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Nonprofiteer
← BETH ISRAEL ANAESTHESIA FOUNDATION INC

Form 990 for tax year 2022

Filed by BETH ISRAEL ANAESTHESIA FOUNDATION INC.

Totals

Total revenue
$5,499,209
Total expenses
$6,116,057
Contributions and grants received
$0
Grants paid
$1,500,000
Program services expenses (Part IX)
$6,018,227
Management and general expenses
$97,830
Fundraising expenses
$0
Program service expenses (Part III)
$6,018,227

Program services were 98.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • TALMOR MD MPH DANIEL

    DIR (EX-OFF) & PRES; BIDMC ANSTH CHF

    Total calculated
    $960,756
    From this org
    $0
    From related orgs
    $863,388
    Other
    $97,368
    Hours/week
    1 + 61 related

    Schedule J breakdown matched by us

    Base
    $0 + $818,608 related
    Bonus
    $0 + $6,126 related
    Other
    $0 + $38,654 related
    Deferred
    $0 + $57,188 related
    Nontaxable benefits
    $0 + $40,180 related
    Filer's total
    $0 + $960,756 related

  • HESS MD PHILIP

    DIR, SEC, & CLERK; ANESTHESIOLOGIST

    Total calculated
    $590,945
    From this org
    $0
    From related orgs
    $504,865
    Other
    $86,080
    Hours/week
    1 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $461,965 related
    Bonus
    $0 + $12,625 related
    Other
    $0 + $30,275 related
    Deferred
    $0 + $57,188 related
    Nontaxable benefits
    $0 + $28,892 related
    Filer's total
    $0 + $590,945 related

  • BOSE MD RUMA

    DIRECTOR; ANESTHESIOLOGIST

    Total calculated
    $547,918
    From this org
    $0
    From related orgs
    $447,060
    Other
    $100,858
    Hours/week
    1 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $416,722 related
    Bonus
    $0 + $23,500 related
    Other
    $0 + $6,838 related
    Deferred
    $0 + $57,188 related
    Nontaxable benefits
    $0 + $43,670 related
    Filer's total
    $0 + $547,918 related

  • SHAFF MD LESLIE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • FERRAZZA DAWN

    TREAS & CHIEF ADMINISTRATIVE OFFICER

    Total calculated
    $426,365
    From this org
    $0
    From related orgs
    $367,022
    Other
    $59,343
    Hours/week
    1 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $312,862 related
    Bonus
    $0 + $46,522 related
    Other
    $0 + $7,638 related
    Deferred
    $0 + $57,188 related
    Nontaxable benefits
    $0 + $2,155 related
    Filer's total
    $0 + $426,365 related

  • CAMERON SHANNON

    AFS EXECUTIVE DIRECTOR

    Total calculated
    $284,064
    From this org
    $0
    From related orgs
    $222,086
    Other
    $61,978
    Hours/week
    1 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $198,123 related
    Bonus
    $0 + $20,426 related
    Other
    $0 + $3,537 related
    Deferred
    $0 + $38,298 related
    Nontaxable benefits
    $0 + $23,680 related
    Filer's total
    $0 + $284,064 related

  • LISBON MD ALAN

    FRMR DIR,CLRK ANESTH CRIT CARE BIDMC

    Total calculated
    $175,038
    From this org
    $0
    From related orgs
    $126,264
    Other
    $48,774
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $118,571 related
    Bonus
    $0
    Other
    $0 + $7,693 related
    Deferred
    $0 + $23,781 related
    Nontaxable benefits
    $0 + $24,993 related
    Filer's total
    $0 + $175,038 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
AS NOTED THROUGHOUT BETH ISRAEL ANAESTHESIA FOUNDATION, INC.'S FORM 990, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) SERVES AS THE SOLE MEMBER OF BETH ISRAEL ANAESTHESIA FOUNDATION, INC. IN THIS CAPACITY, THE HMFP COMPENSATION COMMITTEE SETS COMPENSATION FOR HMFP AND APHMFP 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.
PART I, LINE 4B
HMFP AND OTHER RELATED ENTITIES WHO EMPLOY THE INDIVIDUALS LISTED IN THIS FORM 990 SCHEDULE J, COMPENSATION INFORMATION, MAINTAIN CERTAIN SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS. DURING THE PERIOD COVERED BY THIS FILING, ONE OR MORE OF THESE INDIVIDUALS MAY HAVE PARTICIPATED IN ONE OR MORE OF THE FOLLOWING PLANS, WHICH UNDER THE DEFINITION TO THIS FORM 990 ARE SUPPLEMENTAL NONQUALIFIED PLANS: BETH ISRAEL DEACONESS MEDICAL CENTER EXECUTIVE RETIREMENT PROGRAM, BETH ISRAEL LAHEY HEALTH, INC. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. IN ADDITION, DURING THE PERIOD COVERED BY THIS FILING, ONE OR MORE INDIVIDUALS LISTED IN THIS FORM 990, SCHEDULE J, COMPENSATION INFORMATION, MAY HAVE PARTICIPATED IN ONE OR MORE OF THESE ADDITIONAL IRC 457(B) PLANS AND BENEFITS FROM PARTICIPATING IN ONE OF THESE PLANS IS ALSO REPORTED IN THIS FORM 990: BETH ISRAEL DEACONESS MEDICAL CENTER 457(B) PLAN, BETH ISRAEL LAHEY HEALTH, INC. 457(B) DEFERRED COMPENSATION PLAN, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. 457(B) DEFERRED COMPENSATION PLAN. THESE PLANS ARE NON-QUALIFIED DEFERRED COMPENSATION PLANS AND PURSUANT TO THE PLANS, ELIGIBLE EMPLOYEES RECEIVE CERTAIN RETIREMENT BENEFITS. AMOUNTS RECEIVED BY PARTICIPANTS, DEFERRED BY PARTICIPANTS AND THE CHANGE IN VALUE OF THE PLAN BENEFITS RELATED TO THESE PARTICIPANTS'' ACCOUNTS ARE INCLUDED IN FORM 990 SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION AND/OR FORM 990, SCHEDULE J, PART II, COLUMN C, DEFERRED COMPENSATION IN ACCORDANCE WITH THE INSTRUCTIONS TO THIS FORM 990. ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW.
PART I, LINE 7
DURING THE 2022 CALENDAR YEAR THE FILING ORGANIZATION, AND/OR OTHER RELATED AFFILIATED ENTITIES WHICH EMPLOYED THE INDIVIDUALS REPORTED IN THIS FILING, MAINTAINED COMPENSATION PACKAGES WHICH INCLUDED OPPORTUNITIES TO EARN INCENTIVE COMPENSATION BASED ON A COMBINATION OF VARIOUS FACTORS, INCLUDING BUT NOT LIMITED TO, MEETING OR EXCEEDING THE EMPLOYING ENTITY'S OBJECTIVES FOR QUALITY AND PATIENT SAFETY, BUDGETED CONSOLIDATED OPERATING MARGIN, AND MEETING INDIVIDUAL GOALS AND OBJECTIVES. IN EACH CASE, INCENTIVE COMPENSATION WAS REVIEWED BY THE APPLICABLE COMPENSATION COMMITTEE WHICH WAS FULLY STAFFED BY INDEPENDENT MEMBERS.
ADDITIONAL EXPLANATORY NOTES:
DIRECTORS AND TRUSTEES SERVE WITHOUT COMPENSATION: 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 IN THE NOTES BELOW. REPORTING PERIOD: AS REQUIRED BY FORM 990, COMPENSATION REPORTED IN THE FILING FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2023 IS CALENDAR YEAR 2022 COMPENSATION. COMPENSATION SOURCES: COMPENSATION REPORTED FOR INDIVIDUALS MAY INCLUDE COMPENSATION PAID BY THE REPORTING ENTITY, AN AFFILIATE OF THE REPORTING ENTITY AND IN SOME CASES UNRELATED ENTITIES AS REQUIRED BY FORM 990. REPORTABLE COMPENSATION: REPORTABLE 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: OTHER COMPENSATION LISTED IN FORM 990 PART VII INCLUDES DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS AS REPORTED IN FORM 990 SCHEDULE J. BASE COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED IN THIS RETURN BUT QUANTIFIED IN BASE COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: ORDINARY WAGES, EMPLOYEE DEFERRALS TO A 401(K) AND/OR 403(B) PLAN. OTHER 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: TAXABLE EMPLOYER SUBSIDIZED PARKING; TAXABLE LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE. 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 401(K) RETIREMENT PLAN, EMPLOYER CONTRIBUTIONS TO 403(B) RETIREMENT PLAN, EMPLOYER CONTRIBUTION TO PENSION PLAN AND/OR THE CHANGE IN ACTUARIAL VALUE OF THE PENSION PLAN BENEFIT NON-TAXABLE BENEFITS: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN NON-TAXABLE BENEFITS INCLUDE, AMONG OTHER THINGS, AMOUNTS FROM ONE OR MORE OF THE FOLLOWING 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, ADOPTION ASSISTANCE, TUITION ASSISTANCE PURSUANT TO AN EMPLOYER PLAN, GROUP TERM LIFE INSURANCE, DISABILITY INSURANCE ADDITIONAL INDIVIDUAL SPECIFIC INFORMATION IS INCLUDED BELOW. BOSE, RUMA - DIRECTOR; ANESTHESIOLOGIST BETH ISRAEL ANAESTHESIA FOUNDATION, INC. CAMERON, SHANNON - AFS EXECUTIVE DIRECTOR - BETH ISRAEL ANAESTHESIA FOUNDATION, INC. FERRAZZA, DAWN - TREASURER AND CHIEF ADMINISTRATIVE OFFICER BETH ISRAEL ANESTHESIA FOUNDATION, INC. - CHIEF ADMINISTRATIVE OFFICER, DEPARTMENT OF ANAESTHESIA, CRITICAL CARE, AND PAIN MEDICINE HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER - CHIEF ADMINISTRATIVE OFFICER, DEPARTMENT OF ANAESTHESIA, CRITICAL CARE, AND PAIN MEDICINE BETH ISRAEL DEACONESS MEDICAL CENTER HESS, PHIL - DIRECTOR, SECRETARY AND CLERK BETH ISRAEL ANAESTHESIA FOUNDATION, INC. LISBON, M.D., ALAN - FORMER DIRECTOR, CLERK, ANESTHESIOLOGIST, CRITICAL CARE HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. - EXEC. VICE CHAIR - BETH ISRAEL ANAESTHESIA FOUNDATION, INC. - ANAESTHESIA CRITICAL CARE AND PAIN MEDICINE - BETH ISRAEL DEACONESS MEDICAL CENTER, INC. TALMOR, M.D., M.P.H., DANIEL - DIRECTOR ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC, INC. - DIRECTOR (EX-OFFICIO) & ANESTHESIA CHAIR (CHIEF OF ANESTHESIA AT BIDMC) HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. - CHIEF OF ANESTHESIA BETH ISRAEL DEACONESS MEDICAL CENTER, INC. - DIRECTOR (EX-OFFICIO) AND PRESIDENT BETH ISRAEL ANAESTHESIA FOUNDATION, INC. - PROFESSOR OF ANESTHESIA HARVARD MEDICAL SCHOOL OTHER REPORTABLE COMPENSATION INCLUDES A PAYMENT FOR PTO CASHED-OUT IN THE AMOUNT OF $25,754.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
13 August 2024
IRS schema version
2022v5.0
Source object
202432279349300048

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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