2013-08-13T09:45:03-05:00 2012-09-30 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2011-10-01 042571853 BIH RADIOLOGIC FOUNDATION INC BIHR 6176672204 330 BROOKLINE AVENUE BOSTON MA 02215 CARL NICKERSON 6176672204 2013-08-13 0 CHRISTINE KAWECKI P00743140 5169187000 2011 2016-02-24 21:20:13Z CARL NICKERSON 330 BROOKLINE AVENUE BOSTON MA 02215 5328154 0 X N/A X 1975 MA SEE SCHEDULE O. 6 0 9 0 748 -599 0 0 5182941 5096153 445022 182001 0 50000 5627963 5328154 0 0 0 0 313520 252218 0 0 0 5850560 5460290 6164080 5712508 -536117 -384354 9377471 8782092 1960205 1255727 7417266 7526365 X SEE SCHEDULE O. 0 0 5189482 0 4975217 SEE SCHEDULE O. 340715 170936 SEE SCHEDULE O. 5530197 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 3 0 1 9 1 1 1 0 0 0 0 0 0 0 0 0 0 X 6 0 1 0 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 X 0 335417 52082 GROSS MD PETER 1.00 X 0 347376 56126 KANE MD ROBERT 1.00 X 0 297379 52321 KRUSKAL MD JONATHAN 5.00 X X 0 587177 73723 LEVINE MD DEBORAH 1.00 X 0 326351 64997 MORTELE MD KOENRAAD 1.00 X 0 106980 14735 RAPTOPOULOS MD VASSILIOS 1.00 X 0 378344 66102 ROSEN MD MAX P 1.00 X 0 334423 53074 NICKERSON CARL F 10.00 X 0 131052 33406 CLOUSE MD MELVIN 0.00 X 0 223364 47668 KRESSEL MD HERBERT 0.00 X 0 512084 62528 0 3579947 576762 0 1 1 0 HARVARD MEDICAL FACULTY PHYS 375 LONGWOOD AVE 3RD FLOOR BOSTON MA 02215 PHYSICIAN AND STAFF SERVICES 5388400 GE HEALTHCARE FINANCIAL SERVICES 1 BEACON ST BOSTON MA 021082488 EQUIPMENT LEASING AND SERVICES 290343 SIEMENS FINANCIAL SERVICES 45 FAIRFIELD ST BOSTON MA 02216 EQUIPMENT LEASING AND SERVICES 274723 SIEMENS MEDICAL SOLUTIONS INC 333 CONEY ST EAST WALPOLE MA 02032 EQUIPMENT MAINTENANCE 226567 4 NET PATIENT REVENUE 900099 5096153 5096153 5096153 35215 -599 35814 146786 0 146786 146786 1347 145439 EXTERNAL REVENUE - FOU 900099 50000 50000 50000 5328154 5146153 748 181253 213373 213373 38845 38845 22313 22313 350 350 96227 96227 11894 11894 237900 237900 28699 28699 22828 22828 218167 218167 244672 244672 4100 4100 RESEARCH EXPENSE 1820535 1820535 0 0 HMFP PURCHASED SERVICES 1003559 1003559 0 0 HMFP CONTRACT LABOR 757104 757104 0 0 CONTRACTED PROFESSIONAL 552273 552273 0 0 439669 439669 5712508 5530197 182311 0 105516 387399 502187 528530 4047137 3518230 773579 528907 299261 7691378 7330886 5550 6370 9377471 8782092 1743605 1096775 216600 158952 0 1960205 1255727 X 7156504 7265603 260762 260762 0 7417266 7526365 9377471 8782092 X -384354 493453 X X 0 1 1 X 0 X X 0 0 0 BETH ISRAEL DEACONESS MEDICAL CENTER 042103881 3 1 0 HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER 222768204 9 1 0 PRESIDENT & FELLOWS OF HARVARD COLLEGE 042103580 2 1 0 3 0 0 0 0 0 0 0 0 0 1 0 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: BIDMC, ONE OF THE ENTITIES SUPPORTED BY THE FOUNDATION MAY HAVE ENGAGED IN SOME LOBBYING EFFORTS ON BEHALF OF THIS ENTITY AND OTHER AFFILIATED NETWORK ENTITIES. ADDITIONALLY, THE FOUNDATION 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 THE FOUNDATION WERE MINIMAL AND NOT SUBSTANTIAL BASED UPON REVENUES. 1032142 856281 175861 3014995 2661949 353046 528907 JEWISH COMMUNITY ENDOWMENT POOL, LLP 7330886 C 7330886 5328154 5712508 -384354 493453 493453 109099 450985000 493453 445163393 445656846 5328154 0 5328154 447821000 442108492 442108492 5712508 0 5712508 PART XII, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED AFFILIATES REVENUE NET OF ELIMINATIONS 445,163,393. PART XIII, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED AFFILIATES EXPENSES NET OF ELIMINATIONS 442,108,492. CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTMENTS 2015517 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 8148 0 0 0 0 0 0 2023665 0 2023665 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 BOISELLE MD PHILLIP 0 328496 0 0 0 6921 0 36991 0 15091 0 387499 0 0 GROSS MD PETER 0 334998 0 0 0 12378 0 37252 0 18874 0 403502 0 0 KANE MD ROBERT 0 284582 0 0 0 12797 0 36030 0 16291 0 349700 0 0 KRUSKAL MD JONATHAN 0 575782 0 0 0 11395 0 43125 0 30598 0 660900 0 0 LEVINE MD DEBORAH 0 318910 0 0 0 7441 0 36898 0 28099 0 391348 0 0 RAPTOPOULOS MD VASSILIOS 0 346747 0 0 0 31597 0 37503 0 28599 0 444446 0 0 ROSEN MD MAX P 0 317359 0 0 0 17064 0 36783 0 16291 0 387497 0 0 NICKERSON CARL F 0 125394 0 0 0 5658 0 18315 0 15091 0 164458 0 0 CLOUSE MD MELVIN 0 211129 0 0 0 12235 0 29077 0 18591 0 271032 0 0 KRESSEL MD HERBERT 0 498550 0 0 0 13534 0 45937 0 16591 0 574612 0 0 SUPPLEMENTAL INFORMATION PART III SUPPLEMENTAL INFORMATION 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, THE ENTITIES BELOW MAY BE REFERENCED AS FOLLOWS: - BIH RADIOLOGIC FOUNDATION, INC. (RADIOLOGIC FDN) BOISELLE, M.D., PHILLIP DIRECTOR - BIH RADIOLOGIC FOUNDATION DIRECTOR, THORACIC IMAGING - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PROFESSOR OF RADIOLOGY - 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: 328,496 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,921 DEFERRED COMPENSATION: 36,991 NON-TAXABLE BENEFITS: 15,091 GROSS, M.D., PETER DIRECTOR - BIH RADIOLOGIC FOUNDATION RADIOLOGIST - HMFP AT BIDMC INSTRUCTOR IN RADIOLOGY - HARVARD MEDICAL SCHOOL DR. GROSS 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: 334,998 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 12,378 DEFERRED COMPENSATION: 37,252 NON-TAXABLE BENEFITS: 18,874 SUPPLEMENTAL INFORMATION PART III KANE, M.D., ROBERT A. DIRECTOR - BIH RADIOLOGIC FOUNDATION RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. KANE'S TERM ON THE RADIOLOGIC FDN ENDED APRIL 1, 2012. DR. KANE 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: 284,582 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 12,797 DEFERRED COMPENSATION: 36,030 NON-TAXABLE BENEFITS: 16,291 KRUSKAL, M.D., PHD, JONATHAN B. PRESIDENT & DIRECTOR - BIH RADIOLOGIC FOUNDATION DIRECTOR & 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 60 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: 287,891 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,698 DEFERRED COMPENSATION: 21,563 NON-TAXABLE BENEFITS: 15,299 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 287,891 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,698 DEFERRED COMPENSATION: 21,563 NON-TAXABLE BENEFITS: 15,299 LEVINE, M.D., DEBORAH DIRECTOR - BIH RADIOLOGIC FOUNDATION RADIOLOGIST - 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: 318,910 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,441 DEFERRED COMPENSATION: 36,898 NON-TAXABLE BENEFITS: 28,098 MORTELE, M.D., KOENRAAD DIRECTOR - BIH RADIOLOGIC FOUNDATION RADIOLOGIST, 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: 105,564 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 1,416 DEFERRED COMPENSATION: 12,730 NON-TAXABLE BENEFITS: 2,005 SUPPLEMENTAL INFORMATION PART III RAPTOPOULOS, M.D. VASSILIOS DIRECTOR - BIH RADIOLOGIC FOUNDATION RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. RAPTOPOULOS 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: 346,747 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 31,597 DEFERRED COMPENSATION: 37,503 NON-TAXABLE BENEFITS: 28,598 ROSEN, M.D., MAX DIRECTOR - BIH RADIOLOGIC FOUNDATION DIRECTOR & RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER VISITING PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. ROSEN'S TERM ON THE RADIOLOGIC FOUNDATION BOARD ENDED JUNE 30, 2012. 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: 317,359 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 17,064 DEFERRED COMPENSATION: 36,783 NON-TAXABLE BENEFITS: 16,291 NICKERSON, CARL F. TREASURER & CLERK - BIH RADIOLOGIC FOUNDATION BUSINESS MANAGER, 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: 125,394 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,658 DEFERRED COMPENSATION: 18,315 NON-TAXABLE BENEFITS: 15,091 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 RELATE TO THE POSITIONS HE HELD DURING THE 2011 CALENDAR YEAR AND WHICH ARE NOTED ABOVE. DR. CLOUSE 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: 211,129 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 12,235 DEFERRED COMPENSATION: 29,077 NON-TAXABLE BENEFITS: 18,591 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY HMFP FOR THE 2011 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: $75,992 BASE AND OTHER REPORTABLE COMPENSATION AND $7,599 DEFERRED COMPENSATION. SUPPLEMENTAL INFORMATION PART III KRESSEL, M.D., HERBERT Y. FORMER PRESIDENT & 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 RELATE TO THE POSITIONS HE HELD DURING THE 2011 CALENDAR YEAR AND WHICH ARE NOTED ABOVE. DR. KRESSEL 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: 498,550 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 13,534 DEFERRED COMPENSATION: 45,936 NON-TAXABLE BENEFITS: 16,591 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY HMFP FOR THE 2011 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. THE FOUNDATION MAINTAINS AN ACCOUNTABLE BUSINESS EXPENSE REIMBURSEMENT PLAN. FROM TIME TO TIME, THE 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 THEIR AFFILIATES. THE FOUNDATION USES ITS FUNDS TO SUPPORT THE PHYSICIAN'S WORK IN THE RADIOLOGY DEPARTMENT AT BIDMC AND TO STRENGTHEN THE DEPARTMENT 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 THE FOUNDATION PARTICIPATES 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 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 YES. HMFP HAS THE RIGHT TO APPOINT AT LEAST ONE OF THE ORGANIZATIONS' 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 2012, THE FORM 990 WAS PREPARED BY DELOITTE TAX 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 INCLUDING ALL RELATED SCHEDULES, WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C RADIOLOGIC FDN HAS A WRITTEN, COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL MEMBERS OF ITS WORKFORCE, INCLUDING EMPLOYEES, PROFESSIONAL STAFF, CONSULTANTS, CONTRACTORS, AGENTS, AND VENDORS, AND TO THE MEMBERS OF THE BOARD OF DIRECTORS. IN ADDITION, RADIOLOGIC FDN, HMFP AND BIDMC ARE INTEGRALLY RELATED ENTITIES AND HAVE A COMPREHENSIVE CONFLICT OF INTEREST PROCESS FOR DISTRIBUTION, COLLECTION AND REVIEW OF THE COI ANNUAL DISCLOSURE FORMS. PURSUANT TO THESE POLICIES, ALL MEMBERS OF THE RADIOLOGIC FDN WORKFORCE MUST DISCLOSE CONFLICTS OF INTEREST AT THE TIME OF INSTITUTIONAL TRANSACTIONS AND MUST REFRAIN FROM TAKING ANY ADMINISTRATIVE ACTION WITHIN THE INSTITUTION THAT IS BENEFICIAL TO AN OUTSIDE BUSINESS IN WHICH S/HE OR A FAMILY MEMBER HAS A POSITION OR A FINANCIAL INTEREST UNLESS S/HE INFORMS HIS/HER SUPERVISOR AND OBTAINS APPROVAL. ON BEHALF OF RADIOLOGIC FDN, HMFP MONITORS COMPLIANCE WITH THIS POLICY BY REQUIRING ALL PHYSICIANS, OFFICERS AND DIRECTORS PARTICIPATING IN THE PROCESS TO COMPLETE A WRITTEN DISCLOSURE FORM AT THE TIME OF DISCUSSIONS AND NEGOTIATIONS WITH A SUPPLIER. SIMILARLY, ANY MEMBER OF THE RADIOLOGIC FDN BOARD OF DIRECTORS WHO IS IN A POSITION TO VOTE ON OR INFLUENCE A PARTICULAR TRANSACTION OR DECISION MUST NOTIFY THE BOARD OR THE COMMITTEE IF S/HE OR A FAMILY MEMBER MIGHT MATERIALLY BENEFIT AND RECUSE HIM/HERSELF FROM PARTICIPATION AND VOTING ON THE DECISION. IN ADDITION, ALL RADIOLOGIC FDN PHYSICIANS, OFFICERS, DIRECTORS AND KEY EMPLOYEES OF RADIOLOGIC FDN, HMFP AND THE MEDICAL CENTER ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT DISCLOSURE WHICH IS DESIGNED TO REQUIRE DISCLOSURE OF ANY BUSINESS RELATIONSHIPS MAINTAINED BY OFFICERS, DIRECTORS OR KEY EMPLOYEES AND THEIR IMMEDIATE FAMILY MEMBERS WHICH MAY RESULT IN A CONFLICT OF INTEREST. PURSUANT TO THE RADIOLOGIC FDN, HMFP AND BIDMC CONFLICT OF INTEREST POLICIES, MANY INDIVIDUALS IN ADDITION TO THOSE REPORTED ON THE TAX RETURNS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT DISCLOSURE. THESE ADDITIONAL CATEGORIES INCLUDE OFFICERS, SENIOR MANAGEMENT, CHIEFS OF SERVICE, DIVISION CHIEFS, MANAGERS, SUPERVISORS, AND OTHER WORKFORCE AND PROFESSIONAL STAFF CATEGORIES AS IDENTIFIED FROM TIME TO TIME BY THE CHIEF EXECUTIVE OFFICER, THE CORPORATE COMPLIANCE OFFICER OR THE COMPLIANCE OVERSIGHT COMMITTEE. FOR THESE EMPLOYEES, PROVIDING A DISCLOSURE IS A CONDITION OF EMPLOYMENT AND/OR BIDMC MEDICAL STAFF APPOINTMENT. THE HMFP COMPLIANCE OVERSIGHT COMMITTEE IN CONJUNCTION WITH HMFP COUNSEL REVIEWS ANNUAL CONFLICT OF INTEREST DISCLOSURES ON BEHALF OF RADIOLOGIC FDN AND HMFP AND DETERMINES APPROPRIATE ACTION FOR THE ANNUAL CONFLICT OF INTEREST DISCLOSURES. THE BIDMC OFFICE OF COMPLIANCE AND BUSINESS CONDUCT COLLECTS, REVIEWS, AND DETERMINES APPROPRIATE ACTION FOR THE ANNUAL CONFLICT OF INTEREST DISCLOSURES ON BEHALF OF BIDMC. BECAUSE OF THE INTEGRAL RELATIONSHIP BETWEEN RADIOLOGIC FDN, HMFP AND BIDMC, MANY INDIVIDUALS ARE COVERED BY BOTH ENTITIES' CONFLICT OF INTEREST POLICIES AND ANNUAL DISCLOSURE REQUIREMENTS. IN CASES OF DUAL RESPONSIBILITIES, THE RESPONSES ARE REVIEWED BY BOTH DEPARTMENTS FOR DETERMINATION OF ANY POTENTIAL OR ACTUAL CONFLICT. PURSUANT TO EACH INSTITUTION'S CONFLICT OF INTEREST POLICY, CERTAIN ACTIVITIES WHICH COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED, WHILE OTHER TYPES OF RELATIONSHIPS ARE PERMITTED, SUBJECT TO COMPLIANCE WITH A PLAN TO REQUIRE DISCLOSURE AND RECUSAL INCLUDING APPROPRIATE DOCUMENTATION IN THE MINUTES. AS NOTED PREVIOUSLY IN THIS FILING, CAREGROUP IS AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 AS AMENDED, A SUPPORT ORGANIZATION OF RADIOLOGIC FDN, HMFP AND THE SOLE MEMBER OF THE MEDICAL CENTER. IN ADDITION TO THE CONFLICT OF INTEREST PROCESS OUTLINED ABOVE, THE CAREGROUP TAX DEPARTMENT AND THE HMFP FINANCE DEPARTMENT JOINTLY ISSUE A TAX QUESTIONNAIRE TO ALL CURRENT AND FORMER MEMBERS OF THE RADIOLOGIC FDN BOARD OF DIRECTORS AS WELL AS CURRENT AND FORMER RADIOLOGIC FDN OFFICERS AND KEY EMPLOYEES. THE TAX QUESTIONNAIRE IS DESIGNED TO GATHER THE INFORMATION NECESSARY FOR RADIOLOGIC FDN, HMFP AND ITS AFFILIATES TO COMPLETELY AND ACCURATELY PROCESS AND COMPLETE FORM 990 SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS AND FORM 990, PART VI, QUESTION 2, FAMILY AND BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS/TRUSTEES AND KEY EMPLOYEES. 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. AVG HOURS DEVOTED TO RELATED ORG(S) WHEN RELATED COMP IS REPORTED: 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 493,453. 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