HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC (EIN 22-2768204)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-13
- IRS object ID
- 201342259349300149
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-13T09:45:03-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO JERICHO PLAZA | AddressLine1 |
| City | JERICHO | City |
| State | NY | State |
| ZIP Code | 11753 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222768204 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARVARD MEDICAL FACULTY PHYSICIANS AT | BusinessNameLine1 |
| Business Name Line2 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HARV | NameControl |
| Phone | 6176329744 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 LONGWOOD AVENUE 3RD FLOOR | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02215 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STUART ROSENBERG MD | Name |
| Title | PRESIDENT | Title |
| Phone | 6176329744 | Phone |
| Date Signed | 2013-08-13 | DateSigned |
| Authorize Third Party | 0 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTINE KAWECKI | Name |
| PTIN | P00743140 | PTIN |
| Phone | 5169187000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STUART ROSENBERG MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 LONGWOOD AVENUE 3RD FLOOR | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 412197178 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HMFP.CAREGROUP.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 26 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1190 | TotalNbrEmployees |
| Total Nbr Volunteers | 6 | TotalNbrVolunteers |
| Total Gross UBI | 4490653 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 403813964 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 406213382 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2418751 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2388386 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3595410 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 406232715 | TotalRevenuePriorYear |
| Total Revenue Current Year | 412197178 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 81970 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 126689 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 335381935 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 341197719 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 67986169 | OtherExpensePriorYear |
| Other Expenses Current Year | 71662868 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 403450074 | TotalExpensesPriorYear |
| Total Expenses Current Year | 412987276 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2782641 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -790098 | RevenuesLessExpensesCY |
| Total Assets BOY | 128290513 | TotalAssetsBOY |
| Total Assets EOY | 174951165 | TotalAssetsEOY |
| Total Liabilities BOY | 41885682 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 85902430 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 86404831 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 89048735 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 222379773 | Expense |
| Grants | 126689 | Grants |
| Revenue | 236516914 | Revenue |
| Description | SEE SCHEDULE O | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 73714445 | Expense |
| Revenue | 78400624 | Revenue |
| Description | SEE SCHEDULE O | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 57210959 | Expense |
| Revenue | 56367523 | Revenue |
| Description | SEE SCHEDULE O | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 28627922 | Expense |
| Revenue | 34043276 | Revenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 28627922 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 34043276 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 381933099 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 1 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 303 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1190 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 26 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STUART ROSENBERG | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6176327443 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 LONGWOOD AVENUE 3RD FLOOR | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02215 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (48 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| BUEHRENS ERIC P | ||||||||
| DIRECTOR | 5.00 | X | 0 | 1031980 | 57530 | |||
| CHAIKOF MD PHD ELLIOT | ||||||||
| DIRECTOR & SURG CHAIR | 30.00 | X | 451042 | 451042 | 74294 | |||
| GEBHARDT MD MARK C | ||||||||
| DIRECTOR & ORTHO CHAIR | 30.00 | X | 353252 | 353252 | 77228 | |||
| GREENBERG MD WILLIAM | ||||||||
| DIRECTOR & PSYCH CHAIR | 30.00 | X | 189185 | 189185 | 53388 | |||
| KRUSKAL MD JONATHAN B | ||||||||
| DIRECTOR & RAD CHAIR | 30.00 | X | 293589 | 293589 | 73724 | |||
| LAMONT MD J THOMAS | ||||||||
| DIRECTOR | 60.00 | X | 326956 | 0 | 55633 | |||
| LISBON MD ALAN | ||||||||
| DIRECTOR | 60.00 | X | 512249 | 0 | 69091 | |||
| MCDERMOTT ESQ SHAW | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| PURSLEY MD DEWAYNE M | ||||||||
| DIRECTOR & CHAIR, NEONATOLOGY | 30.00 | X | 242768 | 242768 | 72824 | |||
| RICCIOTTI MD HOPE A | ||||||||
| DIRECTOR & OBGYN CHAIR | 30.00 | X | 308116 | 102706 | 72238 | |||
| ROSEN MD CARLO | ||||||||
| DIRECTOR | 60.00 | X | 378049 | 0 | 36415 | |||
| ROSEN MD MAX | ||||||||
| DIRECTOR | 60.00 | X | 334423 | 0 | 53074 | |||
| ROSENBERG MD STUART A | ||||||||
| PRESIDENT | 60.00 | X | 752390 | 0 | 64029 | X | ||
| SAFFITZ MD JEFFREY E | ||||||||
| DIRECTOR & PATH CHAIR | 30.00 | X | 287725 | 287725 | 57248 | |||
| SAPER MD CLIFFORD B | ||||||||
| DIRECTOR & NEURO CHAIR | 30.00 | X | 252793 | 252793 | 55460 | |||
| SCHNEIDER PHD LEWIS | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| SIMON MD PHD BRETT | ||||||||
| DIRECTOR & ANESTH CHAIR | 30.00 | X | 289065 | 289065 | 60400 | |||
| SLOANE CARL | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| STEELE MD GLENN | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| STERN MD ROBERT S | ||||||||
| DIRECTOR & DERM CHAIR | 30.00 | X | 285716 | 285716 | 80356 | |||
| STEVENSON MD PHD MARY ANN | ||||||||
| CLERK & CHAIR, RAD ONC | 30.00 | X | 306766 | 306766 | 71536 | X | ||
| SWARTZ PHD KATHERINE | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| TABB MD KEVIN | ||||||||
| DIRECTOR | 5.00 | X | 0 | 340423 | 4284 | |||
| WOLFE MD RICHARD E | ||||||||
| DIRECTOR & EMERG MED CHAIR | 30.00 | X | 245273 | 245273 | 58998 | |||
| ZALE DONALD | ||||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |||
| ZEIDEL MD MARK L | ||||||||
| DIRECTOR & MED CHAIR | 30.00 | X | 351938 | 353548 | 58732 | |||
| GOUWS PETER | ||||||||
| INTERIM CFO | 60.00 | 93750 | 0 | 0 | X | |||
| GRAB EDWARD | ||||||||
| TREASURER & EXECUTIVE DIRECTOR | 60.00 | 427893 | 0 | 66798 | X | |||
| KROUSKOS JOHN | ||||||||
| TREASURER & CFO | 60.00 | 280732 | 0 | 74484 | X | |||
| ARROYO MD JORGE | ||||||||
| OPHTHALMOLOGIST | 60.00 | 930873 | 0 | 47139 | X | |||
| DAS MD ANURAG | ||||||||
| SURGEON | 60.00 | 952134 | 0 | 73536 | X | |||
| LEE MD BERNARD | ||||||||
| PLASTIC & REC. SURGEON | 60.00 | 896986 | 0 | 59898 | X | |||
| PLESKOW MD DOUGLAS | ||||||||
| GASTROENTEROLOGIST | 60.00 | 833585 | 0 | 31640 | X | |||
| WHITE MD ANDREW | ||||||||
| ORTHOPEDIC SPINE SURGEON | 60.00 | 1083430 | 0 | 59898 | X | |||
| CALLERY MD MARK | ||||||||
| FORMER DIRECTOR | 60.00 | 501652 | 0 | 71535 | X | |||
| EDLOW MD JONATHAN A | ||||||||
| FORMER DIRECTOR | 60.00 | 321008 | 0 | 54998 | X | |||
| FISCHER MD JOSEF E | ||||||||
| FORMER DIRECTOR | 60.00 | 0 | 182786 | 36757 | X | |||
| HANTO MD DOUGLAS W | ||||||||
| FORMER DIRECTOR | 60.00 | 702337 | 0 | 62934 | X | |||
| HURST MD JAMES M | ||||||||
| FORMER DIRECTOR | 45.00 | 98787 | 0 | 21086 | X | |||
| KANE MD ROBERT | ||||||||
| FORMER DIRECTOR | 60.00 | 297379 | 0 | 52321 | X | |||
| KRESSEL MD HERBERT Y | ||||||||
| FORMER DIRECTOR | 60.00 | 512084 | 0 | 62527 | X | |||
| LEVY PAUL F | ||||||||
| FORMER DIRECTOR | 60.00 | 0 | 874381 | 24725 | X | |||
| PARKER MD RICHARD A | ||||||||
| FORMER DIRECTOR | 60.00 | 345941 | 0 | 57498 | X | |||
| PHILLIPS MD RUSSELL S | ||||||||
| FORMER DIRECTOR | 60.00 | 295873 | 0 | 58223 | X | |||
| RAPTOPOULOS MD VASSILIOS | ||||||||
| FORMER ACTING CHAIR, RAD | 60.00 | 378344 | 0 | 66101 | X | |||
| ROSEN MD SEYMOUR | ||||||||
| FORMER DIRECTOR | 60.00 | 280567 | 0 | 48491 | X | |||
| WARFIELD MD CAROL A | ||||||||
| FORMER DIRECTOR | 60.00 | 255674 | 0 | 66108 | X | |||
| YEH MD JOHN | ||||||||
| FORMER DIRECTOR & OBGYN CHAIR | 60.00 | 442316 | 147439 | 74420 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 16092640 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 6230437 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2377599 | TotalOtherCompensation |
| Number Individuals GT100 K | 919 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BETH ISRAEL DREACONESS MEDICAL CENTER | |||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | INFORMATION SERVICES & OTHER | 54005575 |
| PHYSICIAN PROFESSIONAL SERVICES | |||||
| 10 CABOT RD STE 301 | MEDFORD | MA | 02215 | BILLING SERVICES | 4811920 |
| PER SE TECHNOLOGIES | |||||
| PO BOX 406918 | ATLANTA | GA | 30384 | BILLING SERVICES | 2583929 |
| ANESTHESIA FINANCIAL SOLUTIONS LLC | |||||
| 144 GOULD ST SUITE 150 | NEEDHAM | MA | 02492 | BILLING SERVICES | 1814010 |
| MEDICAL HEALTHCARE SOLUTIONS INC | |||||
| 100 BRICKSTONE SQUARE | ANDOVER | MA | 01810 | BILLING SERVICES | 1646137 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 70 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT SERVICE | 900099 | 236516914 | 236516914 | |
| TEACHING | 541700 | 78400624 | 78400624 | |
| OTHER MEDICAL SERVICES | 541700 | 60847978 | 56367523 | 4480455 |
| RESEARCH | 611710 | 30447866 | 30447866 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 406213382 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 292811 | TotalRevenueColumn |
| Unrelated Business Revenue | 8272 | UnrelatedBusinessRevenue |
| Exclusion | $284,539 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2095575 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2095575 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2095575 | TotalRevenueColumn |
| Unrelated Business Revenue | 1926 | UnrelatedBusinessRevenue |
| Exclusion | $2,093,649 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FORGIVENESS OF DEBT | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 3595410 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3595410 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3595410 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 412197178 | TotalRevenueColumn |
| Related Or Exempt Function Income | 405328337 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4490653 | UnrelatedBusinessRevenue |
| Exclusion | $2,378,188 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126689 | Total |
| Program Services | 126689 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10840873 | Total |
| Program Services | 4716333 | ProgramServices |
| Management And General | 6124540 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88804 | Total |
| Management And General | 88804 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 268869505 | Total |
| Program Services | 255426029 | ProgramServices |
| Management And General | 13443476 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24072949 | Total |
| Program Services | 22869302 | ProgramServices |
| Management And General | 1203647 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25979039 | Total |
| Program Services | 24939254 | ProgramServices |
| Management And General | 1039785 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11346549 | Total |
| Program Services | 10892914 | ProgramServices |
| Management And General | 453635 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 889762 | Total |
| Program Services | 658390 | ProgramServices |
| Management And General | 231372 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 221998 | Total |
| Program Services | 164270 | ProgramServices |
| Management And General | 57728 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4855128 | Total |
| Program Services | 3592600 | ProgramServices |
| Management And General | 1262528 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2710973 | Total |
| Program Services | 2006012 | ProgramServices |
| Management And General | 704961 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5465171 | Total |
| Program Services | 4044008 | ProgramServices |
| Management And General | 1421163 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 736299 | Total |
| Program Services | 544832 | ProgramServices |
| Management And General | 191467 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311051 | Total |
| Program Services | 230166 | ProgramServices |
| Management And General | 80885 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1341964 | Total |
| Program Services | 993003 | ProgramServices |
| Management And General | 348961 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68327 | Total |
| Program Services | 50559 | ProgramServices |
| Management And General | 17768 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL/RESEARCH SERVIC | 16856856 | 12473399 | 4383457 |
| PROF. LIABILITY INSURAN | 12026586 | 12026586 | |
| BILLING FEES | 11981699 | 11981699 | |
| UNCOMPENSATED CARE | 6446316 | 6446316 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7750738 | Total |
| Program Services | 7750738 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 412987276 | Total |
| Program Services | 381933099 | ProgramServices |
| Management And General | 31054177 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18450913 | BOY |
| EOY | 14695164 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24122363 | BOY |
| EOY | 27093030 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13095 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 331940 | BOY |
| EOY | 252382 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 16909163 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13591365 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3662922 | BOY |
| EOY | 3317798 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70694656 | BOY |
| EOY | 76630973 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1585105 | BOY |
| EOY | 1585105 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9429519 | BOY |
| EOY | 51376713 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128290513 | BOY |
| EOY | 174951165 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25241815 | BOY |
| EOY | 23818724 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16643867 | BOY |
| EOY | 62083706 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41885682 | BOY |
| EOY | 85902430 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86404831 | BOY |
| EOY | 89048735 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86404831 | BOY |
| EOY | 89048735 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128290513 | BOY |
| EOY | 174951165 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -790098 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3434002 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 361439144 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 390182886 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 401673324 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 404554176 | CurrentTaxYearMinus1Year |
| Current Tax Year | 406213382 | CurrentTaxYear |
| Total | 1964062912 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 361439144 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 390182886 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 401673324 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 404554176 | CurrentTaxYearMinus1Year |
| Current Tax Year | 406213382 | CurrentTaxYear |
| Total | 1964062912 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 1964062912 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 627328 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 108609 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 105870 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 236925 | CurrentTaxYearMinus1Year |
| Current Tax Year | 292811 | CurrentTaxYear |
| Total | 1371543 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 627328 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 108609 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 105870 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 236925 | CurrentTaxYearMinus1Year |
| Current Tax Year | 292811 | CurrentTaxYear |
| Total | 1371543 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 362066472 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 390291495 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 401779194 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 404791101 | CurrentTaxYearMinus1Year |
| Current Tax Year | 406506193 | CurrentTaxYear |
| Total | 1965434455 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99930 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99910 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00070 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00090 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $0 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 0 | TotalLobbyingExpendituresIIB |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) OCCASIONALLY ENGAGES IN LOBBYING EFFORTS ON BEHALF OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) AND OTHER AFFILIATED NETWORK ENTITIES. ADDITIONALLY, HMFP MAY PAY DUES TO CERTAIN MEMBERSHIP ORGANIZATIONS, A PIECE OF WHICH MAY BE USED BY SUCH ORGANIZATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THIS INSTITUTION AND OTHER SIMILARLY SITUATED ORGANIZATIONS. HMFP TOTAL LOBBYING EXPENDITURES WERE MINIMAL AND NOT SUBSTANTIAL BASED ON REVENUES. | Explanation |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1995459 | OtherCostOrOtherBasis |
| Depreciation | 1717710 | Depreciation |
| Book Value | 277749 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14913704 | OtherCostOrOtherBasis |
| Depreciation | 11873655 | Depreciation |
| Book Value | 3040049 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3317798 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CAREGROUP INVESTMENT PARTNERSHIP, LLP | 52819999 | F |
| SAWGRASS | 23371063 | F |
| FIDELITY MONEY MARKET | 439911 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 76630973 | TotalOfBookValueSecurities |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER CURRENT ASSETS | 46427481 |
| DUE FROM AFFILIATES | 4949232 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 51376713 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHERS LIABILITIES | $45,123,010 |
| PROFESSIONAL LIABILITY | $16,044,762 |
| DUE TO AFFILIATES | $915,934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 62083706 | TotalOfAmounts |
| Total Revenue | 412197178 | TotalRevenue |
| Total Expenses | 412987276 | TotalExpenses |
| Excess Or Deficit For Year | -790098 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 3834002 | NetUnrealizedGLOnInvestments |
| Other | -$400,000 | OtherAmount |
| Total Adjustments | 3434002 | TotalAdjustments |
| Excess Or Deficit Per FS | 2643904 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 450985000 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 3834002 | NetUnrealizedGainsInvestments |
| Other Revenues | 34953820 | OtherRevenues |
| Revenue Not Rptd F990 | 38787822 | RevenueNotRptdF990 |
| Revenue Subtotal | 412197178 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 412197178 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 447821000 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 34833724 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 34833724 | ExpensesNotRptdF990 |
| Expenses Subtotal | 412987276 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 412987276 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | TRANSFER TO AFFILIATES -400,000. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CONSOLIDATED AFFILIATES REVENUE NET OF ELIMINATIONS 34,953,820. |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | CONSOLIDATED AFFILIATES REVENUE NET OF ELIMINATIONS 34,433,724. DEBT FORGIVENESS 400,000. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (10 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Total ExpendituresTotalExpenditures | Specific Services ProvidedSpecificServicesProvided |
|---|---|---|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN | 0 | 0 | INVESTMENTS | 16589729 | |
| EUROPE (INCLUDING ICELAND & GREENLAND) | 0 | 0 | INVESTMENTS | 61323 | |
| MIDDLE EAST AND NORTH AFRICA - | 0 | 0 | UNRELATED BUSINESS | 2607496 | HEALTHCARE CONSULTING |
| EUROPE (INCLUDING ICELAND & GREENLAND) | 2 | 3 | UNRELATED BUSINESS | 504893 | HEALTHCARE CONSULTING |
| EAST ASIA AND THE PACIFIC | 0 | 0 | PROGRAM SERVICE | 14411 | TRAVEL |
| EUROPE (INCLUDING ICELAND & GREENLAND) | 0 | 0 | PROGRAM SERVICE | 42932 | TRAVEL |
| MIDDLE EAST AND NORTH AFRICA | 0 | 0 | PROGRAM SERVICE | 249215 | TRAVEL |
| NORTH AMERICA | 0 | 0 | PROGRAM SERVICE | 75631 | TRAVEL |
| SOUTH ASIA | 0 | 0 | PROGRAM SERVICE | 8823 | TRAVEL |
| SUB-SAHARAN AFRICA | 0 | 0 | PROGRAM SERVICE | 16049 | TRAVEL |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 2 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 3 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 2 | TotalNumberOfOffices |
| Total Number Of Employees | 3 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 20145630 | SubtotalAmountSpent |
| Cont Amount Spent | 24872 | ContAmountSpent |
| Total Amount Spent | 20170502 | TotalAmountSpent |
| Transfer To Foreign Corp | 1 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 1 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 1 | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | SCHEDULE F, PART V DISCLOSURE RELATED TO 926S NOT BEING ATTACHED | ReturnReference |
| Explanation | ALTHOUGH HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) 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. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | Address Line2AddressUS/AddressLine2 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| BETH ISRAEL DEACONESS MEDICAL CENTER - COMMUNITY CARE ALLIANCE & COMMUNITY | ||||||||
| 330 BROOKLINE AVENUE BR 109 2ND | FLOOR | BOSTON | MA | 02215 | 042103881 | 501(C)(3) | 65000 | COMMUNITY BENEFIT |
| BETH ISRAEL DEACONESS - NEEDHAM CAPITAL CAMPAIGN OFFICE OF DEVELOPMENT | ||||||||
| 330 BROOKLINE AVENUE | BOSTON | MA | 02215 | 043229679 | 501(C)(3) | 10000 | GENERAL SUPPORT | |
| DIMMOCK COMMUNITY HEALTH CENTER | ||||||||
| 55 DIMMOCK STREET | ROXBURY | MA | 02119 | 043487835 | 501(C)(3) | 5500 | COMMUNITY BENEFIT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GRANTS ARE MONITORED BY THE CLINICAL DEPARTMENTS SPONSORING THIS ACTIVITY. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 1 | InitialContractException |
| Rebuttable Presumption Procedure | 1 | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (41 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BUEHRENS ERIC P | |||||||||||||
| 0 | 767193 | 0 | 215232 | 0 | 49555 | 0 | 12250 | 0 | 45280 | 0 | 1089510 | 0 | 0 |
| CHAIKOF MD PHD ELLIOT | |||||||||||||
| 443916 | 443916 | 0 | 0 | 7126 | 7126 | 22857 | 22857 | 14290 | 14290 | 488189 | 488189 | 0 | 0 |
| GEBHARDT MD MARK C | |||||||||||||
| 345309 | 345309 | 0 | 0 | 7943 | 7943 | 28852 | 28852 | 9762 | 9762 | 391866 | 391866 | 0 | 0 |
| GREENBERG MD WILLIAM | |||||||||||||
| 183289 | 183289 | 0 | 0 | 5896 | 5896 | 13475 | 13475 | 13219 | 13219 | 215879 | 215879 | 0 | 0 |
| KRUSKAL MD JONATHAN B | |||||||||||||
| 287891 | 287891 | 0 | 0 | 5698 | 5698 | 21563 | 21563 | 15299 | 15299 | 330451 | 330451 | 0 | 0 |
| LAMONT MD J THOMAS | |||||||||||||
| 311589 | 0 | 0 | 0 | 15367 | 0 | 35542 | 0 | 20091 | 0 | 382589 | 0 | 0 | 0 |
| LISBON MD ALAN | |||||||||||||
| 395276 | 0 | 90000 | 0 | 26973 | 0 | 49000 | 0 | 20091 | 0 | 581340 | 0 | 0 | 0 |
| PURSLEY MD DEWAYNE M | |||||||||||||
| 237271 | 237271 | 0 | 0 | 5497 | 5497 | 24500 | 24500 | 11912 | 11912 | 279180 | 279180 | 0 | 0 |
| RICCIOTTI MD HOPE A | |||||||||||||
| 301013 | 100338 | 0 | 0 | 7103 | 2368 | 34454 | 11485 | 19724 | 6575 | 362294 | 120766 | 0 | 0 |
| ROSEN MD CARLO | |||||||||||||
| 311169 | 0 | 59641 | 0 | 7239 | 0 | 29400 | 0 | 7015 | 0 | 414464 | 0 | 0 | 0 |
| ROSEN MD MAX | |||||||||||||
| 317359 | 0 | 0 | 0 | 17064 | 0 | 36783 | 0 | 16291 | 0 | 387497 | 0 | 0 | 0 |
| ROSENBERG MD STUART A | |||||||||||||
| 612083 | 0 | 123473 | 0 | 16834 | 0 | 45938 | 0 | 18091 | 0 | 816419 | 0 | 0 | 0 |
| SAFFITZ MD JEFFREY E | |||||||||||||
| 280431 | 280431 | 0 | 0 | 7294 | 7294 | 14700 | 14700 | 13924 | 13924 | 316349 | 316349 | 0 | 0 |
| SAPER MD CLIFFORD B | |||||||||||||
| 247465 | 247465 | 0 | 0 | 5328 | 5328 | 17096 | 17096 | 10634 | 10634 | 280523 | 280523 | 0 | 0 |
| SIMON MD PHD BRETT | |||||||||||||
| 283472 | 283472 | 0 | 0 | 5593 | 5593 | 25853 | 25853 | 4347 | 4347 | 319265 | 319265 | 0 | 0 |
| STERN MD ROBERT S | |||||||||||||
| 274513 | 274513 | 0 | 0 | 11203 | 11203 | 29927 | 29927 | 10251 | 10251 | 325894 | 325894 | 0 | 0 |
| STEVENSON MD PHD MARY ANN | |||||||||||||
| 301936 | 301936 | 0 | 0 | 4830 | 4830 | 22969 | 22969 | 12799 | 12799 | 342534 | 342534 | 0 | 0 |
| TABB MD KEVIN | |||||||||||||
| 0 | 163556 | 0 | 131250 | 0 | 45617 | 0 | 0 | 0 | 4284 | 0 | 344707 | 0 | 0 |
| WOLFE MD RICHARD E | |||||||||||||
| 239612 | 239612 | 0 | 0 | 5661 | 5661 | 14700 | 14700 | 14799 | 14799 | 274772 | 274772 | 0 | 0 |
| ZEIDEL MD MARK L | |||||||||||||
| 345753 | 347363 | 0 | 0 | 6185 | 6185 | 22513 | 22513 | 6853 | 6853 | 381304 | 382914 | 0 | 0 |
| GRAB EDWARD | |||||||||||||
| 390210 | 0 | 30000 | 0 | 7683 | 0 | 39200 | 0 | 27598 | 0 | 494691 | 0 | 0 | 0 |
| KROUSKOS JOHN | |||||||||||||
| 238035 | 0 | 36709 | 0 | 5988 | 0 | 45886 | 0 | 28598 | 0 | 355216 | 0 | 0 | 0 |
| ARROYO MD JORGE | |||||||||||||
| 923220 | 0 | 0 | 0 | 7653 | 0 | 39200 | 0 | 7939 | 0 | 978012 | 0 | 0 | 0 |
| DAS MD ANURAG | |||||||||||||
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Form990 Schedule J Part III Form990ScheduleJPartIII (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 1A | THE POLICIES OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER INCLUDE THE PROVISION THAT THE ORGANIZATION WILL PAY FOR A MEMBERSHIP IN LIMITED CIRCUMSTANCES WHEN IT IS USED PRINCIPALLY FOR BONA FIDE BUSINESS PURPOSES NECESSARY TO ADVANCE THE CHARITABLE MISSION OF THE ORGANIZATION, SUBJECT TO ADVANCE APPROVAL BY SENIOR OFFICIALS. | |
| PART I, LINES 4A-B | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AS REQUIRED BY THIS FORM 990, SCHEDULE J, COMPENSATION INFORMATION, THE COMPENSATION DETAIL INCLUDED IN THIS FORM 990 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012 IS CALENDAR YEAR 2011 DETAIL. DURING THE 2011 CALENDAR YEAR, SOME INDIVIDUALS LISTED IN THIS FORM 990 PART VII AND FORM 990 SCHEDULE J RECEIVED PAYMENTS FROM BIDMC. BIDMC IS A PARTICIPATING EMPLOYER IN THE BETH ISRAEL DEACONESS MEDICAL CENTER, INC. ANNUITY RETIREMENT PLAN WHICH, UNDER THE DEFINITIONS TO THIS FORM 990, IS CONSIDERED A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PARTICIPANTS RECEIVED BOTH CURRENTLY TAXABLE AND DEFERRED BENEFITS FROM THIS PLAN AND AS NOTED ABOVE. ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW. BIDMC ALSO MAINTAINS AN IRC SEC. 457 PLAN PURSUANT TO WHICH ELIGIBLE EMPLOYEES CAN DEFER PART OF THEIR COMPENSATION. THIS PLAN IS STRICTLY EMPLOYEE FUNDED WITH NO EMPLOYER DEFERRALS. UNDER THE DEFINITIONS TO THIS FORM 990, THIS PLAN IS CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. AMOUNTS DEFERRED BY PARTICIPANTS ARE INCLUDED IN FORM 990 SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION, IN ACCORDANCE WITH THE INSTRUCTIONS TO THIS FORM 990. | |
| PART III | 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. OTHER REPORTABLE COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED IN THIS RETURN BUT QUANTIFIED IN OTHER REPORTABLE COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: AMOUNTS DEFERRED BY THE EMPLOYEE (PLUS EARNINGS) UNDER FULLY VESTED 457(B) PLAN; INCREASE/DECREASE IN VALUE OF NONQUALIFIED FULLY VESTED 457(B) PLAN; TAXABLE EMPLOYER-SUBSIDIZED PARKING; TAXABLE MOVING EXPENSES; EARNED TIME CASHED; TAXABLE LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE; AND OTHER TAXABLE RETIREMENT BENEFITS DEFERRED COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN DEFERRED COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: EMPLOYER CONTRIBUTIONS TO 401K RETIREMENT PLAN, EMPLOYER CONTRIBUTIONS TO 403B RETIREMENT PLAN, EMPLOYER CONTRIBUTION TO PENSION PLAN NON-TAXABLE BENEFITS: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN NON-TAXABLE BENEFITS INCLUDE AMOUNTS FROM ONE OR MORE OF THE NON-TAXABLE BENEFITS: EMPLOYEE CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYER CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYEE CONTRIBUTIONS TO FLEXIBLE SPENDING ACCOUNTS FOR DEPENDENT CARE AND/OR MEDICAL REIMBURSEMENT, GROUP TERM LIFE INSURANCE, DISABILITY INSURANCE ALL DIRECTORS/TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF DIRECTOR/TRUSTEE, AS DENOTED BY THE LISTED TITLES HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER AND BETH ISRAEL DEACONESS MEDICAL CENTER MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 PART VII AND FORM 990 SCHEDULE J AS HMFP AND BIDMC RESPECTIVELY. IN ADDITION, THE ENTITIES BELOW MAY BE REFERENCED AS FOLLOWS: -BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION, INC. (SURGERY FDN.) -BETH ISRAEL DEACONESS ORTHOPAEDIC SURGERY FOUNDATION (ORTHOPAEDIC SURGERY FDN) -CONTINUING EDUCATION PROGRAM, INC. D/B/A BETH ISRAEL DEACONESS DEPARTMENT OF PSYCHIATRY FOUNDATION (PSYCHIATRY FDN) -BIH RADIOLOGIC FOUNDATION, INC. (RADIOLOGY FDN) -BETH ISRAEL ANAESTHESIA FOUNDATION, INC. (BIAF); -BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION, INC. (BIDDM) -BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION, INC. (OB/GYN FDN) -BIH PATHOLOGY FOUNDATION, INC. (PATHOLOGY FDN) -BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION (NEONATOLOGY FDN) -BETH ISRAEL DERMATOLOGY FOUNDATION (DERMATOLOGY FDN) -BETH ISRAEL DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION (NEUROLOGY FDN) -BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM (BIDN) -MEDICAL CARE OF BOSTON MANAGEMENT CORP. D/B/A AFFILIATED PHYSICIANS GROUP (APG) BUEHRENS, ERIC P. DIRECTOR (EX-OFFICIO) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER INTERIM PRESIDENT AND CHIEF EXECUTIVE OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER MR. BUEHRENS DEVOTED, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MR. BUEHRENS SERVED AS THE INTERIM PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) OF BETH ISRAEL DEACONESS MEDICAL CENTER FROM FEBRUARY 2 TO OCTOBER 17, 2011, AT WHICH TIME HE RESUMED THE POSITION OF CHIEF OPERATING OFFICER (COO). MR. BUEHRENS SERVED AS COO UNTIL JANUARY 5, 2012 AND WAS EMPLOYED BY BIDMC UNTIL FEBRUARY 29, 2012. WHILE MR. BUEHRENS SERVED AS INTERIM PRESIDENT AND CEO OF BIDMC, HE ALSO SERVED IN THE FOLLOWING POSITIONS: DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION TRUSTEE (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 767,193 INCENTIVE COMPENSATION: 215,232 OTHER REPORTABLE COMPENSATION: 49,555 DEFERRED COMPENSATION: 12,250 NON-TAXABLE BENEFITS: 45,280 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. BUEHRENS INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $58,188. CHAIKOF, M.D., PHD, ELLIOT DIRECTOR (EX-OFFICIO) & CHAIR (SURGERY) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) & CHIEF (SURGERY) - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION JOHNSON & JOHNSON PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL DR. CHAIKOF DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. CHAIKOF PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY FORM 990, ALTHOUGH DR. CHAIKOF IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. CHAIKOF'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 443,916 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,126 DEFERRED COMPENSATION: 22,857 NON-TAXABLE BENEFITS: 14,290 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 443,916 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,126 DEFERRED COMPENSATION: 22,857 NON-TAXABLE BENEFITS: 14,290 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2011 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. CHAIKOF'S POSITION AS CHIEF OF SURGERY AT BIDMC, CHAIR OF THE HMFP DEPARTMENT OF SURGERY AND JOHNSON & JOHNSON PROFESSOR OF SURGERY, HARVARD MEDICAL SCHOOL: $63,126 BASE AND OTHER REPORTABLE COMPENSATION, $6,514 DEFERRED COMPENSATION AND $6,434 NON-TAXABLE BENEFITS. GEBHARDT, M.D., MARK C. DIRECTOR AND CHAIRMAN OF ORTHOPEDIC SURGERY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF ORTHOPEDIC SURGERY - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - CAREGROUP, INC. PRESIDENT - BETH ISRAEL DEACONESS ORTHOPAEDIC SURGERY FOUNDATION FREDERIC W. & JANE M. ILFELD PROFESSOR OF ORTHOPEDIC SURGERY - HARVARD MEDICAL SCHOOL DR. GEBHARDT DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. GEBHARDT PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. GEBHARDT IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. GEBHARDT'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 345,309 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,943 DEFERRED COMPENSATION: 28,852 NON-TAXABLE BENEFITS: 9,762 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 345,309 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,943 DEFERRED COMPENSATION: 28,852 NON-TAXABLE BENEFITS: 9,762 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2011 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. GEBHARDT'S POSITION AS CHIEF OF ORTHOPEDIC SURGERY AT BIDMC, CHAIR OF THE HMFP DEPARTMENT OF ORTHOPEDIC SURGERY AND FREDERIC W. & JAMES M. ILFELD PROFESSOR OF ORTHOPEDIC SURGERY, HARVARD MEDICAL SCHOOL: $81,793 BASE AND OTHER REPORTABLE COMPENSATION, $8,704 DEFERRED COMPENSATION AND $19,284 NON-TAXABLE BENEFITS. | SUPPLEMENTAL INFORMATION |
| PART III | GREENBERG, M.D., WILLIAM DIRECTOR AND CHAIRMAN OF PSYCHIATRY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF PSYCHIATRY - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND DIRECTOR - CONTINUING EDUCATION PROGRAM, INC. D/B/A BETH ISRAEL DEACONESS DEPARTMENT OF PSYCHIATRY FOUNDATION ASSISTANT PROFESSOR OF PSYCHIATRY - HARVARD MEDICAL SCHOOL DR. GREENBERG DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. GREENBERG PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. GREENBERG IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. GREENBERG'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 183,289 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,896 DEFERRED COMPENSATION: 13,475 NON-TAXABLE BENEFITS: 13,219 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 183,289 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,896 DEFERRED COMPENSATION: 13,475 NON-TAXABLE BENEFITS: 13,219 KRUSKAL, M.D., PHD, JONATHAN B. DIRECTOR & CHAIR (RADIOLOGY) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF RADIOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT & DIRECTOR - BIH RADIOLOGIC FOUNDATION 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 LAMONT, M.D., J. THOMAS DIRECTOR & GASTROENTEROLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF (GASTROENTEROLOGY) - BETH ISRAEL DEACONESS MEDICAL CENTER CHARLOTTE F. & IRVING W. RABB PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. LAMONT DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 311,589 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 15,367 DEFERRED COMPENSATION: 35,542 NON-TAXABLE BENEFITS: 20,091 AS REQUIRED IN 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. LAMONT'S POSITION AS GASTROENTEROLOGIST AND CHARLOTTE F. & IRVING W. RABB PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL: $61,420 BASE AND OTHER REPORTABLE COMPENSATION AND $156,142 DEFERRED COMPENSATION. LISBON, M.D., ALAN DIRECTOR AND ANESTHESIOLOGIST, CRITICAL CARE - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER VICE CHAIR - CRITICAL CARE - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND CLERK - BETH ISRAEL ANAESTHESIA FOUNDATION (BIAF) ASSOCIATE PROFESSOR OF ANAESTHESIA - HARVARD MEDICAL SCHOOL DR. LISBON DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 395,276 INCENTIVE COMPENSATION: 90,000 OTHER REPORTABLE COMPENSATION: 26,973 DEFERRED COMPENSATION: 49,000 NON-TAXABLE BENEFITS: 20,091 MCDERMOTT, ESQ., SHAW DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MR. MCDERMOTT DEVOTES, ON AVERAGE, 5 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PURSLEY, M.D., DEWAYNE M. DIRECTOR AND CHAIRMAN OF NEONATOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF NEONATOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT - BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION ASSISTANT PROFESSOR OF PEDIATRICS - HARVARD MEDICAL SCHOOL DR. PURSLEY DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. PURSLEY PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. PURSLEY IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. PURSLEY'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 237,271 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,497 DEFERRED COMPENSATION: 24,500 NON-TAXABLE BENEFITS: 11,912 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 237,271 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,497 DEFERRED COMPENSATION: 24,500 NON-TAXABLE BENEFITS: 11,912 RICCIOTTI, M.D., HOPE A. DIRECTOR AND CHAIR OF OBSTETRICS AND GYNECOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF OBSTETRICS AND GYNECOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND DIRECTOR - BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION ASSOCIATE PROFESSOR OF OBSTETRICS, GYNECOLOGY AND REPRODUCTIVE BIOLOGY - HARVARD MEDICAL SCHOOL DR. RICCIOTTI WAS APPOINTED CHAIR OF OBSTETRICS AND GYNECOLOGY ON JUNE 15, 2011. DR. RICCIOTTI DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. RICCIOTTI PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY FORM 990, ALTHOUGH DR. RICCIOTTI IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. RICCIOTTI'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 301,013 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,103 DEFERRED COMPENSATION: 34,454 NON-TAXABLE BENEFITS: 19,724 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 100,338 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 2,368 DEFERRED COMPENSATION: 11,485 NON-TAXABLE BENEFITS: 6,575 ROSEN, M.D., CARLO DIRECTOR & RESIDENCY DIRECTOR (EMERGENCY MEDICINE) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. ROSEN DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 311,169 INCENTIVE COMPENSATION: 59,641 OTHER REPORTABLE COMPENSATION: 7,239 DEFERRED COMPENSATION: 29,400 NON-TAXABLE BENEFITS: 7,015 ROSEN, M.D., MAX DIRECTOR & RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - BIH RADIOLOGIC FOUNDATION ASSOCIATE PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL | SUPPLEMENTAL INFORMATION |
| PART III | 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 ROSENBERG, M.D., STUART A. PRESIDENT AND CHIEF EXECUTIVE OFFICER - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT - CARDIOVASCULAR ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION DIRECTOR - BETH ISRAEL DEACONESS ORTHOPAEDIC SURGERY FOUNDATION DIRECTOR - CONTINUING EDUCATION PROGRAM, INC. D/B/A BETH ISRAEL DEACONESS DEPARTMENT OF PSYCHIATRY FOUNDATION DIRECTOR - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION DIRECTOR - BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION DIRECTOR - BETH ISRAEL DERMATOLOGY FOUNDATION DIRECTOR - MEDICAL CARE OF BOSTON MANAGEMENT CORP., D/B/A AFFILIATED PHYSICIANS GROUP DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL - MILTON DR. ROSENBERG 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: 612,083 INCENTIVE COMPENSATION: 123,473 OTHER REPORTABLE COMPENSATION: 16,834 DEFERRED COMPENSATION: 45,938 NON-TAXABLE BENEFITS: 18,091 SAFFITZ, M.D. PH.D., JEFFREY E. DIRECTOR AND CHAIR OF PATHOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF PATHOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT - BIH PATHOLOGY FOUNDATION MALLINCKRODT PROFESSOR OF PATHOLOGY - HARVARD MEDICAL SCHOOL DR. SAFFITZ DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. SAFFITZ PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. SAFFITZ IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. SAFFITZ'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 280,431 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,294 DEFERRED COMPENSATION: 14,700 NON-TAXABLE BENEFITS: 13,924 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 280,431 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,294 DEFERRED COMPENSATION: 14,700 NON-TAXABLE BENEFITS: 13,924 SAPER, M.D., CLIFFORD B. DIRECTOR AND CHAIR OF NEUROLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF NEUROLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT - BETH ISRAEL DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION JAMES JACKSON PUTNAM PROFESSOR OF NEUROLOGY - HARVARD MEDICAL SCHOOL DR. SAPER DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. SAPER PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. SAPER IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. SAPER'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 247,465 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,328 DEFERRED COMPENSATION: 17,096 NON-TAXABLE BENEFITS: 10,634 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 247,465 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,328 DEFERRED COMPENSATION: 17,096 NON-TAXABLE BENEFITS: 10,634 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2011 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. SAPER'S POSITION AS CHIEF OF NEUROLOGY AT BIDMC, CHAIR OF NEUROLOGY AT HMFP AND JAMES JACKSON PUTNAM PROFESSOR OF NEUROLOGY, HARVARD MEDICAL SCHOOL: $ 41,744 BASE AND OTHER REPORTABLE COMPENSATION, $4,791 DEFERRED COMPENSATION AND $19,228 NON-TAXABLE BENEFITS. SCHNEIDER, LEWIS DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MR. SCHNEIDER DEVOTES, ON AVERAGE, 5 HOURS PER WEEK TO THE REPORTING ORGANIZATION. SIMON, M.D. PH.D., BRETT DIRECTOR AND CHAIRMAN OF ANESTHESIA - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF ANESTHESIA - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT - BETH ISRAEL ANAESTHESIA FOUNDATION PROFESSOR OF ANAESTHESIA - HARVARD MEDICAL SCHOOL DR. SIMON DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. SIMON PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. SIMON IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. SIMON'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 283,472 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,593 DEFERRED COMPENSATION: 25,853 NON-TAXABLE BENEFITS: 4,347 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 283,472 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,593 DEFERRED COMPENSATION: 25,823 NON-TAXABLE BENEFITS: 4,347 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2011 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. SIMON'S POSITION AS CHIEF OF ANESTHESIA AT BIDMC, CHAIR OF ANESTHESIA AT HMFP AND LOWENSTEIN PROFESSOR OF ANAESTHESIA, HARVARD MEDICAL SCHOOL: $76,075 BASE AND OTHER REPORTABLE COMPENSATION, $7,606 DEFERRED COMPENSATION AND $306 NON-TAXABLE BENEFITS. | SUPPLEMENTAL INFORMATION |
| PART III | SLOAN, CARL DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MR. SLOAN DEVOTES, ON AVERAGE, 5 HOURS PER WEEK TO THE REPORTING ORGANIZATION. STEELE, M.D., GLENN DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DR. STEELE DEVOTES, ON AVERAGE, 5 HOURS PER WEEK TO THE REPORTING ORGANIZATION. STERN, M.D., ROBERT S. DIRECTOR AND CHAIR OF DERMATOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF DERMATOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT - BETH ISRAEL DERMATOLOGY FOUNDATION CARL J. HERZOG PROFESSOR OF DERMATOLOGY - HARVARD MEDICAL SCHOOL DR. STERN DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. STERN PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. STERN IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. STERN'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 274,513 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 11,203 DEFERRED COMPENSATION: 29,927 NON-TAXABLE BENEFITS: 10,251 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 274,513 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 11,203 DEFERRED COMPENSATION: 29,927 NON-TAXABLE BENEFITS: 10,251 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2011 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. STERN'S POSITION AS CHIEF OF DERMATOLOGY AT BIDMC, CHAIR OF DERMATOLOGY AT HMFP AND CARL J. HERZOG PROFESSOR OF DERMATOLOGY, HARVARD MEDICAL SCHOOL: $105,887 BASE AND OTHER REPORTABLE COMPENSATION, $10,853 DEFERRED COMPENSATION AND $19,301 NON-TAXABLE BENEFITS. STEVENSON, M.D., PHD, MARY ANN DIRECTOR, CLERK AND CHAIR OF RADIATION ONCOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF RADIATION ONCOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE PROFESSOR OF RADIATION ONCOLOGY - HARVARD MEDICAL SCHOOL DR. STEVENSON DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. STEVENSON PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. STEVENSON IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. STEVENSON'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 301,936 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 4,830 DEFERRED COMPENSATION: 22,969 NON-TAXABLE BENEFITS: 12,799 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 301,936 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 4,830 DEFERRED COMPENSATION: 22,969 NON-TAXABLE BENEFITS: 12,799 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2011 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. STEVENSON'S POSITION AS CHIEF OF RADIATION ONCOLOGY AT BIDMC, CHAIR OF RADIATION ONCOLOGY AT HMFP AND ASSOCIATE PROFESSOR OF RADIATION ONCOLOGY, HARVARD MEDICAL SCHOOL: $30,000 BASE AND OTHER REPORTABLE COMPENSATION. SWARTZ, PHD, KATHERINE DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DR. SWARTZ DEVOTES, ON AVERAGE, 5 HOURS PER WEEK TO THE REPORTING ORGANIZATION. TABB, M.D., KEVIN DIRECTOR (EX-OFFICIO) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO), PRESIDENT AND CHIEF EXECUTIVE OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION; BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION; BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION TRUSTEE (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL - MILTON DR. TABB DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. TABB COMMENCED HIS ROLES AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) ON OCTOBER 17, 2011. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 163,556 INCENTIVE COMPENSATION: 131,250 OTHER REPORTABLE COMPENSATION: 45,617 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 4,284 THE INCENTIVE COMPENSATION AND OTHER REPORTABLE COMPENSATION REFLECTED IN THIS FILING ARE PAYMENTS INTENDED TO HELP EASE THE FINANCIAL COSTS OF RELOCATION, TEMPORARY HOUSING AND OTHER TRANSITIONAL EXPENSES INCURRED BY DR. TABB. ALL AMOUNTS WERE PAID PURSUANT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN TREASURY REGULATIONS SECTION 53.4958-4(A)(3) AND BIDMC FOLLOWED THE REBUTTABLE PRESUMPTION PROCEDURES DESCRIBED IN TREASURY REGULATIONS SECTION 53.4958-6(C) IN SETTING DR. TABB'S COMPENSATION. | SUPPLEMENTAL INFORMATION |
| PART III | WOLFE, M.D., RICHARD E. DIRECTOR AND CHAIR OF EMERGENCY MEDICINE - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER CHIEF OF EMERGENCY MEDICINE - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. WOLFE DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. WOLFE PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. WOLFE IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. WOLFE'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 239,612 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,661 DEFERRED COMPENSATION: 14,700 NON-TAXABLE BENEFITS: 14,799 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 239,612 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,661 DEFERRED COMPENSATION: 14,700 NON-TAXABLE BENEFITS: 14,799 ZALE, DONALD L. DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MR. ZALE DEVOTES, ON AVERAGE, 5 HOURS PER WEEK TO THE REPORTING ORGANIZATION. ZEIDEL, M.D., MARK L. DIRECTOR AND CHAIR OF MEDICINE - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) AND CHIEF OF MEDICINE - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP PRESIDENT - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION HERMAN LUDWIG BLUMGART PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. ZEIDEL DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. ZEIDEL PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY FORM 990, ALTHOUGH DR. ZEIDEL IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. ZEIDEL'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 345,753 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,185 DEFERRED COMPENSATION: 22,513 NON-TAXABLE BENEFITS: 6,853 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 345,753 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,185 DEFERRED COMPENSATION: 22,513 NON-TAXABLE BENEFITS: 6,853 PAYMENTS REPORTED BY BIDDM: BASE COMPENSATION: 1,610 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 AS REQUIRED IN FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2011 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. ZEIDEL'S POSITION AS CHIEF OF MEDICINE AT BIDMC, CHAIR OF MEDICINE AT HMFP AND HERMAN LUDWIG BLUMGART PROFESSOR OF MEDICINE, HARVARD MEDICAL SCHOOL: $141,402 BASE AND OTHER REPORTABLE COMPENSATION, $15,626DEFERRED COMPENSATION AND $1,745 NON-TAXABLE BENEFITS. GOUWS, PETER INTERIM CHIEF FINANCIAL OFFICER - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MR. GOUWS WAS APPOINTED INTERIM CHIEF FINANCIAL OFFICER ON OCTOBER 12, 2011. MR. GOUWS DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 93,750 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 AS REQUIRED IN FORM 990, BASE COMPENSATION REPORTED ABOVE FOR THE 2011 CALENDAR YEAR INCLUDES PAYMENTS OF $93,750 MADE TO MR. GOUWS BY CULBERT HEALTHCARE SOLUTIONS DURING THE TIME HE SERVED AS INTERIM CHIEF FINANCIAL OFFICER. GRAB, EDWARD VICE PRESIDENT, CHIEF ADMINISTRATIVE & STRATEGY OFFICER - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MR. GRAB DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 390,210 INCENTIVE COMPENSATION: 30,000 OTHER REPORTABLE COMPENSATION: 7,683 DEFERRED COMPENSATION: 39,200 NON-TAXABLE BENEFITS: 27,598 KROUSKOS, JOHN TREASURER & CHIEF FINANCIAL OFFICER - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER TREASURER & CLERK - CARDIOVASCULAR ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER TREASURER - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER TREASURER - BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION MR. KROUSKOS RESIGNED OCTOBER 5, 2011 FROM ALL THE POSITIONS LISTED ABOVE. MR. KROUSKOS DEVOTED, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 238,035 INCENTIVE COMPENSATION: 36,709 OTHER REPORTABLE COMPENSATION: 5,988 DEFERRED COMPENSATION: 45,886 NON-TAXABLE BENEFITS: 28,598 | SUPPLEMENTAL INFORMATION |
| PART III | ARROYO, M.D., JORGE PHYSICIAN (OPHTHALMOLOGY) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE PROFESSOR OF OPHTHALMOLOGY - HARVARD MEDICAL SCHOOL DR. ARROYO DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 923,220 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,653 DEFERRED COMPENSATION: 39,200 NON-TAXABLE BENEFITS: 7,939 DAS, M.D., ANURAG UROLOGIC SURGEON - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL DR. DAS DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 941,478 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 10,656 DEFERRED COMPENSATION: 45,938 NON-TAXABLE BENEFITS: 27,598 LEE, M.D., BERNARD RECONSTRUCTIVE SURGEON - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL DR. LEE DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 888,971 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,015 DEFERRED COMPENSATION: 34,300 NON-TAXABLE BENEFITS: 25,598 PLESKOW, M.D., DOUGLAS PHYSICIAN (GASTROENTEROLOGY) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE CLINICAL PROFESSOR OF MEDICINE DR. PLESKOW DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 548,000 INCENTIVE COMPENSATION: 274,770 OTHER REPORTABLE COMPENSATION: 10,815 DEFERRED COMPENSATION: 29,400 NON-TAXABLE BENEFITS: 2,240 WHITE, M.D., ANDREW ORTHOPEDIC SPINE SURGEON - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT PROFESSOR OF ORTHOPEDIC SURGERY - HARVARD MEDICAL SCHOOL DR. WHITE DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 492,329 INCENTIVE COMPENSATION: 581,726 OTHER REPORTABLE COMPENSATION: 9,375 DEFERRED COMPENSATION: 34,300 NON-TAXABLE BENEFITS: 25,598 CALLERY, M.D., MARK P. DIRECTOR - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION CHIEF, DIVISION OF GENERAL SURGERY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DR. CALLERY DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. CALLERY SERVED AS DIRECTOR AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH SEPTEMBER 30, 2006. ALL PAYMENTS TO DR. CALLERY RELATE TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 492,329 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 9,323 DEFERRED COMPENSATION: 45,937 NON-TAXABLE BENEFITS: 25,598 | SUPPLEMENTAL INFORMATION |
| PART III | EDLOW, M.D., JONATHAN A. DIRECTOR & PHYSICIAN (EMERGENCY MEDICINE) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSOCIATE PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. EDLOW'S TERM ON THE HMFP BOARD ENDED SEPTEMBER 27, 2010. ALL PAYMENTS TO DR. EDLOW RELATED TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. DR. EDLOW DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 307,138 INCENTIVE COMPENSATION: 1,451 OTHER REPORTABLE COMPENSATION: 12,419 DEFERRED COMPENSATION: 29,400 NON-TAXABLE BENEFITS: 25,598 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. EDLOW'S POSITION AS DIRECTOR OF EMERGENCY MEDICINE AND ASSOCIATE PROFESSOR OF MEDICINE, HARVARD MEDICAL SCHOOL: $4,365 BASE AND OTHER REPORTABLE COMPENSATION. FISCHER, M.D., JOSEF E. SURGEON - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER WILLIAM V. MCDERMOTT PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL FORMER DIRECTOR/CHAIRMAN OF SURGERY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR (EX-OFFICIO) AND CHIEF OF SURGERY - BETH ISRAEL DEACONESS MEDICAL CENTER DR. FISCHER SERVED AS DIRECTOR (EX-OFFICIO) AND CHIEF OF SURGERY AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH JUNE 26, 2008. ALL PAYMENTS TO DR. FISCHER RELATED TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. DR. FISCHER DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. FISCHER IS PAID DIRECTLY BY HMFP, DR. FISCHER'S COMPENSATION HAS BEEN REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW: PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 174,266 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,520 DEFERRED COMPENSATION: 12,523 NON-TAXABLE BENEFITS: 24,234 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. FISCHER'S POSITION AS A SURGEON AND WILLIAM V. MCDERMOTT PROFESSOR OF SURGERY, HARVARD MEDICAL SCHOOL: $116,440 BASE AND OTHER REPORTABLE COMPENSATION; $12,523 DEFERRED COMPENSATION AND $24,234 NON-TAXABLE BENEFITS. HANTO, M.D, PH.D., DOUGLAS W. CHIEF, DIVISION OF TRANSPLANTATION - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR & CLERK - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION LEWIS THOMAS PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL DR. HANTO'S TERM ON THE HMFP BOARD ENDED DECEMBER 14, 2009. ALL PAYMENTS TO DR. HANTO RELATED TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. DR. HANTO DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 688,465 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 13,872 DEFERRED COMPENSATION: 45,938 NON-TAXABLE BENEFITS: 16,996 HURST, M.D., JAMES M. VICE CHAIR, QUALITY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER ACTING CHAIR OF SURGERY & DIRECTOR (EX-OFFICIO) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR (EX-OFFICIO) AND FORMER ACTING CHIEF OF SURGERY - BETH ISRAEL DEACONESS MEDICAL CENTER DR. HURST SERVED ON THE HMFP AND BIDMC BOARDS THROUGH JULY 31, 2010 AND WAS EMPLOYED BY HMFP UNTIL MARCH 1, 2011. ALL PAYMENTS TO DR. HURST RELATED TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. DR. HURST DEVOTED, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 96,466 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 2,321 DEFERRED COMPENSATION: 18,268 NON-TAXABLE BENEFITS: 2,818 KANE, M.D., ROBERT A. RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - BIH RADIOLOGY FOUNDATION PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL DR. KANE'S TERM ON THE HMFP BOARD ENDED SEPTEMBER 27, 2010. ALL PAYMENTS TO DR. KANE RELATED TO HIS POSITIONS HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. DR. KANE DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. 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 KRESSEL, M.D., HERBERT Y. RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER RADIOLOGIST-IN-CHIEF EMERITUS - BETH ISRAEL DEACONESS MEDICAL CENTER MIRIAM H. STONEMAN PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL FORMER DIRECTOR/FORMER CHAIR OF RADIOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER CHIEF OF RADIOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER DR. KRESSEL SERVED AS DIRECTOR AND CHAIR OF RADIOLOGY AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER AND CHIEF OF RADIOLOGY AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH DECEMBER 31, 2007. ALL PAYMENTS TO DR. KRESSEL RELATED TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. DR. KRESSEL DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. 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. LEVY, PAUL F. FORMER DIRECTOR (EX-OFFICIO) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR (EX-OFFICIO), PRESIDENT AND CHIEF EXECUTIVE OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER MR. LEVY SERVED AS PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) UNTIL FEBRUARY 2, 2011. MR. LEVY DEVOTED, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. IN HIS POSITION AS PRESIDENT & CEO FOR BIDMC AND FOR HIS SERVICES PROVIDED IN THESE ROLES, MR. LEVY RECEIVED PAYMENTS DIRECTLY FROM BIDMC AS WELL AS FROM CAREGROUP, INC. (CAREGROUP) THE SOLE MEMBER OF BIDMC, AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND A SUPPORT ORGANIZATION OF BIDMC. | SUPPLEMENTAL INFORMATION |
| PART III | AS REQUIRED BY THIS FORM 990, MR. LEVY'S COMBINED COMPENSATION IS REPORTED BY BIDMC ON THIS FORM 990, AS FURTHER OUTLINED BELOW: PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 82,000 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 792,381 DEFERRED COMPENSATION: 6,667 NON-TAXABLE BENEFITS: 18,058 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. LEVY INCLUDED SALARY CONTINUATION PAYMENTS PAID DURING THE CALENDAR YEAR 2011 IN THE AMOUNT OF $779,467 AND COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $18,325 PARKER, M.D., RICHARD A. PHYSICIAN, GENERAL MEDICINE - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. PARKER SERVED AS DIRECTOR AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH SEPTEMBER 30, 2008. ALL PAYMENTS TO DR. PARKER RELATED TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. DR. PARKER DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 306,201 INCENTIVE COMPENSATION: 30,643 OTHER REPORTABLE COMPENSATION: 9,097 DEFERRED COMPENSATION: 29,400 NON-TAXABLE BENEFITS: 28,098 PHILLIPS, M.D. RUSSELL S. DIVISION CHIEF, GENERAL MEDICINE - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER WILLIAM APPLEBAUM PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. PHILLIPS SERVED AS DIRECTOR AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH DECEMBER 14, 2009. ALL PAYMENTS TO DR. PHILLIPS RELATED TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. DR. PHILLIPS DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 290,104 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,769 DEFERRED COMPENSATION: 29,400 NON-TAXABLE BENEFITS: 28,823 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. PHILLIPS' POSITIONS AS DIVISION CHIEF, GENERAL MEDICINE AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER AND WILLIAM APPLEBAUM PROFESSOR OF MEDICINE AT HARVARD MEDICAL SCHOOL: $1,000 BASE AND OTHER REPORTABLE COMPENSATION. RAPTOPOULOS, M.D., VASSILIOS RADIOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - BIH RADIATION FOUNDATION PROFESSOR OF RADIOLOGY - HARVARD MEDICAL SCHOOL FORMER INTERIM CHAIR OF RADIOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER INTERIM CHIEF OF RADIOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER DR. RAPTOPOULOS SERVED AS INTERIM CHAIR OF RADIOLOGY AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH SEPTEMBER 10, 2008. ALL PAYMENTS TO DR. RAPTOPOULOS RELATED TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. DR. RAPTOPOULOS DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. 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., SEYMOUR PATHOLOGIST - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - BIH PATHOLOGY FOUNDATION PROFESSOR OF PATHOLOGY - HARVARD MEDICAL SCHOOL FORMER DIRECTOR - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DR. ROSEN SERVED AS DIRECTOR AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH SEPTEMBER 30, 2008. ALL PAYMENTS TO DR. ROSEN RELATED TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. DR. ROSEN DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 244,129 INCENTIVE COMPENSATION: 10,000 OTHER REPORTABLE COMPENSATION: 26,438 DEFERRED COMPENSATION: 29,400 NON-TAXABLE BENEFITS: 19,091 WARFIELD, M.D., CAROL A. PHYSICIAN, CRITICAL CARE & PAIN MEDICINE - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER EDWARD LOWENSTEIN DISTINGUISHED PROFESSOR OF ANAESTHESIA - HARVARD MEDICAL SCHOOL FORMER DIRECTOR/CHAIR OF ANESTHESIAHARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER CHIEF OF ANESTHESIA - BETH ISRAEL DEACONESS MEDICAL CENTER DR. WARFIELD SERVED AS CHIEF OF ANESTHESIA AT BETH ISRAEL DEACONESS MEDICAL CENTER AND CHAIR OF ANESTHESIA AT HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH JULY 31, 2007. ALL PAYMENTS TO DR. WARFIELD RELATED TO THE POSITIONS SHE HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. DR. WARFIELD DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 237,644 INCENTIVE COMPENSATION: 12,000 OTHER REPORTABLE COMPENSATION: 6,030 DEFERRED COMPENSATION: 37,539 NON-TAXABLE BENEFITS: 28,569 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. WARFIELD'S POSITION EDWARD LOWENSTEIN DISTINGUISHED PROFESSOR OF ANAESTHESIA, HARVARD MEDICAL SCHOOL: $119,153 BASE AND OTHER REPORTABLE COMPENSATION, $13,054 DEFERRED COMPENSATION AND $4,746 NON-TAXABLE BENEFITS. YEH, M.D., JOHN FORMER DIRECTOR AND CHAIR OF OBSTETRICS AND GYNECOLOGY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER CHIEF OF OBSTETRICS AND GYNECOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER FORMER PRESIDENT AND DIRECTOR - BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION PROFESSOR OF OBSTETRICS, GYNECOLOGY AND REPRODUCTIVE BIOLOGY - HARVARD MEDICAL SCHOOL DR. YEH STEPPED DOWN AS CHAIR OF OBSTETRICS AND DIRECTOR OF HMFP ON JUNE 15, 2011 AND WAS EMPLOYED BY HMFP UNTIL SEPTEMBER 1, 2011. ALL PAYMENTS TO DR. YEH RELATED TO THE POSITIONS HE HELD DURING THE CALENDAR YEAR 2011 AND WHICH ARE NOTED ABOVE. DR. YEH DEVOTED, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. DR. YEH PERFORMED SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. YEH WAS PAID DIRECTLY BY HMFP, THE PORTION OF DR. YEH'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 430,517 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 11,799 DEFERRED COMPENSATION: 34,454 NON-TAXABLE BENEFITS: 21,361 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 143,506 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 3,933 DEFERRED COMPENSATION: 11,485 NON-TAXABLE BENEFITS: 7,120 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. YEH'S POSITION PROFESSOR OF OBSTETRICS, GYNECOLOGY & REPRODUCTIVE BIOLOGY, HARVARD MEDICAL SCHOOL: $41,771 BASE AND OTHER REPORTABLE COMPENSATION AND $8,042 NON-TAXABLE BENEFITS. | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| GAYLE MATHESON | |||
| FAMILY MEMBER | 187502 | SEE PART V | 0 |
| ELIZABETH ROSENBERG | |||
| FAMILY MEMBER | 67210 | SEE PART V | 0 |
| SUSAN FREEDMAN | |||
| FAMILY MEMBER | 233152 | SEE PART V | 0 |
| FRANKLIN ROSEN | |||
| FAMILY MEMBER | 85898 | SEE PART V | 0 |
| MATTHEW ROSEN | |||
| FAMILY MEMBER | 653597 | SEE PART V | 0 |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L PART IV DESCRIPTION OF TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Explanation | HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER AND BETH ISRAEL DEACONESS MEDICAL CENTER MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 SCHEDULE L AS HMFP AND BIDMC RESPECTIVELY. DEWAYNE PURSLEY, MD, IS A DIRECTOR AND THE CHAIR (NEONATOLOGY) AT HMFP & CHIEF (NEONATOLOGY) AT BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC). DR. PURSLEY IS ALSO THE PRESIDENT OF BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION, INC. HMFP IS THE SOLE MEMBER OF THE NEONATOLOGY FOUNDATION. DR. PURSLEY IS MARRIED TO GAYLE MATHESON, THE CHIEF ADMINISTRATIVE OFFICER, DEPARTMENT OF NEONATOLOGY, HMFP. MS. MATHESON'S SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $131,763BONUS AND INCENTIVE COMPENSATION: $19,764OTHER REPORTABLE COMPENSATION: $6,619CONTRIBUTION TO EMPLOYEE BENEFIT PLANS INCLUDES:DEFERRED COMPENSATION: $27,341NON-TAXABLE BENEFITS: $2,015STUART A. ROSENBERG, MD, A DIRECTOR (EX-OFFICIO) OF BIDMC, AND PRESIDENT AND CEO OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP). DR. ROSENBERG'S DAUGHTER, ELIZABETH ROSENBERG, IS AN ULTRASOUND TECHNOLOGIST AT BIDMC. HER SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $55,590BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $4CONTRIBUTION TO EMPLOYEE BENEFIT PLANS INCLUDES: DEFERRED COMPENSATION: $0NON-TAXABLE BENEFITS: $11,616MARK L. ZEIDEL, M.D., A DIRECTOR (EX-OFFICIO) OF BIDMC, AND CLINICAL CHIEF OF MEDICINE AT BIDMC/CLINICAL CHAIR OF MEDICINE AT HMFP, IS MARRIED TO SUSAN FREEDMAN, MD, A PHYSICIAN EMPLOYED BY HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) AND MEDICAL CARE OF BOSTON MANAGEMENT CORP, DBA AFFILIATED PHYSICIANS GROUP (APG). HMFP IS INTEGRALLY RELATED TO BIDMC AND APG IS A SUPPORT ORGANIZATION OF BIDMC. HER SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $197,878BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $3,597CONTRIBUTION TO EMPLOYEE BENEFIT PLANS INCLUDES:DEFERRED COMPENSATION: $24,000NON-TAXABLE BENEFITS: $7,677SEYMOUR ROSEN, MD SERVED AS A DIRECTOR ON THE HMFP BOARD THROUGH SEPTEMBER 30, 2008. DR. ROSEN'S SON, FRANKLIN ROSEN, IS EMPLOYED BY AND, SERVES AS A REGULATORY COMPLIANCE SPECIALIST IN THE HEALTH CARE QUALITY DEPARTMENT AT BIDMC. MR. FRANKLIN ROSEN'S SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $64,469BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $37CONTRIBUTION TO EMPLOYEE BENEFIT PLANS INCLUDES:DEFERRED COMPENSATION: $0NON-TAXABLE BENEFITS: $21,392IN ADDITION, DR. ROSEN' SON, MATTHEW ROSEN, IS EMPLOYED BY CAPHMFP AS A CARDIOLOGIST. DR. MATTHEW ROSEN'S SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $598,00BONUS AND INCENTIVE COMPENSATION: $4,800OTHER REPORTABLE COMPENSATION: $9,357CONTRIBUTION TO EMPLOYEE BENEFIT PLANS INCLUDES:DEFERRED COMPENSATION: $39,200NON-TAXABLE BENEFITS: $2,240HMFP MAINTAINS AN ACCOUNTABLE BUSINESS EXPENSE REIMBURSEMENT PLAN. FROM TIME TO TIME, HMFP MAY REIMBURSE ITS OFFICERS, DIRECTORS, TRUSTEES AND/OR KEY EMPLOYEES FOR EXPENSES THEY INCURRED AND WHICH ARE PROPERLY ORDINARY AND NECESSARY BUSINESS EXPENSES OF THE REPORTING ENTITY. THE POLICIES AND PROCEDURES REQUIRED BY THE ACCOUNTABLE BUSINESS PLAN MUST BE FOLLOWED IN ORDER TO RECEIVE REIMBURSEMENT FOR SUCH EXPENSES AND IT IS POSSIBLE THAT ONE OR MORE INDIVIDUALS RECEIVED NON-TAXABLE REIMBURSEMENTS WHICH TOTALED $1,000 OR MORE DURING THE FISCAL PERIOD COVERED BY THIS FILING. ALL OF THE ABOVE TRANSACTIONS WERE NEGOTIATED AT ARMS LENGTH AND IN ACCORDANCE WITH THE HMFP CONFLICT OF INTEREST POLICY. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (15 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION MISSION STATEMENT | FORM 990, PART I, LINE 1 | TO PROVIDE EXTRAORDINARY CARE, WHERE THE PATIENT COMES FIRST, SUPPORTED BY WORLD-CLASS EDUCATION, RESEARCH AND TRAINING. THE MISSION OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) IS TO SUPPORT MEDICAL RESEARCH, PROVIDE INSTRUCTION AND PARTICIPATE IN ACTIVITIES DESIGNED TO IMPROVE THE GENERAL PUBLIC HEALTH OF PATIENTS SERVED BY BETH ISRAEL DEACONESS MEDICAL CENTER AND ITS AFFILIATES. HMFP USES ITS FUNDS TO SUPPORT THE PHYSICIAN WORK IN THE DEPARTMENTS OF ANESTHESIA, DERMATOLOGY, EMERGENCY MEDICINE, MEDICINE, NEONATOLOGY, NEUROLOGY, OBSTETRICS AND GYNECOLOGY, ORTHOPEDICS, PATHOLOGY, PSYCHIATRY, RADIOLOGY, RADIATION ONCOLOGY AND SURGERY AND TO STRENGTHEN THE DEPARTMENTS BY SUPPORTING THE EDUCATIONAL REQUIREMENTS OF THE DEPARTMENTS AND PHYSICIANS WORLDWIDE BY PROVIDING TRAINING SEMINARS AND OTHER CLASSES. |
| ORGANIZATION MISSION STATEMENT | FORM 990, PART III, LINE 1 | THE MISSION OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. IS TO PROVIDE EXTRAORDINARY HEALTHCARE SERVICES, WHERE THE PATIENT COMES FIRST, SUPPORTED BY WORLD-CLASS EDUCATION, RESEARCH AND TRAINING. |
| PROGRAM SERVICE STATEMENT | FORM 990, PART III, LINE 4A | PATIENT SERVICES HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC'S (HMFP) PROVIDES MEDICAL CARE AND IMPROVE THE HEALTH OF PATIENTS OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) AND OTHERS. SOME OF HMFP'S KEY STATISTICS FOR FY2012 REGARDING PATIENT VOLUME ARE IDENTIFIED BELOW: NEONATAL VISITS 17,091 DELIVERIES 1,605 GASTROINTESTINAL PROCEDURES 30,354 ANESTHESIA CASES 54,496 SURGICAL PATHOLOGY EXAMS 112,341 RADIATION ONCOLOGY TREATMENTS 36,816 DERMATOLOGY PROCEDURES 39,387 EMERGENCY VISITS 60,941 HOSPITAL BASED CLINICS 31,826 OUTPATIENT VISITS 563,535 SURGICAL CASES 67,188 RADIOLOGY EXAMS 437,656 CARDIAC CATHS 2,815 OTHER UNCOMPENSATED CARE HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) ALSO PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN OTHER PROGRAMS DESIGNED TO SUPPORT LOW-INCOME FAMILIES, INCLUDING PARTICULARLY THE MEDICAID PROGRAM, WHICH IS JOINTLY FUNDED BY FEDERAL AND STATE GOVERNMENTS. THE MASSACHUSETTS HEALTH REFORM LAW PROVIDED AN INITIATIVE FOR EXPANSION OF MEDICAID COVERAGE TO GREATER POPULATIONS AND FOR ENROLLMENT OF UNINSURED PATIENTS IN OTHER INSURANCE PROGRAMS. PAYMENTS FROM MEDICAID AND OTHER PROGRAMS WHICH INSURE LOW-INCOME POPULATIONS DO NOT COVER THE COST OF SERVICES PROVIDED AND FOR THE FISCAL YEAR COVERED BY THIS FILING, EXPENSES RELATED TO PROVIDING THIS CARE EXCEEDED REVENUE BY $18,156,156. HMFP ALSO PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM, THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS. BECAUSE PAYMENTS TO HOSPITALS HAVE NOT KEPT PACE WITH INFLATION IN RECENT YEARS, PAYMENTS TO HMFP FOR THOSE SERVICES ALSO DO NOT COVER THE COSTS OF SERVICES PROVIDED. FOR THE FISCAL YEAR COVERED BY THIS FILING, EXPENSES RELATED TO PROVIDING THIS CARE EXCEEDED REVENUE BY $27,438,860. BAD DEBTS IN ADDITION TO THE SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, HMFP ALSO INCURS LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENTS FOR SERVICES OR INSURED PATIENTS WHO FAIL TO PAY COINSURANCE OR DEDUCTIBLES FOR WHICH THEY ARE RESPONSIBLE UNDER INSURANCE CONTRACTS. BAD DEBT EXPENSE IS INCLUDED IN UNCOMPENSATED CARE EXPENSE IN THE FINANCIAL STATEMENTS AND INCLUDES THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE. FOR THE FISCAL YEAR COVERED BY THIS FILING, HMFP'S BAD DEBT EXPENSE BASED ON CHARGES WAS $11,874,000 OR $5,119,000 BASED ON COST. |
| PROGRAM SERVICE STATEMENT | FORM 990, PART III, LINE 4B | TEACHING TEACHING IS A MAJOR COMPONENT OF THE WORK DONE BY HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) PHYSICIANS AND STAFF AND THE FACULTY OF HMFP IS EXTREMELY ACTIVE IN MEDICAL SCHOOL EDUCATION AS LECTURERS, TUTORS, TEACHING ATTENDEES, AND SMALL GROUP LEADERS. THE STAFF OF HMFP IS AN IMPRESSIVE COURSE LEADERSHIP GROUP AS STAFF PHYSICIANS AT HMFP HOLD FACULTY APPOINTMENTS AT HARVARD MEDICAL SCHOOL AND INSTRUCT THE DOCTORS OF TOMORROW AS PART OF BETH ISRAEL DEACONESS MEDICAL CENTER'S GRADUATE MEDICAL EDUCATION PROGRAM AND THROUGH SUPERVISION OF THEIR DAILY PATIENT CARE AND A RANGE OF INTERACTIVE LEARNING EXPERIENCES. THE MAJOR TEACHING GOALS OF THE PHYSICIAN GROUP AT HMFP INCLUDE DEVELOPING FUTURE LEADERS IN CLINICAL CARE, EDUCATION, AND RESEARCH BY FOSTERING A CULTURE OF QUALITY INFORMED BY CUTTING EDGE KNOWLEDGE, HUMANE PHYSICIAN ROLE MODELS, AND AN EMPHASIS ON CURIOSITY AND LIFELONG LEARNING, WORKING DIRECTLY WITH BIDMC'S OFFICE OF GRADUATE MEDICAL EDUCATION AND OTHER EDUCATIONAL PROGRAMS. HMFP PHYSICIANS HELP TRAIN HUNDREDS OF MEDICAL STUDENTS, INTERNS AND RESIDENTS. BIDMC HAS 40 APPROVED CLINICAL RESIDENCY AND FELLOWSHIP PROGRAMS WITH APPROXIMATELY 560 RESIDENTS AND CLINICAL FELLOWS. IN ADDITION, THE MEDICAL CENTER HAS APPROXIMATELY 40 NONSTANDARD CLINICAL FELLOWSHIP PROGRAMS WITH OVER 100 TRAINEES PER YEAR. HMFP PHYSICIANS INSTRUCT THE DOCTORS OF TOMORROW THROUGH SUPERVISION OF THEIR DAILY PATIENT CARE AND A RANGE OF INTERACTIVE LEARNING EXPERIENCES. HMFP PHYSICIANS PARTICIPATE IN BIDMC CORE CLINICAL TRAINING PROGRAMS IN THE FOLLOWING FIELDS: ANESTHESIOLOGY, EMERGENCY MEDICINE, INTERNAL MEDICINE, NEUROLOGY, OBSTETRICS AND GYNECOLOGY, PATHOLOGY, RADIOLOGY AND SURGERY AND PARTICIPATE IN BIDMC SPONSORED ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) APPROVED RESIDENCY PROGRAMS IN EACH OF THE CORE CLINICAL TRAINING PROGRAMS LISTED ABOVE, AS WELL AS PSYCHIATRY. ADDITIONALLY, HMFP PHYSICIANS TEACH COURSES TO TEACH STUDENTS INTERVIEWING SKILLS AND PHYSICAL DIAGNOSIS, HEALTH CARE QUALITY, RESEARCH, PHYSIOLOGY, AND GLOBAL HEALTH. IN ADDITION TO THE RESIDENT TRAINING PROGRAMS LISTED ABOVE, THE HMFP PHYSICIANS PARTICIPATE AS EDUCATORS IN A WIDE VARIETY OF MEDICAL CENTER SPONSORED FELLOWSHIP TRAINING PROGRAMS FOR ELIGIBLE DOCTORS WHO HAVE COMPLETED THEIR RESIDENCY AND WANT TO ENGAGE IN MORE SPECIALIZED STUDY. THE MAJORITY OF THESE PROGRAMS (37 OF 44) ARE ACGME APPROVED OR APPROVED BY A COMPARABLE BODY RELATED TO THE PARTICULAR SUBSPECIALTY. HMFP PHYSICIANS PROVIDE INSTRUCTION AS PART OF THE FOLLOWING BIDMC CLINICAL FELLOWSHIP PROGRAMS: ANESTHESIA: CARDIOTHORACIC ANESTHESIA, CRITICAL CARE MEDICINE ANESTHESIA, PAIN MANAGEMENT MEDICINE: CARDIOVASCULAR DISEASE, CLINICAL CARDIAC ELECTROPHYSIOLOGY, INTERVENTIONAL CARDIOLOGY, CLINICAL INVESTIGATOR TRAINING PROGRAM, ENDOCRINOLOGY, DIABETES, AND METABOLISM, GASTROENTEROLOGY, TRANSPLANT HEPATOLOGY, GENERAL MEDICINE, GERIATRIC MEDICINE-GERONTOLOGY, HEMATOLOGY / ONCOLOGY, INFECTIOUS DISEASE, NEPHROLOGY, INTERVENTIONAL PULMONARY, PULMONARY, CRITICAL CARE, RHEUMATOLOGY, SLEEP MEDICINE NEONATOLOGY: NEONATAL-PERINATAL NEUROLOGY: NEUROLOGY, NEUROMUSCULAR MEDICINE, VASCULAR NEUROLOGY, CLINICAL NEUROPHYSIOLOGY,EEG AND AUTONOMIC DISORDERS OBSTETRICS AND GYNECOLOGY: REPRODUCTIVE ENDOCRINOLOGY, MATERNAL FETAL MEDICINE PATHOLOGY: CYTOPATHOLOGY, DERMATOPATHOLOGY, HEMATOPATHOLOGY, SELECTIVE PATHOLOGY, MEDICAL MICROBIOLOGY SURGERY: CARDIOTHORACIC SURGERY, CRITICAL CARE SURGERY, MINIMALLY INVASIVE SURGERY, ORTHOPAEDIC SPINE, PODIATRY, SOLID ORGAN SURGERY-TRANSPLANT, PLASTIC/HAND SURGERY, ORTHOPAEDIC HAND SURGERY, VASCULAR SURGERY AS WELL AS FELLOWSHIP PROGRAMS IN DERMATOLOGY, RADIOLOGY, RADIATION ONCOLOGY AND UROLOGY. |
| PROGRAM SERVICE STATEMENT | FORM 990, PART III, LINE 4C | RESEARCH PART OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC.'S (HMFP) THREE-PRONG MISSION IS TO PARTICIPATE WITH BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) AS A WORLD-CLASS RESEARCH INSTITUTION WHERE OUTSTANDING SCIENTISTS WORK TO DEVELOP NEW KNOWLEDGE FOR THE BETTERMENT OF THE HEALTH OF OUR LOCAL AND EXTENDED COMMUNITIES. THE RESEARCH PROGRAM STRIVES TO BE RENOWNED FOR ITS BENCH-TO-BEDSIDE MODEL OF TRANSLATIONAL RESEARCH FOR ITS COLLABORATION WITH INDUSTRY AS A PATHWAY FOR TRANSFERRING THE FRUITS OF RESEARCH INTO PRODUCTS THAT IMPROVE THE QUALITY OF LIFE. HMFP COMMITS TO MAINTAIN A COLLABORATIVE CULTURE AND MODERN, HIGH-QUALITY FACILITIES, AND TO TAKE FULL ADVANTAGE OF THE UNIQUE RELATIONSHIPS THAT EXIST AMONG HARVARD MEDICAL SCHOOL AND THE HARVARD TEACHING HOSPITALS AS WELL AS REACHING OUT AND COLLABORATING WITH NATIONALLY RECOGNIZED AND WORLD RENOWNED EXPERTS IN VARIOUS FIELDS. HMFP SCIENTISTS CONTINUALLY SEARCH FOR IMPROVED UNDERSTANDING OF DISEASES AND BETTER TREATMENTS FOR PATIENTS, WHICH IN TURN DIRECTLY IMPACT BOTH FUNDAMENTAL RESEARCH AND CLINICAL TRIALS. THESE ACTIVITIES DIRECTLY FURTHER BOTH THE RESEARCH MISSIONS OF HMFP AND BIDMC AND HMFP PHYSICIANS PARTICIPATE IN BIDMC'S BENCH TO BEDSIDE RESEARCH MODEL WITH A CULTURE THAT IS COLLABORATIVE AND ORIENTED TOWARD TRANSLATING NEW KNOWLEDGE INTO NOVEL MEDICAL TREATMENTS AND PATIENT CARE. DURING THE FISCAL PERIOD COVERED BY THIS FILING, MORE THAN 850 ACTIVE FEDERAL AND INDUSTRY SPONSORED PROJECTS AND MORE THAN 300 ACTIVE CLINICAL TRIALS AT BETH ISRAEL DEACONESS MEDICAL CENTER WERE LED BY APPROXIMATELY 490 MEDICAL CENTER PRINCIPAL INVESTIGATORS WHO ARE HARVARD MEDICAL SCHOOL FACULTY AND HMFP PHYSICIANS. OUR EXTRAORDINARY FACULTY HAS ESTABLISHED A CULTURE THAT IS COLLABORATIVE AND ORIENTED TOWARD TRANSLATING NEW KNOWLEDGE INTO NOVEL MEDICAL TREATMENTS AND PATIENT CARE. |
| FORM 990, PART III, LINE 4D | OTHER MEDICAL SERVICES OTHER REVENUE CONSISTS PRIMARILY OF SUPPORT RECEIVED FROM BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) AND HARVARD MEDICAL SCHOOL FOR ADMINISTRATIVE SERVICES THAT HMFP EMPLOYEES PERFORM FOR RELATED ORGANIZATIONS, MANAGEMENT SERVICES HMFP PROVIDES TO ITS AFFILIATES AND CERTAIN PATIENT CARE CLINICAL SERVICES PERFORMED AT OTHER EXTERNAL LOCATIONS. IN ADDITION TO THE ABOVE, HMFP PERFORMED EDUCATIONAL RELATED ACTIVITIES OVERSEAS. THE REVENUE RECEIVED FOR INTERNATIONAL WORK PERFORMED IS INCLUDED IN OTHER REVENUE, AND ASSOCIATED EXPENDITURES ARE REPORTED IN THIS FORM 990 SCHEDULE F, STATEMENT OF ACTIVITIES OUTSIDE THE UNITED STATES. | |
| 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 MORE 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 | INTERIM CHIEF FINANCIAL OFFICER PETER GOUWS RECEIVED COMPENSATION FROM CULBERT HEALTHCARE SOLUTIONS FOR SERVICES PROVIDED TO HMFP. SEE SCHEDULE J FOR ADDITIONAL DETAILS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED BY THE HMFP CHIEF FINANCIAL OFFICER AND CONTROLLER AND THE CAREGROUP DIRECTOR OF TAXATION. CAREGROUP IS AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986 AS AMENDED, THE SOLE MEMBER OF BIDMC AND A SUPPORT ORGANIZATION OF HMFP. DELOITTE TAX, LLP PREPARES AND SIGNS THE RETURN. A COPY OF THE COMPLETE RETURN IS THEN PROVIDED TO EACH MEMBER OF THE HMFP BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | HMFP 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, BIDMC AND HMFP 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 HMFP'S 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. 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 HMFP 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 HMFP PHYSICIANS, OFFICERS, DIRECTORS AND KEY EMPLOYEES OF BOTH 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 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 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 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 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 HMFP BOARD OF DIRECTORS AS WELL AS CURRENT AND FORMER HMFP OFFICERS AND KEY EMPLOYEES. THE TAX QUESTIONNAIRE IS DESIGNED TO GATHER THE INFORMATION NECESSARY FOR 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 | 15A-15B: THE PROCESS OF DETERMINING COMPENSATION OF ALL INDIVIDUALS EMPLOYED BY HMFP AND FOR SPECIFICALLY THE KEY EMPLOYEES OF THE ORGANIZATION IS CONDUCTED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE UTILIZES COMPARATIVE INDUSTRY DATA, OUTSIDE CONSULTANTS, AND OTHER OUTSIDE MARKET DATA TO HELP DETERMINE COMPENSATION. HMFP HAS FORMAL COMPENSATION POLICIES WHICH ARE DOCUMENTED AND REVIEWED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE PRE-APPROVES COMPENSATION PLANS WHICH ARE DOCUMENTED IN A FORMALIZED MANNER BEFORE BEING PRESENTED TO EMPLOYEES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC.'S (HMFP) GOVERNING DOCUMENTS, ITS CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE OFFICES OF HMFP LOCATED AT 375 LONGWOOD AVENUE, BOSTON, MA 02215. | |
| FORM 990, PART VI, SECTION A, LINE 16B | ALTHOUGH HMFP HAD NOT ADOPTED A FORMAL JOINT VENTURE POLICY FOR THE FISCAL PERIOD COVERED BY THIS FILING, ANY HMFP ACTIVITY AS A PARTICIPANT IN A JOINT VENTURE IS REVIEWED WITH THE LEGAL COUNSEL TO ENSURE HMFP'S TAX-EXEMPT STATUS IS PROTECTED. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 3,834,002. TRANSFER TO AFFILIATES -400,000. TOTAL TO FORM 990, PART XI, LINE 5: 3,434,002. |
| FORM 990, PART XI, LINE 2B & 2C | AS PREVIOUSLY REPORTED IN THIS FILING, HMFP IS A PUBLIC CHARITY, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. HMFP ALSO SERVES AS THE SOLE MEMBER OF SEVERAL AFFILIATED ENTITIES WHICH ARE CONSOLIDATED IN THE HMFP AND AFFILIATES AUDITED FINANCIAL STATEMENTS. ALSO AS PREVIOUSLY NOTED, HMFP IS INTEGRALLY RELATED TO BIDMC AND FUNCTIONS AS THE DEDICATED PHYSICIAN PRACTICE OF BIDMC, A TERTIARY CARE ACADEMIC MEDICAL CENTER, FLAGSHIP TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL AND AN ENTITY EXEMPT FROM INCOME TAXES UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THE FINANCIAL RECORDS OF HMFP ARE ALSO CONSOLIDATED INTO THE BIDMC CONSOLIDATED AUDITED FINANCIAL STATEMENT PROCESS, AND FOR THE PERIOD COVERED BY THIS FILING THE BOSTON, MA OFFICE OF KPMG ISSUED AN UNQUALIFIED OPINION ON BOTH THE HMFP AND BIDMC CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THIS PROCESS IS MONITORED AND REVIEWED INTERNALLY BY BOTH THE HMFP AUDIT COMMITTEE AND THE BIDMC COMPLIANCE, AUDIT AND RISK COMMITTEES, RESPECTIVELY. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONGWOOD ACADEMIC PHYSICIANS LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 375 LONGWOOD AVE | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222768204 | EIN |
| Primary Activities | TO PROVIDE PROFESSIONAL MEDICAL AND SURGICAL SERVICES | PrimaryActivities |
| Legal Domicile State | MA | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (32 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASSOC PHYS HARVARD MED FAC PHY AT BIDMC | |||||||||||
| 375 LONGWOOD AVE | BOSTON | MA | 02215 | 320058309 | TO PROVIDE EMERGENCY MEDICAL SERVICES | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI ANAESTHESIA FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042997215 | PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI COMMUNITY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042776678 | INACTIVE CORPORATION | MA | 501(C)(3) | LINE 7 | 0 | N/A | |
| BI DEACONESS DEPARTMENT OF MEDICINE FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043079630 | PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 208253452 | PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043030397 | PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF ORTHOPAEDIC SURGERY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 204974585 | PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF SURGERY FOUNDATION INC | |||||||||||
| 110 FRANCIS STREET | BOSTON | MA | 02215 | 020671240 | PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS HOSPITAL - NEEDHAM INC | |||||||||||
| 148 CHESTNUT ST | NEEDHAM | MA | 02492 | 043229679 | HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. | MA | 501(C)(3) | LINE 3 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| BETH ISRAEL DEACONESS MEDICAL CENTER | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042103881 | THE OPERAION OF A WORLD CLASS ACADEMIC MEDICAL CENTER IN BOSTON, MA | MA | 501(C)(3) | LINE 3 | CAREGROUP INC | 0 | |
| BIDMC AND CHILDREN'S HOSPITAL MEDICAL CARE CORP | |||||||||||
| 300 LONGWOOD AVE | BOSTON | MA | 02215 | 043200113 | OUTPATIENT AMBULATORY CARE CENTER IN LEXINGTON, MA | MA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| BIDMC OBSTETRICS AND GYNECOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042794855 | PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DERMATOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043117601 | PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BIH PATHOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 222548374 | PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BIH RADIOLOGIC FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042571853 | PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| CARDIOVASCULAR ASSOC PHYS OF HMFP AT BIDMC INC | |||||||||||
| 185 PILGRIM ROAD BOST | BOSTON | MA | 02215 | 043208878 | SPECIALIZED CARDIOVASCULAR MED SVCS TO PATIENTS OF CARDIO VSUCAL INSTITUTES | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| CAREGROUP INC | |||||||||||
| 109 BROOKLINE AVE | BOSTON | MA | 02215 | 222629185 | DEVELOP AND COORDINATE INTEGRATED HEALTH CARE DELIVERY SYSTEM | MA | 501(C)(3) | LINE 11D, III-O | 0 | N/A | |
| CARL J SHAPIRO INSTITUTE | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043326928 | DEVELOP INNOVATIVE PROG AND MODELS FOR TEACHING AND RESEARCH | MA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| CONTINUING EDU PROGRAM DBA BID DEPT OF PSYCH FDN | |||||||||||
| C/O HARVARD MED SCH 401 PARK DR | BOSTON | MA | 02215 | 043242952 | PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| JOSLIN CLINIC INC | |||||||||||
| ONE JOSLIN PLACE | BOSTON | MA | 02215 | 222984590 | TO PROVIDE SPECIALTY MEDICAL AND RESEARCH SERVICES FOR DIABETES | MA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| MED CARE OF BOSTON MGMT CORP DBA AFFILIATED PHYS GROUP | |||||||||||
| 400 HUNNEWELL ST | NEEDHAM | MA | 02494 | 042810972 | OUTPATIENT, PRIMARY CARE, AND CARDIOLOGY SERVICES | MA | 501(C)(3) | LINE 9 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| MOUNT AUBURN HOSPITAL | |||||||||||
| 330 MOUNT AUBURN ST | CAMBRIDGE | MA | 02138 | 042103606 | HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS | MA | 501(C)(3) | LINE 3 | CAREGROUP INC | 0 | |
| MOUNT AUBURN PROFESSIONAL SERVICES INC | |||||||||||
| 330 MOUNT AUBURN ST | CAMBRIDGE | MA | 02138 | 043026897 | OFFERING MEDICAL CARE IN GENERAL AND SPECIALIZED PRACTICES | MA | 501(C)(3) | LINE 11A, I | MOUNT AUBURN HOSPITAL | 0 | |
| NEW ENGLAND BAPTIST HOSPITAL | |||||||||||
| 125 PARKER HILL AVE | BOSTON | MA | 02120 | 042103612 | ORTHOPEDIC SPECIALTY HOSPITAL | MA | 501(C)(3) | LINE 3 | CAREGROUP INC | 0 | |
| NEW ENGLAND BAPTIST MEDICAL ASSOCIATES INC | |||||||||||
| 125 PARKER HILL AVE | BOSTON | MA | 02120 | 043235796 | OUTPATIENT MEDICAL SERVICES TO THE VARIOUS COMMUNITIES SERVICED BY NEBH | MA | 501(C)(3) | LINE 3 | NEW ENGLAND BAPTIST HOSPITAL INC | 0 | |
| RIVERBROOK CORPORATION | |||||||||||
| 109 BROOKLINE AVE | BOSTON | MA | 02215 | 042828955 | TO HOLD TITLE TO PROPERTY FOR CAREGROUP, INC. | MA | 501(C)(2) | CAREGROUP INC | 0 | ||
| HARVARD MEDICAL COLLABORATIVE INC | |||||||||||
| 25 SHATTUCK ST | BOSTON | MA | 02115 | 043476764 | COORDINATE AND PROVIDE STATEGIC PLANNING OPP FOR HMS | MA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 042103604 | PROVIDE CHARITABLE HEALTHCARE SERVICE TO THE COMMUNITY | MA | 501(C)(3) | LINE 3 | MILTON HOSPITAL FOUNDATION INC | 0 | |
| MILTON HOSPITAL DEVELOPMENT FUND INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 222567057 | FUNDRAISING/DEVELOPMENT | MA | 501(C)(3) | LINE 7 | MILTON HOSPITAL FOUNDATION INC | 0 | |
| COMMUNITY PHYSICIAN ASSOCIATES INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 043243146 | OUTPATIENT AND PRIMARY CARE SERVICES | MA | 501(C)(3) | LINE 3 | MILTON HOSPITAL FOUNDATION INC | 0 | |
| MILTON HOSPITAL FOUNDATION INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 222566792 | PROMOTE HEALTHCARE | MA | 501(C)(3) | LINE 11A, I | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| SOUTHEASTERN MASSACHUSETTS REGIONAL HEALTHCARE INFORMATION ORG | |||||||||||
| 92 HIGHLAND STREET | MILTON | MA | 02186 | 562645920 | INACTIVE | MA | BETH ISRAEL DEACONESS HOSPITAL - MILTON INC | 0 | |||
Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCED VASCULAR CARE LLC | ||||||||||||||
| 375 LONGWOOD AVE | BOSTON | MA | 02215 | 261647880 | TO PROVIDE MEDICAL SUPPORT SERVICES | MA | HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC | RELATED | 1202086 | 257283 | 0 | 0 | 0.75000 | |
| BETH ISRAEL DEACONESS PHYSICIAN ORG LLC | ||||||||||||||
| 110 FRANCIS STREET | BOSTON | MA | 02215 | 043426253 | COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC | MA | HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC | RELATED | 1727519 | 12580183 | 0 | 0 | 0.78000 | |
| CAREGROUP CLINICAL RESEARCH LLC | ||||||||||||||
| 109 BROOKLINE AVENUE | BOSTON | MA | 02215 | 300228711 | TO PARTICIPATE IN A CLINICAL RESEARCH PARTNERSHIP | MA | N/A | |||||||
| CAREGROUP INVESTMENT PARTNERSHIP LLP | ||||||||||||||
| 109 BROOKLINE AVENUE | BOSTON | MA | 02215 | 043278109 | INVESTMENT PARTNERSHIP | MA | BETH ISRAEL DEACONESS MEDICAL CENTER | EXCLUDED | 246625 | 41616435 | 0 | 0 | 0.05810 | |
| CHARLTON MRI SERVICES LLC | ||||||||||||||
| 330 BROOKLINE AVENUE | BOSTON | MA | 02215 | 264662778 | PROVISION OF PATIENT CARE SERVICES | MA | N/A | |||||||
| PHYSICIAN PROFESSIONAL SERVICES LLP | ||||||||||||||
| 10 CABOT ROAD | MEDFORD | MA | 02215 | 043275078 | TO PROVIDE MEDICAL BILLING SERVICES | MA | N/A | |||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| BIDMCCGSMC JV INC | ||||||||
| 400 HUNNEWELL STREET | NEEDHAM | MA | 02494 | 264426847 | INACTIVE CORPORATION | MA | N/A | C |
| CHESTNUT HEALTHCARE ALLIANCE INC | ||||||||
| 148 CHESTNUT STREET | NEEDHAM | MA | 02492 | 043265117 | PHYSICIAN/HOSPITAL ORGANIZATION | MA | N/A | C |
| HORIZON VENTURES INC | ||||||||
| 199 REEDSDALE ROAD | MILTON | MA | 02186 | 042853249 | PHYSICIAN BILLING | MA | N/A | C |
| MILTON PHYSICIAN-HOSPITAL ORGANIZATION INC | ||||||||
| 199 REEDSDALE ROAD | MILTON | MA | 02186 | 043213042 | PHYSICIAN/HOSPITAL ORGANIZATION | MA | N/A | C |
| ANESTHESIA FINANCIAL SOLUTIONS INC | ||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043571311 | INACTIVE CORPORATION | MA | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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