2017-05-10T18:41:54-05:00 2016-06-30 PricewaterhouseCoopers LLP 101 SEAPORT BOULEVARD BOSTON MA 02210 990 2015-07-01 900513372 Faculty Practice Foundation INC & Affiliates % MARY BETH MOLLOY FACU 6176388000 660 HARRISON AVENUE 3RD FLOOR BOSTON MA 02118 WILLIAM R CREEVY MD PRESIDENT 6176388000 2017-05-10 true ERIN COUTURE P01390592 6175305000 2017-05-05 2015 2021-01-29 14:40:06Z William R Creevy MD 660 HARRISON AVENUE BOSTON MA 02118 365892079 true true 8094 X WWW.BMC.ORG X 1994 MA SEE SCHEDULE O. 32 0 1540 32 2937807 -58059 0 0 337887999 364609754 1526757 1282325 0 0 339414756 365892079 108825 116850 0 0 256205558 276676013 0 0 0 88364204 87654642 344678587 364447505 -5263831 1444574 85075907 89663744 31334559 32580057 53741348 57083687 X SEE SCHEDULE O. false false 306213067 116850 364609754 SEE SCHEDULE O. 306213067 true false false false false false false false false false true false false true true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true false false false true 4 0 true 1540 true true true false false false false false false false false false X 32 0 true false false false true false true true true false true true true true true true true true true true false MA X MARY BETH MOLLOY 6174144030 660 HARRISON AVENUE BOSTON MA 02118 X Jonathan S Olshaker MD President/TREA/CLRK/DIR - ER 50.0 6.0 X X 621692 0 62234 Susannah G Rowe MD Director-EYE 50.0 0.0 X 149824 0 44807 Manju L Subramanian MD Director-EYE 50.0 0.0 X 421600 0 31803 Daniel G Remick MD PRES/CLERK/DIR - PATH 50.0 4.0 X X 569463 0 54341 Alexander M Norbash MD PRES/DIR-RADIO (UNTIL 9/29/15) 50.0 4.0 X X 458428 0 55505 Richard K Babayan MD PRES/TREA/CLERK/DIR-UROLOGY 50.0 4.0 X X 633479 0 54544 Carlos S KaseMDUNTIL 6916 DIR/PRS/TRS-NEURO,DIR/PRS-REHB 50.0 4.0 X X 400510 0 56900 Paul M Hendessi MD DIRECTOR - OBGYN 50.0 1.0 X 286106 0 55561 Keith P Lewis MD PRES/TREA/CLERK/DIRECTOR-ANES 50.0 1.0 X X 529768 0 35906 Kenneth M Grundfast MD PRESIDENT/DIRECTOR-OTO 50.0 4.0 X X 485646 0 54358 David L Coleman MD PRES/TREAS/DIR - EMF 50.0 6.0 X X 662243 0 37572 STEPHEN CHRISTIANSEN MD PRES/TREA/CLERK/DIR - EYE 50.0 0.0 X X 530791 0 63174 JULIE MOTTL-SANTIAGO MD DIRECTOR-OBGYN 50.0 0.0 X 154416 0 48050 RHODA M ALANI MD PRES/TREAS/CLERK/DIR - DERM 50.0 0.0 X X 471714 0 35901 JOHN DURFEE MD Director-OBGYN (UNTIL 9/30/15) 50.0 0.0 X 257248 0 60179 GERARD DOHERTY MD DIR/PRS/TRS/CLRK-CTS/PS/SA/GS 50.0 4.0 X X 984333 0 106683 JAMES HOLSAPPLE MD PRES/TREAS/CLERK/DIR-NEUROSURG 50.0 4.0 X X 678991 0 54661 JANE LIEBSCHUTZ MD DIRECTOR-EMF (UNTIL 10/7/15) 50.0 0.0 X 205532 0 59127 JAROSLAW TKACZ MD TREASURER/DIRECTOR - RADIO 50.0 0.0 X X 388491 0 49146 RONALD IVERSON MD DIRECTOR-OBGYN 50.0 0.0 X 301048 0 91445 ROBERT J VINCI MD DIRECTOR/CLERK/PRES - CHF 50.0 5.0 X X 460159 0 54651 BRIAN JACK MD PRES/TRES/CLK/DIRECTOR- FAMILY 50.0 5.0 X X 357545 0 54335 CHRISTOPHER ANDRY PHD TREASURER/DIRECTOR - PATH 50.0 0.0 X X 230411 0 53756 Edward B Feinberg MD Director - EYE 10.0 0.0 X 6957 0 17102 AVIVA LEE-PARRITZ MD DIRECTOR/PRESIDENT - OBGYN 50.0 1.0 X X 426919 0 61073 Scott Duncan MD PRES/TREAS/CLRK/DIR - ORTHO 50.0 4.0 X X 692500 0 10034 Joanna Buczek UNTIL 111615 PRES/TREAS/CLRK/DIR - PSYCH 50.0 4.0 X X 355684 0 55705 Naomi Hamburg MD Director - EMF 50.0 0.0 X 217704 0 21303 Kelley Saia MD DIRECTOR-OBGYN 50.0 0.0 X 159830 0 45333 Alan Farwell MD director - EMF (UNTIL 8/18/15) 50.0 0.0 X 258878 0 53537 Arthur Theodore DIRECTOR - EMF 50.0 0.0 X 245347 0 53486 TED CONSTAN AS OF 81815 TREAS-OBGYN,DIR/TREAS-CHF 50.0 0.0 X X 0 206814 5967 GLENN BAREST MD DIRECTOR - RADIO 50.0 0.0 X 388106 0 64498 Minh-Tam TruongMDON 112315 PRES/DIR/TREAS/CLERK-RAD ONC 50.0 0.0 X X 0 6000 0 Marie Saint-Hilaire MD PRS/DIR/TRS-NEUR(AS OF 6/9/16) 50.0 4.0 X X 179124 0 51391 Jorge Soto MD PRES/DIR-RADIO(AS OF 9/10/15) 50.0 0.0 X X 451995 0 102965 Fredrick Ruberg MD Director-EMF (AS OF 11/16/15) 50.0 0.0 X 231268 0 48769 DAVID HENDERSONMDON111615 PRES/TREAS/CLRK/DIR - PSYCH 50.0 4.0 X X 47756 0 4125 Kevin Maguire Clerk-NEURO/TREA-REHAB 50.0 0.0 X 0 160192 41944 DIANE HOLMES UNTIL 1302015 TREASURER/CLERK - DERM 50.0 0.0 X 0 22795 1701 GREGORY GRILLONE MD CLERK-OTO 50.0 0.0 X 378276 0 61914 DAVID BECK ESQ SEE SCHEDULE O 5.0 55.5 X 0 457312 64425 Julie O'Malley Treasurer - OTO 50.0 0.0 X 0 108267 30649 Carol Masters CLERK - OBGYN 50.0 0.0 X 0 50568 20318 Alda Cossi MD CLERK -RADIO 50.0 0.0 X 402199 0 54494 TONY TANNOURY MD PROFESSOR/PHYSICIAN - ORTHO 50.0 0.0 X 2628382 0 56698 WILLIAM CREEVY MD Pres-FPF/PROF/PHY-ORTHO 22.0 35.0 X 1047209 0 61998 ANDREW STEIN PHYSICIAN - Orthopedics 50.0 0.0 X 878457 0 61914 ROBERT NICOLETTA PROF/PHYSICIAN - Orthopedics 50.0 0.0 X 1002082 0 29044 PAUL TORNETTA PROF/PHYSICIAN - Orthopedics 50.0 0.0 X 669855 0 44627 Thomas Einhorn MD FMR PRES/TRS/CLRK/DIR-ORTHO 0.0 0.0 X 138411 0 12236 Domenic Ciraulo MD FMR PRES/TRES/CLRK/DIR-PSYCH 0.0 0.0 X 231645 0 37425 Barry S Zuckerman MD FORMER PRESIDENT - CHF 0.0 0.0 X 134488 0 37040 David DiFiore FORMER Treas/Dir-CHF 0.0 0.0 X 0 101523 674 LYNN FAIRBANK FORMER TREASURER - OTO 0.0 0.0 X 0 148007 23408 21412510 1261478 2510436 706 true true false ANESTHESIA ASSOC OF MA 690 CANTON STREET WESTWOOD MA 02090 MGMT SERVICES 8285556 PST SERVICES INC 10 MOLLISON WAY LEWISTON ME 04240 BILLING SERVICES 3193247 BU PAYROLL PROCESSING 881 Commonwealth Ave BOSTON MA 02215 BILLING SERVICES 888372 CHILDREN'S HOSPITAL OF BOSTON 300 LONGWOOD AVENUE BOSTON MA 02215 PHYSICIAN SERVICES 594423 OPTUM360 LLC 3436 MOMENTUM PLACE CHICAGO IL 60589 BILLING SERVICES 576670 12 0 PATIENT REVENUE 900099 164921466 161983659 2937807 INSTITUTIONAL SUPPORT 541380 85329816 85329816 FREE CARE REIMBURSEMENT 900099 8080952 8080952 REIMBURSEMENT OF OPERATING EXPENSE 900099 69394296 69394296 CONTRACT & HEALTH CENTER REVENUE 900099 15454135 15454135 21429089 21429089 364609754 1288457 1288457 0 0 0 0 0 -6132 -6132 -6132 -6132 0 0 0 0 365892079 361671947 2937807 1282325 116850 116850 0 0 0 15607135 13368325 2238810 370057 277427 92630 203329949 169738236 33591713 45723 37325 8398 57101555 47284499 9817056 221594 187176 34418 447992 447992 34706 34706 0 0 0 432725 432725 22576494 20256112 2320382 61566 51198 10368 3490377 2872907 617470 499165 401041 98124 0 1762117 1437245 324872 736386 618092 118294 0 2376011 1981473 394538 10057 8526 1531 17039984 11410736 5629248 1137007 871568 265439 4765178 4017345 747833 BAD DEBT EXPENSE 23130864 23130864 BU ENDOWED PROFESSORSHIP 3004961 3004961 RESEARCH EXPENSES 1611008 1263223 347785 DUES, MEMBERSHIPS& LIC. MDS. 1031752 890844 140908 3506292 2987094 519198 364447505 306213067 58234438 0 17511039 22006594 2993283 2387119 0 0 15064048 15918486 0 0 0 0 0 0 0 0 0 0 14063271 10140951 4038824 3922320 37473116 36487227 0 0 0 0 0 0 7995597 8941998 85075907 89663744 16819959 19412236 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14514600 13167821 31334559 32580057 X 53741348 57083687 0 0 0 0 53741348 57083687 85075907 89663744 1444574 -304475 2202240 X false true X true false X X 2 BOSTON MEDICAL CENTER 043314093 3 true 0 0 TRUSTEES OF BOSTON UNIVERSITY 042103547 2 true 0 0 2 true false false false false true false false false false false false false false false false false true true false X true true 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, PART IV, SECTION A, LINE 6 In addition to providing grants to its supported organizations, the Faculty Practice Plans (FPPs) also provide grants to organizations that advance the mission of the FPPs and their supported organizations to provide, coordinate, and facilitate the delivery of patient care services. Grants are included on Form 990, Schedule I. SCHEDULE A, PART IV, SECTION E, LINE 2A & 2B THE FACULTY PRACTICE PLANS ("THE PLANS") WERE ESTABLISHED AS NOT-FOR-PROFIT CORPORATIONS OPERATING EXCLUSIVELY FOR THE BENEFIT OF BOSTON MEDICAL CENTER AND BOSTON UNIVERSITY SCHOOL OF MEDICINE. THE PLANS' PURPOSE IS TO PROVIDE, COORDINATE AND FACILITATE THE DELIVERY OF PATIENT CARE SERVICES AND TO PROMOTE THE DEVELOPMENT OF AN INTEGRATED SYSTEM OF DELIVERY TO MORE EFFICIENTLY AND EFFECTIVELY MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED BY THE INSTITUTIONS. THE PLANS PROVIDE AMBULATORY SERVICES RANGING FROM PRIMARY ADULT AND PEDIATRIC CARE TO ADVANCED SPECIALTY CARE; AFFILIATED PHYSICIANS ALSO STAFF THE LARGEST 24 HOUR LEVEL 1 TRAUMA CENTER IN NEW ENGLAND. 2575611 1183671 1391940 9923240 7734886 2188354 1564420 1222394 342026 3922320 OTHER RECEIVABLES 2839561 DUE FROM AFFILIATES 5779610 OTHER ASSETS 322827 8941998 0 DUE TO AFFILIATES 11306813 LONG TERM CAPITAL LEASE OBLIGA 363008 LNG TRM POR. OF DUE TO REL. PA 1498000 13167821 X schedule d, part x - fin 48 THE FACULTY PRACTICE FOUNDATION, INC. ("FACULTY") AND ITS AFFILIATED FACULTY PRACTICE PLANS ("PLANS") ARE INCLUDED IN COMBINED FINANCIAL STATEMENTS. THE TEXT OF THE FIN 48 FOOTNOTE INCLUDED IN THESE COMBINED FINANCIAL STATEMENTS IS AS FOLLOWS: FACULTY AND THE PLANS HAVE BEEN DETERMINED TO BE TAX-EXEMPT ORGANIZATIONS UNDER SECTIONS 501(C)(3) OF THE INTERNAL REVENUE CODE AS EVIDENCED BY A DETERMINATION LETTER DATED MAY 29, 1997, AS PART OF A GROUP FILING WITH THE PLANS AND FACULTY. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING COMBINED FINANCIAL STATEMENTS. true Orthopaedic Research 6300 N River Rd 700 ROSEMONT IL 60018 366009467 501(c)(3) 10000 GENERAL SUPPORT Boston Medical Center 88 East Newton Street BOSTON MA 02118 043314093 501(c)(3) 78850 GENERAL SUPPORT 2 0 SCHEDULE I, PART I, LINE 2 THE FACULTY PRACTICE FOUNDATION INC. AND AFFILIATES DO NOT DISTRIBUTE RESEARCH OR EDUCATIONAL GRANTS TO OTHER ORGANIZATIONS. THE FUNDS NOTED IN PART II REFLECT DONATIONS MADE BY THE FACULTY PRACTICE FOUNDATION, INC. AND AFFILIATES TO QUALIFIED 501(C)(3) ORGANIZATIONS. ALL DONATIONS ARE SUBJECT TO REVIEW AND APPROVAL BY THE INDIVIDUAL PRACTICE ADMINISTRATION. X X X true true false false false false false true false Jonathan S Olshaker MD President/TREA/CLRK/DIR - ER 437919 0 0 0 183773 0 35255 0 26979 0 683926 0 0 0 Susannah G Rowe MD Director-EYE 146871 0 0 0 2953 0 21231 0 23576 0 194631 0 0 0 Manju L Subramanian MD Director-EYE 255266 0 0 0 166334 0 24655 0 7148 0 453403 0 0 0 Daniel G Remick MD PRES/CLERK/DIR - PATH 439282 0 0 0 130181 0 35255 0 19086 0 623804 0 0 0 Alexander M Norbash MD PRES/DIR-RADIO (UNTIL 9/29/15) 306280 0 0 0 152148 0 35255 0 20250 0 513933 0 0 0 Richard K Babayan MD PRES/TREA/CLERK/DIR-UROLOGY 437490 0 0 0 195989 0 35255 0 19289 0 688023 0 0 0 Carlos S KaseMDUNTIL 6916 DIR/PRS/TRS-NEURO,DIR/PRS-REHB 379115 0 0 0 21395 0 35255 0 21645 0 457410 0 0 0 Kevin Maguire Clerk-NEURO/TREA-REHAB 0 154417 0 5775 0 0 0 11281 0 30663 0 202136 0 0 Paul M Hendessi MD DIRECTOR - OBGYN 257725 0 0 0 28381 0 29955 0 25606 0 341667 0 0 0 Thomas Einhorn MD FMR PRES/TRS/CLRK/DIR-ORTHO 64643 0 0 0 73768 0 7430 0 4806 0 150647 0 0 0 Domenic Ciraulo MD FMR PRES/TRES/CLRK/DIR-PSYCH 206745 0 0 0 24900 0 27765 0 9660 0 269070 0 0 0 Keith P Lewis MD PRES/TREA/CLERK/DIRECTOR-ANES 450000 0 0 0 79768 0 35255 0 651 0 565674 0 0 0 Kenneth M Grundfast MD PRESIDENT/DIRECTOR-OTO 424438 0 0 0 61208 0 35255 0 19103 0 540004 0 0 0 Barry S Zuckerman MD FORMER PRESIDENT - CHF 131934 0 0 0 2554 0 17939 0 19101 0 171528 0 0 0 David DiFiore FORMER Treas/Dir-CHF 0 0 0 0 0 101523 0 0 0 674 0 102197 0 0 David L Coleman MD PRES/TREAS/DIR - EMF 449282 0 0 0 212961 0 35255 0 2317 0 699815 0 0 0 STEPHEN CHRISTIANSEN MD PRES/TREA/CLERK/DIR - EYE 439979 0 0 0 90812 0 35255 0 27919 0 593965 0 0 0 JULIE MOTTL-SANTIAGO MD DIRECTOR-OBGYN 137613 0 0 0 16803 0 16507 0 31543 0 202466 0 0 0 GREGORY GRILLONE MD CLERK-OTO 253003 0 0 0 125273 0 35255 0 26659 0 440190 0 0 0 RHODA M ALANI MD PRES/TREAS/CLERK/DIR - DERM 443881 0 0 0 27833 0 35255 0 646 0 507615 0 0 0 JOHN DURFEE MD Director-OBGYN (UNTIL 9/30/15) 242119 0 0 0 15129 0 33705 0 26474 0 317427 0 0 0 DAVID BECK ESQ SEE SCHEDULE O 0 375145 0 77781 0 4386 0 43250 0 21175 0 521737 0 1333 GERARD DOHERTY MD DIR/PRS/TRS/CLRK-CTS/PS/SA/GS 438369 0 0 0 545964 0 35255 0 71428 0 1091016 0 0 0 JAMES HOLSAPPLE MD PRES/TREAS/CLERK/DIR-NEUROSURG 443574 0 0 0 235417 0 35255 0 19406 0 733652 0 0 0 JANE LIEBSCHUTZ MD DIRECTOR-EMF (UNTIL 10/7/15) 191590 0 0 0 13942 0 27356 0 31771 0 264659 0 0 0 JAROSLAW TKACZ MD TREASURER/DIRECTOR - RADIO 258552 0 0 0 129939 0 29955 0 19191 0 437637 0 0 0 RONALD IVERSON MD DIRECTOR-OBGYN 259205 0 0 0 41843 0 34388 0 57057 0 392493 0 0 0 ROBERT J VINCI MD DIRECTOR/CLERK/PRES - CHF 432764 0 0 0 27395 0 35255 0 19396 0 514810 0 0 0 TONY TANNOURY MD PROFESSOR/PHYSICIAN - ORTHO 253873 0 0 0 2374509 0 29955 0 26743 0 2685080 0 0 0 WILLIAM CREEVY MD Pres-FPF/PROF/PHY-ORTHO 254539 0 123761 0 668909 0 35255 0 26743 0 1109207 0 0 0 BRIAN JACK MD PRES/TRES/CLK/DIRECTOR- FAMILY 345165 0 0 0 12380 0 35255 0 19080 0 411880 0 0 0 CHRISTOPHER ANDRY PHD TREASURER/DIRECTOR - PATH 191521 0 0 0 38890 0 28521 0 25235 0 284167 0 0 0 AVIVA LEE-PARRITZ MD DIRECTOR/PRESIDENT - OBGYN 405451 0 0 0 21468 0 35255 0 25818 0 487992 0 0 0 LYNN FAIRBANK FORMER TREASURER - OTO 0 144291 0 3716 0 0 0 7467 0 15941 0 171415 0 0 ANDREW STEIN PHYSICIAN - Orthopedics 256003 0 0 0 622454 0 35255 0 26659 0 940371 0 0 0 Scott Duncan MD PRES/TREAS/CLRK/DIR - ORTHO 441780 0 0 0 250720 0 0 0 10034 0 702534 0 0 0 Joanna Buczek UNTIL 111615 PRES/TREAS/CLRK/DIR - PSYCH 248305 0 0 0 107379 0 29355 0 26350 0 411389 0 0 0 Naomi Hamburg MD Director - EMF 217396 0 0 0 308 0 20947 0 356 0 239007 0 0 0 Kelley Saia MD DIRECTOR-OBGYN 159572 0 0 0 258 0 18726 0 26607 0 205163 0 0 0 Alda Cossi MD CLERK -RADIO 255761 0 0 0 146438 0 35255 0 19239 0 456693 0 0 0 Alan Farwell MD director - EMF (UNTIL 8/18/15) 257179 0 0 0 1699 0 35101 0 18436 0 312415 0 0 0 Arthur Theodore DIRECTOR - EMF 238295 0 0 0 7052 0 32510 0 20976 0 298833 0 0 0 TED CONSTAN AS OF 81815 TREAS-OBGYN,DIR/TREAS-CHF 0 199464 0 7350 0 0 0 5967 0 0 0 212781 0 0 GLENN BAREST MD DIRECTOR - RADIO 253419 0 0 0 134687 0 35255 0 29243 0 452604 0 0 0 Marie Saint-Hilaire MD PRS/DIR/TRS-NEUR(AS OF 6/9/16) 176907 0 0 0 2217 0 24825 0 26566 0 230515 0 0 0 Jorge Soto MD PRES/DIR-RADIO(AS OF 9/10/15) 252967 0 0 0 199028 0 34372 0 68593 0 554960 0 0 0 Fredrick Ruberg MD Director-EMF (AS OF 11/16/15) 227115 0 0 0 4153 0 23505 0 25264 0 280037 0 0 0 ROBERT NICOLETTA PROF/PHYSICIAN - Orthopedics 262190 0 0 0 739892 0 28630 0 414 0 1031126 0 0 0 PAUL TORNETTA PROF/PHYSICIAN - Orthopedics 261930 0 0 0 407925 0 35255 0 9372 0 714482 0 0 0 LISTED INDIVIDUALS RECEIVE COMPENSATION FOR THE SERVICES THEY PROVIDE AS EMPLOYEES. THEY RECIEVE NO COMPENSATION FOR THEIR ROLES AS DIRECTORS, OFFICERS, OR FORMER OFFICERS. SCHEDULE J, PART I, LINE 4A DAVID DIFIORE SEPARATED FROM THE ORGANIZATION IN 2015. PER HIS SEPARATION AGREEMENT, HE RECEIVED A SEVERANCE PAYMENT WHICH IS REFLECTED ON FORM 990, PART VII, SECTION A, COLUMN E. SCHEDULE J, PART I, LINE 4B BOSTON MEDICAL CENTER PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. AMOUNTS ARE CREDITED TO PARTICIPANTS' ACCOUNTS EACH YEAR. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE PLAN AGREEMENT. BOSTON MEDICAL CENTER MAINTAINS AN EXECUTIVE BENEFIT PLAN WHICH OFFERS PARTICIPATING EXECUTIVES THE OPTION OF ANNUALLY ALLOCATING BENEFIT DOLLARS TO A SUPPLEMENTAL RETIREMENT/PRE-TAX SAVINGS ACCOUNT. AMOUNTS VEST ON SPECIFIED DATES BASED ON CONTINUED EMPLOYMENT BUT NO LATER THAN THE EXECUTIVE'S 62ND BIRTHDAY. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING EXECUTIVES IN CALENDAR YEAR 2015: DAVID BECK - $1,608 SCHEDULE J, PART I, LINE 7 THE FACULTY PRACTICE FOUNDATION, INC. AND AFFILIATES DO NOT DISTRIBUTE COMPENSATION CONTINGENT ON REVENUE OR NET EARNINGS OF THE ORGANIZATION AS A WHOLE, NOR THE INDIVIDUAL PRACTICES. HOWEVER, BASED ON THE INDIVIDUAL PHYSICIAN ACTIVITY INCOME STATEMENT, A PHYSICIAN MAY BE PAID COMPENSATION, WHICH IS REPORTED AS "OTHER NON-FIXED PAYMENTS" ON SCHEDULE J, PART I, COLUMN B(III). In connection with his role as the President of Faculty Practice Plan, Inc., a highly compensated individual is provided incentive compensation based on performance targets that are established and approved by the compensation committee. This amount is reported on Schedule J, Part II, Column B(II). FORM 990, H(B) AFFILIATES INCLUDED IN GROUP RETURN Boston University Medical Center Anesthesiologists, Inc. 88 East Newton Street, Boston, MA 02118 04-3276227 Boston Emergency Physician Foundation, Inc. 860 Harrison Avenue, Boston, MA 02118 04-3286156 Boston University Cardiac & Thoracic Surgical Foundation, Inc. 88 East Newton Street, Boston, MA 02118 04-2966416 Boston University Dermatology, Inc. 609 Albany Street, Boston, MA 02118 04-3335166 Boston University Dermatology Support Services I, Inc. 609 Albany Street, Boston, MA 02118 04-3452877 Boston University Dermatology Support Services II, Inc. 609 Albany Street, Boston, MA 02118 04-3452874 Boston University Surgical Associates, Inc. 88 East Newton Street, Suite C500, Boston, MA 02118 04-3291148 Evans Medical Foundation, Inc. 88 East Newton Street, Boston, MA 02118 51-0172171 Boston University Eye Associates, Inc. 2005 Bay Street, Suite 201, Taunton, MA 02780 04-3137333 Boston University Family Medicine, Inc. 1 Boston Medical Center, Suite Dowling 5 South, Boston, MA 02118 04-3354353 Boston University Mallory Pathology Associates, Inc. 670 Albany Street, 3rd Floor, Boston, MA 02118 04-2794543 Boston University Neurology Associates, Inc. 72 East Concord Street C3, Boston, MA 02118 04-3428462 Boston University Neurosurgical Associates, Inc. 72 East Concord Street C3, Boston, MA 02118 04-3296068 Boston University Obstetrics & Gynecology Foundation, Inc. 85 East Concord Street, 6th Floor, Boston, MA 02118 04-3067465 Boston University Orthopaedic Surgical Associates, Inc. 720 Harrison Avenue, DOB Suite 808, Boston, MA 02118 04-3354360 Boston University Medical Center Otolaryngologic Foundation, Inc. 820 Harrison Avenue FGH BLDG 4th Floor Street, Boston, MA 02118 04-3156471 Child HeaLth Foundation of Boston, Inc. 771 Albany Street, Dowling 3 South, Boston, MA 02118 04-2472758 Boston University Plastic Surgery Associates, Inc. 720 Harrison Avenue, DOB 9th Floor, Boston, MA 02118 04-3555478 Boston University Psychiatry Associates, Inc. 85 East Newton Street, Suite 802, Boston, MA 02118 04-3355267 Boston University Medical Center Radiologists, Inc. 820 Harrison Avenue FGH Bldg 3rd Floor, Boston, MA 02118 04-3283573 Boston Rehabilitation Medicine Associates, Inc. 732 Harrison Avenue, Suite 511, Boston, MA 02118 04-3286641 Boston University General Surgical Associates, Inc. 88 East Newton Street, Suite C500, Boston, MA 02118 04-3265008 Boston University Medical Center Urologists, Inc. 725 Albany Street Shapiro 3B, Boston, MA 02118 04-3286643 Boston University Radiation Oncology, Inc. 1 Boston Medical Center Place, Boston, MA 02118 81-0716773 ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 AND PART III, LINES 1 AND 4 THE FACULTY PRACTICE PLANS ("THE PLANS") WERE ESTABLISHED AS NOT-FOR-PROFIT CORPORATIONS OPERATING EXCLUSIVELY FOR THE BENEFIT OF BOSTON MEDICAL CENTER AND BOSTON UNIVERSITY SCHOOL OF MEDICINE. THE PLANS' PURPOSE IS TO PROVIDE, COORDINATE AND FACILITATE THE DELIVERY OF PATIENT CARE SERVICES AND TO PROMOTE THE DEVELOPMENT OF AN INTEGRATED SYSTEM OF DELIVERY TO MORE EFFICIENTLY AND EFFECTIVELY MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED BY THE INSTITUTIONS. THE PLANS PROVIDE AMBULATORY SERVICES RANGING FROM PRIMARY ADULT AND PEDIATRIC CARE TO ADVANCED SPECIALTY CARE; AFFILIATED PHYSICIANS ALSO STAFF THE LARGEST 24 HOUR LEVEL 1 TRAUMA CENTER IN NEW ENGLAND. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINES 1B AND 2 ALL OFFICERS AND DIRECTORS ARE EMPLOYEES OF EITHER THE INDIVIDUAL PRACTICE PLAN, BOSTON UNIVERSITY OR BOSTON MEDICAL CENTER, RELATED ORGANIZATIONS. CERTAIN OFFICERS AND DIRECTORS OF THE PRACTICE PLANS ALSO SERVE AS OFFICERS AND DIRECTORS OF BOSTON MEDICAL CENTER. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 6 WITH THE EXCEPTION OF THOSE LISTED BELOW, THE SOLE MEMBER OF THE ORGANIZATION IS FACULTY PRACTICE FOUNDATION, INC. BU SURGICAL ASSOCIATES IS THE SOLE MEMBER OF THE FOLLOWING: - BOSTON UNIVERSITY CARDIAC AND THORACIC SURGICAL FOUNDATION, INC. - BOSTON UNIVERSITY GENERAL SURGICAL ASSOCIATES, INC. - BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES, INC. - BOSTON UNIVERSITY ORTHOPAEDIC SURGICAL ASSOCIATES, INC. - BOSTON UNIVERSITY PLASTIC SURGERY ASSOCIATES, INC. - BOSTON UNIVERSITY MEDICAL CENTER UROLOGISTS, INC. - BUMC OTOLARYNGOLOGIC FOUNDATION, INC. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS MUST BE APPROVED BY THE ORGANIZATION'S SOLE CORPORATE MEMBER, AS SET FORTH IN THE BYLAWS, INCLUDING ADOPTION OF THE BUDGET, ANY MERGER, CONSOLIDATION, LIQUIDATION OR DISSOLUTION, ANY CAPITAL TRANSACTION, AND INCURRENCE OF DEBT. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO THE FILING OF THE FORM 990 WITH THE IRS, THE FORM 990 WAS PREPARED BY OUR OUTSIDE TAX CONSULTANTS AND REVIEWED BY INTERNAL MANAGEMENT. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOSTON MEDICAL CENTER BOARD OF TRUSTEES THEN REVIEWED THE RETURN. EACH MEMBER OF THE PLANS' BOARD WAS PROVIDED A COPY OF THE FINAL FORM 990 PRIOR TO FILING. governance, management, and disclosure form 990, part vi, section b, line 12 conflict of interest questionnaires for the fiscal year ending june 30, 2016 were distributed on APRIL 5, 2017 by the compliance and legal services department. THE CHIEF COMPLIANCE OFFICER queries TRUSTEES, officers, and directors on at least an annual basis regarding relationships that may create potential conflicts of interest. The CHIEF COMPLIANCE OFFICER reviews all disclosures and determines whether there are actual or potential conflicts of interest. The CHIEF COMPLIANCE OFFICER advises the board of trustees and officers of the corporation accordingly. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION B, LINES 15 A & B THE COMPENSATION COMMITTEE OF THE FACULTY PRACTICE FOUNDATION, A RELATED ORGANIZATION, SERVES AS THE COMPENSATION COMMITTEE OF EACH FACULTY PRACTICE PLAN TO REVIEW AND APPROVE THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER OF EACH FACULTY PRACTICE PLAN. The Foundation's Compensation Committee has two members including the President and CEO of Boston medical center and the Dean of Boston University School of Medicine. This Committee is responsible for approving the compensation for certain physician executives. An annual meeting of the Foundation's Compensation Committee was held FOR FY2016 to review and approve the FY2016 proposed compensation for the physician executives serving as presidents of the plans as well as the executive who serves as the department chair of Anesthesia. For FY2016 the salary of each of the physician executives under consideration was provided to the Committee. The Committee evaluated and relied upon comparable data in making its decision. The comparable data consisted of compensation survey information from the AAMC for each specialty where available, listing both the fiftieth and seventy-fifth salary percentiles. The proposed compensation as submitted or amended by the Committee was voted upon by the Committee. The Committee's assessment of these considerations is contained in the official minutes. GOVERNANCE, MANAGEMENT, AND DISCLOSURE Form 990, part VI, Section C, line 19 THE plans DO NOT MAKE their GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE. Shared Services Agreement Form 990, part VII, Section A The plans are affiliated with Boston Medical Center ("BMC") and Boston University School of Medicine ("BUSM"). The Plans each entered into a common paymaster agreement with BMC and the Trustees of Boston University ("BU"). Under the terms of the physician practice agreements, faculty physicians and practitioners ("Faculty Members") are employed by the individual Plans. The Faculty serves the benefit of BMC (by providing clinical services) and BUSM (by serving as faculty members of BUSM). Each Plan, with respect to each Faculty member that the Plan employs, pays BU 28.8% of each Faculty member's salary up to a $265,000 base, for reimbursement of fringe benefits and related paymaster fees. If a particular Faculty member's salary exceeds the base amount of $265,000, the Plans further pay BU 8.0% on such excess up to an amount equal to the FICA limit for that particular year and then 1.8% on any amount in excess of the applicable FICA limit. The Plans also pay for a portion of administrative salaries and fringe benefits for nonphysician employees of BMC, who provide services to them. The plans do not pay for pension plan contributions for those employees that fall under the above-mentioned paymaster agreement(s). FORM 990, PART VII, LINE 1, LINE 43 DAVID BECK WAS ASSISTANT CLERK AT ALL REPORTING ENTITIES AND A CLERK AT EVANS MEDICAL FOUNDATION. BOSTON MEDICAL CENTER 88 EAST NEWTON STREET BOSTON MA 02118 043314093 healthcare MA 501(C)(3) 3 NA false TRUSTEES OF BOSTON UNIVERSITY 881 COMMONWEALTH AVENUE BOSTON MA 02115 042103547 EDUCATION MA 501(C)(3) 2 NA false FACULTY PRACTICE FOUNDATION INC 660 Harrison Avenue 3rd Floor Boston MA 02118 043289381 healthcare MA 501(C)(3) 11B,TYPE I NA false false true false false true false false false false false true false false true true true true true true