Partners HealthCare System,Inc. and AffiliatesReport on Federal Awards inAccordance with OMB Circular A-133September 30, 2010EIN 04-3230035
Partners HealthCare System, Inc. and AffiliatesReport on Federal Awards in Accordance with OMB Circular A-133IndexSeptember 30, 2010
Page(s)
Part I - Financial Statements
Report of Independent Auditors ...................................................................................................................1
Consolidated Financial Statements and Notes to Consolidated Financial Statements.........................2–44
Schedule of Expenditures of Federal Awards and Notes to Schedule ofExpenditures of Federal Awards..........................................................................................................45–79
Part II - Reports on Compliance and Internal Controls
Report of Independent Auditors on Internal Control over Financial Reporting and onCompliance and Other Matters Based on an Audit of Financial Statements Performed inAccordance with Government Auditing Standards ..............................................................................80–82
Report of Independent Auditors on Compliance with Requirements Applicable to EachMajor Program and on Internal Control over Compliance in Accordance withOMB Circular A-133 .............................................................................................................................83–84
Part III - Findings
Schedule of Findings and Questioned Costs.......................................................................................85–88
Summary Schedule of the Status of prior Audit Findings ..........................................................................89
Management's Views and Corrective Action Plan………………………………………………………………90
Part I
Financial Statements
To the Board of Directors of
Partners HealthCare System, Inc. and Affiliates
In our opinion, the accompanying balance sheets and the related statements ofassets and cash flows present fairly, in all material respects, the financial position of Partners HealthCareSystem, Inc. and Affiliates ("Partners HealthCare") at Septemberoperations, its changes in net assets and its cash flows for the years then ended, in conformity with accountingprinciples generally accepted in the United States of America. Theseresponsibility of Partners HealthCare management. Our rfinancial statements based on our audits. We conducted our audits of these statements in accordance withauditing standards generally accepted in the United States of America and the standards applicable tofinancial audits contained in Government Auditing StandardsStates. Those standards require that we plan and perform the audit to obtain reasonable assurance aboutwhether the financial statements are freebasis, evidence supporting the amounts and disclosures in the financial statements, assessing the accountingprinciples used and significant estimates made by management, and evaluating thepresentation. We believe that our audits provide a reasonable basis for our opinion.
In accordance with Government Auditing Standardson our consideration of Partners Healcompliance with certain provisions of laws, regulations, contracts and grant agreements and other matters forthe year ended September 30, 2010. The purpose of that report is to descinternal control over financial reporting and compliance and the results of that testing, and not to provide anopinion on the internal control over financial reporting or on compliance. That report is an integral part ofaudit performed in accordance withthe results of our audit.
Our audit was conducted for the purpose of forming an opinion on the basic financial statements taken as awhole. The accompanying Schedule of Expenditures of Federal Awards for the year ended September2010 is presented for purposes of additional analysis as required by U.S. Office of Management and BudgetCircular A-133, Audits of States, Local Governments, and Nonof the basic financial statements. Such information has been subjected to the auditing procedures applied inthe audit of the basic financial statements and, in our opinion, is fairly stated in all material respto the basic financial statements taken as a whole.
December 10, 2010
Report of Independent Auditors
Partners HealthCare System, Inc. and Affiliates
In our opinion, the accompanying balance sheets and the related statements of operations, changes in netassets and cash flows present fairly, in all material respects, the financial position of Partners HealthCareSystem, Inc. and Affiliates ("Partners HealthCare") at September 30, 2010 and 2009, and the results of its
its changes in net assets and its cash flows for the years then ended, in conformity with accountingprinciples generally accepted in the United States of America. These financial statements are theresponsibility of Partners HealthCare management. Our responsibility is to express an opinion on thesefinancial statements based on our audits. We conducted our audits of these statements in accordance withauditing standards generally accepted in the United States of America and the standards applicable to
Government Auditing Standards, issued by the Comptroller General of the UnitedStates. Those standards require that we plan and perform the audit to obtain reasonable assurance aboutwhether the financial statements are free of material misstatement. An audit includes examining, on a testbasis, evidence supporting the amounts and disclosures in the financial statements, assessing the accountingprinciples used and significant estimates made by management, and evaluating the overall financial statementpresentation. We believe that our audits provide a reasonable basis for our opinion.
Government Auditing Standards, we have also issued our report dated Decemberon our consideration of Partners HealthCare internal control over financial reporting and on our tests of itscompliance with certain provisions of laws, regulations, contracts and grant agreements and other matters for
30, 2010. The purpose of that report is to describe the scope of our testing ofinternal control over financial reporting and compliance and the results of that testing, and not to provide anopinion on the internal control over financial reporting or on compliance. That report is an integral part ofaudit performed in accordance with Government Auditing Standards and should be considered in assessing
Our audit was conducted for the purpose of forming an opinion on the basic financial statements taken as apanying Schedule of Expenditures of Federal Awards for the year ended September
2010 is presented for purposes of additional analysis as required by U.S. Office of Management and BudgetAudits of States, Local Governments, and Non-Profit Organizations, and is not a required part
of the basic financial statements. Such information has been subjected to the auditing procedures applied inthe audit of the basic financial statements and, in our opinion, is fairly stated in all material respto the basic financial statements taken as a whole.
operations, changes in netassets and cash flows present fairly, in all material respects, the financial position of Partners HealthCare
30, 2010 and 2009, and the results of itsits changes in net assets and its cash flows for the years then ended, in conformity with accounting
financial statements are theesponsibility is to express an opinion on these
financial statements based on our audits. We conducted our audits of these statements in accordance withauditing standards generally accepted in the United States of America and the standards applicable to
, issued by the Comptroller General of the UnitedStates. Those standards require that we plan and perform the audit to obtain reasonable assurance about
of material misstatement. An audit includes examining, on a testbasis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting
overall financial statement
, we have also issued our report dated December 10, 2010thCare internal control over financial reporting and on our tests of its
compliance with certain provisions of laws, regulations, contracts and grant agreements and other matters forribe the scope of our testing of
internal control over financial reporting and compliance and the results of that testing, and not to provide anopinion on the internal control over financial reporting or on compliance. That report is an integral part of an
and should be considered in assessing
Our audit was conducted for the purpose of forming an opinion on the basic financial statements taken as apanying Schedule of Expenditures of Federal Awards for the year ended September 30,
2010 is presented for purposes of additional analysis as required by U.S. Office of Management and Budget, and is not a required part
of the basic financial statements. Such information has been subjected to the auditing procedures applied inthe audit of the basic financial statements and, in our opinion, is fairly stated in all material respects, in relation
Partners HealthCare System, Inc. and AffiliatesConsolidated Balance SheetsSeptember 30, 2010 and 2009
The accompanying notes are an integral part of these consolidated financial statements.
2
(dollars in thousands) 2010 2009
Assets
Current assetsCash and equivalents 626,919$ 561,232$Investments 1,050,749 1,046,894Collateral held under securities lending arrangements 129,183 183,336Current portion of investments limited as to use 1,084,877 898,056Patient accounts receivable, net of allowance for bad debts2010 - $114,425; 2009 - $108,177 698,380 712,238
Research grants receivable 132,512 133,190Other current assets 252,620 261,554Receivable for settlements with third-party payers 39,472 33,330
Total current assets 4,014,712 3,829,830
Investments limited as to use, less current portion 2,106,023 1,857,459Long-term investments 838,913 829,816Pledges receivable, net and contributions receivable from trusts,less current portion 162,839 152,956
Property and equipment, net 3,749,234 3,354,069Other assets 118,614 99,715
Total assets 10,990,335$ 10,123,845$
Liabilities and Net AssetsCurrent liabilities
Current portion of long-term obligations 489,913$ 820,620$Accounts payable and accrued expenses 596,916 581,831Accrued compensation and benefits 532,410 477,325Collateral due under securities lending arrangements 129,183 183,336Current portion of accrual for settlements with third-party payers 34,144 22,516Unexpended funds on research grants 152,513 165,490
Total current liabilities 1,935,079 2,251,118
Other liabilitiesAccrual for settlements with third-party payers, less current portion 15,453 45,093Accrued professional liability 70,260 64,412Accrued employee benefits 977,836 979,288Interest rate swaps liability 271,402 184,032Accrued other 216,764 201,262
1,551,715 1,474,087
Long-term obligations, less current portion 1,977,033 1,424,027
Total liabilities 5,463,827 5,149,232
Commitments and contingencies
Net assetsUnrestricted 4,391,191 3,845,791Temporarily restricted 824,426 829,928Permanently restricted 310,891 298,894
Total net assets 5,526,508 4,974,613
Total liabilities and net assets 10,990,335$ 10,123,845$
Partners HealthCare System, Inc. and AffiliatesConsolidated Statements of OperationsYears Ended September 30, 2010 and 2009
The accompanying notes are an integral part of these consolidated financial statements.
3
(dollars in thousands) 2010 2009
Operating revenue
Net patient service revenue 6,182,451$ 5,823,741$
Direct academic and research revenue 1,045,789 967,635
Indirect academic and research revenue 324,583 286,846
Other revenue 572,488 536,638
Total operating revenue 8,125,311 7,614,860
Operating expenses
Employee compensation and benefits 4,427,300 4,129,020
Supplies and other expenses 1,905,160 1,827,557
Direct academic and research expenses 1,045,789 967,635
Depreciation and amortization 356,844 328,486
Provision for bad debts 119,861 121,051
Interest 75,677 76,662
Total operating expenses 7,930,631 7,450,411
Income from operations 194,680 164,449
Nonoperating gains (expenses)
Income (loss) from investments 109,941 (25,278)Change in fair value of nonhedging interest rate swaps (40,690) (38,955)
Gifts and other, net of expenses (37,985) (36,229)
Academic and research gifts, net of expenses 42,539 (18,362)
Total nonoperating gains (expenses), net 73,805 (118,824)
Excess of revenues over expenses 268,485 45,625
Other changes in net assets
Change in net unrealized appreciation on marketable investments 58,545 93,032
Change in fair value of hedging interest rate swaps (45,820) (46,026)
Funds utilized for property and equipment 75,420 39,855
Net assets acquired through merger 193,818 -
Other 5,412 1,618Change in funded status of defined benefit plans (10,460) (778,737)
Cumulative effect of change in defined benefit plans
measurement date - (73,051)
Increase (decrease) in unrestricted net assets 545,400$ (717,684)$
Partners HealthCare System, Inc. and AffiliatesConsolidated Statements of Changes in Net AssetsYears Ended September 30, 2010 and 2009
The accompanying notes are an integral part of these consolidated financial statements.
4
Temporarily Permanently
(dollars in thousands) Unrestricted Restricted Restricted Total
Net assets at October 1, 2008 4,563,475$ 861,910$ 301,780$ 5,727,165$
Increases (decreases)
Income from operations 164,449 - - 164,449
Loss from investments (25,278) (49,173) (1,080) (75,531)
Gifts and other (36,229) (5,606) 8,284 (33,551)
Academic and research gifts, net of expenses (18,362) - - (18,362)Change in net unrealized appreciation on
marketable investments 93,032 23,203 (1,506) 114,729
Change in fair value of interest rate swaps
Nonhedging (38,955) - - (38,955)
Hedging (46,026) - - (46,026)
Funds utilized for property and equipment 39,855 (5,595) - 34,260
Other 1,618 5,189 (8,584) (1,777)
Change in funded status of defined benefit plans (778,737) - - (778,737)
Cumulative effect of change in defined benefit plans
measurement date (73,051) - - (73,051)
Change in net assets (717,684) (31,982) (2,886) (752,552)
Net assets at September 30, 2009 3,845,791 829,928 298,894 4,974,613
Increases (decreases)Income from operations 194,680 - - 194,680
Income from investments 109,941 4,800 279 115,020
Gifts and other (37,985) 23,652 14,903 570
Academic and research gifts, net of expenses 42,539 - - 42,539
Change in net unrealized appreciation on
marketable investments 58,545 6,372 364 65,281
Change in fair value of interest rate swaps
Nonhedging (40,690) - - (40,690)
Hedging (45,820) - - (45,820)
Funds utilized for property and equipment 75,420 (38,848) - 36,572
Net assets acquired through merger 193,818 - - 193,818
Other 5,412 (1,478) (3,549) 385
Change in funded status of defined benefit plans (10,460) - - (10,460)
Change in net assets 545,400 (5,502) 11,997 551,895
Net assets at September 30, 2010 4,391,191$ 824,426$ 310,891$ 5,526,508$
Partners HealthCare System, Inc. and AffiliatesConsolidated Statements of Cash FlowsYears Ended September 30, 2010 and 2009
The accompanying notes are an integral part of these consolidated financial statements.
5
(dollars in thousands) 2010 2009
Cash flows from operating activities
Change in net assets 551,895$ (752,552)$
Adjustments to reconcile change in net assets to net cash
provided by operating activities
Net assets acquired through merger (193,818) -
Cumulative effect of change in defined benefit plans measurement date - 73,051
Change in funded status of defined benefit plans 10,460 778,737
Loss on refunding of debt 3,180 -
Change in fair value of interest rate swaps 86,510 84,981
Depreciation and amortization 356,844 328,486
Provision for bad debts 119,861 121,051
Loss on disposal of property 1,425 1,152
Net realized and change in unrealized appreciation on investments (213,105) (44,166)
Restricted contributions and investment income (73,471) (66,181)
Increase (decrease) in cash resulting from a change in
Patient accounts receivable (106,003) (90,644)
Research grants receivable 678 20,751
Other current assets 5,297 (914)
Pledges receivable and contributions receivable from trusts (6,240) 29,738Other assets (14,020) 883
Accounts payable and accrued expenses 15,038 156,819
Accrued compensation and benefits 53,972 19,854
Settlements with third-party payers (24,154) 8,683
Unexpended funds on research grants (12,977) (5,522)
Accrued employee benefits and other 10,366 16,011
Net cash provided by operating activities 571,738 680,218
Cash flows from investing activities
Purchase of property and equipment (607,039) (634,218)
Purchase of investments (482,118) (1,393,653)
Proceeds from sales of investments 303,800 1,347,866
Net cash used for investing activities (785,357) (680,005)
Cash flows from financing activities
Borrowings under line of credit - 50,000
Repayment of borrowings under line of credit - (50,000)
Payments on long-term obligations (65,098) (40,514)
Proceeds from long-term obligations, net of financing costs 504,027 227,305
Decrease (increase) in auction rate securities holdings 20,000 (50,000)
Deposits into refunding trusts (253,094) -
Restricted contributions and investment income 73,471 66,181
Net cash provided by financing activities 279,306 202,972
Net increase in cash and equivalents 65,687 203,185
Cash and equivalents at beginning of year 561,232 358,047
Cash and equivalents at end of year 626,919$ 561,232$
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
6
1. Organization and Community Benefit Commitments
Partners HealthCare System, Inc. (PHS) is the sole member of The Massachusetts GeneralHospital (MGH), Brigham and Women's/Faulkner Hospitals, Inc. (BW/F), NSMC HealthCare, Inc.(NSMC), Newton-Wellesley Health Care System, Inc. (NWHCS), Partners Continuing Care, Inc.(PCC), and Partners International Medical Services, LLC. PHS appoints the two physicians whoare the members of Partners Community HealthCare, Inc. (PCHI). The individual serving as thePHS President and Chief Executive Officer is the sole member of Partners Harvard MedicalInternational, Inc. (PHMI). PHS, together with all of its affiliates, is referred to as "PartnersHealthCare."
Partners HealthCare currently operates two tertiary and five community acute care hospitals ineastern Massachusetts, one facility providing inpatient and outpatient mental health services andfour facilities providing inpatient and outpatient services in rehabilitation medicine and long termcare. Partners HealthCare also operates physician organizations and practices, a home healthagency, nursing homes, hospice, and a graduate level program for health professions. PartnersHealthCare provides services to patients primarily from the Greater Boston area as well as NewEngland and beyond. In addition, Partners HealthCare is a nonuniversity-based nonprofit privatemedical research enterprise and is a principal teaching affiliate of the medical and dental schools ofHarvard University.
On September 30, 2010, the Massachusetts Biomedical Research Corporation (MBRC) mergedinto The General Hospital Corporation (the General). MBRC was a tax-exempt organization,created for the purposes of promoting and supporting basic and applied biomedical and otherscientific research, owning and leasing real estate in order to enhance and to provide facilities forthe conduct of such research and other hospital-related support functions, and promoting andsupporting education in the field of medicine. MBRC purchased real estate which wassubsequently leased to and occupied by the General. MBRC has been a related party but notcontrolled by either the General or Partners HealthCare, and therefore not previously consolidatedwithin these financial statements. The merger has been accounted for at historical cost, similar toa pooling of interests, however, prior period financial statements have not been restated as theimpact of the transaction on the consolidated financial statements is not considered to be material.The effect of the merger was to increase unrestricted net assets by $193,818 on September 30,2010, which has been reported as a component of other changes in unrestricted net assets. Hadprior period financial statements been restated, net assets at October 1, 2008 and September 30,2009 would have increased by $148,993 and $170,134, respectively, and the excess of revenuesover expenses would have increased by $23,684 and $21,141 for the years ended September 30,2010 and September 30, 2009, respectively.
PHS is a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code.Substantially all affiliates of PHS (except for PCHI) are also tax-exempt organizations underSection 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes relatedto these entities has been made. PCHI is a taxable entity, and as of September 30, 2010, hasavailable net operating loss carryforwards of approximately $52,000 for income tax purposes,expiring in 2012 through 2024.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
7
Community BenefitPartners HealthCare's community benefit programs include working with communities to address anumber of public health issues including racial disparities, alcohol and substance abuse amongyoung people, infant mortality, domestic violence and cancer. Partners HealthCare provideseconomic opportunity for low income Boston residents by helping people advance into nursing andother healthcare careers through its public school partnerships and workforce developmentprograms. In addition, twenty-one community health centers are licensed by or affiliated withPartners HealthCare entities, providing high quality, culturally competent primary care and accessto its hospitals. Partners HealthCare invests in these health centers' infrastructure, programmingand operation and also helps with relocation, renovation, and other capital requirements.
The Massachusetts Attorney General's Community Benefits Guidelines direct health maintenanceorganizations and nonprofit acute care hospitals to prepare annual reports documenting the statusand level of their community benefit programs and initiatives. These annual reports serve theimportant purpose of providing the public with access to useful information about these programsand initiatives. Partners HealthCare files its report annually with the Attorney General. The reportsummarizes community benefit activities on a systemwide basis. In addition, each of the acutecare hospitals within Partners HealthCare has a community benefit planning and service deliverystructure and files separate community benefit reports. Partners HealthCare's nonacute carehospitals also file reports annually.
Uncompensated CarePartners HealthCare provides care to all patients regardless of their ability to pay. The cost ofproviding that care is reflected in the statements of operations. The cost related to those patientsfor which Partners HealthCare receives either partial or no reimbursement for healthcare servicesprovided is summarized as follows:
State ProgramsUncompensated CareFree care services are partially reimbursed to acute care hospitals through the statewide HealthSafety Net (HSN, formerly known as the Uncompensated Care Pool) established by theMassachusetts Health Care Reform Law (Chapter 58 of the Acts of 2006). A portion of the fundingfor the HSN is paid by hospitals through a statewide hospital assessment levied each year by theMassachusetts Legislature. All acute care hospitals in the state are assessed their share of thistotal statewide hospital assessment amount ($160,000 in 2010 and $180,000 in 2009) based oneach hospital's charges for private sector payers. Partners HealthCare's hospitals report thisassessment as a deduction from net patient service revenue.
Hospitals are reimbursed for free care based on claims for eligible patients that are submitted toand adjudicated by the HSN. Rates of payment are based on Medicare rates and paymentpolicies. In 2010, the HSN is projected to be under-funded by approximately $69,000. Thisshortfall is allocated to hospitals based on their share of total statewide patient care costs. Eachhospital’s share of the overall state shortfall cannot exceed its total free care reimbursement.Hospitals with a high proportion of free care and government funding receive more favorablereimbursement, including limiting their shortfall allocation to no more than 15%. In aggregate,Partners HealthCare acute care hospitals' share of uncompensated care funding covered 49% ofthe estimated cost of free care provided in 2010 and 72% of the estimated cost in 2009, excludingthe assessment.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
8
MedicaidMedicaid is a means-tested health insurance program, jointly funded by state and federalgovernments. States administer the program and set rules for eligibility, benefits and providerpayments within broad federal guidelines. The program provides health care coverage to low-income children and families, pregnant women, long-term unemployed adults, seniors and personswith disabilities. Eligibility is determined by a variety of factors, which include income relative to thefederal poverty line, age and immigrant status, and assets.
Medicaid payments to Partners HealthCare providers do not cover the cost of services provided. Inaggregate, reimbursement from Medicaid covered 65% of the estimated cost of services providedin 2010 and 70% of the estimated cost in 2009.
Federal ProgramMedicareMedicare is a federally sponsored health insurance program for people age 65 or older, underage 65 with certain disabilities, and any age with End-Stage Renal Disease. For many years,Medicare payments have not kept pace with increases in the cost of care provided for manyhospitals. Additionally, payments to physicians have seen little or no increases over the pastseveral years. Compounding this shortfall in payments is the shift of care from higher payinginpatient services to lower paying outpatient services.
Consequently, Medicare payments to Partners HealthCare providers also do not cover the cost ofservices provided. In aggregate, reimbursement from Medicare covered 76% of the estimated costof services provided in 2010 and 75% of the estimated cost of services in 2009.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
9
For free care, Medicaid and Medicare, the total estimated cost of services provided by PartnersHealthCare providers exceeds the net reimbursement received under these programs by $814,622and $745,784 for the years ended September 30, 2010 and 2009, respectively. The followingsummarizes, by program, the cost of services provided, net reimbursement and cost of services inexcess of reimbursement for each year:
2010 2009
Cost of services providedFree Care, including assessment payment to HSN of$47,671 and $54,569 in 2010 and 2009, respectively 142,857$ 145,196$
Medicaid 658,153 578,516
Medicare 1,999,692 1,882,147
2,800,702$ 2,605,859$
Net reimbursement
Free Care 36,296$ 50,622$Medicaid 427,539 402,859Medicare 1,522,245 1,406,594
1,986,080$ 1,860,075$
Cost of services in excess of reimbursementFree Care 106,561$ 94,574$Medicaid 230,614 175,657Medicare 477,447 475,553
814,622$ 745,784$
Years EndedSeptember 30,
Bad DebtsIn addition to free care and inadequate funding from the Medicaid and Medicare programs, thereare significant losses related to self-pay patients who fail to make payment for services rendered orinsured patients who fail to remit co-payments and deductibles as required under the applicablehealth insurance arrangement. The provision for bad debts of $119,861 in 2010 and $121,051 in2009 represents charges for services provided that are deemed to be uncollectible. The estimatedcost of providing these services was approximately $44,791 and $42,942 for 2010 and 2009,respectively.
2. Summary of Significant Accounting Policies
Basis of AccountingThe accompanying consolidated financial statements have been prepared on the accrual basis ofaccounting and include the accounts of PHS and its affiliates. Significant interaffiliate accounts andtransactions have been eliminated.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
10
Use of EstimatesThe preparation of financial statements in conformity with accounting principles generally acceptedin the United States of America requires management to make estimates and assumptions thataffect the reported amounts of assets and liabilities and disclosure of contingent assets andliabilities at the date of the financial statements and the reported amounts of revenues andexpenses during the reporting period. Actual results could differ from those estimates. Significantestimates are made in the areas of patient accounts receivable, research grants receivable,pledges receivable, investments, receivables and accruals for settlements with third-party payers,accrued professional liability, accrued compensation and employee benefits, and accrued other.
Fair Value of Financial InstrumentsThe fair value of financial instruments approximates the carrying amount reported in theconsolidated balance sheets for cash and equivalents, investments, investments limited as to use,collateral held under securities lending arrangements, patient accounts receivable, research grantsreceivable, accounts payable, collateral due under securities lending arrangements, and interestrate swaps. More information can be found in Note 4, Fair Value Measurements.
Cash and EquivalentsCash and equivalents represent money market and highly liquid debt instruments with a maturity atthe date of purchase of three months or less.
InvestmentsInvestments in equity securities with readily determinable fair values and all investments in debtsecurities (marketable investments) are measured at fair value based on quoted market prices.The change in net unrealized appreciation on these marketable investments is excluded fromexcess of revenues over expenses.
Alternative investments, including hedge funds and private equities, do not have readilyascertainable market values. Alternative investments are valued by the investment manager andassessed for reasonableness by management using the following methodology: investments insecurities sold short or traded on a national securities exchange are valued based on quotedmarket prices; investments in securities that are not traded and restricted securities of publiccompanies are valued based on amounts reported by the fund manager and evaluated bymanagement. The reported value of these investments represents the amount PartnersHealthCare would have expected to receive if it had liquidated its investments at the balance sheetdate on a nondistressed basis. Investments in hedge funds, private equity, private debt and otherprivate partnerships (collectively, “private partnerships”), for which Partners HealthCare owns morethan 5% of the overall investment are generally recorded as equity method investments. Thechange in value of equity method investments is included in excess of revenues over expenses asa component of income from investments. All other investments are recorded at cost.
Income from investments (including realized gains and losses, change in value of equity methodinvestments, interest, dividends, and endowment income distributions) is included in excess ofrevenues over expenses unless the income or loss is restricted by donor or law. Income frominvestments is reported net of investment-related expenses.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
11
Investments whose cost exceeds fair value are reviewed each quarter to determine whether theseinvestments are other-than-temporarily impaired. Externally managed marketable investments withfair value below cost are considered to be other-than-temporarily impaired and, accordingly, theunrealized depreciation is recognized as realized losses through a write-down in the cost basis ofthese investments. All other investments are subject to a further review, which considers factorsincluding the anticipated holding period for the investment and the extent and duration of belowcost valuation. A similar write-down is recorded when the impairment on these investments hasbeen judged to be other-than-temporary.
Depending on any donor-imposed restrictions on the underlying investments, the amount of thewrite-down is reported as a realized loss in either temporarily restricted net assets or in excess ofrevenues over expenses as a component of income from investments, with no adjustment in thecost basis for subsequent recoveries in fair value.
Partners HealthCare has an endowment spending policy for pooled endowment funds. A fixeddistribution rate for spending is determined each year which will come from either income and/ornet accumulated appreciation in market value.
Investments Limited as to UseInvestments limited as to use primarily include assets whose use is contractually limited by externalparties and assets set aside by the boards (or management) for identified purposes, over which theboards (or management) retain control and may, at their discretion, subsequently use for otherpurposes. Certain investments corresponding to deferred compensation are accounted for suchthat all income and appreciation (depreciation) is recorded as a direct addition (reduction) to theasset balance and corresponding liability balance.
Securities LoanedInvestments that have been loaned to another institution are reported as pledged assets withininvestments in the consolidated financial statements. Cash or investments held by the custodianon behalf of Partners HealthCare as collateral on the securities lending transaction are alsoreported as assets on the balance sheet. Because the collateral must be returned in the future, acorresponding liability is also reported in the consolidated financial statements.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
12
Derivative InstrumentsDerivatives are recognized on the balance sheet at fair value. Partners HealthCare designates atinception whether the derivative contract is considered hedging or nonhedging for accountingpurposes. For hedges, Partners HealthCare formally documents at inception all relationshipsbetween hedging instruments and hedged items, as well as its risk management objectives andstrategies for undertaking various accounting hedges. Partners HealthCare uses its derivatives,designated as hedging for accounting purposes, as cash flow hedges. Cash flow hedges are usedto minimize the variability in cash flows of interest-bearing liabilities or forecasted transactionscaused by changes in interest rates. Changes in the fair value of derivatives designated forhedging activities that are highly effective as hedges are excluded from excess of revenues overexpenses. Hedge ineffectiveness, if any, is recorded in excess of revenues over expenses. Fornon-hedging derivatives, changes in the fair value are recorded in excess of revenues overexpenses.
Patient Accounts ReceivablePartners HealthCare receives payments for services rendered from federal and state agencies(under the Medicare and Medicaid programs), managed care payers, commercial insurancecompanies and patients. Patient accounts receivable are reported net of contractual allowancesand reserves for denials, uncompensated care, and doubtful accounts. The level of reserves isbased upon management's assessment of historical and expected net collections, business andeconomic conditions, trends in federal and state governmental and private employer health carecoverage and other collection indicators.
Research Grants ReceivablePartners HealthCare receives research funding from departments and agencies of the U.S.Government, industry and corporate sponsors, and other private sponsors. Research grantsreceivable include amounts due from these sponsors of externally funded research. The amountshave been billed or are billable to the sponsor, or in limited circumstances, represent acceleratedspending in anticipation of future funding. Research grants receivable are reported net of reservesfor uncollectible accounts.
Property and EquipmentProperty and equipment is reported on the basis of cost less accumulated depreciation. Donateditems are recorded at fair value at the date of contribution. All research grants received for capitalare recorded in the year of expenditure as a change in net assets. Property and equipment isreviewed for recoverability whenever events or changes in circumstances indicate that its carryingamount may not be recoverable. Depreciation of property and equipment is calculated by use ofthe straight-line method at rates intended to depreciate the cost of assets over their estimateduseful lives, which generally range from three to forty years. Interest costs incurred on borrowedfunds during the period of construction of capital assets are capitalized, net of any interest earned,as a component of the cost of acquiring those assets.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
13
Asset Retirement ObligationsAsset retirement obligations, reported in accrued other, are legal obligations associated with theretirement of long-lived assets. These liabilities are initially recorded at fair value and the relatedasset retirement costs are capitalized by increasing the carrying amount of the related assets bythe same amount as the liability. Asset retirement costs are subsequently depreciated over theuseful lives of the related assets. Partners HealthCare records changes in the liability resultingfrom the passage of time and revisions to either the timing or the amount of the original estimate ofundiscounted cash flows. Partners HealthCare reduces these liabilities when the relatedobligations are settled.
Other AssetsOther assets consist of long-term receivables, deferred financing costs, intangible assets,investments in healthcare related limited partnerships and benefit assets for over-funded definedbenefit plans. Deferred financing costs are amortized over the terms of the related obligations.
The excess of the purchase price over the fair value of tangible assets of physician groupsacquired is being amortized over periods ranging from five years to twenty years based on theestimated period of benefits from the acquisition. The carrying value of other assets is reviewed ifthe facts and circumstances suggest that it may be impaired.
Compensated AbsencesIn accordance with formal policies concerning vacation and other compensated absences, accrualsof $186,921 and $176,515 were recorded as of September 30, 2010 and 2009, respectively.
Unexpended Funds on Research GrantsResearch grants received in advance of corresponding grant expenditures are accounted for as adirect addition to investments limited as to use and unexpended funds on research grants.
Self-Insurance ReservesPartners HealthCare is generally self-insured for employee healthcare, disability, workers'compensation and certain other employee benefits. These costs are accounted for on an accrualbasis to include estimates of future payments for claims incurred.
Net AssetsPermanently restricted net assets include the historical dollar amounts of gifts, and income andgains, which are required by donors to be permanently retained. Temporarily restricted net assetsinclude gifts, and income and gains on permanently restricted net assets which can be expendedbut for which restrictions have not yet been met. Such restrictions include purpose restrictionswhere donors have specified the purpose for which the net assets are to be spent, or timerestrictions imposed by donors or implied by the nature of the gift (capital projects, pledges to bepaid in the future, life income funds) or by interpretations of law (gains available for appropriationbut not appropriated in the current period). Unrestricted net assets include all the remaining netassets of Partners HealthCare. See Note 12 for further information on the composition of restrictednet assets.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
14
Realized gains and losses are classified as unrestricted net assets unless they are restricted by thedonor or law. Unless permanently restricted by the donor, realized gains and unrealized netappreciation on permanently restricted gifts are classified as temporarily restricted untilappropriated for spending by Partners HealthCare in accordance with policies established byPartners HealthCare and the Uniform Prudent Management of Institutional Funds Act (UPMIFA)enacted by The Commonwealth of Massachusetts in July 2009. Net losses on permanentlyrestricted endowment funds are classified as a reduction to unrestricted net assets until such timeas the fair value of these funds exceeds historical cost.
Gifts and GrantsUnconditional promises to give cash and other assets to Partners HealthCare are reported at fairvalue at the date the promise is received. Conditional promises to give are recognized when theconditions are substantially met. Gifts are reported as either temporarily or permanently restrictedsupport if they are received with donor stipulations that limit the use of the donated assets. Donor-restricted contributions whose restrictions are met within the same year as received are reported asunrestricted gifts in the accompanying financial statements.
Gifts of long-lived assets with explicit restrictions that specify use of assets and gifts of cash orother assets that must be used to acquire long-lived assets are reported as additions to temporarilyrestricted net assets if the assets are not placed in service during the year.
Grants and contracts normally provide for the recovery of direct and indirect costs, subject to audit.Partners HealthCare recognizes revenue associated with direct and indirect costs as direct costsare incurred. The recovery of indirect costs is based on predetermined rates for U.S. Governmentgrants and contracts and negotiated rates for other grants and contracts.
Statement of OperationsAll activities of Partners HealthCare deemed by management to be ongoing, major and central tothe provision of healthcare services, training and research activities are reported as operatingrevenue and expenses. Other activities are deemed to be nonoperating and include unrestrictedgifts (net of fundraising expenses), net change in unexpended academic and research gifts,change in fair value of nonhedging interest rate swaps, and substantially all income (loss) frominvestments. Academic and research gifts largely consist of donor contributions (and the relatedinvestment income including realized gains and losses) designated to support the clinical, teachingor research efforts of a physician or department as directed by the donor. These gifts are reportedas unrestricted, net of related support expenses, as any donor restrictions are of a general naturethat are inherent in the normal activities of the organization and do not require classification ofthese gifts as temporarily or permanently restricted.
Partners HealthCare recognizes changes in third-party payer settlements and other estimates inthe year of the change in estimate. For the years ended September 30, 2010 and 2009,adjustments to prior year estimates resulted in an increase to income from operations of $21,071and $5,144, respectively.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
15
Effective October 1, 2007, the Centers for Medicare and Medicaid Services (CMS) adopted theMS-DRG patient classification system (MS-DRGs) for inpatient services to better recognizeseverity of illness in Medicare payment rates for acute care hospitals. The adoption of MS-DRGsresulted in the expansion of the number of diagnosis related groups (DRGs), a system ofclassifying patients for purposes of inpatient reimbursement. By increasing the number of DRGsand more fully taking into account patients' severity of illness in Medicare payment rates for acutecare hospitals, the use of MS-DRGs encourages hospitals to improve their documentation andcoding of patient diagnoses. CMS has determined that the adoption of the MS-DRGs hasincreased aggregate payments to hospitals due to additional documentation and coding without acorresponding increase in actual patient severity of illness.
CMS is required by its enabling statute to maintain budget neutrality by prospectively adjusting theMedicare payment rate to eliminate the effect of changes in DRG classification that do not reflectreal changes in case-mix. Congress mandated that CMS recoup any overpayments made tohospitals in 2008 and 2009 resulting from increased coding and documentation. CMS hascalculated the overpayments, net of rate reductions already assessed against hospitals, to be 1.9%in 2008 and an additional 2% in 2009. CMS intends to recoup these overpayments through equalrate reductions in 2011 and 2012.
Partners HealthCare has recorded the estimated overpayment amounts received as deferredrevenue. Management believes this accounting treatment better reflects the financial impact of thisrate methodology and more accurately presents the recognition of revenue. As ofSeptember 30, 2010, the estimated amount to be recouped is $38,509 and will be amortizedequally into net patient service revenue in fiscal years 2011 and 2012.
The statements of operations include excess of revenues over expenses. Changes in unrestrictednet assets which are excluded from excess of revenues over expenses include change in netunrealized appreciation on marketable investments, change in fair value of hedging interest rateswaps, contributions of long-lived assets (including assets acquired using contributions which bydonor restriction were to be used for acquisition of such assets) and change in funded status ofdefined benefit plans.
Net Patient Service RevenuePartners HealthCare maintains agreements with CMS of the United States Department of Healthand Human Services (DHHS) under the Medicare Program, The Commonwealth of Massachusettsunder the Medical Assistance Program (Medicaid) and various managed care payers that governpayment for services rendered to patients covered by these agreements. The agreementsgenerally provide for per case or per diem rates or payments based on discounted charges forinpatient care and discounted charges or fee schedules for outpatient care. Certain "pay forperformance" contracts also provide for payments that are contingent upon meeting agreed uponquality and efficiency measures.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
16
Net patient service revenue is reported at estimated net realizable amounts from patients, third-party payers, and others for services rendered and includes estimated retroactive revenueadjustments due to future audits, reviews and investigations. Retroactive adjustments areconsidered in the recognition of revenue on an estimated basis in the period the related servicesare rendered, and such amounts are adjusted in future periods as adjustments become known oras years are no longer subject to such audits, reviews and investigations. Contracts, laws andregulations governing the Medicare, Medicaid, and HSN programs (Note 1) and managed carepayer arrangements are complex and subject to interpretation. As a result, there is at least areasonable possibility that recorded estimates will change by a material amount in the near term. Aportion of the accrual for settlements with third-party payers has been classified as long-termbecause such amounts, by their nature or by virtue of regulation or legislation, will not be paidwithin one year.
Charity CarePartners HealthCare provides either full or partial charity care to patients who cannot afford to payfor their medical services based on income and family size. Charity care is generally available toqualifying patients for medically necessary services. Partners HealthCare reports certain baddebts related to emergency services as charity care. Charity care is reported at gross charges withan offsetting allowance, as there is no expectation of collection. Accordingly, there is no net patientservice revenue related to charity care.
Other RevenueOther revenue includes institutional revenue (for example, billing for services provided to otherhealthcare providers), royalties and management services.
ReclassificationCertain amounts in the 2009 financial statements have been reclassified to conform with the 2010presentation. All research funds with credit balances are reported as liabilities, as a component ofunexpended funds on research grants, to more accurately reflect the nature of these balances.Previously, certain of these credit balances were reported as a component of research grantsreceivable. The impact of this reclassification was to increase grants receivable and unexpendedfunds on research grants by $20,154 as of September 30, 2009, with a corresponding reclassbetween cash and current portion of investments limited as to use.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
17
3. Investments and Investments Limited as to Use
Investments are either separately invested or included in pooled investment funds. The PartnersHealthCare System Pooled Investment Accounts (Partnership) is structured as a single generalpartnership composed of four investment pools, with PHS and substantially all of its affiliatesparticipating in the pools as partners. Each partner's interest in the Partnership is based on itsunderlying investments in one or more of the four separate pools. Amounts included in theinvestment pools are accounted for using the fair value method whereby each partner is assigned anumber of units based on the fair value of the assets of a pool at the time of entry of the funds intothe pool. Current fair value is used to determine the number of units allocated to additionalamounts placed in a pool and to value withdrawals from a pool. Income from investments of thepools, including realized gains and losses, is allocated on a unitized basis to a partner based onthe partner's share of units in a pool.
The Partnership invests in private partnerships whose assets include equity, fixed income, andother investments. As of September 30, 2010, Partners HealthCare has unfunded commitments ofapproximately $316,709 which will be drawn down by the various general partners over the nextseveral years. The maximum annual drawdown is expected to be less than 2% of investments andinvestments limited as to use.
Investments and investments limited as to use are recorded in the balance sheet as follows:
2010 2009
Current assets
Investments 1,050,749$ 1,046,894$Current portion of investments limited as to use 1,084,877 898,056
2,135,626 1,944,950
Investments limited as to use, less current portion 2,106,023 1,857,459Long-term investments 838,913 829,816
5,080,562$ 4,632,225$
September 30,
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
18
Investments limited as to use consist of the following:
Current Long-Term Current Long-Term
Portion Portion Portion Portion
Internally designated funds
Reserved for capital expenditures 534,900$ -$ 542,345$ -$
Unexpended academic and research gifts - 1,677,428 - 1,515,184
Deferred compensation - 139,679 - 123,236
Other 321,344 235,249 143,208 164,412
856,244 2,052,356 685,553 1,802,832
Externally limited funds
Unexpended funds on research 152,513 - 165,490 -
Contributions held for others 26,951 - 27,718 -
Professional liability trust fund - 44,541 - 40,410
Held by trustees under debt and other
agreements 49,169 9,126 19,295 14,217
228,633 53,667 212,503 54,627
1,084,877$ 2,106,023$ 898,056$ 1,857,459$
September 30, 2010 September 30, 2009
Investments and investments limited as to use are reported at either fair value or on the equity orcost methods of accounting. The composition of these investments, segregated between pooledinvestments and those that are separately invested, is as follows:
On Equity On Cost
At Fair Value Method Method Total
Pooled investments
Invested cash equivalents 109,653$ -$ -$ 109,653$
Separately managed investments 1,852,860 - - 1,852,860
Mutual funds 296,137 - - 296,137
Commingled funds 347,949 - - 347,949Private partnerships - 631,554 1,446,045 2,077,599
2,606,599 631,554 1,446,045 4,684,198
Separately invested
Invested cash equivalents 137,053 - - 137,053
Equities 26,184 - 4,965 31,149
U.S. Government and domestic fixed
income securities 4,760 - - 4,760
Mutual funds 141,377 - - 141,377
Other 8,104 - 73,921 82,025
317,478 - 78,886 396,364
2,924,077$ 631,554$ 1,524,931$ 5,080,562$
September 30, 2010
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
19
Separately managed investments include cash and equivalents of $124,094, equities of $529,917and fixed income securities of $1,198,849 as of September 30, 2010.
On Equity On Cost
At Fair Value Method Method Total
Pooled investments
Invested cash equivalents 42,690$ -$ -$ 42,690$
Separately managed investments 1,584,055 - - 1,584,055
Mutual funds 401,548 - - 401,548
Commingled funds 330,670 - - 330,670
Private partnerships - 542,023 1,343,485 1,885,508
2,358,963 542,023 1,343,485 4,244,471
Separately invested
Invested cash equivalents 171,640 - - 171,640
Equities 24,880 - 3,527 28,407
U.S. Government and domestic fixed
income securities 5,106 - - 5,106
Mutual funds 122,695 - - 122,695
Other 7,813 - 52,093 59,906
332,134 - 55,620 387,754
2,691,097$ 542,023$ 1,399,105$ 4,632,225$
September 30, 2009
Separately managed investments include cash and equivalents of $56,874, equities of $446,291and fixed income securities of $1,080,890 as of September 30, 2009.
For the private partnerships reflected in the balance sheet at cost, the difference (unrecordedunrealized appreciation) between the value reported by the investment managers and the cost forthese investments was $439,927 and $261,914 as of September 30, 2010 and 2009, respectively.
The fair value and gross unrealized depreciation of investments and investments limited as to use,with a fair value less than cost, that are not deemed to be other-than-temporarily impaired atSeptember 30, 2010 are as follows:
Gross Gross
Fair Unrealized Fair Unrealized
Value Depreciation Value Depreciation
Pooled investments
Mutual funds -$ -$ 261,899$ (41,485)$
Separately invested
Equities - - 17,074 (2,265)
U.S. Government and domestic
fixed income securities - - 1,548 (646)
Mutual funds - - 487 (12)External trusts - - 7,013 (1,433)
- - 26,122 (4,356)
-$ -$ 288,021$ (45,841)$
Less than 12 Months 12 Months or Greater
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
20
In addition, for certain private partnerships recorded at cost, gross unrealized depreciationamounted to $48,099 as of September 30, 2010, with $18,613 of that amount unrealized for 12months or greater.
Investment income and gains (losses) from cash and equivalents, investments (including long-term) and investments limited as to use are comprised of the following:
2010 2009
Unrestricted
Dividends, interest and other income 62,498$ 59,163$
Endowment income distributions, net of reinvested gains 25,070 27,569
Net realized gains (losses) on investments
Realized gains 77,552 25,293
Other-than-temporary impairment (17,213) (93,402)
Change in value of equity method investments 54,454 19,105
Recovery (losses) on endowment funds 1,629 (787)
Total investment activity included in excess of
revenues over expenses 203,990 36,941
Change in net unrealized appreciation on marketable
investments 58,545 93,032
Total unrestricted investment activity 262,535 129,973
Temporarily restricted
Dividends and interest income 4,694 4,759
Endowment income distributions (31,069) (34,262)
Net realized gains (losses) on investments
Realized gains (losses) 18,411 (1,167)
Other-than-temporary impairment (2,823) (23,444)
(10,787) (54,114)
Change in value of equity method investments 15,557 4,941
Change in net unrealized appreciation on marketable investments 8,000 22,416
(Recovery) losses on endowment funds (1,629) 787
21,928 28,144
Total temporarily restricted investment activity 11,141 (25,970)
Permanently restricted
Dividends and interest income 21 22
Net realized gains (losses) on investments 258 (1,102)
Change in net unrealized appreciation on investments 364 (1,506)
Total permanently restricted investment activity 643 (2,586)
274,319$ 101,417$
Years Ended
September 30,
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
21
Investment income (loss) included in operating results and excess of revenues over expenses arecomprised of the following:
2010 2009
Investment income included in operations and reported in
Other revenue 9,157$ 8,940$
Investment income (loss) included in nonoperating gains
(expenses) and reported inIncome (loss) from investments 109,941 (25,278)
Academic and research gifts, net of expenses 84,892 53,279
Total investment activity included in excess ofrevenues over expenses 203,990$ 36,941$
Years Ended
September 30,
Securities LendingThe Partnership may lend securities to qualified financial institutions through a programadministered by the Partnership custodian. All loans are callable at any time and are fullycollateralized. Income is earned based on the collateral held and invested during the period oflending. Cash collateral requirements are 102% and 105% for domestic and foreign securities,respectively. The custodian continually monitors borrowers' creditworthiness and protects againstborrower default through full indemnification. If a borrower failed to return a loaned security whosemarket value has increased over the amount in collateral, the custodian will cover the difference.The custodian will also cover operational losses, such as the failure of the borrower to makesubstitute dividend payments to the lender.
The fair value of loaned securities and related collateral at September 30, 2010 and 2009 is asfollows:
Loaned LoanedSecurities Collateral Securities Collateral
Equities, U.S. government, domesticand foreign fixed income securities 125,172$ 129,183$ 178,276$ 183,336$
20092010
Income generated by the Partnership from securities lending arrangements was $237 and $1,346for the years ended September 30, 2010 and 2009, respectively.
4. Fair Value Measurements
Fair value is defined as the price that would be received to sell an asset or paid to transfer a liabilityin an orderly transaction between market participants at the measurement date (also referred to as"exit price"). Therefore, a fair value measurement should be determined based on the assumptionsthat market participants would use in pricing the asset or liability. In determining fair value, the useof various valuation approaches, including market, income and cost approaches, is permitted.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
22
Fair Value HierarchyA fair value hierarchy has been established based on whether the inputs to valuation techniquesare observable or unobservable. Observable inputs reflect market data obtained from independentsources, while unobservable inputs reflect the reporting entity's assumptions about the inputsmarket participants would use. The fair value hierarchy requires the reporting entity to maximizethe use of observable inputs and minimize the use of unobservable inputs when measuring fairvalue. In addition, for hierarchy classification purposes, the reporting entity should not look throughthe form of an investment to the nature of the underlying securities held by an investee.
The hierarchy is described below.
Level 1 - Valuations using quoted prices in active markets for identical assets or liabilities.Valuations of these products do not require a significant degree of judgment. Level 1assets and liabilities primarily include debt and equity securities that are traded in anactive exchange market.
Level 2 - Valuations using observable inputs other than Level 1 prices such as quoted prices inactive markets for similar assets or liabilities; quoted prices for identical or similarassets or liabilities in markets that are not active; broker or dealer quotations; or otherinputs that are observable or can be corroborated by observable market data forsubstantially the full term of the assets or liabilities. Level 2 assets and liabilitiesprimarily include debt securities with quoted prices that are traded less frequentlythan exchange-traded instruments as well as debt securities and derivative contractswhose value is determined using a pricing model with inputs that are observable inthe market or can be derived principally from or corroborated by observable marketdata.
Level 3 - Valuations using unobservable inputs that are supported by little or no market activityand are significant to the fair value of the assets or liabilities. Level 3 includes assetsand liabilities whose value is determined using pricing models, discounted cash flowmethodologies, or similar techniques reflecting the reporting entity's assumptionsabout the assumptions market participants would use as well as those requiringsignificant management judgment.
Valuation TechniquesPooled investments (except for private partnerships), separately invested cash equivalents, debtand equity securities, and collateral due under securities lending arrangements are classified withinLevel 1 or Level 2 of the fair value hierarchy as they are valued using quoted market prices, brokeror dealer quotations, or other observable pricing sources. Certain types of investments areclassified within Level 3 of the fair value hierarchy because they trade infrequently and thereforehave little or no observable inputs with which to measure fair value.
The valuation of interest rate swaps is determined using widely accepted valuation techniques,including discounted cash flow analysis on the expected cash flows of each derivative. Thisanalysis reflects the contractual terms of the derivatives, including the period to maturity, and usesobservable market-based inputs, including interest rate curves and implied volatilities.
The following tables summarize fair value measurements at September 30, 2010 and 2009 forfinancial assets and liabilities measured at fair value on a recurring basis:
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
23
Quoted Prices Significant
Fair Value in Active Other Significant
at Markets for Observable Unobservable
September 30, Identical Items Inputs Inputs
2010 (Level 1) (Level 2) (Level 3)
Assets
Pooled investments
Invested cash equivalents 109,653$ 12,187$ 97,466$ -$
Separately managed investments 1,852,860 531,214 1,321,646 -
Mutual funds 296,137 296,137 - -
Commingled funds 347,949 - 347,949 -
2,606,599 839,538 1,767,061 -
Separately invested
Invested cash equivalents 137,053 137,053 - -
Equities 26,184 20,884 1,963 3,337
U.S. Government and domestic
fixed income securities 4,760 3,298 1,462 -
Mutual funds 141,377 141,377 - -
Other 8,104 120 - 7,984
317,478 302,732 3,425 11,321
2,924,077$ 1,142,270$ 1,770,486$ 11,321$
Collateral held under securities
lending arrangements 129,183$ 129,183$
Liabilities
Interest rate swaps 271,402$ 271,402$
Fair Value Measurements Using
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
24
Quoted Prices Significant
Fair Value in Active Other Significant
at Markets for Observable Unobservable
September 30, Identical Items Inputs Inputs
2009 (Level 1) (Level 2) (Level 3)
Assets
Pooled investments
Invested cash equivalents 42,690$ 13,948$ 28,742$ -$
Separately managed investments 1,584,055 450,863 1,133,192 -
Mutual funds 401,548 401,548 - -
Commingled funds 330,670 - 330,670 -
2,358,963 866,359 1,492,604 -
Separately invested
Invested cash equivalents 171,640 171,640 - -
Equities 24,880 17,607 2,652 4,621
U.S. Government and domestic
fixed income securities 5,106 3,645 1,461 -
Mutual funds 122,695 122,695 - -
Other 7,813 158 - 7,655
332,134 315,745 4,113 12,276
2,691,097$ 1,182,104$ 1,496,717$ 12,276$
Collateral held under securitieslending arrangements 183,336$ 183,336$
LiabilitiesInterest rate swaps 180,795$ 180,795$
Fair Value Measurements Using
During the years ended September 30, 2010 and 2009, the changes in the fair value of the assetsmeasured using significant unobservable inputs (Level 3) were comprised of the following:
2010 2009
Balance at beginning of year 12,276$ 13,326$
Total gains (losses)
Dividends and interest 47 54
Realized gains (losses) 213 (67)
Unrealized appreciation (depreciation) 408 (871)
Purchases and sales, net (1,623) (166)
Balance at end of year 11,321$ 12,276$
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
25
5. Pledges Receivable and Contributions Receivable from Trusts
Pledges receivable represent unconditional promises to give and are net of allowances foruncollectible amounts. Pledges are recorded at the present value of their estimated future cashflows. Pledges collectible within one year are classified as other current assets, net of allowances,and total $93,036 and $96,679 as of September 30, 2010 and 2009, respectively. Estimated cashflows due after one year are discounted using published treasury bond and note yields that arecommensurate with estimated collection risks. The blended discount rate was 0.9% and 1.4% for2010 and 2009, respectively. Pledges are expected to be collected as follows:
2010 2009
Amounts dueWithin one year 106,672$ 119,460$In one to five years 134,556 157,955
In more than five years 19,830 14,238
Total pledges receivable 261,058 291,653
Less: Unamortized discount 5,535 7,721
255,523 283,932
Less: Allowance for uncollectibles 23,640 57,097
Net pledges receivable 231,883 226,835
Contributions receivable from trusts 23,992 22,800
255,875$ 249,635$
September 30,
6. Property and Equipment
Property and equipment consists of the following:
2010 2009
Land and land improvements 156,877$ 128,537$
Buildings and building improvements 4,110,842 3,571,103Equipment 1,237,484 1,160,878
Construction in progress 691,337 509,497
6,196,540 5,370,015
Accumulated depreciation (2,447,306) (2,015,946)
Property and equipment, net 3,749,234$ 3,354,069$
September 30,
Depreciation expense for the years ended September 30, 2010 and 2009 was $352,736 and$324,535, respectively. Interest costs, net of interest earned, aggregating $19,661 and $10,559were capitalized in 2010 and 2009, respectively.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
26
For the years ended September 30, 2010 and 2009, fully depreciated assets with an original cost of$109,387 and $91,627, respectively, were written off.
7. Long-Term Obligations
Long-term obligations issued by PHS and its affiliates consist of the following:
2010 2009
Massachusetts Health and Educational Facilities Authority Revenue Bonds
Partners HealthCare System Series A, average interest rate of 5.13%,
final maturity in 2011 6,863$ 114,463$
Partners HealthCare System Series B, average interest rate of 5.25%,
final maturity in 2029 80,134 162,909
Partners HealthCare System Series C, average interest rate of 5.77%,
final maturity in 2032 47,473 50,867
Partners HealthCare System Series D, variable interest rate of 0.24% and
0.29% at September 30, 2010 and 2009, respectively, final maturity in 2038 304,405 305,670
Partners HealthCare System Series E, average interest rate of 5.00%,
final maturity in 2023 28,193 33,203
Partners HealthCare System Series F, average fixed interest rate of 4.99%,
variable interest rate of 0.31% and 0.63% at September 30, 2010 and 2009,
respectively, final maturity in 2040 390,156 395,751
Partners HealthCare System Series G, average fixed interest rate of 4.90%,
variable interest rate of 0.44% and 0.74% at September 30, 2010 and 2009,
respectively, final maturity in 2047 468,900 550,908
Partners HealthCare System Series H, variable interest rate of 0.34% and
0.44% at September 30, 2010 and 2009, respectively, final maturity in 2042 171,143 171,137
Partners HealthCare System Series I, average fixed interest rate of 4.73%,
variable interest rate of 0.23% and 0.28%, at September 30, 2010 and 2009,
respectively, final maturity in 2044 229,503 229,858
Partners HealthCare System Series J, average interest rate of 4.98%,
final maturity in 2039 508,931 -
Partners HealthCare System Series P, variable interest rate of 0.24% and
0.28% at September 30, 2010 and 2009, respectively, final maturity in 2027 150,000 150,000
Massachusetts General Hospital Series F, average interest rate of
6.25%, final maturity in 2012 - 26,407
Partners HealthCare System Series 2007 taxable bonds, average interest rate
of 6.26%, final maturity in 2037 100,000 100,000
Other obligations 6,787 -
Capital lease obligations 4,458 3,474
2,496,946 2,294,647
Less current portion 489,913 820,620
Less auction rate securities held 30,000 50,000
1,977,033$ 1,424,027$
September 30,
As of September 30, 2010 and 2009, Partners HealthCare was holding $30,000 and $50,000,respectively, of the Series F and Series G Revenue Bonds issued as auction rate securities (ARS).Although not legally extinguished, the bonds have been reflected as extinguished under generallyaccepted accounting principles.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
27
Aggregate maturities and payments of long term obligations during the next five years andthereafter, and other amounts classified as current liabilities, are as follows:
Bonds Bonds
Supported by Supported by
Partners Standby BondScheduled HealthCare PurchaseMaturities Liquidity Agreements Total
2011 38,108$ 403,400$ 48,405$ 489,913$
2012 41,129 - - 41,129
2013 40,170 - - 40,170
2014 41,848 - - 41,8482015 39,380 - - 39,380
Thereafter 1,844,506 - - 1,844,506
2,045,141$ 403,400$ 48,405$ 2,496,946$
The scheduled maturities represent annual payments as required under debt repaymentschedules. The current portion of long-term obligations includes the payments scheduled to bemade in fiscal 2011 along with variable rate bonds supported by Partners HealthCare liquidity andvariable rate demand bonds (VRDBs) supported by standby bond purchase agreements withfinancial institutions that expire prior to September 30, 2011. The variable rate bonds supported byself liquidity provide the bondholder with an option to tender the bonds to Partners HealthCare.The VRDBs supported by standby bond purchase agreements provide the bondholder with anoption to tender the bonds to the liquidity provider. Generally accepted accounting principlesrequire bonds backed by standby bond purchase agreements expiring within one year of thebalance sheet date to be classified as a current liability.
The fair value of long-term obligations was $2,563,706 and $2,284,473 as of September 30, 2010and 2009, respectively. The carrying amount of the variable rate debt is a reasonable estimate ofits fair value. The fair value of the fixed rate debt is estimated based on quoted market prices forthe same or similar issues.
Interest expense approximates interest paid, net of capitalized interest, during the years endedSeptember 30, 2010 and 2009.
Massachusetts Health and Educational Facilities Authority (Authority) Revenue BondsIn January 2010, PHS issued Partners HealthCare System Series J Revenue Bonds of $499,410 infixed rate mode, plus bond premium of $9,768. The bond proceeds, net of issuance costs of$5,151, were used to finance certain capital projects totaling $249,904 and to refund a portion ofPartners HealthCare System Series A Revenue Bonds ($101,915) that were insured and issued asfixed rate bonds, a portion of Partners HealthCare System Series B Revenue Bonds ($77,033) thatwere issued as fixed rate bonds, and Partners HealthCare System Series G Revenue Bonds($75,175) that were insured and issued as ARS.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
28
In May 2009, PHS issued Partners HealthCare System Series I Revenue Bonds of $225,000, plusbond premium of $4,977. The bond proceeds, net of issuance costs of $2,672, were used tofinance certain capital projects totaling $227,305. The Series I Bonds were issued in threesubseries, with $50,000 of VRDBs supported by self-liquidity, $50,000 of VRDBs supported by astandby bond purchase agreement, and $125,000 of fixed rate bonds. In addition, PartnersHealthCare terminated the insurance contract on the $150,000 Partners HealthCare System SeriesP Revenue Bonds and remarketed the bonds with new liquidity facilities.
As of September 30, 2010, approximately $18,440 of refunded revenue bonds, which areconsidered extinguished for accounting purposes, remain outstanding and will be fully redeemedby 2012.
Partners HealthCare Series 2007 taxable bonds and the Authority's Series A through J bonds andthe Series P loan to PHS (PHS Bonds) are unsecured general obligations of PHS supported byguarantees from BW/F, The Brigham and Women's Hospital, Inc. (BWH), MGH and the Generalwhich may be suspended under certain conditions.
PHS bond agreements contain certain covenants, including a minimum debt service coverage ratioand limitations on additional indebtedness and asset transfers.
Credit AgreementIn June 2009, Partners HealthCare terminated its $50,000 Revolving Line of Credit and enteredinto a $150,000 Credit Agreement (the "Agreement") with several banks that provides access tosame day funds. Advances under the Agreement bear a variable rate of interest based on theLondon Interbank Offered Rate (LIBOR). There were no amounts outstanding under theAgreement as of September 30, 2010. The Agreement expires in June 2012.
DerivativesPartners HealthCare uses derivative financial instruments principally to manage interest rate riskand has entered into derivatives to lock in fixed rates for anticipated issuances and refunding ofdebt. By using derivative financial instruments to manage the risk of changes in interest rates,Partners HealthCare exposes itself to credit risk and market risk. Credit risk is the failure of thecounterparty to perform under the terms of the derivative contracts. When the fair value of aderivative contract is positive, the counterparty has a liability to Partners HealthCare, which createscredit risk. Partners HealthCare minimizes its credit risk by entering into derivative agreementswith several counterparties and requiring the counterparty to post collateral for the benefit ofPartners HealthCare based on the credit rating of the counterparty and the fair value of thederivative contract. When the fair value of a derivative contract is negative, Partners HealthCarehas a liability to the counterparty and, therefore, it does not possess credit risk. PartnersHealthCare may be required to post collateral for the benefit of the counterparty. Market risk is theadverse effect on the value of a financial instrument that results from a change in interest rates.The market risk associated with interest rate changes is managed by establishing and monitoringparameters that limit the types and degree of market risk that may be undertaken.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
29
Partners HealthCare maintains interest rate swap programs on certain of its variable rate revenuebonds. These bonds expose Partners HealthCare to variability in interest payments due tochanges in interest rates. Management believes that it is prudent to limit the variability of itsinterest payments. To meet this objective and to take advantage of low interest rates, PartnersHealthCare entered into various interest rate swap agreements to manage fluctuations in cashflows resulting from interest rate risk. These agreements involve the exchange of fixed ratepayments by Partners HealthCare for variable rate payments from several counterparties, basedon a percentage of LIBOR.
In April 2010, PHS terminated an $80,000 interest rate swap associated with the Series G-6 Bondsbecause the bond owner exercised an interest rate conversion option. Partners HealthCarereceived a termination payment of $4,096, and the interest rate on the Series G-6 Bonds wasconverted from the Securities Industry and Financial Markets Association index (SIFMA) plus 11basis points to SIFMA plus 88.25 basis points until June 2017.
The following is a summary of the outstanding positions under these interest rate swap agreementsat September 30, 2010:
Notional Maturity Date Rate
Bond Series Amount (July) Paid Rate Received Hedging Status
2003 D1,D2 150,000$ 2035 4.40% 67% 1-month LIBOR Nonhedging
2003 D5,D6 27,300 2015 5.11% 67% 6-month LIBOR Hedging
2005 F1,F2 150,000 2040 3.63% 67% 1-month LIBOR Nonhedging
2005 F3,F4 56,200 2025 5.11% 67% 6-month LIBOR Hedging
2007 G2 75,000 2042 3.46% 67% 1-month LIBOR Nonhedging
2008 H1 75,000 2042 3.46% 67% 1-month LIBOR Nonhedging
2009 I1,I2 100,000 2044 3.71% 67% 1-month LIBOR Hedging
2011 100,000 2046 3.74% 67% 1-month LIBOR Hedging
2013 100,000 2048 3.80% 67% 1-month LIBOR Hedging
2015 100,000 2050 3.80% 67% 1-month LIBOR Hedging
2017 100,000 2052 3.74% 67% 1-month LIBOR Hedging
Partners HealthCare designates its interest rate swaps that are used to minimize the variability incash flows of interest-bearing liabilities or forecasted transactions caused by changes in interestrates as hedging instruments at the inception of each contract, with the intention of maintaininghedge accounting treatment over the term of the agreement. However, circumstances may arisewhereby the variability in cash flows exceeds the threshold for hedging qualification or the structureof the bonds is changed, resulting in de-designation of the hedge. Effective December 31, 2007,Partners HealthCare de-designated $450,000 of its interest rate swaps as they ceased to qualifyfor hedge accounting.
Hedging swaps are designated as cash flow hedges; accordingly, the change in fair value of theeffective portion of the hedge is reflected as a change in unrestricted net assets and the ineffectiveportion of the hedge is reflected as a component of nonoperating gains (expenses) in theconsolidated statements of operations. Nonhedging swaps are either swaps that have been de-designated as hedges or not designated as hedging instruments at the inception of the agreement;accordingly, the change in fair value is recorded as a component of nonoperating gains (expenses)in the consolidated statements of operations.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
30
The fair value of interest rate swaps is as follows:
September 30,
Balance Sheet Location 2010 2009
Derivatives designated as hedging instrumentsInterest rate swaps liability 143,621$ 94,529$
Derivatives not designated as hedging instrumentsOther assets - 3,237Interest rate swaps liability 127,781 89,503
The effects of interest rate swaps on the consolidated statements of operations are as follows:
Amount of Gain (Loss) Amount of Gain (Loss)
Recognized in Recognized in Excess
Changes in Unrestricted of Revenues
Net Assets Over Expenses
Years Ended Years Ended
September 30, September 30,
Statement of Operations Location 2010 2009 2010 2009
Derivatives designated as hedging instruments
Change in fair value of hedging interest rate swaps (46,638)$ (46,844)$ -$ -$
Amortization of swaption premiums 1,486 1,484
Hedge ineffectiveness (3,939) 139
Derivatives not designated as hedging instruments
Change in fair value of nonhedging interest rate swaps (37,419) (39,760)
Reclassification of net asset balance upon hedge
de-designation 818 818 (818) (818)
(45,820)$ (46,026)$ (40,690)$ (38,955)$
Partners HealthCare's derivative contracts contain provisions that require collateral to be postedunder certain circumstances. The collateral thresholds reflect the current credit ratings issued bymajor credit rating agencies on Partners HealthCare's and the counterparty's debt. Declines inPartners HealthCare's or the counterparty's credit ratings would result in decreases in the collateralthresholds and consequently, the potential for additional collateral postings by Partners HealthCareor the counterparty. As of September 30, 2010 and 2009, the aggregate fair value of all derivativeinstruments was a net liability of $271,402 and $180,795, respectively, for which PartnersHealthCare had posted collateral of $48,948 and $10,730, respectively. Partners HealthCare hasestablished procedures to ensure that liquidity is available to meet collateral posting requirements.
Upon the occurrence of certain events of default or termination events identified in the derivativecontracts, either Partners HealthCare or the counterparty could terminate the contracts inaccordance with their terms. Termination results in the payment of a termination amount by oneparty that attempts to compensate the other party for its economic losses. If interest rates at thetime of termination are lower than those specified in the derivatives contract, Partners HealthCarewill make a payment to the counterparty. Conversely, if interest rates at such time are higher, thecounterparty will make a payment to Partners HealthCare.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
31
Partners HealthCare also enters into foreign currency options and futures primarily as hedges onsecurities and indices. Forward contracts are used as currency hedges. These agreements arelimited in use and generally do not exceed one year.
8. Commitments
LeasesPartners HealthCare has capital and noncancelable operating leases for certain buildings andequipment. Minimum future lease commitments under noncancelable leases for the next five yearsand thereafter are as follows:
Capital OperatingLeases Leases
2011 1,510$ 166,318$2012 1,490 152,284
2013 980 143,756
2014 747 133,7792015 252 121,374Thereafter - 649,506
Total lease payments 4,979 1,367,017$
Less amount representing interest 521
Capital lease obligations at September 30, 2010 4,458$
Rental expense under operating leases approximated $209,785 in 2010 and $195,928 in 2009.
Construction ProjectsThe General is constructing a building (the Lunder Building) that will house a relocated andexpanded radiation oncology department, expanded emergency services, three levels of operatingand procedure suites, and 150 neurosciences and medical oncology intensive care and acute carebeds. In addition, space will be dedicated to a new sterile processing department and a centralreceiving dock. As of September 30, 2010, costs incurred in connection with the new buildingapproximated $390,887, with approximately $138,231 in outstanding construction contracts.Planning and construction began in November 2006 and the total project cost is expected to beapproximately $686,600, with occupancy scheduled for 2011.
In October 2005, PHS paid $4,750 in exchange for the development rights to certain parcels ofland in Charleston, Massachusetts (Yards End), the planned site of a new facility for SpauldingRehabilitation Hospital Corporation (Spaulding). Spaulding's share of the purchase price was$2,048. In November 2008, Spaulding received approval from PHS to proceed with final designand permitting for a 132-bed hospital at Yards End, and in November 2009, Spaulding receivedapproval from PHS to complete the project for a total cost estimated at $225,000. In July 2010Spaulding's DON for the new facility was approved by the Massachusetts Department of PublicHealth and ground breaking for the new facility was held in October 2010.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
32
9. Pension and Postretirement Healthcare Benefit Plans
Substantially all employees of Partners HealthCare are covered under various noncontributorydefined benefit pension plans and various defined contribution pension plans. In addition, certainaffiliates provide subsidized healthcare benefits for retired employees on a self-insured basis, withthe benefit obligation being partially funded. These benefits are administered through an insurancecompany and are accounted for on the accrual basis, which includes an estimate of futurepayments for claims incurred.
In 2009, Partners HealthCare changed its defined benefit plans measurement date from June 30 toSeptember 30. This measurement date change resulted in an increase in liabilities of $17,754, adecrease in assets of $55,297 and a decrease in unrestricted net assets of $73,051.
Total expense for these plans consists of the following:
2010 2009
Defined benefit plans 151,573$ 116,339$Defined contribution plans 118,237 112,071
Postretirement healthcare benefit plans 7,852 6,710
277,662$ 235,120$
Years EndedSeptember 30,
Information regarding benefit obligations, plan assets, funded status, expected cash flows and netperiod benefit cost follows within this footnote.
Benefit Obligations
Defined Benefit Pension PlansChange in Benefit Obligations 2010 2009 2010 2009
Benefit obligations at beginning of year 2,819,575$ 2,218,756$ 87,880$ 72,040$
Service cost 162,594 104,999 3,879 2,573Interest cost 168,154 157,013 4,772 4,972Plan amendments (1,380) 32,374 - -Actuarial loss 42,947 645,313 3,671 11,888Benefits paid (185,167) (113,167) (4,144) (4,085)Expenses paid (7,382) (5,754) - -Employee contributions - - 5,209 4,514Adjustment for change inmeasurement date - (219,959) - (4,022)
Benefit obligations at end of year 2,999,341$ 2,819,575$ 101,267$ 87,880$
PostretirementHealthcare Benefit Plans
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
33
The accumulated benefit obligation for all defined benefit pension plans at the end of 2010 and2009 was $2,768,122 and $2,547,861, respectively.
Weighted-Average Assumptions Used to
Determine End of Year Benefit Obligation 2010 2009 2010 2009
Discount rate 5.50% 5.75% 4.00% - 5.50% 4.55% - 5.75%Rate of compensation increase
Professional staff 5.05% 6.02% N/A N/A
Other than professional staff 3.00 - 4.10% 5.00% - 5.10% N/A N/A
Healthcare cost trend rate for next year N/A N/A 8.00% 8.50%
Rate to which the cost trend rate is to decline N/A N/A 5.00% 5.00%
Year that rate reaches the ultimate trend rate N/A N/A 2017 2017
Defined Benefit Pension Plans Benefit Plans
Postretirement Healthcare
Assumed healthcare cost trend rates have a significant effect on the amounts reported for thehealthcare plans. A one-percentage-point change in assumed healthcare cost trend rates wouldhave the following effect:
Effect on postretirement benefit obligation 1,491$ (1,371)$
One-Percentage-Point One-Percentage-Point
Increase Decrease
Plan Assets
Change in Plan Assets 2010 2009 2010 2009
Fair value of plan assets at beginning
of year 2,052,797$ 2,291,426$ 20,479$ 16,176$
Actual return on plan assets 213,136 55,888 1,614 682
Employer contributions 188,613 98,234 4,144 3,566
Employee contributions - - 5,209 4,514
Benefits paid (185,167) (113,167) (4,144) (4,085)
Expenses paid (7,382) (5,754) - -
Adjustment for change in
measurement date - (273,830) - (374)
Fair value of plan assets at end of year 2,261,997$ 2,052,797$ 27,302$ 20,479$
Defined Benefit Pension Plans
Postretirement
Healthcare Benefit Plans
The assets of the defined benefit pension plans are aggregated in a single master trust (MasterTrust) and managed as one asset pool. The investment objective for the Master Trust is to achievethe highest reasonable total return after considering (i) plan liabilities, (ii) funding status andprojected cash flows, (iii) projected market returns, valuations and correlations for various assetclasses, and (iv) Partners HealthCare’s ability and willingness to incur market risk.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
34
Oversight of the management of Partners HealthCare's investable assets, including the MasterTrust, is provided by the Investment Committee of the Board of Directors. The Committee seeks toadd incremental returns by manager selection and asset allocation (increasing/decreasingallocations within allowable ranges based on current and projected valuations). The Committee issupported by a professional staff, an outside investment consultant, and a pension actuarialconsultant.
Partners HealthCare utilizes a policy benchmark allocation that balances projected returns,correlations and volatility of various asset classes within the overall risk tolerance. The allocationsare actively managed based on relative valuations among and within asset classes and theperceived ability of managers to outperform passive benchmarks. Exposure by asset class is thesum of the net exposures reported by each manager. Asset performance is monitored monthly andthe portfolio is rebalanced if asset classes exceed explicit ranges.
The following table presents the policy benchmark allocation components (and allowable ranges)and the reported exposures of the Master Trust at September 30, 2010:
Policy ReportedBenchmarks Exposures
Domestic equity 22 % 20 %Foreign developed equity 23 % 21 %Emerging markets equity 7 % 10 %Private equity 8 % 8 %
Total equity (+/- 15%) 60 % 59 %Fixed income (+/- 10%) 20 % 23 %Inflation defensive (+/- 10%) 10 % 5 %Cash and other (+/- 10%) 10 % 13 %
100 % 100 %
Inflation defensive strategies include investments in real estate assets, commodities, timber andinflation protection bonds. Other exposures include currency and volatility based strategies.
Within the Master Trust, assets are allocated to managers with investment mandates that mayrange from a single sub-asset class to very broad mandates; with restrictions that range from long-only to unconstrained; and with management structures ranging from separately managed funds tomutual/commingled funds to private partnerships. Less market sensitive managers employabsolute return, long/short equity and diversified strategies, which in the aggregate are expected togenerate positive returns on a consistent basis. Investment risks (concentration, correlation,valuation, liquidity, leverage, mandate compliance, etc.) are measured at the manager level as wellas the pool level. The active risk of the Master Trust is determined by a statistical regression of themost recent two (2) year return series to that of the policy benchmark.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
35
The following table presents the capital allocations by manager mandate within the Master Trust atSeptember 30, 2010. Some managers, particularly Real assets and Less market sensitivemanagers, invest allocated capital among multiple policy benchmark asset classes.
$ %
Traditional U.S. equity 288,142$ 13 %Traditional foreign developed equity 364,556 16 %Traditional emerging markets equity 203,951 9 %Private equity 131,721 6 %Real assets 217,880 10 %Less market sensitive managers 685,508 30 %Fixed income managers 370,239 16 %
2,261,997$ 100 %
Capital Allocations
The postretirement healthcare benefit plans assets are invested in mutual funds, with the objectiveof achieving returns to satisfy plan obligations, with a level of volatility commensurate with PartnersHealthCare's overall financial profile.
The following table presents plan assets, by form of ownership, as of September 30, 2010 and2009 measured at fair value on a recurring basis using the fair value hierarchy defined in Note 4:
Quoted Prices Significant
Fair Value in Active Other Significant
at Markets for Observable Unobservable
September 30, Identical Items Inputs Inputs
2010 (Level 1) (Level 2) (Level 3)
Defined Benefit Pension PlansInvested cash equivalents 10,419$ 10,419$ -$ -$Separately managed investments 589,289 296,607 292,682 -
Mutual funds 133,238 133,238 - -
Commingled funds 199,159 - 199,159 -
Private partnerships 1,329,892 - - 1,329,892
2,261,997 440,264 491,841 1,329,892
Postretirement Healthcare Benefit PlansMutual funds 27,302 24,020 3,282 -
Total plan assets 2,289,299$ 464,284$ 495,123$ 1,329,892$
Fair Value Measurements Using
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
36
Quoted Prices Significant
Fair Value in Active Other Significantat Markets for Observable Unobservable
September 30, Identical Items Inputs Inputs2009 (Level 1) (Level 2) (Level 3)
Defined Benefit Pension PlansInvested cash equivalents 50,949$ 50,949$ -$ -$Separately managed investments 562,264 345,961 216,303 -
Mutual funds 169,287 169,287 - -Commingled funds 185,297 - 185,297 -Private partnerships 1,085,000 - - 1,085,000
2,052,797 566,197 401,600 1,085,000
Postretirement Healthcare Benefit Plans
Mutual funds 20,479 17,428 3,051 -
Total plan assets 2,073,276$ 583,625$ 404,651$ 1,085,000$
Fair Value Measurements Using
During the year ended September 30, 2010, the change in the fair value of the assets measuredusing significant unobservable inputs (Level 3) is comprised of the following:
Balance at beginning of year 1,085,000$
Total gains (losses)Dividends and interest 1,245
Realized gains (losses) 10,537Unrealized appreciation (depreciation) 108,302
Purchases and sales, net 124,808
Balance at end of year 1,329,892$
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
37
Funded StatusThe funded status of the plans recognized in the balance sheet and the amounts recognized inunrestricted net assets, follows:
End of Year 2010 2009 2010 2009
Fair value of plan assets at measurement date 2,261,997$ 2,052,797$ 27,302$ 20,479$
Benefit obligations at measurement date (2,999,341) (2,819,575) (101,267) (87,880)
Funded status (737,344)$ (766,778)$ (73,965)$ (67,401)$
Amounts recognized in the balance sheet
consist of
Current liabilities (3,904)$ (3,061)$ (3,575)$ (3,305)$
Long-term liabilities (733,440) (763,717) (70,390) (64,096)
(737,344)$ (766,778)$ (73,965)$ (67,401)$
Amounts not yet recognized in net periodic
benefit cost and included in unrestricted
net assets consist ofActuarial net loss (gain) 706,713$ 699,955$ 17,929$ 15,094$
Prior service cost (credit) 11,135 10,289 (82) (103)
717,848$ 710,244$ 17,847$ 14,991$
Amounts recognized in unrestricted net assets
consist ofCurrent year actuarial (gain) loss 23,066$ 765,517$ 3,579$ 12,324$
Amortization of actuarial gain (loss) (16,308) 6,768 (743) (301)
Current year prior service (credit) cost (1,380) 32,373 - -
Amortization of prior service credit (cost) 2,226 (37,964) 20 20
7,604$ 766,694$ 2,856$ 12,043$
Defined Benefit Pension Plans
Postretirement
Healthcare Benefit Plans
At the end of 2010 and 2009, the projected benefit obligation, accumulated benefit obligation, andfair value of plan assets for pension plans with an accumulated benefit obligation in excess of planassets, were as follows:
Accumulated Benefit Obligation in Excess of Plan Assets 2010 2009
Projected benefit obligation 2,999,341$ 2,819,575$
Accumulated benefit obligation 2,768,122 2,547,861
Fair value of plan assets 2,261,997 2,052,797
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
38
Expected Cash FlowsInformation about the expected cash flows for the defined benefit and postretirement healthcarebenefit plans are as follows:
Defined
BenefitPension
Plans
Expected employer contributions
2011 175,319$ 4,804$
Medicare
Subsidy
Expected benefit payments (receipts)2011 111,381$ 5,124$ (320)$
2012 118,399 5,522 (313)2013 131,608 5,829 (303)
2014 145,643 6,190 (291)2015 158,140 6,527 (275)2016 and thereafter 1,024,153 30,717 (1,097)
PostretirementHealthcare Benefit Plans
Net Periodic Benefit Cost
2010 2009 2010 2009
Service cost 162,594$ 104,999$ 3,879$ 2,573$Interest cost 168,154 157,013 4,772 4,972
Expected return on plan assets (193,257) (176,869) (1,522) (1,116)Amortization of
Prior service cost (credit) (2,226) 37,964 (20) (20)
Actuarial net (gain) loss 16,308 (6,768) 743 301
Net periodic benefit cost 151,573$ 116,339$ 7,852$ 6,710$
Defined Benefit Pension Plans
Postretirement
Healthcare Benefit Plans
Amounts expected to be amortized from unrestricted net assets into net periodic benefit cost duringthe year ending September 30, 2011, are as follows:
Actuarial net loss 22,574$ 904$
Prior service cost (credit) 1,285 (20)
Postretirement Healthcare
Benefit PlansDefined Benefit Pension Plans
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
39
Weighted-Average Assumptions Used
to Determine Net Periodic Pension and
Postretirement Cost 2010 2009 2010 2009
Discount rate 5.75% 7.65% 4.55 - 5.75% 6.50% - 7.65%
Expected return on plan assets 8.25% 8.25% 7.50% 7.50%
Rate of compensation increase
Professional staff 6.02% 6.02% N/A N/A
Other than professional staff 5.00 - 5.10% 5.00% - 5.10% N/A N/A
Healthcare cost trend rate for this year N/A N/A 8.50% 9.00%
Rate to which the cost trend rate is to decline N/A N/A 5.00% 5.00%
Year that rate reaches the ultimate trend rate N/A N/A 2017 2017
Postretirement Healthcare
Benefit PlansDefined Benefit Pension Plans
Partners HealthCare uses a long term return assumption which is validated annually by obtaininglong term asset return, volatility and correlation projections for relevant asset class indexes;modifying volatility and correlations to reflect the actual historical experience of the activemanagers; calculating the expected return using benchmark weights and indexes; and, comparingthe return assumption to the sum of the expected return and the historical outperformance of theactual return versus the benchmark. Partners HealthCare regularly monitors the active risk of theMaster Trust by a statistical regression of the return series of the actual portfolio to that of thepolicy benchmark.
Assumed healthcare cost trend rates have a significant effect on the amounts reported for thehealth care plans. A one-percentage-point change in assumed healthcare cost trend rates wouldhave the following effect:
Effect on service and interest cost 78$ (72)$
One-Percentage-Point One-Percentage-Point
Increase Decrease
10. Professional Liability Insurance
Partners HealthCare insures substantially all of its professional and general liability risk on aclaims-made basis in cooperation with other organizations in the Greater Boston area through acaptive insurance company, Controlled Risk Insurance Company Ltd. (CRICO). The policy coversclaims made during its term, but not those occurrences for which claims may be made afterexpiration of the policy, except for certain tail liabilities which CRICO has assumed on anoccurrence basis through December 31, 2010. Management intends to renew its coverage on aclaims-made basis and has no reason to believe that it will be prevented from such renewal.
PHS owns 10% of CRICO. The investment is accounted for on the cost basis of accounting. Inaddition, Partners HealthCare follows the accounting policy of establishing reserves to cover allprofessional liability claims incurred but not reported to the insurance company as of the end of theyear (tail liability), excluding the tail liability assumed by CRICO. These reserves have beenestimated by consulting actuaries on a discounted basis using an interest rate of 4.75% and 5.75%at September 30, 2010 and 2009, respectively.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
40
Management is not aware of any claims against Partners HealthCare or factors affecting CRICOthat would cause the expense for professional liability risks to vary materially from the amountprovided.
11. Concentration of Credit Risk
Financial instruments that potentially subject Partners HealthCare to concentration of credit riskconsist of patient accounts receivable, research grants receivable, pledges receivable, certaininvestments and interest rate swaps.
Partners HealthCare receives a significant portion of its payments for services rendered from alimited number of government and commercial third-party payers, including Medicare, Medicaid,Blue Cross and Blue Shield of Massachusetts, Harvard Pilgrim Health Care and Tufts Health Plan.Research funding is provided through many government and private sponsors. Pledges receivableare due from multiple donors. Partners HealthCare assesses the credit risk for pledges based onhistory and the financial wherewithal of donors, most of which are individuals or organizations wellknown to Partners HealthCare.
Investments, which include government and agency securities, stocks and corporate bonds, andprivate partnerships and other investments are not concentrated in any corporation or industry orwith any single counterparty. Alternative investments are less liquid than Partners HealthCare'sother investments. The reported values of the alternative investments may differ significantly fromthe values that would have been used had a ready market for those securities existed. Theseinstruments may contain elements of both credit and market risk. Such risks include, but are notlimited to, limited liquidity, absence of oversight, dependence upon key individuals, emphasis onspeculative investments, and nondisclosure of portfolio composition.
12. Restricted Net Assets
Restricted net assets are available for the following purposes:
2010 2009
Temporarily restrictedCharity care 100,626$ 99,850$Buildings and equipment 191,370 220,773
Clinical care, research and academic 532,430 509,305
824,426$ 829,928$
Permanently restrictedCharity care 19,134$ 19,042$Buildings and equipment 2,433 2,433Clinical care, research and academic 289,324 277,419
310,891$ 298,894$
September 30,
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
41
EndowmentPartners HealthCare's endowment consists of over 1,000 individual funds established for a varietyof purposes. The endowment includes both donor-restricted endowment funds and fundsdesignated by the boards to function as endowments. As required by generally acceptedaccounting principles, net assets associated with endowment funds, including funds designated bythe boards to function as endowments, are classified and reported as restricted or unrestrictedbased on the existence or absence of donor-imposed restrictions.
Partners HealthCare has interpreted UPMIFA as requiring the preservation of the value of theoriginal gift of the donor-restricted endowment funds absent explicit donor stipulations to thecontrary. As a result of this interpretation, Partners HealthCare classifies as permanently restrictednet assets (a) the original value of gifts donated to the permanent endowment, (b) the original valueof subsequent gifts donated to the permanent endowment, and (c) accumulations to the permanentendowment made in accordance with the direction of the applicable donor gift instrument at thetime the accumulation is added to the fund. The remaining portion of the donor-restrictedendowment that is not classified in permanently restricted net assets is classified as temporarilyrestricted net assets until those amounts are appropriated for expenditure by Partners HealthCarein a manner consistent with the standard of prudence prescribed by UPMIFA. In accordance withUPMIFA, Partners HealthCare considers several factors in making a determination to appropriateor accumulate donor-restricted endowment funds. These factors include: the duration andpreservation of the fund; the purposes of the organization and the donor-restricted endowmentfund; general economic conditions; the possible effect of inflation and deflation; the expected totalreturn from income and the appreciation of investments; other resources of the organization; andthe investment policies of the organization.
Endowment Funds with DeficitsFrom time to time, the value of assets associated with individual donor-restricted endowment fundsmay fall below the value of the initial and subsequent donor gift amounts. When such endowmentdeficits exist, they are classified as a reduction to unrestricted net assets. Deficits of this naturereported in unrestricted net assets were $1,699 and $3,328 at September 30, 2010 and 2009,respectively. These deficits resulted from unfavorable market fluctuations that occurred after theinvestment of new permanently restricted contributions or subsequent endowment additions.
The following presents the endowment net asset composition by type of fund as ofSeptember 30, 2010 and 2009 and the changes in endowment assets for the years endedSeptember 30, 2010 and 2009:
Endowment Net Asset
Composition by Type of Fund as of Temporarily Permanently
September 30, 2010 Unrestricted Restricted Restricted Total
Donor-restricted endowment funds (1,699)$ 431,757$ 298,168$ 728,226$
Board-designated endowment funds 807,179 - - 807,179
Total funds 805,480$ 431,757$ 298,168$ 1,535,405$
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
42
Changes in Endowment Net Assets
for the Year Ended Temporarily Permanently
September 30, 2010 Unrestricted Restricted Restricted Total
Endowment net assets atSeptember 30, 2009 715,764$ 423,331$ 286,522$ 1,425,617$
Investment return
Investment income 4,746 3,903 15 8,664
Net realized and unrealized
appreciation (depreciation) 69,830 37,631 270 107,731
Total investment return 74,576 41,534 285 116,395
Contributions 3,869 - 14,910 18,779
Appropriation of endowment assets
for expenditure (31,071) (33,199) - (64,270)
Other changes 42,342 91 (3,549) 38,884
Total changes 89,716 8,426 11,646 109,788
Endowment net assets atSeptember 30, 2010 805,480$ 431,757$ 298,168$ 1,535,405$
Endowment Net Asset
Composition by Type of Fund as of Temporarily Permanently
September 30, 2009 Unrestricted Restricted Restricted Total
Donor-restricted endowment funds (3,328)$ 423,331$ 286,522$ 706,525$
Board-designated endowment funds 719,092 - - 719,092
Total funds 715,764$ 423,331$ 286,522$ 1,425,617$
Changes in Endowment Net Assetsfor the Year Ended Temporarily Permanently
September 30, 2009 Unrestricted Restricted Restricted Total
Endowment net assets atOctober 1, 2008 742,835$ 450,791$ 286,917$ 1,480,543$
Investment return
Investment income 4,290 3,578 29 7,897
Net realized and unrealized
appreciation (depreciation) 1,362 3,069 (129) 4,302
Total investment return 5,652 6,647 (100) 12,199
Contributions 4,470 - 8,289 12,759
Appropriation of endowment assets
for expenditure (34,304) (34,013) - (68,317)
Other changes (2,889) (94) (8,584) (11,567)
Total changes (27,071) (27,460) (395) (54,926)
Endowment net assets atSeptember 30, 2009 715,764$ 423,331$ 286,522$ 1,425,617$
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
43
Conditional PledgeDuring 2009, the General signed an agreement (Ragon Agreement) with The MassachusettsInstitute of Technology (MIT), The President and Fellows of Harvard College (Harvard), and ThePhillip and Susan Ragon Foundation (Ragon Foundation), to establish the Phillip T. and Susan M.Ragon Institute (Ragon Institute) as a joint research center of the General, MIT and Harvard withthe purpose of harnessing the potential of the immune response to combat and conquer humandiseases, integrating biomedical research with emerging engineering technologies (with the maininitial focus being the development of an AIDS vaccine), and educating and training scientists. TheRagon Foundation committed to provide funding for the Ragon Institute of $100,000 over ten yearsthrough the General (as the administrative home for the Ragon Institute), beginning retroactively onJanuary 1, 2008. The Ragon Foundation has the ability to slow, suspend, or eliminate fundingbased on restrictions described in the Ragon Agreement. Additionally, any funding not paid byDecember 31, 2017 will no longer be due by the Ragon Foundation. Due to the conditions withinthe Agreement, funding is recognized when received, with no pledge receivable recorded for thebalance of the commitment.
Through September 30, 2010, total funding of $34,000 was received, with $10,000 received for theyear ended September 30, 2010, and total net expenses of $18,995 were incurred, including$9,254 for the year ended September 30, 2010. As of September 30, 2010, unspent funding of$15,005 has been recorded as temporarily restricted net assets, to be released to unrestricted netassets after qualifying expenses have been incurred.
13. Functional Expenses
Total operating expenses by function are as follows:
2010 2009
Healthcare services 5,797,672$ 5,478,895$Research and academic 1,370,372 1,254,481General and administrative 762,587 717,035
7,930,631$ 7,450,411$
Years Ended
September 30,
14. Contingencies
Partners HealthCare is subject to complaints, claims and litigation which have risen in the normalcourse of business. In addition, Partners HealthCare is subject to reviews by various federal andstate government agencies to assure compliance with applicable laws, some of which are subjectto different interpretations. Recently, governmental review of compliance by healthcare institutions,including Partners HealthCare, has increased.
Partners HealthCare System, Inc. and AffiliatesNotes to Consolidated Financial StatementsSeptember 30, 2010 and 2009
(dollars in thousands)
44
15. Subsequent Events
Partners HealthCare has assessed the impact of subsequent events through December 10, 2010,the date the audited financial statements were issued, and has concluded that there were no suchevents that require adjustment to the audited financial statements or disclosure in the notes to theaudited financial statements.
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT DIRECT PROGRAM CLUSTER
CFDA Agency/Program CFDA # BWH MGH McLean Other Total
Department of Agriculture
Distance Learning and Telemedicine Loans and Grants 10.855 (27,210)$ -$ -$ -$ (27,210)$
Subtotal - Department of Agriculture (27,210) - - - (27,210)
Department of Defense
Air Force Defense Research Sciences Program 12.800 177,130 177,130
Basic and Applied Scientific Research 12.300 67,286 478,150 545,436
Basic Scientific Research 12.431 477,756 477,756
Basic, Applied, and Advanced Research in Science and 12.630 738,729 738,729
Engineering
Military Medical Research and Development 12.420 4,904,471 13,029,726 266,966 18,201,163
Research and Technology Development 12.910 354,628 354,628
Subtotal - Department of Defense 4,971,757 15,256,119 266,966 - 20,494,842
Department of Education
National Institute on Disability and Rehabilitation Research 84.133 (14,509) (14,509)
Subtotal - Department of Education - - - (14,509) (14,509)
Department of Health and Human Services
Academic Research Enhancement Award 93.390 272,019 (21,516) 250,503
Advancing System Improvements to Support Targets for Healthy 93.088 505,839 505,839
People 2010
Aging Research 93.866 13,781,412 10,989,597 (236,065) 865,707 25,400,651
Alcohol Research Programs 93.273 161,102 497,266 710,367 1,368,735
Allergy, Immunology and Transplantation Research 93.855 22,547,466 40,668,317 63,215,783
Arthritis, Musculoskeletal and Skin Diseases Research 93.846 8,868,745 5,482,530 127,242 14,478,517
Assistance for Torture Victims 93.604 391,397 391,397
Biological Basis Research in the Neurosciences 93.854 (215) (215)
Biomedical Research and Research Training 93.859 10,024,147 22,768,405 439,887 33,232,439
Biomedical Research Technology 93.371 64,151 64,151
Blood Diseases and Resources Research 93.839 3,440,989 5,421,765 8,862,754
Cancer Biology Research 93.396 6,276,162 8,559,179 14,835,341
Cancer Cause and Prevention Research 93.393 20,183,648 3,650,446 23,834,094
Cancer Centers Support Grants 93.397 3,952,592 519,526 4,472,118
Cancer Control 93.399 1,321,963 379,767 1,701,730
Cancer Detection and Diagnosis Research 93.394 6,130,417 6,404,830 12,535,247
Cancer Research Manpower 93.398 310,566 706,477 1,017,043
Cancer Treatment Research 93.395 1,605,195 15,979,112 17,584,307
Cardiovascular Diseases Research 93.837 33,978,319 16,841,923 273,752 51,093,994
Center for Medical Rehabilitation Research 93.929 147,266 147,266
Centers for Disease Control and Prevention Investigations and 93.283 3,143,972 3,143,972
Technical Assistance
Child Health and Human Development Extramural Research 93.865 2,417,241 6,658,531 (78,706) 8,997,066
Diabetes, Digestive, and Kidney Diseases Extramural Research 93.847 15,217,566 23,692,216 38,909,782
Digestive Diseases and Nutrition Research 93.848 (25,773) 5,304,911 5,279,138
Discovery and Applied Research for Technological Innovations 93.286 6,783,807 8,612,163 15,395,970
to Improve Human Health
Drug Abuse and Addiction Research Programs 93.279 118,209 6,021,113 5,296,634 11,435,956
Drug-Free Communities Support Program Grants 93.276 11,887 11,887
Environmental Health 93.113 4,070,172 87,800 4,157,972
Extramural Research Programs in the Neurosciences and 93.853 12,038,111 41,352,064 2,069,363 55,459,538
Neurological Disorders
Fogarty International Research Collaboration Award 93.934 687 687
Food and Drug Administration Research 93.103 239,316 239,316
General Clinical Research Centers 93.333 (2,211) (2,211)
Head Start 93.600 10,925 10,925
HIV Demonstration, Research, Public and Professional 93.941 704 704
Education Projects
Human Genome Research 93.172 1,701,961 254,386 1,956,347
International Research and Research Training 93.989 48,367 48,367
Kidney Diseases, Urology and Hematology Research 93.849 810,304 2,246,882 3,057,186
Lung Diseases Research 93.838 25,337,845 3,790,898 29,128,743
Maternal and Child Health Federal Consolidated Programs 93.110 3,739,556 3,739,556
Medical Library Assistance 93.879 3,703,004 95,800 3,798,804
Mental Health Research Grants 93.242 6,068,246 24,236,436 10,021,385 40,326,067
Microbiology and Infectious Diseases Research 93.856 (383) 17,286 16,903
National Center for Research Resources 93.389 10,232,301 6,002,645 16,234,946
National Center on Sleep Disorders Research 93.233 2,462,367 2,462,367
National Institutes of Health Contracts 93. 5,240,166 4,957,306 892,372 11,089,844
Nursing Research 93.361 442,874 442,874
Occupational Safety and Health Program 93.262 743,365 743,365
Oral Diseases and Disorders Research 93.121 5,302,138 1,033,153 6,335,291
Population Research 93.864 548,606 1,775,872 2,324,478
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
45
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT DIRECT PROGRAM CLUSTER
CFDA Agency/Program CFDA # BWH MGH McLean Other Total
Refugee and Entrant Assistance Wilson/Fish Program 93.583 (82,389) (82,389)
Research and Training in Complementary and Alternative 93.213 673,930 3,245,141 142,020 4,061,091
Medicine
Research on Healthcare Costs, Quality and Outcomes 93.226 2,401,254 896,935 3,298,189
Research Related to Deafness and Communication Disorders 93.173 325,795 1,233,382 (42,122) 1,517,055
Research, Treatment and Education Programs on Lyme 93.942 (4,310) (4,310)
Disease in the United States
Substance Abuse and Mental Health Services Projects of 93.243 15,409 15,409
Regional and National Significance
Trans-NIH Recovery Act Research Support 93.701 38,652,990 39,319,956 3,864,402 139,135 81,976,483
Trans-NIH Research Support 93.310 1,107,552 4,392,236 5,499,788
Vision Research 93.867 2,996,407 1,577,813 4,574,220
Subtotal - Department of Health and Human Services 282,396,657 333,563,774 23,079,537 1,553,102 640,593,070
Department of Homeland Security
Assistance to Firefighters Grant 97.044 639,605 639,605
Aviation Research Grants 97.069 34,776 34,776
Subtotal - Department of Homeland Security 674,381 - - - 674,381
Department of Justice
Drug-Free Communities Support Program Grants 16.729 166 166
Subtotal - Department of Justice - 166 - - 166
Department of Transportation
Aviation Research Grants 20.108 (3,230) (3,230)
Subtotal - Department of Transportation (3,230) - - - (3,230)
Department of Veterans Affairs
Veterans Rehabilitation Alcohol and Drug Dependence 64.019 732,627 51,587 784,214
Subtotal - Department of Veterans Affairs 732,627 51,587 - - 784,214
National Aeronautics and Space Administration
Aerospace Education Services Program 43.001 383,361 501,966 885,327
Subtotal - National Aeronautics and Space Administration 383,361 501,966 - - 885,327
National Science Foundation
Biological Sciences 47.074 458,846 458,846
Education and Human Resources 47.076 174,511 122,460 296,971
Engineering Grants 47.041 131,627 12,999 144,626
Geosciences 47.050 9,432 9,432
Mathematical and Physical Sciences 47.049 38,924 38,924
Social, Behavioral, and Economic Sciences 47.075 328,882 328,882
Trans-NSF Recovery Act Research Support 47.082 86,024 482,092 568,116
Subtotal - National Science Foundation 86,024 1,624,314 122,460 12,999 1,845,797
U.S. Department of State
Academic Exchange Programs - Graduate Students 19.400 279,955 214,008 493,963
Middle East Partnership Initiative (MEPI) 19.500 1,871 1,871
Subtotal - U.S. Department of State 281,826 214,008 - - 495,834
Total Research and Development Direct
Program Cluster 289,496,193$ 351,211,934$ 23,468,963$ 1,551,592$ 665,728,682$
RESEARCH AND DEVELOPMENT CONSTRUCTION PROGRAM CLUSTER
Department of Health and Human Services
Trans-NIH Recovery Act Research Support 93.701 172,801$ 172,801$
Subtotal - Department of Health and Human Services 172,801 - - - 172,801Total Research and Development Construction
Program Cluster 172,801$ - - - 172,801$
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
46
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Department of Commerce
Advanced Technology Program Anima Cell Metrology 11.612 70NANB7H7011 -$ 12,943$ -$ -$ 12,943$
Subtotal - Department of Commerce - 12,943 - - 12,943
Department of Defense
Air Force Defense Research Sciences Program Luna Innovations 12.800 FA9550-07-C-0091 (198) (198)
Basic and Applied Scientific Research Johns Hopkins University 12.300 2000869430 39,516 39,516
Basic, Applied, and Advanced Research in Science and Boston University 12.630 W911NF-06-2-0040 37,545 37,545
Engineering Massachusetts Institute of Technology 12.630 FA95500710101 34,683 34,683
Military Medical Research and Development AdMeTech 12.420 DAMD17-03-2-0055 27,338 27,338
AdMeTech 12.420 W81XWH-09-1-0552 28,541 28,541
Beth Israel Deaconess Medical Center 12.420 W81XWH-09-1-0695 23,848 23,848
Boston Medical Center 12.420 W81XWH-06-1-0309 131,262 131,262
Brigham and Women's Hospital 12.420 W81XWH-08-2-0159 88,844 88,844
Brigham and Women's Hospital 12.420 W81XWH-09-2-0003 1,788 1,788
Children's Hospital Medical Center, Cincinnati 12.420 W81XWH-04-1-0273 2,488 2,488
Children's Hospital Medical Center, Cincinnati 12.420 W81XWH-09-1-0135 21,236 21,236
Children's Hospital of Boston 12.420 W81XWH-09-2-0001 5,538 5,538
CIMIT 12.420 DAMD1702-2-0006 3,718 3,718
CIMIT 12.420 DAMD17-02-2-0006 472,052 472,052
CIMIT 12.420 W81XWH-07-2-0011 187,957 104,268 292,225
CIMIT 12.420 W81XWH-08-2-0126 213,991 213,991
CIMIT 12.420 W81XWH-09-2-0001 489,667 489,667
CIMIT 12.420 W81XWH-09-2-001 7,267 7,267
CIMIT 12.420 1,557 1,557
CIMIT 12.420 DAMD17-02-2-0006 501,275 501,275
CIMIT 12.420 W81XWH-07-2-0011 (122,215) (122,215)
CIMIT 12.420 W81XWH-09-2-0001 74,891 74,891
CIMIT 12.420 101,603 101,603
Dana Farber Cancer Institute 12.420 W81XWH-06-1-0261 (2,307) (2,307)
Dana Farber Cancer Institute 12.420 W81XWH-09-1-0150 89,422 89,422
Emory University 12.420 DAMD17-03-2-0033 729 729
GlaxoSmithKline 12.420 W81XWH-08-1-0322 198,452 198,452
HemCon 12.420 60,709 60,709
House Ear Institute 12.420 HEIp.o.108005/DAMD17 (23,708) (23,708)
Mass General Hospital-CIMIT 12.420 CIMIT-DAMD17-02-2-00 (886) (886)
Mass General Hospital-CIMIT 12.420 DAMD170220006 (602) (602)
Mass General Hospital-CIMIT 12.420 DAMD17-02-2-0006 (656) (656)
Mass General Hospital-CIMIT 12.420 W81XWH-07-2-0011 156 156
Mass General Hospital-CIMIT 12.420 3,947 3,947
Massachusetts General Hospital 12.420 W81XWH-07-2-0011 (37,002) (37,002)
Massachusetts General Hospital 12.420 W81XWH-07-2-0011 (567) (567)
Simbex, LLC 12.420 W81XWH-06-C-0392 (36,851) (36,851)
Spaulding Rehabilitation Hospital 12.420 PT074968/W81XWH-08-2 75,985 75,985
Spaulding Rehabilitation Hospital 12.420 W81XWH-08-2-0159 76,049 76,049
The Michael Stern Parkinson's Research Fund 12.420 W81XWH-05-1-0555 1,118,316 1,118,316
U.S. Army Medical Research Acquisition 12.420 W81XWH-09-1-0705 199,748 199,748
U.S. Army Medical Research Acquisition 12.420 W81XWH-07-2-0011 45,541 45,541
University of Alabama, Birmingham 12.420 DAMD17-98-1-8611 (20,100) (20,100)
University of California at San Diego 12.420 W81XWH-08-2-0159 291,211 262,859 554,070
University of California at San Francisco 12.420 NF04IIRA (527) (527)
University of California at San Francisco 12.420 W81XWH-05-1-0265 11 11
University of North Carolina, Chapel Hill 12.420 DAMD17-03-2-0052 38,886 38,886
University of Pittsburgh 12.420 W81XWH-07-1-0716 631 631
University of Rochester 12.420 W81XWH-07-1-0007 269,625 269,625
University of Rochester 12.420 W81XWH-07-1-0626 (2,193) (2,193)
Military Medical Research and Development University of Texas, MD Anderson Cancer 12.420 W81XWH-10-1-0001 01 51,896 51,896
Subtotal - Department of Defense 2,085,898 1,386,565 1,332,307 332,464 5,137,234
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
47
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Department of Education
National Institute on Disability and Rehabilitation Research Carolinas Medical Center 84.133 H133A080035 84,069 84,069
Craig Hospital 84.133 H133A060038 8,147 8,147
JFK Johnson Rehabilitation Institute 84.133 H133A070030 18,254 18,254
Oregon Health & Science University (OHSU) 84.133 11,024 11,024
Subtotal - Department of Education - 11,024 - 110,470 121,494
Department of Energy
Office of Science Financial Assistance Program Harvard Medical School 81.049 DE-FG02-02ER63445 450 450
The MIND Institute 81.049 DE-FG02.07ER64415 4 4
The MIND Institute 81.049 (32,953) (32,953)
Subtotal - Department of Energy 450 (32,949) - - (32,499)
Department of Health and Human Services
Aging Research Bedford VA Research Corp., Inc. (BRCI) 93.866 R01-AG020654-05 (130,782) (130,782)
Boston University 93.866 1R01AG031896-01A2 80,102 80,102
Boston University 93.866 5R01AG009661-15 533 533
Brigham and Women's Hospital 93.866 2P01AG015379-12 421,471 421,471
Brigham and Women's Hospital 93.866 5P01AG015379-10 (113,402) (113,402)
Brigham and Women's Hospital 93.866 5P01AG015379-12 667,060 667,060
Brigham and Women's Hospital 93.866 5R01AG027435-04 689,340 689,340
Broad Institute 93.866 1R01AG036042-01 12,249 12,249
Broad Institute 93.866 1RO1AG030146-01 2,450 2,450
Burnham Institute 93.866 1R21AG032044-01A2 10,532 10,532
CIMIT 93.866 1U01AG032699-01 91,618 91,618
CIMIT 93.866 1U01AG032700-02 48,858 48,858
CIMIT 93.866 2P50AG005134-27 104,487 104,487
CIMIT 93.866 3R01AG032349-02S1 35,941 35,941
Columbia University 93.866 1R01AG034189-01A1 11,135 11,135
Columbia University 93.866 5P01AG023028-03 (50,664) (50,664)
Columbia University 93.866 5R01AG007370-20 289,561 289,561
Fred Hutchinson Cancer Research Center 93.866 5U01AG032699-02 133,530 133,530
Harvard Medical School 93.866 2T32AG00222-16 (4,285) (4,285)
Harvard School of Public Health 93.866 2U01AG027669-04 300,876 300,876
Harvard School of Public Health 93.866 5P30AG024409-03 (119) (119)
Harvard School of Public Health 93.866 5R21AG030632-02 37,420 37,420
Hebrew Rehabilitation Center for Aged 93.866 1P01AG031720-01A2 18,902 18,902
Hebrew Rehabilitation Center for Aged 93.866 5P01AG004390-24 (98,374) (98,374)
Hebrew Rehabilitation Center for Aged 93.866 5P01AG004390-25 12,275 12,275
Hebrew Rehabilitation Center for Aged 93.866 5P01AG04390-24 (31,005) (31,005)
Mass General Hospital-CIMIT 93.866 5P01AG004953-23 27,179 27,179
Mass General Hospital-CIMIT 93.866 5P50AG005134-25 (1,119) (1,119)
Massachusetts Institute of Technology 93.866 5R01AG029601-03 10,576 10,576
National Bureau of Economic Research 93.866 P01 AG031098 158,071 158,071
NCIRE- 93.866 5U54AG024904-05 187,882 187,882
Northwestern University 93.866 1R21AG027471-02 4,199 4,199
President and Fellows of Harvard College 93.866 5P01AG032952-02 89,328 89,328
Research Foundation for Mental Hygiene 93.866 5P01AG017617-05 (54,773) (54,773)
Research Foundation for Mental Hygiene 93.866 5P01AG017617-10 33,685 33,685
Research Foundation for Mental Hygiene 93.866 5R01AG016381 (1,647) (1,647)
Research Foundation for Mental Hygiene 93.866 5R01AG016381-08 35,213 35,213
Rush University Medical Center 93.866 1R01AG030146-03 75,339 75,339
Rush University Medical Center 93.866 1R01AG036042-01 99,254 99,254
Rush University Medical Center 93.866 5R01AG015819-13 143,686 143,686
Spaulding Rehabilitation Hospital 93.866 1R01AG032052-01A2 49,632 49,632
Tufts University 93.866 R01-AG033016 58,450 58,450
Tufts University School of Medicine 93.866 5R01AG018844-08 81,329 81,329
University of California at San Diego 93.866 2R01AG022381-07 81,317 81,317
University of California at San Diego 93.866 5U01AG010483-19 2,782 2,782
University of California at San Diego 93.866 U01AG024904 45,881 45,881
University of California at San Diego 93.866 U01AG10483 32,897 32,897
University of California at Santa Barbara 93.866 5U01AG033931-04 (146,560) (146,560)
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
48
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Aging Research University of Connecticut Health Center 93.866 5R01AG022092-05 10,144 10,144
University of North Carolina, Chapel Hill 93.866 7R01AG023178-05 162,807 162,807
University of Pennsylvania 93.866 1U01AG032984-01 27,136 27,136
University of Pittsburgh 93.866 1R01AG026463-04 6,927 6,927
University of Washington - Seattle 93.866 5U01AG016976-10 (31,165) (31,165)
University of Washington - Seattle 93.866 5U01AG016976-12 37,700 37,700
University of Wisconsin 93.866 1R01AG029624-01 29,524 29,524
Washington University 93.866 5U01AG032438-03 16,297 16,297
AIDS Education and Training Centers University of Massachusetts at Worcester 93.145 6H4AHA00050-08 00 14,670 14,670
Alcohol Research Programs Boston University 93.273 5R01AA007112-22 119,590 119,590
Boston University 93.273 5R37AA007112-18 9,649 9,649
Brigham and Women's Hospital 93.273 5RO1AAO16318-03 9,089 9,089
Natural Pharmacia International 93.273 2R44AA015220-03 6,887 6,887
Natural Pharmacia International, Inc. 93.273 5R44AA015220-05 343,974 343,974
Research Triangle Institute International 93.273 5R01AA012788-07 737 737
Trustees of Boston University 93.273 2R01AA007112-23 133,201 133,201
Wake Forest University 93.273 5R01AA016748-03 131,713 131,713
Allergy, Immunology and Transplantation Research AmberGen, Inc. 93.855 2R44AI052525-03-A1 34,971 34,971
Avid Therapeutics, Inc. 93.855 IR43AI084295-01 21,363 21,363
Beth Israel Deaconess Medical Center 93.855 5U01AI069412-04 613,070 613,070
Beth Israel Deaconess Medical Center 93.855 5U19AI78526-02 17,582 17,582
Beth Israel Deaconess Medical Center 93.855 7U01AI069412-03 1,422 1,422
BioScale, Inc. 93.855 5R44AI067050-04 145,794 145,794
Boston Biomedical Research Institute 93.855 1R01AI087452-01 81,766 81,766
Brigham and Women's Hospital 93.855 2U01AI063623-06 181,415 181,415
Brigham and Women's Hospital 93.855 5U01AI063623-05 (17,558) (17,558)
Brigham and Women's Hospital 93.855 5U19AI070352-04 47,096 47,096
Brigham and Women's Hospital 93.855 5U19AI076217-03 11,111 11,111
Broad Institute 93.855 5U01AI074575-02 389,505 389,505
Center for Blood Research, Inc. 93.855 5P01AI052343-04 (25,901) (25,901)
Children's Hospital of Boston 93.855 1 U01 AI077816-02 18,497 18,497
Children's Hospital of Boston 93.855 1 U01 AI077816-03 63,328 63,328
Children's Hospital of Boston 93.855 1U01AI077816-01 (10,460) (10,460)
Children's Hospital of Boston 93.855 5 R01 AI037901-12 18,809 18,809
Children's Hospital of Boston 93.855 5R01AI037691-15 4,074 4,074
Children's Hospital of Boston 93.855 5R01AI070820-03 30,552 30,552
Children's Hospital of Boston 93.855 5U01AI077816-02 1,467 1,467
Children's Hospital of Boston 93.855 U01AI055801-03 (3,228) (3,228)
CIMIT 93.855 4R37A1042006-14 8,827 8,827
CIMIT 93.855 5R01AI058736-07 44,727 44,727
Cornell University 93.855 5P50MH058911-10 (19,769) (19,769)
Dana Farber Cancer Institute 93.855 3U19AI057330-05S1 6,242 6,242
Dana Farber Cancer Institute 93.855 5 P01 AI029530-13 6 6
Dana Farber Cancer Institute 93.855 5P01AI045757-08 (69,412) (69,412)
Dana Farber Cancer Institute 93.855 5P01AI045757-11 748,117 748,117
Dana Farber Cancer Institute 93.855 5U19AI029530-18 5,481 5,481
Dana Farber Cancer Institute 93.855 5U19AI067751-05 325,699 325,699
Dartmouth Medical School 93.855 2P01AG019783-08 13,959 13,959
Duke University 93.855 5 U19AI067854-05 42,361 42,361
Duke University 93.855 5U19AI067854-05 14,208 374,486 388,694
Duke University Medical Center 93.855 2U19AI056363-06 32,268 32,268
Emory University 93.855 5P01AI080192-02 540,017 540,017
Emory University 93.855 5U19 A1051731-07 264,777 264,777
Emory University 93.855 5U19AI051731-08 155,113 155,113
Emory University 93.855 S372451 129,824 129,824
Feinstein Institute for Medical Research 93.855 7U19AI056362-06 (55,320) 113,911 58,591
Feinstein Institute for Medical Research 93.855 U19 AI056362 4,167 4,167
Fred Hutchinson Cancer Research Center 93.855 5 U01 AI068614-02 1,910 1,910
Fred Hutchinson Cancer Research Center 93.855 5 U01 AI068614-03 (148,313) (148,313)
Fred Hutchinson Cancer Research Center 93.855 5 U01AI068614-02 188,684 188,684
Fred Hutchinson Cancer Research Center 93.855 5U01AI068614-05 171,312 171,312
Fred Hutchinson Cancer Research Center 93.855 5U01AI68614-05 762,235 762,235
Harvard Medical School 93.855 1P01AI078897-03 446,508 446,508
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
49
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Allergy, Immunology and Transplantation Research Harvard Medical School 93.855 2P01AI054904-06A1 261,946 261,946
Harvard Medical School 93.855 2P01AI056299-06A1 221,794 221,794
Harvard Medical School 93.855 2U54AI057158-06 58,071 58,071
Harvard Medical School 93.855 2U54AI057159-06 118,396 118,396
Harvard Medical School 93.855 2U54AI057159-07 781,680 781,680
Harvard Medical School 93.855 2U54Al057159-07 320,384 320,384
Harvard Medical School 93.855 3U54AI057159-05S1 (63,611) (63,611)
Harvard Medical School 93.855 5P01AI056299-04 (19,950) (19,950)
Harvard Medical School 93.855 5P01AI056299-05 (52,833) (52,833)
Harvard Medical School 93.855 5P30 AI060354 04 (42,188) (42,188)
Harvard Medical School 93.855 5P30AI060354 - 05 31,634 31,634
Harvard Medical School 93.855 5P30AI060354-04 (7,216) (7,216)
Harvard Medical School 93.855 5P30AI060354-05 (78,071) (2,911) (80,982)
Harvard Medical School 93.855 5U01AI057786-04 41,697 41,697
Harvard Medical School 93.855 5U01AI069412-02 (222,756) (222,756)
Harvard Medical School 93.855 5U54AI057159-05 (17,096) (22,088) (39,184)
Harvard Medical School 93.855 U54AI057159-05S1 (26,316) (26,316)
Harvard Medical School Centers for Aids 93.855 2P30AI060354-06 94,506 94,506
Harvard Medical School Centers for Aids 93.855 5P30AI060354-05 (26,127) (26,127)
Harvard Medical School Centers for Aids 93.855 P30AI060354-05 55,819 55,819
Harvard School of Public Health 93.855 1 R01AI077623-01A1 278 278
Harvard School of Public Health 93.855 1R01AI083036-01 15,918 15,918
Harvard School of Public Health 93.855 5U01AI066454-06 45,613 45,613
Harvard School of Public Health 93.855 5U01AI068616-04 123,888 123,888
Harvard School of Public Health 93.855 5U01AI069456-04 79,981 79,981
Harvard University Center for AIDS Research 93.855 2P30AI060354-06 12,030 12,030
Harvard University Center for AIDS Research 93.855 5P30 AI060354-05 24,996 24,996
Harvard University Center for AIDS Research 93.855 P30 AI060354-06 22,691 22,691
Idaho Technology, Inc. 93.855 1R43AI082843-01 47,607 47,607
Joslin Diabetes Center 93.855 5P01AI054904-04 (3) (3)
Mass General Hospital-CIMIT 93.855 5R37AI042006-12 62,190 62,190
Mass General Hospital-CIMIT 93.855 5R37AI042006-13 46,093 46,093
Mass General Hospital-CIMIT 93.855 5U01AI052403-05 (1,529) (1,529)
Mass General Hospital-CIMIT 93.855 5U01AI069472-04 552,865 552,865
Minitube of America, Inc 93.855 1R41AI082853-01A1 45,171 45,171
Mount Sinai School of Medicine 93.855 5 U01 AI070107-04 297,572 297,572
Mount Sinai School of Medicine 93.855 5U01AI070107-04 575,858 575,858
North Carolina State University 93.855 9R01AI071915-05 332,611 332,611
Northeastern University 93.855 5R01AI076372-02 127,930 127,930
Oklahoma Medical Research Foundation 93.855 7R01AI063274-04 521 521
Osel, Inc. 93.855 R33AI071978 (3,659) (3,659)
President and Fellows of Harvard College 93.855 1U01NS050560-01-A2 359 359
President and Fellows of Harvard College 93.855 2P01AI054904-06A1 461,735 461,735
President and Fellows of Harvard College 93.855 2P01AI056299-06A1 354,929 354,929
President and Fellows of Harvard College 93.855 2P30AI060354-05 9,038 9,038
President and Fellows of Harvard College 93.855 2P30AI060354-06 140,166 814,220 954,386
President and Fellows of Harvard College 93.855 2U54AI057159 99,790 99,790
President and Fellows of Harvard College 93.855 2U54AI057159-06 33,817 33,817
President and Fellows of Harvard College 93.855 2U54AI057159-07 174,856 31,213 206,069
President and Fellows of Harvard College 93.855 5 P30AI060354-04 (3,167) (3,167)
Regents of the University of California 93.855 N01-AI-15416 42,247 42,247
Regents of the University of Minnesota 93.855 1R01AI063274-01 (9,231) (9,231)
Social and Scientific Systems, Inc. 93.855 1U01 A1068636-01 64,485 64,485
Social and Scientific Systems, Inc. 93.855 1U01AI068636-01 400,791 629,319 1,030,110
University of Alabama 93.855 003C (103) (103)
University of Colorado 93.855 5U19AI050864-08 24,971 24,971
University of Colorado Denver 93.855 122,750 122,750
University of Florida 93.855 P01AI042288 11,993 11,993
University of Kentucky Research Foundation 93.855 5R01AI068119-04 32,089 32,089
University of Pennsylvania 93.855 5P01AI041521-13 467,354 467,354
University of Texas 93.855 5R01AI053067-08 50,438 50,438
University of Texas Medical Branch 93.855 1R01AI079154-02 27,800 27,800
University of Texas Southwestern Medical 93.855 5U01AI077853-03 106,483 106,483
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
50
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Allergy, Immunology and Transplantation Research Vanderbilt University 93.855 5R01AI077505-02 232,021 232,021
Applied Toxicological Research and Testing Genex Technologies, Inc. 93.114 5R43ES012360-02 (85,668) (85,668)
Harvard School of Public Health 93.114 2P30ES000002-46 11,827 11,827
University of California at Los Angeles 93.114 5R01ES013717-04 52,255 52,255
Arthritis, Musculoskeletal and Skin Diseases Research Boston University 93.846 5R01AR056291-04 489,741 489,741
Brigham and Women's Hospital 93.846 5P30AR042689-15 (2,906) (2,906)
California Pacific Medical Center 93.846 5R01AR052817-04 69,321 69,321
CIMIT 93.846 1R21AR056446-01A1 20,913 20,913
Dartmouth College 93.846 5P60AR048094-05 248 248
Harvard Skin Disease Research Center 93.846 5P30AR042689-15 (45,771) (45,771)
New England Research Institute, Inc. 93.846 R01-AR056992 104,377 104,377
Palo Alto Institute for Research and Education 93.846 5R01AR054822-03 66,120 66,120
The University of Texas Health Science 93.846 1R01AR057837-01A1 807 807
Thomas Jefferson University 93.846 2R01AR050087-06 22,919 22,919
University of California at San Francisco 93.846 N01-A1-15416 37,734 37,734
University of California at San Francisco 93.846 N01AI015416 1,055 1,055
University of Cincinnati 93.846 5R01AR053207-03 9,531 9,531
University of Colorado Health Sciences Center 93.846 5R01AR055104-22 175,689 175,689
University of North Carolina, Chapel Hill 93.846 1 R01 AR056328 37,632 37,632
Yale University School of Medicine 93.846 5P50AR054086-04 393,591 393,591
Assistance for Torture Victims Gulf Coast Jewish Family Services, Inc. 93.604 ZT0075 84,234 84,234
Assistance Programs for Chronic Disease Prevention Crohn's And Colitis Foundation Of America 93.945 5U01DP000340-03 423,307 423,307
and Control
Biological Basis Research in the Neurosciences McLean Hospital 93.854 5P50NS039793-10 159,149 159,149
McLean Hospital 93.854 5R01NS041263-05 (987) (987)
Biomedical Research and Research Training President and Fellows of Harvard College 93.859 1U54GM088558-01 28,513 28,513
Brigham and Women's Hospital 93.859 1R01GM086433-01A1 6,294 6,294
Brigham and Women's Hospital 93.859 5P01GM061354-07 467,305 467,305
Georgia State University 93.859 5R01GM081749-03 84,538 84,538
Harvard Medical School 93.859 5P01GM047467-18 19,688 19,688
Harvard Pilgrim Health Care 93.859 1U01 GM076672 17,097 17,097
Harvard Pilgrim Health Care 93.859 3U01GM076672-04S1 45,406 45,406
Harvard School of Public Health 93.859 1U54GM088558-01 225,202 225,202
Kaiser Permanente Medical Care Program 93.859 5R01GM080180-02 (20,951) (20,951)
MyNeurolab.com 93.859 1R43GM06821-40-1 (5,299) (5,299)
Northwestern University 93.859 R01GM086886 80,518 80,518
Pressure Biosciences 93.859 R43GM079059-02 223,483 223,483
Regents of the University of California 93.859 7U01GM076672-05 50,088 50,088
Tufts University 93.859 5R01GM084205-02 118,445 118,445
University of California, Santa Cruz 93.859 5R01GM056062-09 42,075 42,075
University of Chicago 93.859 R01-GM087558 135,191 135,191
University of Cincinnati 93.859 5R01GM084186-03 46,949 46,949
University of Pittsburgh 93.859 5 P50GM076659-04 1,616 1,616
University of Pittsburgh 93.859 5P50GM076659-04 23,247 23,247
University of Texas Medical Branch 93.859 5P01GM066312-04 25,036 25,036
University of Virginia 93.859 R01 GM 084545-02 32,679 32,679
University of Washington 93.859 5R01GM071852-03 (8,464) (8,464)
Biomedical Research Technology QCMetrics 93.371 5R44RR019014-04 1,153 1,153
Blood Diseases and Resources Research Beth Israel Deaconess Medical Center 93.839 1R01HL092125-01A2 49,636 49,636
Boston Medical Center 93.839 2U54HL070819-06 (2,892) (2,892)
Boston Medical Center 93.839 2U54HL070819-07 258,228 258,228
Boston Medical Center 93.839 5U10HL083771-05 30,209 30,209
Boston Medical Center 93.839 5U54HL070819-05 (4,259) (4,259)
Case Western Reserve University 93.839 5R01HL085813-03 21,304 21,304
CBR Institute for Biomedical Research 93.839 5P01HL059561-10 (85,867) (85,867)
Center for Blood Research, Inc. 93.839 5P01HL056949-14 594,562 594,562
Center for Blood Research, Inc. 93.839 5U24HL074355-05 7,072 7,072
Children's Hospital 93.839 5P01HL059561-13 365,587 365,587
Children's Hospital 93.839 5T32HL07574-28 14,296 14,296
Children's Hospital 93.839 5U01 HL072291-08 56,480 56,480
Children's Hospital of Boston 93.839 1P01HL095489-01A1 5,268 5,268
Children's Hospital of Boston 93.839 5K12HL087164-04 136,933 136,933
Children's Hospital of Boston 93.839 5P01HL032262-29 215,990 215,990
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
51
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Blood Diseases and Resources Research Children's Hospital of Boston 93.839 5P01HL059561-13 305,581 305,581
Dana Farber Cancer Institute 93.839 5P01HL070149-05 (2,076) (2,076)
Dana Farber Cancer Institute 93.839 5U01HL0629249-09 19,757 19,757
Dana Farber Cancer Institute 93.839 5U01HL069249-04 249 249
Dana Farber Cancer Institute 93.839 5U01HL069249-05 403 403
Dana Farber Cancer Institute 93.839 5U01HL069249-07 (41,676) (41,676)
New England Research Institute, Inc. 93.839 2U01HL072291 1,849 1,849
New England Research Institute, Inc. 93.839 5U01HL072291-07 275 275
New England Research Institute, Inc. 93.839 U01HL065238 6,497 6,497
New England Research Institute, Inc. 93.839 U01HL072268 165 52 217
New England Research Institute, Inc. 93.839 U10HL083721 366 366
Northwestern University 93.839 5R01HL082950-05 162,342 162,342
Washington University 93.839 1 U01HL088476-03 3,002 3,002
Washington University 93.839 1U01HL088476-01A1 1,281 1,281
Washington University 93.839 5R01HL074724-04 (5,594) (5,594)
Washington University 93.839 5U01HL088476-02 43,350 43,350
Yale University School of Medicine 93.839 5P01HL063357-10 (38,858) (38,858)
Cancer Biology Research Brigham and Women's Hospital 93.396 2U01CA084301-11 254,695 254,695
Brigham and Women's Hospital 93.396 5P01CA120964-04 168,013 168,013
Brigham and Women's Hospital 93.396 5UO1CA084301-10 (44,935) (44,935)
Children's Hospital of Boston 93.396 5P01CA045548-23 49,787 49,787
Dana Farber Cancer Institute 93.396 2P01CA095616-06 (7,432) (7,432)
Dana Farber Cancer Institute 93.396 5P01CA095616-04 (27) (27)
Dana Farber Cancer Institute 93.396 5P01CA117969-03 151,063 151,063
Dana Farber Cancer Institute 93.396 5P01CA117969-05 348,487 348,487
Dana Farber Cancer Institute 93.396 5R01CA131945-03 122,118 122,118
Dana Farber Cancer Institute 93.396 5U56CA118641-03 (1,960) (1,960)
Dana Farber Cancer Institute 93.396 U56CA118635-05 1,946 1,946
Harvard Medical School 93.396 1R01CA127990-02 123,630 123,630
Mayo Clinic 93.396 5P50CA116201-05 18,185 18,185
Mount Sinai School of Medicine 93.396 5P01CA080058-10 305,676 305,676
Mount Sinai School of Medicine 93.396 5R01CA085214-10 83,529 83,529
National Cancer Center 93.396 1R01CA138649-01A2 132,516 132,516
University of Pennsylvania 93.396 1U01CA143056-01 208,237 208,237
University of Pennsylvania 93.396 5P01CA093615-05 851 851
University of Pennsylvania 93.396 5R01CA093237 23,024 23,024
University of Texas Southwestern Medical 93.396 1U01CA141576-01 640 640
University of Wisconsin - Madison 93.396 1U01CA141583-01 317,818 317,818
Whitehead Institute for Biomedical Research 93.396 2P01CA080111-11 21,915 21,915
Cancer Cause and Prevention Research California Pacific Medical Center 93.393 1R01CA125837-01A1 31,386 31,386
Case Western Reserve University 93.393 U54CA116867 17,608 17,608
CIMIT 93.393 1R01CA137178-01A1 55,180 55,180
Columbia University 93.393 5R01CA104842-03 339 339
Columbia University 93.393 5R01CA127532-03 120,305 120,305
Dana Farber Cancer Institute 93.393 5R01CA124908-03 259,430 259,430
Dana Farber Cancer Institute 93.393 5R01CA126596-03 102,344 102,344
Dana Farber Cancer Institute 93.393 7 R01CA124908-04 51,157 51,157
Florida State University 93.393 5R01CA069222-11 52,636 52,636
Fox Chase Cancer Center 93.393 5R01CA109332-04 (2,370) (2,370)
Fred Hutchinson Cancer Research Center 93.393 1U01CA137088-01A1 143,117 143,117
Harvard Medical School 93.393 5R01CA101034-4 15,241 15,241
Harvard School of Public Health 93.393 5P01CA55075-18 509,917 509,917
Harvard School of Public Health 93.393 5R01CA050385-20 (73,116) (73,116)
Harvard School of Public Health 93.393 5R01CA050385-22 911,000 911,000
Harvard School of Public Health 93.393 5R01CA050597-15 (51,660) (51,660)
Harvard School of Public Health 93.393 5R01CA067262-10 (553) (553)
Harvard School of Public Health 93.393 5R01CA067262-14 359,144 359,144
Harvard School of Public Health 93.393 5R01CA074386-11 (12,708) (12,708)
Harvard School of Public Health 93.393 5R01CA095589-04 2,900 2,900
Imperial College of Science, London 93.393 7R01 CA114205-03 51,308 51,308
Imperial College of Science, London 93.393 7R01CA114205-03 290,924 290,924
Mayo Clinic Rochester 93.393 1R01CA140286-01A1 44,823 44,823
President and Fellows of Harvard College 93.393 5R01CA074386-11 195,518 195,518
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
52
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Cancer Cause and Prevention Research President and Fellows of Harvard College 93.393 5R01CA095589-06 171,914 171,914
Robert Wood Johnson Medical School 93.393 1R01CA116399-01-A1 (4,421) (4,421)
Trustees of Dartmouth College 93.393 2R01CA103642-06A1 75,356 75,356
University of California at San Francisco 93.393 5P01CA130818-02 119,936 119,936
University of California at San Francisco 93.393 5R01CA101849-04 150 150
University of Minnesota 93.393 U01 CA088204-09 49,397 49,397
University of Minnesota 93.393 U01CA088204 36,691 36,691
University of North Carolina, Chapel Hill 93.393 5R01CA074015-10 1,583 1,583
University of Pennsylvania 93.393 2R01CA083115-06 5,517 5,517
University of Texas, MD Anderson Cancer 93.393 5R01CA119215-04 106,652 106,652
Vanderbilt University 93.393 3R01CA118229-03S1 65,394 65,394
Washington University 93.393 1R01CA127435-03 125,549 125,549
Whitehead Institute 93.393 1R01CA146445-01 171,051 171,051
Cancer Centers Support Grants Beth Israel Deaconess Medical Center 93.397 2P50CA101942-05 24,624 24,624
Beth Israel Deaconess Medical Center 93.397 2P50CA101942-06A1 387,471 362,693 750,164
Beth Israel Deaconess Medical Center 93.397 3P50CA101942-05S1 (886) (886)
Beth Israel Deaconess Medical Center 93.397 5P50CA089393-10 6,486 6,486
Beth Israel Deaconess Medical Center 93.397 5P50CA101942-04 (750) (750)
Beth Israel Deaconess Medical Center 93.397 5P50CA101942-05 (3,779) (3,779)
Beth Israel Deaconess Medical Center 93.397 5P50CA101942-05S1 (40,489) (40,489)
Brigham and Women's Hospital 93.397 1P50CA093683-06A2 42,874 42,874
Brigham and Women's Hospital 93.397 1P50CA093683-07 67,117 67,117
Brigham and Women's Hospital 93.397 2 P50 CA093683-06A2 32,174 32,174
Brigham and Women's Hospital 93.397 2 P50 CA093683-07 21,435 21,435
Brigham and Women's Hospital 93.397 2P50CA093683-06 80,986 80,986
Brigham and Women's Hospital 93.397 3P50CA093683-05S2 (23,059) (23,059)
Brigham and Women's Hospital 93.397 3P50CA105009-04S1 48,767 48,767
Brigham and Women's Hospital 93.397 5P50CA105009-02 (23,338) (23,338)
Brigham and Women's Hospital 93.397 5P50CA105009-03 1,341 1,341
Brigham and Women's Hospital 93.397 5P50CA105009-04 (21,546) (21,546)
Brigham and Women's Hospital 93.397 5P50CA105009-05 157,570 157,570
Brigham and Women's Hospital 93.397 5P50CA105009-05S1 99,039 99,039
Dana Farber Cancer Institute 93.397 1P50CA127003-02 299 299
Dana Farber Cancer Institute 93.397 1P50CA127003-03 257,133 257,133
Dana Farber Cancer Institute 93.397 2P20CA090578-06 120,994 120,994
Dana Farber Cancer Institute 93.397 2P50CA090578 367,881 367,881
Dana Farber Cancer Institute 93.397 2P50CA090578-07 172,518 172,518
Dana Farber Cancer Institute 93.397 2P50CA100707-06 125,502 125,502
Dana Farber Cancer Institute 93.397 3P50 CA089393-09S2 137,245 137,245
Dana Farber Cancer Institute 93.397 3P50CA089393-09S4 183,316 183,316
Dana Farber Cancer Institute 93.397 5P01CA089393-08 (1) (1)
Dana Farber Cancer Institute 93.397 5P01CA089393-09 18,722 18,722
Dana Farber Cancer Institute 93.397 5P01DK050654-10 126 126
Dana Farber Cancer Institute 93.397 5P20CA090578-04 (9,226) (9,226)
Dana Farber Cancer Institute 93.397 5P20CA090578-05 1,067 1,067
Dana Farber Cancer Institute 93.397 5P30CA006516-41 723 723
Dana Farber Cancer Institute 93.397 5P30CA006516-45 45,371 111,705 157,076
Dana Farber Cancer Institute 93.397 5P30CA006516-45S3 136,779 136,779
Dana Farber Cancer Institute 93.397 5P30CA006516-46 1,745,502 1,557,380 3,302,882
Dana Farber Cancer Institute 93.397 5P50CA089393-04 (540) (540)
Dana Farber Cancer Institute 93.397 5P50CA089393-07 (27,194) (27,194)
Dana Farber Cancer Institute 93.397 5P50CA089393-08 (2,211) (57,618) (59,829)
Dana Farber Cancer Institute 93.397 5P50CA089393-09 164,626 164,626
Dana Farber Cancer Institute 93.397 5P50CA089393-10 182,711 3,751 186,462
Dana Farber Cancer Institute 93.397 5P50CA090381-08 102,907 17,169 120,076
Dana Farber Cancer Institute 93.397 5P50CA090578-07 22,766 22,168 44,934
Dana Farber Cancer Institute 93.397 5P50CA090578-08 195,965 195,965
Dana Farber Cancer Institute 93.397 5P50CA100707-07 5,614 5,614
Dana Farber Cancer Institute 93.397 5P50CA127003-02 266,483 266,483
Dana Farber Cancer Institute 93.397 5P50CA127003-03 134,548 177,371 311,919
Dana Farber Cancer Institute 93.397 5U54CA112962-03 5,112 5,112
Dana Farber Cancer Institute 93.397 P30CA006516-45 6,581 6,581
Dana Farber/Harvard Cancer Center 93.397 5P30CA006516-45 140,576 140,576
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
53
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Cancer Centers Support Grants Dana Farber/Harvard Cancer Center 93.397 5P30CA06516-44 73,669 73,669
Dana Farber/Harvard Cancer Center 93.397 5P50CA127003-03 146,494 146,494
Dana Farber/Harvard Cancer Center 93.397 5PO1CA089393-09 37,374 37,374
Dana Farber/Harvard Cancer Center 93.397 P50 CA127003-02 3,781 3,781
Massachusetts Institute of Technology 93.397 1U54CA143874-01 97,210 97,210
Massachusetts Institute of Technology 93.397 5U54CA126515-04 494,607 494,607
MD Anderson Cancer Center 93.397 5P50CA083639-10 62,648 62,648
NIH-NCI National Cancer Institute 93.397 5P50CA105009-03 (25,027) (25,027)
University of Texas 93.397 1U54CA143837-01 129,404 129,404
University of Texas, MD Anderson Cancer 93.397 5P50CA083639-05-S1 (7,052) (7,052)
Cancer Control American College of Radiology 93.399 5U10CA021661-20 (30,364) (30,364)
Brigham and Women's Hospital 93.399 5R21CA121906-02 4 4
Brigham and Women's Hospital 93.399 5U01CA086381-04 2,305 2,305
Brigham and Women's Hospital 93.399 5U01CA086381-10 119,341 119,341
Brigham and Women's Hospital 93.399 5U01CA086381-10S1 132,664 132,664
Butler Hospital 93.399 5P50CA084719-10 (3,338) (3,338)
Dana Farber Cancer Institute 93.399 5P50CA090381-05 (12,013) (12,013)
Dana Farber/Harvard Cancer Center 93.399 2P50CA090381-06 (10,532) (10,532)
Dartmouth College 93.399 5R01CA107124-03 346 346
Harvard School of Public Health 93.399 5R01CA075971-11 18,096 18,096
Implant Sciences 93.399 R43CA092924-01 (5,050) (5,050)
Johns Hopkins University 93.399 5U01CA084986-08 477 477
Massachusetts Institute of Technology 93.399 5U54CA119349-05 242,115 642,089 884,204
National Childhood Cancer Foundation 93.399 5U10CA098543-02 272 272
President and Fellows of Harvard College 93.399 1P50CA148596-01 8,075 8,075
President and Fellows of Harvard College 93.399 3U01CA114644-05 5,539 5,539
President and Fellows of Harvard College 93.399 12,482 12,482
University of Arizona 93.399 5R03CA125821-02 8,905 8,905
University of Pittsburgh 93.399 1R01CA108990-01-A1 12,268 12,268
Cancer Detection and Diagnosis Research American College of Radiology 93.394 5U01CA080098 192,212 192,212
American College of Radiology 93.394 5U01CA080098-10 2,502 2,502
Ascension Technology Corporation 93.394 2R42CA115112-02A2 177,369 177,369
Brigham and Women's Hospital 93.394 5R01CA120528-05 19,448 19,448
Brigham and Women's Hospital 93.394 5R01CA131044-03 26,490 26,490
Brigham and Women's Hospital 93.394 5R21CA111949-02 15 15
Brigham and Women's Hospital 93.394 5R33CA100315-04 (750) (750)
Broad Institute 93.394 5U24CA126476-03 (41,623) (41,623)
Broad Institute 93.394 6U24CA126476-04 128,918 128,918
Dana Farber Cancer Institute 93.394 5R01CA114465-05 13,179 7,536 20,715
Fred Hutchinson Cancer Research Center 93.394 2P01CA091955-06 80,984 80,984
Georgetown University Medical Center 93.394 5R01CA124377-03 110,945 110,945
IHC Healthcare d/b/a LDS Hospital 93.394 HHSN268200425210C (41) (41)
Mass General Hospital-CIMIT 93.394 5R01CA115746-05 124,262 124,262
Massachusetts Institute of Technology 93.394 5R01CA979660-5 (15,060) (15,060)
Physical Sciences, Inc. 93.394 2R42CA114896-02A1 21,133 21,133
Physical Sciences, Inc. 93.394 2R44CA117218-03 36,797 36,797
Regents of the University of California 93.394 2000 G FP690 (1,016) (1,016)
Tufts University 93.394 R21CA114684 (444) (444)
University of Chicago 93.394 5U24CA114725-03 (401) (401)
University of Chicago 93.394 5U24CA114725-05 384,378 384,378
University of Chicago 93.394 U24CA114725-05 42,712 42,712
University of Pennsylvania 93.394 1R01CA104976-03 (19) (19)
Cancer Research Manpower Boston University Medical Center 93.398 5R25CA091958-04 (2,095) (2,095)
Dana Farber Cancer Institute 93.398 1K07CA140790-01 66,430 66,430
MD Anderson Cancer Center 93.398 5P50CA098258-05 (2,025) (2,025)
Cancer Treatment Research Acenta Discovery, Inc. 93.395 R41MH074193-02 (6,947) (6,947)
American College of Radiology Imaging 93.395 3U01CA080098 10,850 10,850
Brigham and Women's Hospital 93.395 1R01CA107164-02-A1 996 996
Dana Farber Cancer Institute 93.395 1R01CA133799-01A1 60,319 60,319
Dana Farber Cancer Institute 93.395 1R01CA135257 85,604 85,604
Dana Farber Cancer Institute 93.395 1R01CA135257-03 126,694 126,694
Dana Farber Cancer Institute 93.395 2U01 CA062490-16 (4,714) (4,714)
Dana Farber Cancer Institute 93.395 5P01CA066996-10 (6,871) (6,871)
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
54
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Cancer Treatment Research Dana Farber Cancer Institute 93.395 5P01CA066996-13 564,907 564,907
Dana Farber Cancer Institute 93.395 5P01CA068484-13 (3,375) (3,375)
Dana Farber Cancer Institute 93.395 5P01CA068484-14 240,252 11,812 252,064
Dana Farber Cancer Institute 93.395 5P01CA092625-09 348,970 348,970
Dana Farber Cancer Institute 93.395 5R01CA090687-08 386 386
Dana Farber Cancer Institute 93.395 5R01CA125690-03 39,342 39,342
Dana Farber Cancer Institute 93.395 5R21CA126119-02 (3,048) (3,048)
Dana Farber Cancer Institute 93.395 5R21CA132279-02 297,132 297,132
Dana Farber Cancer Institute 93.395 5U01CA062490-17 319,742 319,742
Dana Farber Cancer Institute 93.395 5U01CA081452-08 (7,799) (7,799)
Dana Farber Cancer Institute 93.395 9P01CA142106-06A1 51,126 51,126
Dana Farber Cancer Institute 93.395 P01CA089021-07 18,161 18,161
Dana Farber Cancer Institute 93.395 R01CA106370-05A1 16,018 9,401 25,419
Dana Farber Cancer Institute 93.395 U01CA062490 (1,194) (1,194)
Duke University 93.395 7U10CA076001-04 4,418 4,418
Fidelity Foundation 93.395 32,871 32,871
Fox Chase Cancer Center 93.395 1R01CA075795-08 (2,907) (2,907)
Gynecologic Oncology Group 93.395 U10CA27469 23,140 23,140
Harvard Medical School 93.395 5P01CA078048-10 39,797 39,797
Johns Hopkins University 93.395 1U01CA137443-01 132,873 132,873
Lynntech, Inc. 93.395 2R44CA103177-02A1 209,195 209,195
Lynntech, Inc. 93.395 5R44AI68400-04 (45,647) (45,647)
Mass General Hospital-CIMIT 93.395 1R21CA117128-01-A1 (445) (445)
National Childhood Cancer Foundation 93.395 5U10CA098543-04 (14,599) (14,599)
National Childhood Cancer Foundation 93.395 5U10CA098543-07 75,273 75,273
National Childhood Cancer Foundation 93.395 5U10CA098543-08 2,794 2,794
Opto Sonics, Inc. 93.395 5R44CA114839 80,469 80,469
Physical Sciences, Inc. 93.395 43479-1551-46 2,670 2,670
Rensselaer Polytechnic Institute 93.395 5R01CA116743-05 13,799 13,799
University of California at San Diego 93.395 5P01CA081534-10 40,746 40,746
University of Chicago 93.395 5U10CA31946-26 587 587
University of Chicago 93.395 U10CA037447 216,064 216,064
University of Massachusetts at Lowell 93.395 R01CA137108-01 124,265 124,265
University of Pennsylvania 93.395 5R01CA122569-02 167,530 167,530
University of Pittsburgh 93.395 1R03CA141086-02 9,925 9,925
University of Texas, MD Anderson Cancer 93.395 5P01CA108631-04 (16,171) (16,171)
University of Texas, MD Anderson Cancer 93.395 5P01CA108631-05 230,593 230,593
University of Virginia 93.395 1 R01 CA 137071-01 R 60,494 60,494
Virginia Commonwealth University 93.395 5R21CA115260-02 (2) (2)
Cardiovascular Diseases Research Albert Einstein College of Medicine 93.837 5R01HL075619-06 76,568 76,568
Beth Israel Deaconess Medical Center 93.837 1 R01HL082717-10 14,195 14,195
Beth Israel Deaconess Medical Center 93.837 1R01HL091757-02 53 53
Beth Israel Deaconess Medical Center 93.837 1R01HL094555-01A1 97,302 97,302
Beth Israel Deaconess Medical Center 93.837 5R21 HL085720-02 (21,332) (21,332)
Beth Israel Deaconess Medical Center 93.837 5U01HL072737-06 86,333 86,333
Boston University Medical Center 93.837 1R01HL092577-02 380,841 380,841
Boston University Medical Center 93.837 1R21HL089734-01A1 (207) (207)
Boston University Medical Center 93.837 1R21HL089734-02 15,312 15,312
Boston University Medical Center 93.837 5P01HL081587-05 441,720 441,720
Brigham and Women's Hospital 93.837 1R01HL094390-01 32,613 32,613
Brigham and Women's Hospital 93.837 1U01HL084904-01 29,122 29,122
Brigham and Women's Hospital 93.837 5R01HL091157-03 27,094 27,094
Brigham and Women's Hospital 93.837 5U01HL065962-09 73,270 73,270
Brigham and Women's Hospital 93.837 5U01HL084877-03 63,332 63,332
Brigham and Women's Hospital 93.837 5U01HL084877-04 32,059 32,059
California Pacific Medical Center 93.837 29,786 29,786
Case Western Reserve University 93.837 R01 HL106410 26,819 26,819
Children's Hospital of Boston 93.837 1U01HL098147-01 118,471 118,471
Children's Hospital of Oakland 93.837 2U01HL069757-09 99,836 99,836
Children's Hospital of Philadelphia 93.837 1P20HL101820-01 40,366 40,366
CIMIT 93.837 1R01HL098280-01 35,687 35,687
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
55
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Cardiovascular Diseases Research CIMIT 93.837 1R01HL96738-01 224,479 224,479
CIMIT 93.837 1U01HL092040-01A1 32,165 32,165
CIMIT 93.837 5P01HL018646-32 170,340 170,340
Columbia University 93.837 1R21HL091443-01A2 13,120 13,120
Duke Clinical Research Institute 93.837 1 U01 HL084904-01 24,236 24,236
Duke Clinical Research Institute 93.837 1U01HL063747-01-A2 4,879 4,879
Duke Clinical Research Institute 93.837 1U01HL084904-01 32 32
Duke Clinical Research Institute 93.837 5U01HL084904-03 19,954 19,954
Duke Clinical Research Institute 93.837 U01HL084904-04 453 453
Duke University 93.837 5R01HL072010-07 85,107 85,107
Duke University 93.837 5U01HL084904-04 20,555 20,555
E.P. Limited 93.837 2R44HL063535-04A2 23,752 23,752
Fred Hutchinson Cancer Research Center 93.837 1U01HL100395-01 250,403 250,403
Harvard Medical School 93.837 5R25HL075487-05 (4,041) (4,041)
Harvard Pilgrim Health Care 93.837 5R01HL064925-09 386,103 386,103
Harvard School of Public Health 93.837 1U01HL073286-01 (14,377) (14,377)
Harvard School of Public Health 93.837 5R01HL080644-04 (29,616) (29,616)
Harvard School of Public Health 93.837 5R01HL085710-04 106,126 106,126
Harvard School of Public Health 93.837 5R21HL077548-02 (183) (183)
Harvard School of Public Health 93.837 5U01HL073286-05 65 65
Joslin Diabetes Center 93.837 5R01HL077554-04 (1,519) (1,519)
Kaiser Foundation Research Institute 93.837 5U19HL091179-03 45,569 45,569
Lawrence Berkeley National Laboratory 93.837 1R01HL091495-01A1 95,846 95,846
Mass General Hospital-CIMIT 93.837 5U01HL080731-05 154,595 154,595
Mass General Hospital-CIMIT 93.837 5U01HL081341-04 (29,726) (29,726)
Massachusetts General Hospital 93.837 5U01HL080731-02 (21,873) (21,873)
Massachusetts Institute of Technology 93.837 1R44HL079726-03 (746) (746)
Massachusetts Institute of Technology 93.837 5710002750 49,896 49,896
Medical College of Ohio 93.837 5U01HL071550-05 8,077 8,077
Medical University of South Carolina 93.837 5R01HL086576-03 51,837 51,837
Millikelvin Technology, LLC 93.837 A202787 29,502 29,502
Mount Sinai School of Medicine 93.837 1R01HL071988-01-A1 739 739
Mount Sinai School of Medicine 93.837 7U01HL088942-03 333,178 333,178
New England Research Institute, Inc. 93.837 U10HL083721 11,324 11,324
President and Fellows of Harvard College 93.837 2R01HL035464-21A2 19,284 19,284
President and Fellows of Harvard College 93.837 5R01HL080644-06 58,848 58,848
Regents of the University of California 93.837 1R01HL091495-02 127,545 127,545
Rhode Island Hospital 93.837 5U01HL077221-03 16,709 16,709
Social and Scientific Systems, Inc. 93.837 1R01HL095132-01 2,380 2,380
Thomas Jefferson University 93.837 2U54HL070585-06 4,442 4,442
Thomas Jefferson University 93.837 5U54HL070585-07 615 615
University of California at Riverside 93.837 1R01HL089940-01A2 80,997 80,997
University of Cape Town 93.837 HHSN268200900030C 136,631 136,631
University of Iowa 93.837 1R01HL083475-02 9,194 9,194
University of Louisville 93.837 5P01HL078825-04 149,413 149,413
University of Pittsburgh 93.837 5R01HL082541-06 239,403 239,403
University of Pittsburgh 93.837 5R01HL089750-02 155,314 155,314
University of Toledo 93.837 5U01HL715560-06 39,810 39,810
University of Utah 93.837 R01HL074370-01A2 17,926 17,926
Vanderbilt University 93.837 5R01HL089755-03 163,241 163,241
Vanderbilt University 93.837 5U01HL065962-09 337,099 337,099
Vanderbilt University 93.837 RL1HL092551-04 23,325 23,325
Washington University 93.837 5U01HL087071-06 143,890 143,890
Yale University 93.837 5R01HL081153-02 99,514 99,514
Center for Medical Rehabilitation Research University of Washington - Seattle 93.929 1R21HD058049-01A2 7,843 7,843
Centers for Disease Control and Prevention Investigations Association of American Medical Colleges 93.283 U36/CCU319276 204,533 204,533
and Technical Assistance Association of American Medical Colleges 93.283 278,322 278,322
Harvard School of Public Health 93.283 U90 TP124242-05 19,415 19,415
Child Health and Human Development Extramural Research Boston University 93.865 5K08HD53706-03 15,348 15,348
Children's Hospital of Boston 93.865 5R01HD043869-05 (47,359) (47,359)
Children's Hospital of Boston 93.865 5U01HD045991-05 41,957 41,957
Cincinnati Children's Hospital Medical Center 93.865 1R01HD059140-01 277 277
Harvard School of Public Health 93.865 5R01 HD044391-05 (57,058) (57,058)
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
56
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Child Health and Human Development Extramural Research Mass General Hospital-CIMIT 93.865 5R01HD055150-04 58,532 58,532
Mass General Hospital-CIMIT 93.865 5U54HD028138-19 485,336 485,336
Simbex, LLC 93.865 5R44HD055715-03 243,306 243,306
Trustees of Dartmouth College 93.865 5R01HD044547-08 32,039 32,039
University of Massachusetts Medical 93.865 5R21HD057402-02 34,977 34,977
University of Massachusetts Medical Cent 93.865 1R21HD057806-01 11,708 11,708
University of Pittsburgh 93.865 5R01HD046700-04 1 1
University of Rochester 93.865 5U19HD035466-10 (62,052) (62,052)
Wadsworth Center 93.865 R01HD061916-01 134,499 134,499
Wake Forest University, Bowman Gray School 93.865 5P01HD021187-04 1,438 1,438
Yale University School of Medicine 93.865 5R01HD046171-05 371 371
Community Programs to Improve Minority Health Grant Partners in Health 93.137 1 CPIMP071035-02-00 118,825 118,825
Program
Diabetes, Digestive, and Kidney Diseases Extramural Research Albert Einstein College of Medicine 93.847 5R01DK080792-02 10,885 10,885
Beth Israel Deaconess Medical Center 93.847 1R24DK083938-01 122,991 122,991
Beth Israel Deaconess Medical Center 93.847 1U19DK080652-02 422,541 422,541
Beth Israel Deaconess Medical Center 93.847 1U19DK080652-03 157,961 157,961
Beth Israel Deaconess Medical Center 93.847 1UO1DK082919-02 116,469 116,469
Beth Israel Deaconess Medical Center 93.847 5P01DK080665-02 291,413 291,413
Beth Israel Deaconess Medical Center 93.847 5R01DK063296-06 (59,805) (59,805)
Beth Israel Deaconess Medical Center 93.847 5R01DK63296-04 (5,724) (5,724)
Beth Israel Deaconess Medical Center 93.847 5U19DK080652-04 102,589 102,589
Boston Medical Center 93.847 5 P30 DK046200-17 9,135 9,135
Boston Medical Center 93.847 5P30DK046200-18 46,746 46,746
Boston Obesity Nutrition Research @ BMC 93.847 5P30DK046200-18 10,000 10,000
Boston University 93.847 5R01DK065089-03 (56,218) (56,218)
Brigham and Women's Hospital 93.847 5R01DK058845-09 34,491 34,491
Case Western Reserve University 93.847 N01-DK-62203 309,927 309,927
Children's Hospital Medical Center 93.847 5R01DK072428-04 57,086 57,086
Children's Hospital of Boston 93.847 1R01DK084001-01A1 89,898 89,898
Children's Hospital of Boston 93.847 1U19 DK080652-01 9,564 9,564
Children's Hospital of Boston 93.847 5P30DK034854-25 124,751 124,751
CIMIT 93.847 3P30DK057521-11 21,371 21,371
CIMIT 93.847 5P30DK057521-10 11,308 11,308
CIMIT 93.847 5P30DK057521-10S1 32,453 32,453
CIMIT 93.847 5R21DK077716-02 83,554 83,554
George Washington University 93.847 2U01DK061230-08 64 64
George Washington University 93.847 5U01DK061230-09 912,814 912,814
George Washington University 93.847 U01DK048489-17 154,785 154,785
Harvard Medical School 93.847 5P01DK056246-09 89,830 89,830
Joslin Diabetes Center 93.847 1 R01 DK60754 22,450 22,450
Joslin Diabetes Center 93.847 5 P30 DK036836-22 34,951 34,951
Joslin Diabetes Center 93.847 5R01DK072090-04 3,134 3,134
Joslin Diabetes Center 93.847 5R01DK073843-03 94,392 94,392
Joslin Diabetes Center 93.847 DK036836-20 (6,370) (6,370)
Joslin Diabetes Center 93.847 15,929 15,929
Mass General Hospital-CIMIT 93.847 5R01DK067397-02 (1,142) (1,142)
Massachusetts Institute of Technology 93.847 6R01DK081923-02 89,228 89,228
Montreal Heart Institute 93.847 5U01DK062432-09 86,298 86,298
National Institute of Diabetes and Digestion 93.847 5P30DK043351-20 30,057 30,057
New England Research Institute, Inc. 93.847 1R01DK080786-01A2 34,116 34,116
President and Fellows of Harvard College 93.847 1R01DK082486-01A1 31,769 31,769
President and Fellows of Harvard College 93.847 1R01DK088718-01 837 837
Trustees of Boston University 93.847 1R01DK085633-02 144,785 144,785
University of Alabama 93.847 3R01DK076771-02S1 18,833 18,833
Digestive Diseases and Nutrition Research University of California at Los Angeles 93.847 DK062290 20 20
University of North Carolina, Chapel Hill 93.847 1R21DK080408-01 743 743
University of Pennsylvania 93.847 2U01DK060990-08 3,998 3,998
University of Pittsburgh 93.847 5R01DK061451-07 (7,831) (7,831)
University of Pittsburgh 93.847 5U01DK075803-03 38,987 38,987
Beth Israel Deaconess Medical Center 93.848 5R01DK071041-03 (1,735) (1,735)
Boston Medical Center 93.848 5R03DK081686-02 20,236 20,236
Children's Hospital of Boston 93.848 5P30DK034854-22 (3,386) (3,386)
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
57
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Digestive Diseases and Nutrition Research Children's Hospital of Boston 93.848 5P30DK034854-24 73,014 73,014
Children's Hospital of Boston 93.848 5P30DK034854-25 128,021 128,021
Children's Hospital of Boston 93.848 5R01DK072117-03 30,334 30,334
Children's Hospital of Boston 93.848 5R01DK075787-02 13,502 13,502
Children's Hospital of Boston 93.848 5T32DK07477-25 (5,138) (5,138)
Eagle Vision Pharmaceutical Corp 93.848 R43DK076429 (305) (305)
Harvard Clinical Nutrition Research Center 93.848 2P30DK040561-11 428 428
Montreal Heart Institute 93.848 5R01DK064869-07 183,255 183,255
Universite de Montreal 93.848 5U01DK062432-08 (19,528) (19,528)
University of California at San Francisco 93.848 1R03DK063187-01 (31) (31)
University of Texas Southwestern Medical 93.848 5U01DKO58369-10 4,299 4,299
Discovery and Applied Research for Technological Innovations Brigham and Women's Hospital 93.286 5R01EB000802-14 (65,696) (65,696)
to Improve Human Health Brigham and Women's Hospital 93.286 5U54EB005149-05 68,957 68,957
Brigham and Women's Hospital 93.286 R01EB005876 (40,398) (40,398)
Case Western Reserve University 93.286 5R01EB006203-02 (1,386) (1,386)
Dana Farber Cancer Institute 93.286 1R21EB010085-01A1 27,332 27,332
Georgetown University 93.286 5R01EB006589-03 14 14
Johns Hopkins University 93.286 1R21EB009900-01 87,624 87,624
Massachusetts Institute of Technology 93.286 5R01EB003805-05 435,538 435,538
Massachusetts Institute of Technology 93.286 5R01EB007942-03 126,444 126,444
Physical Sciences, Inc. 93.286 2R44EB000365-02-A2 (18,744) (18,744)
Rensselaer Polytechnic Institute 93.286 5R01EB000456-04 (235,713) (235,713)
Robin Medical, Inc. 93.286 5R21EB007792-03 191,807 191,807
Sunnybrook Health Science Center 93.286 7R01EB003268-10 219,085 219,085
The MIND Institute 93.286 06-540-N1&06-540-N2 (9) (9)
University of California at San Diego 93.286 1R01EB009282-01 102,337 102,337
University of California at San Francisco 93.286 1R01EB009756-01 153,760 153,760
Drug Abuse and Addiction Research Programs Boston University 93.279 5R01DA017904-04 30,498 30,498
Cornell University 93.279 5R01DA017905-06 20,626 20,626
Harvard Medical School 93.279 5R01DA011558-09 (121,822) (121,822)
Harvard School of Public Health 93.279 5 R21 DA022600-02 9,449 9,449
Lam Foundation 93.279 5 U54RR019498-04 1,819 1,819
Mass General Hospital-CIMIT 93.279 5U01DA019378-04 50,202 50,202
McLean Hospital 93.279 5U10DA015831-05 85,051 85,051
McLean Hospital 93.279 5U10DA015831-07 35,507 35,507
Massachusetts General Hospital 93.279 5R01DA022276-03 97,475 97,475
Mount Sinai School of Medicine 93.279 5P01DA008227-18 48,776 48,776
Northeastern University 93.279 1R01DA26795-01 196,475 196,475
Northeastern University 93.279 5R37DA023142 290,373 290,373
University of Chicago 93.279 5R01DA017323-02 (57,041) (57,041)
University of Chicago 93.279 R01DA014644-06 (5,015) (5,015)
University of Cincinnati 93.279 1R01DA017323-01A2 (27,099) (27,099)
University of Cincinnati 93.279 5 R01 DA14644-03 (45,236) (45,236)
University of Hawaii 93.279 5R01DA019912-03 86,828 86,828
University of Medicine and Dentistry of New Jersey 93.279 1R21DA020771-01-A1 (1,104) (1,104)
University of Pennsylvania 93.279 5R01DA022339-03 287,067 287,067
Weill-Cornell Medical College 93.279 1R01DA027379-01 119,011 119,011
Weill-Cornell Medical College 93.279 3U01DA013720-09S1 150 150
Environmental Health Broad Institute 93.113 1U01ES017155-01 (43,454) (43,454)
Broad Institute 93.113 5U01AI074575-02 (14,781) (14,781)
Broad Institute 93.113 U01ES017155 452,421 452,421
Case Western Reserve University 93.113 5R01ES013925-04 141,742 141,742
Children's Hospital of Boston 93.113 5R01ES016283-03 (47,808) (47,808)
Harvard Pilgrim Health Care 93.113 5R01ES016314-03 58,443 58,443
Harvard School of Public Health 93.113 5P01ES009825-10 214,385 214,385
Harvard School of Public Health 93.113 5R01ES009718-10 2,662 2,662
Harvard School of Public Health 93.113 5R01ES013967-04 43,287 43,287
Harvard School of Public Health 93.113 5R01ES014370-05 25,730 25,730
Harvard School of Public Health 93.113 5R01ES014433-03 111,558 111,558
Harvard School of Public Health 93.113 5R01ES014663-03 30,680 30,680
Harvard School of Public Health 93.113 5R01ES015172-04 166,726 166,726
Johns Hopkins University 93.113 1P01ES018176-01 18,354 18,354
President and Fellows of Harvard College 93.113 2R01ES009718-12 47,657 47,657
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
58
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Environmental Health President and Fellows of Harvard College 93.113 5R01ES009411-08 30,299 30,299
Extramural Research Programs in the Neurosciences and Beth Israel Deaconess Medical Center 93.853 4R01NS039466-07 12,117 12,117
Neurological Disorders Beth Israel Deaconess Medical Center 93.853 5R01NS041198-09 11,399 11,399
Beth Israel Deaconess Medical Center 93.853 7R01MH063951-05 (2,366) (2,366)
Beth Israel Deaconess Medical Center 93.853 R01 NS057127 17,034 17,034
Boston College 93.853 7R01NS040237-03 68,987 68,987
Boston University 93.853 5R01NS036711-09 (13,270) (13,270)
Boston University Medical Center 93.853 5U01NS045806-05 (757) (757)
Brigham and Women's Hospital 93.853 5R01NS055083-04 26,805 26,805
Children's Hospital of Boston 93.853 5P01NS038475-10 59,774 59,774
Children's Hospital of Boston 93.853 5P01NS040828-01 (65,521) (65,521)
Children's Hospital of Boston 93.853 5P01NS040828-05 (1,944) (1,944)
Children's Hospital of Boston 93.853 5R21NS057225-02 53,560 53,560
Children's Hospital of Boston 93.853 5U01NS040069-05 28,551 28,551
CIMIT 93.853 5P01NS024279-21 587,477 587,477
Columbia University 93.853 5R01NS027941-21 22,607 22,607
Dana Farber Cancer Institute 93.853 5R01NS044914-07 54,734 54,734
Emory University 93.853 5R01NS038455-10 20,826 20,826
Georgetown University 93.853 U54NS057405-02 25,041 25,041
Harvard Medical School 93.853 1U01NS050560-02 (3,870) (3,870)
Harvard School of Public Health 93.853 5R01NS045893-07 9,437 9,437
Harvard School of Public Health 93.853 5R01NS047467-04 (996) (996)
Harvard School of Public Health 93.853 5R01NS048517-05 3,361 3,361
Henry M Jackson Foundation 93.853 5R01NS047717-04 (6,433) (6,433)
Johns Hopkins University 93.853 1U01NS062851-01A1 66 66
Johns Hopkins University 93.853 5R01NS046309-04 1,068 1,068
Mass General Hospital-CIMIT 93.853 1R01NS049263-01-A2 (429) (429)
Mass General Hospital-CIMIT 93.853 5P50NS010828-33 69,542 69,542
Mass General Hospital-CIMIT 93.853 5P50NS051343-04 7,558 7,558
Massachusetts Eye and Ear Infirmary 93.853 1R01NS071067-01 2,906 2,906
Massachusetts Institute of Technology 93.853 16,290 16,290
Mayo Clinic 93.853 R01NS051769-04 85,639 85,639
Medical University of South Carolina 93.853 1U01NS058728-01A1 27 27
Massachusetts General Hospital 93.853 5P01NS058793-03 275,968 275,968
Molecular Insight Pharmaceuticals, Inc 93.853 1R43NS04610-90-1 145 145
MyNeurolab.com 93.853 1R43NS05560-00-1 (1,869) (1,869)
Preferred Instruments, Inc (PII) 93.853 2R43NS36869-02 (5,642) (5,642)
President and Fellows of Harvard College 93.853 5R01NS061858-02 43,026 43,026
Regents of the University of Minnesota 93.853 1U54NS065768-01 19,717 19,717
Tourette Syndrome Association 93.853 2U01NS040024-07 370,381 370,381
Tufts University 93.853 5R01NS036524-10 29,035 29,035
Tufts University School of Medicine 93.853 5R01NS036524-10 62,934 62,934
University of Alabama 93.853 5R01NS043789-05 (16,927) (16,927)
University of Alabama, Birmingham 93.853 5R01NS054246-02 300 300
University of Alabama, Birmingham 93.853 5U01NS42685-05 513 513
University of California at Los Angeles 93.853 1U01NS042372-03 (17,344) (17,344)
University of California at San Francisco 93.853 5R01NS049477-05 35,192 35,192
University of California at Santa Barbara 93.853 8U01AG033931-03 61,074 61,074
University of Cincinnati 93.853 5R01NS039512-05 236 28 264
University of Florida 93.853 2R01NS038455-08 (1,606) (1,606)
University of Iowa 93.853 5R01NS040068-06 (5,236) (5,236)
University of Massachusetts at Worcester 93.853 1U01NS064096-01A1 23,556 23,556
University of Massachusetts Medical 93.853 1R21NS064349-01A1 80,825 80,825
University of Massachusetts Medical 93.853 5R01NS038194-10 17,225 17,225
University of Missouri 93.853 5R01NS052470-03 126,922 126,922
University of North Carolina, Chapel Hill 93.853 5R01NS055754-03 123,849 123,849
University of North Carolina, Chapel Hill 93.853 5U01NS042167 6,290 6,290
University of Pittsburgh 93.853 5R01NS048178-03 13 13
University of Rochester 93.853 5U01NS050095-04 6,589 6,589
University of Rochester 93.853 5U01NS050095-05 3,533 3,533
University of Rochester, Medical Center 93.853 3U54NS059065-05S2 68,552 68,552
University of Rochester, Medical Center 93.853 5R01NS045686-05 35,389 35,389
University of Utah 93.853 1R21NS067463-01 14,580 14,580
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
59
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Extramural Research Programs in the Neurosciences and University of Wisconsin 93.853 2P01NS042803-06A2 87,352 87,352
Neurological Disorders Virginia Commonwealth University 93.853 1R01NS070715-01 53,373 53,373
Wake Forest University 93.853 R01NS058949 102,001 102,001
Washington University 93.853 5U01NS032228-12 4,836 4,836
Washington University 93.853 5U01NS042167-05 3,184 3,184
Yale University 93.853 5U01NS044876-05 482,621 482,621
Family Planning Services Action For Boston Community Development 93.217 FPHPA010203-38-00 17,230 17,230
Food and Drug Administration Research Emory University 93.103 1R01FD003517-01 85,212 85,212
Harvard Pilgrim Health Care 93.103 HHSF2232009100061 76,273 76,273
Mt. Sinai Medical 93.103 FD-R-002613 644 644
NeuroHealing Pharmaceuticals, INC. 93.103 1R01FD003337-01A1 29,832 29,832
University of Cincinnati 93.103 5R01FD003362-03 695 695
University of Kansas Medical Center 93.103 5R01FD003454-03 39,682 39,682
Grants for Faculty Development in Family Medicine Boston University 93.895 5P50GM067041-08 7,593 7,593
Human Genome Research Albert Einstein College of Medicine 93.172 5 R01HG004401-02 128,644 128,644
Broad Institute 93.172 1U54HG004570-01 (27,956) (27,956)
Broad Institute 93.172 U54HG004570 411,126 411,126
Children's Hospital of Boston 93.172 5R01HD046855-03 (5,996) (5,996)
Dana Farber Cancer Institute 93.172 5P50HG004233-04 269,553 269,553
Fred Hutchinson Cancer Research Center 93.172 5P41HG004059-04 101,566 101,566
Massachusetts Eye and Ear Infirmary 93.172 5U01HG004728-02 224,284 224,284
Pennsylvania State University 93.172 5R01HG004909-02 129,176 129,176
University of California at Berkeley 93.172 5U01HG004258-03 453,955 453,955
University of California at Berkeley 93.172 5U01HG004258-04 303,022 303,022
University of Rochester 93.172 5R01HG002449-07 940 940
Innovations in Applied Public Health Research Harvard Pilgrim Health Care 93.061 1P01HK000088-01 269,035 269,035
Harvard Pilgrim Health Care 93.061 P01 HK000016-03 (55,769) (55,769)
Harvard Pilgrim Health Care 93.061 P01HK000016-03S1 (71,762) (71,762)
Harvard School of Public Health 93.061 94,682 94,682
International Research and Research Training Vanderbilt University 93.989 5R24TW007988-04 68,706 68,706
Kidney Diseases, Urology and Hematology Research Brigham and Women's Hospital 93.849 5P50DK074030-04 (6,223) (6,223)
Duke University 93.849 5R01DK080094-02 6,763 6,763
Harvard School of Public Health 93.849 5 R01 DK045362-05 1,279 1,279
Indiana University 93.849 1P30DK079312-02 4,344 4,344
Mass General Hospital-CIMIT 93.849 5U01DK065187-06 (16,019) (16,019)
Research Foundation of State University 93.849 5U01DK063385-06 8,931 8,931
Rhode Island Hospital 93.849 1U01DK061700-02 12,187 12,187
Rhode Island Hospital 93.849 5U01DK061700-07 29,967 29,967
University of Alabama, Birmingham 93.849 5U01DK063788-07 30,362 30,362
University of California at Los Angeles 93.849 5R01DK067563-04 38,544 38,544
University of Miami 93.849 5R01DK076116-03 87,653 87,653
Lung Diseases Research Albert Einstein College of Medicine 93.838 7R01HL086667-04 18,957 18,957
Boston University 93.838 5R01HL076778-04 (3,660) (3,660)
Duke University 93.838 5U01HL084904-04 64,414 64,414
Georgia Institute of Technology 93.838 1R01HL090630-01 171,594 171,594
Harvard Pilgrim Health Care 93.838 5R01HL075504-04 (1,045) (1,045)
Harvard School of Public Health 93.838 5R01HL060710 146,270 146,270
Mount Sinai School of Medicine 93.838 1R01HL086667-02 23 23
National Jewish Medical and Research Center 93.838 1U01HL089897-01A1 434,638 434,638
NIH-NHLBI National Heart, Lung, and Blood 93.838 5R01HL082541-04 (83,310) (83,310)
Penn State University College of Medicine 93.838 5U01HL074231-05 (33,803) (33,803)
President and Fellows of Harvard College 93.838 1R01HL091933-01A2 413 413
President and Fellows of Harvard College 93.838 1R01HL092961-01AI 20,978 20,978
University of California at San Diego 93.838 5R01HL081663-05 133,142 133,142
University of California at San Francisco 93.838 5R37HL051856-15 7,225 7,225
Lung Diseases Research University of Iowa 93.838 5R21HL091808-02 113,279 113,279
University of Maryland 93.838 1R01HL091490-01A1 19,321 19,321
University of Pennsylvania 93.838 1R01HL097796-01 70,660 70,660
Xemed LLC 93.838 (46,212) (46,212)
Maternal and Child Health Federal Consolidated Programs National Coalition for Health Profession 93.110 U33MC12786 219,020 219,020
Medical Library Assistance American College of Surgeons 93.879 5G08LM009537-02 12,497 12,497
Brigham and Women's Hospital 93.879 5U54LM008748-04 (13,801) (13,801)
Brigham and Women's Hospital 93.879 5U54LM008748-05 (117,467) (117,467)
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
60
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Medical Library Assistance Brigham and Women's Hospital 93.879 5U54LM008748-06 1,099,865 1,099,865
Partners HealthCare System, Inc. 93.879 5U54LM008748-05 15,095 15,095
The Methodist Hospital Research Institute 93.879 5G08LM008937-03 35,114 35,114
Mental Health Research Career/Scientist Development Awards Mayo Clinic 93.281 5R01GM028835-25 (12,498) (12,498)
Mental Health Research Grants Baylor College of Medicine 93.242 5R01MH074791-02 21,023 21,023
Beth Israel Deaconess Medical Center 93.242 1U01MH081928-03 164,638 164,638
Beth Israel Deaconess Medical Center 93.242 3RO1MH056956-12S1 81,071 81,071
Beth Israel Deaconess Medical Center 93.242 5P50MH080272-02 204,535 244,785 32,197 481,517
Beth Israel Deaconess Medical Center 93.242 5P50MH080272-03 579,894 94,106 674,000
Beth Israel Deaconess Medical Center 93.242 5R01MH056956-12 96,354 96,354
Boston University 93.242 5R21MH072165-04 (141) (141)
Brigham and Women's Hospital 93.242 1R01MH084676-01 12,354 12,354
Brigham and Women's Hospital 93.242 5R01MH069732-05 27,264 27,264
Brigham and Women's Hospital 93.242 7R01MH056956-14 63,132 63,132
Butler Hospital 93.242 1P50MH086400-01 160,671 160,671
Butler Hospital 93.242 5U01MH076179-03 99,334 99,334
Children's Hospital of Boston 93.242 1R01MH087786-01 22,396 22,396
Children's Hospital of Boston 93.242 5R01MH085143-02 5,062 5,062
CIMIT 93.242 1R01MH082922-01A2 10,806 10,806
CIMIT 93.242 1R01MH086026-01 61,581 61,581
CIMIT 93.242 1R01MH090326-01 21,571 21,571
CIMIT 93.242 5R01MH073445-03 123 123
CIMIT 93.242 5R01MH085542-02 74,875 74,875
Harvard Medical School 93.242 5R01MH040799-23 77,402 204,545 281,947
Harvard Medical School 93.242 5R01MH054693-11 58,137 58,137
Harvard Medical School 93.242 K01 MH071714 123,900 123,900
Harvard Medical School 93.242 R01 MH62028-03 (23,618) (23,618)
Harvard School of Public Health 93.242 5R01MH078928-04 375,139 40,994 416,133
Harvard University 93.242 2R01MH31340 (12,631) (12,631)
Harvard University 93.242 5R01MH057915-03 (301) (301)
Harvard University 93.242 5R01MH068376-05 50,964 50,964
Healthcare Technology Systems, Inc. 93.242 2R44MH068950-02 193,985 193,985
Internet Solutions for Kids, Inc. 93.242 1R01MH080662-01 12,285 12,285
Judge Baker Children's Center 93.242 7R01MH065877-05 50,978 50,978
Kennedy Krieger Institute 93.242 5R01MH059630-08 52,881 52,881
Mass General Hospital-CIMIT 93.242 5R01MH073445-04 105,897 105,897
Mass General Hospital-CIMIT 93.242 5R01MH073445-3 213,988 213,988
McLean Hospital 93.242 5P50MH060450-09 179,809 179,809
McLean Hospital 93.242 5R01MH070730-04 7,652 7,652
McLean Hospital 93.242 5R01MH073998-02 74,867 74,867
Medical College of Georgia 93.242 3U01MH070011-03-S2 2,772 2,772
Massachusetts General Hospital 93.242 5R01MH073445-03 29,305 29,305
Mount Sinai School of Medicine 93.242 5P5OMH066172-08 58,679 58,679
New England Research Institute, Inc. 93.242 R01MH081824 38,270 38,270
President and Fellows of Harvard College 93.242 1R01MH081862-01A2 52,195 52,195
President and Fellows of Harvard College 93.242 1R01MH087544-01 67,755 67,755
President and Fellows of Harvard College 93.242 1R01MH087590-01 74,338 74,338
President and Fellows of Harvard College 93.242 5 R01 MH054693-11 43,720 43,720
President and Fellows of Harvard College 93.242 5R01MH060734-08 1 1
President and Fellows of Harvard College 93.242 5R01MH060941-08 5,001 5,001
Research Foundation of State University 93.242 1U01MH085551801 67,999 67,999
Research Foundation of State University 93.242 5R01MH066877-09 70,990 70,990
Social and Scientific Systems, Inc. 93.242 1U01AI068632-01 4,201 4,201
Social and Scientific Systems, Inc. 93.242 BRS-IMPCT-Q-09-00341 241,012 241,012
Tourette Syndrome Association 93.242 5R01MH070802-04 16 16
Trustees of Boston University 93.242 1R21MH086079-01A2 5,696 5,696
University of California at Los Angeles 93.242 5R01MH078773-02 53,337 53,337
University of Iowa 93.242 5U01MH070010-05 4,228 4,228
University of Massachusetts 93.242 5U01MH088278-02 628,687 628,687
University of Massachusetts at Worcester 93.242 3U01MH088278-02S1 8,454 8,454
University of North Carolina, Chapel Hill 93.242 5R01MH077139-02 145,875 145,875
University of Puerto Rico 93.242 1R01MH081975-01A1 467,946 467,946
University of Rochester 93.242 1P50MH086400-02 317,001 317,001
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
61
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Mental Health Research Grants University of Rochester 93.242 5R01MH073111-04 90,937 90,937
University of Southern California 93.242 1R01MH085548-01 53,016 53,016
University of Texas Southwestern Medical 93.242 2P50MH066172-06 (21,925) (21,925)
University of Texas Southwestern Medical 93.242 5P50MH66172-05 91 91
University of Texas Southwestern Medical 93.242 N01MH090003 15,751 15,751
University of Utah 93.242 1R01MH080826 25,013 25,013
University of Utah 93.242 5R01MH084795-02 145,529 145,529
University of Washington 93.242 1R01MH084759-01 18,522 18,522
Yale University School of Medicine 93.242 2R01MH65869-09 224,299 224,299
Microbiology and Infectious Diseases Research Aridis, LLC 93.856 5R41AI072866-02 (2,281) (2,281)
Beth Israel Deaconess Medical Center 93.856 5P50CA101942-05 6,334 6,334
Beth Israel Deaconess Medical Center 93.856 5R01AT002454-04 (1,907) (1,907)
Beth Israel Deaconess Medical Center 93.856 5U01AI066331-04 209,480 209,480
Beth Israel Deaconess Medical Center 93.856 5U19AI066305-05 415,871 415,871
BioScale, Inc. 93.856 5R43AI067050-02 2,022 2,022
Brandeis University 93.856 5U01AI075466-03 41,617 41,617
Brigham and Women's Hospital 93.856 5U19AI046130-08 (62,261) (62,261)
Children's Hospital of Boston 93.856 5U01AI025934-18S1 (18,374) (18,374)
Children's Hospital of Boston 93.856 N01-LM3-3515 (9,319) (9,319)
Dana Farber Cancer Institute 93.856 5P30AI028691-15 (26,177) (26,177)
Duke University 93.856 U19 AI067854 (20,161) (20,161)
Harvard Medical School 93.856 3U01AI027659-19 (297) (297)
Harvard Medical School 93.856 5P30AI060354 (1,569) (1,569)
Harvard Medical School 93.856 5P30AI060354-04 140,677 140,677
Harvard Medical School 93.856 5P30AI060354-05 (16,051) (16,051)
Harvard Medical School 93.856 5P30AI60354 (55) (55)
Harvard Medical School 93.856 P30AI060354 14 14
Harvard Medical School Centers for Aids 93.856 5P30AI060354-05 (20,654) (20,654)
Harvard Medical School Centers for Aids 93.856 P30AI060354 7,953 7,953
President and Fellows of Harvard College 93.856 5U54AI057159-03 (200) (200)
Primary Immunodeficiency Research Consortium 93.856 N01AI030070 (3,500) (3,500)
University of California at San Francisco 93.856 N01AI015416 (1,980) (1,980)
University of Massachusetts at Worcester 93.856 5R01AI052455-05 287 287
Minority Health and Health Disparities Research Harvard Pilgrim Health Care 93.307 1R01MD003963 373,400 373,400
University of Massachusetts 93.307 5P20MD002290-03 8,523 8,523
National Center for Research Resources American College of Radiology 93.389 U10CA021661 122,852 122,852
Brigham and Women's Hospital 93.389 2P41RR013218-13 29,661 29,661
Brigham and Women's Hospital 93.389 5U41RR019703-05 31,250 31,250
Harvard Catalyst - The Harvard Clinical 93.389 1UL1RR025758-01 105,145 88,422 193,567
Harvard Medical School 93.389 1UL1RR025758-01 3,636,931 3,636,931
Harvard Medical School 93.389 5UL1RR025758-02 840,805 840,805
Harvard Medical School Centers for Aids 93.389 (570) (570)
Harvard University 93.389 1 UL1 RR 025758-01 5,546 5,546
Harvard University 93.389 1 UL1 RR025758-01 1,480,999 1,480,999
Harvard University 93.389 1KL2RR025757-01 10,753 10,753
Harvard University 93.389 1UL1RR025758-01 17,148 51,579 68,727
Harvard University 93.389 5UL1 RR025758-02 454,484 454,484
Harvard University 93.389 5UL1 RR025758-03 1,523,727 1,523,727
Harvard University 93.389 5UL1RR025758-02 5,322,733 5,322,733
Harvard University 93.389 5UL1RR025758-03 258,105 258,105
Harvard University 93.389 61,197 61,197
Mass General Hospital-CIMIT 93.389 5U24RR021382-05 178,673 178,673
President and Fellows of Harvard College 93.389 1 UL 1 RR025758-01 14,588 14,588
President and Fellows of Harvard College 93.389 1U1RR025758-01 48,189 48,189
President and Fellows of Harvard College 93.389 1UL1RR025758 18,592 18,592
President and Fellows of Harvard College 93.389 1UL1RR025758-01 1,018 209,106 45,042 255,166
President and Fellows of Harvard College 93.389 1UL1RR025758-02 43,741 22,634 66,375
President and Fellows of Harvard College 93.389 1ULRR025758-02 3,918 3,918
President and Fellows of Harvard College 93.389 5 UL1 RR025758-02 35,562 35,562
President and Fellows of Harvard College 93.389 5UL1 RR025758-03 48,819 48,819
President and Fellows of Harvard College 93.389 5UL1RR025758-02 571,037 480,541 30,353 15,289 1,097,220
President and Fellows of Harvard College 93.389 5UL1RR025758-03 5,226 13,838 19,064
President and Fellows of Harvard College 93.389 5ULRR025758-02 46,923 46,923
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
62
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
National Center for Research Resources President and Fellows of Harvard College 93.389 5ULRR025758-03 2,259 2,259
President and Fellows of Harvard College 93.389 U01RR025758-01 50,316 50,316
President and Fellows of Harvard College 93.389 UL1RR025758 26,889 26,889
President and Fellows of Harvard College 93.389 UL1RR025758-01 47,157 47,157
President and Fellows of Harvard College 93.389 UL1RR025758-02 40,487 40,487
President and Fellows of Harvard College 93.389 4,344 4,344
Roger Williams General Hospital 93.389 2P20RR018757-06 14,152 14,152
University of California at Irvine 93.389 5U24RR021992-04 211,608 211,608
University of California at Irvine 93.389 5U24RR021992-05 356,143 356,143
University of Southern California 93.389 5U24RR025736-02 583,679 583,679
National Center on Sleep Disorders Research Beth Israel Deaconess Medical Center 93.233 1P01HL095491-01A1 111,873 111,873
Beth Israel Deaconess Medical Center 93.233 1R01HL074972-03 24,718 24,718
Beth Israel Deaconess Medical Center 93.233 5P50HL060292-10 (24) (24)
National Institutes of Health Contracts Abt Associates, Inc. 93. 24538 HHSA2902006000 145,315 145,315
Abt Associates, Inc. 93. HHSA290200600011I 44,308 44,308
Abt Associates, Inc. 93. 8,562
Altarum Institute 93. HHS2502006460281 17,675 17,675
Altarum Institute 93. HHSH250200646028I 300,992 300,992
American College of Radiology 93. CA80098 56,929 56,929
AstraZeneca 93. 27,179
Battelle, Columbus Division 93. TCN 07304 (34,243) (34,243)
Battelle, Columbus Division 93. W911NF-07-D-0001 309,583 309,583
Beth Israel Deaconess Medical Center 93. 7,302 7,302
Beth Israel Deaconess Medical Center 93. 06-149 IL-2 17,032 17,032
Beth Israel Deaconess Medical Center 93. 1-2004-355P (7) (7)
Beth Israel Deaconess Medical Center 93. 2R01NS040237-06 (10,634) (10,634)
Beth Israel Deaconess Medical Center 93. 5U19AI057330-05 (30,549) (30,549)
Beth Israel Deaconess Medical Center 93. 7UOIAI051706-05 (10) (10)
Boston BioCom LLC 93. N66001-10-1-2132-S01 113,139 113,139
Boston University 93. N01-HC-25195 740,168 740,168
Brigham and Women's Hospital 93. 16,271 16,271
Case Western Reserve University 93. HHSN275200503403C 132,750 132,750
Children's Hospital of Boston 93. HHS267200800001C 76,418 76,418
Children's Hospital of Boston 93. HHSN266200400030C 217,832 217,832
Children's Hospital of Boston 93. (2,815) (2,815)
CRP, Incorporated 93. 22,192 22,192
Dana Farber Cancer Institute 93. 999118 11,454 11,454
Duke University 93. N01A05419 16,022 16,022
Family Health International 93. 200-2006-19092 59,597 59,597
George Washington University 93. HHSP23320045013XI 222,872 222,872
Harvard Medical School 93. 5T32MH01625-92-7 (4,786) (4,786)
Harvard Medical School 93. 9920070047 273 273
Harvard Pilgrim Health Care 93. 200-2002-00732 64,435 64,435
Harvard Pilgrim Health Care 93. 5R01PH000032-02 15,084 15,084
Harvard Pilgrim Health Care 93. HHSA2902005003I-TO5 (1,738) (1,738)
Harvard Pilgrim Health Care 93. HHSF2232009100061 138,977 138,977
Johns Hopkins University 93. HHSN268200736197C 230,652 230,652
LiveData, Inc. 93. 45,063 45,063
Los Alamos National Laboratory 93. 74092-001-09 45,460 45,460
Luna Innovations 93. FA9550-09-C-0088 665 665
Massachusetts General Hospital 93. 10,578 10,578
Massachusetts Institute of Technology 93. NNX08AX15G 39,890 39,890
Mayo Clinic 93. N01-CN 35000 5,716 5,716
McGill University 93. (70,289) (70,289)
Michigan State University 93. 61-8794-995 7,085 7,085
Mount Sinai School of Medicine 93. HHSN272200900032C 236,476 236,476
NCIRE- 93. P41 RR02953 69,169 69,169
New England Research Institute, Inc. 93. 1N01HC45207 101 101
New England Research Institute, Inc. 93. HHSN268200425207C 213,839 213,839
New England Research Institute, Inc. 93. N01HC045207 536 536
NIH-NCI National Cancer Institute 93. HHSN261201000082C 6,727 6,727
Ohio State University 93. HHSN26800764316C (11,589) (11,589)
Physical Sciences, Inc. 93. W81XWH-06-C-0408 (11,822) (11,822)
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
63
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
National Institutes of Health Contracts Prostate Cancer Foundation 93. 52,443 52,443
Psychological Applications, LLC 93. R43N5061388-01A2 (241) (241)
Radiation Monitoring Devices, Inc. 93. A205336 30,373 30,373
RAND Corporation 93. HHSP23320095649WC 145,931 145,931
Regents of the University of California 93. N01-AI-15416 284 284
Rutgers University 93. W81XWH-08-2-0034 657,790 657,790
Rutgers University 93. (4,701) (4,701)
SAIC-Frederick, Inc. 93. 28XS091 165,915 165,915
SAIC-Frederick, Inc. 93. 28YS259 2,903 2,903
SAIC-Frederick, Inc. 93. 29XS119 222,150 222,150
SAIC-Frederick, Inc. 93. HHSN261200800001E 35,017 35,017
Stanford University 93. 745090-HHSN272200800 302,589 302,589
Starr Foundation 93. 27,787 27,787
Strang Cancer Prevention Center 93. N01-CN-95015 4,588 4,588
Strang Cancer Prevention Center 93. N01-CN-95015-MAO 4,143 4,143
T.R.U.E. Research Foundation 93. W81XH-06-2-0033 265,656 265,656
Tufts University 93. N01 AI30050 (25,426) (25,426)
Ultra Diagnostics, Inc. 93. W81XWH-08-1-0152 572,858 572,858
University of Alabama 93. N01HV58198 62,041 62,041
University of Arizona 93. 223-03-8723 (2,772) (2,772)
University of California at San Francisco 93. N01A115416 633,927 633,927
University of California at San Francisco 93. N01AI15416 100,439 100,439
University of Florida 93. HHSN26620070023C 214,145 214,145
University of Massachusetts Medical 93. N01LM63508 (31) (31)
University of Minnesota 93. HHSP233200800270A 26 26
University of Pittsburgh 93. HHSO1000C00800062C 87,350 87,350
University of Rochester 93. HHSN271200700018C 23,558 23,558
University of Texas 93. U19AI070412091 81,804 81,804
University of Texas Southwestern Medical 93. 205017 (3) (3)
University of Wisconsin - Madison 93. HHSN242200900052 23,600 23,600
University of Wisconsin - Madison 93. N01-AI025496 48,485 48,485
Wake Forest University 93. HHSN268200464221C 12,596 12,596
Washington University 93. N01-HD-2-3343 (3,198) (3,198)
Weill-Cornell Medical College 93. N01CN95015 167,056 167,056
Westat, Inc. 93. 24,597 24,597
NIEHS Superfund Hazardous Substances Basic Research Dartmouth College 93.143 5P42ES007373-16 25,870 25,870
and Education President and Fellows of Harvard College 93.143 70,648 70,648
Nursing Research Boston University 93.361 5R01NR010815-04 170,515 170,515
Columbia University 93.361 5R21NR010710-02 427 427
Occupational Safety and Health Program California Pacific Medical Center 93.262 R01AG026720 12,654 12,654
CIMIT 93.262 3U190H008861-03S1 57,660 57,660
Harvard School of Public Health 93.262 1U19OH008861-01 143,000 143,000
Ohio State Univ Research Foundation 93.262 1R01OH008649-01A1 (15,231) (15,231)
University of Maryland 93.262 7R01OH008649-04 17,586 17,586
University of Massachusetts at Lowell 93.262 5R01OH008254-04 (1,283) (1,283)
Oral Diseases and Disorders Research Brigham and Women's Hospital 93.121 1R01DE019938-01 115,604 115,604
Harvard Medical School 93.121 5 P01 DE012467-05 (25,389) (25,389)
New England Medical Center (NEMC) 93.121 5R01DE015302-05 6,884 6,884
Physical Sciences, Inc. 93.121 1R44DE019047-01A2 33,048 33,048
Physical Sciences, Inc. 93.121 4R22DE019047-02 137,693 137,693
Physical Sciences, Inc. 93.121 5R44DE014803-02 (30,704) (30,704)
University of Puerto Rico 93.121 5R01DE017176-03 48,544 48,544
Population Research Children's Hospital of Boston 93.864 1K99HD061981-01 75,106 75,106
President and Fellows of Harvard College 93.864 1R21HD059955-01A1 91,439 91,439
Rapid Expansion of Antiretroviral Therapy Programs for Harvard School of Public Health 93.266 U51HA02522-06 225,792 225,792
HIV-Infected Persons in Selected Countries in Africa and
the Caribbean Under the President's Emergency Plan for
AIDS Relief Weill-Cornell Medical College 93.266 6U91HA06801-04 105,468 105,468
Research and Training in Complementary and Alternative Albany Medical College 93.213 1R21AT00337-10-1A1 4,070 4,070
Medicine Boston University Medical Center 93.213 5R21AT004015-02 34,125 34,125
CIMIT 93.213 2R01AT004714-02 324,262 324,262
CIMIT 93.213 5R21AT004497-02 16,087 16,087
CIMIT 93.213 5U01AT000613-08 113,869 113,869
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
64
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Research and Training in Complementary and Alternative CIMIT 93.213 5UO1AT000613-07 9,748 9,748
Medicine CIMIT 93.213 R01AT005280-01A1 175 175
Harvard Medical School 93.213 5R21AT003503-04 112,074 112,074
President and Fellows of Harvard College 93.213 5K24AT004095-03 242 242
President and Fellows of Harvard College 93.213 5K24AT004095-04 10,305 10,305
University of Maryland 93.213 5P01AT002605-04 60,891 60,891
University of Washington 93.213 1 R21 AT002895-01A2 33,280 33,280
Wake Forest University 93.213 5P50AT002782-05 299,921 299,921
Research on Healthcare Costs, Quality and Outcomes Board of Trustees of the University of Illinois 93.226 5U18HS016973-03 84,128 84,128
Brigham and Women's Hospital 93.226 1R18HS017030 1,981 1,981
Brigham and Women's Hospital 93.226 5 U18HS016970-03 35,762 35,762
Brigham and Women's Hospital 93.226 5R18HS017151-03 125,547 125,547
Children's Hospital of Philadelphia 93.226 5U18HS016678-02 (193) (193)
Harvard Pilgrim Health Care 93.226 5R18 HS017201-03 100,384 100,384
Harvard Pilgrim Health Care 93.226 5R18HS017045-02 186,146 186,146
Harvard School of Public Health 93.226 5R18HS17048-02 (418) (418)
President and Fellows of Harvard College 93.226 1R01HS018533-01 101,337 101,337
Radianse, Inc. 93.226 5R44RR018076-03 404 404
RAND Corporation 93.226 7R18HS017048-03 54,377 54,377
Rutgers University 93.226 1U18HS017918-01 139,264 139,264
University of Alabama, Birmingham 93.226 1U18HS017919-01 154,802 154,802
University of Massachusetts at Amherst 93.226 1R03HS018795-01 10,273 10,273
University of Massachusetts Medical Center 93.226 5R01HS015430-03 (196) (196)
Yale University School of Medicine 93.226 5U18HS016978-03 204,933 204,933
Research Related to Deafness and Communication Disorders Boston University 93.173 1R21DC010461-01 67,500 67,500
Boston University 93.173 5U19DC003610-11 (2,803) (2,803)
Harvard Medical School 93.173 5R01DC002281-13 (50) (50)
Harvard University 93.173 5R01DC006842-04 159,902 159,902
Regents of the University of California 93.173 2R01DK035423-19A1 162,327 162,327
Sensimetrics Corporation 93.173 1R41DC008722-01-A1 (10,805) (10,805)
University of South Carolina 93.173 1R01DC007640-01A2 155,651 155,651
Wesleyan University 93.173 5R01DC006267-04 (12,468) (12,468)
Resource and Manpower Development in the Environmental Massachusetts Institute of Technology 93.894 2P30ES002109 240 240
Health Services
Telehealth Network Grants Regional Medical Center at Lubec 93.211 G22TH07769 (3,772) (3,772)
Trans-NIH Recovery Act Research Support Allen Institute for Brain Science 93.701 1RC2MH089921-01 452,826 452,826
Arkansas Children's Hospital Research Institute 93.701 1R01MH089466-01 129,233 129,233
Beth Israel Deaconess Medical Center 93.701 1R01CA130895-01A2 36,499 36,499
Beth Israel Deaconess Medical Center 93.701 1R01HL091874-01A1 239,200 239,200
Beth Israel Deaconess Medical Center 93.701 1R21DK082987-01A1 51,538 51,538
Beth Israel Deaconess Medical Center 93.701 1RC1CA146596-01 12,041 12,041
Beth Israel Deaconess Medical Center 93.701 1RC1EB011001-01 11,584 11,584
Beth Israel Deaconess Medical Center 93.701 1RC1HL100110-01 211,941 211,941
Beth Israel Deaconess Medical Center 93.701 1RC2CA147940-01 520,558 520,558
Beth Israel Deaconess Medical Center 93.701 3U01AI066331-05S1 39,064 39,064
Boston Medical Center 93.701 3P30DK046200-17S1 9,511 9,511
Brigham and Women's Hospital 93.701 1R01HD057963-01A2 31,675 31,675
Brigham and Women's Hospital 93.701 1R21HL098938-01 172,712 172,712
Brigham and Women's Hospital 93.701 1RC1LM010460-01 5,368 5,368
Brigham and Women's Hospital 93.701 2P30AR042689-16 24,916 24,916
Brigham and Women's Hospital 93.701 3U01AI063623-05S1 741,734 741,734
Brigham and Women's Hospital 93.701 3U54EB005149-05S3 135,630 135,630
Broad Institute 93.701 1RC2MH089905-01 103,944 103,944
Broad Institute 93.701 1RC2AG036547-01 18,448 18,448
Broad Institute 93.701 1RC2AG036650-01 12,249 12,249
Broad Institute 93.701 1RC2MH089905-01 9,855 9,855
Broad Institute 93.701 3U54HG004570-03S1 165,746 165,746
Brown University 93.701 1RC1HD063931-01 132,040 132,040
Case Western Reserve University 93.701 1RC2HL101417-01 286,556 286,556
Case Western Reserve University 93.701 3U19AI076981-03S1 9,418 9,418
Children's Hosp and Med Center, Seattle 93.701 1RC1AR058605-01 67,411 67,411
Children's Hospital 93.701 1RC2HL102815-01 87,482 87,482
Children's Hospital of Boston 93.701 1R21DK082661-01A1 74,934 74,934
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
65
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Trans-NIH Recovery Act Research Support Children's Hospital of Boston 93.701 1RC1HL099618-01 92,412 92,412
Children's Hospital of Boston 93.701 5R01AI026322-19 41,432 41,432
Columbia University 93.701 3R01CA104842-05 84,452 84,452
Columbia University 93.701 5R01AI084074-03 35,026 35,026
Dana Farber Cancer Institute 93.701 1R01CA140594-01 262,469 262,469
Dana Farber Cancer Institute 93.701 1RC2CA148185-01 57,355 57,355
Dana Farber Cancer Institute 93.701 1RC2HL101367-01 110,830 110,830
Dana Farber Cancer Institute 93.701 1RC2HL101553-01 167,830 167,830
Dana Farber Cancer Institute 93.701 1RC2HL101631-01 23,409 23,409
Dana Farber Cancer Institute 93.701 3P01CA117969-04S1 140,026 140,026
Dana Farber Cancer Institute 93.701 3P30CA06516-45S6 22,684 22,684
Dana Farber Cancer Institute 93.701 3U01CA062490-16S1 164,084 164,084
Dana Farber Cancer Institute 93.701 3U01CA062490-16S2 3,272 3,272
Dana Farber Cancer Institute 93.701 3U01CA062490-16S3 94,862 94,862
Dana Farber Cancer Institute 93.701 5R01CA122737-02 7,688 7,688
Dana Farber Cancer Institute 93.701 5R01CA136851-02 44,150 44,150
Dartmouth College 93.701 2R01AR049834-06A1 36,792 36,792
Duke University 93.701 2R01CA076016-11A1 27,921 27,921
Fraunhofer ITWM 93.701 1R21AI079474-01A1 39,484 39,484
Fred Hutchinson Cancer Research Center 93.701 1RC2CA148286-01 42,020 42,020
Fred Hutchinson Cancer Research Center 93.701 3R01CA059045-12S1 188,715 188,715
Harvard Medical School 93.701 1RC2GM093080-01 558,568 558,568
Harvard Pilgrim Health Care 93.701 1RC1HD063590-01 75,568 75,568
Harvard School of Public Health 93.701 2R01HL060712-10 189,381 189,381
Harvard School of Public Health 93.701 3R01ES014433-3S1 191,478 191,478
Johns Hopkins University 93.701 1RC2NS069395-01 13,111 13,111
Johns Hopkins University 93.701 3P50ES015903-03S1 5,004 5,004
Joslin Diabetes Center 93.701 3P30DK036836-23S2 28,150 28,150
Kaiser Foundation Research Institute 93.701 1RC2HL101589 330,610 330,610
Louisiana State University 93.701 1RC2AT005909-01 441,242 441,242
Maine Medical Center 93.701 1R24DK084970-01 129,414 129,414
Maine Medical Center 93.701 3R01AR054604-03S1 265,072 265,072
Massachusetts Eye and Ear Infirmary 93.701 3R01EY015473-05S1 81,840 81,840
Massachusetts Eye and Ear Infirmary 93.701 7P01AI083214-02 138,050 138,050
Massachusetts Institute of Technology 93.701 1R01HL090856-01A1 174,876 174,876
Massachusetts Institute of Technology 93.701 1RC1AG035711-01 173,591 173,591
Massachusetts Institute of Technology 93.701 1RC1AI086152-01 74,097 74,097
Massachusetts Institute of Technology 93.701 1RC1NS088103-01 72,625 72,625
Massachusetts Institute of Technology 93.701 1RC1RR028241-01 25,517 25,517
Massachusetts Institute of Technology 93.701 1RC2DE020919-01 218,261 218,261
Massachusetts Institute of Technology 93.701 1RC2DE020919-1 34,638 34,638
Massachusetts Institute of Technology 93.701 3U54CA119349-05S1 164,345 164,345
MAT TEK, Inc. 93.701 2R44AR052982-02 36,654 36,654
Medical College of Georgia 93.701 3U24DK076169-04S2 66,506 66,506
MEEI 93.701 1P01AI083214-01 74,685 74,685
NCIRE- 93.701 1RC2AG036535-01 155,405 155,405
NCIRE- 93.701 3P41RR023953-02S1 70,530 70,530
New York University School of Medicine 93.701 1RC1HL100815-01 214,397 214,397
Ohio State University 93.701 1R01NS064275-01A1 75,581 75,581
Physical Sciences, Inc. 93.701 3R44CA128364-03S1 62,029 62,029
Physical Sciences, Inc. 93.701 4R44CA128364-02 150,541 150,541
President and Fellows of Harvard College 93.701 1R01HD056940-01A2 360,981 360,981
President and Fellows of Harvard College 93.701 1R03CA130068-01A2 29,979 29,979
President and Fellows of Harvard College 93.701 1RC1DK087289-01 145,664 145,664
President and Fellows of Harvard College 93.701 1RC2HG005693-01 238,782 238,782
President and Fellows of Harvard College 93.701 3UL1RR025758-02S1 42,626 321,370 363,996
President and Fellows of Harvard College 93.701 5R01CA067262-14S1 108,015 108,015
President and Fellows of Harvard College 93.701 P51RR000168-48S2 81,429 81,429
President and Fellows of Harvard College 93.701 R21MH083205-01A1 11,627 11,627
Regents of the University of California 93.701 1RC2DA029475-01 79,439 79,439
Regents of the University of Minnesota 93.701 3P50DK083007-02S2 16,943 16,943
Rush University Medical Center 93.701 1R21ES016829-01A1 58,734 58,734
Rush University Medical Center 93.701 1RC2AG036650-01 91,104 91,104
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
66
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Trans-NIH Recovery Act Research Support Schepens Eye Research Institute 93.701 1P01AI083214-01 566,540 566,540
The Methodist Hospital Research Institute 93.701 3G08LM008937-02S1 21,630 21,630
Tourette Syndrome Association 93.701 3U01NS040024-07S1 456,883 456,883
Tufts University 93.701 1RC2ES018822-01 90,037 90,037
University of Alabama 93.701 3U01NS042685-04S1 1,067 1,067
University of Alabama, Birmingham 93.701 1RC2AR058964-01 39,203 39,203
University of California at Berkeley 93.701 3U01HG004258-03S1 40,643 40,643
University of California at Irvine 93.701 1RC2NS069422-01 291,962 291,962
University of California at Los Angeles 93.701 1RC1AG035664-01 39,927 39,927
University of California at San Diego 93.701 1RC2AG036535-01 312 312
University of California at San Diego 93.701 3P01AI074621-03S1 14,092 14,092
University of Chicago 93.701 1RC2HL101651-01 116,751 116,751
University of Cincinnati 93.701 2R01NS039512-06A1 57,365 20,493 77,858
University of Colorado 93.701 1RC2CA148394-01 83,016 165,750 248,766
University of Colorado 93.701 2R01DK060590-06A2 55,462 55,462
University of Colorado 93.701 3UL1RR025780-02S3 15,387 15,387
University of Medicine and Dentistry of New Jersey 93.701 1RC2HL101458-01 56,509 56,509
University of North Carolina, Chapel Hill 93.701 1U34DK084511-01 39,021 39,021
University of North Carolina, Chapel Hill 93.701 2R01CA074015-11A1 37,067 37,067
University of Pennsylvania 93.701 1RC2HL101864-01 490,747 490,747
University of Pittsburgh 93.701 1RC2AR058989-01 11,566 11,566
University of Pittsburgh 93.701 3P50GM076659-04S1 23,367 24,127 47,494
University of Pittsburgh, School of Medicine 93.701 1RC1NS068179-01 150,931 150,931
University of Rochester 93.701 2U54NS059065-06 73,762 73,762
University of Washington 93.701 1RC2AG036528-01 3,240 3,240
University of Wisconsin - Madison 93.701 3P01NS042803-07S2 96,373 96,373
Vanderbilt Medical Center 93.701 3R24TW007988-02S1 17,686 17,686
Wistar Institute 93.701 1RC2CA148325-01 141,692 141,692
Yale University School of Medicine 93.701 1RC2NS070340-01 176,162 176,162
Trans-NIH Research Support Broad Institute 93.310 1RL1GM084437-02 17,653 17,653
Broad Institute 93.310 6RL1GM084437-03 98,253 98,253
Massachusetts Institute of Technology 93.310 1-RL1-GM084437-01 (11,562) (11,562)
President and Fellows of Harvard College 93.310 1R21NS059404-01 14,337 14,337
Scripps Research Institute 93.310 5R01CA132630-03 62,821 62,821
Vision Research Brigham and Women's Hospital 93.867 5R01EY017001-04 58,923 58,923
Massachusetts Eye and Ear Infirmary 93.867 2R01EY015473-06A1 82,395 82,395
Massachusetts Eye and Ear Infirmary 93.867 5R01EY015473-05 101,357 101,357
New England Medical Center (NEMC) 93.867 2R01EY011309-11 79,691 79,691
Schepens Eye Research Institute 93.867 1R01EY019470-01 43,106 43,106
Subtotal - Department of Health and Human Services 58,775,858 58,200,539 1,821,831 1,122,278 119,884,765
Department of Homeland Security
Centers for Homeland Security Northeastern University 97.061 2008-ST-061-ED0001 38,457 38,457
Northeastern University 97.061 31,026 31,026
Subtotal - Department of Homeland Security - 69,483 - - 69,483
Department of Transportation
National Highway Transportation Safety Administration Foster-Miller, Inc. 20.614 8,775 8,775
(NHTSA) Discretionary Safety Grants
Subtotal - Department of Transportation - - 8,775 - 8,775
Department of Veterans Affairs
Blind Rehabilitation Centers Boston Veterans Affairs Medical Center 64.007 VA241-P-0594 (69) (69)
Subtotal - Department of Veterans Affairs - (69) - - (69)
Environmental Protection Agency
Science To Achieve Results (STAR) Research Program University of Michigan 66.509 RD-83374001 44,542 44,542
Subtotal - Environmental Protection Agency 44,542 - - - 44,542
National Aeronautics and Space Administration
Aerospace Education Services Program Massachusetts Institute of Technology 43.001 NNG05GK27G 73,668 73,668
National Space Biomedical Research Institute 43.001 HFP00002 136,406 136,406
National Space Biomedical Research Institute 43.001 HFP01601 427,021 427,021
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
67
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH AND DEVELOPMENT PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
National Aeronautics and Space Administration National Space Biomedical Research Institute 43.001 HFP01603 318,721 318,721
Aerospace Education Services Program National Space Biomedical Research Institute 43.001 HFP01605 7,631 7,631
National Space Biomedical Research Institute 43.001 HFP01701 42,928 42,928
National Space Biomedical Research Institute 43.001 HPF01301 178,267 178,267
National Space Biomedical Research Institute 43.001 NBPF02001 88,153 88,153
National Space Biomedical Research Institute 43.001 NRA03OBPR04 1 1
National Space Biomedical Research Institute 43.001 PF02101 55,827 55,827
National Space Biomedical Research Institute 43.001 SMST02201 85,859 85,859
Thomas Jefferson University 43.001 NNX09AM68G 25,216 25,216
Subtotal - National Aeronautics and Space Administration 1,280,171 159,527 - - 1,439,698
National Science Foundation
Biological Sciences Duke University 47.074 IOS-0929226 194,971 194,971
Duke University 47.074 MCB-0519898 (31,214) (31,214)
Pennsylvania State University 47.074 DBI-0850103 73,034 73,034
Regents of the University of Minnesota 47.074 DBI-0923827 177,766 177,766
Computer and Information Science and Engineering Northeastern University 47.070 IIS-0803622 121,887 121,887
University of Illinois at Urbana Champaign 47.070 CNS-0834709 27,670 27,670
University of Pennsylvania 47.070 CNS-08-34524 27,699 27,699
Education and Human Resources The Exploratorium 47.076 ESI-0639656 (91) (91)
Engineering Grants Massachusetts Institute of Technology 47.041 NSF05610 125,649 125,649
Northeastern University 47.041 1R01CA119617-01 (2,206) (2,206)
Northeastern University 47.041 CBET-0828772 33,705 33,705
Northeastern University 47.041 EEC-0946463 13,495 13,495
Social, Behavioral, and Economic Sciences President and Fellows of Harvard College 47.075 BCS-0322611/135909 1,844 1,844
Subtotal - National Science Foundation 73,034 535,674 (91) 155,592 764,209
Total Research and Development Passed Through Other Organizations 62,259,953$ 60,342,737$ 3,162,822$ 1,720,804$ 127,486,316$
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
68
Partners HealthCare System, Inc. and AffiliatesSchedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH TRAINING DIRECT PROGRAM CLUSTER
CFDA Agency/Program CFDA # BWH MGH McLean Other Total
Department of Defense
Military Medical Research and Development 12.420 280,880$ 270,227$ -$ -$ 551,107$
Subtotal - Department of Defense 280,880 270,227 - - 551,107
Department of Health and Human Services
Aging Research 93.866 1,277,803 1,049,968 2,327,771
Alcohol Research Career Development Awards for Scientists 93.271 112,795 92,550 205,345
and Clinicians
Alcohol Research Programs 93.273 172,728 172,728
Allergy, Immunology and Transplantation Research 93.855 2,087,838 2,282,822 4,370,660
Arthritis, Musculoskeletal and Skin Diseases Research 93.846 2,573,157 1,143,280 3,716,437
Biomedical Research and Research Training 93.859 687,395 719,682 1,407,077
Biomedical Research Technology 93.371 537,399 169,504 706,903
Blood Diseases and Resources Research 93.839 329,767 (15,331) 314,436
Cancer Research Manpower 93.398 1,364,464 5,841,042 7,205,506
Cancer Treatment Research 93.395 159 159
Cardiovascular Diseases Research 93.837 5,642,419 2,740,852 8,383,271
Career Development Awards 93.277 182,156 238,755 420,911
Child Health and Human Development Extramural Research 93.865 803,698 346,580 1,150,278
Diabetes, Digestive, and Kidney Diseases Extramural Research 93.847 2,294,490 4,957,236 7,251,726
Digestive Diseases and Nutrition Research 93.848 49,989 183,189 233,178
Discovery and Applied Research for Technological Innovations 93.286 196,440 413,617 610,057
to Improve Human Health
Drug Abuse and Addiction Research Programs 93.279 200,735 501,192 1,072,288 1,774,215
Drug Abuse National Research Service Award for Research 93.278 6,883 6,883
Training
Environmental Health 93.113 152,013 152,013
Extramural Research Programs in the Neurosciences and 93.853 1,366,927 2,594,980 139,766 4,101,673
Neurological Disorders
Human Genome Research 93.172 4,044 4,044
International Research and Research Training 93.989 289,405 225,662 515,067
Kidney Diseases, Urology and Hematology Research 93.849 585,578 788,473 1,374,051
Lung Diseases Research 93.838 1,539,842 756,297 2,296,139
Mental Health National Research Service Awards for 93.282 204,057 17,969 222,026
Research Training
Mental Health Research Career/Scientist Development Awards 93.281 124,876 2,262,481 475,861 2,863,218
Mental Health Research Grants 93.242 81,733 1,212,511 289,155 1,583,399
Microbiology and Infectious Diseases Research 93.856 (123) (123)
National Center for Research Resources 93.389 236,452 289,828 526,280
National Center on Sleep Disorders Research 93.233 394,774 394,774
National Research Service Award in Primary Care Medicine 93.186 383,284 383,284
National Research Service Awards Health Services Research 93.225 42,147 42,147
Training
Nurse Education, Practice and Retention Grants 93.359 544,411 544,411
Nursing Research 93.361 49,166 49,166
Oral Diseases and Disorders Research 93.121 47,934 10,692 58,626
Research and Training in Complementary and Alternative 93.213 490,433 490,433
Medicine
Research on Healthcare Costs, Quality and Outcomes 93.226 376,489 192,535 569,024
Research Related to Deafness and Communication Disorders 93.173 88,683 88,683
Trans-NIH Recovery Act Research Support 93.701 544,777 938,566 27,329 1,510,672
Trans-NIH Research Support 93.310 317,861 317,861
Vision Research 93.867 87,468 87,468
Subtotal - Department of Health and Human Services 24,733,993 31,337,328 2,360,556 - 58,431,877
National Science Foundation
Mathematical and Physical Sciences 47.049 (287) (287)
Biological Sciences 47.074 16,962 16,962
Subtotal - National Science Foundation 16,962 (287) - - 16,675
U.S. Department of State
Academic Exchange Programs - Graduate Students 19.400 26,252 26,252
Subtotal - U.S. Department of State - 26,252 - - 26,252
Total Research Training Direct Program Cluster 25,031,835$ 31,633,520$ 2,360,556$ -$ 59,025,911$
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
71
Partners HealthCare System, Inc. and Affiliates
Schedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH TRAINING PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Department of Energy
Office of Science Financial Assistance Program Northeastern University 81.049 DE-SC0001781 -$ 43,035$ -$ -$ 43,035$
Subtotal - Department of Energy - 43,035 - - 43,035
Department of Health and Human Services
Aging Research Beth Israel Deaconess Medical Center 93.866 3-T32AG023480-05S1 9,941 9,941
Boston University 93.866 5T32AG000277-08 49,174 49,174
Harvard Medical School 93.866 2T32AG00222-16 50,571 50,571
Harvard Medical School 93.866 5T32AG000222-15 (5,037) (5,037)
Harvard Medical School 93.866 5T32AG000222-18 35,636 35,636
Harvard Medical School 93.866 5T32AG00222-17 (10,974) 5,299 (5,675)
Harvard Medical School 93.866 5T32AG00222-18 42,505 42,505
President and Fellows of Harvard College 93.866 5T32AG000222-18 31,212 31,212
Allergy, Immunology and Transplantation Research Beth Israel Deaconess Medical Center 93.855 5T32AI074549-02 30,278 30,278
Beth Israel Deaconess Medical Center 93.855 7U01AI069412-03 80,166 80,166
Harvard Medical School 93.855 2T32AI007245-26 39,515 39,515
Harvard Medical School 93.855 2T32AI07061-31 42,204 42,204
Harvard Medical School 93.855 2T32AI07061-32 44,889 44,889
Harvard Medical School 93.855 5T32AI007061-31 17,823 17,823
Harvard Medical School 93.855 5T32AI07061-32 38,465 38,465
Harvard Medical School 93.855 T32 AI07061-31 27,747 27,747
Harvard School of Public Health 93.855 5 T32 AI007433-17 39,160 39,160
Harvard School of Public Health 93.855 5 T32AI007433-18 36,516 36,516
Harvard School of Public Health 93.855 5T32AI007433-17 (7,353) (7,353)
Harvard School of Public Health 93.855 5T32AI007433-18 47,460 47,460
President and Fellows of Harvard College 93.855 5P30AI060354-05 29,818 29,818
President and Fellows of Harvard College 93.855 T32AI07061-32 100,954 100,954
Arthritis, Musculoskeletal and Skin Diseases Research Brigham and Women's Hospital 93.846 2T32AR007098-32 (1,339) (1,339)
Biological Basis Research in the Neurosciences Harvard School of Public Health 93.854 5T32NS048005-05 22,009 22,009
Blood Diseases and Resources Research Children's Hospital of Boston 93.839 5K12HL087164-04 30,469 30,469
Harvard Medical School 93.839 5T32HL007623-22 (253) (253)
Harvard Medical School 93.839 5T32HL007623-24 48,076 48,076
President and Fellows of Harvard College 93.839 T32 HL07623-25 7,730 7,730
Cancer Centers Support Grants Dana Farber Cancer Institute 93.397 5P50CA090381-07 50,222 50,222
Cancer Research Manpower CIMIT 93.398 5R25CA092203-08 72,900 72,900
Dana Farber Cancer Institute 93.398 5T32CA09361-28 50,356 50,356
Harvard Medical School 93.398 5 T32 CA09031-32 12,739 12,739
Harvard School of Public Health 93.398 5T32CA009001-32 (6,725) (6,725)
Harvard School of Public Health 93.398 5T32CA009078-30 (13,959) (13,959)
Northwestern University 93.398 5K07CA109361-02 (1,988) (1,988)
President and Fellows of Harvard College 93.398 5T32CA009001-35 9,226 9,226
Cardiovascular Diseases Research Brigham and Women's Hospital 93.837 5T32DK007754-07 (1,267) (1,267)
Brigham and Women's Hospital 93.837 T32DK07754-08 (1,072) (1,072)
President and Fellows of Harvard College 93.837 5T32HL007623-23 51,401 51,401
Center for Medical Rehabilitation Research Albert Einstein Healthcare Network 93.929 5K12HD001097-12 (264) (264)
Child Health and Human Development Extramural Research Albert Einstein Healthcare Network 93.865 5K 12HD001097 12 241,357 241,357
Children's Hospital of Boston 93.865 5K12HD052896-04 58,243 58,243
Children's Hospital of Boston 93.865 5T32HD007466-12 (5,783) (5,783)
Children's Hospital of Boston 93.865 5T32HD007466-13 157,441 157,441
Harvard Medical School 93.865 5T32HD052961-05 131,677 131,677
Diabetes, Digestive, and Kidney Diseases Extramural Research Boston Medical Center 93.847 5K08DK070706-05 6,716 6,716
Brigham and Women's Hospital 93.847 5T32DK07754 1,064 1,064
CIMIT 93.847 2T32DK007754-11 102,052 102,052
Joslin Diabetes Center 93.847 5T32DK007260-31 (24,122) (24,122)
Joslin Diabetes Center 93.847 5T32DK063702-05 (9,138) (9,138)
Digestive Diseases and Nutrition Research Brigham and Women's Hospital 93.848 5T32DK007754-09 (497) (497)
Digestive Diseases and Nutrition Research Children's Hospital of Boston 93.848 5K08DK064256-05 (2,275) (2,275)
Joslin Diabetes Center 93.848 1F32DK080635-01 (8,897) (8,897)
Discovery and Applied Research for Technological Innovations Harvard Medical School 93.286 5T32EB001632-05 (81,142) (81,142)
to Improve Human Health
Environmental Health Boston Medical Center 93.113 5K23ES013173-05 82 82
Extramural Research Programs in the Neurosciences and Harvard School of Public Health 93.853 5T32NS048005-06 50,831 50,831
Neurological Disorders Harvard School of Public Health 93.853 T32NS048005-06 65,041 65,041
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
72
Partners HealthCare System, Inc. and Affiliates
Schedule of Expenditures of Federal Awards
Year Ended September 30, 2010
RESEARCH TRAINING PASSED THROUGH OTHER ORGANIZATIONS
CFDA Agency/Program Pass-Through Sponsor CFDA # Pass-Through Number BWH MGH McLean Other Total
Human Genome Research Massachusetts Institute of Technology 93.172 5 T32 HG002295 12,108 12,108
International Research and Research Training Vanderbilt Medical Center 93.989 5R24TW007988-04 17,153 17,153
Vanderbilt University 93.989 5R24TW00798802 (654) (654)
Lung Diseases Research Harvard School of Public Health 93.838 5T32HL007118-33 46,186 46,186
Maternal and Child Health Federal Consolidated Programs President and Fellows of Harvard College 93.110 2T76MC00001-55-00 30,632 30,632
Medical Library Assistance Massachusetts Institute of Technology 93.879 2T15LM007092-17 (14,119) (14,119)
President and Fellows of Harvard College 93.879 5T15LM007092-18 72,241 72,241
Mental Health National Research Service Awards for Research American Psychiatric Institute for Research 93.282 5T32MH19126 58,052 58,052
Training Harvard Medical School 93.282 2T32MH016259-29A (858) (858)
Judge Baker Children's Center 93.282 2T32MH016259-30 30,266 30,266
Judge Baker Children's Center 93.282 5T32MH016259-30 29,520 76,640 106,160
Mental Health Research Grants American Psychiatric Institute for Research 93.242 5T32MH019126-18 (15,696) (15,696)
American Psychiatric Institute for Research 93.242 5T32MH19126-19 15,307 15,307
American Psychiatric Institute for Research 93.242 T32 MH19128-19 52,906 52,906
Children's Hospital of Boston 93.242 5K08MH07458-04 8,632 8,632
Harvard Medical School 93.242 5 T32 MH01629-23 (5,622) (5,622)
Microbiology and Infectious Diseases Research Harvard Medical School 93.856 5U54AI057159-05 (15,080) (15,080)
Harvard University Center for AIDS Research 93.856 5P30AI060354-05 13,970 13,970
National Center for Research Resources Harvard Medical School 93.389 5K30RR022292-09 (7,574) (7,574)
Harvard University 93.389 1KL2RR025757-01 172,642 172,642
President and Fellows of Harvard College 93.389 5KL2RR025757-02 468,667 186,726 655,393
President and Fellows of Harvard College 93.389 5KL2RR025757-03 220,608 220,608
National Institutes of Health Contracts Harvard School of Public Health 93. 2T32AI007433-16 (7,812) (7,812)
Harvard School of Public Health 93. 5T32CA009078-33 (19,644) (19,644)
National Research Service Award in Primary Care Medicine Beth Israel Deaconess Medical Center 93.186 5T32HP011001-21 (12,336) (12,336)
Beth Israel Deaconess Medical Center 93.186 HP12706-01 60,420 60,420
Brigham and Women's Hospital 93.186 T32HP10251-01 (23,241) (23,241)
Children's Hospital 93.186 5T32HP10018-16-00 60,266 60,266
Children's Hospital of Boston 93.186 2t32HP10018-15-00 51,618 51,618
Children's Hospital of Boston 93.186 5T32HP10018-17-00 11,167 11,167
Children's Hospital of Boston 93.186 5T32HS000063-13 (4,755) (4,755)
Children's Hospital of Boston 93.186 5T32NP010018-15 (775) (775)
Oral Diseases and Disorders Research Harvard Medical School 93.121 K12DE014528 (162) (162)
Population Research University of Pennsylvania 93.864 5T32HD040135-07 (14,988) (14,988)
Trans-NIH Research Support Harvard University 93.310 5KL2RR025757-03 107,001 107,001
Vision Research Boston Medical Center 93.867 5K23EY018668-02 884 884
Subtotal - Department of Health and Human Services 1,687,398 1,348,130 170,555 241,093 3,447,176
National Science Foundation
Engineering Grants Massachusetts Institute of Technology 47.041 EEC-0609299 3,069 3,069
Subtotal - National Science Foundation - 3,069 - - 3,069
Total Research Training Passed Through Other Organizations 1,687,398 1,394,234 170,555 241,093 3,493,280
Total Research and Development and Research Training Cluster 378,648,180$ 444,582,425$ 29,162,896$ 3,513,489$ 855,906,990$
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
73
Partners HealthCare System, Inc, and Affiliates
Schedule of Expenditures of Federal Awards
Year Ended September 30, 2010
OTHER PROGRAM CLUSTER
CFDA Agency/Program CFDA # Pass-Through Number BWH MGH McLean Other Total
Department of Agriculture
Special Supplemental Nutrition Program for Women, Infants, and Children 10.557 INTF3502M03700915066 114,197$ -$ -$ -$ 114,197$
Special Supplemental Nutrition Program for Women, Infants, and Children 10.557 410,821 410,821
WIC Grants To States (WGS) 10.578 INTF3502M03700915059 786,887 786,887
WIC Grants To States (WGS) 10.578 267,612 267,612
Subtotal - Department of Agriculture 525,018 1,054,499 - - 1,579,517
Department of Health and Human Services
Bilingual/Bicultural Service Demonstration Grants 93.105 0502503 62,083 62,083
Centers for Disease Control and Prevention Investigations and Technical Assistance 93.283 (417) 156,269 155,852
Coordinated Services and Access to Research for Women, Infants, Children, and Youth 93.153 INTF3712MM3802213228 75,908 75,908
Coordinated Services and Access to Research for Women, Infants, Children, and Youth 93.153 (17,924) (17,924)
Family Planning Services 93.217 FPHPA010203-37-00 7,315 7,315
Family Planning Services 93.217 122,917 122,917
Maternal and Child Health Services Block Grant to the States 93.994 INTF3314MM3703615003 (7,896) (7,896)
Maternal and Child Health Services Block Grant to the States 93.994 43,105 43,105
National Bioterrorism Hospital Preparedness Program 93.889 ASPR FFY2009 8,214 8,214
National Bioterrorism Hospital Preparedness Program 93.889 INTF6207PP1W97209837 (86) (86)
National Bioterrorism Hospital Preparedness Program 93.889 239,427 132,076 512,182 883,685
Subtotal - Department of Health and Human Services 366,710 454,281 - 512,182 1,333,173
Department of Homeland Security
Urban Areas Security Initiative 97.008 46,709 46,709
Subtotal - Department of Homeland Security 46,709 - - - 46,709
Department of Justice
Drug-Free Communities Support Program Grants 16.729 2005-JW-BX-K013 32,284 32,284
Subtotal - Department of Justice - 32,284 - - 32,284
Total Other Program Cluster 938,437$ 1,541,064$ -$ 512,182$ 2,991,683$
TOTAL FEDERAL EXPENDITURES 379,586,617$ 446,123,489$ 29,162,896$ 4,025,671$ 858,898,673$
The accompanying notes are an integral part of the schedule of expenditures of federal awards.
74
Partners HealthCare System, Inc. and AffiliatesNotes to Schedule of Expenditures of Federal AwardsSeptember 30, 2010
75
1. Organization
Partners HealthCare System, Inc. (PHS) is the sole member of the Massachusetts GeneralHospital (MGH), Brigham and Women’s/Faulkner Hospitals, Inc. (BWF), NSMC HealthCare, Inc.(NSMC), Newton-Wellesley Health Care System, Inc. (NWHCS), Partners Continuing Care, Inc.(PCC), and Partners International Medical Services, LLC. PHS appoints the two physicians whoare the member of Partners Community Healthcare, Inc. (PCHI). The individual serving as thePHS President and Chief Executive Officer is the sole member of Partners Harvard MedicalInternational, Inc. (PHMI). PHS, together with all of its affiliates, is referred to as "Partners HealthCare."
2. Summary of Significant Accounting Policies
Basis of PresentationThe accompanying Schedule of Expenditures of Federal Awards includes the federal grant activityof Partners HealthCare System, Inc. and Affiliates ("Partners HealthCare") and is recorded on theaccrual basis of accounting. The Schedule does not include the federal grant activity of the MGHInstitute of Health Professions, Inc. (IHP), also an affiliate of Partners HealthCare. IHP maintains adifferent fiscal year-end (June 30) and has its own stand alone audit performed in accordance withthe OMB Circular A-133.
The information in this Schedule is presented in accordance with the requirements of OMB CircularA-133, Audits of States, Local Governments, and Non-Profit Organizations. Therefore, someamounts presented in this Schedule may differ from amounts presented in or used in thepreparation of the basic financial statements. Negative amounts represent adjustments to amountsreported as expenditures in prior years. Full CFDA and pass-through numbers are provided whereavailable.
The Schedule identifies expenditures (in separate columns) of The Brigham and Women'sHospital, Inc. (BWH), The General Hospital Corporation (MGH) and The McLean HospitalCorporation (McLean). The Schedule combines expenditures of The Spaulding RehabilitationHospital Corporation (Spaulding), North Shore Medical Center, Inc. (North Shore),Newton-Wellesley Hospital (NWH) and Faulkner Hospital, Inc. (Faulkner) under the column"Other". These entities are all affiliates of Partners HealthCare.
All expenditures reported in the Other column for Research and Development Direct Programs andResearch Training Pass Through Programs were made by Spaulding. In addition to Spaulding, theResearch and Development Pass Through Cluster includes expenditures of NWH under CFDAnumbers 12.420 and 93.371.
Under Other Programs, the Schedule includes total expenditures of $512,182 for CFDA number93.889 reported in the Other column. These expenditures include $368,642 for North Shore,$84,632 for NWH and $58,908 for Faulkner. In addition, expenditures for CFDA numbers 10.557,10.578, 93.105, 93.153, 93.217, 93.889 and 93.994 passed through the Commonwealth ofMassachusetts.
3. Brigham MRI Research Center
In March 2010, BWH received award #1G20RR031051-01, CFDA number 93.701 totaling$6,089,770 from the National Center for Research Resources of the Department of Health andHuman Services for purposes of constructing the Brigham MRI Research Center (BMRC). A
Partners HealthCare System, Inc. and AffiliatesNotes to Schedule of Expenditures of Federal AwardsSeptember 30, 2010
76
portion of the fiscal 2010 costs are included in the Construction Programs Cluster of the Schedule.Additional construction costs of $12,640 are capitalized in the Hospital’s financial statements andare therefore not reported on the face of the Schedule.
4. Facilities and Administrative Costs
The predetermined facilities and administrative cost rates were based on financial informationsubmitted utilizing the method prescribed in OASC-3. The Hospitals negotiated and were awardedpredetermined facilities and administrative cost rates and fringe benefit rates as follows:
Hospital Rate Type Period Covered Rate
BWH On-site research Oct 1, 2009 – Sep 30, 2010 78%
Off-site research Oct 1, 2009 – Sep 30, 2010 27%Fringe Oct 1, 2009 – Sep 30, 2010 27% - 35%
MGH On-site research Oct 1, 2009 – Sep 30, 2010 77%
Off-site research Oct 1, 2009 – Sep 30, 2010 27%
Fringe Oct 1, 2009 – Sep 30, 2010 11% - 35%
McLean Research Oct 1, 2009 – Sep 30, 2010 58%
Fringe Oct 1, 2009 – Sep 30, 2010 30%
Spaulding Research Oct 1, 2009 – Sep 30, 2010 65%
Fringe Oct 1, 2009 – Sep 30, 2010 10% - 35%
5. Subrecipients
During fiscal 2010, Partners HealthCare provided $101,550,990 to subrecipients in the Researchand Development and Research Training Cluster as follows. The amounts reported in the "Other"column are forSpaulding exclusively. These amounts are included in the accompanying Scheduleof Expendituresof Federal Awards:
MGH BWH McLean Other Total
Adcare Hospital of Worcester, Inc. -$ -$ 22,546$ -$ 22,546$
Albert Einstein Collegeof Medicine 435,467 435,467
American Academy ofPediatrics 137,022 137,022
American College of Radiology 131,036 131,036
American Medical Informatics Association 51,875 51,875
Arizona State University 240,360 44,190 284,550Arkansas Children's Hospital 137,013 137,013
Auburn University 177,900 177,900
Autism Speaks, Inc. 236,026 236,026
Battelle 912,709 912,709
Baylor College of Medicine, Inc. 457,591 468,513 926,104
Bedford VA ResearchCorporation, Inc. 269,015 269,015
Beth Israel DeaconessMedical Center 2,687,142 3,062,552 68,485 14,902 5,833,081
Boston College 79,179 45,838 125,017
Boston Medical Center 615,013 158,876 773,889
Boston University 1,384,287 1,466,358 245,654 111,206 3,207,506
Boston V A ResearchInstitute, Inc. 105,009 114,692 21,510 241,212
Brigham and Women'sHospital 4,663,427 44,986 4,708,413
Brown University 309,102 69,431 378,533
Butler Hospital 38,239 38,239
CAB Health & Recovery Services, Inc. 15,878 15,878
California Pacific Medical Center 79,347 79,347
Cambridge Health Alliance, Inc. 28,288 28,288
Partners HealthCare System, Inc. and AffiliatesNotes to Schedule of Expenditures of Federal AwardsSeptember 30, 2010
77
MGH BWH McLean Other Total
Cambridge Polymer Group, Inc. 71,732 71,732
Cardiff University 151,269 151,269Carnegie Mellon University 21,299 21,299
Case Western Reserve University 549,328 549,328
Centre National de la Recherche Scientifique 50,786 50,786
Charles Stark Draper Laboratory, Inc. 105,919 25,743 131,662
Children'sHospital Boston 1,261,133 1,801,965 11,784 3,074,882
Children'sMercy Hospital 35,897 35,897
CincinnatiChildren's HospitalMedical Center 185,062 185,062
ClevelandClinic 462,745 206,808 669,553
Colorado State University 11,621 377,044 388,665
ColumbiaUniversity 191,376 275,953 91,776 559,105
Dana Farber Cancer Institute 1,121,348 3,223,885 4,345,232
DartmouthCollege 442,522 1,428 443,950
Duke University 224,049 224,049
East Tennessee State University 35,962 35,962
Emory University 6,852 6,852
Fallon Clinic, Inc. 285,887 285,887
Fraunhofer ITWM 32,434 32,434
Fred Hutchinson Cancer Research Center 167,683 167,683
G E Global Research 445,917 445,917
George Washington University 127,596 127,596
Georgetown University 25,449 25,449Georgia Tech Research Corp 296,021 296,021Harvard Clinical Research Institute 261,156 261,156
Harvard Medical School 1,215 7,425 8,640
Harvard Pilgrim Healthcare 8,023 143,869 151,891
Harvard Vanguard Medical Assoc, Inc. 283,082 283,082
Harvey Mudd College 43,373 43,373
Hebrew Rehabilitation Center 57,517 57,517
Henry MJackson Foundation 355,450 355,450
Heriot Watt University 9,450 9,450
Holland Bloorview Kids Rehabilitation Hospital 241,222 241,222
Hospital for Special Surgery 82,219 82,219
IBM Corporation 100,240 100,240
Imperial College London 40,035 40,035
Indiana University 25,702 25,702
Institut National de la Recherche Scientifique 47,628 47,628
Instituto Nacional de Salud Publica 85,267 85,267
InternationalCentre for Diarrhoeal Disease Research 110,171 110,171
JacksonLaboratory 300,512 300,512
Johns Hopkins University 412,226 683,788 81,245 1,177,259
Joslin Diabetes Center, Inc. 1,149,102 260,103 1,409,205
Kaiser Foundation Research Institute 157,973 188,497 346,470
KarolinskaInstitute 10,337 64,800 75,137Kennedy Krieger Research Institute 94,475 94,475
Kitware, Inc. 653,344 653,344
Lahey Clinic, Inc. 265,160 265,160
Leiden University Medical Center 54,299 54,299
LouisianaState University 86,484 86,484
Loyola University Chicago 44,460 44,460
Magee Women's Hospital Corp 55,799 55,799
Massachusetts Eye and Ear Infirmary 41,078 77,202 118,280
Massachusetts General Hospital 8,145,559 89,857 113,692 8,349,108
Massachusetts Institute of Technology 4,270,493 1,636,872 5,907,365
Max Planck Institute 26,422 26,422
Mayo Clinic 18,800 67,771 48,427 134,998
McCord Hospital 10,141 10,141
McGill University 147,039 147,039
McLean Hospital 493,325 493,325
MemorialSloan Kettering Cancer Center 45,633 45,633
Mind Research Network 195,946 195,946
Miriam Hospital and Rhode Island Hospital 970,112 42,894 1,013,007
Mirtech, Inc. 167,048 167,048
Mount Sinai School of Medicine 163,751 205,278 369,028
National Institute of Public Health 35,150 35,150National Jewish Health 1,403,200 1,403,200National Research Institute of Tuberculosis and Lung Disease 79,683 79,683
Nederlands Kanker Institute - Antoni van Leeuwenhoek 69,080 69,080
New YorkMedical College 325,778 325,778
New YorkUniversity 66,615 13,000 79,615
Newark Beth Israel Medical Center 20,000 20,000
Northeastern University 278,195 105,589 79,172 462,956
Northwestern University 810,442 119,926 930,368
Ohio State University 189,365 189,365
Oregon Health and Science University 233,507 271,874 505,380
Ottawa Health Research Institute 139,683 139,683
Partners inHealth, Inc. 41,992 41,992
Pennsylvania State University 31,229 31,229
Presidentsand Fellows of Harvard College 2,201,683 7,615,015 44,332 5,702 9,866,733
Partners HealthCare System, Inc. and AffiliatesNotes to Schedule of Expenditures of Federal AwardsSeptember 30, 2010
78
MGH BWH McLean Other Total
Princeton University 124,998 124,998
Purdue University 49,382 49,382Queen's University 206,679 206,679
Queen's University Belfast 4,098 4,098
Regents of the University of Minnesota 15,000 169,235 184,235
Rensselaer PolytechnicInstitute 40,953 40,953
Research Foundation Mental Hygiene, Inc. 267,631 267,631
Research Foundation of the City University of New York 45,232 45,232
Research Foundation of the State University of New York 642,051 230,303 160,744 1,033,098
Research Institute of Nationwide Children's Hospitals 90,392 90,392
Rhode Island Hospital 409,415 10,770 420,185
Rush University Medical Center 111,393 24,544 135,937
Rutgers University 20,190 20,190
San Diego State University Foundation 297,653 297,653
Scripps Research Institute 824 824
Seoul National University Hospital 48,882 48,882
Socios en Salud Sucursal Peru 368,157 368,157
Southern Methodist University 134,806 134,806
Spaulding Rehabilitation Hospital 120,461 17,045 137,505
Stanford University 2,024,346 807,190 2,831,536TechEn, Inc. 147,634 147,634
Technion R&D Foundation 62,374 62,374
Temple University 5,067 108,393 113,460
The Emmes Corporation 101,364 101,364
The Hebrew Universityof Jerusalem 39,472 39,472
The Hospital for Sick Children Research Institute 40,288 40,288
The Methodist HospitalResearch Institute 2,500 2,500
The University of HongKong 151,674 151,674
Thomas Jefferson University 40,505 40,505
Translational GenomicsResearch Institute 2,524 2,524
True Research Foundation 88,652 88,652
Tufts Medical Center 180,409 77,083 257,491
Tufts University 313,802 559,182 872,984
Umkhuseli Fund Management 1,514 1,514
Universitat Pompeu Fabra 9,764 9,764
University Medical Center Hamburg-Eppendorf 100,694 100,694
University of Alabama 162,171 5,500 167,671
University of Arizona 19,765 377,317 397,082
University of Birmingham 31,824 31,824University of Bristol 10,856 10,856
University of California 1,777,012 1,257,739 13,050 3,047,801
University of Cape Town 33,486 33,486
University of Chicago 3,418 524,860 528,279
University of Cincinnati 39,819 39,819
University of Colorado 274,494 33,910 308,404
University of ColoradoHealth Sciences Center 23,393 24,415 47,808
University of Connecticut 81,380 81,380
University of Dundee 9,450 9,450
University of Florida 564,236 564,236
University of Frankfurt 25,000 25,000
University of Hamberg 93,762 93,762
University of Illinois 101,675 101,675
University of Iowa 105,392 56 105,448
University of KentuckyResearch Foundation 1,203 1,203
University of KwaZulu Natal 62,291 62,291
University of Maryland 232,721 294,753 527,474
University of Massachusetts 613,735 415,785 4,408 1,033,928
University of Melbourne 32,021 32,021University of Michigan 58,304 34,412 92,717
University of Missouri Health Care System 112,997 112,997
University of Nebraska 149,344 149,344
University of New Mexico 72,122 72,122
University of North Carolina 100,639 433,929 57,024 591,592
University of North Dakota 7,260 7,260
University of Oklahoma 1,584 1,584
University of Oregon 46,270 46,270
University of Oxford 230,902 230,902
University of Pennsylvania 386,871 429,209 159,958 976,038
University of Pittsburgh 895,129 1,074,139 1,969,269
University of Puerto Rico 646,640 10,531 657,171
University of RochesterMedical Center 685,430 393,431 68,477 1,147,338
Partners HealthCare System, Inc. and AffiliatesNotes to Schedule of Expenditures of Federal AwardsSeptember 30, 2010
79
MGH BWH McLean Other Total
University of South Carolina 132,544 124,086 256,630
University of South Florida 5,764 5,764University of Southern California 1,938,967 1,223,018 3,161,986
University of Texas Health Science Center 1,806,482 179,986 149,501 2,135,969
University of Texas Southwestern Medical Center 12,009 69,271 81,280
University of Utah 118,684 727,919 58,733 905,336
University of Virginia 22,400 299,063 321,463
University of Washington 619,352 285,594 904,947
University of Wisconsin 12,328 15,926 130,634 158,888
Vanderbilt University 535,531 259,410 794,940
Wake Forest University Health Sciences 229,355 229,355
Washington University 241,748 280,250 521,998
Weill Medical College of Cornell University 82,527 82,527
Wellesley College 67,124 67,124
Whitehead Institute 39,052 99,621 138,673
Wistar Institute 304,501 304,501
Yale University 224,964 373,743 598,707
46,821,794$ 52,044,729$ 2,317,457$ 367,010$ 101,550,990$
Part II
Reports on Compliance and Internal Controls
Report of Independent Auditors on Internal Control over Financial Reporting and on Compliance and
Other Matters Based on an Audit of Financial Statements Performed in
Accordance with
To the Board of Directors of
Partners HealthCare System, Inc. and Affiliates
We have audited the financial statements of Partners HealthCare System, Inc. and Affiliates ("Partners
HealthCare") as of and for the year ended Sept
December 10, 2010. We conducted our audit in accordance with auditing standards generally accepted in
the United States of America and the standards applicable to financial audits contained in Gover
Auditing Standards, issued by the Comptroller General of the United States.
Internal Control Over Financial Reporting
In planning and performing our audit, we considered Partners HealthCare’s internal control over financial
reporting as a basis for designing our auditing procedures for the purpose of expressing our opinion on the
financial statements, but not for the purpose of expressing an opinion on the effectiveness of Partners
HealthCare's internal control over financial reporting. Accordingly,
effectiveness of Partners HealthCare's internal control over financial reporting.
A deficiency in internal control exists when the design or operation of a control does not allow management
or employees, in the normal course of performing their assigned functions, to prevent, or detect and correct
misstatements on a timely basis. A material weakness is a deficiency, or combination of deficiencies, in
internal control, such that there is a reasonable possibility that a ma
financial statements will not be prevented, or detected and corrected on a timely basis.
Our consideration of internal control over financial reporting was for the limited purpose described in the first
paragraph of this section and was not designed to identify all deficiencies in internal control over financial
reporting that might be deficiencies, significant deficiencies, or material weaknesses. We did not identify any
deficiencies in internal control over financial r
defined above.
Report of Independent Auditors on Internal Control over Financial Reporting and on Compliance and
Other Matters Based on an Audit of Financial Statements Performed in
Accordance with Government Auditing Standards
Partners HealthCare System, Inc. and Affiliates
We have audited the financial statements of Partners HealthCare System, Inc. and Affiliates ("Partners
HealthCare") as of and for the year ended September 30, 2010, and have issued our report thereon dated
10, 2010. We conducted our audit in accordance with auditing standards generally accepted in
the United States of America and the standards applicable to financial audits contained in Gover
Auditing Standards, issued by the Comptroller General of the United States.
Internal Control Over Financial Reporting
In planning and performing our audit, we considered Partners HealthCare’s internal control over financial
esigning our auditing procedures for the purpose of expressing our opinion on the
financial statements, but not for the purpose of expressing an opinion on the effectiveness of Partners
HealthCare's internal control over financial reporting. Accordingly, we do not express an opinion on the
effectiveness of Partners HealthCare's internal control over financial reporting.
A deficiency in internal control exists when the design or operation of a control does not allow management
urse of performing their assigned functions, to prevent, or detect and correct
misstatements on a timely basis. A material weakness is a deficiency, or combination of deficiencies, in
internal control, such that there is a reasonable possibility that a material misstatement of the entity's
financial statements will not be prevented, or detected and corrected on a timely basis.
Our consideration of internal control over financial reporting was for the limited purpose described in the first
section and was not designed to identify all deficiencies in internal control over financial
reporting that might be deficiencies, significant deficiencies, or material weaknesses. We did not identify any
deficiencies in internal control over financial reporting that we consider to be material weaknesses, as
Report of Independent Auditors on Internal Control over Financial Reporting and on Compliance and
Other Matters Based on an Audit of Financial Statements Performed in
We have audited the financial statements of Partners HealthCare System, Inc. and Affiliates ("Partners
30, 2010, and have issued our report thereon dated
10, 2010. We conducted our audit in accordance with auditing standards generally accepted in
the United States of America and the standards applicable to financial audits contained in Government
In planning and performing our audit, we considered Partners HealthCare’s internal control over financial
esigning our auditing procedures for the purpose of expressing our opinion on the
financial statements, but not for the purpose of expressing an opinion on the effectiveness of Partners
we do not express an opinion on the
A deficiency in internal control exists when the design or operation of a control does not allow management
urse of performing their assigned functions, to prevent, or detect and correct
misstatements on a timely basis. A material weakness is a deficiency, or combination of deficiencies, in
terial misstatement of the entity's
financial statements will not be prevented, or detected and corrected on a timely basis.
Our consideration of internal control over financial reporting was for the limited purpose described in the first
section and was not designed to identify all deficiencies in internal control over financial
reporting that might be deficiencies, significant deficiencies, or material weaknesses. We did not identify any
eporting that we consider to be material weaknesses, as
PricewaterhouseCoopers LLP, 125 High Street, Boston, MA 02110T: (617) 530 5000, F: (617) 530
Compliance and Other Matters
As part of obtaining reasonable assurance about whether Partners HealthCare’s financial statements are free
of material misstatement, we performed tests of
contracts and grant agreements, noncompliance with which could have a direct and material effect on the
determination of financial statement amounts. However, providing an opinion on compliance
provisions was not an objective of our audit and, accordingly, we do not express such an opinion. The
results of our tests disclosed no instances of noncompliance or other matters that are required to be reported
under Government Auditing Stand
We noted certain matters that we reported to management of Partners HealthCare in a separate letter dated
December 1, 2010.
This report is intended solely for the information and use of Partners HealthCare’s Board of Directors,
management, federal awarding agencies and pass
be used by anyone other than these specified parties.
December 10, 2010
PricewaterhouseCoopers LLP, 125 High Street, Boston, MA 02110T: (617) 530 5000, F: (617) 530 5001, www.pwc.com/us
Compliance and Other Matters
As part of obtaining reasonable assurance about whether Partners HealthCare’s financial statements are free
of material misstatement, we performed tests of its compliance with certain provisions of laws, regulations,
contracts and grant agreements, noncompliance with which could have a direct and material effect on the
determination of financial statement amounts. However, providing an opinion on compliance
provisions was not an objective of our audit and, accordingly, we do not express such an opinion. The
results of our tests disclosed no instances of noncompliance or other matters that are required to be reported
under Government Auditing Standards.
We noted certain matters that we reported to management of Partners HealthCare in a separate letter dated
This report is intended solely for the information and use of Partners HealthCare’s Board of Directors,
warding agencies and pass-through entities, and is not intended to be and should not
be used by anyone other than these specified parties.
As part of obtaining reasonable assurance about whether Partners HealthCare’s financial statements are free
its compliance with certain provisions of laws, regulations,
contracts and grant agreements, noncompliance with which could have a direct and material effect on the
determination of financial statement amounts. However, providing an opinion on compliance with those
provisions was not an objective of our audit and, accordingly, we do not express such an opinion. The
results of our tests disclosed no instances of noncompliance or other matters that are required to be reported
We noted certain matters that we reported to management of Partners HealthCare in a separate letter dated
This report is intended solely for the information and use of Partners HealthCare’s Board of Directors,
through entities, and is not intended to be and should not
Report of Independent Auditors on Compliance with Requirements
That Could Have a Direct and Material Effect on Each Major Program and on Internal Control Over
Compliance in Accordance
To the Board of Directors of
Partners HealthCare System, Inc. and Affiliates
Compliance
We have audited the compliance of Partners HealthCare System, Inc. and Affiliates ("Partners HealthCare")
with the types of compliance requireme
could have a direct and material effect on each of its major federal programs for the year ended September
2010. Partners HealthCare's major federal programs are identified in the summ
of the accompanying schedule of findings and questioned costs. Compliance with the requirements of laws,
regulations, contracts and grants applicable to each of its major federal programs is the responsibility of
Partners HealthCare’s management. Our responsibility is to express an opinion on Partners HealthCare’s
compliance based on our audit.
We conducted our audit of compliance in accordance with auditing standards generally accepted in the United
States of America; the standards applicable to financial audits contained in Government Auditing Standards,
issued by the Comptroller General of the United States; and OMB Circular A
Governments, and Non-Profit Organizations. Those standards and OM
and perform the audit to obtain reasonable assurance about whether noncompliance with the types of
compliance requirements referred to above that could have a direct and material effect on a major federal
program occurred. An audit includes examining, on a test basis, evidence about Partners HealthCare’s
compliance with those requirements and performing such other procedures as we considered necessary in the
circumstances. We believe that our audit provides a reasonab
provide a legal determination of Partners HealthCare’s compliance with those requirements.
In our opinion, Partners HealthCare complied, in all material respects, with the requirements referred to above
that could have a direct and material effect on each of its major federal programs for the year ended
September 30, 2010. However, the results of our auditing procedures disclosed an instance of noncompliance
with those requirements, which is required to be repo
described in the accompanying schedule of findings and questioned costs as item 10
Report of Independent Auditors on Compliance with Requirements
That Could Have a Direct and Material Effect on Each Major Program and on Internal Control Over
Compliance in Accordance with OMB Circular A-133
Partners HealthCare System, Inc. and Affiliates
We have audited the compliance of Partners HealthCare System, Inc. and Affiliates ("Partners HealthCare")
with the types of compliance requirements described in the OMB Circular A-133 Compliance Supplement that
could have a direct and material effect on each of its major federal programs for the year ended September
2010. Partners HealthCare's major federal programs are identified in the summary of auditor's results section
of the accompanying schedule of findings and questioned costs. Compliance with the requirements of laws,
regulations, contracts and grants applicable to each of its major federal programs is the responsibility of
HealthCare’s management. Our responsibility is to express an opinion on Partners HealthCare’s
We conducted our audit of compliance in accordance with auditing standards generally accepted in the United
standards applicable to financial audits contained in Government Auditing Standards,
issued by the Comptroller General of the United States; and OMB Circular A-133, Audits of States, Local
Profit Organizations. Those standards and OMB Circular A-133 require that we plan
and perform the audit to obtain reasonable assurance about whether noncompliance with the types of
compliance requirements referred to above that could have a direct and material effect on a major federal
red. An audit includes examining, on a test basis, evidence about Partners HealthCare’s
compliance with those requirements and performing such other procedures as we considered necessary in the
circumstances. We believe that our audit provides a reasonable basis for our opinion. Our audit does not
provide a legal determination of Partners HealthCare’s compliance with those requirements.
In our opinion, Partners HealthCare complied, in all material respects, with the requirements referred to above
uld have a direct and material effect on each of its major federal programs for the year ended
30, 2010. However, the results of our auditing procedures disclosed an instance of noncompliance
with those requirements, which is required to be reported in accordance with OMB Circular A
described in the accompanying schedule of findings and questioned costs as item 10-
Report of Independent Auditors on Compliance with Requirements
That Could Have a Direct and Material Effect on Each Major Program and on Internal Control Over
We have audited the compliance of Partners HealthCare System, Inc. and Affiliates ("Partners HealthCare")
133 Compliance Supplement that
could have a direct and material effect on each of its major federal programs for the year ended September 30,
ary of auditor's results section
of the accompanying schedule of findings and questioned costs. Compliance with the requirements of laws,
regulations, contracts and grants applicable to each of its major federal programs is the responsibility of
HealthCare’s management. Our responsibility is to express an opinion on Partners HealthCare’s
We conducted our audit of compliance in accordance with auditing standards generally accepted in the United
standards applicable to financial audits contained in Government Auditing Standards,
133, Audits of States, Local
133 require that we plan
and perform the audit to obtain reasonable assurance about whether noncompliance with the types of
compliance requirements referred to above that could have a direct and material effect on a major federal
red. An audit includes examining, on a test basis, evidence about Partners HealthCare’s
compliance with those requirements and performing such other procedures as we considered necessary in the
le basis for our opinion. Our audit does not
provide a legal determination of Partners HealthCare’s compliance with those requirements.
In our opinion, Partners HealthCare complied, in all material respects, with the requirements referred to above
uld have a direct and material effect on each of its major federal programs for the year ended
30, 2010. However, the results of our auditing procedures disclosed an instance of noncompliance
rted in accordance with OMB Circular A-133 and which is
-1.
Internal Control Over Compliance
Management of Partners HealthCare is responsible for establishing and maintaini
over compliance with the requirements of laws, regulations, contracts, and grants applicable to federal
programs. In planning and performing our audit, we considered Partners HealthCare’s internal control over
compliance with the requirements that could have a direct and material effect on a major federal program in
order to determine the auditing procedures for the purpose of expressing our opinion on compliance and to
test and report on internal control over compliance in ac
purpose of expressing an opinion on the effectiveness of internal control over compliance. Accordingly we do
not express an opinion on the effectiveness of Partners HealthCare's internal control over compl
A deficiency in internal control over compliance exists when the design or operation of a control over
compliance does not allow management or employees, in the normal course of performing their assigned
functions, to prevent, or detect and correct
program on a timely basis. A material weakness in internal control over compliance is a deficiency, or
combination of deficiencies, in internal control over compliance, such that there is a
material noncompliance with a type of compliance requirement of a federal program will not be prevented, or
detected and corrected on a timely basis.
Our consideration of internal control over compliance was for the limited purp
paragraph of this section and was not designed to identify all deficiencies in internal control over compliance
that might be deficiencies, significant deficiencies, or material weaknesses. We did not identify any
deficiencies in internal control over compliance that we consider to be material weaknesses, as defined above.
Partner HealthCare's response to the finding identified in our audit is described in the accompanying schedule
of findings and questioned costs. We did not au
express no opinion on the response.
This report is intended solely for the information and use of Partners HealthCare's of Directors, management,
and federal awarding agencies, and pass
anyone other than these specified parties.
March 31, 2011
nternal Control Over Compliance
Management of Partners HealthCare is responsible for establishing and maintaining effective internal control
over compliance with the requirements of laws, regulations, contracts, and grants applicable to federal
programs. In planning and performing our audit, we considered Partners HealthCare’s internal control over
the requirements that could have a direct and material effect on a major federal program in
order to determine the auditing procedures for the purpose of expressing our opinion on compliance and to
test and report on internal control over compliance in accordance with OMB Circular A
purpose of expressing an opinion on the effectiveness of internal control over compliance. Accordingly we do
not express an opinion on the effectiveness of Partners HealthCare's internal control over compl
A deficiency in internal control over compliance exists when the design or operation of a control over
compliance does not allow management or employees, in the normal course of performing their assigned
functions, to prevent, or detect and correct noncompliance with a type of compliance requirement of a federal
program on a timely basis. A material weakness in internal control over compliance is a deficiency, or
combination of deficiencies, in internal control over compliance, such that there is a reasonable possibility that
material noncompliance with a type of compliance requirement of a federal program will not be prevented, or
detected and corrected on a timely basis.
Our consideration of internal control over compliance was for the limited purpose described in the first
paragraph of this section and was not designed to identify all deficiencies in internal control over compliance
that might be deficiencies, significant deficiencies, or material weaknesses. We did not identify any
n internal control over compliance that we consider to be material weaknesses, as defined above.
Partner HealthCare's response to the finding identified in our audit is described in the accompanying schedule
of findings and questioned costs. We did not audit Partners HealthCare's response and, accordingly, we
express no opinion on the response.
This report is intended solely for the information and use of Partners HealthCare's of Directors, management,
and federal awarding agencies, and pass-through entities and is not intended to be and should not be used by
anyone other than these specified parties.
ng effective internal control
over compliance with the requirements of laws, regulations, contracts, and grants applicable to federal
programs. In planning and performing our audit, we considered Partners HealthCare’s internal control over
the requirements that could have a direct and material effect on a major federal program in
order to determine the auditing procedures for the purpose of expressing our opinion on compliance and to
cordance with OMB Circular A-133, but not for the
purpose of expressing an opinion on the effectiveness of internal control over compliance. Accordingly we do
not express an opinion on the effectiveness of Partners HealthCare's internal control over compliance.
A deficiency in internal control over compliance exists when the design or operation of a control over
compliance does not allow management or employees, in the normal course of performing their assigned
noncompliance with a type of compliance requirement of a federal
program on a timely basis. A material weakness in internal control over compliance is a deficiency, or
reasonable possibility that
material noncompliance with a type of compliance requirement of a federal program will not be prevented, or
ose described in the first
paragraph of this section and was not designed to identify all deficiencies in internal control over compliance
that might be deficiencies, significant deficiencies, or material weaknesses. We did not identify any
n internal control over compliance that we consider to be material weaknesses, as defined above.
Partner HealthCare's response to the finding identified in our audit is described in the accompanying schedule
dit Partners HealthCare's response and, accordingly, we
This report is intended solely for the information and use of Partners HealthCare's of Directors, management,
es and is not intended to be and should not be used by
Part III
Federal Award Findings and Questioned Costs
Partners HealthCare System, Inc. and AffiliatesSchedule of Findings and Questioned CostsYear Ended September 30, 2010
86
I. Summary of Auditor's Results
Financial StatementsType of auditor's report issued Unqualified
Internal control over financial reportingMaterial weakness(es) identified? yes X noSignificant deficiency(ies) identified that are notconsidered to be material weaknesses? yes X none reported
Noncompliance material to financial statements noted? yes X no
Federal AwardsInternal control over major programsMaterial weakness(es) identified? yes X noSignificant deficiency(ies) identified that are notconsidered to be material weaknesses? yes X none reported
Type of auditor's report issued on compliance formajor programs Unqualified
Any audit findings disclosed that are requiredto be reported in accordance with section 510(a)of OMB Circular A-133? X yes no
Identification of Major Programs Name of Federal Program or Cluster
Various CFDA numbers Research and Development andResearch Training Cluster
Dollar threshold used to distinguish between Type Aand Type B programs $3,000,000
Auditee qualified as low-risk auditee? X yes no
II. Financial Statement Findings
No findings to report.
Partners HealthCare System, Inc. and AffiliatesSchedule of Findings and Questioned CostsYear Ended September 30, 2010
87
III. Federal Award Findings and Questioned Costs
10-1 Research and Development Cluster - Cost TransfersAward Name: National Resource for Imaging Mass SpectrometryBrigham and Women's Hospital Award #: P41EB001974Grantor: National Institute of Health (National Institute of Biomedical Imaging and Bioengineering)Budget Period: 9/1/2009 through 8/31/2010CFDA: 93.286
Award Name: Translational Studies of Prefrontal Control of FearMassachusetts General Hospital Award #: R01MH81975-01A1Grantor: National Institute of Health passed through the University of Puerto RicoBudget Period: 1/1/2010 through 12/31/2010CFDA: 93.242
CriteriaPartners HealthCare is subject to compliance requirements within OASC-3 Hospital Cost PrinciplesSection III B, Circular A-110 Section 21 and the National Institute of Health policy manual.
ConditionOf the 15 cost transfers and 99 direct cost selections tested, we noted two instances wheremanagement's internal review procedures identified required cost transfers on a timely basis,however these transfers were not processed on a timely basis.
The first instance (CFDA 93.286) concerns one employee who charged 100% of their effort to thisaward while the employee's actual level of effort was 80% due to a change in actual workperformed. The change in effort was identified on a timely basis through routine grant monitoringactivities.
The second instance (CFDA 93.242) concerns a vendor who was debarred while performingservices for Partners HealthCare. The vendor was identified by the Comquarterly review of debarred vendors.
For both of these instances, management identified in June and April, 2010, respectively, the needfor a cost transfer through its normal review procedures. However, through our audit procedureswe determined that the actual processing of the cost transfers did not take place. We informedmanagement and the transfers were then processed in December and November, 2010,respectively.
CauseThese processing delays appear to be the result of a lack of timely follow up to ensure costtransfers are processed on a timely basis.
EffectThe two awards were erroneously charged $3,280 and $9,300, respectively. Lack of follow upresulted in an untimely correction to the awards.
RecommendationWe recommend that management review the process for monitoring the processing of costtransfers, and enhance the follow-up process as needed to ensure cost transfers are completed ona timely basis.
Partners HealthCare System, Inc. and AffiliatesSchedule of Findings and Questioned CostsYear Ended September 30, 2010
88
Management's Views and Corrective Action PlanFollowing this finding is management's view and corrective action plan.
.
Partners HealthCare System, Inc. and AffiliatesSummary Schedule of the Status of Prior Audit FindingsYear Ended September 30, 2010
89
Summary Schedule of Prior Audit FindingsBrigham and Women's Hospital, Inc. is subject to compliance with the cost principles for travel setforth in OASC-3 Hospital Cost Principles Section IX and OMB Circular A–110 Section 21.
Of the seven travel expense direct costs selected for testing, PwC noted one selection includedalcohol charges of $297 charged to CFDA # 93.839.
Current StatusAdditional training has been provided to Departmental Administrators in the area of allowable andunallowable costs. The “Employee Business Expense Report” form was revised in January 2010to itemize alcoholic beverages from meals. The check box for the employee attestation that noalcoholic beverages have been charged to federal funds was also added at that time. During the2010 audit, there were no exceptions noted in PwC's testing of travel expenses during the directcost testing.