PHYSICIANS ORGANIZATION AT CHILDRENS HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PHYSICIANS ORGANIZATION AT CHILDRENS HOSPITAL INC (EIN 04-3266103)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-11
IRS object ID
202112239349300721
Schema version
2019v5.2
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)
Return2021-08-11T09:45:44-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

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 Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043266103EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Physicians Organization at Children'sBusinessNameLine1Txt
Business Name Line2Hospital IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPHYSBusinessNameControlTxt
Phone6179194078PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonThomas J HartPersonNm
Person TitleCFOPersonTitleTxt
Phone6179194078PhoneNum
Signature2021-08-10SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicholas E PortoPreparerPersonNm
PTINP01310283PTIN
Phone8002447444PhoneNum
Preparation2021-08-10PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRichard Bachur MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AvenueAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02115ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$72,546,154GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionThe Organization was formed to promote health by coordinating the practice of (see Schedule O) pediatric medicine and related health care services provided by its affiliated member Foundations. The Organization supports the Foundations by assisting in managed care and risk based contracts, quality management, patient safety, and other administrative services that enhance the Foundations' operations.ActivityOrMissionDesc
Voting Members Governing Body28VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$17,232TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$3,357NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12,415,117PYContributionsGrantsAmt
CY Contributions Grants$12,865,571CYContributionsGrantsAmt
PY Program Service Revenue$63,930,012PYProgramServiceRevenueAmt
CY Program Service Revenue$59,259,305CYProgramServiceRevenueAmt
PY Investment Income$26,208PYInvestmentIncomeAmt
CY Investment Income$12,888CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$408,390CYOtherRevenueAmt
PY Total Revenue$76,371,337PYTotalRevenueAmt
CY Total Revenue$72,546,154CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$15,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$28,124,722PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$28,080,974CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$43,291,702PYOtherExpensesAmt
CY Other Expenses$46,189,089CYOtherExpensesAmt
PY Total Expenses$71,416,424PYTotalExpensesAmt
CY Total Expenses$74,285,063CYTotalExpensesAmt
PY Revenues Less Expenses$4,954,913PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,738,909CYRevenuesLessExpensesAmt
Total Assets BOY$62,981,108TotalAssetsBOYAmt
Total Assets EOY$83,649,973TotalAssetsEOYAmt
Total Liabilities BOY$37,029,614TotalLiabilitiesBOYAmt
Total Liabilities EOY$58,496,101TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,951,494NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$25,153,872NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Organization operates exclusively for the benefit of the charitable purposes of Boston Children's Hospital (the Hospital) and the affiliated Foundations. It works jointly with the Hospital and the Foundations in developing and coordinating an (see Schedule O) integrated child health system and to foster cost effective, quality patient care within that system. The Organization negotiates and enters into agreements with insurers, payors, managed care plans, and fringe benefit plans on behalf of its member Foundations.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$33,289,401ExpenseAmt
Grant$15,000GrantAmt
Revenue$28,446,648RevenueAmt
DescThe Physicians Organization at Children's Hospital, Inc. (the Organization) sponsors health, dental, life, and disability benefit plans for the member Foundations. The health and dental plans are self-funded with internal premiums based upon the expected utilization of the plan members. Any surplus or deficit generated at the plan year-end is applied to the calculation when determining the subsequent year's premiums. Life and disability revenue is directly offset by premiums paid to the insurance carriers.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$16,959,581ExpenseAmt
Revenue$14,492,396RevenueAmt
DescThe Organization provides professional services to certain member Foundations to assist them in accounting, consulting, strategic management, quality programs, patient billing, patient safety, coordinated care cost containment, and other administrative services. Annual membership dues received from member Foundations support the administrative activities of the members by arranging for the delivery of healthcare services with insurers, managed care plans, and health maintenance organizations.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$19,098,620ExpenseAmt
Revenue$16,320,261RevenueAmt
DescThe Organization has entered into leases at satellite locations for clinical and general office space. Member Foundations reimburse the Organization for use of these facilities at cost. In addition, the Organization provides management services to the Hospital and Foundations. The Hospital or Foundation reimburses the Organization for salary and fringe support of employees.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$69,347,602TotalProgramServiceExpensesAmt
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 SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 OutstandingYes (1)LoanOutstandingInd
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 Document202IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members28GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
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 Line1Thomas J HartBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6179194078PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Sandra Fenwick
Director5.0055.00Yes (X)$0$2,446,647$634,618
Pedro del Nido MD
Director5.0055.00Yes (X)$0$2,731,670$65,501
Minider S Kocher MD
Director5.0055.00Yes (X)$0$2,394,540$103,613
Kevin Churchwell MD
Director5.0055.00Yes (X)$0$1,492,672$485,679
Mark R Proctor MD
Chairman5.0055.00Yes (X)$0$1,480,379$120,855Yes (X)
Paul R Hickey MD
Director (10/19-6/20)5.0055.00Yes (X)$0$1,400,873$99,553
Reza Rahbar MD
Non-Chief Member5.0055.00Yes (X)$0$1,367,377$103,931
Steven J Fishman MD
Director5.0055.00Yes (X)$0$1,216,533$124,215
Young-Jo Kim MD
Clerk/Treasurer5.0055.00Yes (X)$0$1,226,408$62,672Yes (X)
Peter M Waters MD
Director5.0055.00Yes (X)$0$1,165,009$79,165
John G Meara MD DMD
Director5.0055.00Yes (X)$0$1,078,159$113,892
David G Hunter MD PhD
Director5.0055.00Yes (X)$0$1,027,152$115,532
Michele Garvin
Director5.0055.00Yes (X)$0$1,056,045$62,085
Michael J Cunningham MD FACS
Director5.0055.00Yes (X)$0$904,549$107,336
Gary Fleisher MD
Director5.0055.00Yes (X)$0$786,337$102,591
James R Kasser MD
Director (non-voting)(10/19-6/20)5.0055.00Yes (X)$0$815,120$64,099
David A Diamond MD
Director5.0055.00Yes (X)$0$781,356$94,519
Tal Geva MD
Director5.0055.00Yes (X)$0$728,179$129,864
Joseph P Cravero MD
Director (7/20-9/20)5.0055.00Yes (X)$0$709,076$123,731
Mark D Fleming MD
Director5.0055.00Yes (X)$0$704,708$90,735
Richard Robertson MD
Director5.0055.00Yes (X)$0$631,831$80,035
Irene G Paresky
COO45.001.00$0$578,525$99,165Yes (X)
Richard Bachur MD
President15.0045.00Yes (X)$0$567,105$95,308Yes (X)
Thomas J Hart
CFO60.001.00$0$502,753$102,635Yes (X)
David DeMaso MD
Director5.0055.00Yes (X)$0$452,872$37,703
Anne Stack MD
Non-Chief Member5.0055.00Yes (X)$0$387,026$71,308
Gregory Young MD
Director (non-voting)5.0055.00Yes (X)$0$388,567$69,222
Man Wai Ng DDS MPH
Director5.0055.00Yes (X)$0$392,030$48,299
Christina VanderPluym MD
PO BOD at Large5.0055.00Yes (X)$0$314,089$80,014
Menno Verhave MD
Non-Chief Member5.0055.00Yes (X)$0$308,990$51,045
Scott L Pomeroy MD PhD
Director5.0055.00Yes (X)$0$233,822$32,799
Steven D Krichmar
Community Representative5.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$30,270,399TotReportableCompRltdOrgAmt
Total Other Compensation$3,651,719TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Baker Newman & Noyes LLC
PO Box 507PortlandME04112Audit & Tax services$824,050
Navigant
4511 Payshere CircleChicagoIL60674Consulting services$781,732
Thomas Vorder Dpm
100 Landsdowne Street Apt 904CambridgeMA02139Physician services$499,297
DCF Medical Associates
311 Albemarie RoadNewtonMA02460CRNA services$269,841
Dr Neo Farrag PLLC
6408 Brigantine LaneRockfordIL61114Physician services$232,020
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Related Organizations$12,865,571RelatedOrganizationsAmt
Total Contributions$12,865,571TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Insurance premiums524298$28,446,648$28,446,648
Other service revenue524298$16,320,261$16,320,261
Membership dues524298$14,223,944$14,223,944
Patient service revenue621300$268,452$268,452
FieldValueIRS element (for citing)
Total Program Service Revenue$59,259,305TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,888TotalRevenueColumnAmt
Unrelated Business Revenue$17,232UnrelatedBusinessRevenueAmt
Exclusion-$4,344ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMedical Service Office revenueDesc
Business900099BusinessCd
Total Revenue Column$408,390TotalRevenueColumnAmt
Exclusion$408,390ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$408,390OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,546,154TotalRevenueColumnAmt
Related Or Exempt Func Income$59,259,305RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$17,232UnrelatedBusinessRevenueAmt
Exclusion$404,046ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$15,000TotalAmt
Program Services$15,000ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$28,080,974TotalAmt
Program Services$28,080,974ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$65,563TotalAmt
Management And General$65,563ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$643,891TotalAmt
Management And General$643,891ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,699,768TotalAmt
Program Services$3,233,631ProgramServicesAmt
Management And General$1,466,137ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,267,294TotalAmt
Program Services$544,554ProgramServicesAmt
Management And General$722,740ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,708,273TotalAmt
Program Services$1,708,273ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,678TotalAmt
Program Services$17,678ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$76,024TotalAmt
Program Services$76,024ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$294,803TotalAmt
Program Services$294,803ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$129,793TotalAmt
Management And General$129,793ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Payroll reimbursement e$21,214,854$19,305,517$1,909,337
Integrated care coordin$13,648,100$13,648,100
Collection expenses$1,007,798$1,007,798
Minor equipment$541,441$541,441

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$873,809TotalAmt
Program Services$873,809ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$74,285,063TotalAmt
Program Services$69,347,602ProgramServicesAmt
Management And General$4,937,461ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,901,849BOYAmt
EOY$10,699,213EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,373,217BOYAmt
EOY$2,606,789EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,400,341BOYAmt
EOY$12,865,912EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$428,645BOYAmt
EOY$428,645EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$165,181BOYAmt
EOY$341,262EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,817,048LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,725,694LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,354,477BOYAmt
EOY$1,091,354EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$29,818,322BOYAmt
EOY$30,173,328EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,608,280BOYAmt
EOY$2,608,280EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,930,796BOYAmt
EOY$22,835,190EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$62,981,108BOYAmt
EOY$83,649,973EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,413,016BOYAmt
EOY$3,014,443EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,616,598BOYAmt
EOY$55,481,658EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,029,614BOYAmt
EOY$58,496,101EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,961,483BOYAmt
EOY$23,314,039EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,990,011BOYAmt
EOY$1,839,833EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,951,494BOYAmt
EOY$25,153,872EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$62,981,108BOYAmt
EOY$83,649,973EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,738,909ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$941,287NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations16SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (16 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
Boston Children's Heart Foundation Inc
04279069910Yes (1)$0$1,013,424
Boston Pediatric Neurosurgical Foundation Inc
04298609710Yes (1)$0$297,912
Boston Plastic & Oral Surgery Foundation Inc
04328671810Yes (1)$0$495,488
CHMC Anesthesia Foundation Inc
04270216910Yes (1)$0$1,795,581
CHMC Cardiovascular Surgical Foundation Inc
04276437010Yes (1)$0$497,020
CHMC Otolaryngologic Foundation Inc
04275125810Yes (1)$0$597,598
CHMC Surgical Foundation Inc
04276760210Yes (1)$0$648,601
CH Neurology Foundation Inc
22267859410Yes (1)$0$763,526
Children's Hospital Ophthalmology Foundation Inc
04286408110Yes (1)$0$531,797
Children's Orthopaedic Surgery Foundation Inc
04294314610Yes (1)$0$816,194
Children's Hospital Pathology Foundation Inc
04308542710Yes (1)$0$216,629
Children's Hospital Pediatric Associates Inc
43198740910Yes (1)$0$3,419,430
Children's Hospital Radiology Foundation Inc
04325964710Yes (1)$0$687,443
Children's Sports Medicine Foundation Inc
04297012910Yes (1)$0$573,644
Children's Urological Foundation Inc
04291030410Yes (1)$0$397,047
Boston Children's Hospital
0427744413Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total16SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$12,751,334OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (1)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Activities TestYes (X)ActivitiesTestInd
Activities Further Exempt PrpsYes (1)ActivitiesFurtherExemptPrpsInd
Activities Engaged Org InvlmntYes (1)ActivitiesEngagedOrgInvlmntInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Question 12c:The Physicians Organization at Children's Hospital, Inc. (the PO) is responsible for providing management services to the supported organizations listed. The PO has the power to approve the independent auditor and legal counsel of the supported organizations. The PO also has the right to review the annual budgets and approve the by-law changes of these organizations. The support amounts in Column VI represents an approximation of the value of support provided to each supported organization.
Schedule A, Section D, Line 3:As board members of the organization, representatives of the supported organizations have direct responsibility for and control over all of the Organization's operations, policies, and assets.
Schedule A, Section E, Line 2a:The Physicians Organization at Children's Hospital, Inc. (the PO) provides management services to the supported organizations listed in Part I, Question 12. These services included patient billing, access, and scheduling; insurance contract negotiations; and a billing reporting system. By providing these services, the PO allowed the supported organizations to further their exempt purposes through providing services to patients, medical research, and educational services for the community.
Schedule A, Section E, Line 2b:The supported organizations of the Physicians Organization at Children's Hospital, Inc. (the PO) would engage in the services provided to them without the involvement of the PO. The services are an integral part of operations that are essential to the Organizations' ability to fulfill their charitable missions.

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$1,990,011BeginningYearBalanceAmt
Contributions$12,865,571ContributionsAmt
Administrative Expenses$13,015,749AdministrativeExpensesAmt
End Year Balance$1,839,833EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,116,284BeginningYearBalanceAmt
Contributions$12,415,117ContributionsAmt
Administrative Expenses$12,541,390AdministrativeExpensesAmt
End Year Balance$1,990,011EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,345,664BeginningYearBalanceAmt
Contributions$6,639,718ContributionsAmt
Administrative Expenses$6,869,098AdministrativeExpensesAmt
End Year Balance$2,116,284EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,529,440BeginningYearBalanceAmt
Administrative Expenses$183,776AdministrativeExpensesAmt
End Year Balance$2,345,664EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,755,037BeginningYearBalanceAmt
Administrative Expenses$225,597AdministrativeExpensesAmt
End Year Balance$2,529,440EndYearBalanceAmt
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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,429,590OtherCostOrOtherBasisAmt
Depreciation$1,395,840DepreciationAmt
Book Value$1,033,750BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,387,458OtherCostOrOtherBasisAmt
Depreciation$7,329,854DepreciationAmt
Book Value$57,604BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,091,354TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescPrivate Investment PartnershipDesc
Book Value$30,173,328BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$30,173,328TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Due from member Foundations$4,468,912
Due from Insurance Carriers$822,202
Due from Boston Children's Hospital$13,522,176
Other receivables$22,076
Right of use asset$3,999,824
FieldValueIRS element (for citing)
Total Book Value Other Assets$22,835,190TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Due to member Foundations and affiliates$44,295,925
Accrual for unbilled insurance claims$1,990,213
Due to CHICO$4,799,911
Lease liability$4,395,609
FieldValueIRS element (for citing)
Total Liability$55,481,658TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$73,487,441TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$941,287NetUnrealizedGainsInvstAmt
Revenue Not Reported$941,287RevenueNotReportedAmt
Revenue Subtotal$72,546,154RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$72,546,154TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$74,285,063TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$74,285,063ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$74,285,063TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The restricted funds represent a donation that was given for IT projects and ACO contributions to enhance clinical care. The use of these funds was restricted by the donor.
Part X, Line 2:The Organization is a tax-exempt organization, 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 Organization 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)(3). 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 Organization has evaluated the positions taken on the Organization's filed tax returns and has concluded that no uncertain income tax positions exist at September 30, 2020. The Organization's tax years from 2018 through 2020 are potentially subject to examination.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Boston Children's HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AvenueAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02115ZIPCd
FieldValueIRS element (for citing)
Recipient EIN042774441RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$15,000CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantGeneral supportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationMonitoring is provided by Physicians Organization at Children's Hospital, Inc. (the PO) through oversight of the 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, 2020, the Foundation only provided grant donations to other 501(c)(3) organizations.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
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 Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (31 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
Sandra Fenwick
Director$0$2,446,647$0$0$0$0$0$617,656$0$16,962$0$3,081,265$0$0
Pedro del Nido MD
Director$0$2,569,432$0$46,125$0$116,113$0$19,000$0$46,501$0$2,797,171$0$0
Minider S Kocher MD
Director$0$486,616$0$1,200,000$0$707,924$0$57,000$0$46,613$0$2,498,153$0$0
Kevin Churchwell MD
Director$0$1,492,672$0$0$0$0$0$395,923$0$89,756$0$1,978,351$0$0
Mark R Proctor MD
Chairman$0$773,563$0$530,623$0$176,193$0$56,750$0$64,105$0$1,601,234$0$0
Paul R Hickey MD
Director (10/19-6/20)$0$1,084,146$0$120,375$0$196,352$0$56,000$0$43,553$0$1,500,426$0$0
Reza Rahbar MD
Non-Chief Member$0$743,100$0$556,224$0$68,053$0$56,000$0$47,931$0$1,471,308$0$0
Steven J Fishman MD
Director$0$824,660$0$330,599$0$61,274$0$86,000$0$38,215$0$1,340,748$0$0
Young-Jo Kim MD
Clerk/Treasurer$0$404,974$0$555,000$0$266,434$0$57,000$0$5,672$0$1,289,080$0$0
Peter M Waters MD
Director$0$411,195$0$470,000$0$283,814$0$57,000$0$22,165$0$1,244,174$0$0
John G Meara MD DMD
Director$0$550,000$0$450,000$0$78,159$0$55,000$0$58,892$0$1,192,051$0$0
David G Hunter MD PhD
Director$0$903,830$0$99,274$0$24,048$0$75,250$0$40,282$0$1,142,684$0$0
Michele Garvin
Director$0$614,302$0$318,212$0$123,531$0$22,400$0$39,685$0$1,118,130$0$0
Michael J Cunningham MD FACS
Director$0$756,500$0$89,966$0$58,083$0$56,000$0$51,336$0$1,011,885$0$0
Gary Fleisher MD
Director$0$406,496$0$96,328$0$283,513$0$68,259$0$34,332$0$888,928$0$0
James R Kasser MD
Director (non-voting)(10/19-6/20)$0$405,282$0$355,950$0$53,888$0$57,000$0$7,099$0$879,219$0$0
David A Diamond MD
Director$0$703,680$0$46,125$0$31,551$0$55,000$0$39,519$0$875,875$0$0
Tal Geva MD
Director$0$620,022$0$68,125$0$40,032$0$88,990$0$40,874$0$858,043$0$0
Joseph P Cravero MD
Director (7/20-9/20)$0$551,245$0$97,000$0$60,831$0$81,000$0$42,731$0$832,807$0$0
Mark D Fleming MD
Director$0$546,671$0$138,391$0$19,646$0$55,250$0$35,485$0$795,443$0$0
Richard Robertson MD
Director$0$496,824$0$78,018$0$56,989$0$35,000$0$45,035$0$711,866$0$0
Irene G Paresky
COO$0$442,008$0$91,458$0$45,059$0$60,586$0$38,579$0$677,690$0$0
Richard Bachur MD
President$0$455,052$0$87,500$0$24,553$0$60,259$0$35,049$0$662,413$0$0
Thomas J Hart
CFO$0$417,824$0$80,000$0$4,929$0$57,000$0$45,635$0$605,388$0$0
David DeMaso MD
Director$0$397,045$0$35,729$0$20,098$0$30,800$0$6,903$0$490,575$0$0
Anne Stack MD
Non-Chief Member$0$334,815$0$31,142$0$21,069$0$36,259$0$35,049$0$458,334$0$0
Gregory Young MD
Director (non-voting)$0$361,475$0$24,515$0$2,577$0$36,115$0$33,107$0$457,789$0$0
Man Wai Ng DDS MPH
Director$0$368,442$0$14,400$0$9,188$0$30,800$0$17,499$0$440,329$0$0
Christina VanderPluym MD
PO BOD at Large$0$228,544$0$22,000$0$63,545$0$39,140$0$40,874$0$394,103$0$0
Menno Verhave MD
Non-Chief Member$0$298,818$0$3,000$0$7,172$0$15,264$0$35,781$0$360,035$0$0
Scott L Pomeroy MD PhD
Director$0$165,577$0$46,125$0$22,120$0$31,047$0$1,752$0$266,621$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 4bFormAndLineReferenceDesc
ExplanationThe Severance Benefit is to reward a key employee with a monetary severance benefit based on years of service with the Organization. Under the terms of the plan, the participant is eligible for benefits upon completion of a number of years of service. The liability owed to those officers or directors listed on Part VII for the Severance Benefit Plan is the COO. A Supplemental Executive Retirement Plan (SERP) was established 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 benefits, and elective deferrals. The Foundations made contributions to the retirement plans for Paul R. Hickey, MD, $64,594 (After Tax Plan); Paul R. Hickey, MD, $56,000 (SERP); Gary Fleisher, MD, $36,259 (457(f)); Gary Fleisher, MD, $32,000 (457(f)); Joseph P. Cravero, MD, $30,040 (After Tax Plan); Steven J. Fishman, MD, $30,000 (defined benefit pension plan); Richard Bachur, MD, $24,000 (457(f)); and Pedro del Nido, MD, $19,000 (457(b)). Boston Children's Hospital made contributions to the supplemental non-qualified retirement plan for Michele Garvin, $22,400.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonSteven J Fishman MDPersonNm
Relationship With OrgDirectorRelationshipWithOrgTxt
Loan PurposePurchase of common stockLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$428,645OriginalPrincipalAmt
Balance Due$428,645BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$428,645TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IIFormAndLineReferenceDesc
ExplanationDuring the year ended September 30, 2018, the Physicians Organization at Children's Hospital, Inc. (the PO) entered into a promissory note in the amount of $428,645 with a Director of the PO, Steven J. Fishman, MD, to purchase common stock in the Longwood Medical Trust (LMT) on behalf of the PO. The LMT requires that each shareholder be a physician. An agency agreement was executed between the PO and the Director to meet the shareholder requirement. The Director's interest in LMT cannot be sold without the written consent of the PO. LMT retains the right of first refusal to repurchase the stock if the Director is: incapacitated; files for bankruptcy; ceases to be employed by an affiliated Foundations of Boston Children's Hospital; or dies. However, the PO has the right to assign a replacement purchaser upon the triggering of any right of first refusal of LMT to repurchase the share.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The Children's Medical Center Corporation (the Medical Center) is the Class "A" member of the Physicians Organization at Children's Hospital, Inc. (the Organization). The Class "B" members consist of the following individuals: three physician directors (President, Chair of the Board, and Clerk/Treasurer), three non-chief physician representatives, and one At-Large non-chief physician representative elected by the Physicians Organization Congress. The Chief Operating Officer and the Chief Financial Officer of the Organization have the right to attend all meetings of the Board of Directors but they are not entitled to vote.
Form 990, Part VI, Section A, line 7aThe majority of the board members of the Physicians Organization at Children's Hospital, Inc. (the Organization) are elected by the Physicians Organization Congress. The President, the Chair of the Board, the Chief Operating Officer, the Chief Financial Officer, and the Clerk/Treasurer are the principal officers of the Organization. The principal officers may appoint such assistants and other officers as they deem necessary, and such other officers shall have such authority and shall perform such duties as from time to time may be prescribed by the Board or principal officers. The Organization may also have such agents, if any, as the Board from time to time and at its discretion may appoint. A lay member of the Board of Trustees of the Class "A" member serves as the community representative of the Organization.
Form 990, Part VI, Section A, line 7bAll of the board decisions are subject to approval by the Class "B" members of the Physicians Organization at Children's Hospital, Inc. (the Organization). The Class "A and "B" members have the right to approve the following: a) hiring and firing of senior management of the Organization excluding the officers; b) legal counsel of the Organization and any Foundation which approval shall not be withheld if selected from an approved list of firms mutually agreed to by the Board and the Members; and c) amendments to the Articles of Organization and by-laws of any Foundation but only after initiation and approval of such amendments by the Board of Directors of such Foundation. The Board has delegated the audit and compliance authority to the Boston Children's Hospital (the Hospital) Audit Committee for the selection of the external auditor or internal audit programs. Relative to the PO, the following individuals shall be added to and shall serve on such Audit Committee ex officio without vote: the President of the Organization, the Treasurer/Clerk of the Organization, the Physician-in-Chief, the Surgeon-In-Chief, and one of the non-chief physician directors serving on the Board pursuant to Section 4.3(vi) above. The Audit Committee shall meet according to a schedule developed by the Hospital in consultation with the PO. The Audit Committee shall: (a) approve the selection of all external auditors to ensure quality and integrity of Foundation financial statements or other related regulatory or internal audits; and (b) monitor internal controls (including, but not limited to, accounting, compliance, regulatory matters, and designing policies to mitigate risk).
Form 990, Part VI, Section B, line 11bThe board has voted to designate the review process to the Executive Committee which is comprised of the elected and non-elected members of the Organization. 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 Hospital), the Physicians Organization at Children's Hospital, Inc. (the Organization) has a Conflict of Interest and Commitment policy that applies to all Chiefs, Senior Directors, Directors, and others who exercise influence over important strategic, business, and purchasing decisions of the PO. They are required to complete an annual conflict of interest disclosure questionnaire about their financial interest and outside activities. If an expected questionnaire is not returned, the Compliance Officer notifies the individual's supervisor or the CEO/COO, and repeated requests for the completed questionnaire are made until the questionnaire is completed. Responses are reviewed by the Compliance Officer and any potential conflicts are discussed with the Office of General Counsel and/or the individual's supervisor; any actual or potential conflicts are managed by termination of the conflict. Management of the conflict, recusal, disclosure, review, or a combination thereof. 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 Organization prohibits the member from voting on any matter to which the conflict relates or otherwise influence the voting on such matter. Violation of this policy may result in disciplinary or other remedial action, including termination of employment and removal from office.
Form 990, Part VI, Section B, line 15The Physicians Organization at Children's Hospital, Inc. (the Organization) has a compensation committee that is comprised of elected officers. Compensation of non-elected officers and key employees are reviewed annually and benchmarked against comparable positions at similar entities. Goals are established at the beginning of the fiscal year which is an indicator in determining the subsequent year annual compensation increase. The Organization committee reviews and approves the annual compensation of the Chief Operating Officer, the Chief Financial Officer, and the Directors of the Organization. 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 the 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 Foundation. The maximum compensation limits are based on pediatric specialty, sub-specialty, academic rank, research, teaching and administrative responsibilities, and include productivity adjustments. Any proposed compensation that exceeds the limits 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 Chief Executive Officer and President/Chief Operating Officer.
Form 990, Part VI, Section C, line 19The Organization maintains 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 has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
Boston Children's Heart Foundation Inc
300 Longwood AvenueBostonMA02115042790699HealthcareMA501(c)(3)10N/A0
Boston Pediatric Neurosurgical Foundation Inc
300 Longwood AvenueBostonMA02115042986097HealthcareMA501(c)(3)10N/A0
Boston Plastic & Oral Surgery Foundation Inc
300 Longwood AvenueBostonMA02115043286718HealthcareMA501(c)(3)10N/A0
CHMC Anesthesia Foundation Inc
300 Longwood AvenueBostonMA02115042702169HealthcareMA501(c)(3)10N/A0
CHMC Cardiovascular Surgical Foundation Inc
300 Longwood AvenueBostonMA02115042764370HealthcareMA501(c)(3)10N/A0
CHMC Otolaryngologic Foundation Inc
300 Longwood AvenueBostonMA02115042751258HealthcareMA501(c)(3)10N/A0
CHMC Surgical Foundation Inc
300 Longwood AvenueBostonMA02115042767602HealthcareMA501(c)(3)10N/A0
CH Neurology Foundation Inc
300 Longwood AvenueBostonMA02115222678594HealthcareMA501(c)(3)10N/A0
Children's Hospital Ophthalmology Foundation Inc
300 Longwood AvenueBostonMA02115042864081HealthcareMA501(c)(3)10N/A0
Children's Orthopaedic Surgery Foundation Inc
300 Longwood AvenueBostonMA02115042943146HealthcareMA501(c)(3)10N/A0
Children's Hospital Pathology Foundation Inc
300 Longwood AvenueBostonMA02115043085427HealthcareMA501(c)(3)10N/A0
Children's Hospital Pediatric Association Inc
300 Longwood AvenueBostonMA02115431987409HealthcareMA501(c)(3)10N/A0
Children's Hospital Radiology Foundation Inc
300 Longwood AvenueBostonMA02115043259647HealthcareMA501(c)(3)10N/A0
Children's Sports Medicine Foundation Inc
300 Longwood AvenueBostonMA02115042970129HealthcareMA501(c)(3)10N/A0
Children's Urological Foundation Inc
300 Longwood AvenueBostonMA02115042910304HealthcareMA501(c)(3)10N/A0
Boston Children's Hospital
300 Longwood AvenueBostonMA02115042774441HospitalMA501(c)(3)3N/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 OrgYes (1)LoansOrGuaranteesToOtherOrgInd
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 OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
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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