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BIH RADIOLOGIC FOUNDATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BIH RADIOLOGIC FOUNDATION INC (EIN 04-2571853)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-11
IRS object ID
201122239349301392
Schema version
2009v1.7
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)
Timestamp2011-08-11T12:35:06-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FEELEY & DRISCOLL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 PORTLAND STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042571853EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BIH Radiologic Foundation IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBIHRNameControl
Phone6176672204Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1330 Brookline AvenueAddressLine1
CityBostonCity
StateMAState
ZIP Code02215ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCarl NickersonName
TitleTreasurerTitle
Phone6176679553Phone
Date Signed2011-08-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAlan GarofaloName
Phone6177427788Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCarl NickersonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1330 Brookline AvenueAddressLine1
CityBostonCity
StateMAState
ZIP Code02215ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5999037GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Siten/aWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionCharitable - The provision of healthcare services, research and teaching.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI761TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5910493ProgramServiceRevenuePriorYear
Program Service Revenue CY5853971ProgramServiceRevenueCY
Investment Income Prior Year98479InvestmentIncomePriorYear
Investment Income Current Year145066InvestmentIncomeCurrentYear
Other Revenue Prior Year-24148OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year5984824TotalRevenuePriorYear
Total Revenue Current Year5999037TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5477054OtherExpensePriorYear
Other Expenses Current Year6693339OtherExpensesCurrentYear
Total Expenses Prior Year5477054TotalExpensesPriorYear
Total Expenses Current Year6693339TotalExpensesCurrentYear
Revenues Less Expenses Prior Year507770RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-694302RevenuesLessExpensesCY
Total Assets BOY9040799TotalAssetsBOY
Total Assets EOY9194510TotalAssetsEOY
Total Liabilities BOY468636TotalLiabilitiesBOY
Total Liabilities EOY807676TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8572163NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8386834NetAssetsOrFundBalancesEOY
Mission DescriptionThe provision of healthcare services, and research and teaching related to the provision of healthcare in conjunction with and in support of the missions of Beth Israel Deaconess Medical Center, Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center and the President and Fellows of Harvard College - Harvard Medical School.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6390414Expense
Revenue5853971Revenue
DescriptionProvided radiological services to the patients served by Beth Israel Deaconess Medical Center (BIDMC) and Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP), their affiliated organizations and the communities served by these organizations; Participated in and provided instruction for the medical education programs of HMFP, BIDMC and Harvard Medical School.Description
Total Program Service Expense6390414TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCarl NickersonNamePerson
Telephone Number6176679553TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1330 Brookline AvenueAddressLine1
CityBostonCity
StateMAState
ZIP Code02215ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
jonathan kruskal md
President5.00XX059184272250
Peter Gross MD
Director5.00X041853760041
Robert Kane MD
Director5.00X039207259742
Deborah Levine-Jesurum MD
Director5.00X038471372259
Max P Rosen MD
Director5.00X043776164472
Vassilios Raptopoulos MD
Director5.00X047311967250
Carl Nickerson mba
Treasurer/Clerk5.00X017406236001
Herbert kressel md
Former Director1.00061982968457X
Melvin E Clouse MD
Director1.00040065171186X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3892586TotalReportableCompFrmRltdOrgs
Total Other Compensation571658TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
harvard medical faculty physicians at BI
375 longwood ave 3rd floorbostonMA02215physician services3606173
beth israel deaconess medical center
330 brookline avebostonMA02215mri support and research & eductation se482493
GE Healthcare Financial Services
PO Box 641419PittsburghPA15264CT Scan Equipment Services284992
siemens financial services inc
Dept AT 40065atlantaGA311920065mri equipment services274723
McKesson Corporation
291 Moody StreetLudlowMA01056Billing and Coding Service135481
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient RevenueDescription
Business Code900099BusinessCode
Total Revenue Column5853971TotalRevenueColumn
Related Or Exempt Function Income5853971RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue5853971TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column17963TotalRevenueColumn
Unrelated Business Revenue576UnrelatedBusinessRevenue
Exclusion$17,387ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities127103Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities127103Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column127103TotalRevenueColumn
Unrelated Business Revenue185UnrelatedBusinessRevenue
Exclusion$126,918ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5999037TotalRevenueColumn
Related Or Exempt Function Income5853971RelatedOrExemptFunctionIncome
Unrelated Business Revenue761UnrelatedBusinessRevenue
Exclusion$144,305ExclusionAmount

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1544Total
Management And General1544ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7935Total
Management And General7935ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total113123Total
Management And General113123ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total198962Total
Program Services144492ProgramServices
Management And General54470ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5336Total
Management And General5336ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total12025Total
Management And General12025ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total351902Total
Program Services351902ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total25984Total
Program Services21944ProgramServices
Management And General4040ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
research expense21814692181469
hmfp purchased services17895551789555
Contracted Professional13122801312280
Bad Debt Expense412374412374
Medical Supplies120384120384

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total160466Total
Program Services56014ProgramServices
Management And General104452ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6693339Total
Program Services6390414ProgramServices
Management And General302925ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY190639BOY
EOY163588EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY612670BOY
EOY583093EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY300057BOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3360706LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2960964LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY545464BOY
EOY399742EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7325788BOY
EOY7981906EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY66181BOY
EOY66181EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9040799BOY
EOY9194510EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY124986BOY
EOY736993EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY343650BOY
EOY70683EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY468636BOY
EOY807676EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8311401BOY
EOY8126072EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY260762BOY
EOY260762EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8572163BOY
EOY8386834EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9040799BOY
EOY9194510EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
Beth Isreal Deaconess Medical Center
0421038813111$0
Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center
2227682049111$0
The President and Fellows of Harvard College - Harvard Medical School
0421035802111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationBeth Israel Deaconess Medical Center, one of the entities supported by the BIH Radiologic Foundation may have engaged in some lobbying efforts on behalf of this entity and other affiliated network entities. Additionally, the BIH Radiologic Foundation may pay dues to certain membership organizations, a piece of which may be used by such organizations for lobbying activities on behalf of this institution and other similarly situated organizations. Total lobbying expenditures on behalf of BIH Radiologic Foundation were minimal and not substantial based on revenues.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis782142OtherCostOrOtherBasis
Depreciation632528Depreciation
Book Value149614BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2578564OtherCostOrOtherBasis
Depreciation2328436Depreciation
Book Value250128BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings399742TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionInvestment and SecuritiesDescription
Book Value7981906BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities7981906TotalOfBookValueSecurities
Total Revenue5999037TotalRevenue
Total Expenses6693339TotalExpenses
Excess Or Deficit For Year-694302ExcessOrDeficitForYear
Other$508,973OtherAmount
Total Adjustments508973TotalAdjustments
Excess Or Deficit Per FS-185329ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt455186000TotRevenueEtcAuditedFinclStmt
Other Revenues449186963OtherRevenues
Revenue Not Rptd F990449186963RevenueNotRptdF990
Revenue Subtotal5999037RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9905999037TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt450328000TotExpensesEtcAuditedFinclStmt
Other Expenses Included443634661OtherExpensesIncluded
Expenses Not Rptd F990443634661ExpensesNotRptdF990
Expenses Subtotal6693339ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906693339TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:Unrealized gain on Investments: 541291. Recognition of Disregarded entity net equity: -32318.
Part XII, Line 2d - Other Adjustments:Other entities consolidated into Harvard Medical Faculty Physicians at BIDMC: XXX-XX-XXXX.
Part XIII, Line 2d - Other Adjustments:Other entities consolidated into Harvard Medical Faculty Physicians at BIDMC: XXX-XX-XXXX.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 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
jonathan kruskal md
055533300036509045938026312066409200
Peter Gross MD
0348840031764037933045937014104047857800
Robert Kane MD
0303225052472036375045938013804045181400
Deborah Levine-Jesurum MD
0303690055590025433045938026321045697200
Max P Rosen MD
0348220051463038078045938018534050223300
Vassilios Raptopoulos MD
0376028051972045119045938021312054036900
Carl Nickerson mba
0124784018750030528023397012604021006300
Herbert kressel md
057554305464038822053249015208068828600
Melvin E Clouse MD
0327587027103045961053537017649047183700

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 6Compensation provided to certain officers and directors by related organizations is based, in part, on the performance of those related organizations.
Part IIIReportable Compensation listed in Form 990 Part VII includes Base Compensation, Incentive Compensation and Other Reportable Compensation as reported in Form 990 Schedule J. Other Compensation listed in Form 990 Part VII includes Deferred Compensation and Non-taxable Benefits as reported in Form 990 Schedule J. Reportable Compensation: Amounts not otherwise separately noted in this return but quantified in Other Reportable Compensation include amounts from one or more of the following items: The employee's own contributions to a 401k Plan; the employee's own contributions to 403b Plan; Amounts deferred by the employee (plus earnings) under fully vested 457(b) plan; Increase/Decrease in value of nonqualified fully vested 457(b) plan; Taxable employer-subsidized parking; Taxable Moving Expenses; Earned Time cashed; Taxable Life, disability, or Long-term care insurance; and Other Taxable Retirement Benefits Deferred Compensation: Amounts not otherwise separately noted but quantified in deferred compensation include amounts from one or more of the following items: Employer Contributions to 401k Retirement Plan, Employer Contributions to 403b Retirement Plan, Employer contribution to Pension Plan Non-taxable Benefits: Amounts not otherwise separately noted but quantified in non-taxable benefits include amounts from one or more of the non-taxable benefits: Employee contributions to health insurance, Employer contributions to health insurance, Employee contributions to flexible spending accounts for dependent care and/or medical reimbursement, Group term life insurance, Disability insurance All Directors/Trustees serve without compensation or benefits. Compensation paid to Officers, Directors, Trustees or Key Employees was earned for work performed in a capacity other than that of Director/Trustee, as denoted by the listed titles Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center and Beth Israel Deaconess Medical Center may be referred to in these explanatory notes to Form 990 Part VII and Form 990 Schedule J as HMFP and BIDMC respectively. In addition, the entities below may be referenced as follows: * BIH Radiologic Foundation, Inc. (Radiology Fdn) Kruskal, M.D., PhD, Jonathan B. President & Director - BIH Radiologic Foundation Director & Chair (Radiology) - Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center Chief of Radiology - Beth Israel Deaconess Medical Center Professor of Radiology - Harvard Medical School Dr. Kruskal performs services for both HMFP and BIDMC. As required by Form 990, although Dr. Kruskal is paid directly by HMFP, the portion of Dr. Kruskal's compensation attributable to each position has been separately reported on Form 990, as further outlined below. Payments reported by HMFP: Base Compensation: 277,666 Incentive Compensation: 0 Other Reportable Compensation: 18,255 Deferred Compensation: 22,969 Non-Taxable Benefits: 13,156 Payments reported by BIDMC: Base Compensation: 277,667 Incentive Compensation: 0 Other Reportable Compensation: 18,254 Deferred Compensation: 22,969 Non-Taxable Benefits: 13,156 Raptopoulos, M.D., Vassilios Radiologist - Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center Director & Former Interim President - BIH Radiologic Foundation Professor of Radiology - Harvard Medical School Former Interim Chair of Radiology - Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center Former Interim Chief of Radiology - Beth Israel Deaconess Medical Center Dr. Raptopoulos served as Interim Chair of Radiology at Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center through September 10, 2008. All payments to Dr. Raptopoulos relate to his current role. Payments reported by HMFP: Base Compensation: 376,028 Incentive Compensation: 51,972 Other Reportable Compensation: 45,119 Deferred Compensation: 45,938 Non-Taxable Benefits: 21,312 Clouse, M.D., Melvin E. Radiologist - Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center Former Director - BIH Radiologic Foundation Professor of Radiology - Harvard Medical School Dr. Clouse's term on the BIH Radiologic Foundation Board ended May 7, 2009. All payments to Dr. Clouse relate to the positions he held during the 2009 calendar year. Payments reported by HMFP: Base Compensation: 327,587 Incentive Compensation: 27,103 Other Reportable Compensation: 45,961 Deferred Compensation: 53,537 Non-Taxable Benefits: 17,649 As required in this Form 990, compensation reported by HMFP for the 2009 calendar year includes the following payments from the President and Fellows of Harvard College/Harvard Medical School related to Dr. Clouse's position as Professor of Pathology at Harvard Medical School: $75,992 Base and Other Reportable Compensation, $7,599 Deferred Compensation and $45 Non-taxable Benefits. Kressel, M.D., Herbert Y. Former President & Director - BIH Radiologic Foundation Radiologist - Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center Radiologist-in-Chief Emeritus - Beth Israel Deaconess Medical Center Miriam H. Stoneman Professor of Radiology - Harvard Medical School Former Director/Former Chair of Radiology - Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center Former Chief of Radiology - Beth Israel Deaconess Medical Center Dr. Kressel served as President and Director of BIH Radiologic Foundation through December 31, 2007. All payments to Dr. Kressel relate to the positions he held during the 2009 calendar year. Payments reported by HMFP: Base Compensation: 575,543 Incentive Compensation: 5,464 Other Reportable Compensation: 38,822 Deferred Compensation: 53,249 Non-Taxable Benefits: 15,208 As required in this Form 990, compensation reported by HMFP for the 2009 calendar year includes the following payments from the President and Fellows of Harvard College/Harvard Medical School related to Dr. Kressel's position as Miriam H. Stoneman Professor of Radiology, Harvard Medical School: $73,120 Base and Other Reportable Compensation, $7,312 Deferred Compensation and $104 Non-taxable Benefits.Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonPatti RosenbergNamePerson
FieldValueIRS element (for citing)
RelationshipFamily MemberRelationship
Amount Of Transaction182164AmountOfTransaction
Description Of TransactionSee Schedule ODescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 2The following individuals have business relationships which arise from their roles as Officers and/or Directors of BIH Radiologic Foundation, Inc. and its affiliated entities. 1. Jonathan Kruskal, MD 2. Deborah Levine Jesurum, MD
Form 990, Part VI, Section A, line 6Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Inc. (HMFP) is the sole member of the BIH Radiologic Foundation (the Foundation).
Form 990, Part VI, Section A, line 7bThe Member (HMFP), according to the Foundation bylaws, has the following rights: 1. To approve any amendments to the Articles of Organization or bylaws; 2. To approve the undertaking of any clinical services of the Foundation not being provided by the Foundation as of October 1, 2006; 3. To approve any action that would cause, or could reasonably be expected to cause the Member to breach the Affiliation Agreement between the Member and Beth Israel Deaconess Medical Center; 4. To select and remove and replace the independent public accounting firm; 5. To require the Foundation to comply with the policies and procedures of the Member's program for compliance with the applicable billing and payment requirements of federal health care programs; and, 6. Powers and rights as vested by law.
Form 990, Part VI, Section B, line 11The preparation and the filing of the Foundation's Form 990 and supporting schedules is the responsibility of the Chief Financial Officer (CFO) of Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center,Inc. The Form 990 is prepared by the Foundation's tax advisor and reviewed by the CFO and his team who are responsible for answering questions and providing additional information when necessary with the assistance of the Foundation's management. After the review by the tax advisors, the Form 990 and related schedules are provided to the Foundation's President for review, particularly in the areas of accuracy and adequacy of explanations and answers related to non financial information. Any issues are then addressed by the CFO and his team with the Foundation's President. The Form 990 is assembled and reviewed for final filing by the Foundation's tax advisors. Once assembled, the Foundation's President approves and signs the return and the return is provided to the Foundation's board for review. The completed 990 is then filed with the proper authorities by the CFO and his team.
Form 990, Part VI, Section B, line 12cThe Foundation is committed to pursuing charitable missions and conducting business in a responsible and ethic manner. The Foundation's conflict of interest policy states that the President, Officers and Board Members are required to report any conflicts of interest. The Foundation has prepared a formal conflict of interest disclosure statement which is required to be completed annually by all key Foundation personnel. The standards in the policy require Foundation officers and board members shall not vote on, influence, or make recommendations regarding a transaction or decision when the individual or member of his or her family has a material interest in an entity or property involved in the transaction or decision. A material interest includes, but is not limited to an individual or family member having a combined interest of greater than 5% of an entity or property, an individual or family member serving as a director, trustee, officer, partner, employee, consultant, agent, member of the the active professional staff, researcher or advisor of or to an entity (included by not limited to health care providers) other than Harvard Medical Faculty Physicians at BIDMC, Inc and its Affiliates, an individual holding an elected or appointed office or position in a branch of government or in a regulatory agency having authority or jurisdiction over providers of health care (for members of the judiciary, areas of conflict will be defined in the Code of Judicial Conduct) and an individual (or member of his or her family) competing with the Foundation in the purchase or sale of any property right, interest, or service. The conflict of interest standards require that an individual or member of his or her family not accept gifts or other favors that might lead to the inference that the gift or favor was intended to influence his or her decision-making while serving the Foundation. Per the policy, an individual should not disclose or use Foundation information for personal profit or advantage or should not disclose confidential and/or strategic information in advance of its authorized release. As noted above, the process for addressing a potential conflict requires that the Foundation directors and officers complete a formal conflict of interest disclosure statement each year. The Foundation board reviews such submitted forms and formal approval of such activities is required to be documented in minutes of the Board meeting. If the Board feels that any individual has failed to disclose a conflict of interest, it will inform the individual of the basis for the belief and afford the individual an opportunity to explain the alleged failure to disclose. If the Board determines that the individual failed to properly disclose a conflict of interest, it shall take appropriate disciplinary and corrective actions. With this conflict of interest policy, the Board is determined to help ensure all transactions are handled in a fair and ethical manner.
The Foundation does not provide compensation to any individual. Certain officers and trustees of the Organization receive compensation from related parties. The process of determining compensation of these individuals is conducted at the related party level where the related organization has a compensation committee that is charged with determining the compensation of its officers, directors, key employees and professional staff of the organization. The compensation committee utilizes comparative industry data, outside consultants, and other outside market data to help determine compensation. The related entities of the Foundation have formal compensation policies which are documented and reviewed by their Board of Directors. The compensation committee pre-approves compensation plans which are documented in a formalized manner before being presented to employees.
Form 990, Part VI, Section C, line 18The Organization's Form 990 is available upon request and is also available on the public charity document search website maintained by the Commonwealth of Massachusetts Attorney General.
Form 990, Part VI, Section C, line 19The Foundation's governing documents, its conflict of interest policy, and its financial statements are available to the public upon request at the offices of Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Inc. located at 375 Longwood Avenue, Boston, MA 02215. Additionally, state and federal tax related information is provided to the general population through public websites including www.guidestar.org and the Massachusetts Attorney General's website.
Form 990, Part XI, Line 2cThe B.I.H. Radiologic Foundation, Inc.'s financial statements were audited on a consolidated basis as part of the audit of Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Inc.'s financial statements.Audited Financial Statement Process
Schedule L, Part IVBeth Israel Deaconess Medical Center, Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Associated Physicians of Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Cardiovascular Associated Physicians of Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center and Beth Israel Deaconess Department of Surgery Foundation may be referred to in these explanatory notes to Form 990, Schedule L as BIDM, HMFP, APHMFP, CAPHMFO and Foundation, respectively. Stuart A. Rosenberg, MD, a Foundation Director, President and CEO of HMFP, APHMFP, CAPHMFP, a Director (ex-offico) of BIDM is married to Patti Rosenberg, who provides network development services to Cardiovascular Management Associates, a support organization of BIDMC. Ms. Rosenberg is paid by CAPHMFP. Her salary and other income includes: Base Compensation $150,000 Bonus and Incentive Compensation $5,000 Other Reportable Compensation $27,164 Contribution to Employee Benefit Plans includes: Deferred Compensation $27,000 Non-Taxable Benefits $1,240 The Foundation maintains an accountable business expense reimbursement plan. From time to time, the Foundation may reimburse its officers, directors, trustees and/or key employees for expenses they incurred and which are properly ordinary and necessary business expenses of the reporting entity. The policies and procedures required by the accountable business plan must be followed in order to receive reimbursement for such expenses and it is possible that one or more individuals received non-taxable reimbursements which totaled $1,000 or more during the fiscal period covered by this filing. All of the above transactions were negotiated at arms length and in accordance with the HMFP and Foundation conflict of interest policy.Transactions Involving Interested Persons

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BeWell Body Scan LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line125 Boylston StreetAddressLine1
CityChestnut HillCity
StateMAState
ZIP Code02467ZIPCode
FieldValueIRS element (for citing)
EIN260051016EIN
Primary ActivitiesMedical Services - Diagnostic ImagingPrimaryActivities
Legal Domicile StateMALegalDomicileState
Total Income559126TotalIncome
EOY Assets201524EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BIH Radiologic Foundation IncBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatus
Associated Physicians of Harvard Medical Faculty Physicians at BIDMC Inc
375 Longwood AvenueBostonMA02215320058309Emergency Medical ServicesMA3Y
Beth Israel Anaesthesia Foundation Inc
330 Brookline AvenueBostonMA02215042997215Support Patient Care, research and teaching mission of BIDMC, HMFP and HMSMA3Y
Beth Israel Deaconess Department of Medicine Foundation
330 Brookline AvenueBostonMA02215043079630Support Patient Care, research and teaching mission of BIDMC, HMFP and HMSMA3Y
Beth Israel Deaconess Department of Neonatology Foundation
330 Brookline AvenueBostonMA02215208253452support Patient Care, research and teaching mission of BIDMC, HMFP and HMSMA3Y
Beth Israel Deaconess Department of Neurology Foundation
330 Brookline AvenueBostonMA02215043030397Support Patient Care, research and teaching mission of BIDMC, HMFP and HMSMA3Y
Beth Israel Deaconess Department of Orthopaedic Surgery Foundation
330 Brookline AvenueBostonMA02215204974585support Patient Care, research and teaching mission of BIDMC, HMFP and HMSMA3Y
Beth Israel Deaconess Department of Surgery Foundation
110 Francis StreetBostonMA02215020671240Support Patient Care, research and teaching mission of BIDMC, HMFP and HMSMA3Y
Beth Israel Deaconess Hospital - Needham Inc
148 Chestnut StreetNeedhamMA02492043229679Operation of a hospital for the treatment, care and relief of sick personsMA3Y
Beth Israel Deaconess Medical Center
330 Brookline AvenueBostonMA02215042103881Operation of a world class academic medical centerMA3Y
Beth Israel Deaconess Medical Center and Children's Hospital Med Care Corp
300 Longwood AvenueBostonMA02215043200113Operation of an outpatient ambulatory care center in Lexington, MAMA3Y
Beth Israel Deaconess medical Center Obstetrics and Gynecology Foundation
330 Brookline AvenueBostonMA02215042794855Support Patient Care, research and teaching mission of BIDMC, HMFP and HMSMA3Y
Beth Israel Dermatology Foundation
330 Brookline AvenueBostonMA02215043117601Support Patient Care, research and teaching mission of BIDMC, HMFP and HMSMA3Y
BIH Pathology Foundation
330 Brookline AvenueBostonMA02215222548374Support Patient Care, research and teaching mission of BIDMC, HMFP and HMSMA3Y
Cardiovascular Associated Physicians of HMFP at BIDMC
185 Pilgrim RoadBostonMA02215043208878To provide specialized cardiovascular Medical ServicesMA3Y
Cardiovascular Management Associates
185 Pilgrim RoadBostonMA02215208550792To facilitate comprehensive cardiovascular care, education & researchMA3y
CareGroup Inc
109 Brookline AvenueBostonMA02215222629185To develop and coordinate a non-discriminatory integrated HC Delivery SystemMA3Y
Continuing Education Program Inc dba BID Dept of Psychiatry Foundation
401 Park DriveBostonMA02215043242952Support Patient Care, research and teaching mission of BIDMC, HMFP and HMSMA3Y
Medical Care of Boston Management Corp Dba Affiliated Physicians Group
400 Hunnewell StreetNeedhamMA02494042810972Medical Services OrganizationMA3Y
Mount Auburn Hospital
330 Mount Auburn StreetCambridgeMA02138042103606Operation of a hospital for the treatment, care and relief of sick personsMA3Y
Mount Auburn Professional Services Inc
330 Mount Auburn StreetCambridgeMA02138043026897The provision of medical care in general and specialized practicesMA3Y
New England Baptist Hospital
125 Parker Hill AvenueBostonMA02120042103612Operation of an orthopedic specialty hospitalMA3Y
New England Baptist Medical Associates Inc
125 Parker Hill AvenueBostonMA02120043326928Outpatient medical services to the communities served by NE Baptist HospitalMA3Y
Riverbrook Corporation
109 Brookline AvenueBostonMA02215042828955To hold title to property for CareGroup, Inc.MA2Y
Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center
375 Longwood AvenueBostonMA02215222768204To provide general and specialized medical services to patients of BIDMCMA3Y
Heart Center of Metrowest Inc
99 Lincoln StreetFraminghamMA02120030390670to provide outpatient medical services to the metrowest communitiesMA3Y

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
BeWell Body Scan LLC
25 Boylston StreetChestnut HillMA02651260051016Medical Diagnostic ServicesMARelated00
Charlton MRI Services LLC
Main StreetCharltonMA01507264662778Medical Diagnostic ServicesMARelated00
Beth Israel Deaconess Physician Organization
110 Francis StreetBostonMA02215043426253To promote the highest quality of coordinated patient care at BIDMCMARelated00
CareGroup Clinical Research
109 Brookline AvenueBostonMA02215300228711To participate in a clinical research partnershipMARelated00

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntity
Anesthesia Financial Solutions
330 Brookline AvenueBostonMA02215040000001To provide billing servicesMAC
BIDMCCGSMC JV Inc
330 Brookline AvenueBostonMA02215264426847Inactive CorporationMAC
Chestnut Healthcare Alliance Inc
148 Chestnut StreetNeedhamMA02492043265117Physician/Hospital OrganizationMAC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg