE F PART IV, QUESTION 4 ALTHOUGH B.I.H. RADIOLOGIC FOUNDATION 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. 0 HMFP AT BIDMC 375 LONGWOOD AVENUE 3RD FLOOR BOSTON MA 02215 222768204 501(C)(3) 803645 RESEARCH INITIATIVES PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ALL GRANTS PROVIDED BY THE FOUNDATION ARE GIVEN TO ORGANIZATION'S EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THE FOUNDATION DOES NOT HAVE PROCEDURES FOR MONITORING THE USE OF GRANTS IN THE UNITED STATES. 0 0 0 0 0 0 0 1 0 BOISELLE MD PHILLIP 0 329286 0 7500 0 7055 0 30000 0 15091 0 388932 0 0 GROSS MD PETER 0 280945 0 7500 0 8920 0 30000 0 9438 0 336803 0 0 HOCHMAN MD MARY G 0 223060 0 7500 0 5331 0 27016 0 7938 0 270845 0 0 KRUSKAL MD JONATHAN 0 638718 0 7500 0 11383 0 30000 0 30598 0 718199 0 0 LEVINE MD DEBORAH 0 339565 0 7500 0 6890 0 30000 0 30598 0 414553 0 0 MEHTA MD TEJAS S 0 265433 0 7105 0 8553 0 30000 0 31348 0 342439 0 0 MORTELE MD KOENRAAD 0 324915 0 0 0 8310 0 30000 0 7938 0 371163 0 0 RAPTOPOULOS MD VASSILIOS 0 363614 0 7500 0 15003 0 30000 0 28098 0 444215 0 0 MONKS ANNAMARIE 0 284714 0 0 0 0 0 0 0 0 0 284714 0 0 NICKERSON CARL F 0 130487 0 0 0 5484 0 15732 0 1463 0 153166 0 0 CLOUSE MD MELVIN 0 181546 0 0 0 1674 0 16036 0 25261 0 224517 0 0 KANE MD ROBERT 0 276165 0 7500 0 11674 0 30000 0 16591 0 341930 0 0 KRESSEL MD HERBERT 0 516751 0 0 0 12557 0 37312 0 17591 0 584211 0 0 ROSEN MD MAX P 0 177239 0 4500 0 3354 0 21308 0 1631 0 208032 0 0 SUPPLEMENTAL INFORMATION PART III BIH RADIOLOGIC FOUNDATION 2012 FORM 990 SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES: 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. 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, BIH RADIOLOGIC FOUNDATION, INC. AND BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION, INC. MAY BE REFERENCED AS RADIOLOGIC FDN AND BIDDM, RESPECTIVELY. BOISELLE, M.D., PHILLIP DIRECTOR - BIH RADIOLOGIC FOUNDATION RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL ASSOCIATE DEAN FOR ACADEMIC AND CLINICAL AFFAIRS - HARVARD MEDICAL SCHOOL DR. BOISELLE 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: 329,286 INCENTIVE COMPENSATION: 7,500 OTHER REPORTABLE COMPENSATION: 7,055 DEFERRED COMPENSATION: 30,000 NON-TAXABLE BENEFITS: 15,091 GROSS, M.D., PETER DIRECTOR - BIH RADIOLOGIC FOUNDATION RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER INSTRUCTOR IN RADIOLOGY - HARVARD MEDICAL SCHOOL DR. GROSS' TERM ON THE BIH RADIOLOGIC FOUNDATION BOARD ENDED MARCH 1, 2013 AND HE 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: 280,945 INCENTIVE COMPENSATION: 7,500 OTHER REPORTABLE COMPENSATION: 8,920 DEFERRED COMPENSATION: 30,000 NON-TAXABLE BENEFITS: 9,438 HOCHMAN, M.D., MARY G. DIRECTOR - BIH RADIOLOGIC FOUNDATION CHIEF, MUSCULOSKELETAL IMAGING - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. HOCHMAN'S TERM ON THE BIH RADIOLOGIC FOUNDATION BOARD BEGAN MARCH 2, 2013 AND SHE 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: 223,060 INCENTIVE COMPENSATION: 7,500 OTHER REPORTABLE COMPENSATION: 5,331 DEFERRED COMPENSATION: 27,016 NON-TAXABLE BENEFITS: 7,938 KRUSKAL, M.D., PHD, JONATHAN B. PRESIDENT AND DIRECTOR - BIH RADIOLOGIC FOUNDATION DIRECTOR AND CHAIR (RADIOLOGY) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF RADIOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER 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 SUPPLEMENTAL INFORMATION PART III LEVINE, M.D., DEBORAH DIRECTOR - BIH RADIOLOGIC FOUNDATION CHIEF, OB/GYN ULTRASOUND - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. LEVINE 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: 339,565 INCENTIVE COMPENSATION: 7,500 OTHER REPORTABLE COMPENSATION: 6,890 DEFERRED COMPENSATION: 30,000 NON-TAXABLE BENEFITS: 30,598 MEHTA, M.D., TEJAS S. DIRECTOR - BIH RADIOLOGIC FOUNDATION CHIEF, BREAST IMAGING - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. MEHTA'S TERM ON THE BIH RADIOLOGIC FOUNDATION BOARD BEGAN MARCH 4, 2013 AND SHE 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 MORTELE, M.D., KOENRAAD DIRECTOR - BIH RADIOLOGIC FOUNDATION DIRECTOR, MR IMAGING - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. MORTELE 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: 324,416 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,310 DEFERRED COMPENSATION: 30,000 NON-TAXABLE BENEFITS: 7,938 PAYMENTS REPORTED BY BIDDM: BASE COMPENSATION: 500 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 RAPTOPOULOS, M.D. VASSILIOS DIRECTOR - BIH RADIOLOGIC FOUNDATION VICE CHAIR, CLINICAL SERVICES - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. RAPTOPOULOS' TERM ON THE BIH RADIOLOGIC FOUNDATION BOARD ENDED OCTOBER 15, 2012 AND HE 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: 363,614 INCENTIVE COMPENSATION: 7,500 OTHER REPORTABLE COMPENSATION: 15,003 DEFERRED COMPENSATION: 30,000 NON-TAXABLE BENEFITS: 28,098 MONKS, ANNAMARIE CHIEF ADMINISTRATIVE OFFICER - BIH RADIOLOGIC FOUNDATION CHIEF ADMINISTRATIVE OFFICER, DEPARTMENT OF RADIOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MS. MONKS SERVED AS THE INTERIM CHIEF ADMINISTRATIVE OFFICER OF BIH RADIOLOGIC FOUNDATION AND THE DEPARTMENT OF RADIOLOGY IN 2011 AND WAS APPOINTED THE CHIEF ADMINISTRATIVE OFFICER ON JANUARY 1, 2013. SHE 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: 284,714 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 RADIOLOGIC FOUNDATION UTILIZED THE SERVICES OF A HEALTHCARE CONSULTING FIRM, CULBERT HEALTHCARE SOLUTIONS, TO RETAIN ANNAMARIE MONKS IN THE ROLE OF CHIEF ADMINISTRATIVE OFFICER THROUGH SEPTEMBER 30, 2013. ACCORDINGLY, WITH RESPECT TO ANNAMARIE MONKS, RADIOLOGY FOUNDATION HAS REPORTED IN PART VII, SECTION A THE AMOUNTS PAID BY HMFP, THE PARENT ORGANIZATION OF RADIOLOGIC FOUNDATION, WHICH REPRESENT COMPENSATION ULTIMATELY RECEIVED BY ANNAMARIE MONKS TOGETHER WITH FRINGE BENEFITS, REIMBURSEMENT FOR TRAVEL, AND A FEE PAID TO CULBERT TO RETAIN HER SERVICES. SUPPLEMENTAL INFORMATION PART III NICKERSON, CARL F. TREASURER AND CLERK - BIH RADIOLOGIC FOUNDATION BUSINESS MANAGER, DEPARTMENT OF RADIOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MR. NICKERSON 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: 130,487 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,484 DEFERRED COMPENSATION: 15,732 NON-TAXABLE BENEFITS: 1,463 CLOUSE, M.D., MELVIN E. FORMER DIRECTOR - BIH RADIOLOGIC FOUNDATION RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DEPARTMENT CHAIR EMERITUS, RADIOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER DEACONESS PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. CLOUSE SERVED AS DIRECTOR OF BIH RADIOLOGIC FOUNDATION BOARD THROUGH MAY 7, 2009. ALL PAYMENTS TO DR. CLOUSE RELATED TO THE POSITIONS HE HELD DURING THE 2012 CALENDAR YEAR AS LISTED ABOVE AND TO WHICH HE DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK.. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 181,546 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 1,674 DEFERRED COMPENSATION: 16,036 NON-TAXABLE BENEFITS: 25,261 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. CLOUSE'S POSITION AS DEACONESS PROFESSOR OF RADIOLOGY AT HARVARD MEDICAL SCHOOL: $121,121 BASE AND OTHER REPORTABLE COMPENSATION, $14,065 DEFERRED COMPENSATION AND $22,756 NONTAXABLE BENEFITS. KANE, M.D., ROBERT A. FORMER DIRECTOR - BIH RADIOLOGIC FOUNDATION CHIEF, BODY & GENERAL ULTRASOUND - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. KANE SERVED AS DIRECTOR OF BIH RADIOLOGIC FOUNDATION THROUGH APRIL 1, 2012. ALL PAYMENTS TO DR. KANE RELATED TO THE POSITIONS HE HELD DURING THE 2012 CALENDAR YEAR AS LISTED ABOVE AND TO WHICH HE DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK. 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. FORMER PRESIDENT AND DIRECTOR - BIH RADIOLOGIC FOUNDATION 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 PRESIDENT AND DIRECTOR OF BIH RADIOLOGIC FOUNDATION THROUGH DECEMBER 31, 2007. ALL PAYMENTS TO DR. KRESSEL RELATED TO THE POSITIONS HE HELD DURING THE 2012 CALENDAR YEAR AS LISTED ABOVE AND TO WHICH HE DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK. 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. ROSEN, M.D., MAX FORMER DIRECTOR - BIH RADIOLOGIC FOUNDATION FORMER DIRECTOR AND RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER VISITING PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. ROSEN'S TERM 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 LISTED ABOVE AND TO WHICH HE DEVOTED, ON AVERAGE, A COMBINED 60 HOURS PER WEEK. 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 MATTHEW ROSEN FAMILY MEMBER 165625 SEE PART V 0 SCHEDULE L PART IV DESCRIPTION OF TRANSACTIONS INVOLVING INTERESTED PERSONS BIH RADIOLOGIC FOUNDATION, INC., 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 RADIOLOGIC FDN, HMFP AND BIDMC RESPECTIVELY. TEJAS S. MEHTA, MD, IS A DIRECTOR OF RADIOLOGIC FDN AND HMFP.. DR. MEHTA IS MARRIED TO DR. MATTHEW ROSEN, WHO WAS EMPLOYED BY LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC., FKA CAPHMFP (LMIF) AS A CARDIOLOGIST UNTIL MARCH 30, 2012. HMFP IS THE SOLE MEMBER OF BOTH RADIOLOGIC FDN AND LMIF. DR. ROSEN'S SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $138,800BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $1,601DEFERRED COMPENSATION: $24,984NON-TAXABLE BENEFITS: $240THE FOUNDATION MAINTAINS AN ACCOUNTABLE BUSINESS EXPENSE REIMBURSEMENT PLAN. FROM TIME TO TIME, FOUNDATION 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 ARM'S LENGTH AND IN ACCORDANCE WITH THE HMFP AND FOUNDATION CONFLICT OF INTEREST POLICIES. ORGANIZATION MISSION STATEMENT FORM 990, PART I, LINE 1 TO SUPPORT MEDICAL RESEARCH, PROVIDE INSTRUCTION, AND IMPROVE PUBLIC HEALTH ORGANIZATION MISSION STATEMENT FORM 990, PART III, LINE 1 THE MISSION OF B.I.H. RADIOLOGIC FOUNDATION(THE FOUNDATION) 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, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) AND OTHER AFFILIATES. THE FOUNDATION USES ITS FUNDS TO SUPPORT THE PHYSICIAN'S WORK IN THE RADIOLOGY DEPARTMENT AT BIDMC AND TO STRENGHTEN THE DEPATRMENT BY SUPPORTING THE EDUCATIONAL REQUIREMENTS OF THE DEPARTMENT AND PHYSICIANS WORLDWIDE BY PROVIDING TRAINING SEMINARS AND OTHER CLASSES. THE FOUNDATION ALSO USES ITS FUNDS TO SUPPORT EXPENSES INCURRED BY ITS AFFILIATED ENTITIES WHICH BENEFIT THE PHYSICIANS AND OTHER PERSONNEL WHO ARE ENGAGED IN ACTIVITY RELATED TO THE RADIOLOGY FIELD. ALL ACTIVITIES THAT THA FOUNDATION PAPTICIPATES IN ARE FOCUSED ON MEDICAL PROCEDURES, RESEARCH, AND OTHER ACTIVITIES THAT ARE INSPIRED TO ENHANCE METHODS UTILIZED IN THE RADIOLOGY FIELD. PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4A THE FOUNDATION PROVIDED RADIOLOGICAL SERVICES TO THE PATIENTS SERVED BY BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) AND HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC (HMFP), THEIR AFFILIATED ORGANIZATIONS AND THE COMMUNITIES SERVED BY THESE ORGANIZATIONS. THE FOUNDATION ALSO PARTICIPATED IN AND PROVIDED INSTRUCTION FOR THE MEDICAL EDUCATION PROGRAMS OF HMFP, BIDMC AND HARVARD MEDICAL SCHOOL. PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4B THE B.I.H. RADIOLOGIC FOUNDATION PROVIDED SERVICES TO ITS PATIENTS THAT INCLUDE FULL BODY CT SCANS. THE SCAN ALLOWS A BOARD-CERTIFIED RADIOLOGIST TO VIEW A PATIENT'S HEART, LUNGS, ABDOMINAL CAVITY, AND BONES TO DETERMINE THE HEALTH OF THE PATIENT. WITH THIS SCAN, PATIENTS WILL KNOW IF THEY HAVE ANY ABNORMALITIES, AND IF SOMETHING IS FOUND, THE STAFF WILL CONNECT THE PATIENT WITH A PHYSICIAN FOR FURTHER FOLLOW-UP. THE TECHNOLOGY USED IN THIS OPERATION HELPS TO ENSURE THAT PATIENTS ARE IN GOOD HEALTH. 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 RADIOLOGIC FOUNDATION UTILIZED THE SERVICES OF A HEALTHCARE CONSULTING FIRM, CULBERT HEALTHCARE SOLUTIONS, TO RETAIN ANNAMARIE MONKS IN THE ROLE OF CHIEF ADMINISTRATIVE OFFICER THROUGH SEPTEMBER 30, 2013. ACCORDINGLY, WITH RESPECT TO ANNAMARIE MONKS, RADIOLOGY FOUNDATION HAS REPORTED IN PART VII, SECTION A THE AMOUNTS PAID BY HMFP, THE PARENT ORGANIZATION OF RADIOLOGIC FOUNDATION, WHICH REPRESENT COMPENSATION ULTIMATELY RECEIVED BY ANNAMARIE MONKS TOGETHER WITH FRINGE BENEFITS, REIMBURSEMENT FOR TRAVEL, AND A FEE PAID TO CULBERT TO RETAIN HER SERVICES. FORM 990, PART VI, SECTION A, LINE 6 YES, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC (HMFP) IS THE SOLE MEMBER OF B.I.H. RADIOLOGIC FOUNDATION (THE FOUNDATION) FORM 990, PART VI, SECTION A, LINE 7A HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC (HMFP) IS THE SOLE MEMBER OF B.I.H. RADIOLOGIC FOUNDATION (THE FOUNDATION). HMFP HAS THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B YES, THE MEMBER ACCORDING TO FOUNDATION BYLAWS HAS THE FOLLOWING RIGHTS: - TO APPROVE ANY AMENDMENTS TO THE ARTICLES OF ORGANIZATION OR BYLAWS; - TO APPROVE THE UNDERTAKING OF ANY CLINICAL SERVICES OF THE FOUNDATION NOT BEING PROVIDED BY THE FOUNDATION AS OF OCTOBER 1, 2006; - TO APPROVE ANY ACTION THAT WOULD CAUSE, OR COULD REASONABLY BE EXPECTED TO CAUSE THE MEMBER TO BREACH THE AFFILIATION AGREEMENT BETWEEN THE MEMBER AND BETH ISRAEL DEACONESS MEDICAL CENTER; -TO SELECT AND REMOVE AND REPLACE THE INDEPENDENT PUBLIC ACCOUNTING FIRM; -TO REQUIRE THE FOUNDATION TO COMPLY WITH THE POLICIES AND PROCEDURES OF THE MEMBER'S PROGRAM FOR COMPLIANCE WITH THE APPLICABLE BILLING AND PAYMENT REQUIREMENTS OF FEDERAL HEALTH CARE PROGRAMS; AND, -POWERS AND RIGHTS AS VESTED BY LAW. FORM 990, PART VI, SECTION B, LINE 11 THE PREPARATION AND THE FILING OF THE FOUNDATION'S FORM 990 AND SUPPORTING SCHEDULES ARE THE RESPONSIBILITY OF THE CHIEF FINANCIAL OFFICER (CFO) OF HMFP. AS PREVIOUSLY NOTED, HMFP IS THE SOLE MEMBER OF THE FOUNDATION. FOR FISCAL YEAR 2013, THE FORM 990 WAS PREPARED BY 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. CARE GROUP IS THE SOLE MEMBER OF BIDMC. A DRAFT COPY OF THE FORM 990 PREPARED BY DELOITTE TAX LLP INCLUDING ALL RELATED SCHEDULES, WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION HAS A FORMAL CONFLICT OF INTEREST POLICY UNDER WHICH, THE PRESIDENT, OFFICERS AND BOARD MEMBERS ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST. A FORMAL CONFLICT OF INTEREST DISCLOSURE STATEMENT IS NOW REQUIRED TO BE COMPLETED ANNUALLY BY ALL KEY FOUNDATION PERSONNEL. THE STANDARDS IN THE POLICY REQUIRE FOUNDATION OFFICERS AND BOARD MEMBERS SHALL NOT VOTE ON, INFLUENCE, OR MAKE RECOMMENDATIONS REGARDING A TRANSACTION OR DECISION WHEN THE INDIVIDUAL OR 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 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 (INCLUDED BY 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 THE FOUNDATION IN THE PURCHASE OR SALE OF ANY PROPERTY RIGHT, INTEREST, OR SERVICE. THE CONFLICT OF INTEREST STANDARDS ALSO REQUIRE THAT AN INDIVIDUAL OR MEMBER OF HIS OR HER FAMILY NOT ACCEPT GIFTS OR OTHER FAVORS THAT MIGHT LEAD TO THE INFERENCE THAT THE GIFT OR FAVOR WAS INTENDED TO INFLUENCE HIS OR HER DECISION-MAKING WHILE SERVING THE FOUNDATION. PER THE POLICY, AN INDIVIDUAL SHOULD NOT DISCLOSE OR USE FOUNDATION INFORMATION FOR PERSONAL PROFIT OR ADVANTAGE OR SHOULD NOT DISCLOSE CONFIDENTIAL AND/OR STRATEGIC INFORMATION IN ADVANCE OF ITS AUTHORIZED RELEASE. AS NOTED ABOVE, THE PROCESS FOR ADDRESSING A POTENTIAL CONFLICT REQUIRES THAT THE FOUNDATION DIRECTORS AND OFFICERS COMPLETE A FORMAL CONFLICT OF INTEREST DISCLOSURE STATEMENT EACH YEAR. THE FOUNDATION BOARD WILL REVIEW SUCH SUBMITTED FORMS AND FORMAL APPROVAL OF SUCH ACTIVITIES WILL BE REQUIRED TO BE DOCUMENTED IN MINUTES OF THE BOARD MEETING. IF THE BOARD FEELS THAT ANY INDIVIDUAL HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, IT WILL INFORM THE INDIVIDUAL OF THE BASIS FOR THE BELIEF AND AFFORD THE INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF THE BOARD DETERMINES THAT THE INDIVIDUAL FAILED TO PROPERLY DISCLOSE A CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS. WITH THE ADOPTION OF THIS CONFLICT OF INTEREST POLICY, THE BOARD IS DETERMINED TO HELP ENSURE ALL TRANSACTIONS ARE HANDLED IN A FAIR AND ETHICAL MANNER. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION DOES NOT PROVIDE COMPENSATION TO ANY INDIVIDUAL. CERTAIN OFFICERS AND TRUSTEES OF THE ORGANIZATION RECEIVED COMPENSATION FROM RELATED PARTIES. THE PROCESS OF DETERMINING COMPENSATION OF THESE INDIVIDUALS IS CONDUCTED AT THE RELATED PARTY LEVEL WHERE THE RELATED ORGANIZATION HAS A COMPENSATION COMMITTEE THAT IS CHARGED WITH DETERMINING THE COMPENSATION OF ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND PROFESSIONAL STAFF OF THE ORGANIZATION. THE COMPENSATION COMMITTEE UTILIZES COMPARATIVE INDUSTRY DATA, OUTSIDE CONSULTANTS, AND OTHER OUTSIDE MARKET DATA TO HELP DETERMINE COMPENSATION. THE RELATED ENTITIES OF THE FOUNDATION HAVE FORMAL COMPENSATION POLICIES WHICH ARE DOCUMENTED AND REVIEWED BY THEIR BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE RE-APPROVES COMPENSATION PLANS WHICH ARE DOCUMENTED IN A FORMALIZED MANNER BEFORE BEING PRESENTED TO EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION'S GOVERNING DOCUMENTS, INCLUDING ITS CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE OFFICES OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. LOCATED AT 375 LONGWOOD AVENUE, BOSTON, MA 02215. ADDITIONALLY, STATE AND FEDERAL TAX RELATED INFORMATION IS PROVIDED TO THE GENERAL POPULATION THROUGH PUBLIC WEBSITES INCLUDING WWW.GUIDESTAR.ORG AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FORM 990, PART VI, SECTION A, LINE 8B THE FOUNDATION DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY; THEREFORE, THIS QUESTION IS MORE APPROPRIATELY ANSWERED "NOT APPLICABLE." FORM 990, PART VI, SECTION B, LINE 13 & 14 BIH RADIOLOGIC FOUNDATION, INC. IS IN THE PROCESS OF FORMALLY ADOPTING THE WHISTLEBLOWER POLICY AND THE DOCUMENT RETENTION AND DESTRUCTION POLICY OF ITS SOLE MEMBER, HMFP. FORM 990, PART VII, SECTION A, LINE 1A ALL FOUNDATION DIRECTORS AND 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 DIRECTOR OR TRUSTEE AS DENOTED BY THE TITLES LISTED IN SECTION VII. NO FOUNDATION TRUSTEE OR DIRECTOR DEVOTES MORE THAN TWENTY HOURS PER MONTH TO THEIR POSITION AS TRUSTEE OR DIRECTOR. FORM 990, PART XII, LINE 2C THE FINANCIAL RECORDS OF THE FOUNDATION ARE AUDITED EACH YEAR AS PART OF THE HMFP CONSOLIDATED AUDITED FINANCIAL STATEMENT PROCESS. FOR THE PERIOD COVERED BY THIS FILING, THE BOSTON, MA OFFICE OF KPMG ISSUED AN UNQUALIFIED OPINION ON HMFP AND AFFILIATES FINANCIAL STATEMENTS. THIS PROCESS IS MONITORED AND REVIEWED INTERNALLY BY THE HMFP AUDIT COMMITTEE. IN ADDITION, THE FINANCIAL INFORMATION OF HMFP AND AFFILIATES IS CONSOLIDATED INTO THE BETH ISRAEL DEACONESS MEDICAL CENTER AND AFFILIATES FINANCIAL STATEMENTS. FOR THE PERIOD COVERED BY THIS FILING, THE BOSTON, MA OFFICE OF KPMG SIMILARLY ISSUED AN UNQUALIFIED OPINION ON THE BIDMC AND AFFILIATES FINANCIAL STATEMENTS. THAT PROCESS IS OVERSEEN BY THE MEDICAL CENTER'S COMPLIANCE, AUDIT AND RISK COMMITTEE. 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