Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center Inc

“For the period covered by this filing, harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp) served as the sole member of affiliated physicians of harvard medical faculty physicians at beth israel deaconess medical center (aphmfp) as well as the direct or indirect member of several additional entities. Hmfp's purposes and the purpose of its affiliates is to provide extraordinary care to its patients, as well as to provide and promote teaching and research. Hmfp is also the dedicated physician practice of bidmc and an entity integrally related to helping bidmc and other affiliates in the bilh network accomplish their charitable purposes. For this same period, beth israel lahey health, inc. (bilh) served as direct or indirect sole member of: beth israel deaconess medical center, inc. (bidmc), mount auburn hospital (mah), new england baptist hospital (nebh), beth israel deaconess hospital milton, inc. (milton), beth israel deaconess hospital needham, inc. (needham), beth israel deaconess hospital plymouth, inc. (plymouth), lahey clinic foundation (lcf) , lahey clinic (lci), lahey clinic hospital d/b/a lahey hospital and medical center (lhmc), winchester hospital (winchester), northeast hospital corporation (northeast), anna jaques hospital (ajh), beth israel lahey health pharmacy, joslin diabetes center, exeter health resources, inc. (ehri) and to exeter hospital. Each of these affiliates may have, in turn, served as member of additional entities within the bilh network of affiliates. Two or more of the persons listed in this form 990 part vii 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 network of the affiliated organizations noted above. Additional detail is provided in the explanatory notes to this form 990 schedule j.”

“As noted in this filing, harvard medical faculty physicians at beth israel deaconess medical center (hmfp) is an integrally related entity to, and the dedicated physician practice of, beth israel deaconess medical center (bidmc). In addition, beth israel lahey health (bilh) is the sole member of bidmc and other hospitals and other entities providing patient care in eastern massachusetts and southern new hampshire. Hmfp and its other affiliates provide physician, teaching and/or research services to bidmc and to many of the other bilh affiliates. As reported in this form 990 part vii and schedule j, the majority of the hmfp board of directors is comprised of the hmfp chairs of service who also each serve ex-officio on the hmfp board. The hmfp chairs of service also serve co-terminously as the bidmc chiefs of service who, in this capacity, report to the president of bidmc. As reported in this form 990 part vii and schedule j, the president of bidmc is also an ex-officio member of the hmfp board. The president of bidmc is an integral member of the hiring process of any chief of service and as noted above, the bidmc chiefs of service are in turn, the hmfp chairs of service and ex-officio members of the hmfp board. In this capacity, the bidmc president and by extension bidmc has the power to elect or appoint one or more members of the hmfp governing body.”

“This form 990 is prepared by deloitte tax, llp (deloitte) in conjunction with hmfp finance and accounting. In addition, because of the integral relationship between hmfp, bidmc and the bilh network, hmfp partners with the bilh tax department on the preparation of the returns. Hmfp's form 990 is reviewed internally by the hmfp chief financial officer and bilh assistant vice president, taxation as well as externally by deloitte. The hmfp form 990, along with the forms 990 of the entities for which hmfp serves as sole member are discussed with the hmfp audit committee. Deloitte signs the final returns. A copy of the complete return is then provided to each member of the hmfp board of directors prior to submission to the internal revenue service.”

“As noted throughout this filing, harvard medical faculty physicians at beth israel deaconess medical center, inc.'s (hmfp) purposes and the purpose of its affiliates is to provide extraordinary care to its patients, as well as to provide and promote teaching and research. Hmfp is also the dedicated physician practice of bidmc and an entity integrally related to helping bidmc and other affiliates in the bilh network accomplish their charitable purposes and hmfp and each of its affiliates maintains a written conflict of interest policy. Because of this close connection between the hmfp affiliates and the bilh network of affiliates, hmfp and its affiliated entities participate in the bilh network conflict of interest and tax questionnaire process. Pursuant to the bilh and hmfp conflict of interest policies, all of hmfp and its affiliated entities' officers, directors and key employees as well as certain other individuals are required to complete the annual conflict of interest and tax questionnaire (coi-tq). The coi-tq is designed to require disclosure of any business and family relationships and affiliations maintained by officers, directors, or key employees and their family members and which may result in a real or perceived conflict of interest. The bilh office of integrity and compliance, in conjunction with the bilh tax department, administers the coi-tq process annually and as noted above, the hmfp affiliates are included in this process. Bilh integrity and compliance collects and reviews all disclosures and those related to hmfp or one of its affiliates are shared with the hmfp office of compliance. Disclosures are assigned appropriate follow-up action in accordance with the conflict of interest policy. Positive responses are reviewed for final determination of any potential or actual conflict. Any activity that requires action under the conflict of interest policies is subject to ongoing review by the hmfp compliance office. Certain activities which could create conflicts of interest are prohibited while other types of relationships are permitted, subject to compliance with a management plan to require disclosure and recusal, including appropriate documentation in the minutes. In addition, as noted above, the annual coi-tq process outlined above is jointly issued by the bilh tax department, to ensure that the questionnaire is distributed to all current and former members of the hmfp board of directors as well as former officers and key employees. As also noted in this filing, the bilh tax department partners with hmfp and its affiliates on the tax return preparation process for hmfp and its affiliates. The coi-tq process is designed to gather the information necessary for hmfp 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.”

“Hmfp has a compensation committee comprised of independent members of the hmfp board of directors. The compensation committee conducts the process of determining compensation of all individuals employed by hmfp and for specifically the chief executive officer, chiefs/chairs of service and other officers and key employees of the organization. The compensation committee utilizes comparative industry data, outside consultants and other outside market data to help determine compensation and hmfp has formal compensation policies that 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. The compensation committee was responsible for assuring that the total compensation complied with applicable legal and regulatory guidelines and that compensation provided to these individuals was fair and reasonable using current and credible market practice information, national data benchmarking and harvard medical school guidelines in setting compensation. The hmfp compensation committee also relied upon written compensation surveys and studies that regularly assess compensation and benefits for clinical chiefs of service compared with other similar organizations.”

“Harvard medical faculty physician at beth israel deaconess medical center's governing documents, conflict of interest policy and financial statements are available to the general public upon request at the following location: hmfp 375 longwood ave, 3rd floor boston, ma 02215”

“As noted throughout this filing, beth israel lahey health (bilh) serves as the direct or indirect sole member of harvard medical faculty physicians at beth israel deaconess medical center inc. Although harvard medical faculty physicians at beth israel deaconess medical center inc's board has not formally adopted a written policy regarding investment in, contribution of assets to and/or participation in a joint venture with a taxable entity, procedurally if/when any such transaction is contemplated by any bilh affiliate, both the bilh office of general counsel and bilh tax department are involved to evaluate participation. Outside counsel is also consulted where needed. These steps are taken to ensure that participation in any joint venture arrangement has been reviewed under applicable federal tax law and to ensure that harvard medical faculty physicians at beth israel deaconess medical center inc's exempt status is safeguarded.”

“As previously noted in this form 990, the mission of harvard medical faculty physicians at beth israel deaconess medical center, inc. Is to provide extraordinary healthcare services, where the patient comes first, supported by world-class education, research and training.”

“Patient services: harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp) provides medical care and improves the health of patients of beth israel deaconess medical center (bidmc) and other hospitals within the beth israel lahey health (bilh) system, as well as in the communities served by hmfp. Some of hmfp's key statistics for fy2024 regarding patient care are identified below: hospital based clinic visits 0 emergency visits 50,205 neonatal visits 24,807 outpatient visits 601,767 inpatient visits 277,962 anesthesia cases 83,891 surgical cases 68,045 obstetric deliveries 1,771 cardiac catheterizations procedures 3,938 dermatology procedures 25,006 gastrointestinal procedures 38,451 radiology exams 543,839 surgical pathology exams 88,253 radiation oncology treatments 31,782 other uncompensated care: harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp) also provides care to patients who participate in other programs designed to support low-income families, including particularly the medicaid program, which is jointly funded by federal and state governments. The massachusetts health reform law provided an initiative for expansion of medicaid coverage to greater populations and for enrollment of uninsured patients in other insurance programs. Payments from medicaid and other programs, which insure low-income populations, do not cover the full cost of services provided. Hmfp also provides care to patients who participate in the medicare program, the federally sponsored government health insurance program for elderly or disabled patients. Payments from medicaid and medicare to hmfp do not cover the costs of services provided to the medicare and medicaid patients served. Bad debts: in addition to the shortfalls in providing services to patients insured under state and federal government programs, harvard medical faculty physicians also incurs losses related to self-pay patients who fail to make payments for services or insured patients who fail to pay coinsurance and/or deductible amounts for which they are responsible under insurance contracts. Bad debt expense is included in uncompensated care expense in the financial statements and includes the provision for accounts anticipated to be uncollectible.”

“Teaching: teaching is a major component of the work done by harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp) physicians and staff. The faculty members are extremely active in medical school education as lecturers, tutors, teaching attendees, and small group leaders. The staff of hmfp is an impressive course leadership group, as staff physicians at hmfp hold faculty appointments at harvard medical school. Hmfp physicians instruct the doctors of tomorrow through supervision of their daily patient care activities and a range of interactive learning experiences. The major teaching mission of the physician group at hmfp includes developing future leaders in clinical care, education, and research by fostering a culture of quality informed by cutting edge knowledge, humane physician role models, and an emphasis on curiosity and lifelong learning. Particular courses include patient doctor i and patient doctor ii, which are both yearlong courses to teach students patient interviewing skills and physical diagnosis. Other courses are designed to focus on health care quality, research, physiology, and global health initiatives. In the healthcare quality course, residents rotate on geographic units and work in multidisciplinary groups to improve quality in their "base units." training clinical residents includes teaching residents how to do research to foster research careers and to gain an understanding of how research impacts the overall medical field. One particular research course entitled "research for residents" is completed by three-quarters of the residents in the internal medicine residency program. For example, the department of medicine has developed an intensive course in comparative physiology. The goals of the course are to increase appreciation for physiology and to enhance residents' routine incorporation of pathophysiology into their teaching and clinical roles. Training in global health is done to encourage residents to expand their medical education beyond traditional roles and to develop a more global vision of health care. Through world-class teaching, hmfp is able to improve the health status of the communities served, and the residents are able to gain knowledge and self-reliance and enrich their medical knowledge and clinical skills by practicing in unique settings with limited resources.”

“Research: part of harvard medical faculty physicians at beth israel deaconess medical center, inc.'s (hmfp) three-prong mission is to participate with bidmc as a world-class research institution where outstanding scientists work to develop new knowledge for the betterment of the health of both the local and extended communities. The research program strives to be renowned for its bench-to bedside model of translational research and for its collaboration with industry as a pathway for transferring the fruits of research into medical products and treatments that improve the quality of life. Hmfp commits to maintain a collaborative culture and modern, high-quality facilities, and to take full advantage of the unique relationships that exist among harvard medical school and the harvard teaching hospitals, as well as reaching out and collaborating with nationally recognized and world-renowned experts in various fields. Hmfp scientists continually search for improved understanding of diseases and better treatments for patients, which in turn directly impact both fundamental research and clinical trials. This research is led by more than 350 principal investigators who are harvard medical school faculty and key areas of research include vascular biology, molecular imaging, transplantation, signal transduction, cancer biology, metabolic disease, neurobiology, aids and cardiology/cardiac surgery. Hmfp's extraordinary faculty has established a culture that is collaborative and oriented toward translating new knowledge into novel medical treatments and patient care.”

“Other medical services: other revenue consists of support received from beth israel deaconess medical center (bidmc), other hospitals within the beth israel lahey health system (bilh), and harvard medical school for administrative services that hmfp employees perform for related organizations. Also, included in other revenue is a management fee from the consolidated entities of hmfp and the revenues generated from external organizations of hmfp for administrative and clinical services performed at locations in the community. In addition to the services outlined above, hmfp performed educational related activities and research initiatives overseas. The revenues received for work performed abroad is included in the financial statements as other revenue as is reported in this form 990, schedule f as required.”

“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 and affiliates for fiscal period ended september 30, 2024. These statements were prepared in accordance with generally accepted accounting principles (gaap) and included the accounts of harvard medical faculty physicians at beth israel deaconess medical center (hmfp) and the entities for which hmfp served as direct or indirect sole member during the fiscal period covered by this filing, the audit committee of hmfp's board of directors assumes responsibility for oversight of the consolidated audit for the network as a whole.”

“Transfer to/from affiliates 191,543.”

“The boston office of kpmg performs an annual audit and signs a consolidated financial statement audit of harvard medical faculty physicians at beth israel deaconess medical center, inc. (hmfp) and affiliates. The audit committee of hmfp's board of directors assumes responsibility for oversight of the consolidated audit for all of the entities consolidated into the audit.”