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fin 48 Faculty Practice Foundation Inc.'s financial statements did not report a liability for uncertain tax positions under FIN 48. true true false false false false false false false 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 Schedule J, Part I, Line 3 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 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. 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