2018-08-14T16:24:57-05:00 2017-09-30 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2016-10-01 043026897 MOUNT AUBURN PROFESSIONAL SERVICES INC MOUN 6174995021 330 MOUNT AUBURN STREET CAMBRIDGE MA 02138 WILLIAM SULLIVAN TREASURER & VP OF FINANCE 6174995021 2018-08-07 0 CHRISTINE KAWECKI P00743140 5169187000 2016 2022-09-23 18:48:47Z WILLIAM SULLIVAN 330 MOUNT AUBURN STREET CAMBRIDGE MA 02138 74196543 0 X N/A X 1988 MA SEE SCHEDULE O. 5 1 771 1 1314128 0 0 0 68912241 70989805 429513 2195 1411430 1352285 70753184 72344285 1000 1100 0 0 69620402 76671766 0 0 0 21158143 22645660 90779545 99318526 -20026361 -26974241 31196465 35696151 13073738 18163659 18122727 17532492 X SEE SCHEDULE O. 0 0 47018093 1100 33733985 SEE SCHEDULE O. 28904557 23242142 SEE SCHEDULE O. 18653070 14013678 SEE SCHEDULE O. 94575720 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 67 0 1 771 1 1 1 0 0 0 0 0 0 0 0 0 X 5 1 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 MA X WILLIAM SULLIVAN 6174995021 330 MOUNT AUBURN STREET CAMBRIDGE MA 02138 CANEPA JOHN J TRUSTEE 1.00 10.00 X 0 0 0 CUTLER MD ANDREW TRUSTEE, MD INTERNAL MED 60.00 0.00 X 281967 14840 41270 HUANG MD EDWIN TRUSTEE, CHAIR-OB/GYN 24.00 36.00 X 198064 297095 50844 KETTYLE MD WILLIAM TRUSTEE 1.00 1.00 X 0 0 0 MACDONALD MD LESLIE TRUSTEE; MD OB/GYN 60.00 0.00 X 288561 0 44220 SETNIK MD GARY S CHAIR, EMER MED & TRUSTEE 24.00 36.00 X 163233 244851 57832 SIMONS TOM TRUSTEE 1.00 0.00 X 0 0 0 CLOUGH JEANETTE G TRUSTEE, PRESIDENT & CEO 9.00 56.00 X X 174790 853383 313465 LUKASIK CHARLES CHIEF OPERATING OFFICER/CLERK 57.00 3.00 X 338234 17801 120866 SULLIVAN WILLIAM J TREASURER & VP OF FINANCE 9.00 51.00 X 71037 372944 597979 BIRJINIUK VLADIMIR CHIEF CARDIOVASCULAR SURGERY 60.00 0.00 X 1012230 0 47946 ABNER ANTHONY MD, RADIATION ONCOLOGY 60.00 0.00 X 583685 0 39190 NAUTA MD RUSSELL MD, CHAIR DEPT OF SURGERY 12.00 48.00 X 103578 414312 156694 STONE VALERIE MD, CHAIR DEPT OF MEDICINE 10.00 50.00 X 87686 428115 23659 ROSENBLATT PETER MD, UROGYNECOLOGY 54.00 6.00 X 424118 47125 44370 3727183 2690466 1538335 201 0 1 0 MACIPA INC 1380 SOLDIERS FIELD ROAD BRIGHTON MA 02135 EMR/CREDENTIALING 831690 RESERVOIR MEDICAL ASSOCIATES 725 CONCORD AVE 2000 CAMBRIDGE MA 02238 SHARED SERVICES 780143 ATHENAHEALTH 311 ARSENAL ST WATERTOWN MA 02472 BILLING SERVICES 628193 MT AUBURN SURGICAL ASSOCIATES 300 MT AUBURN ST SUITE 407 CAMBRIDGE MA 02238 MD SERVICES 410314 GE HEALTHCARE IITS USA 40 IDX DRIVE SOUTH BURLINGTON MA 05403 MAINTENANCE 393893 17 PRIMARY, ED, SPECIALTY 621110 63279977 63279977 AFFILIATE SUPPORT 900009 6262224 6262224 OTHER PATIENT REVENUE 621110 1256784 1256784 REVENUE FROM SVC TO AF 561499 45908 45908 144912 144912 70989805 2195 2195 1775069 1852258 -77189 -77189 22621 -99810 UNRELATED MGMT FEE 561000 1291507 1291507 MEDICAL RECORDS 900099 30000 30000 107967 107967 1429474 72344285 70989805 1314128 40352 1100 1100 1566353 1105316 461037 65773682 63417540 2356142 2991214 2817943 173271 2368136 2159473 208663 3972381 3776827 195554 5539906 4936703 603203 27404 625 26779 4648962 4554773 94189 1906021 1518131 387890 5657538 5458018 199520 26333 26041 292 16588 5868 10720 1152929 1141041 11888 3028293 3028293 CONTINUING EDUCATION 426568 426568 PATIENT SUPPLIES 170694 163288 7406 HOSPITAL DUES 44424 38172 6252 99318526 94575720 4742806 0 291847 418720 6483318 7417210 3668 0 1395239 1110199 29669007 19993923 10633871 9675084 12388522 17074938 31196465 35696151 4502704 5645614 8571034 12518045 13073738 18163659 X 18122727 17532492 18122727 17532492 31196465 35696151 X -26974241 26384006 X X 0 1 X 0 0 X X 1 MOUNT AUBURN HOSPITAL 042103606 3 0 99318526 0 1 99318526 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 PART II-B, LINE 1: MOUNT AUBURN HOSPITAL (MAH), THE PARENT CORPORATION TO MOUNT AUBURN PROFESSIONAL SERVICES, INC. (MAPS) ENGAGED IN SOME LOBBYING EFFORTS ON BEHALF OF THIS ENTITY AND OTHER AFFILIATED NETWORK ENTITIES. ADDITIONALLY, MAPS PAYS DUES TO CERTAIN MEMBERSHIP ORGANIZATIONS, A PIECE OF WHICH MAY BE USED BY SUCH ORGANIZATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THIS INSTITUTION AND OTHER SIMILARLY SITUATED ORGANIZATIONS. TOTAL LOBBYING EXPENDITURES ON BEHALF OF MAPS WERE MINIMAL AND NOT SUBSTANTIAL BASED ON REVENUES. 400000 400000 17488846 10509585 6979261 11780161 9484338 2295823 9675084 PRACTICE ACQUISITION 2784362 MALPRACTICE RECOVERY A/R 9851443 AMOUNT DUE TO THIRD PARTY PAYORS 4439133 17074938 PROFESSIONAL LIABILITY CLAIMS RESERVE 9851443 MALPRACTICE RECOVERY LIABILITY 2316134 DUE TO THIRD PARTY-LONG TERM 350468 12518045 X 421797000 347600000 347600000 74197000 -1852715 -1852715 72344285 446765000 345593000 345593000 101172000 -1853474 -1853474 99318526 PART V, LINE 4: ENDOWMENT/SPECIAL FUND MONIES ARE HELD TO SUPPORT MEDICAL EDUCATION PART X, LINE 2: THE HOSPITAL, PROFESSIONAL SERVICES AND HOME CARE & HOSPICE HAVE PREVIOUSLY BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND, THEREFORE, ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE CORPORATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE CORPORATION DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2017 OR 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED AFFILIATES NET ELIMINATIONS 347,600,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: EXPENSES ASSOCIATED WITH REAL ESTATE RENTAL -1,852,258. ROUNDING -457. PART XII, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED AFFILIATES NET ELIMINATIONS 345,593,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES ASSOCIATED WITH REAL ESTATE RENTAL -1,852,258. ROUNDING -1,216. 1 X X X X 0 1 0 0 0 0 0 1 0 CUTLER MD ANDREW TRUSTEE, MD INTERNAL MED 210928 11101 70128 3691 911 48 17976 946 21231 1117 321174 16903 0 0 HUANG MD EDWIN TRUSTEE, CHAIR-OB/GYN 156272 234407 40000 60000 1792 2688 10000 15000 10338 15506 218402 327601 0 0 MACDONALD MD LESLIE TRUSTEE; MD OB/GYN 286847 0 0 0 1714 0 18550 0 25670 0 332781 0 0 0 SETNIK MD GARY S CHAIR, EMER MED & TRUSTEE 127954 191932 32500 48750 2779 4169 14480 21720 8653 12979 186366 279550 0 0 CLOUGH JEANETTE G TRUSTEE, PRESIDENT & CEO 127072 620409 0 0 47718 232974 49736 242828 3553 17348 228079 1113559 0 0 LUKASIK CHARLES CHIEF OPERATING OFFICER/CLERK 266920 14048 68666 3614 2648 139 90180 4746 24643 1297 453057 23844 0 0 SULLIVAN WILLIAM J TREASURER & VP OF FINANCE 54904 288244 13728 72072 2405 12628 427969 146840 3707 19463 502713 539247 0 0 BIRJINIUK VLADIMIR CHIEF CARDIOVASCULAR SURGERY 968397 0 0 0 43833 0 18550 0 29396 0 1060176 0 0 0 ABNER ANTHONY MD, RADIATION ONCOLOGY 251576 0 329913 0 2196 0 13250 0 25940 0 622875 0 0 0 NAUTA MD RUSSELL MD, CHAIR DEPT OF SURGERY 80687 322749 17944 71776 4947 19787 25460 101838 5879 23517 134917 539667 0 0 STONE VALERIE MD, CHAIR DEPT OF MEDICINE 69758 340585 13600 66400 4328 21130 37 182 3985 19455 91708 447752 0 0 ROSENBLATT PETER MD, UROGYNECOLOGY 422726 46970 0 0 1392 155 19080 2120 20853 2317 464051 51562 0 0 PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AS PREVIOUSLY NOTED IN THIS FILING, MOUNT AUBURN HOSPITAL IS THE SOLE MEMBER OF MAPS. DURING THE 2016 CALENDAR YEAR, MOUNT AUBURN HOSPITAL MAINTAINED AN IRC SECTION 457(B) PLAN PURSUANT TO WHICH ELIGIBLE EMPLOYEES COULD DEFER PART OF THEIR COMPENSATION. UNDER THE DEFINITIONS TO THIS FORM 990, THIS PLAN IS CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. AMOUNTS DEFERRED AND INCREASES/DECREASES IN THE VALUE OF THE NON-QUALIFIED PLAN ACCOUNTS ARE INCLUDED IN FORM 990 SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION AND/OR FORM 990 SCHEDULE J, PART II, COLUMN C, DEFERRED INCOME, IN ACCORDANCE WITH THE INSTRUCTIONS TO THIS FORM 990. IN ADDITION, AS PREVIOUSLY NOTED, CAREGROUP, INC. (CAREGROUP) IS THE SOLE MEMBER OF MOUNT AUBURN HOSPITAL. DURING THE PERIOD COVERED BY THIS FILING, THE CHIEF EXECUTIVE OFFICER OF MAH/MAPS WAS PAID BY CAREGROUP WHICH WAS A PARTICIPATING EMPLOYER IN THE BETH ISRAEL DEACONESS MEDICAL CENTER EXECUTIVE RETIREMENT PROGRAM AND THE BETH ISRAEL DEACONESS MEDICAL CENTER 457(B) PLAN. PURSUANT TO THESE PLANS, ELIGIBLE EMPLOYEES RECEIVE CERTAIN RETIREMENT BENEFITS AND/OR CAN DEFER PART OF THEIR COMPENSATION. UNDER THE DEFINITIONS TO THIS FORM 990, THESE PLANS ARE CONSIDERED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS. AMOUNTS DEFERRED BY PARTICIPANTS OR RECEIVED BY PARTICIPANTS AND RELATED TO THESE PLANS ARE INCLUDED IN FORM 990 SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION AND/OR FORM 990, SCHEDULE J, PART II, COLUMN C, DEFERRED COMPENSATION IN ACCORDANCE WITH THE INSTRUCTIONS TO THIS FORM 990. ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW. PART I, LINE 7 NON-FIXED PAYMENTS THE PRESIDENT, VICE PRESIDENTS, DEPARTMENT CHAIRS AND OTHER SENIOR MANAGEMENT ARE ELIGIBLE TO RECEIVE ANNUAL INCENTIVE COMPENSATION PAYMENTS BASED ON COMPARISON OF ACTUAL ACCOMPLISHMENTS WITH PRE-DETERMINED GOALS. SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES REPORTABLE COMPENSATION LISTED IN FORM 990 PART VII INCLUDES BASE COMPENSATION, INCENTIVE COMPENSATION AND OTHER REPORTABLE COMPENSATION AS REPORTED IN FORM 990 SCHEDULE J. OTHER COMPENSATION LISTED IN FORM 990 PART VII INCLUDES DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS AS REPORTED IN FORM 990 SCHEDULE J. BASE COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED IN THIS RETURN BUT QUANTIFIED IN BASE COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: REGULAR WAGES, EMPLOYEE DEFERRALS TO A 401(K) AND/OR 403(B) PLAN 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; VESTED AMOUNTS UNDER 457(F) PLAN; TAXABLE EMPLOYER-SUBSIDIZED PARKING; TAXABLE MOVING EXPENSES; 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, UNFUNDED AND UNVESTED AMOUNTS DEFERRED UNDER 457(F) 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. MOUNT AUBURN HOSPITAL, MOUNT AUBURN PROFESSIONAL SERVICES AND CAREGROUP PARMENTER HOME CARE & HOSPICE MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 PART VII AND FORM 990 SCHEDULE J AS MAH, MAPS AND CPHCH. CANEPA, JOHN J. TRUSTEE - MOUNT AUBURN PROFESSIONAL SERVICES TRUSTEE AND CO-CHAIR - MOUNT AUBURN HOSPITAL TRUSTEE - CAREGROUP PARMENTER HOME CARE & HOSPICE DIRECTOR - CAREGROUP, INC. MR. CANEPA'S TERM ON THE MOUNT AUBURN PROFESSIONAL SERVICES BOARD ENDED JANUARY 24, 2017. MR. CANEPA DEVOTED, ON AVERAGE, A COMBINED 11 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. CLOUGH, JEANETTE G. TRUSTEE, PRESIDENT AND CHIEF EXECUTIVE OFFICER - MOUNT AUBURN PROFESSIONAL SERVICES TRUSTEE (EX-OFFICIO), PRESIDENT AND CHIEF EXECUTIVE OFFICER - MOUNT AUBURN HOSPITAL TRUSTEE- CAREGROUP PARMENTER HOME CARE & HOSPICE MS. CLOUGH DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. IN HER POSITIONS AS PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) AND MOUNT AUBURN HOSPITAL (MAH), MS. CLOUGH RECEIVES PAYMENTS DIRECTLY FROM MAH AS WELL AS FROM CAREGROUP, THE SOLE MEMBER OF MAH, 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 MAH. ADDITIONALLY, MS. CLOUGH PERFORMS SERVICES FOR BOTH MAH AND MAPS BUT NOT DIRECTLY FOR CAREGROUP. AS SUCH AND AS REQUIRED BY THIS FORM 990, MS. CLOUGH'S COMPENSATION IS REPORTED HERE AS IF PAID BY MAH AND MAPS. MS. CLOUGH'S COMPENSATION PAID BY CAREGROUP AND MAH IS REPORTED HERE BASED ON THE SERVICES SHE PROVIDED TO MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES FOR THE POSITIONS NOTED ABOVE. PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 127,072 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 47,718 DEFERRED COMPENSATION: 49,736 NON-TAXABLE BENEFITS: 3,553 PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 620,409 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 232,974 DEFERRED COMPENSATION: 242,828 NON-TAXABLE BENEFITS: 17,348 OTHER REPORTABLE COMPENSATION REPORTED BY MAH AND MAPS FOR THE 2016 CALENDAR YEAR INCLUDES RETENTION PAYMENTS OF $204,504 PURSUANT TO MS. CLOUGH'S SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) AGREEMENT. DEFERRED COMPENSATION REPORTED FOR THE 2016 CALENDAR YEAR ALSO INCLUDES AN INCENTIVE PAYMENT RELATED TO THE SERVICES MS. CLOUGH PERFORMED DURING MOUNT AUBURN'S FISCAL YEAR ENDED SEPTEMBER 30, 2016 BUT WHICH WAS NOT PAID TO MS. CLOUGH UNTIL AFTER MARCH 15, 2017 IN THE AMOUNT OF $262,500 RELATED TO AN ANNUAL INCENTIVE PLAN. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MS. CLOUGH INCLUDES COMBINED PAYMENTS FROM NONQUALIFIED RETIREMENT PLANS, INCLUDING THE INCREASE/DECREASE IN ACCOUNT VALUE, IN THE AMOUNT OF $73,350. ADDITIONALLY, OTHER REPORTABLE COMPENSATION IN THE AMOUNT OF $18,000 WAS REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990, AS REQUIRED. CUTLER, M.D., ANDREW TRUSTEE - MOUNT AUBURN PROFESSIONAL SERVICES PHYSICIAN, INTERNAL MEDICINE - MOUNT AUBURN PROFESSIONAL SERVICES DR. CUTLER'S TERM ON THE MOUNT AUBURN PROFESSIONAL SERVICES BOARD BEGAN JANUARY 24, 2017. DR. CUTLER DEVOTES, ON AVERAGE, 60 HOURS TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 210,928 INCENTIVE COMPENSATION: 70,128 OTHER REPORTABLE COMPENSATION: 911 DEFERRED COMPENSATION: 17,976 NON-TAXABLE BENEFITS: 21,231 PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 11,101 INCENTIVE COMPENSATION: 3,691 OTHER REPORTABLE COMPENSATION: 48 DEFERRED COMPENSATION: 946 NON-TAXABLE BENEFITS: 1,117 SCHEDULE J EXPLANATORY FOOTNOTES (CONTINUED) HUANG, M.D., EDWIN TRUSTEE AND CHAIR, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY - MOUNT AUBURN PROFESSIONAL SERVICES TRUSTEE AND CHAIR, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY - MOUNT AUBURN HOSPITAL ASSISTANT PROFESSOR OF OBSTETRICS, GYNECOLOGY AND REPRODUCTIVE BIOLOGY - HARVARD MEDICAL SCHOOL DR. HUANG DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. HUANG PERFORMS SERVICES FOR BOTH MOUNT AUBURN PROFESSIONAL SERVICES AND MOUNT AUBURN HOSPITAL. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. HUANG IS PAID DIRECTLY BY MOUNT AUBURN HOSPITAL, THE PORTION OF DR. HUANG'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 156,272 INCENTIVE COMPENSATION: 40,000 OTHER REPORTABLE COMPENSATION: 1,792 DEFERRED COMPENSATION: 10,000 NON-TAXABLE BENEFITS: 10,338 PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 234,407 INCENTIVE COMPENSATION: 60,000 OTHER REPORTABLE COMPENSATION: 2,688 DEFERRED COMPENSATION: 15,000 NON-TAXABLE BENEFITS: 15,506 OTHER REPORTABLE AND DEFERRED COMPENSATION INCLUDES EMPLOYER AND EMPLOYEE CONTRIBUTIONS TO A 457(B) PLAN AND THE CHANGE IN THE PLAN'S VALUE WHICH, COMBINED FOR DR. HUANG, TOTALED $20,297. KETTYLE, M.D., WILLIAM TRUSTEEE - MOUNT AUBURN PROFESSIONAL SERVICES TRUSTEE - MOUNT AUBURN HOSPITAL DR. KETTYLE'S TERM ON THE MOUNT AUBURN PROFESSIONAL SERVICES BOARD BEGAN JANUARY 24, 2017. DR. KETTYLE DEVOTES, ON AVERAGE, A COMBINED 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MACDONALD, M.D., LESLIE TRUSTEE - MOUNT AUBURN PROFESSIONAL SERVICES PHYSICIAN, OBSTETRICS AND GYNECOLOGY - MOUNT AUBURN PROFESSIONAL SERVICES CLINICAL INSTRUCTOR IN OBSTETRICS, GYNECOLOGY AND REPRODUCTIVE BIOLOGY - HARVARD MEDICAL SCHOOL DR. MACDONALD'S TERM ON THE MOUNT AUBURN PROFESSIONAL SERVICES BOARD ENDED JANUARY 24, 2017. DR. MACDONALD DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 286,847 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 1,714 DEFERRED COMPENSATION: 18,550 NON-TAXABLE BENEFITS: 25,670 SETNIK, M.D., GARY S. TRUSTEE - MOUNT AUBURN PROFESSIONAL SERVICES CHAIR, DEPARTMENT OF EMERGENCY MEDICINE - MOUNT AUBURN PROFESSIONAL SERVICES CHAIR, DEPARTMENT OF EMERGENCY MEDICINE - MOUNT AUBURN HOSPITAL ASSISTANT PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. SETNIK DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. SETNIK PERFORMS SERVICES FOR BOTH MOUNT AUBURN PROFESSIONAL SERVICES AND MOUNT AUBURN HOSPITAL. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. SETNIK IS PAID DIRECTLY BY MOUNT AUBURN PROFESSIONAL SERVICES, THE PORTION OF DR. SETNIK'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 127,954 INCENTIVE COMPENSATION: 32,500 OTHER REPORTABLE COMPENSATION: 2,779 DEFERRED COMPENSATION: 14,480 NON-TAXABLE BENEFITS: 8,653 PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 191,932 INCENTIVE COMPENSATION: 48,750 OTHER REPORTABLE COMPENSATION: 4,169 DEFERRED COMPENSATION: 21,720 NON-TAXABLE BENEFITS: 12,979 OTHER REPORTABLE COMPENSATION INCLUDES 457(B) DEFERRALS AND THE CHANGE IN THE PLAN'S VALUE WHICH, COMBINED FOR DR. SETNIK, TOTALED $1,011. SIMONS, TOM TRUSTEE - MOUNT AUBURN PROFESSIONAL SERVICES MR. SIMONS' TERM ON THE MOUNT AUBURN PROFESSIONAL SERVICES BOARD ENDED JANUARY 24, 2017. MR. SIMONS DEVOTED, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. LUKASIK, CHARLES CHIEF OPERATING OFFICER AND CLERK - MOUNT AUBURN PROFESSIONAL SERVICES MR. LUKASIK DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. IN HIS ROLE AS CHIEF OPERATING OFFICER OF MAPS, MR. LUKASIK PERFORMS SERVICES FOR BOTH MOUNT AUBURN PROFESSIONAL SERVICES AND MOUNT AUBURN HOSPITAL. AS REQUIRED BY THIS FORM 990, ALTHOUGH MR. LUKASIK IS PAID DIRECTLY BY MOUNT AUBURN HOSPITAL, THE PORTION OF MR. LUKASIK'S COMPENSATION ATTRIBUTABLE TO SERVICES PROVIDED TO EACH ENTITY HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 266,920 INCENTIVE COMPENSATION: 68,666 OTHER REPORTABLE COMPENSATION: 2,648 DEFERRED COMPENSATION: 90,180 NON-TAXABLE BENEFITS: 24,643 PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 14,048 INCENTIVE COMPENSATION: 3,614 OTHER REPORTABLE COMPENSATION: 139 DEFERRED COMPENSATION: 4,746 NON-TAXABLE BENEFITS: 1,297 AS REQUIRED BY THIS FORM 990, INCENTIVE COMPENSATION FOR THE 2016 CALENDAR YEAR IN THE AMOUNT OF $72,280 WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES FOR THE 2016 CALENDAR YEAR INCLUDES AN INCENTIVE PAYMENT OF $73,726 RELATED TO MR. LUKASIK'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2016, BUT NOT PAID TO MR. LUKASIK UNTIL AFTER MARCH 15, 2017. SCHEDULE J EXPLANATORY FOOTNOTES (CONTINUED) SULLIVAN, WILLIAM VICE PRESIDENT, FINANCE AND TREASURER - MOUNT AUBURN PROFESSIONAL SERVICES VICE PRESIDENT AND CHIEF FINANCIAL OFFICER - MOUNT AUBURN HOSPITAL VICE PRESIDENT, FINANCE AND TREASURER - CAREGROUP PARMENTER HOME CARE & HOSPICE MR. SULLIVAN DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MR. SULLIVAN PERFORMS SERVICES FOR MOUNT AUBURN HOSPITAL, MOUNT AUBURN PROFESSIONAL SERVICES AND CAREGROUP PARMENTER HOME CARE & HOSPICE. AS REQUIRED BY FORM 990, ALTHOUGH MR. SULLIVAN WAS PAID DIRECTLY BY MOUNT AUBURN HOSPITAL, THE PORTION OF MR. SULLIVAN'S COMPENSATION ATTRIBUTABLE TO SERVICES PROVIDED TO EACH ENTITY HAS BEEN SEPARATELY REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 54,904 INCENTIVE COMPENSATION: 13,728 OTHER REPORTABLE COMPENSATION: 2,405 DEFERRED COMPENSATION: 427,969 NON-TAXABLE BENEFITS: 3,707 PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 267,655 INCENTIVE COMPENSATION: 66,924 OTHER REPORTABLE COMPENSATION: 11,726 DEFERRED COMPENSATION: 136,351 NON-TAXABLE BENEFITS: 18,073 PAYMENTS REPORTED BY CAREGROUP PARMENTER HOME CARE & HOSPICE: BASE COMPENSATION: 20,589 INCENTIVE COMPENSATION: 5,148 OTHER REPORTABLE COMPENSATION: 902 DEFERRED COMPENSATION: 10,489 NON-TAXABLE BENEFITS: 1,390 AS REQUIRED BY THIS FORM 990, INCENTIVE COMPENSATION FOR THE 2016 CALENDAR YEAR IN THE AMOUNT OF $85,800 WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED FOR THE 2016 CALENDAR YEAR INCLUDES AN INCENTIVE PAYMENT OF $87,516 RELATED TO MR. SULLIVAN'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2016, BUT NOT PAID TO MR. SULLIVAN UNTIL AFTER MARCH 15, 2017. IN ADDITION, DEFERRED COMPENSATION REPORTED FOR THE 2016 CALENDAR YEAR INCLUDES AN ACTUARIAL CHANGE IN THE PROJECTED BENEFIT OBLIGATION OF MR. SULLIVAN'S SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) OF $74,043. THE SERP DOES NOT VEST UNTIL OCTOBER 1, 2018. BIRJINIUK, M.D., VLADIMIR CHIEF, CARDIOVASCULAR SURGERY - MOUNT AUBURN PROFESSIONAL SERVICES ASSISTANT PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL DR. BIRJINIUK DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 968,397 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 43,833 DEFERRED COMPENSATION: 18,550 NON-TAXABLE BENEFITS: 29,396 OTHER REPORTABLE COMPENSATION INCLUDES 457(B) DEFERRALS AND CHANGE IN THE PLAN'S VALUE WHICH, COMBINED FOR DR. BIRJINIUK, TOTALED $37,846. ABNER, M.D., ANTHONY RADIATION ONCOLOGIST - MOUNT AUBURN PROFESSIONAL SERVICES INSTRUCTOR IN RADIOLOGY - HARVARD MEDICAL SCHOOL DR. ABNER DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 251,576 INCENTIVE COMPENSATION: 329,913 OTHER REPORTABLE COMPENSATION: 2,196 DEFERRED COMPENSATION: 13,250 NON-TAXABLE BENEFITS: 25,940 NAUTA, M.D., RUSSELL CHAIR, DEPARTMENT OF SURGERY - MOUNT AUBURN PROFESSIONAL SERVICES CHAIR, DEPARTMENT OF SURGERY - MOUNT AUBURN HOSPITAL PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL DR. NAUTA DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. NAUTA PERFORMS SERVICES FOR BOTH MOUNT AUBURN PROFESSIONAL SERVICES AND MOUNT AUBURN HOSPITAL. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. NAUTA IS PAID DIRECTLY BY MOUNT AUBURN HOSPITAL, THE PORTION OF DR. NAUTA'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 80,687 INCENTIVE COMPENSATION: 17,944 OTHER REPORTABLE COMPENSATION: 4,947 DEFERRED COMPENSATION: 25,460 NON-TAXABLE BENEFITS: 5,879 PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 322,749 INCENTIVE COMPENSATION: 71,776 OTHER REPORTABLE COMPENSATION: 19,787 DEFERRED COMPENSATION: 101,838 NON-TAXABLE BENEFITS: 23,517 AS REQUIRED BY THIS FORM 990, INCENTIVE COMPENSATION FOR THE 2016 CALENDAR YEAR IN THE AMOUNT OF $89,720 WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. OTHER REPORTABLE COMPENSATION INCLUDES 457(B) DEFERRALS AND THE CHANGE IN THE PLAN'S VALUE WHICH, COMBINED FOR DR. NAUTA, TOTALED $21,370. DEFERRED COMPENSATION REPORTED FOR THE 2016 CALENDAR YEAR INCLUDES AN INCENTIVE PAYMENT OF $108,748 RELATED TO DR. NAUTA'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2016, BUT NOT PAID TO DR. NAUTA UNTIL AFTER MARCH 15, 2017. ROSENBLATT, M.D., PETER UROGYNECOLOGIC AND RECONSTRUCTIVE SURGEON - MOUNT AUBURN PROFESSIONAL SERVICES INSTRUCTOR, GRADUATE MEDICAL EDUCATION - MOUNT AUBURN HOSPITAL ASSISTANT PROFESSOR OF OBSTETRICS, GYNECOLOGY AND REPRODUCTIVE BIOLOGY - HARVARD MEDICAL SCHOOL DR. ROSENBLATT DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. ROSENBLATT PERFORMS SERVICES FOR BOTH MOUNT AUBURN PROFESSIONAL SERVICES AND MOUNT AUBURN HOSPITAL. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. ROSENBLATT IS PAID DIRECTLY BY MOUNT AUBURN PROFESSIONAL SERVICES, THE PORTION OF DR. ROSENBLATT'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 422,726 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 1,392 DEFERRED COMPENSATION: 19,080 NON-TAXABLE BENEFITS: 20,853 PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 46,970 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 155 DEFERRED COMPENSATION: 2,120 NON-TAXABLE BENEFITS: 2,317 STONE, M.D., VALERIE CHAIR, DEPARTMENT OF MEDICINE - MOUNT AUBURN PROFESSIONAL SERVICES CHAIR, DEPARTMENT OF MEDICINE - MOUNT AUBURN HOSPITAL DR. STONE PERFORMS SERVICES FOR BOTH MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. STONE IS PAID DIRECTLY BY MOUNT AUBURN HOSPITAL, THE PORTION OF DR. STONE'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MAPS: BASE COMPENSATION: 69,758 INCENTIVE COMPENSATION: 13,600 OTHER REPORTABLE COMPENSATION: 4,328 DEFERRED COMPENSATION: 37 NON-TAXABLE BENEFITS: 3,985 PAYMENTS REPORTED BY MAH: BASE COMPENSATION: 340,585 INCENTIVE COMPENSATION: 66,400 OTHER REPORTABLE COMPENSATION: 21,130 DEFERRED COMPENSATION: 182 NON-TAXABLE BENEFITS: 19,455 OTHER REPORTABLE COMPENSATION INCLUDES 457(B) DEFERRALS AND THE CHANGE IN THE PLAN'S VALUE WHICH, COMBINED FOR DR. STONE, TOTALED $22,848. A MASS DEVELOPMENT FINANCE AGENCY 043431814 57584XMT5 2016-05-12 257611877 SEE PART VI 0 0 0 B MASS DEVELOPMENT FINANCE AGENCY 043431814 57584XDH1 2015-09-02 203702204 SEE PART VI 0 0 0 C MASS DEVELOPMENT FINANCE AGENCY 043431814 2012-07-11 49910000 REFUND ISSUE DATED 2/11/1998 0 0 0 D MASS DEVELOPMENT FINANCE AGENCY 043431814 2011-09-15 120280000 REFUND ISSUE DATED 2/11/1998 0 0 0 A 2980000 257618370 222053917 2515889 19006493 14042071 2016 0 1 1 1 B 14295000 203702204 97328921 2348479 104024804 1 1 1 1 C 49910000 368094 49541906 1 0 1 1 D 63350000 120280000 290672 119989328 1 0 1 1 A 0 1 1 1 0 0 0 1 B 0 1 1 1 0 0.00500 0.00300 0.00800 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K - EXPLANATORY STATEMENT 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 THAT SERVES AS A SUPPORT ORGANIZATION OF BETH ISRAEL DEACONESS MEDICAL CENTER, BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, BETH ISRAEL DEACONESS HOSPITAL - MILTON, BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH, MOUNT AUBURN HOSPITAL, NEW ENGLAND BAPTIST HOSPITAL AND THESE ENTITIES' PHYSICIAN GROUPS AND OTHER AFFILIATED ENTITIES. CAREGROUP'S PURPOSE IS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES WHICH MAKE UP THE CAREGROUP SYSTEM. CAREGROUP AND SOME OF ITS AFFILIATES JOINTLY BORROW DEBT AS AN OBLIGATED GROUP. THE OBLIGATED GROUP MEMBERS ARE: CAREGROUP, BETH ISRAEL DEACONESS MEDICAL CENTER (MEDICAL CENTER), MOUNT AUBURN HOSPITAL (MAH), NEW ENGLAND BAPTIST HOSPITAL (NEBH), BETH ISRAEL DEACONESS - NEEDHAM (BID-NEEDHAM), MOUNT AUBURN PROFESSIONAL SERVICES (MAPS), MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP (APG), BETH ISRAEL DEACONESS HOSPITAL - MILTON AND BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH. THE INFORMATION REPORTED ON SCHEDULE K FOR BETH ISRAEL DEACONESS MEDICAL CENTER (MEDICAL CENTER) REFLECTS THE COMBINED CAREGROUP OBLIGATED GROUP DEBT ISSUED AFTER DECEMBER 31, 2002 WITH AN OUTSTANDING PRINCIPAL BALANCE IN EXCESS OF $100,000. SCHEDULE K PART III QUESTIONS 2 AND 3: FACILITIES FINANCED WITH TAX-EXEMPT BONDS ARE PRIMARILY OCCUPIED BY CAREGROUP AND ITS AFFILIATED TAX-EXEMPT ENTITIES, INCLUDING BUT NOT LIMITED TO THE MEDICAL CENTER, BID-NEEDHAM, BID-PLYMOUTH, BID-MILTON, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, NEBH, NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, MAH, MAPS AND APG. SOME FINANCED SPACE MAY CONTAIN LEASE ARRANGEMENTS, AND THE AFFILIATES WHICH OWN THE DEBT FINANCED SPACE MAY OPT TO ENGAGE A MANAGEMENT SERVICES COMPANY (I.E. CLEANING, PATIENT TRANSPORT, AND FOOD SERVICES) OR ENGAGE IN RESEARCH PURSUANT TO RESEARCH AGREEMENTS WITHIN TAX EXEMPT DEBT FINANCED SPACE. ANY SUCH AGREEMENTS IN PLACE AS OF SEPTEMBER 30, 2017 WERE REVIEWED TO ENSURE PROPER ACCOUNTING OF ANY PRIVATE USE GENERATED FROM SUCH ACTIVITIES. IN ADDITION, SUCH AGREEMENTS ARE GENERALLY REVIEWED BY INSIDE COUNSEL PRIOR TO FINALIZING. SCHEDULE K, PART 1, COLUMN F - DESCRIPTION OF TAX-EXEMPT DEBT PURPOSE PURPOSES OF CAREGROUP SERIES I BONDS: - REFUNDING THE REMAINING PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE CAREGROUP SERIES B BONDS, A PORTION OF THE CAREGROUP SERIES D BONDS AND ALL OF THE CAREGROUP SERIES E-1 BONDS CREATING AN IRREVOCABLE REFUNDING TRUST DATED MAY 12, 2016. - TO FINANCE AND REFINANCE THE ACQUISITION AND IMPLEMENTATION OF AN INTEGRATED INFORMATION TECHNOLOGY PLATFORM FOR MOUNT AUBURN HOSPITAL - TO FINANCE AND REFINANCE THE ACQUISITION AND INSTALLATION OF CAPITAL EQUIPMENT AND THE CONSTRUCTION OF IMPROVEMENTS AND RENOVATIONS TO MISCELLANEOUS OBLIGATED GROUP FACILITIES PURPOSES OF CAREGROUP SERIES H BONDS: - REFUNDING THE REMAINING PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE MILTON SERIES D BONDS, THE PLYMOUTH SERIES D BONDS, THE PLYMOUTH SERIES E BONDS, AND A PORTION OF THE CAREGROUP SERIES E BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED SEPTEMBER 2, 2015 PURPOSES OF CAREGROUP SERIES G BONDS: - REFUNDING THE REMAINING PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE CAREGROUP SERIES A BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED JULY 1,2012 PURPOSES OF CAREGROUP SERIES F BONDS: - REFUNDING OF A PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE CAREGROUP SERIES A BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED SEPTEMBER 1, 2011 PURPOSES OF CAREGROUP SERIES E BONDS: - TO FINANCE OR REFINANCE VARIOUS RENOVATION AND CONSTRUCTION PROJECTS AND CAPITAL EQUIPMENT ACQUISITIONS FOR THE MEDICAL CENTER - TO FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, FURNISHING AND VARIOUS OTHER CAPITAL ACQUISITIONS FOR MAH'S NEW AND EXPANDED FACILITIES WITH APPROXIMATELY 250,000 SQUARE FEET OF NEW AND RENOVATED SPACE TO INCLUDE: A NEW SIX-STORY ACUTE CARE FACILITY TO SUPPORT ADDITIONAL CRITICAL CARE AND MEDICAL/SURGICAL BEDS, EXPANDED OPERATING ROOMS AND INTERVENTIONAL RADIOLOGY ROOMS AND A NEW PARKING GARAGE - TO FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, FURNISHING AND VARIOUS OTHER CAPITAL ACQUISITIONS FOR NEBH'S MASTER FACILITY PLAN, INCLUDING A NEW ATRIUM OF APPROXIMATELY 2,740 SQUARE FEET, A PRE-OPERATIVE AND POST ANESTHESIA UNIT OF APPROXIMATELY 14, 310 SQUARE FEET, CONSTRUCTION OF A CENTRAL STERILE SUPPLY AREA OF APPROXIMATELY 8,290 SQUARE FEET AND CONSTRUCTION OF NEW OPERATING ROOMS OF APPROXIMATELY 18,615 SQUARE FEET; - TO FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, FURNISHING AND VARIOUS OTHER CAPITAL ACQUISITIONS FOR BID-NEEDHAM'S NEW AND EXPANDED FACILITIES INCLUDING AN APPROXIMATELY 59,000 SQUARE FOOT PROJECT ON TWO FLOORS TO RENOVATE AND EXPAND SERVICES IN THE EMERGENCY DEPARTMENT, INPATIENT UNITS, RADIOLOGY DEPARTMENT AND ASSOCIATED SUPPORT SERVICES; - TO REFINANCE $201,975,000 OF DEBT PREVIOUSLY ISSUED BY MEMBERS OF THE OBLIGATED GROUP, INCLUDING $138,075,000 OF THE CAREGROUP SERIES C BONDS DESCRIBED BELOW. PURPOSES OF CAREGROUP SERIES D BONDS: - REFUNDING OF THE OUTSTANDING PRINCIPAL BALANCE OF THE MAH SERIES B BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED JULY 13, 2004 PURPOSES OF CAREGROUP SERIES C BONDS: - REFUNDING OF THE OUTSTANDING PRINCIPAL BALANCE OF THE BETH ISRAEL HOSPITAL ASSOCIATION SERIES G BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED JULY 13, 2004 SCHEDULE K (1 OF 2) PART II, COLUMN A, LINE 3 THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO THE $6,493 OF INVESTMENT EARNINGS. SCHEDULE K (1 OF 2) PART II, COLUMNS A, B & C, LINE 11 THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW SCHEDULE K (1 OF 2) PART II, COLUMNS D, LINE 11 $8,993,760 OF THE PROCEEDS LISTED WERE USED FOR TERMINATION OF THE HEDGE AGREEMENT, WITH THE REMAINDER BEING REFUNDING PROCEEDS THAT ARE NO LONGER IN ESCROW SCHEDULE K (2 OF 2) PART II, COLUMN A, LINE 2 THE AMOUNT OF BONDS LEGALLY DEFEASED: THE 2015 ISSUE ADVANCE REFUNDED $100,675,000 OF THE 1998 AND 2008 ISSUES. THESE BONDS WILL BE CALLED BY JULY 1, 2018; THE 2016 ISSUE ADVANCED REFUNDED $143,845,000 OF THE E-1 ISSUE. THOSE BONDS WILL BE CALLED BY JULY 1, 2018. SCHEDULE K (2 OF 2) PART II, COLUMN A, LINE 3 THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO THE INVESTMENT EARNINGS ON THE PROJECT FUND. SCHEDULE K (2 OF 2) PART II, COLUMN A, LINE 11 THE OTHER SPENT PROCEEDS ARE THE PROCEEDS USED TO REFUND PRIOR ISSUE(S). THE AMOUNTS ARE NOT LISTED ON LINE 6 BECAUSE THEY ARE NO LONGER IN ESCROW. SCHEDULE K (1 OF 2) PART III, COLUMNS C AND D BOTH THE 2012 AND 2011 ISSUES ARE EXEMPT FROM COMPLETING PART III AS BOTH ISSUES WERE REFUNDINGS OF BONDS ISSUED PRIOR TO DECEMBER 31, 2002. SCHEDULE K (2 OF 2) PART IV, COLUMN A, LINE 2C AN ARBITRAGE REBATE CALCULATION WAS COMPLETED AS OF SEPTEMBER 30, 2012 A MASS HEALTH AND ED FACILITIES AUTH 042456011 57586C3S2 2008-06-09 377527010 SEE PART VI 1 0 0 A 117220000 244520000 378911689 3929290 134556855 213068927 2011 1 0 1 1 A 0 1 1 1 0 0.00200 0.00100 0.00300 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 PART I, LINE 1 & PART III, LINE 1 ORGANIZATION'S MISSION: MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) IS A PHYSICIAN GROUP PRACTICE PROVIDING PATIENT CARE AND TEACHING SERVICES IN THE AREAS OF PRIMARY CARE, OBSTETRICS/GYNECOLOGY, EMERGENCY MEDICINE AND OTHER SPECIALTIES. FORM 990, PART III, LINE 4A - PRIMARY CARE AS A SUPPORT ORGANIZATION TO MOUNT AUBURN HOSPITAL (MAH OR HOSPITAL), A HOSPITAL EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) OF 1986 AS AMENDED, DURING THE FISCAL PERIOD COVERED BY THIS RETURN, MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) PROVIDED DIRECT PATIENT CARE SERVICES THROUGH MORE THAN 180,000 PATIENT ENCOUNTERS WITH A VARIETY OF MEDICAL ISSUES IN THE AREA OF PRIMARY CARE. IN ADDITION, MAPS PROVIDED APPROXIMATELY $240,000 OF FREE CARE TO PATIENTS IN NEED, WHICH IS IN DIRECT FURTHERANCE OF MAPS' EXEMPT PURPOSE OF FURTHERING THE EXEMPT FUNCTIONS OF MAH. MAPS ALSO PROVIDED SUPPORT TO THE MEDICAL EDUCATION AND CLINICAL PROGRAMS OF MAH WHICH IS IN DIRECT FURTHERANCE OF ITS SUPPORT OF MAH'S EXEMPT FUNCTION. FORM 990, PART III, LINE 4B - SPECIALTY CARE AS A SUPPORT ORGANIZATION TO MOUNT AUBURN HOSPITAL (MAH OR HOSPITAL), A HOSPITAL EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) OF 1986 AS AMENDED, DURING THE FISCAL PERIOD COVERED BY THIS RETURN, MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) PROVIDED DIRECT PATIENT CARE SERVICES THROUGH MORE THAN 43,000 PATIENT ENCOUNTERS IN VARIOUS SPECIALTY AREAS INCLUDING EMERGENCY MEDICINE, VASCULAR MEDICINE, NEUROLOGY, RHEUMATOLOGY AND CARDIAC SURGERY. IN ADDITION, MAPS PROVIDED APPROXIMATELY $59,000 OF FREE CARE TO PATIENTS IN NEED, ALL OF WHICH IS IN DIRECT FURTHERANCE OF MAPS' EXEMPT PURPOSE OF FURTHERING THE EXEMPT FUNCTIONS OF MAH. MAPS ALSO PROVIDED SUPPORT TO THE MEDICAL EDUCATION AND CLINICAL PROGRAMS OF MAH WHICH IS IN DIRECT FURTHERANCE OF ITS SUPPORT OF MAH'S EXEMPT FUNCTION. FORM 990, PART III, LINE 4C - OBSTETRICS AND GYNECOLOGY AS A SUPPORT ORGANIZATION TO MOUNT AUBURN HOSPITAL (MAH OR HOSPITAL), A HOSPITAL EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) OF 1986 AS AMENDED, DURING THE FISCAL PERIOD COVERED BY THIS RETURN, MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) PROVIDED DIRECT PATIENT CARE SERVICES THROUGH APPROXIMATELY 70,000 PATIENT ENCOUNTERS IN THE AREA OF OBSTETRICS/GYNECOLOGY. IN ADDITION, MAPS PROVIDED APPROXIMATELY $85,000 OF FREE CARE TO PATIENTS IN NEED, WHICH IS IN DIRECT FURTHERANCE OF MAPS' EXEMPT PURPOSE OF FURTHERING THE EXEMPT FUNCTIONS OF MAH. MAPS ALSO PROVIDED SUPPORT TO THE MEDICAL EDUCATION AND CLINICAL PROGRAMS OF MAH WHICH IS IN DIRECT FURTHERANCE OF ITS SUPPORT OF MAH'S EXEMPT FUNCTION. SECTIONS OF THE MOUNT AUBURN HOSPITAL FORM 990 SCHEDULE H, HOSPITALS, NARRATIVE DISCLOSURES RELATED TO COMMUNITY BENEFIT HAS BEEN INCLUDED IN THESE MOUNT AUBURN PROFESSIONAL SERVICES NARRATIVE TO PROVIDE ADDITIONAL DETAIL. PART IV, QUESTION 12A AUDITED FINANCIAL STATEMENTS AS DESCRIBED IN THIS FILING, MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) IS A PUBLIC CHARITY AND TAX EXEMPT AFFILIATE OF MOUNT AUBURN HOSPITAL, (MAH OR HOSPITAL), A TEACHING HOSPITAL, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THE FINANCIAL RECORDS OF MAPS ARE AUDITED EACH YEAR AS PART OF THE MAH CONSOLIDATED AUDITED FINANCIAL STATEMENT PROCESS AND FOR THE FISCAL PERIOD COVERED BY THIS FILING, THE BOSTON, MA OFFICE OF KPMG ISSUED AND UNQUALIFIED OPINION ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MAH AND AFFILIATES. FORM 990, PART IV, LINE 24A TAX-EXEMPT DEBT AS DESCRIBED IN THIS FORM 990, CAREGROUP, INC., IS AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, IS A SUPPORT ORGANIZATION OF AND SOLE MEMBER OF MOUNT AUBURN HOSPITAL (MAH). MAH IS THE SOLE MEMBER OF MAPS. MAPS IS A MEMBER OF THE CAREGROUP OBLIGATED GROUP AND ITS TAX EXEMPT BOND FINANCING IS ISSUED THROUGH CAREGROUP. THE SCHEDULE K AS INCLUDED IN THIS FORM 990 INCLUDES ALL OF THE CAREGROUP OBLIGATED GROUP OUTSTANDING DEBT FOR BONDS ISSUED AFTER DECEMBER 31, 2002 NONE OF WHICH IS SPECIFICALLY ALLOCABLE TO AND REPORTED ON THE BALANCE SHEET OF MAPS. FORM 990, PART IV, QUESTION 24B INVESTMENT OF TAX-EXEMPT BOND PROCEEDS BEYOND THE TEMPORARY PERIOD EXCEPTION PROCEEDS IN THE PROJECT FUND WERE UNEXPECTEDLY HELD BEYOND THE THREE-YEAR TEMPORARY PERIOD, BUT WERE YIELD RESTRICTED IN COMPLIANCE WITH FEDERAL TAX REQUIREMENTS. PART V, QUESTION 7G CONTRIBUTIONS OF INTELLECTUAL PROPERTY MAPS DID NOT RECEIVE ANY CONTRIBUTIONS OF INTELLECTUAL PROPERTY AND AS SUCH, WAS NOT REQUIRED TO FILE FORM 8899. PART V QUESTION 7H CONTRIBUTIONS OF CARS, BOATS, AIRPLANES, AND OTHER VEHICLES MAPS DID NOT RECEIVE ANY CONTRIBUTIONS OF CARS, BOATS, AIRPLANES OR OTHER VEHICLES AND AS SUCH, WAS NOT REQUIRED TO FILE FORM 1098-C. FORM 990, PART VI, SECTION A, LINE 2 FAMILY AND BUSINESS RELATIONSHIPS AS NOTED IN VARIOUS NARRATIVE DISCLOSURES WHICH SUPPORT THIS FORM 990 AND RELATED SCHEDULES, 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 OF THE MEDICAL CENTER. THE MEDICAL CENTER IS THE SOLE MEMBER OF BID-NEEDHAM, APG, BID-MILTON, BID-PLYMOUTH AND JORDAN HEALTH SYSTEMS, INC. (JHSI). IN ADDITION, 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 OF NEW ENGLAND BAPTIST HOSPITAL (NEBH) AND MOUNT AUBURN HOSPITAL (MAH). IN TURN, NEBH SERVES AS THE SOLE MEMBER OF NEW ENGLAND BAPTIST MEDICAL ASSOCIATES (NEBMA) AND MAH SERVES AS THE SOLE MEMBER OF MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) AND CAREGROUP PARMENTER HOME CARE & HOSPICE, INC.. 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 AN EMPLOYMENT RELATIONSHIP WITH ONE OR MORE ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATED ORGANIZATIONS. ADDITIONAL DETAIL IS PROVIDED IN THE EXPLANATORY NOTES TO THIS FORM 990 SCHEDULE J. FORM 990, PART VI, SECTION A, LINE 6 EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDER MOUNT AUBURN HOSPITAL INC. (MAH) IS A REGIONAL TEACHING HOSPITAL CLOSELY AFFILIATED WITH THE HARVARD MEDICAL SCHOOL WITH A MISSION TO IMPROVE THE HEALTH OF THE RESIDENTS OF CAMBRIDGE, MASSACHUSETTS AND THE SURROUNDING COMMUNITIES. MAH IS DEDICATED TO DELIVERING HIGH QUALITY HEALTHCARE SERVICES IN A PERSONABLE, CONVENIENT, AND COMPASSIONATE MANNER, WITH RESPECT FOR THE DIGNITY OF PATIENTS AND THEIR FAMILIES. MAH IS A HOSPITAL EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AS AMENDED, AND ACTING THROUGH ITS BOARD OF TRUSTEES, IS THE SOLE MEMBER OF MOUNT AUBURN PROFESSIONAL SERVICES. FORM 990, PART VI, SECTION A, LINE 7A HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY AS NOTED ABOVE, MOUNT AUBURN HOSPITAL INC. (MAH) IS THE SOLE MEMBER OF MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) AND THE MEMBER ELECTS A BOARD OF TRUSTEES TO SERVE AS THE GOVERNING BODY OF THE CORPORATION OF MAPS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY APPROVAL BY MEMBERS OR SHAREHOLDERS ACCORDING TO THE MAPS' BYLAWS, AS SOLE MEMBER, MAH HAS THE FOLLOWING RIGHTS: - ESTABLISHMENT OR MODIFICATION OF COMPENSATION OF OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER, IF ANY, OR PRESIDENT OF THE CORPORATION; - ENTERING INTO OF CONTRACTS WHICH BIND THE CORPORATION AND WHICH ARE MANAGED CARE CONTRACTS, EXCLUSIVE CONTRACTS, AGREEMENTS-NOT-TO-COMPETE OR USE SIMILAR ARRANGEMENTS, CONTRACTS FOR MANAGEMENT SERVICES OR OTHER MULTI-YEAR SERVICE CONTRACTS WITH POTENTIALLY SIGNIFICANT MULTI-YEAR BUDGETARY IMPACT; - ADOPTION OF A MISSION STATEMENT AND STRATEGIC, FINANCIAL AND OPERATIONAL PLAN FOR THE CORPORATION; - ADOPTION OF AN ANNUAL OPERATING BUDGET AND ALL CAPITAL BUDGETS; THE BORROWING OF, OR INCIDENCE OF DEBT IN, ANY AMOUNT OTHER THAN (I) FOR PURPOSE OF SECURING WORKING CAPITAL FROM A LENDER WHICH SHALL HAVE BEEN APPROVED BY THE MEMBER AND PURSUANT TO THEN EXISTING AND PROVISIONS RELATING TO SUCH BORROWING WHICH SHALL HAVE BEEN APPROVED BY THE MEMBER, AND (II) DEBT INCURRED IN THE ORDINARY COURSE OF BUSINESS WHICH IS ANTICIPATED IN AND CONSISTENT WITH THE ANNUAL OPERATING BUDGET OR A CAPITAL BUDGET WHICH SHALL HAVE BEEN APPROVED BY THE MEMBER FOR THE YEAR IN WHICH INCURRED; - ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE CORPORATION, THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS, THE CREATION, ACQUISITION OR DISPOSAL OF ANY SUBSIDIARY OR AFFILIATED CORPORATION OR THE ADDITION OR ELIMINATION OF ANY CLINICAL DEPARTMENT OR PROGRAM, WHICH DEPARTMENT OR PROGRAM COULD REASONABLY BE ANTICIPATED WOULD MATERIALLY AFFECT THE FINANCIAL STATUS OF THE CORPORATION, OR ITS ABILITY TO CONDUCT ITS BUSINESS, OR THE ENTERING INTO OF ANY JOINT VENTURE OR OTHER PARTNERSHIP ARRANGEMENTS BY THE ENTITY; AND, - INITIATION OF ANY BANKRUPTCY OR INSOLVENCY ACTION ON BEHALF OF THE CORPORATION OR ANY SUBSIDIARY THEREOF. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER OF MOUNT AUBURN HOSPITAL (MAH) AND THE TAX DIRECTOR OF CAREGROUP, WHICH IS THE MEMBER OF MAH. DELOITTE TAX, LLP ALSO REVIEWS AND SIGNS THE RETURN. THE COMPLETE FORM 990 IS PRESENTED TO THE AUDIT COMMITTEE OF MAH FOR REVIEW AND DISCUSSION. A COPY OF THE COMPLETE RETURN IS THEN PROVIDED TO EACH MEMBER OF THE MAPS BOARD OF TRUSTEES PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C AS NOTED ABOVE, MOUNT AUBURN HOSPITAL (MAH) IS THE SOLE MEMBER OF MOUNT AUBURN PROFESSIONAL SERVICES (MAPS). MAH HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO BOTH MAH AND MAPS. PURSUANT TO THAT POLICY, ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES OF BOTH ENTITIES ARE ASKED TO COMPLETE AN ANNUAL CONFLICT DISCLOSURE STATEMENT WHICH IS DESIGNED TO REQUIRE DISCLOSURE OF ANY BUSINESS RELATIONSHIPS MAINTAINED BY OFFICERS, TRUSTEES OR KEY EMPLOYEES AND THEIR FAMILY MEMBERS WHICH MAY RESULT IN A CONFLICT OF INTEREST. IN ADDITION, ANY INDIVIDUAL WHO COMMENCES A TERM AS AN OFFICER, DIRECTOR, TRUSTEE OR KEY EMPLOYEE IS REQUIRED TO COMPLETE THE ANNUAL CONFLICT DISCLOSURE AT THE TIME SUCH POSITION COMMENCES. ALL ANNUAL DISCLOSURES ARE REVIEWED BY THE MAH OFFICE OF GENERAL COUNSEL FOR DETERMINATION OF ANY POTENTIAL OR ACTUAL CONFLICT AND ANY ACTIVITY THAT REQUIRES ACTION UNDER THE CONFLICT OF INTEREST POLICY IS SUBJECT TO ONGOING REVIEW AND ACTION THROUGH THE GENERAL COUNSEL'S OFFICE. PURSUANT TO THE 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. CAREGROUP, INC. IS THE SOLE MEMBER OF MAH. IN ADDITION TO THE CONFLICT OF INTEREST PROCESS OUTLINED ABOVE, THE MAH OFFICE OF THE GENERAL COUNSEL AND THE CAREGROUP TAX DEPARTMENT JOINTLY ISSUE A TAX QUESTIONNAIRE TO ALL CURRENT AND FORMER MEMBERS OF THE BOARD OF TRUSTEES AS WELL AS CURRENT AND FORMER OFFICERS AND KEY EMPLOYEES. THE TAX QUESTIONNAIRE IS DESIGNED TO GATHER THE INFORMATION NECESSARY FOR MAH 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 COMPENSATION REVIEW & APPROVAL PROCESS FOR OFFICERS & KEY EMPLOYEES AS PREVIOUSLY NOTED, MOUNT AUBURN HOSPITAL (MAH OR HOSPITAL) IS THE SOLE MEMBER OF MAPS. MOUNT AUBURN HOSPITAL (MAH) HAS A COMPENSATION COMMITTEE (THE "COMMITTEE") THAT IS COMPRISED OF FOUR MEMBERS OF THE BOARD OF TRUSTEES OF THE HOSPITAL. THE MAH CEO, WHO ALSO SERVES AS MAPS' CEO, ALSO ATTENDS COMMITTEE MEETINGS, OTHER THAN WITH RESPECT TO THE CEO'S COMPENSATION, WITHOUT VOTING RIGHTS. ALL OTHER MEMBERS OF THE COMMITTEE ARE INDEPENDENT. THE COMMITTEE OPERATES TO FULFILL THE FOLLOWING RESPONSIBILITIES: - TO REVIEW AND APPROVE THE TOTAL COMPENSATION OF EACH MEMBER OF THE HOSPITAL'S SENIOR MANAGEMENT TEAM SO AS TO ENSURE THAT SUCH COMPENSATION REMAINS COMPETITIVE IN THE MARKETPLACE, REPRESENTS GOOD VALUE TO THE HOSPITAL FOR THE QUALITY AND QUANTITY OF SERVICES PROVIDED AND CONSTITUTES REASONABLE TOTAL COMPENSATION TO THE EMPLOYEE IN LIGHT OF THE EMPLOYEE'S POSITION, RESPONSIBILITIES, QUALIFICATIONS AND PERFORMANCE IN ACCORDANCE WITH INTERNAL AND EXTERNAL REASONABLE COMPENSATION STANDARDS APPLICABLE TO THIS TAX EXEMPT HOSPITAL; - TO RECOMMEND TO THE BOARD OF TRUSTEES THE TERMS AND CONDITIONS OF ANY EMPLOYMENT AGREEMENTS BETWEEN THE HOSPITAL AND ITS PRESIDENT/CHIEF EXECUTIVE OFFICER INCLUDING BASE SALARIES, INCENTIVE COMPENSATION, SUPPLEMENTAL EMPLOYEE RETIREMENT PLANS, BENEFITS AND OTHER LAWFUL METHODS OF REASONABLE COMPENSATION; - TO RECOMMEND TO THE BOARD OF TRUSTEES FOR THE BOARD'S APPROVAL THE TERMS AND CONDITIONS OF ANY SUPPLEMENTAL EMPLOYEE RETIREMENT PLANS FOR HOSPITAL EXECUTIVES; - TO REVIEW AND APPROVE THOSE PORTIONS OF THE FEDERAL FORM 990 AND THE MASSACHUSETTS FORM PC, OR THEIR EQUIVALENTS, PERTAINING TO THE COMPENSATION OF HOSPITAL EMPLOYEES PRIOR TO THE HOSPITAL'S FILING OF SUCH FORMS WITH THE REGULATORY AUTHORITIES; - AS DETERMINED TO BE ADVISABLE BY THE COMMITTEE FROM TIME TO TIME, TO ENGAGE OUTSIDE COMPENSATION CONSULTANTS AND LEGAL AND OTHER ADVISORS TO PROVIDE TO THE COMMITTEE APPROPRIATE AND RELIABLE COMPARABLE COMPENSATION DATA FOR SIMILARLY SITUATED EMPLOYEES OF NATIONAL, REGIONAL AND LOCAL PEER INSTITUTIONS AND OTHER EXPERT ADVICE TO ASSIST THE COMMITTEE IN FULFILLING ITS RESPONSIBILITIES; - TO WORK WITH THE HOSPITAL'S MANAGEMENT AND AUDITORS TO RESOLVE, OR TO RECOMMEND TO THE BOARD OF TRUSTEES RESOLUTION OF, ANY ISSUES OF CONCERN PERTAINING TO THE COMPENSATION OF HOSPITAL EMPLOYEES THAT MAY ARISE DURING THE COURSE OF THE HOSPITAL'S INDEPENDENT AUDIT OR MAY BE PRESENTED IN THE INDEPENDENT AUDITOR'S MANAGEMENT LETTER TO THE HOSPITAL; - TO REVIEW AND APPROVE EMPLOYEE BENEFITS PROGRAMS INCLUDING WELFARE, FRINGE AND RETIREMENT PLANS AND PROGRAMS, AND ANY MATERIAL AMENDMENTS THERETO; - TO ADOPT SUCH POLICIES AND PROCEDURES AS THE COMMITTEE MAY DETERMINE FROM TIME TO TIME TO BE NECESSARY OR USEFUL TO ENSURE THAT THE HOSPITAL PAYS REASONABLE AND COMPETITIVE COMPENSATION TO ITS MANAGEMENT TEAM WHILE PRESERVING THE TAX EXEMPT STATUS OF THE HOSPITAL; AND - TO REVIEW AND REASSESS THE COMMITTEE'S CHARTER FROM TIME TO TIME AND TO RECOMMEND ANY PROPOSED CHANGES TO THE HOSPITAL'S BOARD OF TRUSTEES FOR ITS CONSIDERATION AND APPROVAL. THE COMMITTEE MEETS PERIODICALLY DURING THE YEAR TO REVIEW AND APPROVE INDIVIDUAL PERFORMANCE GOALS FOR MANAGEMENT AND THE CEO, TO REVIEW PERFORMANCE AGAINST SUCH GOALS, TO APPROVE INCENTIVE COMPENSATION PAYMENTS TO MANAGEMENT, TO RECOMMEND COMPENSATION PAYMENTS TO THE CEO FOR APPROVAL BY THE TRUSTEES AND TO APPROVE SALARY ADJUSTMENTS FOR THE NEXT YEAR. FURTHER, THE COMMITTEE WILL ADDRESS AS REQUIRED ANY CHANGES IN INDIVIDUAL OR GROUP COMPENSATION ARRANGEMENTS AT SUCH MEETINGS. THE COMMITTEE UNDERSTANDS THAT ONE OF ITS CORE RESPONSIBILITIES IS TO ENSURE THAT THE TOTAL COMPENSATION PROVIDED TO THESE INDIVIDUALS IS FAIR AND REASONABLE USING CURRENT AND CREDIBLE MARKET PRACTICE INFORMATION AND THAT ALL ARRANGEMENTS COMPLY WITH APPLICABLE LEGAL AND REGULATORY GUIDELINES. THE COMPENSATION COMMITTEE HAS HISTORICALLY RELIED UPON GUIDANCE OUTLINED IN WRITTEN COMPENSATION SURVEYS/STUDIES PRODUCED UNDER AN ARRANGEMENT WITH AN INDEPENDENT COMPENSATION CONSULTING FIRM THAT REGULARLY ASSESSES EXECUTIVE COMPENSATION AND BENEFITS OF ORGANIZATIONS SIMILAR TO MAH. THE COMMITTEE HAS HISTORICALLY HAD A FULL STUDY CONDUCTED BY SUCH FIRM EVERY OTHER YEAR WITH AN UPDATED STUDY IN THE OTHER YEARS. THIS SURVEY HAS FORMED THE BASIS FOR THE COMMITTEE FULFILLING ITS RESPONSIBILITY IN THIS REGARD. FOR THE PERIODS COVERED IN THIS FORM 990, THE COMMITTEE MET TO REVIEW THE COMPENSATION OF EACH OF THE INDIVIDUALS DESCRIBED ABOVE. TOOLS UTILIZED FOR THIS REVIEW INCLUDED THE COMPENSATION STUDY PREPARED BY THE INDEPENDENT COMPENSATION CONSULTING FIRM CONTRACTED BY THE COMMITTEE. FURTHER, PERFORMANCE OF EACH INDIVIDUAL WAS MEASURED AGAINST PREVIOUSLY APPROVED GOALS AND OBJECTIVES IN DETERMINING INCENTIVE COMPENSATION PAYMENTS. AFTER DISCUSSION AND ANALYSIS, THE COMPENSATION COMMITTEE VOTED TO APPROVE THE COMPENSATION ARRANGEMENTS OF ALL INDIVIDUALS DESCRIBED ABOVE EXCEPT FOR THE CEO. IN A SEPARATE MEETING AT WHICH THE CEO WAS NOT PRESENT, THE COMPENSATION COMMITTEE DISCUSSED THE COMPENSATION OF THE CEO AND THE PERFORMANCE OF THE CEO AGAINST PREVIOUSLY APPROVED GOALS AND OBJECTIVES. WITH THE INPUT OF THE COMPENSATION STUDY, THE COMMITTEE VOTED TO RECOMMEND FOR APPROVAL BY THE BOARD OF TRUSTEES THE COMPENSATION ARRANGEMENT OF THE CEO. AT A SUBSEQUENT MEETING OF THE BOARD OF TRUSTEES OF THE HOSPITAL, FROM WHICH ALL TRUSTEES IN THE EMPLOY OF THE HOSPITAL WERE EXCUSED, THE COMMITTEE CHAIRMAN MADE A FULL REPORT TO THE INDEPENDENT TRUSTEES OF THE COMMITTEES ANALYSIS OF CEO COMPENSATION AND AFTER DISCUSSION RECOMMENDED THAT THE TRUSTEES APPROVE THE CEO COMPENSATION. THE TRUSTEES VOTED AND APPROVED THE COMPENSATION. ALL DELIBERATIONS WERE CONTEMPORANEOUSLY DOCUMENTED IN MINUTES. THE COMPENSATION OF THE MAH CEO WAS THEN ALSO REPORTED TO THE CAREGROUP EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST AT THE FOLLOWING LOCATION: MOUNT AUBURN HOSPITAL OFFICES 330 MOUNT AUBURN ST CAMBRIDGE, MA 02138 FORM 990, PART XI, LINE 9: TRANSFER FROM MOUNT AUBURN HOSPITAL 26,384,006. PART XII QUESTION 2B AND 2C FINANCIAL STATEMENTS AND COMMITTEE OVERSIGHT AS PREVIOUSLY REPORTED IN THIS FILING, MOUNT AUBURN PROFESSIONAL SERVICES(MAPS) IS A PUBLIC CHARITY AND TAX EXEMPT AFFILIATE OF MOUNT AUBURN HOSPITAL, (MAH), A REGIONAL TEACHING HOSPITAL, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THE FINANCIAL RECORDS OF MAPS ARE AUDITED EACH YEAR AS PART OF THE MAH CONSOLIDATED AUDITED FINANCIAL STATEMENT PROCESS AND FOR THE FISCAL PERIOD COVERED BY THIS FILING, THE AUDIT WAS PREPARED AND SIGNED BY THE BOSTON, MA OFFICE OF KPMG. THIS PROCESS IS MONITORED AND REVIEWED INTERNALLY BY THE MAH AUDIT COMMITTEE. SCHEDULE L PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS 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. MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) MAINTAINS AN ACCOUNTABLE BUSINESS EXPENSE REIMBURSEMENT PLAN. FROM TIME TO TIME, MAPS 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 $10,000 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 MAPS CONFLICT OF INTEREST POLICY AND REFLECT FAIR MARKET PAYMENTS AND RATES. 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 12A, I HMFP AT BIDMC 0 BI ANAESTHESIA FOUNDATION INC 330 BROOKLINE AVE BOSTON MA 02215 042997215 SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 12A, I HMFP AT BIDMC 0 BI COMMUNITY FOUNDATION INC 330 BROOKLINE AVE BOSTON MA 02215 042776678 INACTIVE CORPORATION MA 501(C)(3) LINE 7 N/A 0 BI DEACONESS DEPARTMENT OF MEDICINE FOUNDATION INC 330 BROOKLINE AVE BOSTON MA 02215 043079630 SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 12A, I HMFP AT BIDMC 0 BI DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION INC 330 BROOKLINE AVE BOSTON MA 02215 208253452 SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 12A, I HMFP AT BIDMC 0 BI DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION INC 330 BROOKLINE AVE BOSTON MA 02215 043030397 SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 12A, I HMFP AT BIDMC 0 BI DEACONESS DEPARTMENT OF ORTHOPAEDIC SURGERY FOUNDATION INC 330 BROOKLINE AVE BOSTON MA 02215 204974585 SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 12A, I HMFP AT BIDMC 0 BI DEACONESS DEPARTMENT OF SURGERY FOUNDATION INC 110 FRANCIS STREET BOSTON MA 02215 020671240 SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 12A, 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. 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