Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER |
222768204 | 1 | Yes | 2,572,086 | 0 | |
| Total 1 | 2,572,086 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART IV, SECTION B, QUESTION 1 | AS IT PERTAINS TO APHMFP, HMFP IS THE SOLE MEMBER OF AND HAS THE RIGHT TO CONTROL ACTIVITIES OF APHMFP. AS THE SOLE MEMBER, HMFP EXERCISES A SUBSTANTIAL DEGREE OF CONTROL OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF APHMFP. THE CEO & PRESIDENT OF HMFP LEADS APHMFP AND SERVES AS A MEMBER OF THE BOARD OF DIRECTORS FOR APHMFP. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 | THE MISSION OF ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (APHMFP) IS TO SUPPORT MEDICAL RESEARCH, PROVIDE WORLD CLASS MEDICAL INSTRUCTION AND EXTRAORDINARY CLINICAL CARE TO IMPROVE THE GENERAL PUBLIC HEALTH OF PATIENTS SERVED BY THE BETH ISRAEL DEACONESS MEDICAL CENTER AND ITS AFFILIATED HOSPITALS AND PHYSICIAN PRACTICES IN THE COMMUNITY. |
| FORM 990 PART III, LINE 1 | APHMFP SERVES PATIENTS IN THE COMMUNITY SETTING COMPASSIONATELY TO CREATE A HEALTHY FUTURE FOR THEM AND THEIR FAMILIES. THE MISSION OF ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (APHMFP) IS TO SUPPORT MEDICAL RESEARCH, PROVIDE WORLD CLASS MEDICAL INSTRUCTION AND CLINICAL CARE TO IMPROVE THE GENERAL PUBLIC HEALTH OF PATIENTS SERVED BY THE BETH ISRAEL DEACONESS MEDICAL CENTER AND ITS AFFILIATED HOSPITALS AND PHYSICIAN PRACTICES IN THE COMMUNITY. THE PARTNERSHIP BETWEEN THE BETH ISRAEL DEACONESS MEDICAL CENTER AND APHMFP ALLOWS PHYSICIANS TO JOINTLY CARRY OUT ITS MISSION OF TEACHING, RESEARCH AND EXTRAORDINARY CLINICAL CARE WITH A COMMITMENT TO RECRUITING THE BEST PHYSICIANS, SCIENTISTS, AND ADVANCED PRACTITIONERS IN SUPPORT OF THESE ACTIVITIES. APHMFP COLLABORATES WITH COMMUNITY PARTNERS AND TOGETHER PROVIDES THE CLINICAL INTEGRATION THAT WILL BEST SERVE PATIENTS TO IMPROVE THE QUALITY OF CARE. APHMFP LEVERAGES ITS SIZE TO SUPPORT A FULL RANGE OF CLINICAL AND MANAGEMENT SERVICES IN THE COMMUNITY SETTINGS. THESE SERVICES INCLUDE THE DEPLOYMENT OF SPECIALTY PHYSICIANS, COMPREHENSIVE RECRUITING AND RETENTION PROGRAMS, CONTINUOUS QUALITY IMPROVEMENT, RISK MANAGEMENT, EMERGENCY DEPARTMENT-SPECIFIC INFORMATION SYSTEMS, AND PATIENT SATISFACTION MEASURES TO ENHANCE CLINICAL INTEGRATION FOR THOSE PATIENTS SERVED IN THE COMMUNITY SETTING. EMERGENCY MEDICINE APHMFP IS UNIQUELY QUALIFIED TO PROVIDE EMERGENCY SERVICES BASED ON A 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), WORCESTER (ST. VINCENT HOSPITAL), MILTON (BETH ISRAEL DEACONESS HOSPITAL -- MILTON), PLYMOUTH (BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH) AND NEW BEDFORD (ST. LUKE'S HOSPITAL) MASSACHUSETTS. THE EMERGENCY MEDICINE PROVIDERS 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. MEDICINE APHMP PROVIDES CARE TO THE COMMUNITY UTILIZING CLINICAL GUIDELINES, EVIDENCE BASED PRACTICE, AND MEDICAL INFORMATICS TO STREAMLINE AND OPTIMIZE PATIENT CARE AND SATISFACTION AT NEEDHAM (BETH ISRAEL DEACONESS HOSPITAL -- NEEDHAM), MILTON (BETH ISRAEL DEACONESS HOSPITAL -- MILTON) AND PLYMOUTH (BETH ISRAEL DEACONESS HOSPITAL -- PLYMOUTH). |
| FORM 990, PART III, LINE 4A | SPECIALTY SERVICES, EMERGENCY MEDICINE AND HOSPITALISTS THE EXEMPT PURPOSE OF THE ORGANIZATION IS TO PROVIDE EXTRAORDINARY CLINICAL CARE AND IMPROVE THE HEALTH OF PATIENTS OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) AND OTHER AFFILIATED GROUPS IN THE COMMUNITY SETTING. IN ADDITION, THE ORGANIZATION PARTICIPATES IN ACTIVITIES DESIGNED TO IMPROVE THE GENERAL PUBLIC HEALTH AND PROVIDE FOR THE TREATMENT AND CARE OF INDIGENT PERSONS. THE PATIENT SERVICES PROVIDED BY THE ORGANIZATION ARE FOCUSED IN THE PHYSICIAN SPECIALTY AREAS OF EMERGENCY MEDICINE, HOSPITALIST MEDICINE, AND OTHER SPECIALTY SERVICES. THE ORGANIZATION MANAGES AND DELIVERS EMERGENCY AND HOSPITALIST SERVICES FOR BIDMC AND ITS AFFILIATES, AS WELL AS, EMERGENCY SERVICES AT, ST. VINCENT HOSPITAL AND ST. LUKE'S HOSPITAL |
| FORM 990, PART III, LINE 4B | RESEARCH THE EXEMPT PURPOSE OF THE ORGANIZATION IS TO PERFORM RESEARCH AND TEACHING IN THE AREA OF EMERGENCY MEDICINE IN CONJUNCTION WITH BIDMC, HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC (HMFP) AND ITS AFFILIATES. THE ORGANIZATION'S RESEARCH FOCUSES ON CLINICAL AND NON-CLINICAL ACTIVITIES RELATED TO THE EMERGENCY DEPARTMENT AND THE PROCESSES, POLICIES AND PROCEDURES REQUIRED WITHIN THE DEPARTMENT. AREAS OF FOCUS INCLUDE PATIENT SATISFACTION, CLINICAL GUIDELINES, NURSING AND PHYSICIAN WORKLOAD ANALYSIS, AND PATIENT THROUGHPUT ANALYSIS. |
| FORM 990, PART III, LINE 4C | OBSTETRICS AND GYNECOLOGY IN PLYMOUTH THE EXEMPT PURPOSE OF THE ORGANIZATION IS TO PROVIDE EXTRAORDINARY CLINICAL CARE AND IMPROVE THE HEALTH OF PATIENTS OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) AND OTHER AFFILIATED GROUPS IN THE COMMUNITY SETTING. IN ADDITION, THE ORGANIZATION PARTICIPATES IN ACTIVITIES DESIGNED TO IMPROVE THE GENERAL PUBLIC HEALTH AND PROVIDE FOR THE TREATMENT AND CARE OF INDIGENT PERSONS. THE ORGANIZATION MANAGES AND DELIVERS OBSTETRICS AND GYNECOLOGY SERVICES IN CONJUNCTION WITH BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH AND ITS COMMUNITY PHYSICIAN PRACTICE, JORDAN PHYSICIAN ASSOCIATES, INC. |
| FORM 990, PART IV, LINE 12 AND 12A | AUDITED FINANCIAL STATEMENTS THE BOSTON, MA OFFICE OF KPMG ISSUED AN UNQUALIFIED OPINION ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) AND SUBSIDIARIES, WHICH INCLUDES THE FINANCIAL ACTIVITY OF APHMFP, FOR FISCAL YEAR ENDED SEPTEMBER 30, 2016. THESE STATEMENTS WERE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND INCLUDED THE ACCOUNTS OF HMFP AND ALL ENTITIES FOR WHICH HMFP SERVES AS SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 2 | FAMILY AND BUSINESS RELATIONSHIPS AS NOTED IN VARIOUS NARRATIVE DISCLOSURES, WHICH SUPPORT THIS FORM 990 AND RELATED SCHEDULES, CAREGROUP, INC. (CAREGROUP) IS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CAREGROUP'S PURPOSE IS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES THAT MAKE UP THE CAREGROUP SYSTEM. CAREGROUP SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER). BIDMC IS THE SOLE MEMBER OF MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP (APG), BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, INC. (BID-NEEDHAM), BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON), BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH, INC. (BID-PLYMOUTH), AND JORDAN HEALTH SYSTEMS, INC. IN ADDITION, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) IS THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER AND ITS AFFILIATES ACCOMPLISH THEIR CHARITABLE PURPOSES. CAREGROUP ALSO SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF NEW ENGLAND BAPTIST HOSPITAL (NEBH) AND MOUNT AUBURN HOSPITAL (MAH). EACH OF THE ENTITIES LISTED IN THIS PARAGRAPH MAY, IN TURN, SERVE AS MEMBER OF ADDITIONAL ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATES. TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990 PART VII MAY HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR MORE BOARDS OF DIRECTORS/TRUSTEES OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP WITH ONE OR MORE ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATED ORGANIZATIONS. ADDITIONAL DETAIL IS PROVIDED IN THE EXPLANATORY NOTES TO THIS FORM 990 SCHEDULE J. |
| 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 DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | YES, THE MEMBER ACCORDING TO THE APHMFP BYLAWS HAS THE FOLLOWING RIGHTS: - SET THE NUMBER OF PERSONS WHO COMPRISE THE BOARD OF DIRECTORS; - APPOINT THE DIRECTORS IN ITS SOLE DISCRETION AND FILL ANY VACANCY ON THE BOARD; - REMOVAL OF ANY DIRECTOR OR OFFICER, WITH OR WITHOUT CAUSE, AT ANY TIME; AND, - POWERS AND RIGHTS AS VESTED BY LAW. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 PREPARATION PROCESS THE PREPARATION AND THE FILING OF APHMFP'S FORM 990 AND SUPPORTING SCHEDULES ARE THE RESPONSIBILITY OF THE CHIEF FINANCIAL OFFICER (CFO) OF HMFP. AS PREVIOUSLY NOTED, HMFP IS THE SOLE MEMBER OF APHMFP. FOR FISCAL YEAR 2016, THE FORM 990 WAS PREPARED BY DELOITTE TAX LLP WITH ASSISTANCE AND GUIDANCE FROM HMFP'S FINANCE STAFF. THE TAX PREPARATION PROCESS WAS ALSO OVERSEEN BY THE DIRECTOR OF TAXATION OF CAREGROUP, INC. CAREGROUP IS THE SOLE MEMBER OF BIDMC AND HMFP IS AN ENTITY INTEGRALLY RELATED TO BIDMC. THE COMPLETE FORM 990 WAS PRESENTED TO THE INDEPENDENT HMFP DIRECTORS FOR DISCUSSION AND REVIEW AT AN AUDIT COMMITTEE MEETING. A DRAFT COPY OF THE FORM 990 PREPARED BY DELOITTE TAX LLP INCLUDING ALL RELATED SCHEDULES WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. |
| 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. IN ADDITION, AS PREVIOUSLY NOTED IN THIS FILING, CAREGROUP IS THE SOLE MEMBER OF BIDMC AND HMFP IS AN ENTITY INTEGRALLY RELATED TO THE MEDICAL CENTER. HMFP IS THE SOLE MEMBER OF APHMFP. IN ADDITION TO THE CONFLICT OF INTEREST PROCESS OUTLINED ABOVE, CAREGROUP TAX DEPARTMENT ISSUES A TAX QUESTIONNAIRE TO ALL CURRENT AND FORMER MEMBERS OF THE APHMFP BOARD OF DIRECTORS AS WELL AS CURRENT AND FORMER OFFICERS AND KEY EMPLOYEES. THE TAX QUESTIONNAIRE IS DESIGNED TO GATHER THE INFORMATION NECESSARY FOR APHMFP TO COMPLETELY AND ACCURATELY COMPLETE FORM 990 SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS AND FORM 990, PART VI, QUESTION 2, FAMILY AND BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS/TRUSTEES AND KEY EMPLOYEES. |
| 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 DIRECTORS OF THE ORGANIZATION. CERTAIN OFFICERS AND DIRECTORS RECEIVED COMPENSATION FROM RELATED PARTIES. SUCH AMOUNTS PAID RELATED TO POSITIONS OTHER THAN THAT OF OFFICER OR DIRECTOR OF THE CORPORATION. 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. |
| FORM 990, PART VI, SECTION A, LINE 8B | APHMFP DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY; THEREFORE, THIS QUESTION IS MORE APPROPRIATELY ANSWERED NOT APPLICABLE." |
| FORM 990 PART VII SECTION A LINE 1A | APHMFP DIRECTORS SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS AND DIRECTORS WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF OFFICER OR DIRECTOR DENOTED BY THE TITLES LISTED IN THE FORM 990 PART VII AND SCHEDULE J. |
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