2017-08-14T15:59:58-05:00 2016-09-30 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2015-10-01 320058309 ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC INC ASSO 6176329744 375 LONGWOOD AVENUE NO 3RD FL BOSTON MA 02215 ALEXANDRA KIMBALL PRESIDENT 6176329744 2017-08-13 0 CHRISTINE KAWECKI P00743140 5169187000 2017-08-10 2015 2021-01-29 14:40:06Z ALEXA B KIMBALL MD MPH 375 LONGWOOD AVENUE NO 3RD FL BOSTON MA 02215 76940216 0 X N/A X 2003 MA SEE SCHEDULE O. 3 0 285 0 180 -7135 0 0 56935348 76690171 211700 250045 0 0 57147048 76940216 5250 1250 0 0 51574843 63868887 0 0 0 6237405 12623929 57817498 76494066 -670450 446150 14096620 13362743 6767612 5498820 7329008 7863923 X SEE SCHEDULE O. 0 0 32630565 1250 33716649 SEE SCHEDULE O 440944 407814 SEE SCHEDULE O 42126099 42565708 SEE SCHEDULE O 75197608 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 1 285 1 1 1 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 0 MA X AMY GUAY 6176677000 375 LONGWOOD AVENUE BOSTON MA 02215 X GRAB EDWARD DIRECTOR, TREASURER & CLERK 3.00 62.00 X X 0 576838 79170 GUAY AMY DIRECTOR, TREASURER AND CLERK 3.00 57.00 X X 0 436188 54782 KIMBALL MD MPH ALEXA B DIRECTOR (EX-OFF) & PRESIDENT 2.00 63.00 X X 0 0 0 ROSENBERG MD STUART A DIRECTOR (EX-OFF) & PRESIDENT 2.00 63.00 X X 0 1004900 68431 WOLFE MD RICHARD E DIRECTOR 1.00 64.00 X 0 570950 50544 ALMACARI GEORGES ORTHOPEDIC SURGEON 60.00 0.00 X 510358 0 28738 ARMITAGE MD MARSHAL ORTHOPEDIC SURGEON, APG 1.00 59.00 X 699725 0 42240 JAMES DO SCOTT VASCULAR SURGEON 1.00 59.00 X 749716 0 26740 MANDEL MD SCOTT ORTHOPEDIC SURGEON, APG 1.00 59.00 X 661532 0 53982 MULROY MD RICHARD ORTHOPEDIC SURGEON, APG 1.00 59.00 X 689043 0 54982 3310374 2588876 459609 170 0 1 0 LOGIXHEALTH INC 8 OAK PARK DRIVE BEDFORD MA 01730 PROFESSIONAL BILLING SERVICES 2138816 MEDICUS 22 ROULSTON RD WINDHAM NH 03087 STAFFING SERVICES; LOCUM TENENS 395459 SOUTHCOAST HOSPITALS GROUP 200 MILL ROAD SUITE 230 FAIRHAVEN MA 02719 CONTRACTED PHYSICIAN SERVICES 129236 3 PROGRAM SERVICE REV 900099 39951895 39951895 OTHER MEDICAL SERVICES 611710 36440681 36440681 RESEARCH REVENUE 541700 297595 297595 76690171 14055 -1801 15856 235990 0 235990 235990 1981 234009 76940216 76690171 180 249865 1250 1250 53244502 53244502 4520213 4520213 3466843 3466843 2637329 2637329 1128459 1128459 18624 18624 9011 9011 5409446 5380330 29116 109763 109763 121546 121546 40680 40680 29526 29526 1439944 1439944 BILLING FEES 2429142 2429142 PHYSICIAN FEES 708410 708410 DEPT/DIVISIONAL EXPENSE 414266 414266 DUES AND LICENSES 283595 283595 481517 480032 1485 76494066 75197608 1296458 0 4575049 727741 4763095 7523788 36975 33400 33400 0 0 4758476 5074239 14096620 13362743 3923475 4252240 59652 2844137 1186928 6767612 5498820 X 7329008 7863923 7329008 7863923 14096620 13362743 446150 88765 0 X X 0 1 X 1 0 X X 1 HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER 222768204 1 1 2572086 0 1 2572086 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART IV, SECTION B, QUESTION 1 AS IT PERTAINS TO APHMFP, HMFP IS THE SOLE MEMBER OF AND HAS THE RIGHT TO CONTROL ACTIVITIES OF APHMFP. AS THE SOLE MEMBER, HMFP EXERCISES A SUBSTANTIAL DEGREE OF CONTROL OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF APHMFP. THE CEO & PRESIDENT OF HMFP LEADS APHMFP AND SERVES AS A MEMBER OF THE BOARD OF DIRECTORS FOR APHMFP. 0 0 0 0 0 0 0 0 1 0 PART II-B, LINE 1: BIDMC, ONE OF THE ENTITIES RELATED TO APHMFP MAY HAVE ENGAGED IN SOME LOBBYING EFFORTS ON BEHALF OF THIS ENTITY AND OTHER AFFILIATED NETWORK ENTITIES. ADDITIONALLY, APHMFP MAY PAY DUES TO CERTAIN MEMBERSHIP ORGANIZATIONS, A PIECE OF WHICH MAY BE USED BY SUCH ORGANIZATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THIS INSTITUTION AND OTHER SIMILARLY SITUATED ORGANIZATIONS. TOTAL LOBBYING EXPENSES ON BEHALF OF APHMFP WERE MINIMAL AND NOT SUBSTANTIAL BASED UPON REVENUES. 33400 33400 0 0 CAREGROUP INVESTMENT PARTNERSHIP 5074239 F 5074239 PROFESSIONAL LIABILITY 1186928 1186928 X 571478000 88765 494449019 494537784 76940216 0 76940216 559052000 482557934 482557934 76494066 0 76494066 PART X, LINE 2: THE TEXT OF THE FOOTNOTE TO THE CONSOLIDATED FINANCIAL STATEMENTS THAT ADDRESSES THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS IS AS FOLLOWS: THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. HMFP DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2016 OR 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED AFFILIATES REVENUE NET OF ELIMINATIONS 494,449,019. PART XII, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED AFFILIATES EXPENSES NET OF ELIMINATIONS 482,557,934. CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTMENTS 1043409 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 4256 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 123997 NORTH AMERICA 0 0 INVESTMENTS 35146 SOUTH AMERICA 0 0 INVESTMENTS 9386 0 0 0 0 0 0 1216194 0 1216194 1 0 1 1 1 0 SCHEDULE F PART IV, QUESTION 1 ALTHOUGH APHMFP WAS AN INDIRECT TRANSFEROR OF FUNDS TO A FOREIGN CORPORATION DURING THE PERIOD COVERED BY THIS FILING, SUCH TRANSFER DID NOT RESULT IN AN OBLIGATION TO FILE FORM 926, RETURN OF A U.S. TRANSFEROR OF PROPERTY TO A FOREIGN CORPORATION. SCHEDULE F PART IV QUESTION 3 ALTHOUGH APHMFP HAD AN INDIRECT OWNERSHIP INTEREST IN A FOREIGN CORPORATION DURING THE TAX YEAR, IT DID NOT MEET ANY OF THE FIVE CATEGORIES OF REQUIRED FILER AND AS SUCH WAS NOT REQUIRED TO FILE FORM 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS. SCHEDULE F PART IV QUESTION 4 ALTHOUGH APHMFP WAS AN INDIRECT SHAREHOLDER OF A PASSIVE FOREIGN INVESTMENT COMPANY OR QUALIFIED ELECTING FUND DURING THE PERIOD COVERED BY THIS FILING, BIDMC WAS NOT REQUIRED TO FILE FORM 8621, INFORMATION RETURNS BY A SHAREHOLDER OF A PASSIVE FOREIGN INVESTMENT COMPANY OR QUALIFIED ELECTING FUND. SCHEDULE F PART IV QUESTION 5 ALTHOUGH APHMFP HELD AN INDIRECT OWNERSHIP INTEREST IN A FOREIGN PARTNERSHIP DURING THE TAX YEAR, THE INTEREST DID NOT RESULT IN AN OBLIGATION TO FILE FORM 8865, RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS. 1 0 1 0 0 0 0 0 1 0 GRAB EDWARD DIRECTOR, TREASURER & CLERK 0 493188 0 74870 0 8780 0 49688 0 29482 0 656008 0 0 GUAY AMY DIRECTOR, TREASURER AND CLERK 0 371779 0 56478 0 7931 0 26500 0 28282 0 490970 0 0 ROSENBERG MD STUART A DIRECTOR (EX-OFF) & PRESIDENT 0 751425 0 231282 0 22193 0 49687 0 18744 0 1073331 0 0 WOLFE MD RICHARD E DIRECTOR 0 556096 0 0 0 14854 0 31800 0 18744 0 621494 0 0 ALMACARI GEORGES ORTHOPEDIC SURGEON 335061 0 169167 0 6130 0 26499 0 2239 0 539096 0 0 0 ARMITAGE MD MARSHAL ORTHOPEDIC SURGEON, APG 615544 0 80277 0 3904 0 26500 0 15740 0 741965 0 0 0 JAMES DO SCOTT VASCULAR SURGEON 577902 0 162570 0 9244 0 26500 0 240 0 776456 0 0 0 MANDEL MD SCOTT ORTHOPEDIC SURGEON, APG 571213 0 85907 0 4412 0 26500 0 27482 0 715514 0 0 0 MULROY MD RICHARD ORTHOPEDIC SURGEON, APG 645002 0 32250 0 11791 0 26500 0 28482 0 744025 0 0 0 PART I, LINE 4B AS REQUIRED BY THIS FORM 990, SCHEDULE J, COMPENSATION INFORMATION, THE COMPENSATION DETAIL INCLUDED IN THE FOUNDATION'S FORM 990 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2016 IS CALENDAR YEAR 2015 DETAIL. DURING THE 2015 CALENDAR YEAR, ONE OR MORE CURRENT OR FORMER APHMFP OFFICERS, DIRECTORS/TRUSTEES OR KEY EMPLOYEES REPORTED IN PART VII AND ON THIS SCHEDULE J PARTICIPATED IN A RETIREMENT INCENTIVE PLAN ESTABLISHED BY THE HMFP BOARD OF DIRECTORS IN 2012. HMFP IS THE SOLE MEMBER OF APHMFP. THAT PLAN, UNDER THE DEFINITIONS TO THIS FORM 990, IS CONSIDERED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW. PART I, LINE 7 AS PREVIOUSLY NOTED IN THIS FILING, HMFP IS THE SOLE MEMBER OF APHMFP. HMFP'S EXECUTIVE COMPENSATION PACKAGES INCLUDE OPPORTUNITIES TO EARN INCENTIVE COMPENSATION BASED ON MEETING INDIVIDUAL GOALS AND OBJECTIVES. THE INCENTIVE COMPENSATION FOR EACH EXECUTIVE IS REVIEWED AND APPROVED BY HMFP'S COMPENSATION COMMITTEE, WHICH AS PREVIOUSLY NOTED, IS FULLY STAFFED BY INDEPENDENT MEMBERS. APHMFP 2015 FORM 990 SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES: REPORTABLE COMPENSATION LISTED IN FORM 990 PART VII INCLUDES BASE COMPENSATION, INCENTIVE COMPENSATION AND OTHER REPORTABLE COMPENSATION AS REPORTED IN FORM 990 SCHEDULE J. OTHER COMPENSATION LISTED IN FORM 990 PART VII INCLUDES DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS AS REPORTED IN FORM 990 SCHEDULE J. 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. ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 PART VII AND FORM 990 SCHEDULE J AS APHMFP. IN ADDITION, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER AND BETH ISRAEL DEACONESS MEDICAL CENTER MAY BE REFERRED TO AS HMFP AND BIDMC RESPECTIVELY. GRAB, EDWARD DIRECTOR, TREASURER AND CLERK - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER TREASURER, EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO), TREASURER AND CLERK - LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. MR. GRAB RESIGNED ON JANUARY 19, 2016. MR. GRAB DEVOTED, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 493,188 INCENTIVE COMPENSATION: 74,870 OTHER REPORTABLE COMPENSATION: 8,780 DEFERRED COMPENSATION: 49,688 NON-TAXABLE BENEFITS: 29,482 GUAY, AMY DIRECTOR, TREASURER AND CLERK - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER TREASURER, CHIEF FINANCIAL OFFICER AND VP OF FINANCE - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MS. GUAY'S TERM AS HMFP TREASURER AND AS DIRECTOR, TREASURER AND CLERK ON THE APHMFP BOARD BEGAN JULY 28, 2016. MS. GUAY DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 371,779 INCENTIVE COMPENSATION: 56,478 OTHER REPORTABLE COMPENSATION: 7,931 DEFERRED COMPENSATION: 26,500 NON-TAXABLE BENEFITS: 28,282 KIMBALL, M.D., MPH, ALEXA B. PRESIDENT AND DIRECTOR (EX-OFFICIO) - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT, CHIEF EXECUTIVE OFFICER AND DIRECTOR (EX-OFFICIO) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND DIRECTOR (EX-OFFICIO) - LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF EMERGENCY MEDICINE FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF ORTHOPAEDIC SURGERY FOUNDATION DIRECTOR (EX-OFFICIO) - CONTINUING EDUCATION PROGRAM, INC. D/B/A BETH ISRAEL DEACONESS DEPARTMENT OF PSYCHIATRY FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION DIRECTOR (EX-OFFICIO) - MEDICAL CARE OF BOSTON MANAGEMENT CORP., D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP PROFESSOR OF DERMATOLOGY - HARVARD MEDICAL SCHOOL DR. KIMBALL'S POSITIONS LISTED ABOVE BEGAN ON SEPTEMBER 1, 2016. FOR THE PERIOD COVERED BY THIS FILING AND AFTER DR. KIMBALL COMMENCED THESE ROLES, SHE DEVOTED, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. ROSENBERG, M.D., STUART A. PRESIDENT AND DIRECTOR (EX-OFFICIO) - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO), PRESIDENT AND CHIEF EXECUTIVE OFFICER - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND DIRECTOR (EX-OFFICIO) - LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF EMERGENCY MEDICINE FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF ORTHOPAEDIC SURGERY FOUNDATION DIRECTOR (EX-OFFICIO) - CONTINUING EDUCATION PROGRAM, INC. D/B/A BETH ISRAEL DEACONESS DEPARTMENT OF PSYCHIATRY FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION DIRECTOR (EX-OFFICIO) - MEDICAL CARE OF BOSTON MANAGEMENT CORP., D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL - MILTON DIRECTOR - MILTON HOSPITAL FOUNDATION DIRECTOR - COMMUNITY PHYSICIANS ASSOCIATES SENIOR LECTURER ON MEDICINE - HARVARD MEDICAL SCHOOL DR. ROSENBERG RETIRED ON SEPTEMBER 1, 2016. DR. ROSENBERG DEVOTED, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 751,425 INCENTIVE COMPENSATION: 231,282 OTHER REPORTABLE COMPENSATION: 22,193 DEFERRED COMPENSATION: 49,687 NON-TAXABLE BENEFITS: 18,744 INCENTIVE COMPENSATION REPORTED FOR THE 2015 CALENDAR YEAR INCLUDES A PAYMENT IN 2015 IN THE AMOUNT OF $80,000 PURSUANT TO A RETENTION INCENTIVE PLAN ESTABLISHED BY HMFP'S BOARD OF DIRECTORS IN 2012. AS REQUIRED BY THIS FORM 990, THIS INCENTIVE PAYMENT WAS REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. SCHEDULE J EXPLANATORY FOOTNOTES (CONTINUED) WOLFE, M.D., RICHARD E. DIRECTOR - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) 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 (EX-OFFICIO), PRESIDENT - BETH ISRAEL DEACONESS DEPARTMENT OF EMERGENCY MEDICINE FOUNDATION, INC. ASSOCIATE PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. WOLFE DEVOTES, ON AVERAGE, A COMBINED 65 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: 278,048 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,427 DEFERRED COMPENSATION: 15,900 NON-TAXABLE BENEFITS: 9,372 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 278,048 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,427 DEFERRED COMPENSATION: 15,900 NON-TAXABLE BENEFITS: 9,372 JAMES, D.O., SCOTT VASCULAR SURGEON - JORDAN PHYSICIAN ASSOCIATES DR. SCOTT DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE ORGANIZATION LISTED ABOVE. DURING THE PERIOD COVERED BY THIS FILING AND FOR THE 2015 CALENDAR YEAR, DR. JAMES PERFORMED SERVICES FOR JPA AND WAS COMPENSATED BY APHMFP. AS REQUIRED BY THIS FORM 990, DR. JAMES' COMPENSATION ATTRIBUTABLE TO THIS POSITION HAS BEEN REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS MADE BY APHMFP AND REPORTED BY JPA: BASE COMPENSATION: 577,902 INCENTIVE COMPENSATION: 162,570 OTHER REPORTABLE COMPENSATION: 9,244 DEFERRED COMPENSATION: 26,500 NON-TAXABLE BENEFITS: 240 ARMITAGE, M.D., MARSHAL ORTHOPEDIC SURGEON - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP DR. ARMITAGE DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE ORGANIZATION LISTED ABOVE. DURING THE PERIOD COVERED BY THIS FILLING AND FOR THE 2015 CALENDAR YEAR, DR. ARMITAGE PERFORMED SERVICES FOR BID HEALTHCARE AND WAS COMPENSATED BY APHMFP. AS REQUIRED BY THIS FORM 990, DR. ARMITAGE'S COMPENSATION ATTRIBUTABLE TO THIS POSITION HAS BEEN REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS MADE BY APHMFP AND REPORTED BY BID HEALTHCARE: BASE COMPENSATION: 615,544 INCENTIVE COMPENSATION: 80,277 OTHER REPORTABLE COMPENSATION: 3,904 DEFERRED COMPENSATION: 26,500 NON-TAXABLE BENEFITS: 15,740 MANDEL, M.D., SCOTT ORTHOPEDIC SURGEON - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP DR. MANDEL DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE ORGANIZATION LISTED ABOVE. DURING THE PERIOD COVERED BY THIS FILLING AND FOR THE 2015 CALENDAR YEAR, DR. MANDEL PERFORMED SERVICES FOR BID HEALTHCARE AND WAS COMPENSATED BY APHMFP. AS REQUIRED BY THIS FORM 990, DR. MANDEL'S COMPENSATION ATTRIBUTABLE TO THIS POSITION HAS BEEN REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS MADE BY APHMFP AND REPORTED BY BID HEALTHCARE: BASE COMPENSATION: 571,213 INCENTIVE COMPENSATION: 85,907 OTHER REPORTABLE COMPENSATION: 4,412 DEFERRED COMPENSATION: 26,500 NON-TAXABLE BENEFITS: 27,482 MULROY, M.D., RICHARD ORTHOPEDIC SURGEON - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP DR. MULROY DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE ORGANIZATION LISTED ABOVE. DURING THE PERIOD COVERED BY THIS FILLING AND FOR THE 2015 CALENDAR YEAR, DR. MULROY PERFORMED SERVICES FOR BID HEALTHCARE AND WAS COMPENSATED BY APHMFP. AS REQUIRED BY THIS FORM 990, DR. MULROY'S COMPENSATION ATTRIBUTABLE TO THIS POSITION HAS BEEN REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS MADE BY APHMFP AND REPORTED BY BID HEALTHCARE: BASE COMPENSATION: 645,002 INCENTIVE COMPENSATION: 32,250 OTHER REPORTABLE COMPENSATION: 11,791 DEFERRED COMPENSATION: 26,500 NON-TAXABLE BENEFITS: 28,482 ALMACARI, GEORGES ORTHOPEDIC SURGEON - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DR. ALMACARI DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY APHMFP: BASE COMPENSATION: 335,061 INCENTIVE COMPENSATION: 169,167 OTHER REPORTABLE COMPENSATION: 6,130 DEFERRED COMPENSATION: 26,499 NON-TAXABLE BENEFITS: 2,239 FORM 990, PART I, LINE 1 THE MISSION OF ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (APHMFP) IS TO SUPPORT MEDICAL RESEARCH, PROVIDE WORLD CLASS MEDICAL INSTRUCTION AND EXTRAORDINARY CLINICAL CARE TO IMPROVE THE GENERAL PUBLIC HEALTH OF PATIENTS SERVED BY THE BETH ISRAEL DEACONESS MEDICAL CENTER AND ITS AFFILIATED HOSPITALS AND PHYSICIAN PRACTICES IN THE COMMUNITY. FORM 990 PART III, LINE 1 APHMFP SERVES PATIENTS IN THE COMMUNITY SETTING COMPASSIONATELY TO CREATE A HEALTHY FUTURE FOR THEM AND THEIR FAMILIES. THE MISSION OF ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (APHMFP) IS TO SUPPORT MEDICAL RESEARCH, PROVIDE WORLD CLASS MEDICAL INSTRUCTION AND CLINICAL CARE TO IMPROVE THE GENERAL PUBLIC HEALTH OF PATIENTS SERVED BY THE BETH ISRAEL DEACONESS MEDICAL CENTER AND ITS AFFILIATED HOSPITALS AND PHYSICIAN PRACTICES IN THE COMMUNITY. THE PARTNERSHIP BETWEEN THE BETH ISRAEL DEACONESS MEDICAL CENTER AND APHMFP ALLOWS PHYSICIANS TO JOINTLY CARRY OUT ITS MISSION OF TEACHING, RESEARCH AND EXTRAORDINARY CLINICAL CARE WITH A COMMITMENT TO RECRUITING THE BEST PHYSICIANS, SCIENTISTS, AND ADVANCED PRACTITIONERS IN SUPPORT OF THESE ACTIVITIES. APHMFP COLLABORATES WITH COMMUNITY PARTNERS AND TOGETHER PROVIDES THE CLINICAL INTEGRATION THAT WILL BEST SERVE PATIENTS TO IMPROVE THE QUALITY OF CARE. APHMFP LEVERAGES ITS SIZE TO SUPPORT A FULL RANGE OF CLINICAL AND MANAGEMENT SERVICES IN THE COMMUNITY SETTINGS. THESE SERVICES INCLUDE THE DEPLOYMENT OF SPECIALTY PHYSICIANS, COMPREHENSIVE RECRUITING AND RETENTION PROGRAMS, CONTINUOUS QUALITY IMPROVEMENT, RISK MANAGEMENT, EMERGENCY DEPARTMENT-SPECIFIC INFORMATION SYSTEMS, AND PATIENT SATISFACTION MEASURES TO ENHANCE CLINICAL INTEGRATION FOR THOSE PATIENTS SERVED IN THE COMMUNITY SETTING. EMERGENCY MEDICINE APHMFP IS UNIQUELY QUALIFIED TO PROVIDE EMERGENCY SERVICES BASED ON A VARIETY OF STRENGTHS IN THE CLINICAL, ACADEMIC AND ADMINISTRATIVE SETTINGS. EMERGENCY MEDICINE APHFMP IS A PROFESSIONAL GROUP OF BOARD PREPARED AND BOARD CERTIFIED EMERGENCY PHYSICIANS WITH A PRACTICE THAT INCLUDES TERTIARY CARE AT A HARVARD TEACHING HOSPITAL IN BOSTON (BETH ISRAEL DEACONESS MEDICAL CENTER) AS WELL AS COMMUNITY CARE AT HOSPITALS IN NEEDHAM (BETH ISRAEL DEACONESS HOSPITAL -- NEEDHAM), WORCESTER (ST. VINCENT HOSPITAL), MILTON (BETH ISRAEL DEACONESS HOSPITAL -- MILTON), PLYMOUTH (BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH) AND NEW BEDFORD (ST. LUKE'S HOSPITAL) MASSACHUSETTS. THE EMERGENCY MEDICINE PROVIDERS HAS NATIONALLY RENOWNED EXPERTS IN EDUCATION AND PRE-HOSPITAL CARE, AND IS VIEWED AS A LEADER IN THE COMMUNITY IN CUSTOMER ACCESS, SERVICE AND SATISFACTION. MEDICINE APHMP PROVIDES CARE TO THE COMMUNITY UTILIZING CLINICAL GUIDELINES, EVIDENCE BASED PRACTICE, AND MEDICAL INFORMATICS TO STREAMLINE AND OPTIMIZE PATIENT CARE AND SATISFACTION AT NEEDHAM (BETH ISRAEL DEACONESS HOSPITAL -- NEEDHAM), MILTON (BETH ISRAEL DEACONESS HOSPITAL -- MILTON) AND PLYMOUTH (BETH ISRAEL DEACONESS HOSPITAL -- PLYMOUTH). FORM 990, PART III, LINE 4A SPECIALTY SERVICES, EMERGENCY MEDICINE AND HOSPITALISTS THE EXEMPT PURPOSE OF THE ORGANIZATION IS TO PROVIDE EXTRAORDINARY CLINICAL CARE AND IMPROVE THE HEALTH OF PATIENTS OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) AND OTHER AFFILIATED GROUPS IN THE COMMUNITY SETTING. IN ADDITION, THE ORGANIZATION PARTICIPATES IN ACTIVITIES DESIGNED TO IMPROVE THE GENERAL PUBLIC HEALTH AND PROVIDE FOR THE TREATMENT AND CARE OF INDIGENT PERSONS. THE PATIENT SERVICES PROVIDED BY THE ORGANIZATION ARE FOCUSED IN THE PHYSICIAN SPECIALTY AREAS OF EMERGENCY MEDICINE, HOSPITALIST MEDICINE, AND OTHER SPECIALTY SERVICES. THE ORGANIZATION MANAGES AND DELIVERS EMERGENCY AND HOSPITALIST SERVICES FOR BIDMC AND ITS AFFILIATES, AS WELL AS, EMERGENCY SERVICES AT, ST. VINCENT HOSPITAL AND ST. LUKE'S HOSPITAL FORM 990, PART III, LINE 4B RESEARCH THE EXEMPT PURPOSE OF THE ORGANIZATION IS TO PERFORM RESEARCH AND TEACHING IN THE AREA OF EMERGENCY MEDICINE IN CONJUNCTION WITH BIDMC, HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC (HMFP) AND ITS AFFILIATES. THE ORGANIZATION'S RESEARCH FOCUSES ON CLINICAL AND NON-CLINICAL ACTIVITIES RELATED TO THE EMERGENCY DEPARTMENT AND THE PROCESSES, POLICIES AND PROCEDURES REQUIRED WITHIN THE DEPARTMENT. AREAS OF FOCUS INCLUDE PATIENT SATISFACTION, CLINICAL GUIDELINES, NURSING AND PHYSICIAN WORKLOAD ANALYSIS, AND PATIENT THROUGHPUT ANALYSIS. FORM 990, PART III, LINE 4C OBSTETRICS AND GYNECOLOGY IN PLYMOUTH THE EXEMPT PURPOSE OF THE ORGANIZATION IS TO PROVIDE EXTRAORDINARY CLINICAL CARE AND IMPROVE THE HEALTH OF PATIENTS OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) AND OTHER AFFILIATED GROUPS IN THE COMMUNITY SETTING. IN ADDITION, THE ORGANIZATION PARTICIPATES IN ACTIVITIES DESIGNED TO IMPROVE THE GENERAL PUBLIC HEALTH AND PROVIDE FOR THE TREATMENT AND CARE OF INDIGENT PERSONS. THE ORGANIZATION MANAGES AND DELIVERS OBSTETRICS AND GYNECOLOGY SERVICES IN CONJUNCTION WITH BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH AND ITS COMMUNITY PHYSICIAN PRACTICE, JORDAN PHYSICIAN ASSOCIATES, INC. FORM 990, PART IV, LINE 12 AND 12A AUDITED FINANCIAL STATEMENTS THE BOSTON, MA OFFICE OF KPMG ISSUED AN UNQUALIFIED OPINION ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) AND SUBSIDIARIES, WHICH INCLUDES THE FINANCIAL ACTIVITY OF APHMFP, FOR FISCAL YEAR ENDED SEPTEMBER 30, 2016. THESE STATEMENTS WERE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND INCLUDED THE ACCOUNTS OF HMFP AND ALL ENTITIES FOR WHICH HMFP SERVES AS SOLE MEMBER. 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, 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 THAT 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 MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP (APG), BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, INC. (BID-NEEDHAM), BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON), BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH, INC. (BID-PLYMOUTH), AND JORDAN HEALTH SYSTEMS, INC. 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 AND ITS AFFILIATES ACCOMPLISH THEIR CHARITABLE PURPOSES. CAREGROUP ALSO SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF NEW ENGLAND BAPTIST HOSPITAL (NEBH) AND MOUNT AUBURN HOSPITAL (MAH). 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 MAY 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 YES, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC (HMFP) IS THE SOLE MEMBER OF ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A YES. HMFP HAS THE RIGHT TO APPOINT THE APHMFP'S DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B YES, THE MEMBER ACCORDING TO THE APHMFP BYLAWS HAS THE FOLLOWING RIGHTS: - SET THE NUMBER OF PERSONS WHO COMPRISE THE BOARD OF DIRECTORS; - APPOINT THE DIRECTORS IN ITS SOLE DISCRETION AND FILL ANY VACANCY ON THE BOARD; - REMOVAL OF ANY DIRECTOR OR OFFICER, WITH OR WITHOUT CAUSE, AT ANY TIME; AND, - POWERS AND RIGHTS AS VESTED BY LAW. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 PREPARATION PROCESS THE PREPARATION AND THE FILING OF APHMFP'S FORM 990 AND SUPPORTING SCHEDULES ARE THE RESPONSIBILITY OF THE CHIEF FINANCIAL OFFICER (CFO) OF HMFP. AS PREVIOUSLY NOTED, HMFP IS THE SOLE MEMBER OF APHMFP. FOR FISCAL YEAR 2016, THE FORM 990 WAS PREPARED BY DELOITTE TAX LLP WITH ASSISTANCE AND GUIDANCE FROM HMFP'S FINANCE STAFF. THE TAX PREPARATION PROCESS WAS ALSO OVERSEEN BY THE DIRECTOR OF TAXATION OF CAREGROUP, INC. CAREGROUP IS THE SOLE MEMBER OF BIDMC AND HMFP IS AN ENTITY INTEGRALLY RELATED TO BIDMC. THE COMPLETE FORM 990 WAS PRESENTED TO THE INDEPENDENT HMFP DIRECTORS FOR DISCUSSION AND REVIEW AT AN AUDIT COMMITTEE MEETING. A DRAFT COPY OF THE FORM 990 PREPARED BY DELOITTE TAX LLP INCLUDING ALL RELATED SCHEDULES WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C APHMFP HAS A CONFLICT OF INTEREST POLICY UNDER WHICH, THE PRESIDENT, OFFICERS AND BOARD MEMBERS ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST. APHMFP HAS PREPARED A FORMAL CONFLICT OF INTEREST DISCLOSURE STATEMENT WHICH IS REQUIRED TO BE COMPLETED ANNUALLY BY ALL KEY APHMFP PERSONNEL. THE STANDARDS IN THE POLICY REQUIRE APHMFP OFFICERS AND BOARD MEMBERS SHALL NOT VOTE ON, INFLUENCE, OR MAKE RECOMMENDATIONS REGARDING A TRANSACTION OR DECISION WHEN THE INDIVIDUAL OR MEMBER OF HIS OR HER FAMILY HAS A MATERIAL INTEREST IN AN ENTITY OR PROPERTY INVOLVED IN THE TRANSACTION OR DECISION. A MATERIAL INTEREST INCLUDES, BUT IS NOT LIMITED TO AN INDIVIDUAL OR FAMILY MEMBER HAVING A COMBINED INTEREST OF GREATER THAN 5% OF AN ENTITY OR PROPERTY, AN INDIVIDUAL OR FAMILY MEMBER SERVING AS A DIRECTOR, TRUSTEE, OFFICER, PARTNER, EMPLOYEE, CONSULTANT, AGENT, MEMBER OF THE ACTIVE PROFESSIONAL STAFF, RESEARCHER OR ADVISOR OF OR TO AN ENTITY (INCLUDED BY NOT LIMITED TO HEALTH CARE PROVIDERS) OTHER THAN HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC, INC AND ITS AFFILIATES, AN INDIVIDUAL HOLDING AN ELECTED OR APPOINTED OFFICE OR POSITION IN A BRANCH OF GOVERNMENT OR IN A REGULATORY AGENCY HAVING AUTHORITY OR JURISDICTION OVER PROVIDERS OF HEALTH CARE (FOR MEMBERS OF THE JUDICIARY, AREAS OF CONFLICT WILL BE DEFINED IN THE CODE OF JUDICIAL CONDUCT) AND AN INDIVIDUAL (OR MEMBER OF HIS OR HER FAMILY) COMPETING WITH APHMFP IN THE PURCHASE OR SALE OF ANY PROPERTY RIGHT, INTEREST, OR SERVICE. THE CONFLICT OF INTEREST STANDARDS ALSO REQUIRE THAT AN INDIVIDUAL OR MEMBER OF HIS OR HER FAMILY NOT ACCEPT GIFTS OR OTHER FAVORS THAT MIGHT LEAD TO THE INFERENCE THAT THE GIFT OR FAVOR WAS INTENDED TO INFLUENCE HIS OR HER DECISION-MAKING WHILE SERVING APHMFP. PER THE POLICY, AN INDIVIDUAL SHOULD NOT DISCLOSE OR USE APHMFP INFORMATION FOR PERSONAL PROFIT OR ADVANTAGE OR SHOULD NOT DISCLOSE CONFIDENTIAL AND/OR STRATEGIC INFORMATION IN ADVANCE OF ITS AUTHORIZED RELEASE. AS NOTED ABOVE, THE PROCESS FOR ADDRESSING A POTENTIAL CONFLICT REQUIRES THAT THE APHMFP DIRECTORS AND OFFICERS COMPLETE A FORMAL CONFLICT OF INTEREST DISCLOSURE STATEMENT EACH YEAR. THE APHMFP BOARD WILL REVIEW SUCH SUBMITTED FORMS AND FORMAL APPROVAL OF SUCH ACTIVITIES WILL BE REQUIRED TO BE DOCUMENTED IN MINUTES OF THE BOARD MEETING. IF THE BOARD FEELS THAT ANY INDIVIDUAL HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, IT WILL INFORM THE INDIVIDUAL OF THE BASIS FOR THE BELIEF AND AFFORD THE INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF THE BOARD DETERMINES THAT THE INDIVIDUAL FAILED TO PROPERLY DISCLOSE A CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS. UNDER THE CONFLICT OF INTEREST POLICY, THE BOARD IS DETERMINED TO HELP ENSURE ALL TRANSACTIONS ARE HANDLED IN A FAIR AND ETHICAL MANNER. IN ADDITION, AS PREVIOUSLY NOTED IN THIS FILING, CAREGROUP IS THE SOLE MEMBER OF BIDMC AND HMFP IS AN ENTITY INTEGRALLY RELATED TO THE MEDICAL CENTER. HMFP IS THE SOLE MEMBER OF APHMFP. IN ADDITION TO THE CONFLICT OF INTEREST PROCESS OUTLINED ABOVE, CAREGROUP TAX DEPARTMENT ISSUES A TAX QUESTIONNAIRE TO ALL CURRENT AND FORMER MEMBERS OF THE APHMFP BOARD OF DIRECTORS AS WELL AS CURRENT AND FORMER OFFICERS AND KEY EMPLOYEES. THE TAX QUESTIONNAIRE IS DESIGNED TO GATHER THE INFORMATION NECESSARY FOR APHMFP TO COMPLETELY AND ACCURATELY COMPLETE FORM 990 SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS AND FORM 990, PART VI, QUESTION 2, FAMILY AND BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS/TRUSTEES AND KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS OF DETERMINING COMPENSATION OF ALL INDIVIDUALS EMPLOYED BY APHMFP 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. APHMFP 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. APHMFP DOES NOT PROVIDE COMPENSATION TO OFFICERS AND DIRECTORS OF THE ORGANIZATION. CERTAIN OFFICERS AND DIRECTORS RECEIVED COMPENSATION FROM RELATED PARTIES. SUCH AMOUNTS PAID RELATED TO POSITIONS OTHER THAN THAT OF OFFICER OR DIRECTOR OF THE CORPORATION. THE PROCESS OF DETERMINING COMPENSATION OF THESE INDIVIDUALS IS CONDUCTED AT THE RELATED PARTY LEVEL WHERE THE RELATED ORGANIZATION HAS A COMPENSATION COMMITTEE THAT IS CHARGED WITH DETERMINING THE COMPENSATION OF ITS OFFICERS, DIRECTORS, KEY EMPLOYEES AND PROFESSIONAL STAFF OF THE ORGANIZATION. THE COMPENSATION COMMITTEE UTILIZES COMPARATIVE INDUSTRY DATA, OUTSIDE CONSULTANTS, AND OTHER OUTSIDE MARKET DATA TO HELP DETERMINE COMPENSATION. THE RELATED ENTITIES OF APHMFP HAVE FORMAL COMPENSATION POLICIES WHICH ARE DOCUMENTED AND REVIEWED BY THEIR 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 APHMFP'S GOVERNING DOCUMENTS, ITS CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE OFFICES OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. LOCATED AT 375 LONGWOOD AVENUE, BOSTON, MA 02215. FORM 990, PART VI, SECTION A, LINE 8B APHMFP DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY; THEREFORE, THIS QUESTION IS MORE APPROPRIATELY ANSWERED NOT APPLICABLE." FORM 990 PART VII SECTION A LINE 1A APHMFP DIRECTORS SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS AND DIRECTORS WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF OFFICER OR DIRECTOR DENOTED BY THE TITLES LISTED IN THE FORM 990 PART VII AND SCHEDULE J. 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 SUPPORT 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 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 11A, 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 11A, 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 11A, 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 11A, 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 11A, I HMFP AT BIDMC 0 BI DEACONESS HOSPITAL - NEEDHAM INC 148 CHESTNUT ST NEEDHAM MA 00000 043229679 HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. 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