Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC INC
Employer identification number
32-0058309
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
No
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
(1)
HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER
222768204
7
Yes
Yes
Yes
0
Total
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC INC
Employer identification number
32-0058309
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990, PART I, LINE 1
THE MISSION OF THE ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC INC (APHMFP) IS TO SERVE OUR PATIENTS COMPASSIONATELY AND EFFECTIVELY, AND TO CREATE A HEALTHY FUTURE FOR THEM AND THEIR FAMILIES. OUR MISSION IS SUPPORTED BY OUR COMMITMENT TO PERSONALIZED, EXCELLENT CARE FOR OUR PATIENTS; THE PARTNERSHIP BETWEEN THE MEDICAL CENTER AND OUR PHYSICIANS THAT ALLOWS THE MEDICAL CENTER TO CARRY OUT ITS MISSION OF TEACHING, RESEARCH AND CLINICAL CARE; THE PARTNERSHIP WITH HARVARD MEDICAL SCHOOL AND OUR ROLE AS A MAJOR HARVARD TEACHING HOSPITAL; AND OUR COMMITMENT TO RECRUITING THE BEST PHYSICIANS, SCIENTISTS, NURSES AND OTHERS TO SUPPORT THESE ACTIVITIES. WE RECOGNIZE OUR ROLE AS A TERTIARY/ACADEMIC RESOURCE IN A LARGER HEALTH SYSTEM. WE ACT COLLABORATIVELY WITH OUR COMMUNITY PARTNERS SO THAT TOGETHER WE CAN PROVIDE THE CLINICAL INTEGRATION THAT WILL BEST SERVE OUR PATIENTS. EMERGENCY MEDICINE APHMFP IS UNIQUELY QUALIFIED TO PROVIDE EMERGENCY SERVICES GIVEN OUR VARIETY OF STRENGTHS IN THE CLINICAL, ACADEMIC AND ADMINISTRATIVE SETTINGS. EMERGENCY MEDICINE APHFMP IS A PROFESSIONAL GROUP OF BOARD PREPARED AND BOARD CERTIFIED EMERGENCY PHYSICIANS WITH A PRACTICE THAT INCLUDES TERTIARY CARE AT A HARVARD TEACHING HOSPITAL IN BOSTON (BETH ISRAEL DEACONESS MEDICAL CENTER) AS WELL AS COMMUNITY CARE AT HOSPITALS IN NEEDHAM (BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM CAMPUS), AYER (NASHOBA VALLEY MEDICAL CENTER), WORCESTER (ST. VINCENT HOSPITAL), MILTON (MILTON HOSPITAL) AND WOONSOCKET, RHODE ISLAND (LANDMARK MEDICAL CENTER). OUR GROUP HAS NATIONALLY RENOWNED EXPERTS IN EDUCATION AND PRE-HOSPITAL CARE, AND IS VIEWED AS A LEADER IN THE COMMUNITY IN CUSTOMER ACCESS, SERVICE AND SATISFACTION. WE ALSO PROVIDE 24-HOUR CONSULTATIONS IN TOXICOLOGY AND ARE AFFILIATED WITH THE REGIONAL POISON CENTER. FINALLY, OUR DIRECTOR FOR EMERGENCY PREPAREDNESS IS THE BRANCH CHIEF FOR ENVIRONMENTAL HEALTH AND SAFETY OF THE NATIONAL STAFF OF THE COAST GUARD AUXILIARY, ALLOWING US TO HELP DEFINE THE RESPONSE AND CARE PROVIDED OFFSHORE BY THE COAST GUARD. AS A REGIONAL PRIVATE PRACTICE GROUP OWNED AND MANAGED BY PHYSICIANS, APHMFP LEVERAGES ITS SIZE TO SUPPORT A FULL RANGE OF CLINICAL AND MANAGEMENT SERVICES FOR OUR PRACTICE SITES. THESE SERVICES INCLUDE COMPREHENSIVE RECRUITING AND RETENTION PROGRAMS, CONTINUOUS QUALITY IMPROVEMENT, RISK MANAGEMENT, ED-SPECIFIC INFORMATION SYSTEMS, PATIENT SATISFACTION/COMPLAINT MANAGEMENT PROGRAMS, FACILITY AND PROFESSIONAL FEE CODING/BILLING SERVICES AND SEVERAL OTHERS.
ORGANIZATION'S MISSION
FORM 990, PART III, LINE 1
THE MISSION OF THE ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC INC (APHMFP) IS TO SERVE OUR PATIENTS COMPASSIONATELY AND EFFECTIVELY, AND TO CREATE A HEALTHY FUTURE FOR THEM AND THEIR FAMILIES. OUR MISSION IS SUPPORTED BY OUR COMMITMENT TO PERSONALIZED, EXCELLENT CARE FOR OUR PATIENTS; THE PARTNERSHIP BETWEEN THE MEDICAL CENTER AND OUR PHYSICIANS THAT ALLOWS THE MEDICAL CENTER TO CARRY OUT ITS MISSION OF TEACHING, RESEARCH AND CLINICAL CARE; THE PARTNERSHIP WITH HARVARD MEDICAL SCHOOL AND OUR ROLE AS A MAJOR HARVARD TEACHING HOSPITAL; AND OUR COMMITMENT TO RECRUITING THE BEST PHYSICIANS, SCIENTISTS, NURSES AND OTHERS TO SUPPORT THESE ACTIVITIES. WE RECOGNIZE OUR ROLE AS A TERTIARY/ACADEMIC RESOURCE IN A LARGER HEALTH SYSTEM. WE ACT COLLABORATIVELY WITH OUR COMMUNITY PARTNERS SO THAT TOGETHER WE CAN PROVIDE THE CLINICAL INTEGRATION THAT WILL BEST SERVE OUR PATIENTS. EMERGENCY MEDICINE APHMFP IS UNIQUELY QUALIFIED TO PROVIDE EMERGENCY SERVICES GIVEN OUR VARIETY OF STRENGTHS IN THE CLINICAL, ACADEMIC AND ADMINISTRATIVE SETTINGS. EMERGENCY MEDICINE APHFMP IS A PROFESSIONAL GROUP OF BOARD PREPARED AND BOARD CERTIFIED EMERGENCY PHYSICIANS WITH A PRACTICE THAT INCLUDES TERTIARY CARE AT A HARVARD TEACHING HOSPITAL IN BOSTON (BETH ISRAEL DEACONESS MEDICAL CENTER) AS WELL AS COMMUNITY CARE AT HOSPITALS IN NEEDHAM (BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM CAMPUS), AYER (NASHOBA VALLEY MEDICAL CENTER), WORCESTER (ST. VINCENT HOSPITAL), MILTON (MILTON HOSPITAL) AND WOONSOCKET, RHODE ISLAND (LANDMARK MEDICAL CENTER). OUR GROUP HAS NATIONALLY RENOWNED EXPERTS IN EDUCATION AND PRE-HOSPITAL CARE, AND IS VIEWED AS A LEADER IN THE COMMUNITY IN CUSTOMER ACCESS, SERVICE AND SATISFACTION. WE ALSO PROVIDE 24-HOUR CONSULTATIONS IN TOXICOLOGY AND ARE AFFILIATED WITH THE REGIONAL POISON CENTER. FINALLY, OUR DIRECTOR FOR EMERGENCY PREPAREDNESS IS THE BRANCH CHIEF FOR ENVIRONMENTAL HEALTH AND SAFETY OF THE NATIONAL STAFF OF THE COAST GUARD AUXILIARY, ALLOWING US TO HELP DEFINE THE RESPONSE AND CARE PROVIDED OFFSHORE BY THE COAST GUARD. AS A REGIONAL PRIVATE PRACTICE GROUP OWNED AND MANAGED BY PHYSICIANS, APHMFP LEVERAGES ITS SIZE TO SUPPORT A FULL RANGE OF CLINICAL AND MANAGEMENT SERVICES FOR OUR PRACTICE SITES. THESE SERVICES INCLUDE COMPREHENSIVE RECRUITING AND RETENTION PROGRAMS, CONTINUOUS QUALITY IMPROVEMENT, RISK MANAGEMENT, ED-SPECIFIC INFORMATION SYSTEMS, PATIENT SATISFACTION/COMPLAINT MANAGEMENT PROGRAMS, FACILITY AND PROFESSIONAL FEE CODING/BILLING SERVICES AND SEVERAL OTHERS.
FORM 990, PART VI, SECTION A, LINE 6
YES, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC (HMFP) IS THE SOLE MEMBER OF ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7A
YES. HMFP HAS THE RIGHT TO APPOINT THE APHMFP'S TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B
YES, THE MEMBER ACCORDING TO THE APHMFP BYLAWS HAS THE FOLLOWING RIGHTS: -POWERS AND RIGHTS AS VESTED BY LAW.
FORM 990, PART VI, SECTION B, LINE 11
THE FINAL VERSION OF APHMFP'S FORM 990 WILL BE PROVIDED TO EACH VOTING BOARD MEMBER PRIOR TO FILING. FORM 990 PART VI SECTION A LINE 11A THE PREPARATION AND THE FILING OF THE FOUNDATION'S FORM 990 AND SUPPORTING SCHEDULES ARE THE RESPONSIBILITY OF THE CHIEF FINANCIAL OFFICER (CFO) OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER INC. FOR FISCAL YEAR 2011, THE FORM 990 WAS PREPARED BY THE ACCOUNTING FIRM DELOITTE TAX LLP WITH ASSISTANCE AND GUIDANCE FROM HARVARD MEDICAL FACULTY PHYSICIANS'S FINANCE STAFF. THE TAX PREPARATION PROCESS WAS ALSO OVERSEEN BY THE DIRECTOR OF TAXATION OF CAREGROUP, INC. HARVARD MEDICAL FACULTY PHYSICIANS IS PART OF THE BETH ISRAEL DEACONESS MEDICAL CENTER WHICH IS A SUBSIDIARY OF CAREGROUP, INC. A DRAFT COPY OF THE FORM 990 PREPARED BY DELOITTE TAX LLP INCLUDING ALL RELATED SCHEDULES, WAS 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 DISCOVERED IN THE REVIEW PROCESS WERE THEN ADDRESSED BY THE FOUNDATION'S PRESIDENT WITH DELOITTE TAX LLP AND HARVARD MEDICAL FACULTY PHYSICIANS'S FINANCE TEAM. ALL SUCH ISSUES WERE RESOLVED BEFORE THE 990 TAX FORM WAS FILED. THE FORM 990 IS ASSEMBLED AND REVIEWED FOR FINAL FILING BY THE FOUNDATION'S TAX PREPARER'S DELOITTE TAX LLP. ONCE ASSEMBLED, THE FOUNDATION'S PRESIDENT APPROVES AND SIGNS THE RETURN. THE COMPLETED 990 IS FILED WITH THE PROPER AUTHORITIES BY HMFP'S CFO AND HIS TEAM.
FORM 990, PART VI, SECTION B, LINE 12C
APHMFP HAS A CONFLICT OF INTEREST POLICY UNDER WHICH, THE PRESIDENT, OFFICERS AND BOARD MEMBERS ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST. APHMFP HAS PREPARED A FORMAL CONFLICT OF INTEREST DISCLOSURE STATEMENT WHICH IS REQUIRED TO BE COMPLETED ANNUALLY BY ALL KEY APHMFP PERSONNEL. THE STANDARDS IN THE POLICY REQUIRE APHMFP 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 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 APHMFP IN THE PURCHASE OR SALE OF ANY PROPERTY RIGHT, INTEREST, OR SERVICE. THE CONFLICT OF INTEREST STANDARDS ALSO 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 APHMFP. PER THE POLICY, AN INDIVIDUAL SHOULD NOT DISCLOSE OR USE APHMFP 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 APHMFP DIRECTORS AND OFFICERS COMPLETE A FORMAL CONFLICT OF INTEREST DISCLOSURE STATEMENT EACH YEAR. THE APHMFP BOARD WILL REVIEW SUCH SUBMITTED FORMS AND FORMAL APPROVAL OF SUCH ACTIVITIES WILL BE 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. UNDER THE CONFLICT OF INTEREST POLICY, THE BOARD IS DETERMINED TO HELP ENSURE ALL TRANSACTIONS ARE HANDLED IN A FAIR AND ETHICAL MANNER.
FORM 990, PART VI, SECTION B, LINE 15
THE PROCESS OF DETERMINING COMPENSATION OF ALL INDIVIDUALS EMPLOYED BY APHMFP AND FOR SPECIFICALLY THE KEY EMPLOYEES OF THE ORGANIZATION IS CONDUCTED BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE UTILIZES COMPARATIVE INDUSTRY DATA, OUTSIDE CONSULTANTS, AND OTHER OUTSIDE MARKET DATA TO HELP DETERMINE COMPENSATION. APHMFP HAS FORMAL COMPENSATION POLICIES WHICH ARE DOCUMENTED AND REVIEWED BY THE BOARD OF DIRECTORS. THE COMPENSATION COMMITTEE PRE-APPROVES COMPENSATION PLANS WHICH ARE DOCUMENTED IN A FORMALIZED MANNER BEFORE BEING PRESENTED TO EMPLOYEES. APHMFP DOES NOT PROVIDE COMPENSATION TO OFFICERS AND TRUSTEES OF THE ORGANIZATION. CERTAIN OFFICERS AND TRUSTEES OF THE ORGANIZATION RECEIVED 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 APHMFP 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 19
APHMFP'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 VII SECTION A LINE 1A
APHMFP DIRECTORS AND TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, DIRECTORS, OR TRUSTEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN DIRECTOR OR TRUSTEE AS DENOTED BY THE TITLES LISTED IN SECTION VII. NO APHMFP TRUSTEE OR DIRECTOR DEVOTES MORE THAN TWENTY HOURS PER MONTH TO THEIR POSITION AS TRUSTEE OR DIRECTOR.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
ROUNDING -2. TOTAL TO FORM 990, PART XI, LINE 5: -2.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.