CHILDRENS HOSPITAL OPTHALMOLOGY FOUNDATION INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HOSPITAL OPTHALMOLOGY FOUNDATION INC (EIN 04-2864081)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-11
- IRS object ID
- 202242239349300109
- Schema version
- 2020v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-11T07:25:28-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 280 Fore Street | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042864081 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Hospital Ophthalmology | BusinessNameLine1Txt |
| Business Name Line2 | Foundation Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 6173553365 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 Longwood Avenue Fegan 4 | AddressLine1Txt |
| City | Boston | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02115 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David G Hunter MD PhD | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 6173553365 | PhoneNum |
| Signature | 2022-08-09 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | David | PersonFirstNm |
| Person Last | Hunter MD PhD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2022-08-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | David G Hunter MD PhD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 Longwood Avenue Fegan 4 | AddressLine1Txt |
| City | Boston | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02115 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,106,998 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | The Foundation provides ophthalmology 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 limited in the community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 22 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $18,941 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $15,501 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,434,091 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,329,164 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,557,912 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,885,231 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,241,666 | PYInvestmentIncomeAmt |
| CY Investment Income | $522,749 | CYInvestmentIncomeAmt |
| PY Other Revenue | $91,231 | PYOtherRevenueAmt |
| CY Other Revenue | $94,033 | CYOtherRevenueAmt |
| PY Total Revenue | $24,324,900 | PYTotalRevenueAmt |
| CY Total Revenue | $29,831,177 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $874,424 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,700,219 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,010,669 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,018,379 | PYOtherExpensesAmt |
| CY Other Expenses | $4,045,629 | CYOtherExpensesAmt |
| PY Total Expenses | $23,718,598 | PYTotalExpensesAmt |
| CY Total Expenses | $25,930,722 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $606,302 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,900,455 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $61,876,642 | TotalAssetsBOYAmt |
| Total Assets EOY | $74,480,259 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,410,021 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,032,045 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $40,466,621 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $52,448,214 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The Foundation's mission is to provide ophthalmology 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 (see Schedule O) ophthalmology. The Foundation also provides care for patients regardless of their ability to pay. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,803,345 | ExpenseAmt |
| Grant | $874,424 | GrantAmt |
| Revenue | $25,793,152 | RevenueAmt |
| Desc | The Foundation provides ophthalmology services primarily to patients at Boston Children's Hospital and at satellite locations. The Foundation may charge for patient care, other medical services, and related products, provided that any net income is used exclusively 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 subsidizing hospital and community based services that are either unavailable or limited elsewhere in the community. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $230,337 | ExpenseAmt |
| Revenue | $167,300 | RevenueAmt |
| Desc | The 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 ophthalmology by teaching students and other medical and scientific personnel; by providing fellowships, research grants, and stipends; and by giving lectures and publishing information concerning problems and research results in the field of pediatric ophthalmology in order to educate the general public and the medical profession. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $23,033,682 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 22 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rebecca Anderson Controller | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6173558112 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 Longwood Avenue | AddressLine1Txt |
| City | Boston | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02115 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Institutional TrusteeInstitutionalTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| David G Hunter MD PhD | |||||||||
| President | 55.00 | 5.00 | Yes (X) | Yes (X) | $1,057,160 | $0 | $118,189 | ||
| Linda R Dagi MD | |||||||||
| Clerk | 60.00 | 0.00 | Yes (X) | Yes (X) | $720,275 | $0 | $107,624 | ||
| Deborah K VanderVeen MD | |||||||||
| Treasurer | 60.00 | 0.00 | Yes (X) | Yes (X) | $584,922 | $0 | $115,859 | ||
| Iason Mantagos MD PhD | |||||||||
| Trustee | 60.00 | 0.00 | Yes (X) | $583,102 | $0 | $114,244 | |||
| Gena Heidary MD PhD | |||||||||
| Trustee | 60.00 | 0.00 | Yes (X) | $581,833 | $0 | $83,845 | |||
| Carolyn S Wu MD | |||||||||
| Trustee | 60.00 | 0.00 | Yes (X) | $559,514 | $0 | $117,089 | |||
| Melanie Kazlas MD | |||||||||
| Trustee | 60.00 | 0.00 | Yes (X) | $552,373 | $0 | $95,459 | |||
| Ankoor S Shah MD PhD | |||||||||
| Trustee | 60.00 | 0.00 | Yes (X) | $529,990 | $0 | $111,300 | |||
| Lois EH Smith-Porter MD PhD | |||||||||
| Trustee | 60.00 | 0.00 | Yes (X) | $408,509 | $0 | $104,718 | |||
| Jose Efren Gonzalez-Monroy MD | |||||||||
| Trustee | 60.00 | 0.00 | Yes (X) | $376,974 | $0 | $110,117 | |||
| Anne B Fulton MD | |||||||||
| Trustee | 60.00 | 0.00 | Yes (X) | $373,636 | $0 | $86,403 | |||
| Alexandra T Elliott MD | |||||||||
| Trustee | 48.00 | 0.00 | Yes (X) | $311,875 | $0 | $113,217 | |||
| Bharti Gangwani MD | |||||||||
| Trustee | 39.00 | 0.00 | Yes (X) | $289,989 | $0 | $108,274 | |||
| Mary Whitman MD PhD | |||||||||
| Trustee | 60.00 | 0.00 | Yes (X) | $282,354 | $0 | $113,960 | |||
| Suzanne Johnston MD MPH | |||||||||
| Trustee | 22.00 | 0.00 | Yes (X) | $188,130 | $0 | $92,829 | |||
| Physicians Org at CH Inc | |||||||||
| Institutional Trustee | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Gordon Massey | |||||||||
| COO | 55.00 | 5.00 | Yes (X) | $0 | $329,767 | $1,580 | |||
| Maan Alkharashi MD | |||||||||
| Physician | 60.00 | 0.00 | $387,560 | $0 | $101,804 | Yes (X) | |||
| Joseph F Griffith MD | |||||||||
| Physician | 60.00 | 0.00 | $325,580 | $0 | $65,977 | Yes (X) | |||
| Eric D Gaier MD PhD | |||||||||
| Physician | 60.00 | 0.00 | $301,035 | $0 | $68,384 | Yes (X) | |||
| Benjamin G Jastrzembski MD | |||||||||
| Physician | 60.00 | 0.00 | $282,472 | $0 | $67,800 | Yes (X) | |||
| Carolyn Graeber MD | |||||||||
| Physician | 60.00 | 0.00 | $240,496 | $0 | $104,248 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,937,779 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $329,767 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,002,920 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 20 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MA Eye and Ear Associates | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 Crown Colony Drive Suite 201 | AddressLine1Txt |
| City | Quincy | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02169 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Healthcare services | ServicesDesc |
| Compensation | $241,854 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $976,498 | RelatedOrganizationsAmt |
| Government Grants | $2,352,666 | GovernmentGrantsAmt |
| Total Contributions | $3,329,164 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient service revenue | 621300 | $23,916,261 | $23,916,261 |
| Clinical and other revenue | 621990 | $1,801,670 | $1,801,670 |
| Education and research | 611710 | $167,300 | $167,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,885,231 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $512,638 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $129 | UnrelatedBusinessRevenueAmt |
| Exclusion | $512,509 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,111 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,111 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,111 | TotalRevenueColumnAmt |
| Exclusion | $10,111 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $369,854 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $275,821 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $94,033 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $75,221 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $18,812 | UnrelatedBusinessRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,831,177 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,960,452 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $18,941 | UnrelatedBusinessRevenueAmt |
| Exclusion | $522,620 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $874,424 | TotalAmt |
| Program Services | $874,424 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,582,423 | TotalAmt |
| Program Services | $7,226,656 | ProgramServicesAmt |
| Management And General | $355,767 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,924,641 | TotalAmt |
| Program Services | $8,930,431 | ProgramServicesAmt |
| Management And General | $1,994,210 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,585 | TotalAmt |
| Program Services | $323,840 | ProgramServicesAmt |
| Management And General | $5,745 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,905,118 | TotalAmt |
| Program Services | $1,623,585 | ProgramServicesAmt |
| Management And General | $281,533 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,902 | TotalAmt |
| Program Services | $267,882 | ProgramServicesAmt |
| Management And General | $1,020 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,447 | TotalAmt |
| Management And General | $26,447 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,750 | TotalAmt |
| Management And General | $6,750 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,933 | TotalAmt |
| Program Services | $171,112 | ProgramServicesAmt |
| Management And General | $80,821 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,764 | TotalAmt |
| Management And General | $8,764 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,988 | TotalAmt |
| Program Services | $481,865 | ProgramServicesAmt |
| Management And General | $81,123 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,143,509 | TotalAmt |
| Program Services | $1,143,509 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,314 | TotalAmt |
| Program Services | $4,224 | ProgramServicesAmt |
| Management And General | $9,090 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,894 | TotalAmt |
| Program Services | $39,894 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,488 | TotalAmt |
| Program Services | $80,488 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,156 | TotalAmt |
| Program Services | $108,386 | ProgramServicesAmt |
| Management And General | $45,770 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PO Management Services | $609,169 | $609,169 |
| Billing Expenses | $551,743 | $551,743 |
| Coordinated Specialty P | $287,776 | $287,776 |
| Research Expenses | $195,363 | $195,363 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,335 | TotalAmt |
| Program Services | $113,335 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,930,722 | TotalAmt |
| Program Services | $23,033,682 | ProgramServicesAmt |
| Management And General | $2,897,040 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,384,392 | BOYAmt |
| EOY | $6,430,427 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,289,653 | BOYAmt |
| EOY | $6,865,732 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,898,322 | BOYAmt |
| EOY | $2,400,128 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,000 | BOYAmt |
| EOY | $176,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,605 | BOYAmt |
| EOY | $101,871 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,465,514 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $511,177 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,139 | BOYAmt |
| EOY | $954,337 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,035,344 | BOYAmt |
| EOY | $36,260,303 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,970,538 | BOYAmt |
| EOY | $16,243,528 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,794 | BOYAmt |
| EOY | $105,270 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,599,855 | BOYAmt |
| EOY | $4,942,663 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,876,642 | BOYAmt |
| EOY | $74,480,259 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,398,874 | BOYAmt |
| EOY | $4,563,297 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,729,319 | BOYAmt |
| EOY | $7,460,431 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,321 | BOYAmt |
| EOY | $18,037 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,181,507 | BOYAmt |
| EOY | $9,990,280 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,410,021 | BOYAmt |
| EOY | $22,032,045 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,366,621 | BOYAmt |
| EOY | $52,348,214 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,466,621 | BOYAmt |
| EOY | $52,448,214 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,876,642 | BOYAmt |
| EOY | $74,480,259 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,900,455 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,081,138 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $938,536 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $872,692 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $777,564 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,434,091 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,329,164 | CurrentTaxYearAmt |
| Total | $7,352,047 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,651,131 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,122,638 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,319,686 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,557,912 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,960,452 | CurrentTaxYearAmt |
| Total | $114,611,819 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,589,667 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,995,330 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,097,250 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,992,003 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,289,616 | CurrentTaxYearAmt |
| Total | $121,963,866 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $121,963,866 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $442,969 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $529,091 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $654,863 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $583,096 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $512,509 | CurrentTaxYearAmt |
| Total | $2,722,528 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,582 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,252 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,707 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | -$1,980 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,941 | CurrentTaxYearAmt |
| Total | $41,502 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $454,551 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $535,343 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $661,570 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $581,116 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $531,450 | CurrentTaxYearAmt |
| Total | $2,764,030 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $60,867 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $52,450 | CurrentTaxYearMinus1YearAmt |
| Total | $113,317 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,044,218 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,591,540 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,758,820 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,625,569 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,821,066 | CurrentTaxYearAmt |
| Total | $124,841,213 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97700 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97700 | PublicSupportPY509Pct |
| Investment Income CY | 0.02210 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02170 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | Insurance Rebate - 2017 Amount: $ 60,867. 2019 Amount: $ 52,450. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $100,000 | BeginningYearBalanceAmt |
| Contributions | $2,352,666 | ContributionsAmt |
| Other Expenditures | $2,352,666 | OtherExpendituresAmt |
| End Year Balance | $100,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $100,000 | BeginningYearBalanceAmt |
| Contributions | $441,897 | ContributionsAmt |
| Other Expenditures | $441,897 | OtherExpendituresAmt |
| End Year Balance | $100,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $100,000 | BeginningYearBalanceAmt |
| End Year Balance | $100,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $100,193 | BeginningYearBalanceAmt |
| Other Expenditures | $193 | OtherExpendituresAmt |
| End Year Balance | $100,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $100,193 | BeginningYearBalanceAmt |
| End Year Balance | $100,193 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $752,885 | OtherCostOrOtherBasisAmt |
| Depreciation | $110,639 | DepreciationAmt |
| Book Value | $642,246 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $174,891 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,207 | DepreciationAmt |
| Book Value | $116,684 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $403,908 | OtherCostOrOtherBasisAmt |
| Depreciation | $232,980 | DepreciationAmt |
| Book Value | $170,928 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $133,830 | OtherCostOrOtherBasisAmt |
| Depreciation | $109,351 | DepreciationAmt |
| Book Value | $24,479 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $954,337 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PO Pooled Investment Fund, LLC | Desc |
| Book Value | $16,243,528 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $16,243,528 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Boston Children's Hospital | $315,206 |
| Due from Physicians Organization at Children's Hospital, Inc. | $622,516 |
| Due from MEEI | $52,228 |
| Investment in LLC | $138,085 |
| Other receivables | $2,749,009 |
| Right of use asset | $1,065,619 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,942,663 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Boston Children's Hospital | $3,455,451 |
| Due to Physicians Organization at Children's Hospital, Inc. | $309,438 |
| Deferred compensation 457(b) | $4,738,543 |
| Accrued professional liability | $218,716 |
| Lease Liability | $1,081,634 |
| FICA Tax Liability | $48,412 |
| Due to affiliates | $138,086 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,990,280 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $38,299,188 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $8,081,138 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $386,873 | OtherRevenueAmt |
| Revenue Not Reported | $8,468,011 | RevenueNotReportedAmt |
| Revenue Subtotal | $29,831,177 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $29,831,177 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $26,317,595 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $386,873 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $386,873 | ExpensesNotReportedAmt |
| Expenses Subtotal | $25,930,722 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $25,930,722 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The endowment funds represent assets held in trust that are available to pay for future benefits to participants for a deferred compensation benefit plan and investments whose use has been restricted by donors to a specific time period or purpose. |
| 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). The Foundation is subject to unrelated business tax on its distributive share of profits from Foundation Optical, LLC and Management Services Organization. Tax-exempt organizations 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, 2021. |
| Part XI, Line 2d - Other Adjustments: | Sales of eyewear, net of cost 480,906. Less gain from subsidiary -94,033. |
| Part XII, Line 2d - Other Adjustments: | Eyewear sales expenses 309,939. Minority interest 76,934. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| Boston Children's Hospital | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042774441 | 501(c)(3) | $864,415 | $0 | N/A | N/A | Research and general support |
| Massachusetts Eye and Ear Associates | ||||||||||
| 243 Charles Street | Boston | MA | 02114 | 222658209 | 501(c)(3) | $10,000 | $0 | N/A | N/A | General support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Monitoring is provided by Children's Hospital Ophthalmology Foundation, Inc. (the Foundation) through oversight of their terms and conditions of a written grant agreement. Multiyear agreements require yearly progress and financial reports for continuation of the funding. During the year ended September 30, 2021, the Foundation only provided grant donations to other 501(c)(3) organizations. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David G Hunter MD PhD | ||||||||||||||
| President | $938,110 | $0 | $93,750 | $0 | $25,300 | $0 | $76,750 | $0 | $41,439 | $0 | $1,175,349 | $0 | $0 | $0 |
| Linda R Dagi MD | ||||||||||||||
| Clerk | $327,683 | $0 | $352,076 | $0 | $40,516 | $0 | $76,750 | $0 | $30,874 | $0 | $827,899 | $0 | $0 | $0 |
| Deborah K VanderVeen MD | ||||||||||||||
| Treasurer | $327,562 | $0 | $219,466 | $0 | $37,894 | $0 | $76,750 | $0 | $39,109 | $0 | $700,781 | $0 | $0 | $0 |
| Iason Mantagos MD PhD | ||||||||||||||
| Trustee | $263,122 | $0 | $293,514 | $0 | $26,466 | $0 | $76,750 | $0 | $37,494 | $0 | $697,346 | $0 | $0 | $0 |
| Carolyn S Wu MD | ||||||||||||||
| Trustee | $258,529 | $0 | $260,288 | $0 | $40,697 | $0 | $76,750 | $0 | $40,339 | $0 | $676,603 | $0 | $0 | $0 |
| Gena Heidary MD PhD | ||||||||||||||
| Trustee | $265,623 | $0 | $267,474 | $0 | $48,736 | $0 | $76,750 | $0 | $7,095 | $0 | $665,678 | $0 | $0 | $0 |
| Melanie Kazlas MD | ||||||||||||||
| Trustee | $268,217 | $0 | $248,549 | $0 | $35,607 | $0 | $76,750 | $0 | $18,709 | $0 | $647,832 | $0 | $0 | $0 |
| Ankoor S Shah MD PhD | ||||||||||||||
| Trustee | $254,359 | $0 | $250,610 | $0 | $25,021 | $0 | $76,750 | $0 | $34,550 | $0 | $641,290 | $0 | $0 | $0 |
| Lois EH Smith-Porter MD PhD | ||||||||||||||
| Trustee | $281,276 | $0 | $94,107 | $0 | $33,126 | $0 | $76,750 | $0 | $27,968 | $0 | $513,227 | $0 | $0 | $0 |
| Maan Alkharashi MD | ||||||||||||||
| Physician | $170,545 | $0 | $213,328 | $0 | $3,687 | $0 | $62,250 | $0 | $39,554 | $0 | $489,364 | $0 | $0 | $0 |
| Jose Efren Gonzalez-Monroy MD | ||||||||||||||
| Trustee | $311,065 | $0 | $37,733 | $0 | $28,176 | $0 | $76,750 | $0 | $33,367 | $0 | $487,091 | $0 | $0 | $0 |
| Anne B Fulton MD | ||||||||||||||
| Trustee | $266,636 | $0 | $73,529 | $0 | $33,471 | $0 | $76,750 | $0 | $9,653 | $0 | $460,039 | $0 | $0 | $0 |
| Alexandra T Elliott MD | ||||||||||||||
| Trustee | $203,527 | $0 | $73,565 | $0 | $34,783 | $0 | $75,250 | $0 | $37,967 | $0 | $425,092 | $0 | $0 | $0 |
| Bharti Gangwani MD | ||||||||||||||
| Trustee | $93,330 | $0 | $164,473 | $0 | $32,186 | $0 | $76,750 | $0 | $31,524 | $0 | $398,263 | $0 | $0 | $0 |
| Mary Whitman MD PhD | ||||||||||||||
| Trustee | $160,908 | $0 | $90,357 | $0 | $31,089 | $0 | $76,250 | $0 | $37,710 | $0 | $396,314 | $0 | $0 | $0 |
| Joseph F Griffith MD | ||||||||||||||
| Physician | $172,934 | $0 | $128,991 | $0 | $23,655 | $0 | $34,000 | $0 | $31,977 | $0 | $391,557 | $0 | $0 | $0 |
| Eric D Gaier MD PhD | ||||||||||||||
| Physician | $161,312 | $0 | $95,729 | $0 | $43,994 | $0 | $33,250 | $0 | $35,134 | $0 | $369,419 | $0 | $0 | $0 |
| Benjamin G Jastrzembski MD | ||||||||||||||
| Physician | $147,180 | $0 | $112,284 | $0 | $23,008 | $0 | $33,500 | $0 | $34,300 | $0 | $350,272 | $0 | $0 | $0 |
| Carolyn Graeber MD | ||||||||||||||
| Physician | $210,513 | $0 | $1,500 | $0 | $28,483 | $0 | $70,250 | $0 | $33,998 | $0 | $344,744 | $0 | $0 | $0 |
| Gordon Massey | ||||||||||||||
| COO | $0 | $303,767 | $0 | $0 | $0 | $26,000 | $0 | $0 | $0 | $1,580 | $0 | $331,347 | $0 | $0 |
| Suzanne Johnston MD MPH | ||||||||||||||
| Trustee | $75,373 | $0 | $88,566 | $0 | $24,191 | $0 | $58,250 | $0 | $34,579 | $0 | $280,959 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1b | For those eligible employees, Children's Hospital Ophthalmology Foundation, Inc. (the Foundation) offers gross-up payments for certain benefits that need to be included as taxable income to the employees. Although a written policy does not exist, these payments are communicated to the employees during the initial employment process by the President and Executive Director. All Boston Children's Hospital employees are eligible (those receiving W-2's). The Foundation hosts an alumni retreat biennially, in which it reimburses travel costs for employees and their respective guests. Reimbursements are included as taxable income on the employees' W-2. |
| Part I, Line 4b | Effective December 15, 2015, the Foundation established a 457(f) plan to provide benefits to certain eligible employees whose ability to make elective deferrals under Code Section 403(b) is eliminated or impaired as determined by the Administrator. Non-elective contributions are made by the employer for the participant. Investments are held in trust. During the year ended September 30, 2021, there were no contributions made to the plan. |
| Part I, Line 7 | The total bonus pool for each fiscal year is built into the yearly budgets and approved by the Board of Directors. This approved bonus pool is distributed to both the leased staff and the physicians. All bonuses are discretionary. The bonus is not a division of earnings of Children's Hospital Ophthalmology Foundation, Inc. (the Foundation). The Ophthalmologist-in-Chief determines a bonus pool based on available funds and then allocates the bonus pool based on the contributions of each professional employee taking into account a variety of factors, including clinical and research contributions, academic performance, and quality services. The Foundation ensures that the total compensation does not exceed the fair market value (FMV) and Reasonableness Maximum compensation upper limits as defined in the Guidelines for Employed Physician and Affiliated Physician Foundation Compensation and Oversight Requirements as set by Boston Children's Hospital. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Ophthalmology PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Dr. Hunter is the 100% owner of COPC | RelationshipDescriptionTxt |
| Transaction | $514,875 | TransactionAmt |
| Transaction | Investment | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part IV: | FormAndLineReferenceDesc |
| Explanation | In December 2016, the Foundation Board approved an investment in a new Management Services Organization (MSO), Children's Ophthalmology Management Services, LLC, which is intended to provide a full level of non-clinical services support in New York. The Foundation is the sole owner of the MSO. The entity will provide services to Children's Ophthalmology, PC (COPC) whose owner is the Foundation President. COPC will be located in the region of New York where Boston Children's Health Physicians has its 60+ locations and approximately 300 pediatric primary care and specialty physicians. COPC began providing ophthalmology services to patients during the Foundation's fiscal year 2018. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1 | A majority of Children's Hospital Ophthalmology Foundation, Inc.'s (the Foundation's) board members are physicians who are not independent from the Foundation because they are compensated by the Foundation. However, the Foundation participates in an integrated delivery system with Boston Children's Hospital (the Hospital) which does have a community board. The Foundation was organized in 2003. At that 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 to make it more responsive to the Hospital 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 details on the PO's rights. |
| Form 990, Part VI, Section A, line 3 | The Physicians Organization at Children's Hospital, Inc. (the PO) is a Class "C" member of Children's Hospital Ophthalmology Foundation, Inc. (the Foundation). The PO is responsible for providing certain 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. The PO also has the right to review, but not approve, the annual operating budget. The PO Board has the right to approve 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 modifications to the physician compensation and benefit plans for all physician employees of the Foundation. |
| Form 990, Part VI, Section A, line 6 | Children's Hospital Ophthalmology Foundation, Inc. (the Foundation) has 4 classes of members. The Ophthalmologist-in-Chief shall be the sole Class "A" member. Any other member of the Foundation who has, for at least three years, been a physician-employee of the Foundation with an active medical staff appointment from Boston Children's Hospital (the Hospital) and has a faculty appointment at the rank of instructor or above in the Department of Ophthalmology at Harvard Medical School (Harvard) shall be a Class "B" member. Any other physician-employee of the Foundation with an active medical staff appointment from the Hospital and a faculty appointment at the rank of instructor or above in the Department of Ophthalmology at Harvard shall be a Class "D" member. Each Class "A", "B", and "D" member shall hold membership as long as he/she remains qualified for membership. The Physicians Organization at Children's Hospital, Inc. shall be the sole Class "C" member. The qualifications and rights of members, including voting rights, shall be as set forth from time to time in the by-laws of the Foundation. |
| Form 990, Part VI, Section A, line 7a | According to the by-laws, the initial Trustees shall be those individuals named in the Children's Hospital Ophthalmology Foundation, Inc.'s (the Foundation's) Articles of Organization who shall serve until the first annual meeting of the members. Thereafter, the Board of Trustees shall consist of the Class "A and "B" members, each of whom shall serve ex-officio with vote. The Class "A" member is the President of the Foundation. All other officers shall be elected by the Trustees for two-year terms at the Foundation's annual meeting. All officers shall be Trustees. |
| Form 990, Part VI, Section A, line 7b | The Physicians Organization at Children's Hospital, Inc. (the PO) is a Class "C" member of Children's Hospital Ophthalmology Foundation, Inc. (the Foundation). The PO is responsible for providing certain 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 upon by the PO and the Foundation. The PO has the right to review, but not to approve, the annual operating budget. The PO Board has the right to approve 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 and any modifications 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 B, line 11b | The tax return is prepared with information, data, and detail provided by the President of the Foundation, the Executive Director, and the Controller and is reviewed by a representative from the tax preparation firm. The full Form 990 filing is reviewed by the President of the Foundation, the Executive Director, and the Controller prior to filing. It is reviewed by an officer of the corporation and/or the officer who will sign the Form 990. A representative from a tax preparation firm will present a summary of the Form 990 filing to a quorum of the Finance Committee, with Class C member or staff representative from the Physicians Organization at Children's Hospital, Inc. invited for that summary. The Form 990 that was presented to and approved by a quorum of the Finance Committee will be provided to the Foundation's Board of Directors in a subsequent Board meeting packet along with a copy of the Form 990 (with salaries redacted). |
| Form 990, Part VI, Section B, line 12c | The Physicians Organization at Children's Hospital, Inc. (the PO) and Boston Children's Hospital administer an annual conflict of interest disclosure process to all of their 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 to 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 issues personally or through a designee(s). Any person not receiving a disclosure statement nevertheless 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 the conflict relates or otherwise influence the voting on such matter. |
| Form 990, Part VI, Section B, line 15 | Faculty compensation must comply with the Boston Children's Hospital Physician Compensation Guidelines. These guidelines are developed in consultation with an independent external compensation consulting firm and are approved by independent Compensation Committee of Board of Children's Medical Center Corporation and Boston Children's Hospital. The guidelines set the maximum compensation limits based on a peer group analysis for the Foundations. The maximum compensation limits are based on pediatric specialty, sub-specialty, academic rank and include a productivity adjustment. Any proposed compensation that exceeds the limit must be prospectively approved by the independent Compensation Committee of the Board of the Hospital. Annual compensation for individual faculty members is set by the President of each 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 Boston Children's Hospital President/Chief Executive Officer. Form 990, Part VI, Section B, Line 16a: In January 2007, Children's Hospital Ophthalmology Foundation, Inc. (the Foundation) formed a for-profit limited liability company, Foundation Optical, LLC, to establish a retail optical shop located within a Boston Children's Hospital satellite location. The primary purpose of Foundation Optical, LLC is to offer eyewear needs to patients of the Foundation. The Foundation is the majority owner of Foundation Optical, LLC with a 55% ownership interest. Form 990, Part VI, Section B, Line 16b: It is the policy of Children's Hospital Ophthalmology Foundation, Inc. (the Foundation) to retain an ownership stake in any entity that is consistent with its charitable mission. Further, if the Foundation does retain an ownership stake in any appropriate entity, it will secure legal advice and language in any such operating agreements to ensure it has full authority to prevent and override any action of such entity that the Foundation may determine is inconsistent with its charitable purposes or that may jeopardize the Foundation's tax-exempt status. |
| Form 990, Part VI, Section C, line 19 | The Foundation maintains or has access to all financial statements, 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 XII, Line 2c: | The audit process and scope have not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Ophthalmology Management Services LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 Saw Mill River Road Upper Level | AddressLine1Txt |
| City | Hawthorne | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10532 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820621893 | EIN |
| Primary Activities | Management Service Organization | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | -$136,857 | TotalIncomeAmt |
| End Of Year Assets | $1,620,651 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Hospital Ophthalmology Foundation Inc | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Boston Children's Hospital | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042774441 | Hospital | MA | 501(c)(3) | Line 3 | N/A | 0 |
| Physicians Organization at Children's Hospital Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 043266103 | Management services | MA | 501(c)(3) | Line 12c, III-FI | N/A | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Optical LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9 Hope Avenue | AddressLine1Txt |
| City | Waltham | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02453 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208236402 | EIN |
| Primary Activities | Eyeglass Sales | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Hospital Ophthalmology Foundation Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of Total Income | $94,033 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $80,469 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| UBI Code V | $18,812 | UBICodeVAmt |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.55000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Optical LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionTypeTxt |
| Involved | $89,356 | InvolvedAmt |
| Method Of Amount Determination | Actual per books | MethodOfAmountDeterminationTxt |
Comments