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FACULTY PRACTICE FOUNDATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FACULTY PRACTICE FOUNDATION INC (EIN 04-3289381)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-09-26
IRS object ID
201232709349300628
Schema version
2010v3.7
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

FieldValueIRS element (for citing)
Timestamp2012-09-26T13:30:57-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 High StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043289381EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Faculty Practice Foundation IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFACUNameControl
Phone6176388923Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1660 Harrison Avenue 3rd FloorAddressLine1
CityBostonCity
StateMAState
ZIP Code02118ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePETER HEALYName
TitleCAO/VP PROF SVCSTitle
Date Signed2012-05-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePRICEWATERHOUSECOOPERS LLPName
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonKAREN H ANTMAN MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1660 HARRISON AVENUEAddressLine1
CityBostonCity
StateMAState
ZIP Code02118ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19899840GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number8094GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWW.BMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers16TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6000457ProgramServiceRevenuePriorYear
Program Service Revenue CY19896397ProgramServiceRevenueCY
Investment Income Prior Year8482InvestmentIncomePriorYear
Investment Income Current Year3443InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6008939TotalRevenuePriorYear
Total Revenue Current Year19899840TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3824125SalariesEtcPriorYear
Salaries Etc Current Year3059343SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14241100OtherExpensePriorYear
Other Expenses Current Year6295298OtherExpensesCurrentYear
Total Expenses Prior Year18065225TotalExpensesPriorYear
Total Expenses Current Year9354641TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-12056286RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10545199RevenuesLessExpensesCY
Total Assets BOY38257051TotalAssetsBOY
Total Assets EOY44077940TotalAssetsEOY
Total Liabilities BOY16272861TotalLiabilitiesBOY
Total Liabilities EOY11548551TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY21984190NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY32529389NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7633826Expense
Grants0Grants
Revenue19896397Revenue
DescriptionSee Schedule O.Description
Total Program Service Expense7633826TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096206NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKATHRYN BEACHNamePerson
Telephone Number6176383565TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1660 HARRISON AVENUE GAMBRO 3 RM 3AddressLine1
CityBostonCity
StateMAState
ZIP Code02118ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
Karen H Antman MD
President/DIRECTOR3.0XX065085333862
Aram V Chobanian MD
Director50.0X030321953109
Gary W Nicksa
Director3.0X029995775442
Ronald Bartlett
Director (until 2/8/11)4.0X0570603114946
Peter Healy
Director10.0X027581571519
Thomas Moore MD
Director50.0X046554150089
BARRY S ZUCKERMAN MD
DIRECTOR50.0X041900450083
DAVID L COLEMAN MD
DIRECTOR50.0X062035035132
JAMES M BECKER MD
DIRECTOR50.0X099068450271
LINDA HEFFNER MD
DIRECTOR50.0X046777549850
RAVIN DAVIDOFF MD
DIRECTOR5.0X0527696129055
kathleen e walsh
DIRECTOR/TREASURER3.0XX0909332431992
RICHARD SILVERIA
DIRECTOR (as of 1/31/11)4.0X0783330
ANGELA JACKSON MD
DIRECTOR3.0X022762049102
ROBERT WITZBURG MD
DIRECTOR3.0X028405248085
Stephanie S Lovell Esq
CLERK4.0X0507361118576
Elaine S Ullian
Former Treasurer/DIRECTOR0.002011053193935X
EDWARD J CHRISTIANSEN JR
FORMER DIRECTOR/CLERK0.0028418631015X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs9893434TotalReportableCompFrmRltdOrgs
Total Other Compensation1586063TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THINK FIRST
33 DEAN STREETBRAINTREEMA02184MGMT CONSULTING362900
ACCOUNTING MANAGEMENT SOLUTION INC
800 SOUTH STREETWALTHAMMA02453MGMT CONSULTING208117
PRICEWATERHOUSECOOPERS LLP
125 HIGH STREETBOSTONMA02110AUDIT/TAX SERVICES115112
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionINSTITUTIONAL SUPPORT & OTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column19896397TotalRevenueColumn
Related Or Exempt Function Income19896397RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue19896397TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3443TotalRevenueColumn
Exclusion$3,443ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19899840TotalRevenueColumn
Related Or Exempt Function Income19896397RelatedOrExemptFunctionIncome
Exclusion$3,443ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2330351Total
Program Services2074012ProgramServices
Management And General256339ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total728992Total
Program Services648803ProgramServices
Management And General80189ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total565785Total
Management And General565785ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total744617Total
Management And General744617ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total72120Total
Management And General72120ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16042Total
Program Services14277ProgramServices
Management And General1765ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total33140Total
Program Services33140ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total53Total
Program Services53ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total942Total
Program Services942ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total200Total
Program Services200ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total3651519Total
Program Services3651519ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7604Total
Program Services7604ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
INSTITUTIONAL SUPPORT EXPENSE11421071142107
MISCELLANEOUS FEES5491654916
DUE MEMBERSHIPS & LIC. MDS.30223022
MEDICAL STAFF DEVELOPMENT11251125
OTHER EXPENSES21062106

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9354641Total
Program Services7633826ProgramServices
Management And General1720815ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY26205794BOY
EOY24247380EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY18737BOY
EOY2231EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis844797LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec207434LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY644967BOY
EOY637363EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11387553BOY
EOY19190966EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38257051BOY
EOY44077940EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1616741BOY
EOY3996740EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14656120BOY
EOY7551811EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16272861BOY
EOY11548551EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21984190BOY
EOY32529389EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21984190BOY
EOY32529389EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38257051BOY
EOY44077940EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses10545199ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
TRUSTEES OF BOSTON UNIVERSITY
04210354702true$0
BOSTON MEDICAL CENTER
04331409303true$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis844797OtherCostOrOtherBasis
Depreciation207434Depreciation
Book Value637363BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings637363TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES19154966
OTHER ASSETS36000
FieldValueIRS element (for citing)
Total Book Value Other Assets19190966TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$7,551,811Amount
FieldValueIRS element (for citing)
Total Of Amounts7551811TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
Identifierschedule d, part x - fin 48Identifier
Return ReferenceFaculty Practice Foundation Inc.'s financial statements did not reportReturnReference
Explanationa liability for uncertain tax positions under FIN 48.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Karen H Antman MD
05943650005648803254001322068471500
Aram V Chobanian MD
026807600035143032540020569035632800
Elaine S Ullian
076405000193464801694330245020220498800
Gary W Nicksa
02904260009531032540042902037539900
Ronald Bartlett
052868600041917068983045963068554900
Peter Healy
025335900022456039590031929034733400
Stephanie S Lovell Esq
044533400062027099951018625062593700
Thomas Moore MD
043129200034249032540017549051563000
BARRY S ZUCKERMAN MD
038765000031354032540017543046908700
DAVID L COLEMAN MD
044932200017102803254002592065548200
JAMES M BECKER MD
04428710005478130325400177310104095500
LINDA HEFFNER MD
043590700031868032540017310051762500
RAVIN DAVIDOFF MD
0414874000112822094321034734065675100
kathleen e walsh
0730163015000002916904149580170340134132400
ANGELA JACKSON MD
0227281000339026740022362027672200
ROBERT WITZBURG MD
02779090006143032540015545033213700
EDWARD J CHRISTIANSEN JR
027240400011782019600011415031520100

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchedule J, Part I, Line 3Identifier
ExplanationTHE FACULTY PRACTICE FOUNDATION RELIES ON THE TRUSTEES OF BOSTON UNIVERSITY, A RELATED ORGANIZATION, TO ESTABLISH COMPENSATION OF THEIR PRESIDENT. 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 2010: DAVIDOFF - $86,730 HEALY - $20,130 LOVELL - $58,739 ULLIAN - $1,873,631 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 WILL VEST 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 EXCUTIVES. THE ESTIMATED ANNUAL INCREASE IN ACTUARIAL VALUE FOR THE FOLLOWING EXECUTIVES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN C. DAVIDOFF - $36,628 HEALY - $10,948 LOVELL - $17,265 SCHEDULE J, PART II EDWARD CHRISTIANSEN, JR. IS COMPENSATED FOR HIS ROLE AS VP & CHIEF RISK MANAGEMENT OFFICER AT BOSTON MEDICAL CENTER, A RELATED ORGANIZATION, AND NOT AS THE FORMER CLERK.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
The organization amended Form 990 to reflect change in compensationinformation from a related organization. Form 990, Part VII and Schedule J were affected by this change. 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 Heath 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, set physician compensation, and control managed care services provided 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. The President of the Faculty PRACTICE FOUNDATION is also the Dean of Boston University School of Medicine. 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 OR BOSTON MEDICAL CENTER, related organizations. members of the foundation's board include certain officers of boston university and boston medical center. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE ORGANIZATION BOSTON UNIVERSITY AND BOSTON MEDICAL CENTER. GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER HAS THE POWER TO APPOINT FOUR DIRECTORS. 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 HAVE THE AUTHORITY TO REMOVE DIRECTORS OR OFFICERS OF THE ORGANIZATION BY MAJORITY VOTE. 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, 2011 WERE DISTRIBUTED ON MARCH 15, 2012 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, CONFLICT OF INTEREST POLICY, or FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Karen H. Antman, M.D. TITLE:President/DIRECTOR HOURS:55FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Gary W. Nicksa TITLE:Director HOURS:55FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Ronald Bartlett TITLE:Director (until 2/8/11) HOURS:50FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Peter Healy TITLE:Director HOURS:45FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:RAVIN DAVIDOFF, M.D. TITLE:DIRECTOR HOURS:50FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:kathleen e. walsh TITLE:DIRECTOR/TREASURER HOURS:50FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:RICHARD SILVERIA TITLE:DIRECTOR (as of 1/31/11) HOURS:50FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:ANGELA JACKSON, MD TITLE:DIRECTOR HOURS:50FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:ROBERT WITZBURG, MD TITLE:DIRECTOR HOURS:50FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Stephanie S. Lovell, Esq. TITLE:CLERK HOURS:50FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:EDWARD J. CHRISTIANSEN JR TITLE:FORMER DIRECTOR/CLERK HOURS:50FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BU MEDICAL CTR ANESTHESIOLOGISTS INC
88 EAST NEWTON STREET A2817BOSTONMA02118043276227healthcareMA501(C)(3)IIC III-FINAfalse
BOSTON EMERGENCY PHYSICIAN FDN INC
860 HARRISON AVENUEBOSTONMA02118043286156healthcareMA501(C)(3)IIC III-FINAfalse
BU CARDIAC & THORACIC SURGICAL FDN INC
88 EAST NEWTON STREETBOSTONMA02118042966416healthcareMA501(C)(3)IIC III-FINAfalse
BOSTON UNIVERSITY DERMATOLOGY INC
609 ALBANY STREETBOSTONMA02118043335166healthcareMA501(C)(3)IIC III-FINAfalse
BU DERMATOLOGY SUPPORT SERVICES I INC
609 ALBANY STREETBOSTONMA02118043452877healthcareMA501(C)(3)IIC III-FINAfalse
BU DERMATOLOGY SUPPORT SERVICES II INC
609 ALBANY STREETBOSTONMA02118043452874healthcareMA501(C)(3)IIC III-FINAfalse
BOSTON UNIV SURGICAL ASSOCIATES INC
88 EAST NEWTON STREET C500BOSTONMA02118043291148healthcareMA501(C)(3)IIC III-FINAfalse
EVANS MEDICAL FOUNDATION INC
88 EAST NEWTON STREETBOSTONMA02118510172171healthcareMA501(C)(3)IIC III-FINAfalse
BOSTON UNIVERSITY EYE ASSOCIATES INC
2005 BAY STREET SUITE 201TAUNTONMA02780043137333healthcareMA501(C)(3)IIC III-FINAfalse
BOSTON UNIVERSITY FAMILY MEDICINE INC
ONE BOSTON MED CTR DOWLING 5 SBOSTONMA02118043354353healthcareMA501(C)(3)IIC III-FINAfalse
BU MALLORY PATHOLOGY ASSOCIATES INC
670 ALBANY STREET 3RD FLOORBOSTONMA02118042794543healthcareMA501(C)(3)IIC III-FINAfalse
BOSTON UNIV NEUROLOGY ASSOCIATES INC
72 EAST CONCORD STREET C3BOSTONMA02118043428462healthcareMA501(C)(3)IIC III-FINAfalse
BU NEUROSURGICAL ASSOCIATIES INC
72 EAST CONCORD STREET C3BOSTONMA02118043296068healthcareMA501(C)(3)IIC III-FINAfalse
BU OBSTETRICS & GYNECOLOGY FDN INC
85 EAST CONCORD STREET 6TH FLBOSTONMA02118043067465healthcareMA501(C)(3)IIC III-FINAfalse
BU ORTHOPAEDIC SURGICAL ASSOCIATES INC
720 HARRISON AVE DOB STE 808bostonMA02118043354360healthcareMA501(C)(3)IIC III-FINAfalse
BUMC OTOLARYNGOLOGIC FOUNDATION INC
820 HARRISON AVE FGH BLDG 4 FLbostonMA02118043156471healthcareMA501(C)(3)IIC III-FINAfalse
CHILD HEALTH FOUNDATION OF BOSTON INC
771 ALBANY STREET DOWLING 3 SOBOSTONMA02118042472758healthcareMA501(C)(3)IIC III-FINAfalse
BOSTON UNIV PLASTIC SURGERY ASSOC INC
720 HARRISON AVENUE DOB 9TH FLBOSTONMA02118043555478healthcareMA501(C)(3)IIC III-FINAfalse
BOSTON UNIVERSITY PSYCHIATRY ASSOC INC
85 EAST NEWTON ST SUITE 802BOSTONMA02118043355267healthcareMA501(C)(3)IIC III-FINAfalse
BU MEDICAL CENTER RADIOLOGISTS INC
820 HARRISON AVE FGH BLDG 3 FLBOSTONMA02118043283573healthcareMA501(C)(3)IIC III-FINAfalse
BOSTON REHABILITATION MEDICINE ASSOC INC
732 HARRISON AVENUE SUITE 511BOSTONMA02118043286641healthcareMA501(C)(3)IIC III-FINAfalse
BU GENERAL SURGICAL ASSOCIATES INC
88 EAST NEWTON ST SUITE C500BOSTONMA02118043265008healthcareMA501(C)(3)IIC III-FINAfalse
BU MEDICAL CENTER UROLOGISTS INC
725 ALBANY STREET SHAPIRO 3BBOSTONMA02118043286643healthcareMA501(C)(3)IIC III-FINAfalse
BOSTON MEDICAL CENTER
88 EAST NEWTON STREETBOSTONMA02118043314093healthcareMA501(C)(3)3NAfalse
TRUSTEES OF BOSTON UNIVERSITY
881 COMMONWEALTH AVENUEBOSTONMA02115042103547educationMA501(C)(3)2NAfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg