FACULTY PRACTICE FOUNDATION INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- FACULTY PRACTICE FOUNDATION INC (EIN 04-3289381)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201331359349302358
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T09:31:23-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 High Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02110 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043289381 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Faculty Practice Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % KATHRYN BEACH | InCareOfName |
| Name Control | FACU | NameControl |
| Phone | 6176388923 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 660 Harrison Avenue 3rd Floor | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02118 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PETER HEALY | Name |
| Title | CAO/VP PROF SVCS | Title |
| Date Signed | 2013-05-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6175305000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAVID L COLEMAN MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 660 HARRISON AVENUE | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02118 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 30309140 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 8094 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BMC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 24 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19896397 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 30304415 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3443 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4725 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 19899840 | TotalRevenuePriorYear |
| Total Revenue Current Year | 30309140 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3059343 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3179346 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6295298 | OtherExpensePriorYear |
| Other Expenses Current Year | 14532290 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 9354641 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17711636 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 10545199 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 12597504 | RevenuesLessExpensesCY |
| Total Assets BOY | 44077940 | TotalAssetsBOY |
| Total Assets EOY | 121365324 | TotalAssetsEOY |
| Total Liabilities BOY | 11548551 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 76238431 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 32529389 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 45126893 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 15376905 | Expense |
| Revenue | 30304415 | Revenue |
| Description | See Schedule O. | Description |
| Total Program Service Expense | 15376905 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 304 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KATHRYN BEACH | NamePerson |
| Telephone Number | 6176383565 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 660 HARRISON AVENUE GAMBRO 3 RM 3 | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02118 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Karen H Antman MD | ||||||
| PRES (UNTIL 3/27/12)/DIR | 3.0 | X | X | 0 | 673329 | 33660 |
| Aram V Chobanian MD | ||||||
| Director (UNTIL 10/4/11) | 4.0 | X | 0 | 367403 | 45958 | |
| DAVID L COLEMAN MD | ||||||
| PRESIDENT(AS OF 3/27/12)/DIR | 4.0 | X | X | 0 | 620320 | 35036 |
| ALEXANDER NORBASH MD | ||||||
| DIRECTOR (AS OF 3/27/12) | 4.0 | X | 0 | 626933 | 52777 | |
| CARLOS S KASE MD | ||||||
| DIRECTOR (AS OF 3/27/12) | 4.0 | X | 0 | 357678 | 53859 | |
| DANIEL REMICK MD | ||||||
| TREASURER/DIR (AS OF 3/27/12) | 4.0 | X | X | 0 | 547192 | 53076 |
| DOMENIC CIRAULO MD | ||||||
| DIRECTOR (AS OF 3/27/12) | 4.0 | X | 0 | 481147 | 50666 | |
| GERARD DOHERTY MD | ||||||
| CLERK/DIRECTOR (AS OF 1/1/12) | 4.0 | X | X | 0 | 87500 | 0 |
| KENNETH GRUNDFAST MD | ||||||
| DIRECTOR (AS OF 3/27/12) | 4.0 | X | 0 | 413112 | 50432 | |
| PAUL HENDESSI MD | ||||||
| DIRECTOR (AS OF 5/1/12) | 4.0 | X | 0 | 231233 | 43846 | |
| RHODA M ALANI MD | ||||||
| DIRECTOR (AS OF 3/27/12) | 4.0 | X | 0 | 446870 | 630 | |
| STEPHEN CHRISTIANSEN MD | ||||||
| DIRECTOR (AS OF 3/27/12) | 4.0 | X | 0 | 445664 | 59086 | |
| KATHLEEN WALSH | ||||||
| TREAS (UNTIL 3/27/12)/DIR | 3.0 | X | X | 0 | 1284593 | 99824 |
| THOMAS A EINHORN MD | ||||||
| DIRECTOR (AS OF 3/27/12) | 4.0 | X | 0 | 721120 | 54164 | |
| RICHARD SILVERIA | ||||||
| DIRECTOR (UNTIL 3/27/12) | 4.0 | X | 558895 | 45591 | ||
| GARY NICKSA | ||||||
| DIRECTOR (UNTIL 3/27/12) | 4.0 | X | 348114 | 59232 | ||
| PETER HEALY | ||||||
| DIRECTOR (UNTIL 3/27/12) | 10.0 | X | 349996 | 88142 | ||
| JAMES M BECKER MD | ||||||
| DIRECTOR (UNTIL 1/1/12) | 4.0 | X | 2494086 | 50791 | ||
| BARRY S ZUCKERMAN MD | ||||||
| DIRECTOR (UNTIL 3/27/12) | 4.0 | X | 411311 | 50483 | ||
| LINDA HEFFNER MD | ||||||
| DIRECTOR (UNTIL 5/1/12) | 4.0 | X | 403465 | 45940 | ||
| RAVIN DAVIDOFF MD | ||||||
| DIRECTOR (UNTIL 3/27/12) | 5.0 | X | 589764 | 154118 | ||
| ANGELA JACKSON MD | ||||||
| DIRECTOR (UNTIL 3/27/12) | 4.0 | X | 226811 | 51489 | ||
| ROBERT WITZBURG MD | ||||||
| DIRECTOR (UNTIL 3/27/12) | 4.0 | X | 302864 | 48752 | ||
| CHARLES WILLIAMS MD | ||||||
| DIRECTOR (AS OF 3/27/12) | 4.0 | X | 252298 | 45133 | ||
| Stephanie S Lovell Esq | ||||||
| CLERK (UNTIL 12/12/11) | 4.0 | X | 0 | 601349 | 81067 | |
| DAVID BECK | ||||||
| SEE SCHEDULE O | 4.0 | X | 0 | 192617 | 20808 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 14035664 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1374560 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| THINK FIRST | |||||
| 33 DEAN STREET | BRAINTREE | MA | 02184 | MGMT CONSULTING | 379253 |
| THE CROES OLIVA GROUP INC | |||||
| 394 LOWELL STREET | LEXINGTON | MA | 02420 | MGMT CONSULTING | 190330 |
| CULBERT HEALTHCARE SOLUTIONS | |||||
| 800 W CUMMINGS PARK 6000 | WOBURN | MA | 01801 | MGMT CONSULTING | 132593 |
| ACCOUNTING MANAGEMENT SOLUTIONS IN | |||||
| 800 SOUTH STREET | WALTHAM | MA | 02453 | MGMT CONSULTING | 117975 |
| ACCENTURE LLP | |||||
| 161 N CLARK STREET | CHICAGO | IL | 60601 | MGMT CONSULTING | 108695 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INSTITUTIONAL SUPPORT & OTHER REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 30304415 | TotalRevenueColumn |
| Related Or Exempt Function Income | 30304415 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 30304415 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4725 | TotalRevenueColumn |
| Exclusion | $4,725 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30309140 | TotalRevenueColumn |
| Related Or Exempt Function Income | 30304415 | RelatedOrExemptFunctionIncome |
| Exclusion | $4,725 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2421342 | Total |
| Program Services | 2154994 | ProgramServices |
| Management And General | 266348 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 758004 | Total |
| Program Services | 674624 | ProgramServices |
| Management And General | 83380 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1343837 | Total |
| Management And General | 1343837 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42617 | Total |
| Management And General | 42617 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 480402 | Total |
| Management And General | 480402 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116216 | Total |
| Management And General | 116216 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17556 | Total |
| Program Services | 15625 | ProgramServices |
| Management And General | 1931 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28014 | Total |
| Program Services | 28014 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 208 | Total |
| Program Services | 208 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 400 | Total |
| Program Services | 400 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 916 | Total |
| Program Services | 916 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11575084 | Total |
| Program Services | 11575084 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5892 | Total |
| Program Services | 5892 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180 | Total |
| Program Services | 180 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| INSTITUTIONAL SUPPORT EXPENSE | 901214 | 901214 |
| MISCELLANEOUS FEES | 14400 | 14400 |
| MEDICAL STAFF DEVELOPMENT | 2800 | 2800 |
| TAXES, FEES, & PENALTIES | 1000 | 1000 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1554 | Total |
| Program Services | 1554 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17711636 | Total |
| Program Services | 15376905 | ProgramServices |
| Management And General | 2334731 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24247380 | BOY |
| EOY | 32203523 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2231 | BOY |
| EOY | -29126 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 226455 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 213326 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 637363 | BOY |
| EOY | 13129 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19190966 | BOY |
| EOY | 89177798 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44077940 | BOY |
| EOY | 121365324 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3996740 | BOY |
| EOY | 5643823 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7551811 | BOY |
| EOY | 70594608 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11548551 | BOY |
| EOY | 76238431 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32529389 | BOY |
| EOY | 45126893 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32529389 | BOY |
| EOY | 45126893 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44077940 | BOY |
| EOY | 121365324 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 12597504 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (2 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | AmountAmount |
|---|---|---|---|
| TRUSTEES OF BOSTON UNIVERSITY | |||
| 042103547 | 02 | true | $0 |
| BOSTON MEDICAL CENTER | |||
| 043314093 | 03 | true | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 2 | TotalNumberOfSupportedOrgs |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 226455 | OtherCostOrOtherBasis |
| Depreciation | 213326 | Depreciation |
| Book Value | 13129 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13129 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 45527383 |
| OTHER ASSETS | 36000 |
| OTHER RECEIVABLES | 1222 |
| INSURANCE RECOVERIES RECEIV. | 43613193 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 89177798 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $26,981,415 |
| PROFESSIONAL LIABILITY CLAIMS | $43,613,193 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 70594608 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | schedule d, part x - fin 48 | Identifier |
| Return Reference | Faculty Practice Foundation Inc.'s financial statements did not report | ReturnReference |
| Explanation | a liability for uncertain tax positions under FIN 48. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (25 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Karen H Antman MD | |||||||||||||
| 0 | 619900 | 0 | 0 | 0 | 53429 | 0 | 32540 | 0 | 1120 | 0 | 706989 | 0 | 0 |
| Aram V Chobanian MD | |||||||||||||
| 0 | 363203 | 0 | 0 | 0 | 4200 | 0 | 26241 | 0 | 19717 | 0 | 413361 | 0 | 0 |
| Stephanie S Lovell Esq | |||||||||||||
| 0 | 475210 | 0 | 48000 | 0 | 78139 | 0 | 71871 | 0 | 9196 | 0 | 682416 | 0 | 75336 |
| DAVID L COLEMAN MD | |||||||||||||
| 0 | 449292 | 0 | 0 | 0 | 171028 | 0 | 32540 | 0 | 2496 | 0 | 655356 | 0 | 0 |
| ALEXANDER NORBASH MD | |||||||||||||
| 0 | 438894 | 0 | 0 | 0 | 188039 | 0 | 27640 | 0 | 25137 | 0 | 679710 | 0 | 0 |
| CARLOS S KASE MD | |||||||||||||
| 0 | 340273 | 0 | 0 | 0 | 17405 | 0 | 32540 | 0 | 21319 | 0 | 411537 | 0 | 0 |
| DANIEL REMICK MD | |||||||||||||
| 0 | 437422 | 0 | 0 | 0 | 109770 | 0 | 32540 | 0 | 20536 | 0 | 600268 | 0 | 0 |
| DAVID BECK | |||||||||||||
| 0 | 187346 | 0 | 0 | 0 | 5271 | 0 | 0 | 0 | 20808 | 0 | 213425 | 0 | 0 |
| DOMENIC CIRAULO MD | |||||||||||||
| 0 | 414273 | 0 | 0 | 0 | 66874 | 0 | 32540 | 0 | 18126 | 0 | 531813 | 0 | 0 |
| KENNETH GRUNDFAST MD | |||||||||||||
| 0 | 391020 | 0 | 0 | 0 | 22092 | 0 | 32540 | 0 | 17892 | 0 | 463544 | 0 | 0 |
| PAUL HENDESSI MD | |||||||||||||
| 0 | 225413 | 0 | 0 | 0 | 5820 | 0 | 21547 | 0 | 22299 | 0 | 275079 | 0 | 0 |
| RHODA M ALANI MD | |||||||||||||
| 0 | 400000 | 0 | 0 | 0 | 46870 | 0 | 0 | 0 | 630 | 0 | 447500 | 0 | 0 |
| STEPHEN CHRISTIANSEN MD | |||||||||||||
| 0 | 433987 | 0 | 0 | 0 | 11677 | 0 | 32540 | 0 | 26546 | 0 | 504750 | 0 | 0 |
| KATHLEEN WALSH | |||||||||||||
| 0 | 878240 | 0 | 0 | 0 | 406353 | 0 | 87875 | 0 | 11949 | 0 | 1384417 | 0 | 328708 |
| THOMAS A EINHORN MD | |||||||||||||
| 0 | 442868 | 0 | 0 | 0 | 278252 | 0 | 32540 | 0 | 21624 | 0 | 775284 | 0 | 0 |
| RICHARD SILVERIA | |||||||||||||
| 440234 | 100000 | 18661 | 0 | 4125 | 0 | 41466 | 0 | 604486 | 0 | 0 | |||
| GARY NICKSA | |||||||||||||
| 339378 | 0 | 8736 | 0 | 32540 | 0 | 26692 | 0 | 407346 | 0 | 0 | |||
| PETER HEALY | |||||||||||||
| 327847 | 0 | 22149 | 0 | 52979 | 0 | 35163 | 0 | 438138 | 0 | 20884 | |||
| JAMES M BECKER MD | |||||||||||||
| 441273 | 0 | 2052813 | 0 | 32540 | 0 | 18251 | 0 | 2544877 | 0 | 0 | |||
| BARRY S ZUCKERMAN MD | |||||||||||||
| 387402 | 0 | 23909 | 0 | 32540 | 0 | 17943 | 0 | 461794 | 0 | 0 | |||
| LINDA HEFFNER MD | |||||||||||||
| 372359 | 0 | 31106 | 0 | 32540 | 0 | 13400 | 0 | 449405 | 0 | 0 | |||
| RAVIN DAVIDOFF MD | |||||||||||||
| 445261 | 76000 | 68503 | 0 | 113626 | 0 | 40492 | 0 | 743882 | 0 | 50343 | |||
| ANGELA JACKSON MD | |||||||||||||
| 226473 | 0 | 338 | 0 | 26740 | 0 | 24749 | 0 | 278300 | 0 | 0 | |||
| ROBERT WITZBURG MD | |||||||||||||
| 294260 | 0 | 8604 | 0 | 32540 | 0 | 16212 | 0 | 351616 | 0 | 0 | |||
| CHARLES WILLIAMS MD | |||||||||||||
| 252070 | 0 | 228 | 0 | 22740 | 0 | 22393 | 0 | 297431 | 0 | 0 | |||
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule J, Part I, Line 3 | Identifier |
| Explanation | THE FACULTY PRACTICE FOUNDATION RELIED ON BOSTON UNIVERSITY (BU) UNTIL MARCH 27, 2012 AND EVANS MEDICAL FOUNDATION (EMF) AS OF MARCH 27, 2012 TO ESTABLISH COMPENSATION OF THEIR PRESIDENT. BU AND EMF USED THE FOLLOWING METHODS: - COMPENSATION COMMITTEE (BU AND EMF) - INDEPENDENT COMPENSATION COMMITTEE (BU) - COMPENSATION SURVEY OR STUDY (BU AND EMF) - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE (BU AND EMF) SCHEDULE J, PART I, LINE 4A AS A RESULT OF A change in roles and responsibilities and in recognition of 16 years of service, JAMES BECKER received a payment of $1,505,000 IN CALENDAR YEAR 2011 WHICH IS REPORTED ON SCHEDULE J, COLUMN B(III) AS OTHER REPORTABLE COMPENSATION. Schedule J, Part I, Line 4b Boston Medical Center provides a supplemental executive retirement plan to certain executives. Amounts are credited to participants' accounts each year. Plan amounts are subject to forfeiture and/or payment only if certain conditions are met, as outlined in the plan agreement. Boston Medical Center maintains an executive benefit plan which offers participating executives the option of annually allocating benefit dollars to a supplemental retirement/pre-tax savings account. Amounts vest on specified dates based on continued employment but no later than the executive's 68th birthday. The following amountS became vested and wERE paid to the following executiveS in calendar year 2011: DAVIDOFF - $49,541 HEALY - $20,903 LOVELL - $75,404 BMC PROVIDED A SEPARATE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO KATHLEEN E. WALSH, PRESIDENT AND CEO OF BMC AS OF MARCH 1, 2010. PURSUANT TO THE TERMS OF THE AGREEMENT, KATHLEEN E. WALSH WAS CREDITED A ONE TIME PAYMENT THAT SUBJECT TO CERTAIN CONDITIONS VESTED EFFECTIVE DECEMBER 1, 2011. IN ADDITION, CERTAIN AMOUNTS ARE CREDITED TO HER ACCOUNT EACH YEAR. THESE AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT WILL BE MADE ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE AGREEMENT. THE APPLICABLE ACCRUED AMOUNTS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN C. BMC PROVIDED A NON-QUALIFIED DEFINED BENEFIT PLAN TO CERTAIN EXECUTIVES. THE ESTIMATED ANNUAL INCREASE IN ACTUARIAL VALUE FOR THE FOLLOWING EXECUTIVES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN C. DAVIDOFF - $55,597 HEALY - $28,053 LOVELL - $64,521 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (27 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART I, LINE 1 AND PART III, LINE 1 | The FACULTY PRACTICE FOUNDATION, INC's ("the foundation") primary mission is to coordinate and facilitate the delivery of managed care services and promote the development of an integrated system of delivery to more efficiently and more effectively meet the health care needs of the community served. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4 The Faculty Practice Foundation, Inc. is affiliated with the following faculty practice plans ("the plans"): Boston University Medical Center Anesthesiologists, Inc. Boston Emergency Physician Foundation, Inc. Boston University Cardiac & Thoracic Surgical Foundation, Inc. Boston University Dermatology, Inc. Boston University Dermatology Support Services I, Inc. Boston University Dermatology Support Services II, Inc. Boston University Surgical Associates, Inc. Evans Medical Foundation, Inc. Boston University Eye Associates, Inc. Boston University Family Medicine, Inc. Boston University Mallory Pathology Associates, Inc. Boston University Neurology Associates, Inc. Boston University Neurosurgical Associates, Inc. Boston University Obstetrics & Gynecology Foundation, Inc. Boston University Orthopaedic Surgical Associates, Inc. Boston University Medical Center Otolaryngologic Foundation, Inc. Child Health Foundation of Boston, Inc. Boston University Plastic Surgery Associates, Inc. Boston University Psychiatry Associates, Inc. Boston University Medical Center Radiologists, Inc. Boston Rehabilitation Medicine Associates, Inc. Boston University General Surgical Associates, Inc. Boston University Medical Center Urologists, Inc. The Faculty Practice Foundation was incorporated on October 18, 1994 under the provisions of General Laws, Chapter 180, of the Commonwealth of Massachusetts as a nonprofit organization operated exclusively for clinical, charitable, scientific and educational purposes. The Faculty Practice Plans were established as non-profit faculty practice plan corporations operated exclusively for the benefit of Boston Medical Center Hospital ("BMC"), and Boston University School of Medicine ("BUSM") (collectively, the "Institutions"). the foundation is granted the power to approve the Plans' annual operating budgetS and APPROVE managed care AGREEMENTS ENTERED INTO by the Plans and to promote the development of an integrated system of delivery to more efficiently and effectively meet health care needs of the communities served by the Institutions. STATEMENTS REGARDING OTHER IRS FILINGS AND TAX COMPLIANCE FORM 990, PART V, LINE 2 AND PART IX, LINES 7 AND 9 The Faculty Practice Foundation HAS NO EMPLOYEES. HOWEVER, IT REIMBURSES THE TRUSTEES OF BOSTON UNIVERSITY AND BOSTON MEDICAL CENTER FOR USE OF ITS EMPLOYEES. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINEs 1a and 2 ALL OFFICERS AND DIRECTORS ARE EMPLOYEES OF EITHER BOSTON UNIVERSITY, BOSTON MEDICAL CENTER, OR THE FACULTY PRACTICE PLAN CORPORATIONS, related organizations. CERTAIN OFFICERS AND DIRECTORS OF THE FOUNDATION'S BOARD ALSO SERVE AS OFFICERS AND DIRECTORS OF BOSTON MEDICAL CENTER. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 4 THE FACULTY PRACTICE FOUNDATION AMENDED ITS BYLAWS TO BETTER ALIGN ITSELF AS A ROBUST PHYSICIAN ORGANIZATION THAT NURTURES CLINICAL, TEACHING, AND RESEARCH EXCELLENCE. THE BYLAWS WERE RESTRUCTURED TO PROVIDE FOR A ROTATING BOARD OF DIRECTORS CONSISTING OF THE PRESIDENTS OF CERTAIN PRACTICE PLANS AND THE ELECTION OF THE REMAINING DIRECTOR POSITIONS BY A VOTE OF THE PRESIDENTS OF ALL PRACTICE PLANS. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE ORGANIZATION ARE BOSTON UNIVERSITY AND BOSTON MEDICAL CENTER. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 7A IN CONNECTION WITH THE AMENDED BYLAWS, THE INITIAL BOARD OF DIRECTORS OF FACULTY PRACTICE FOUNDATION INCLUDES: - TWO DIRECTORS WHO SHALL BE INITIALLY ELECTED BY A MAJORITY VOTE OF THE PRESIDENTS OF ALL OF THE PRACTICE PLANS AND WHO SHALL BE SELECTED FROM AMONG THE PRESIDENTS OF THE FOLLOWING PRACTICE PLANS: FAMILY MEDICINE, PEDIATRICS, OBSTETRICS, AND GYNECOLOGY; - TWO DIRECTORS WHO SHALL BE INITIALLY ELECTED BY A MAJORITY VOTE OF THE PRESIDENTS OF ALL OF THE PRACTICE PLANS AND WHO SHALL BE SELECTED FROM AMONG THE PRESIDENTS OF THE FOLLOWING PRACTICE PLANS: RADIOLOGY, PATHOLOGY, AND EMERGENCY MEDICINE; - THREE DIRECTORS WHO SHALL BE INITIALLY ELECTED BY A MAJORITY VOTE OF THE PRESIDENTS OF ALL OF THE PRACTICE PLANS AND WHO SHALL BE SELECTED FROM AMONG THE PRESIDENTS OF THE FOLLOWING PRACTICE PLANS: OPHTHALMOLOGY, UROLOGY, OTOLARYNGOLOGY, ORTHOPAEDIC SURGERY, PLASTICE SURGERY, AND CARDIOTHORACIC SURGERY; - THREE DIRECTORS WHO SHALL BE INITIALLY ELECTED BY A MAJORITY VOTE OF THE PRESIDENTS OF ALL OF THE PRACTICE PLANS AND WHO SHALL BE SELECTED FROM AMONG THE PRESIDENTS OF THE FOLLOWING PRACTICE PLANS: DERMATOLOGY, REHABILITATION MEDICINE, NEUROSURGERY, NEUROLOGY, AND PSYCHIATRY. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS MUST BE APPROVED BY THE MEMBERS, AS SET FORTH IN THE BYLAWS, INCLUDING ANY MERGER, CONSOLIDATION, LIQUIDATION OR DISSOLUTION, ANY LOAN AGREEMENT, AND ANY AGREEMENT TO ENCUMBER THE ACCOUNTS OR TANGIBLE OR INTANGIBLE ASSETS OF THE ORGANIZATION. THE MEMBERS MUST ALSO APPROVE AN INCREASE OR DECREASE IN THE NUMBER OF DIRECTORS OR OFFICERS, THE ADDITION OF NEW MEMBERS, AND THE ANNUAL OPERATING BUDGET. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO THE FILING OF the FORM 990 WITH THE IRS, THE FORM 990 PREPARED BY OUR OUTSIDE TAX CONSULTANTS WAS REVIEWED BY INTERNAL MANAGEMENT. THE AUDIT AND COMPLIANCE COMMITTEE OF THE Boston medical center BOARD OF TRUSTEES then REVIEWed THE RETURN. each member of the faculty practice foundation board was provided A COPY OF THE FINAL FORM 990 prior to filing. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION B, LINE 12 CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING JUNE 30, 2012 WERE DISTRIBUTED ON MARCH 13, 2013 BY THE COMPLIANCE AND LEGAL DEPARTMENT. THE OFFICE OF GENERAL COUNSEL QUERies TRUSTEES, officers and directors on at least an annual basis regarding relationships that may create potential conflicts of interest. The OFFICE OF GENERAL COUNSEL reviews all disclosures and determines whether there are actual or potential conflicts of interest. The General Counsel advises the board of trustees and officers of the corporation accordingly. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION B, LINES 15A & B no officers or key employees (there are no key employees) are compensated by the foundation. however, the foundation does have a compensation committee for purposes of reviewing the practice plans' officers' compensation. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE. FORM 990, PART VII, LINE 1, LINE 26 DAVID BECK WAS A CLERK FROM 12/13/11 TO 3/27/12 AND AN ASSISTANT CLERK AS OF 4/24/12. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Karen H. Antman, M.D. TITLE:PRES (UNTIL 3/27/12)/DIR HOURS:56 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Aram V. Chobanian, M.D. TITLE:Director (UNTIL 10/4/11) HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVID L. COLEMAN, M.D. TITLE:PRESIDENT(AS OF 3/27/12)/DIR HOURS:51 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ALEXANDER NORBASH, M.D. TITLE:DIRECTOR (AS OF 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CARLOS S. KASE, M.D. TITLE:DIRECTOR (AS OF 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DANIEL REMICK, M.D. TITLE:TREASURER/DIR (AS OF 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DOMENIC CIRAULO, M.D. TITLE:DIRECTOR (AS OF 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GERARD DOHERTY, M.D. TITLE:CLERK/DIRECTOR (AS OF 1/1/12) HOURS:51 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KENNETH GRUNDFAST, M.D. TITLE:DIRECTOR (AS OF 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PAUL HENDESSI, M.D. TITLE:DIRECTOR (AS OF 5/1/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RHODA M. ALANI, M.D. TITLE:DIRECTOR (AS OF 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEPHEN CHRISTIANSEN, M.D. TITLE:DIRECTOR (AS OF 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KATHLEEN WALSH TITLE:TREAS (UNTIL 3/27/12)/DIR HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:THOMAS A. EINHORN, M.D. TITLE:DIRECTOR (AS OF 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICHARD SILVERIA TITLE:DIRECTOR (UNTIL 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:GARY NICKSA TITLE:DIRECTOR (UNTIL 3/27/12) HOURS:55 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:PETER HEALY TITLE:DIRECTOR (UNTIL 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JAMES M. BECKER, M.D. TITLE:DIRECTOR (UNTIL 1/1/12) HOURS:51 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:BARRY S. ZUCKERMAN, M.D. TITLE:DIRECTOR (UNTIL 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LINDA HEFFNER, M.D. TITLE:DIRECTOR (UNTIL 5/1/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RAVIN DAVIDOFF, M.D. TITLE:DIRECTOR (UNTIL 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ANGELA JACKSON, M.D. TITLE:DIRECTOR (UNTIL 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERT WITZBURG, M.D. TITLE:DIRECTOR (UNTIL 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHARLES WILLIAMS, M.D. TITLE:DIRECTOR (AS OF 3/27/12) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Stephanie S. Lovell, Esq. TITLE:CLERK (UNTIL 12/12/11) HOURS:50 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVID BECK TITLE:SEE SCHEDULE O HOURS:50 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| BU MEDICAL CTR ANESTHESIOLOGISTS INC | ||||||||||
| 88 EAST NEWTON STREET A2817 | BOSTON | MA | 02118 | 043276227 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BOSTON EMERGENCY PHYSICIAN FDN INC | ||||||||||
| 860 HARRISON AVENUE | BOSTON | MA | 02118 | 043286156 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BU CARDIAC & THORACIC SURGICAL FDN INC | ||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 042966416 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BOSTON UNIVERSITY DERMATOLOGY INC | ||||||||||
| 609 ALBANY STREET | BOSTON | MA | 02118 | 043335166 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BU DERMATOLOGY SUPPORT SERVICES I INC | ||||||||||
| 609 ALBANY STREET | BOSTON | MA | 02118 | 043452877 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BU DERMATOLOGY SUPPORT SERVICES II INC | ||||||||||
| 609 ALBANY STREET | BOSTON | MA | 02118 | 043452874 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BOSTON UNIV SURGICAL ASSOCIATES INC | ||||||||||
| 88 EAST NEWTON STREET C500 | BOSTON | MA | 02118 | 043291148 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| EVANS MEDICAL FOUNDATION INC | ||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 510172171 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BOSTON UNIVERSITY EYE ASSOCIATES INC | ||||||||||
| 2005 BAY STREET SUITE 201 | TAUNTON | MA | 02780 | 043137333 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BOSTON UNIVERSITY FAMILY MEDICINE INC | ||||||||||
| ONE BOSTON MED CTR DOWLING 5 S | BOSTON | MA | 02118 | 043354353 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BU MALLORY PATHOLOGY ASSOCIATES INC | ||||||||||
| 670 ALBANY STREET 3RD FLOOR | BOSTON | MA | 02118 | 042794543 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BOSTON UNIV NEUROLOGY ASSOCIATES INC | ||||||||||
| 72 EAST CONCORD STREET C3 | BOSTON | MA | 02118 | 043428462 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BU NEUROSURGICAL ASSOCIATES INC | ||||||||||
| 72 EAST CONCORD STREET C3 | BOSTON | MA | 02118 | 043296068 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BU OBSTETRICS & GYNECOLOGY FDN INC | ||||||||||
| 85 EAST CONCORD STREET 6TH FL | BOSTON | MA | 02118 | 043067465 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BU ORTHOPAEDIC SURGICAL ASSOCIATES INC | ||||||||||
| 720 HARRISON AVE DOB STE 808 | boston | MA | 02118 | 043354360 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BUMC OTOLARYNGOLOGIC FOUNDATION INC | ||||||||||
| 820 HARRISON AVE FGH BLDG 4 FL | boston | MA | 02118 | 043156471 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| CHILD HEALTH FOUNDATION OF BOSTON INC | ||||||||||
| 771 ALBANY STREET DOWLING 3 SO | BOSTON | MA | 02118 | 042472758 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BOSTON UNIV PLASTIC SURGERY ASSOC INC | ||||||||||
| 720 HARRISON AVENUE DOB 9TH FL | BOSTON | MA | 02118 | 043555478 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BOSTON UNIVERSITY PSYCHIATRY ASSOC INC | ||||||||||
| 85 EAST NEWTON ST SUITE 802 | BOSTON | MA | 02118 | 043355267 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BU MEDICAL CENTER RADIOLOGISTS INC | ||||||||||
| 820 HARRISON AVE FGH BLDG 3 FL | BOSTON | MA | 02118 | 043283573 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BOSTON REHABILITATION MEDICINE ASSOC INC | ||||||||||
| 732 HARRISON AVENUE SUITE 511 | BOSTON | MA | 02118 | 043286641 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BU GENERAL SURGICAL ASSOCIATES INC | ||||||||||
| 88 EAST NEWTON ST SUITE C500 | BOSTON | MA | 02118 | 043265008 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BU MEDICAL CENTER UROLOGISTS INC | ||||||||||
| 725 ALBANY STREET SHAPIRO 3B | BOSTON | MA | 02118 | 043286643 | healthcare | MA | 501(C)(3) | IIC III-FI | NA | false |
| BOSTON MEDICAL CENTER | ||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 043314093 | healthcare | MA | 501(C)(3) | 3 | NA | false |
| TRUSTEES OF BOSTON UNIVERSITY | ||||||||||
| 881 COMMONWEALTH AVENUE | BOSTON | MA | 02115 | 042103547 | education | MA | 501(C)(3) | 2 | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | true | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |