CHMC CARDIOVASCULAR SURGICAL FOUNDATION INCORPORATED: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CHMC CARDIOVASCULAR SURGICAL FOUNDATION INCORPORATED (EIN 04-2764370)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-11
IRS object ID
202312239349300411
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-11T06:49:44-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman & Noyes LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1280 Fore StreetAddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042764370EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHMC Cardiovascular SurgicalBusinessNameLine1Txt
Business Name Line2Foundation IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCHMCBusinessNameControlTxt
Phone6173557008PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AvenueAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02115ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPedro del Nido MDPersonNm
Person TitlePresidentPersonTitleTxt
Phone6173557008PhoneNum
Signature2023-08-08SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPedroPersonFirstNm
Person Lastdel Nido MDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicholas E PortoPreparerPersonNm
PTINP01310283PTIN
Phone8002447444PhoneNum
Preparation2023-08-08PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPedro del Nido MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AvenueAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02115ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,653,194GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionThe Foundation provides cardiovascular services primarily to patients at (see schedule O) Boston Children's Hospital and at satellite locations. The Foundation also provides care for patients regardless of their ability to pay, as well as providing and subsidizing hospital and community based services that are either unavailable or limited elsewhere in the community.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$67,000CYContributionsGrantsAmt
PY Program Service Revenue$25,332,925PYProgramServiceRevenueAmt
CY Program Service Revenue$21,089,332CYProgramServiceRevenueAmt
PY Investment Income$228,961PYInvestmentIncomeAmt
CY Investment Income$277,577CYInvestmentIncomeAmt
PY Other Revenue-$243,370PYOtherRevenueAmt
CY Other Revenue$170,438CYOtherRevenueAmt
PY Total Revenue$25,318,516PYTotalRevenueAmt
CY Total Revenue$21,604,347CYTotalRevenueAmt
PY Grants And Similar Paid$1,522,373PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$610,003CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,493,682PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,810,383CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,745,258PYOtherExpensesAmt
CY Other Expenses$3,520,978CYOtherExpensesAmt
PY Total Expenses$21,761,313PYTotalExpensesAmt
CY Total Expenses$24,941,364CYTotalExpensesAmt
PY Revenues Less Expenses$3,557,203PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,337,017CYRevenuesLessExpensesAmt
Total Assets BOY$51,520,941TotalAssetsBOYAmt
Total Assets EOY$46,436,293TotalAssetsEOYAmt
Total Liabilities BOY$12,430,635TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,981,263TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$39,090,306NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$31,455,030NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Foundation provides cardiovascular services primarily to patients at Boston Children's Hospital and at satellite locations. The Foundation carries on and promotes basic and applied medical research and education in the field of cardiovascular surgery (see Schedule O) by teaching students and other medical and scientific personnel. The Foundation also provides care for patients regardless of their ability to pay.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$20,767,652ExpenseAmt
Grant$610,003GrantAmt
Revenue$20,671,988RevenueAmt
DescThe Foundation provides cardiovascular services primarily to patients at Boston Children's Hospital and at satellite locations. The Foundation may charge for patient care and other medical services, provided that any net income is used for the charitable, scientific, and educational purposes for which the Foundation was created. The Foundation also provides care for patients regardless of their ability to pay, as well as providing and supporting hospital and community based services that are either unavailable or limited elsewhere in the community. The Foundation provided $248,960 in free care services for the year ended September 30, 2022.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$642,298ExpenseAmt
Revenue$417,344RevenueAmt
DescThe Foundation receives income from Boston Children's Hospital for providing administration, supervision, and teaching services. The Foundation carries on and promotes basic and applied medical research and education in the field of cardiovascular surgery by teaching students and other medical and scientific personnel; by providing research grants; giving lectures; and publishing information concerning conditions and research results in the field of pediatric cardiovascular surgery in order to educate the general public and the medical profession.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$21,409,950TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Christopher W Baird MDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6173557008PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AveAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02115ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtInstitutional TrusteeInstitutionalTrusteeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Aditya K Kaza MD
Clerk60.000.00Yes (X)Yes (X)$1,259,456$0$47,096
Pedro del Nido MD
President55.005.00Yes (X)Yes (X)$2,958,170$0$51,633
Christopher W Baird MD
Treasurer60.000.00Yes (X)Yes (X)$1,391,579$0$47,434
Sitaram M Emani MD
Director60.000.00Yes (X)$1,273,524$0$47,127
Francis Fynn-Thompson MD
Director60.000.00Yes (X)$1,157,827$0$48,817
John E Mayer Jr MD
Director60.000.00Yes (X)$1,010,675$0$45,874
Nathalie Roy MD
Director60.000.00Yes (X)$616,492$0$27,654
Physicians Org at CH Inc
Institutional Trustee2.000.00$0$0$0Yes (X)
Janet Horgan
Former Officer2.0038.00$0$252,689$26,092Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,667,723TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$252,689TotReportableCompRltdOrgAmt
Total Other Compensation$341,727TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Charles SchwabBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 Atlantic Ave Floor 18AddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02210ZIPCd
FieldValueIRS element (for citing)
ServicesInvestment managerServicesDesc
Compensation$105,612CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$67,000RelatedOrganizationsAmt
Total Contributions$67,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue621300$20,492,349$20,492,349
Education & Research611710$417,344$417,344
Other Revenue621990$179,639$179,639
FieldValueIRS element (for citing)
Total Program Service Revenue$21,089,332TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$275,830TotalRevenueColumnAmt
Exclusion$275,830ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,050,594SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,048,847SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,747SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,747TotalRevenueColumnAmt
Exclusion$1,747ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescNon-operating pension lossesDesc
Business900099BusinessCd
Total Revenue Column$170,438TotalRevenueColumnAmt
Exclusion$170,438ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$170,438OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,604,347TotalRevenueColumnAmt
Related Or Exempt Func Income$21,089,332RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$448,015ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$610,003TotalAmt
Program Services$610,003ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$10,608,977TotalAmt
Program Services$10,608,977ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,838,740TotalAmt
Program Services$4,483,123ProgramServicesAmt
Management And General$2,355,617ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$993,264TotalAmt
Program Services$993,264ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,150,582TotalAmt
Program Services$1,439,404ProgramServicesAmt
Management And General$711,178ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$218,820TotalAmt
Program Services$218,820ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$98,557TotalAmt
Management And General$98,557ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$50,934TotalAmt
Management And General$50,934ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$122,067TotalAmt
Management And General$122,067ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,562TotalAmt
Management And General$8,562ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$753,042TotalAmt
Program Services$579,510ProgramServicesAmt
Management And General$173,532ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$51,648TotalAmt
Program Services$51,648ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$18,643TotalAmt
Program Services$18,643ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$79,045TotalAmt
Program Services$79,045ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$623,903TotalAmt
Program Services$612,936ProgramServicesAmt
Management And General$10,967ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PO management services$589,547$589,547
Research expense$380,093$380,093
Billing service$379,143$379,143
Coordinated Specialty P$365,794$365,794

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,941,364TotalAmt
Program Services$21,409,950ProgramServicesAmt
Management And General$3,531,414ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,715,596BOYAmt
EOY$900,564EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,916,593BOYAmt
EOY$6,379,169EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,754,407BOYAmt
EOY$3,870,434EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$798,000BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$728,270BOYAmt
EOY$897,892EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,021,787LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$177,185LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,923,647BOYAmt
EOY$1,844,602EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$27,840,178BOYAmt
EOY$23,298,416EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$606,753BOYAmt
EOY$611,359EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,237,497BOYAmt
EOY$8,633,857EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$51,520,941BOYAmt
EOY$46,436,293EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,219BOYAmt
EOY$95,051EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$921,547BOYAmt
EOY$237,580EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$6,781,139EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,477,869BOYAmt
EOY$7,867,493EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,430,635BOYAmt
EOY$14,981,263EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,687,376BOYAmt
EOY$31,388,030EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$402,930BOYAmt
EOY$67,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$39,090,306BOYAmt
EOY$31,455,030EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$51,520,941BOYAmt
EOY$46,436,293EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,337,017ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,786,592NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,488,333OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$402,930CurrentTaxYearMinus2YearsAmt
Current Tax Year$67,000CurrentTaxYearAmt
Total$469,930TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,201,867CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,827,530CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,947,379CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,332,925CurrentTaxYearMinus1YearAmt
Current Tax Year$21,089,332CurrentTaxYearAmt
Total$107,399,033TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,201,867CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,827,530CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,350,309CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,332,925CurrentTaxYearMinus1YearAmt
Current Tax Year$21,156,332CurrentTaxYearAmt
Total$107,868,963TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$107,868,963PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$460,733CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$268,583CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$244,835CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$232,090CurrentTaxYearMinus1YearAmt
Current Tax Year$275,830CurrentTaxYearAmt
Total$1,482,071TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$460,733CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$268,583CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$244,835CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$232,090CurrentTaxYearMinus1YearAmt
Current Tax Year$275,830CurrentTaxYearAmt
Total$1,482,071TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$485CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$241CurrentTaxYearMinus3YearsAmt
Total$244TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$215,642CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$142,037CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$243,370CurrentTaxYearMinus1YearAmt
Current Tax Year$170,438CurrentTaxYearAmt
Total$284,747TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,878,727CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,095,872CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,737,181CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,321,645CurrentTaxYearMinus1YearAmt
Current Tax Year$21,602,600CurrentTaxYearAmt
Total$109,636,025TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98390PublicSupportCY509Pct
Public Support PY5090.98360PublicSupportPY509Pct
Investment Income CY0.01350InvestmentIncomeCYPct
Investment Income PY0.01530InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationInsurance rebate - 2017 Amount: $ 215,642. 2019 Amount: $ 170,301. Non-operating pension losses - 2019 Amount: $ -28,264. 2020 Amount: $ -243,370. 2021 Amount: $ 170,438.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$402,930BeginningYearBalanceAmt
Contributions$67,000ContributionsAmt
Other Expenditures$402,930OtherExpendituresAmt
End Year Balance$67,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$402,930BeginningYearBalanceAmt
End Year Balance$402,930EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$402,930ContributionsAmt
End Year Balance$402,930EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$248,136BeginningYearBalanceAmt
Other Expenditures$248,136OtherExpendituresAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,930,210OtherCostOrOtherBasisAmt
Depreciation$122,054DepreciationAmt
Book Value$1,808,156BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$91,577OtherCostOrOtherBasisAmt
Depreciation$55,131DepreciationAmt
Book Value$36,446BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,844,602TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Due from Boston Children's Hospital$62,089
Due from Physicians Organization at Children's Hospital, Inc.$366,152
Prepaid Defined Benefit Pension Plan$1,536,109
Due from Boston Children's Heart Foundation, Inc.$9,301
Properties Held for Sale$6,660,206
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,633,857TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Due to Boston Children's Hospital$2,965,967
Due to Physicians Organization at Children's Hospital, Inc.$96,626
Due to affiliates$11,757
Patient deposits$2,183,980
Accrued professional liability$862,478
Accrued profit sharing plan$427,000
Deferred compensation plan$1,319,685
FieldValueIRS element (for citing)
Total Liability$7,867,493TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$17,184,021TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$5,786,592NetUnrealizedGainsInvstAmt
Other Revenue$1,488,333OtherRevenueAmt
Revenue Not Reported-$4,298,259RevenueNotReportedAmt
Revenue Subtotal$21,482,280RevenueSubtotalAmt
Investment Expenses Not Incld$122,067InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$122,067RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$21,604,347TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$24,819,297TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$24,819,297ExpensesSubtotalAmt
Investment Expenses Not Incld2$122,067InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$122,067ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$24,941,364TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The endowment funds represent donations that were given for operations. The uses of these funds were restricted by the donor.
Part X, Line 2:The Foundation is a tax-exempt corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code), and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. In addition, the Foundation qualifies for the charitable contribution deduction under Section 170(b)(1)(A), and has been classified as an organization that is not a private foundation under Section 509(a)(2). Tax-exempt organization could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items, including unrelated business income or tax status. Management of the Foundation has evaluated the positions taken on the Foundation's filed tax returns and has concluded that no uncertain income tax positions exist at September 30, 2022.
Part XI, Line 2d - Other Adjustments:Pension adjustment 1,488,333.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
Boston Children's Hospital
300 Longwood AvenueBostonMA02115042774441501(c)(3)$459,932$0N/AN/AGeneral support
Hospitality Homes
PO Box 15265BostonMA02115043204112501(c)(3)$100,000$0N/AN/AGeneral support
American Assoc for Thoracic Surgery
800 Cummings Center Suite 350-VBeverlyMA01915046406547501(c)(3)$25,700$0N/AN/AGeneral support
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationMonitoring is provided by CHMC Cardiovascular Surgical Foundation, Inc. (the Foundation) through oversight of the terms and conditions of a written grant agreement. Multi-year agreements require yearly progress and financial reports for continuation of funding. During the year ended September 30, 2022, the Foundation only provided grant donations to other 501(c)(3) organizations.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Pedro del Nido MD
President$2,766,033$0$30,860$0$161,277$0$0$0$51,633$0$3,009,803$0$0$0
Christopher W Baird MD
Treasurer$852,354$0$0$0$539,225$0$0$0$47,434$0$1,439,013$0$0$0
Sitaram M Emani MD
Director$852,354$0$0$0$421,170$0$0$0$47,127$0$1,320,651$0$0$0
Aditya K Kaza MD
Clerk$839,266$0$0$0$420,190$0$0$0$47,096$0$1,306,552$0$0$0
Francis Fynn-Thompson MD
Director$695,305$0$0$0$462,522$0$0$0$48,817$0$1,206,644$0$0$0
John E Mayer Jr MD
Director$859,670$0$0$0$151,005$0$0$0$45,874$0$1,056,549$0$0$0
Nathalie Roy MD
Director$463,537$0$0$0$152,955$0$0$0$27,654$0$644,146$0$0$0
Janet Horgan
Former Officer$0$252,689$0$0$0$0$0$0$0$26,092$0$278,781$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aThe Foundation provides gross-up payments for mortgage forgiveness, tuition payments, long-term disability insurance, and life insurance. These payments are included as taxable wages during the year. All permanent full-time employees of the Foundation are eligible for the gross-up payments.
Part I, Lines 4a-bThe Foundation established the CHMC Cardiovascular Surgical 2005 Supplemental Executive Retirement Plan (the SERP), effective as of January 1, 2005, to reward licensed physician employees with a benefit based on service. The SERP's sources of contributions are from employer discretionary amounts (if any), severance benefit, and elective deferrals. The amounts are vested after five years, attainment of age 63, death, disability, or change in control. During the year ended September 30,2022 payments were made to the physician who had vested in the plan based on the criteria. The Foundation did not make any SERP payments during the year ended September 30,2022. Part I, Line 4b: The Foundation has a deferred compensation arrangement under a nonqualified defined contribution plan to provide supplemental retirement benefits to certain employees. The Foundation did not make any defined compensation payments during the year ended September 30, 2022.
Part I, Line 7Bonus compensation amounts are determined by the Compensation Committee of the Board of Children's Medical Center Corporation and Boston Children's Hospital (the Hospital). The amounts are discretionary based on job performance.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1aA majority of CHMC Cardiovascular Surgical Foundation, Inc.'s (the Foundation's) board members are physicians who are not independent from the Foundation. However, the Foundation is part of an integrated delivery system with Boston Children's Hospital (the Hospital) which does have a community board. The Foundation was organized in 1982. At the time, the board was composed entirely of physicians, a board structure that was approved by the Internal Revenue Service. The Foundation has since adjusted the board structure by adding the Physicians Organization at Children's Hospital, Inc. (the PO) as a member. See Schedule O, Part VI, Questions 3, 6, 7b, and 12 for more on the PO's rights.
Form 990, Part VI, Section A, line 3The Physicians Organization at Children's Hospital, Inc. (the PO) is the Class "C" member of CHMC Cardiovascular Surgical Foundation, Inc. (the Foundation). The PO is responsible for providing management services to the Foundation. The PO has the power to approve the independent auditor and legal counsel of the Foundation from a list of firms mutually agreed to by the PO and the Foundation which approval shall not be withheld if selected from an approved list of firms mutually agreed to by the Board and the Members (provided, further, that neither the Board nor the Members shall unreasonably withhold their approval to the addition of the new firms to the list from time to time). The PO also has the right to review the annual budgets and review and approve the by-law changes of the Foundation. Lastly, Boston Children's Hospital has the right to review for compliance with applicable law, the general terms of and any modification to physician compensation and benefit plans for all physician employees of the Foundation. As a class "C" member of the Foundation, the PO attends the Foundation's annual meeting.
Form 990, Part VI, Section A, line 6CHMC Cardiovascular Surgical Foundation, Inc. (the Foundation) has three classes of members. The Chief of the Department of Cardiac Surgery (the Department) of Boston Children's Hospital (the Hospital) is the sole Class "A" member. Any member of the Department (other than the Chief) who holds a professional staff appointment from Harvard Medical School, and who is geographically full-time at the Hospital shall be a Class "B" member. Other physicians upon recommendation from the Chief and approval from the President of the Hospital may be permitted to be Class "B" members. The Physicians Organization at Children's Hospital, Inc. is the Class "C" member of the Foundation.
Form 990, Part VI, Section A, line 7aAccording to the Articles of Organization, the Class "A" member is the Chief of the Department of Cardiac Surgery (the Department) of Boston Children's Hospital (the Hospital). Any other member of the Department who holds a professional staff appointment in cardiovascular surgery at the Hospital, has a full-time faculty appointment from Harvard Medical School, and who is geographically full-time at the Hospital shall be a Class "B" member. A Class "A or "B" member shall hold membership as long as he/she remains qualified for membership. Only Class "A and "B" members may vote in annual meetings or other elections, serve on the Hospital's Board of Trustees, or nominate candidates for election to the Board.
Form 990, Part VI, Section A, line 7bThe Physicians Organization at Children's Hospital, Inc. (the PO) is the Class "C" member of CHMC Cardiovascular Surgical Foundation, Inc. (the Foundation). The PO is responsible for providing management services to the Foundation. The PO has the power to approve the independent auditor and legal counsel of the Foundation from a list of firms mutually agreed to by the PO and the Foundation which approval shall not be withheld if selected from an approved list of firms mutually agreed to by the Board and the Members (provided, further, that neither the Board nor the Members shall unreasonably withhold their approval to the addition of the new firms to the list from time to time). The PO also has the right to review the annual budgets and review and approve the by-law changes of the Foundation. Lastly, Boston Children's Hospital has the right to review for compliance with applicable laws, the general terms of any modification to the physician compensation and benefit plans for all physician employees of the Foundation. As a Class "C" member of the Foundation, the PO attends the Foundation's annual meeting.
Form 990, Part VI, Section B, line 11bThe detailed review will be conducted by the President of the Foundation, Pedro J. del Nido, MD; the Treasurer, Christopher W. Baird, MD; and Executive Director, Janet Horgan. The Physicians Organization at Children's Hospital, Inc. will present the Form 990 to board members. A copy of the Form 990 will be provided to the Board prior to filing. The detailed review will be conducted before filing the return with the Internal Revenue Service.
Form 990, Part VI, Section B, line 12cIn conjunction with Boston Children's Hospital, the Physicians Organization at Children's Hospital, Inc. (the PO) administers an annual conflict of interest disclosure process to all of its member Foundations which asks physicians (officers, top management, and highly compensated employees) and selected Foundation staff to disclose potential conflicts. A disclosure statement will be circulated annually to members of the PO. The audit committee shall determine those individuals (including medical staff members) who shall be required to complete the disclosure statement. The audit committee, at its discretion, may either: 1) refer any or all disclosure statements to the Board of Directors; 2) appoint an ad hoc committee to review and resolve any conflict of interest issues; or 3) review and resolve any conflict of interest personally or through a designee(s). Any person not receiving a disclosure statement has an affirmative obligation to disclose to the PO President, PO General Counsel, or his/her supervisor whenever he/she believes he/she has or may have a conflict of interest. Similarly, each person completing a disclosure statement has an affirmative obligation to update the statement any time circumstances change and/or he/she believes that a conflict of interest may exist. In the event a conflict of interest is found to exist, the Foundation prohibits the member from voting on any matter to which that conflict relates or otherwise influences the voting on such matter.
Form 990, Part VI, Section B, line 15Faculty compensation must comply with the Boston Children's Hospital (the Hospital) Physician Compensation Guidelines. These guidelines are developed in consultation with an independent external compensation consulting firm and are approved by the independent Compensation Committee of the Board of Children's Medical Center Corporation and the Hospital. The guidelines set the maximum compensation limits based on a peer group analysis for CHMC Cardiovascular Foundation, Inc. (the Foundation). The maximum compensation limits are based on pediatric specialty, sub-specialty, academic rank and approved by the independent Compensation Committee of the Board of the Hospital. Annual compensation for individual faculty members is set by the President of the Foundation, reviewed and approved by the Foundation in accordance with the Foundation's compensation policies and procedures. The Foundation's President's compensation is reviewed and approved annually on a prospective basis by the Hospital's President/Chief Executive Officer.
Form 990, Part VI, Section C, line 19The Foundation maintains all financial records, conflict of interest policies, and governing documents at its main office at 300 Longwood Avenue, Boston, MA 02115. The documents are available upon request.
Form 990, Part XI, line 9:Pension adjustment 1,488,333.
Form 990, Part XII, Line 2c:The audit process and scope has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
Boston Children's Hospital
300 Longwood AvenueBostonMA02115042774441HospitalMA501(c)(3)Line 3N/A0
Physicians Organization at Children's Hospital Inc
300 Longwood AvenueBostonMA02115043266103Physician OrganizationMA501(c)(3)Line 12c, III-FIN/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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