2024-05-10T10:16:06-05:00 2023-06-30 135565207 KPMG LLP 60 SOUTH STREET TWO FINANCIAL CENTER BOSTON MA 02111 990 2022-07-01 900513372 FACULTY PRACTICE FOUNDATION INC & AFFILIATES FACU 6176388000 ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 WILLIAM R CREEVY MD PRESIDENT 6176388000 2024-05-08 1 WILLIAM CREEVY MD 999009999 1 SHYAMALEE JOSEPH P01085371 6179881000 2024-05-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z WILLIAM R CREEVY MD ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 497729032 1 1 8094 X WWW.BMC.ORG X 1994 MA SEE SCHEDULE O. 42 0 2288 46 453971 0 0 0 455787499 496717139 2653680 1011893 0 0 458441179 497729032 46024 43648 0 0 381051363 411919602 0 0 0 81023607 86435120 462120994 498398370 -3679815 -669338 96334026 90825842 33750283 25979788 62583743 64846054 X SEE SCHEDULE O. 0 0 413968043 43648 496717139 THE FACULTY PRACTICE PLANS ("THE PLANS") WERE ESTABLISHED AS NOT-FOR-PROFIT CORPORATIONS OPERATING EXCLUSIVELY FOR THE BENEFIT OF BOSTON MEDICAL CENTER AND BOSTON UNIVERSITY CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE. THE PLANS' PURPOSE IS TO PROVIDE, COORDINATE AND FACILITATE THE DELIVERY OF PATIENT CARE SERVICES AND TO PROMOTE THE DEVELOPMENT OF AN INTEGRATED SYSTEM OF DELIVERY TO MORE EFFICIENTLY AND EFFECTIVELY MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED BY THE INSTITUTIONS. THE PLANS PROVIDE AMBULATORY SERVICES RANGING FROM PRIMARY ADULT AND PEDIATRIC CARE TO ADVANCED SPECIALTY CARE; AFFILIATED PHYSICIANS ALSO STAFF THE LARGEST 24 HOUR LEVEL 1 TRAUMA CENTER IN NEW ENGLAND. 413968043 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 2288 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 42 0 1 0 0 0 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X MARY BETH MOLLOY 6174144030 1 BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 X JENNIFER TSENG MD PRS/TRS/CLRK/DIR - CT, PS, SA, GS 50.00 4.00 X X 1048952 0 38466 PAUL TORNETTA MD PRES/TREAS/CLERK/DIR - ORTHO 50.00 0.00 X X 1003466 0 45910 JAMES HOLSAPPLE MD PRESIDENT/DIRECTOR - NEUROSURG 50.00 0.00 X X 968948 0 56207 MINH-TAM TRUONG MD PRES/TREAS/CLERK/DIR - RAD ONC 50.00 0.00 X X 757798 0 112495 GREGORY GRILLONE MD PRES/TREAS/DIR - OTO 50.00 4.00 X X 776238 0 59068 JORGE SOTO MD PRESIDENT/DIRECTOR - RADIO 50.00 0.00 X X 737284 0 67271 TOBY CHAI MD PRES/TREAS/CLERK/DIR - UROLOGY 50.00 0.00 X X 730575 0 66129 DAVID COLEMAN MD PRES/TREAS/DIR-EMF (UNTIL 11/22) 50.00 5.00 X X 725139 0 36895 RHODA ALANI MD PRESIDENT/DIRECTOR - DERM 50.00 0.00 X X 720181 0 39143 STEPHEN CHRISTIANSEN MD PRES/TREAS/CLERK/DIR - EYE 50.00 4.00 X X 714429 0 57750 DAVID GREER MD PRS/TRS/DR-REHAB & PRS/DR-NEURO 50.00 0.00 X X 642233 0 67133 RAFAEL ORTEGA MD PRES/TREAS/CLERK/DIR - ANES 50.00 0.00 X X 644379 0 59056 AVIVA LEE-PARRITZ MD PRESIDENT/DIRECTOR - OBGYN 50.00 4.00 X X 646192 0 55815 ROBERT VINCI MD PRES/CLERK/DIR - CHF 50.00 4.00 X X 589263 0 58566 DAVID HENDERSON MD PRES/TREAS/CLERK/DIR - PSYCH 50.00 0.00 X X 554228 0 65136 CHRISTOPHER ANDRY PHD PRES/TREAS/CLERK/DIR - PATH 50.00 0.00 X X 549144 0 55553 CHRISTIAN ARBELAEZ MD MPH PRES/TREAS/CLERK/DIR - ER 50.00 4.00 X X 569213 0 18037 ILSE CASTRO-ARAGON MD CLERK/DIRECTOR - RADIO 50.00 0.00 X X 454664 0 122187 STEPHEN WILSON MD PRES/TREAS/CLERK/DIR - FAM 50.00 0.00 X X 473385 0 63578 ASHVIN PANDE MD DIRECTOR - EMF (AS OF 8/22) 50.00 0.00 X 417864 0 46367 JAROSLAW TKACZ MD TREASURER/DIRECTOR - RADIO 50.00 0.00 X X 397140 0 55617 PAUL HENDESSI MD DIRECTOR - OBGYN 50.00 0.00 X 361555 0 66825 RONALD IVERSON MD DIRECTOR - OBGYN 50.00 0.00 X 359089 0 54917 KATHARINE WHITE MD DIRECTOR - OBGYN 50.00 0.00 X 350010 0 61314 NICOLE SIEGEL MD DIRECTOR - EYE (AS OF 1/23) 50.00 0.00 X 357336 0 28517 MANJU SUBRAMANIAN MD DIRECTOR - EYE 50.00 4.00 X 346136 0 37604 CLAUDIA HOCHBERG MD DIRECTOR - EMF (AS OF 8/22) 50.00 0.00 X 339808 0 35689 MIRIAM KOMAROMY MD DIRECTOR - EMF 50.00 0.00 X 311705 0 57692 GOPALA YADAVALLI MD DIRECTOR - EMF (AS OF 8/22) 50.00 0.00 X 303873 0 63994 ELISABETH WOODHAMS MD DIRECTOR - OBGYN 50.00 0.00 X 278963 0 52122 ALLAN WALKEY MD DIRECTOR - EMF 50.00 0.00 X 259712 0 58486 KAREN LASSER MD DIRECTOR - EMF 50.00 0.00 X 262432 0 33810 RANIA BURKE PHD DIRECTOR - EMF (AS OF 8/22) 50.00 0.00 X 259618 0 54920 MARKUS BOSMANN MD DIRECTOR - EMF 50.00 0.00 X 265871 0 29805 MANISH SAGAR MD DIRECTOR - EMF 50.00 0.00 X 253357 0 31800 TED CONSTAN TRS-OBGYN (U 5/23)&TRS/DR-CHF (U 5/23) 50.00 0.00 X X 0 237066 57594 SUSANNAH ROWE MD DIRECTOR - EYE 50.00 0.00 X 217753 0 54749 PADMASINI KANDADAI MD DIRECTOR - OBGYN 50.00 0.00 X 235916 0 38471 VIPUL CHITALIA MD DIRECTOR - EMF 50.00 0.00 X 214841 0 56893 ANTHONY HOLLENBERG MD PRES/TREAS/DIR-EMF (AS OF 11/22) 50.00 4.00 X X 237740 0 2436 SAMANTHA KAPLAN MD DIRECTOR - OBGYN 50.00 0.00 X 207358 0 49576 GERALD DENIS MD DIRECTOR - EMF (AS OF 8/22) 50.00 0.00 X 194373 0 26536 ROSHA FORMAN CNM MSN DIRECTOR - OBGYN 50.00 0.00 X 167334 0 42972 MICHELLE LONG MD DIRECTOR - EMF (UNTIL 7/22) 50.00 0.00 X 168487 0 15261 KETTIE LOUIS DNP DIRECTOR - OBGYN 50.00 0.00 X 150228 0 37148 DAVID BECK SCHEDULE O DISCLOSURE 5.00 50.00 X 0 628000 52061 JACOB PIETER NOORDZIJ MD CLERK - OTO 50.00 4.00 X 407539 0 96218 JAMIE LEVY TREASURER/CLERK - DERM 50.00 0.00 X 0 182520 34103 MATTHEW NIVISON TREASURER/CLERK - NEUROSURG 50.00 0.00 X 0 104604 27696 CAROL BOUDROT CLERK - OBGYN 50.00 0.00 X 0 66943 8696 TONY TANNOURY MD PROFESSOR/PHYSICIAN - ORTHO 50.00 0.00 X 1806821 0 144411 XINNING LI MD PHYSICIAN - ORTHO 50.00 0.00 X 1426957 0 55084 WILLIAM CREEVY MD PRESIDENT - FPF, PROF/PHYS - ORTHO 22.00 32.00 X 1158958 0 64195 NILOO EDWARDS MD PHYSICIAN - CT 50.00 0.00 X 1064449 0 58306 CHADI TANNOURY MD PHYSICIAN - ORTHO 50.00 0.00 X 905664 0 54893 CHRISTOPHER MANASSEH MD FORMER PRES/TREAS/CLERK/DIR - FAM 50.00 0.00 X 382705 0 66474 KENNETH GRUNDFAST MD FORMER PRESIDENT/DIRECTOR - OTO 50.00 0.00 X 195961 0 44171 RICHARD BABAYAN MD FMR PRES/TREAS/CLERK/DIR - UROLOGY 50.00 0.00 X 108900 0 39696 DANIEL REMICK MD FORMER PRES/CLERK/DIR - PATH 50.00 0.00 X 90431 0 30525 BRIAN JACK MD FORMER PRES/TREAS/CLERK/DIR - FAM 50.00 0.00 X 62973 0 26250 SHEILA PHICIL FORMER TREASURER/CLERK - NEURO 50.00 0.00 X 0 201155 24744 YI-AN HUANG FORMER TREASURER - OTO 50.00 0.00 X 0 177594 28800 27835568 1597882 3151833 1111 1 1 0 BAY COVE HUMAN SERVICES 66 CANAL STREET 3RD FLOOR BOSTON MA 02114 PHYSICIAN SERVICES 6295273 NORTH SUFFOLK MENTAL HEALTH 301 BROADWAY AVENUE CHELSEA MA 02150 PHYSICIAN SERVICES 2699830 BU PAYROLL PROCESSING 881 COMMONWEALTH AVENUE BOSTON MA 02215 PAYROLL SERVICES 1198415 CHILDREN'S HOSPITAL OF BOSTON 300 LONGWOOD AVENUE BOSTON MA 02115 PHYSICIAN SERVICES 618551 CHILD & FAMILY SERVICESINC 3057 ACUSHNET AVENUE NEW BEDFORD MA 02745 PHYSICIAN SERVICES 579000 21 PATIENT REVENUE 900099 218242899 217788928 453971 INSTITUTIONAL SUPPORT 541380 165012725 165012725 REIMBURSEMENT OF OPERATING EXP 900099 81762012 81762012 CONTRACT & HEALTH CENTER REVENUE 900099 22833309 22833309 CAPITATION REVENUE 900099 2614986 2614986 6251208 6251208 496717139 1011893 1011893 497729032 496263168 453971 1011893 43648 43648 19876624 16249480 3627144 1247615 1067906 179709 322908912 264619633 58289279 67886451 55154107 12732344 25382203 21403697 3978506 36887 29603 7284 1364343 1060518 303825 1888594 1431353 457241 787600 660594 127006 3538039 2913809 624230 8360 6027 2333 11480925 9583713 1897212 624381 458908 165473 5289894 4372037 917857 BAD DEBT EXPENSE 24897707 24760438 137269 MEDICAL & SURGICAL SUPP 5938261 5938261 DUES & LICENSES 1989075 1646211 342864 3208851 2568100 640751 498398370 413968043 84430327 0 11648905 9092701 207801 53052 21142948 22186533 11569782 7985796 3698051 3583986 39404186 42618530 20232135 13291040 96334026 90825842 12598729 12107022 5120885 3588714 16030669 10284052 33750283 25979788 X 62583743 64846054 62583743 64846054 96334026 90825842 X -669338 2612780 318869 X 0 1 X 1 0 X X 2 BOSTON MEDICAL CENTER 043314093 3 0 0 0 TRUSTEES OF BOSTON UNIVERSITY 042103547 2 0 0 0 2 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 SCHEDULE A, PART IV, SECTION A, LINE 6 IN ADDITION TO PROVIDING SUPPORT TO THEIR SUPPORTED ORGANIZATIONS, THE FACULTY PRACTICE PLANS ALSO PROVIDE SUPPORT TO ORGANIZATIONS THAT ADVANCE THE MISSION OF THE PLANS AND THEIR SUPPORTED ORGANIZATIONS TO PROVIDE, COORDINATE, AND FACILITATE THE DELIVERY OF PATIENT CARE SERVICES. SUPPORT IS INCLUDED ON FORM 990, SCHEDULE I. SCHEDULE A, PART IV, SECTION E, LINE 2A & 2B THE FACULTY PRACTICE PLANS ("THE PLANS") WERE ESTABLISHED AS NOT-FOR-PROFIT CORPORATIONS OPERATING EXCLUSIVELY FOR THE BENEFIT OF BOSTON MEDICAL CENTER AND BOSTON UNIVERSITY CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE. THE PLANS' PURPOSE IS TO PROVIDE, COORDINATE AND FACILITATE THE DELIVERY OF PATIENT CARE SERVICES AND TO PROMOTE THE DEVELOPMENT OF AN INTEGRATED SYSTEM OF DELIVERY TO MORE EFFICIENTLY AND EFFECTIVELY MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED BY THE INSTITUTIONS. THE PLANS PROVIDE AMBULATORY SERVICES RANGING FROM PRIMARY ADULT AND PEDIATRIC CARE TO ADVANCE SPECIALTY CARE; AFFILIATED PHYSICIANS ALSO STAFF THE LARGEST 24 HOUR LEVEL 1 TRAUMA CENTER IN NEW ENGLAND. 3547545 2396244 1151301 6279996 5307030 972966 1742241 282522 1459719 3583986 OTHER RECEIVABLES 7258146 DUE FROM AFFILIATES 5250009 OTHER ASSETS 782885 13291040 DUE TO AFFILIATES 9277403 LONG TERM CAPITAL LEASE OBLIGATION 535586 OTHER LIABILITIES 471063 10284052 X PART X, LINE 2: FACULTY PRACTICE FOUNDATION, INC. ("FACULTY") AND ITS AFFILIATED FACULTY PRACTICE PLANS ("PLANS") ARE INCLUDED IN COMBINED FINANCIAL STATEMENTS. THE TEXT OF THE UNCERTAIN TAX POSITIONS FOOTNOTE INCLUDED IN THESE FINANCIAL STATEMENTS IS AS FOLLOWS: THE HEALTH SYSTEM CORPORATION, THE MEDICAL CENTER, WELLSENSE, UDF, ECMF, BUAP, FACULTY AND THE PLANS, BACO, BMCICS, AND BMCIC OF VERMONT ARE ALL NONPROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. BMCHS RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED AS OF SEPTEMBER 30, 2023 AND 2022. BMCHS ANNUALLY ASSESSES WHETHER IT MUST RECOGNIZE UBIT EXPENSE. THE AMOUNTS RECOGNIZED AS UBIT EXPENSE WERE NOT MATERIAL TO BMCHS'S CONSOLIDATED OPERATIONS OR CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022. 1 INTERNATIONAL MUSCULOSKELETAL SOCIETY 8 DAVID DRIVE ANDOVER MA 01810 272716074 501 (C) (3) 6000 0 GENERAL SUPPORT NATIONAL ALLIANCE ON MENTAL ILLNESS 331 MONTVALE AVENUE SUITE 200 WOBURN MA 01801 042777012 501 (C) (3) 5250 0 GENERAL SUPPORT ORTHOPAEDIC RESEARCH 6300 NORTH RIVER ROAD 700 ROSEMONT IL 60018 366009467 501 (C) (3) 13000 0 GENERAL SUPPORT 3 PART I, LINE 2: FACULTY PRACTICE FOUNDATION, INC. AND AFFILIATES DO NOT DISTRIBUTE RESEARCH OR EDUCATIONAL GRANTS TO OTHER ORGANIZATIONS. THE FUNDS NOTED IN PART II REFLECT DONATIONS MADE BY FACULTY PRACTICE FOUNDATION, INC. AND AFFILIATES TO QUALIFIED 501(C)(3) ORGANIZATIONS. ALL DONATIONS ARE SUBJECT TO REVIEW AND APPROVAL BY THE INDIVIDUAL PRACTICE ADMINISTRATION. X X X 0 1 0 0 0 1 0 1 0 TONY TANNOURY MD PROFESSOR/PHYSICIAN - ORTHO 1550693 0 251226 0 4902 0 35306 0 109105 0 1951232 0 0 0 XINNING LI MD PHYSICIAN - ORTHO 1387076 0 38728 0 1153 0 26156 0 28928 0 1482041 0 0 0 WILLIAM CREEVY MD PRESIDENT - FPF, PROF/PHYS - ORTHO 956421 0 195298 0 7239 0 35306 0 28889 0 1223153 0 0 0 NILOO EDWARDS MD PHYSICIAN - CT 1057717 0 0 0 6732 0 35306 0 23000 0 1122755 0 0 0 JENNIFER TSENG MD PRS/TRS/CLRK/DIR - CT, PS, SA, GS 1046318 0 0 0 2634 0 35306 0 3160 0 1087418 0 0 0 PAUL TORNETTA MD PRES/TREAS/CLERK/DIR - ORTHO 995950 0 0 0 7516 0 35306 0 10604 0 1049376 0 0 0 JAMES HOLSAPPLE MD PRESIDENT/DIRECTOR - NEUROSURG 961681 0 0 0 7267 0 35306 0 20901 0 1025155 0 0 0 CHADI TANNOURY MD PHYSICIAN - ORTHO 904642 0 0 0 1022 0 26156 0 28737 0 960557 0 0 0 MINH-TAM TRUONG MD PRES/TREAS/CLERK/DIR - RAD ONC 730561 0 0 0 27237 0 32256 0 80239 0 870293 0 0 0 GREGORY GRILLONE MD PRES/TREAS/DIR - OTO 769298 0 0 0 6940 0 35306 0 23762 0 835306 0 0 0 JORGE SOTO MD PRESIDENT/DIRECTOR - RADIO 733673 0 0 0 3611 0 35306 0 31965 0 804555 0 0 0 TOBY CHAI MD PRES/TREAS/CLERK/DIR - UROLOGY 727115 0 0 0 3460 0 35306 0 30823 0 796704 0 0 0 STEPHEN CHRISTIANSEN MD PRES/TREAS/CLERK/DIR - EYE 708085 0 0 0 6344 0 35306 0 22444 0 772179 0 0 0 DAVID COLEMAN MD PRES/TREAS/DIR-EMF (UNTIL 11/22) 718490 0 0 0 6649 0 35306 0 1589 0 762034 0 0 0 RHODA ALANI MD PRESIDENT/DIRECTOR - DERM 716742 0 0 0 3439 0 35306 0 3837 0 759324 0 0 0 DAVID GREER MD PRS/TRS/DR-REHAB & PRS/DR-NEURO 639134 0 0 0 3099 0 35306 0 31827 0 709366 0 0 0 RAFAEL ORTEGA MD PRES/TREAS/CLERK/DIR - ANES 638796 0 0 0 5583 0 35306 0 23750 0 703435 0 0 0 AVIVA LEE-PARRITZ MD PRESIDENT/DIRECTOR - OBGYN 638425 0 0 0 7767 0 35306 0 20509 0 702007 0 0 0 DAVID BECK SCHEDULE O DISCLOSURE 0 458767 0 113850 0 55383 0 21350 0 30711 0 680061 0 0 ROBERT VINCI MD PRES/CLERK/DIR - CHF 584151 0 0 0 5112 0 35306 0 23260 0 647829 0 0 0 DAVID HENDERSON MD PRES/TREAS/CLERK/DIR - PSYCH 550175 0 0 0 4053 0 35306 0 29830 0 619364 0 0 0 CHRISTOPHER ANDRY PHD PRES/TREAS/CLERK/DIR - PATH 545093 0 0 0 4051 0 35306 0 20247 0 604697 0 0 0 CHRISTIAN ARBELAEZ MD MPH PRES/TREAS/CLERK/DIR - ER 545411 0 0 0 23802 0 0 0 18037 0 587250 0 0 0 ILSE CASTRO-ARAGON MD CLERK/DIRECTOR - RADIO 453277 0 0 0 1387 0 35306 0 86881 0 576851 0 0 0 STEPHEN WILSON MD PRES/TREAS/CLERK/DIR - FAM 462667 0 0 0 10718 0 35306 0 28272 0 536963 0 0 0 JACOB PIETER NOORDZIJ MD CLERK - OTO 392717 0 9716 0 5106 0 35306 0 60912 0 503757 0 0 0 ASHVIN PANDE MD DIRECTOR - EMF (AS OF 8/22) 416840 0 0 0 1024 0 35306 0 11061 0 464231 0 0 0 JAROSLAW TKACZ MD TREASURER/DIRECTOR - RADIO 396169 0 0 0 971 0 35306 0 20311 0 452757 0 0 0 CHRISTOPHER MANASSEH MD FORMER PRES/TREAS/CLERK/DIR - FAM 381779 0 0 0 926 0 35306 0 31168 0 449179 0 0 0 PAUL HENDESSI MD DIRECTOR - OBGYN 360559 0 0 0 996 0 35306 0 31519 0 428380 0 0 0 RONALD IVERSON MD DIRECTOR - OBGYN 357515 0 0 0 1574 0 35306 0 19611 0 414006 0 0 0 KATHARINE WHITE MD DIRECTOR - OBGYN 349228 0 0 0 782 0 35028 0 26286 0 411324 0 0 0 NICOLE SIEGEL MD DIRECTOR - EYE (AS OF 1/23) 341109 0 15877 0 350 0 26156 0 2361 0 385853 0 0 0 MANJU SUBRAMANIAN MD DIRECTOR - EYE 343713 0 1883 0 540 0 32256 0 5348 0 383740 0 0 0 CLAUDIA HOCHBERG MD DIRECTOR - EMF (AS OF 8/22) 339282 0 0 0 526 0 32256 0 3433 0 375497 0 0 0 MIRIAM KOMAROMY MD DIRECTOR - EMF 311177 0 0 0 528 0 35306 0 22386 0 369397 0 0 0 GOPALA YADAVALLI MD DIRECTOR - EMF (AS OF 8/22) 303153 0 0 0 720 0 34025 0 29969 0 367867 0 0 0 ELISABETH WOODHAMS MD DIRECTOR - OBGYN 278667 0 0 0 296 0 24297 0 27825 0 331085 0 0 0 ALLAN WALKEY MD DIRECTOR - EMF 259317 0 0 0 395 0 28259 0 30227 0 318198 0 0 0 RANIA BURKE PHD DIRECTOR - EMF (AS OF 8/22) 259250 0 0 0 368 0 25488 0 29432 0 314538 0 0 0 KAREN LASSER MD DIRECTOR - EMF 262040 0 0 0 392 0 30461 0 3349 0 296242 0 0 0 MARKUS BOSMANN MD DIRECTOR - EMF 265587 0 0 0 284 0 19432 0 10373 0 295676 0 0 0 TED CONSTAN TRS-OBGYN (U 5/23)&TRS/DR-CHF (U 5/2 0 222486 0 13980 0 600 0 12757 0 44837 0 294660 0 0 MANISH SAGAR MD DIRECTOR - EMF 252790 0 0 0 567 0 28522 0 3278 0 285157 0 0 0 PADMASINI KANDADAI MD DIRECTOR - OBGYN 235680 0 0 0 236 0 20875 0 17596 0 274387 0 0 0 SUSANNAH ROWE MD DIRECTOR - EYE 214838 0 1883 0 1032 0 26208 0 28541 0 272502 0 0 0 VIPUL CHITALIA MD DIRECTOR - EMF 213938 0 0 0 903 0 25630 0 31263 0 271734 0 0 0 SAMANTHA KAPLAN MD DIRECTOR - OBGYN 206952 0 0 0 406 0 20155 0 29421 0 256934 0 0 0 ANTHONY HOLLENBERG MD PRES/TREAS/DIR-EMF (AS OF 11/22) 118734 0 112000 0 7006 0 0 0 2436 0 240176 0 0 0 KENNETH GRUNDFAST MD FORMER PRESIDENT/DIRECTOR - OTO 195706 0 0 0 255 0 22959 0 21212 0 240132 0 0 0 SHEILA PHICIL FORMER TREASURER/CLERK - NEURO 0 186792 0 12000 0 2363 0 5889 0 18855 0 225899 0 0 GERALD DENIS MD DIRECTOR - EMF (AS OF 8/22) 193209 0 0 0 1164 0 23176 0 3360 0 220909 0 0 0 JAMIE LEVY TREASURER/CLERK - DERM 0 166137 0 15252 0 1131 0 11984 0 22119 0 216623 0 0 ROSHA FORMAN CNM MSN DIRECTOR - OBGYN 166205 0 1000 0 129 0 12850 0 30122 0 210306 0 0 0 YI-AN HUANG FORMER TREASURER - OTO 0 176229 0 0 0 1365 0 6786 0 22014 0 206394 0 0 KETTIE LOUIS DNP DIRECTOR - OBGYN 148440 0 1000 0 788 0 17292 0 19856 0 187376 0 0 0 MICHELLE LONG MD DIRECTOR - EMF (UNTIL 7/22) 168325 0 0 0 162 0 13953 0 1308 0 183748 0 0 0 RICHARD BABAYAN MD FMR PRES/TREAS/CLERK/DIR - UROLOGY 108900 0 0 0 0 0 13706 0 25990 0 148596 0 0 0 DANIEL REMICK MD FORMER PRES/CLERK/DIR - PATH 90431 0 0 0 0 0 10745 0 19780 0 120956 0 0 0 BRIAN JACK MD FORMER PRES/TREAS/CLERK/DIR - FAM 62913 0 0 0 60 0 6614 0 19636 0 89223 0 0 0 PART I, LINE 4B BOSTON MEDICAL CENTER PROVIDES A SUPPLEMENTAL EXECTUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. AMOUNTS ARE CREDITED TO PARTICIPANTS' ACCOUNTS EACH YEAR. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE PLAN AGREEMENT. AMOUNTS VEST ON SPECIFIED DATES BASED ON CONTINUED EMPLOYMENT BUT NO LATER THAN THE EXECUTIVE'S 62ND BIRTHDAY. AMOUNTS ACCRUED IN THE PLAN ARE REPORTED IN SCHEDULE J, PART II, COLUMN C. BOSTON MEDICAL CENTER PROVIDED A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN TO DAVID BECK. DAVID BECK REACHED THE PLAN RETIREMENT AGE AND VESTED 100% IN THE PLAN. IN ADDITION, PURSUANT TO THE TERMS OF THE PLAN, ONCE THE PLAN PARTICIPANT REACHES THE PLAN RETIREMENT AGE, ALL FUTURE CONTRIBUTIONS ARE MADE IN CASH. ACCORDINGLY, THE AMOUNT OF $53,400 WAS PAID IN CASH TO DAVID BECK IN CASH IN 2022. THIS AMOUNT IS REFLECTED IN SCHEDULE J, PART II, COLUMN (B)(III). PART I, LINE 6 EMPLOYEES OF THE FACULTY PRACTICE PLANS ARE SUBJECT TO THE PLANS' INDIVIDUAL COMPENSATION POLICIES OR THE COMPENSATION POLICIES OF BOSTON MEDICAL CENTER. BASED ON THESE POLICIES, EMPLOYEES MAY RECEIVE COMPENSATION BASED ON NET EARNINGS OF THE DEPARTMENT. PART I, LINE 7 EMPLOYEES OF THE FACULTY PRACTICE PLANS ARE SUBJECT TO THE PLANS' INDIVIDUAL COMPENSATION POLICIES OR THE COMPENSATION POLICIES OF BOSTON MEDICAL CENTER. BASED ON THESE POLICIES, PHYSICIANS MAY RECEIVE NON-FIXED BONUS PAYMENTS REPORTED ON SCHEDULE J, PART II, COLUMN B(II). LISTED INDIVIDUALS LISTED INDIVIDUALS RECEIVE COMPENSATION FOR THE SERVICES THEY PROVIDE AS EMPLOYEES. THEY RECEIVE NO COMPENSATION FOR THEIR ROLES AS DIRECTORS, OFFICERS, OR FORMER OFFICERS. FORM 990, PART I, LINE 1 & PART III, LINES 1 THE FACULTY PRACTICE PLANS ("THE PLANS") WERE ESTABLISHED AS NOT-FOR-PROFIT CORPORATIONS OPERATING EXCLUSIVELY FOR THE BENEFIT OF BOSTON MEDICAL CENTER AND BOSTON UNIVERSITY CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE. THE PLANS' PURPOSE IS TO PROVIDE, COORDINATE AND FACILITATE THE DELIVERY OF PATIENT CARE SERVICES AND TO PROMOTE THE DEVELOPMENT OF AN INTEGRATED SYSTEM OF DELIVERY TO MORE EFFICIENTLY AND EFFECTIVELY MEET THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED BY THE INSTITUTIONS. THE PLANS PROVIDE AMBULATORY SERVICES RANGING FROM PRIMARY ADULT AND PEDIATRIC CARE TO ADVANCED SPECIALTY CARE; AFFILIATED PHYSICIANS ALSO STAFF THE LARGEST 24 HOUR LEVEL 1 TRAUMA CENTER IN NEW ENGLAND. FORM 990, PART VI, SECTION A, LINE 2 ALL OFFICERS AND DIRECTORS ARE EMPLOYEES OF EITHER THE INDIVIDUAL PRACTICE PLAN, BOSTON UNIVERSITY OR BOSTON MEDICAL CENTER, RELATED ORGANIZATIONS. CERTAIN OFFICERS AND DIRECTORS OF THE PRACTICE PLANS ALSO SERVE AS OFFICERS AND TRUSTEES OF BOSTON MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 6 WITH THE EXCEPTION OF THOSE LISTED BELOW, THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS FACULTY PRACTICE FOUNDATION, INC. BU SURGICAL ASSOCIATES IS THE SOLE CORPORATE MEMBER OF THE FOLLOWING: - BOSTON UNIVERSITY CARDIAC AND THORACIC SURGICAL FOUNDATION, INC. - BOSTON UNIVERSITY GENERAL SURGICAL ASSOCIATES, INC. - BOSTON UNIVERSITY NEUROSURGICAL ASSOCIATES, INC. - BOSTON UNIVERSITY ORTHOPAEDIC SURGICAL ASSOCIATES, INC. - BOSTON UNIVERSITY PLASTIC SURGERY ASSOCIATES, INC. - BOSTON UNIVERSITY MEDICAL CENTER UROLOGISTS, INC. - BUMC OTOLARYNGOLOGIC FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN ACTIONS MUST BE APPROVED BY THE ORGANIZATION'S SOLE CORPORATE MEMBER, AS SET FORTH IN THE BYLAWS, INCLUDING ADOPTION OF THE BUDGET, ANY MERGER, CONSOLIDATION, LIQUIDATION OR DISSOLUTION, ANY CAPITAL TRANSACTION, AND INCURRENCE OF DEBT. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO THE FILING OF THE FORM 990 WITH THE IRS, THE FORM 990 WAS PREPARED BY OUR OUTSIDE TAX CONSULTANTS AND REVIEWED BY INTERNAL MANAGEMENT. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOSTON MEDICAL CENTER BOARD OF TRUSTEES THEN REVIEWED THE RETURN. EACH MEMBER OF THE BOARD OF EACH PLAN WAS PROVIDED A COPY OF THE FINAL FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING JUNE 30, 2023 WERE DISTRIBUTED BY THE COMPLIANCE DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OR HIS DESIGNEE QUERIES TRUSTEES, OFFICERS, AND DIRECTORS ON AT LEAST AN ANNUAL BASIS REGARDING RELATIONSHIPS THAT MAY CREATE POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR HIS DESIGNEE REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER ADVISES THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION ACCORDINGLY. FORM 990, PART VI, SECTION B, LINE 15 A COMMITTEE COMPOSED OF THE PRESIDENT AND CEO OF BOSTON MEDICAL CENTER AND THE DEAN OF BOSTON UNIVERSITY CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE, THE FOUNDATION'S CORPORATE MEMBERS, APPROVES THE COMPENSATION FOR CERTAIN PHYSICIAN EXECUTIVES. A MEETING OF THE COMMITTEE WAS HELD TO REVIEW AND APPROVE THE FY2023 PROPOSED COMPENSATION FOR THE PHYSICIAN EXECUTIVES SERVING AS PRESIDENTS OF THE PLANS. FOR FY2023 THE SALARY OF EACH OF THE PHYSICIAN EXECUTIVES UNDER CONSIDERATION WAS PROVIDED TO THE COMMITTEE. THE COMMITTEE EVALUATED AND RELIED UPON COMPARABLE DATA IN MAKING ITS DECISION. THE COMPARABLE DATA CONSISTED OF COMPENSATION SURVEY INFORMATION FROM THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES FOR EACH SPECIALTY WHERE AVAILABLE, LISTING BOTH THE FIFTIETH AND SEVENTY-FIFTH SALARY PERCENTILES. THE PROPOSED COMPENSATION AS SUBMITTED OR AMENDED BY THE COMMITTEE WAS VOTED UPON BY THE COMMITTEE. THE COMMITTEE'S ASSESSMENT OF THESE CONSIDERATIONS IS CONTAINED IN THE OFFICIAL MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE PLANS DO NOT MAKE THEIR GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE THROUGH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE. FORM 990, PART VII, SECTION A SHARED SERVICE AGREEMENT THE PLANS ARE AFFILIATED WITH BOSTON MEDICAL CENTER ("BMC") AND BOSTON UNIVERSITY CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE ("CHOBANIAN & AVEDISIAN SCHOOL"). THE PLANS EACH ENTERED INTO A COMMON PAYMASTER AGREEMENT WITH BMC AND THE TRUSTEES OF BOSTON UNIVERSITY ("BU"). UNDER THE TERMS OF THEIR PHYSICIAN PRACTICE AGREEMENTS, FACULTY PHYSICIANS AND PRACTITIONERS ("FACULTY MEMBERS") ARE EMPLOYED BY THE INDIVIDUAL PLANS. THE FACULTY MEMBERS SERVE THE BENEFIT OF BOTH BMC (BY PROVIDING CLINICAL SERVICES) AND CHOBANIAN & AVEDISIAN SCHOOL (BY SERVING AS FACULTY MEMBERS OF CHOBANIAN & AVEDISIAN SCHOOL). EACH PLAN, WITH RESPECT TO EACH FACULTY MEMBER THAT THE PLAN EMPLOYS, PAYS BU A PERCENTAGE OF THE FACULTY MEMBER'S SALARY AND REIMBURSEMENT FOR FRINGE BENEFITS AND RELATED PAYMENT FEES. BOSTON UNIVERSITY, AS COMMON PAYMASTER, THEN MAKES SALARY PAYMENTS AND PROVIDES BENEFITS TO FACULTY MEMBERS. THE PLANS ALSO PAY FOR A PORTION OF ADMINISTRATIVE SALARIES AND FRINGE BENEFITS FOR NONPHYSICIAN EMPLOYEES OF BMC, WHO PROVIDE SERVICES TO THEM. FORM 990, PART VII, LINE 17 DAVID BECK IS ASSISTANT CLERK FOR ALL REPORTING ENTITIES EXCEPT EVANS MEDICAL FOUNDATION AND BOSTON REHABILITATION MEDICINE ASSOCIATES, INC. FOR EVANS AND REHAB, HE SERVES AS CLERK. FOR FACULTY PRACTICE FOUNDATION, INC. HE IS A FORMER ASSISTANT CLERK. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER FROM AFFILIATES 318,869. BOSTON MEDICAL CENTER ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 043314093 HEALTHCARE MA 501(C)(3) LINE 3 N/A 0 TRUSTEES OF BOSTON UNIVERSITY ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02115 042103547 EDUCATION MA 501(C)(3) LINE 2 N/A 0 FACULTY PRACTICE FOUNDATION INC ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 043289381 HEALTHCARE MA 501(C)(3) 12B, TYPE 1 N/A 0 0 1 0 0 1 0 0 0 0 0 1 0 0 1 1 1 1 1 1