2012-05-14T18:00:13-04:00 2011-06-30 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2010-07-01 043289381 Faculty Practice Foundation Inc FACU 6176388923 660 Harrison Avenue 3rd Floor Boston MA 02118 PETER HEALY 2012-05-14 true PRICEWATERHOUSECOOPERS LLP 6175305000 2010 2016-02-24 21:20:13Z KAREN H ANTMAN MD 660 HARRISON AVENUE Boston MA 02118 19899840 false 8094 X WW.BMC.ORG X 1994 MA SEE SCHEDULE O. 14 0 0 16 0 0 0 6000457 19896397 8482 3443 0 0 6008939 19899840 0 0 0 0 3824125 3059343 0 0 0 14241100 6295298 18065225 9354641 -12056286 10545199 38257051 44077940 16272861 11548551 21984190 32529389 X SEE SCHEDULE O. false false 7633826 0 19896397 See Schedule O. 7633826 true false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true X 206 0 true 0 false true CJ false false false false false false false false X 14 0 true false false false true true true true true false true true true true true true true true false MA X KATHRYN BEACH 6176383565 660 HARRISON AVENUE GAMBRO 3 RM 3 Boston MA 02118 X Karen H Antman MD 3.0 X X 0 650853 33862 Aram V Chobanian MD 50.0 X 0 303219 53109 Gary W Nicksa 3.0 X 0 299957 75442 Ronald Bartlett 4.0 X 0 546542 114946 Peter Healy 10.0 X 0 275815 60571 Thomas Moore MD 50.0 X 0 465541 50089 BARRY S ZUCKERMAN MD 50.0 X 0 419004 50083 DAVID L COLEMAN MD 50.0 X 0 620350 35132 JAMES M BECKER MD 50.0 X 0 990684 50271 LINDA HEFFNER MD 50.0 X 0 467775 49850 RAVIN DAVIDOFF MD 5.0 X 0 527696 92427 kathleen e walsh 3.0 X X 0 909332 2172 RICHARD SILVERIA 4.0 X 0 78333 0 ANGELA JACKSON MD 3.0 X 0 227620 49102 ROBERT WITZBURG MD 3.0 X 0 284052 48085 Stephanie S Lovell Esq 4.0 X 0 507361 101311 Elaine S Ullian 0.0 X 0 2011053 192506 EDWARD J CHRISTIANSEN JR 0.0 X 0 284186 31015 0 9869373 1089973 0 true true false THINK FIRST 33 DEAN STREET BRAINTREE MA 02184 MGMT CONSULTING 362900 ACCOUNTING MANAGEMENT SOLUTION INC 800 SOUTH STREET WALTHAM MA 02453 MGMT CONSULTING 208117 PRICEWATERHOUSECOOPERS LLP 125 HIGH STREET BOSTON MA 02110 AUDIT/TAX SERVICES 115112 3 0 INSTITUTIONAL SUPPORT & OTHER REVENUE 900099 19896397 19896397 19896397 3443 3443 0 0 0 0 0 0 0 19899840 19896397 3443 0 0 0 0 0 0 2330351 2074012 256339 0 728992 648803 80189 0 565785 565785 0 744617 744617 0 0 72120 72120 0 0 16042 14277 1765 33140 33140 0 53 53 942 942 0 200 200 0 3651519 3651519 7604 7604 0 INSTITUTIONAL SUPPORT EXPENSE 1142107 1142107 MISCELLANEOUS FEES 54916 54916 DUE MEMBERSHIPS & LIC. MDS. 3022 3022 MEDICAL STAFF DEVELOPMENT 1125 1125 OTHER EXPENSES 2106 2106 9354641 7633826 1720815 0 26205794 24247380 18737 2231 844797 207434 644967 637363 11387553 19190966 38257051 44077940 1616741 3996740 14656120 7551811 16272861 11548551 X 21984190 32529389 21984190 32529389 38257051 44077940 10545199 X false true true X false X X X false false false TRUSTEES OF BOSTON UNIVERSITY 042103547 02 true 0 BOSTON MEDICAL CENTER 043314093 03 true 0 2 0 844797 207434 637363 637363 DUE FROM AFFILIATES 19154966 OTHER ASSETS 36000 19190966 0 DUE TO AFFILIATES 7551811 7551811 schedule d, part x - fin 48 Faculty Practice Foundation Inc.'s financial statements did not report a liability for uncertain tax positions under FIN 48. false true false false false false false false false Karen H Antman MD 0 594365 0 0 0 56488 0 32540 0 1322 0 684715 0 0 Aram V Chobanian MD 0 268076 0 0 0 35143 0 32540 0 20569 0 356328 0 0 Elaine S Ullian 0 76405 0 57623 0 1877025 0 168004 0 24502 0 2203559 0 0 Gary W Nicksa 0 290426 0 0 0 9531 0 32540 0 42902 0 375399 0 0 Ronald Bartlett 0 528686 0 0 0 17856 0 68983 0 45963 0 661488 0 0 Peter Healy 0 236859 0 0 0 38956 0 28642 0 31929 0 336386 0 0 Stephanie S Lovell Esq 0 445334 0 0 0 62027 0 82686 0 18625 0 608672 0 0 Thomas Moore MD 0 431292 0 0 0 34249 0 32540 0 17549 0 515630 0 0 BARRY S ZUCKERMAN MD 0 387650 0 0 0 31354 0 32540 0 17543 0 469087 0 0 DAVID L COLEMAN MD 0 449322 0 0 0 171028 0 32540 0 2592 0 655482 0 0 JAMES M BECKER MD 0 442871 0 0 0 547813 0 32540 0 17731 0 1040955 0 0 LINDA HEFFNER MD 0 435907 0 0 0 31868 0 32540 0 17310 0 517625 0 0 RAVIN DAVIDOFF MD 0 414875 0 0 0 112821 0 57693 0 34734 0 620123 0 0 kathleen e walsh 0 730163 0 150000 0 29169 0 0 0 2172 0 911504 0 0 ANGELA JACKSON MD 0 227281 0 0 0 339 0 26740 0 22362 0 276722 0 0 ROBERT WITZBURG MD 0 277909 0 0 0 6143 0 32540 0 15545 0 332137 0 0 EDWARD J CHRISTIANSEN JR 0 272404 0 0 0 11782 0 19600 0 11415 0 315201 0 0 Schedule J, Part I, Line 3 THE FACULTY PRACTICE FOUNDATION RELIES ON THE TRUSTEES OF BOSTON UNIVERSITY, A RELATED ORGANIZATION, TO ESTABLISH COMPENSATION OF THEIR PRESIDENT. Schedule J, Part I, Line 4b Boston Medical Center provides a supplemental executive retirement plan to certain executives. Amounts are credited to participants' accounts each year. Plan amounts are subject to forfeiture and/or payment only if certain conditions are met, as outlined in the plan agreement. Boston Medical Center maintains an executive benefit plan which offers participating executives the option of annually allocating benefit dollars to a supplemental retirement/pre-tax savings account. Amounts vest on specified dates based on continued employment but no later than the executive's 68th birthday. The following amounts became vested and were paid to the following executives in calendar year 2010: DAVIDOFF - $86,730 HEALY - $20,130 LOVELL - $58,739 ULLIAN - $1,873,631 SCHEDULE J, PART II EDWARD CHRISTIANSEN, JR. IS COMPENSATED FOR HIS ROLE AS VP & CHIEF RISK MANAGEMENT OFFICER AT BOSTON MEDICAL CENTER, A RELATED ORGANIZATION, AND NOT AS THE FORMER CLERK. ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 AND PART III, LINE 1 The FACULTY PRACTICE FOUNDATION, INC's ("the foundation") primary mission is to coordinate and facilitate the delivery of managed care services and promote the development of an integrated system of delivery to more efficiently and more effectively meet the health care needs of the community served. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4 the Faculty Practice Foundation, Inc. is affiliated with the following faculty practice plans ("the plans"): Boston University Medical Center Anesthesiologists, Inc. Boston Emergency Physician Foundation, Inc. Boston University Cardiac & Thoracic Surgical Foundation, Inc. Boston University Dermatology, Inc. Boston University Dermatology Support Services I, Inc. Boston University Dermatology Support Services II, Inc. Boston University Surgical Associates, Inc. Evans Medical Foundation, Inc. Boston University Eye Associates, Inc. Boston University Family Medicine, Inc. Boston University Mallory Pathology Associates, Inc. Boston University Neurology Associates, Inc. Boston University Neurosurgical Associates, Inc. Boston University Obstetrics & Gynecology Foundation, Inc. Boston University Orthopaedic Surgical Associates, Inc. Boston University Medical Center Otolaryngologic Foundation, Inc. Child Heath Foundation of Boston, Inc. Boston University Plastic Surgery Associates, Inc. Boston University Psychiatry Associates, Inc. Boston University Medical Center Radiologists, Inc. Boston Rehabilitation Medicine Associates, Inc. Boston University General Surgical Associates, Inc. Boston University Medical Center Urologists, Inc. The Faculty Practice Foundation was incorporated on October 18, 1994 under the provisions of General Laws, Chapter 180, of the Commonwealth of Massachusetts as a nonprofit organization operated exclusively for clinical, charitable, scientific and educational purposes. The Faculty Practice Plans were established as non-profit faculty practice plan corporations operated exclusively for the benefit of Boston Medical Center Hospital ("BMC"), and Boston University School of Medicine ("BUSM") (collectively, the "Institutions"). the foundation is granted the power to approve the Plans' annual operating budgets, set physician compensation, and control managed care services provided by the Plans and to promote the development of an integrated system of delivery to more efficiently and effectively meet health care needs of the communities served by the Institutions. The President of the Faculty PRACTICE FOUNDATION is also the Dean of Boston University School of Medicine. STATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLIANCE FORM 990, PART V, LINE 2 AND PART IX, LINES 7 AND 9 The Faculty Practice Foundation HAS NO EMPLOYEES. HOWEVER, IT REIMBURSES THE TRUSTEES OF BOSTON UNIVERSITY AND BOSTON MEDICAL CENTER FOR USE OF ITS EMPLOYEES. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINEs 1a and 2 ALL OFFICERS AND DIRECTORS ARE EMPLOYEES OF EITHER BOSTON UNIVERSITY OR BOSTON MEDICAL CENTER, related organizations. members of the foundation's board include certain officers of boston university and boston medical center. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE ORGANIZATION BOSTON UNIVERSITY AND BOSTON MEDICAL CENTER. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER HAS THE POWER TO APPOINT FOUR DIRECTORS. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS MUST BE APPROVED BY THE MEMBERS, AS SET FORTH IN THE BYLAWS, INCLUDING ANY MERGER, CONSOLIDATION, LIQUIDATION OR DISSOLUTION, ANY LOAN AGREEMENT, AND ANY AGREEMENT TO ENCUMBER THE ACCOUNTS OR TANGIBLE OR INTANGIBLE ASSETS OF THE ORGANIZATION. THE MEMBERS HAVE THE AUTHORITY TO REMOVE DIRECTORS OR OFFICERS OF THE ORGANIZATION BY MAJORITY VOTE. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO THE FILING OF the FORM 990 WITH THE IRS, THE FORM 990 PREPARED BY OUR OUTSIDE TAX CONSULTANTS WAS REVIEWED BY INTERNAL MANAGEMENT. THE AUDIT AND COMPLIANCE COMMITTEE OF THE Boston medical center BOARD OF TRUSTEES then REVIEWed THE RETURN. each member of the faculty practice foundation board was provided A COPY OF THE FINAL FORM 990 prior to filing. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION B, LINE 12 CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING JUNE 30, 2011 WERE DISTRIBUTED ON MARCH 15, 2012 BY THE COMPLIANCE AND LEGAL DEPARTMENT. THE OFFICE OF GENERAL COUNSEL QUERies TRUSTEES, officers and directors on at least an annual basis regarding relationships that may create potential conflicts of interest. The OFFICE OF GENERAL COUNSEL reviews all disclosures and determines whether there are actual or potential conflicts of interest. The General Counsel advises the board of trustees and officers of the corporation accordingly. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION B, LINES 15A & B no officers or key employees (there are no key employees) are compensated by the foundation. however, the foundation does have a compensation committee for purposes of reviewing the practice plans' officers' compensation. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, or FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Karen H. Antman, M.D. TITLE:President/DIRECTOR HOURS:55 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gary W. Nicksa TITLE:Director HOURS:55 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Ronald Bartlett TITLE:Director (until 2/8/11) HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Peter Healy TITLE:Director HOURS:45 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RAVIN DAVIDOFF, M.D. TITLE:DIRECTOR HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:kathleen e. walsh TITLE:DIRECTOR/TREASURER HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD SILVERIA TITLE:DIRECTOR (as of 1/31/11) HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANGELA JACKSON, MD TITLE:DIRECTOR HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ROBERT WITZBURG, MD TITLE:DIRECTOR HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Stephanie S. Lovell, Esq. TITLE:CLERK HOURS:50 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:EDWARD J. CHRISTIANSEN JR TITLE:FORMER DIRECTOR/CLERK HOURS:50 BU MEDICAL CTR ANESTHESIOLOGISTS INC 88 EAST NEWTON STREET A2817 BOSTON MA 02118 043276227 healthcare MA 501(C)(3) IIC III-FI NA false BOSTON EMERGENCY PHYSICIAN FDN INC 860 HARRISON AVENUE BOSTON MA 02118 043286156 healthcare MA 501(C)(3) IIC III-FI NA false BU CARDIAC & THORACIC SURGICAL FDN INC 88 EAST NEWTON STREET BOSTON MA 02118 042966416 healthcare MA 501(C)(3) IIC III-FI NA false BOSTON UNIVERSITY DERMATOLOGY INC 609 ALBANY STREET BOSTON MA 02118 043335166 healthcare MA 501(C)(3) IIC III-FI NA false BU DERMATOLOGY SUPPORT SERVICES I INC 609 ALBANY STREET BOSTON MA 02118 043452877 healthcare MA 501(C)(3) IIC III-FI NA false BU DERMATOLOGY SUPPORT SERVICES II INC 609 ALBANY STREET BOSTON MA 02118 043452874 healthcare MA 501(C)(3) IIC III-FI NA false BOSTON UNIV SURGICAL ASSOCIATES INC 88 EAST NEWTON STREET C500 BOSTON MA 02118 043291148 healthcare MA 501(C)(3) IIC III-FI NA false EVANS MEDICAL FOUNDATION INC 88 EAST NEWTON STREET BOSTON MA 02118 510172171 healthcare MA 501(C)(3) IIC III-FI NA false BOSTON UNIVERSITY EYE ASSOCIATES INC 2005 BAY STREET SUITE 201 TAUNTON MA 02780 043137333 healthcare MA 501(C)(3) IIC III-FI NA false BOSTON UNIVERSITY FAMILY MEDICINE INC ONE BOSTON MED CTR DOWLING 5 S BOSTON MA 02118 043354353 healthcare MA 501(C)(3) IIC III-FI NA false BU MALLORY PATHOLOGY ASSOCIATES INC 670 ALBANY STREET 3RD FLOOR BOSTON MA 02118 042794543 healthcare MA 501(C)(3) IIC III-FI NA false BOSTON UNIV NEUROLOGY ASSOCIATES INC 72 EAST CONCORD STREET C3 BOSTON MA 02118 043428462 healthcare MA 501(C)(3) IIC III-FI NA false BU NEUROSURGICAL ASSOCIATIES INC 72 EAST CONCORD STREET C3 BOSTON MA 02118 043296068 healthcare MA 501(C)(3) IIC III-FI NA false BU OBSTETRICS & GYNECOLOGY FDN INC 85 EAST CONCORD STREET 6TH FL BOSTON MA 02118 043067465 healthcare MA 501(C)(3) IIC III-FI NA false BU ORTHOPAEDIC SURGICAL ASSOCIATES INC 720 HARRISON AVE DOB STE 808 boston MA 02118 043354360 healthcare MA 501(C)(3) IIC III-FI NA false BUMC OTOLARYNGOLOGIC FOUNDATION INC 820 HARRISON AVE FGH BLDG 4 FL boston MA 02118 043156471 healthcare MA 501(C)(3) IIC III-FI NA false CHILD HEALTH FOUNDATION OF BOSTON INC 771 ALBANY STREET DOWLING 3 SO BOSTON MA 02118 042472758 healthcare MA 501(C)(3) IIC III-FI NA false BOSTON UNIV PLASTIC SURGERY ASSOC INC 720 HARRISON AVENUE DOB 9TH FL BOSTON MA 02118 043555478 healthcare MA 501(C)(3) IIC III-FI NA false BOSTON UNIVERSITY PSYCHIATRY ASSOC INC 85 EAST NEWTON ST SUITE 802 BOSTON MA 02118 043355267 healthcare MA 501(C)(3) IIC III-FI NA false BU MEDICAL CENTER RADIOLOGISTS INC 820 HARRISON AVE FGH BLDG 3 FL BOSTON MA 02118 043283573 healthcare MA 501(C)(3) IIC III-FI NA false BOSTON REHABILITATION MEDICINE ASSOC INC 732 HARRISON AVENUE SUITE 511 BOSTON MA 02118 043286641 healthcare MA 501(C)(3) IIC III-FI NA false BU GENERAL SURGICAL ASSOCIATES INC 88 EAST NEWTON ST SUITE C500 BOSTON MA 02118 043265008 healthcare MA 501(C)(3) IIC III-FI NA false BU MEDICAL CENTER UROLOGISTS INC 725 ALBANY STREET SHAPIRO 3B BOSTON MA 02118 043286643 healthcare MA 501(C)(3) IIC III-FI NA false BOSTON MEDICAL CENTER 88 EAST NEWTON STREET BOSTON MA 02118 043314093 healthcare MA 501(C)(3) 3 NA false TRUSTEES OF BOSTON UNIVERSITY 881 COMMONWEALTH AVENUE BOSTON MA 02115 042103547 education MA 501(C)(3) 2 NA false false false false false false false false false false false false false false true true true false false