PHYSICIANS ORGANIZATION AT CHILDRENS HOSPITAL INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PHYSICIANS ORGANIZATION AT CHILDRENS HOSPITAL INC (EIN 04-3266103)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-10
- IRS object ID
- 201832229349300303
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-10T07:45:24-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | 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 | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043266103 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Physicians Organization at Children's | BusinessNameLine1Txt |
| Business Name Line2 | Hospital Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PHYS | BusinessNameControlTxt |
| Phone | 6179194078 | 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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Thomas J Hart | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6179194078 | PhoneNum |
| Signature | 2018-08-09 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2018-08-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Steven J Fishman MD | PrincipalOfficerNm |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $57,408,221 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | The 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 Body | 27 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $1,904 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $832 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,231,138 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,399,402 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,108 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,819 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $42,232,246 | PYTotalRevenueAmt |
| CY Total Revenue | $57,408,221 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $100 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $22,520,238 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $23,986,938 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,637,946 | PYOtherExpensesAmt |
| CY Other Expenses | $31,407,242 | CYOtherExpensesAmt |
| PY Total Expenses | $46,158,284 | PYTotalExpensesAmt |
| CY Total Expenses | $55,394,180 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,926,038 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,014,041 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $38,030,684 | TotalAssetsBOYAmt |
| Total Assets EOY | $43,811,495 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,607,643 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,640,703 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,423,041 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,170,792 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $23,122,176 | ExpenseAmt |
| Revenue | $26,453,368 | RevenueAmt |
| Desc | The 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,113,447 | ExpenseAmt |
| Revenue | $12,714,552 | RevenueAmt |
| Desc | The 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 medical 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,935,647 | ExpenseAmt |
| Revenue | $18,231,482 | RevenueAmt |
| Desc | The 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $50,171,270 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | 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 | 0 | 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 | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 207 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 27 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | 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 | Yes (1) | 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 | 0 | InvestmentInJointVentureInd |
| 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 | Thomas J Hart | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6179194078 | 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 (31 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 |
|---|---|---|---|---|---|---|---|
| Steven J Fishman MD | |||||||
| President | 15.00 | 45.00 | Yes (X) | Yes (X) | $0 | $961,102 | $195,611 |
| Paul R Hickey MD | |||||||
| Director/Chairman | 5.00 | 55.00 | Yes (X) | Yes (X) | $0 | $1,557,083 | $159,511 |
| John Triedman MD | |||||||
| Treasurer | 5.00 | 55.00 | Yes (X) | Yes (X) | $0 | $397,784 | $158,407 |
| Minider S Kocher MD | |||||||
| PO BOD at Large | 5.00 | 55.00 | Yes (X) | $0 | $2,330,750 | $88,852 | |
| Anne Stack MD | |||||||
| Non-Chief Member | 5.00 | 55.00 | Yes (X) | $0 | $359,132 | $82,729 | |
| Reza Rahbar MD | |||||||
| Non-Chief Member | 5.00 | 55.00 | Yes (X) | $0 | $1,005,950 | $108,902 | |
| Menno Verhave MD | |||||||
| Non-Chief Member | 5.00 | 55.00 | Yes (X) | $0 | $290,529 | $70,729 | |
| Mark R Proctor MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $1,995,101 | $123,153 | |
| Tal Geva MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $563,512 | $181,187 | |
| John G Meara MD DMD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $901,915 | $101,124 | |
| Man Wai Ng DDS MPH | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $343,139 | $47,517 | |
| David DeMaso MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $384,246 | $40,604 | |
| Gary Fleisher MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $875,482 | $100,267 | |
| Gregory Young MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $347,008 | $66,361 | |
| Scott L Pomeroy MD PhD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $221,190 | $36,461 | |
| David G Hunter MD PhD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $991,793 | $107,473 | |
| Mark D Fleming MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $683,906 | $86,216 | |
| Richard Robertson MD | |||||||
| Director | 5.00 | 25.00 | Yes (X) | $0 | $621,071 | $80,374 | |
| James R Kasser MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $742,660 | $77,817 | |
| Peter M Waters MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $1,314,095 | $68,954 | |
| Lyle J Micheli MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $1,238,047 | $54,000 | |
| David A Diamond MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $749,480 | $40,762 | |
| Pedro del Nido MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $2,022,805 | $33,274 | |
| Michael J Cunningham MD FACS | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $861,067 | $84,952 | |
| Robert C Shamberger MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $968,423 | $115,990 | |
| Steven D Krichmar | |||||||
| Community Representative (6/17-9/17) | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Sandra Fenwick | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $2,108,086 | $75,935 | |
| Kevin Churchwell MD | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $1,345,722 | $50,718 | |
| Michele Garvin | |||||||
| Director | 5.00 | 55.00 | Yes (X) | $0 | $771,000 | $49,144 | |
| Thomas J Hart | |||||||
| CFO | 60.00 | 1.00 | Yes (X) | $0 | $418,985 | $31,656 | |
| Irene G Paresky | |||||||
| COO | 60.00 | 1.00 | Yes (X) | $0 | $535,331 | $65,156 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $27,906,394 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,583,836 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Huron Consulting Services LLC | |||||
| 3005 Momentum Place | Chicago | IL | 60689 | Consulting services | $1,255,837 |
| Baker Newman & Noyes LLC | |||||
| PO Box 507 | Portland | ME | 04112 | Audit & Tax services | $989,650 |
| Sagacious Consultants | |||||
| PO Box 70629 | Chicago | IL | 60673 | Consulting services | $919,438 |
| Account One LLC | |||||
| 54 Main Street | Lakeville | MA | 02347 | Billing services | $820,843 |
| Med Pro Medical Management LLC | |||||
| 54 Main Street Suite 10 | Lakeville | MA | 02347 | Billing services | $687,563 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Insurance premiums | 524298 | $26,453,368 | $26,453,368 |
| Other service revenue | 524298 | $18,231,482 | $18,231,482 |
| Membership dues | 524298 | $12,714,552 | $12,714,552 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,399,402 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,819 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $1,904 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,915 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,408,221 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $57,399,402 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,904 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,915 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,986,938 | TotalAmt |
| Program Services | $23,986,938 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,773 | TotalAmt |
| Management And General | $65,773 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,800 | TotalAmt |
| Management And General | $704,800 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,682,313 | TotalAmt |
| Program Services | $2,658,881 | ProgramServicesAmt |
| Management And General | $2,023,432 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,141,266 | TotalAmt |
| Program Services | $524,074 | ProgramServicesAmt |
| Management And General | $617,192 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,993,142 | TotalAmt |
| Program Services | $1,993,142 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,142 | TotalAmt |
| Program Services | $39,142 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,586 | TotalAmt |
| Program Services | $41,586 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500,509 | TotalAmt |
| Program Services | $2,500,509 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,183 | TotalAmt |
| Management And General | $93,183 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Payroll reimbursement e | $19,094,778 | $17,376,248 | $1,718,530 |
| Minor equipment | $564,818 | $564,818 | |
| Recruitment expenses | $71,700 | $71,700 | |
| Parking expenses | $20,529 | $20,529 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,703 | TotalAmt |
| Program Services | $393,703 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,394,180 | TotalAmt |
| Program Services | $50,171,270 | ProgramServicesAmt |
| Management And General | $5,222,910 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,621,531 | BOYAmt |
| EOY | $7,072,198 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,529,440 | BOYAmt |
| EOY | $7,692,090 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,739 | BOYAmt |
| EOY | $428,645 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $433,153 | BOYAmt |
| EOY | $178,991 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,143,163 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,598,673 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,938,934 | BOYAmt |
| EOY | $4,544,490 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,346,964 | BOYAmt |
| EOY | $9,705,690 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,342,339 | BOYAmt |
| EOY | $2,342,339 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,573,584 | BOYAmt |
| EOY | $11,847,052 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,030,684 | BOYAmt |
| EOY | $43,811,495 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,253,663 | BOYAmt |
| EOY | $2,601,707 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,353,980 | BOYAmt |
| EOY | $24,038,996 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,607,643 | BOYAmt |
| EOY | $26,640,703 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,893,601 | BOYAmt |
| EOY | $14,825,128 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,529,440 | BOYAmt |
| EOY | $2,345,664 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,423,041 | BOYAmt |
| EOY | $17,170,792 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,030,684 | BOYAmt |
| EOY | $43,811,495 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,014,041 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $733,710 | 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) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 16 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (16 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| Boston Children's Heart Foundation Inc | ||||
| 042790699 | 10 | Yes (1) | $0 | $977,044 |
| Boston Pediatric Neurosurgical Foundation Inc | ||||
| 042986097 | 10 | Yes (1) | $0 | $283,091 |
| Boston Plastic & Oral Surgery Foundation Inc | ||||
| 043286718 | 10 | Yes (1) | $0 | $473,582 |
| CHMC Anesthesia Foundation Inc | ||||
| 042702169 | 10 | Yes (1) | $0 | $1,732,812 |
| CHMC Cardiovascular Surgical Foundation Inc | ||||
| 042764370 | 10 | Yes (1) | $0 | $461,186 |
| CHMC Otolaryngologic Foundation Inc | ||||
| 042751258 | 10 | Yes (1) | $0 | $630,927 |
| CHMC Surgical Foundation Inc | ||||
| 042767602 | 10 | Yes (1) | $0 | $602,759 |
| CH Neurology Foundation Inc | ||||
| 222678594 | 10 | Yes (1) | $0 | $734,578 |
| Children's Ophthalmology Foundation Inc | ||||
| 042864081 | 10 | Yes (1) | $0 | $514,412 |
| Children's Orthopaedic Surgery Foundation Inc | ||||
| 042943146 | 10 | Yes (1) | $0 | $777,211 |
| Children's Hospital Pathology Foundation Inc | ||||
| 043085427 | 10 | Yes (1) | $0 | $253,002 |
| Children's Hospital Pediatric Associates Inc | ||||
| 431987409 | 10 | Yes (1) | $0 | $3,421,761 |
| Children's Hospital Radiology Foundation Inc | ||||
| 043259647 | 10 | Yes (1) | $0 | $697,618 |
| Children's Sports Medicine Foundation Inc | ||||
| 042970129 | 10 | Yes (1) | $0 | $595,192 |
| Children's Urological Foundation Inc | ||||
| 042910304 | 10 | Yes (1) | $0 | $456,853 |
| Boston Children's Hospital | ||||
| 042774441 | 3 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 16 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $12,612,028 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (1) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Test | Yes (X) | ActivitiesTestInd |
| Activities Further Exempt Prps | Yes (1) | ActivitiesFurtherExemptPrpsInd |
| Activities Engaged Org Invlmnt | Yes (1) | ActivitiesEngagedOrgInvlmntInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| Part IV, 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. |
| Part IV, 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. |
| Part IV, 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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,529,440 | BeginningYearBalanceAmt |
| Administrative Expenses | $183,776 | AdministrativeExpensesAmt |
| End Year Balance | $2,345,664 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,755,037 | BeginningYearBalanceAmt |
| Administrative Expenses | $225,597 | AdministrativeExpensesAmt |
| End Year Balance | $2,529,440 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,867,464 | BeginningYearBalanceAmt |
| Administrative Expenses | $112,427 | AdministrativeExpensesAmt |
| End Year Balance | $2,755,037 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $2,867,464 | ContributionsAmt |
| End Year Balance | $2,867,464 | 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 |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,923,736 | OtherCostOrOtherBasisAmt |
| Depreciation | $649,295 | DepreciationAmt |
| Book Value | $1,274,441 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,219,427 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,949,378 | DepreciationAmt |
| Book Value | $3,270,049 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,544,490 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Private Investment Partnership | Desc |
| Book Value | $9,705,690 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $9,705,690 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Investment in Children's Hospital Integrated Care Organization | $20,000 | F |
| Pediatric Physicians Organization at Children's, LLC | $2,322,339 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $2,342,339 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from member Foundations | $10,259,945 |
| Due from Insurance Carriers | $938,364 |
| Due from Boston Children's Hospital | $476,865 |
| Other receivables | $153,637 |
| Due from CHICO | $18,241 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $11,847,052 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to member Foundations and affiliates | $19,158,991 |
| Accrual for unbilled insurance claims | $1,327,579 |
| Due to CHICO | $3,552,426 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,038,996 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $58,141,931 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $733,710 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $733,710 | RevenueNotReportedAmt |
| Revenue Subtotal | $57,408,221 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $57,408,221 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $55,394,180 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $55,394,180 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $55,394,180 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The endowment funds represent a donation that was given for IT projects 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, 2017. The Organization's tax years from 2014 through 2017 are potentially subject to examination. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Steven J Fishman MD | ||||||||||||||
| President | $0 | $697,972 | $0 | $219,491 | $0 | $43,639 | $0 | $158,908 | $0 | $36,703 | $0 | $1,156,713 | $0 | $0 |
| Paul R Hickey MD | ||||||||||||||
| Director/Chairman | $0 | $1,009,170 | $0 | $90,000 | $0 | $457,913 | $0 | $114,630 | $0 | $44,881 | $0 | $1,716,594 | $0 | $182,285 |
| John Triedman MD | ||||||||||||||
| Treasurer | $0 | $374,642 | $0 | $12,500 | $0 | $10,642 | $0 | $118,733 | $0 | $39,674 | $0 | $556,191 | $0 | $0 |
| Minider S Kocher MD | ||||||||||||||
| PO BOD at Large | $0 | $420,000 | $0 | $1,185,820 | $0 | $724,930 | $0 | $54,000 | $0 | $34,852 | $0 | $2,419,602 | $0 | $0 |
| Anne Stack MD | ||||||||||||||
| Non-Chief Member | $0 | $280,651 | $0 | $49,772 | $0 | $28,709 | $0 | $48,115 | $0 | $34,614 | $0 | $441,861 | $0 | $0 |
| Reza Rahbar MD | ||||||||||||||
| Non-Chief Member | $0 | $655,000 | $0 | $293,594 | $0 | $57,356 | $0 | $0 | $0 | $108,902 | $0 | $1,114,852 | $0 | $0 |
| Menno Verhave MD | ||||||||||||||
| Non-Chief Member | $0 | $280,154 | $0 | $1,166 | $0 | $9,209 | $0 | $36,115 | $0 | $34,614 | $0 | $361,258 | $0 | $0 |
| Mark R Proctor MD | ||||||||||||||
| Director | $0 | $647,684 | $0 | $34,076 | $0 | $1,313,341 | $0 | $53,000 | $0 | $70,153 | $0 | $2,118,254 | $0 | $1,192,220 |
| Tal Geva MD | ||||||||||||||
| Director | $0 | $537,748 | $0 | $12,500 | $0 | $13,264 | $0 | $141,513 | $0 | $39,674 | $0 | $744,699 | $0 | $0 |
| John G Meara MD DMD | ||||||||||||||
| Director | $0 | $630,393 | $0 | $250,000 | $0 | $21,522 | $0 | $55,935 | $0 | $45,189 | $0 | $1,003,039 | $0 | $0 |
| Man Wai Ng DDS MPH | ||||||||||||||
| Director | $0 | $345,227 | $0 | $4,500 | $0 | -$6,588 | $0 | $29,150 | $0 | $18,367 | $0 | $390,656 | $0 | $0 |
| David DeMaso MD | ||||||||||||||
| Director | $0 | $377,804 | $0 | $0 | $0 | $6,442 | $0 | $29,150 | $0 | $11,454 | $0 | $424,850 | $0 | $0 |
| Gary Fleisher MD | ||||||||||||||
| Director | $0 | $512,092 | $0 | $50,000 | $0 | $313,390 | $0 | $68,115 | $0 | $32,152 | $0 | $975,749 | $0 | $0 |
| Gregory Young MD | ||||||||||||||
| Director | $0 | $342,617 | $0 | $0 | $0 | $4,391 | $0 | $36,115 | $0 | $30,246 | $0 | $413,369 | $0 | $0 |
| Scott L Pomeroy MD PhD | ||||||||||||||
| Director | $0 | $158,218 | $0 | $50,000 | $0 | $12,972 | $0 | $30,430 | $0 | $6,031 | $0 | $257,651 | $0 | $0 |
| David G Hunter MD PhD | ||||||||||||||
| Director | $0 | $839,602 | $0 | $134,956 | $0 | $17,235 | $0 | $71,250 | $0 | $36,223 | $0 | $1,099,266 | $0 | $0 |
| Mark D Fleming MD | ||||||||||||||
| Director | $0 | $475,744 | $0 | $172,398 | $0 | $35,764 | $0 | $53,000 | $0 | $33,216 | $0 | $770,122 | $0 | $0 |
| Richard Robertson MD | ||||||||||||||
| Director | $0 | $515,578 | $0 | $70,000 | $0 | $35,493 | $0 | $42,884 | $0 | $37,490 | $0 | $701,445 | $0 | $0 |
| James R Kasser MD | ||||||||||||||
| Director | $0 | $400,000 | $0 | $260,600 | $0 | $82,060 | $0 | $54,000 | $0 | $23,817 | $0 | $820,477 | $0 | $0 |
| Peter M Waters MD | ||||||||||||||
| Director | $0 | $400,000 | $0 | $323,100 | $0 | $590,995 | $0 | $54,000 | $0 | $14,954 | $0 | $1,383,049 | $0 | $0 |
| Lyle J Micheli MD | ||||||||||||||
| Director | $0 | $750,000 | $0 | $431,500 | $0 | $56,547 | $0 | $54,000 | $0 | $0 | $0 | $1,292,047 | $0 | $0 |
| David A Diamond MD | ||||||||||||||
| Director | $0 | $731,378 | $0 | $0 | $0 | $18,102 | $0 | $0 | $0 | $40,762 | $0 | $790,242 | $0 | $0 |
| Pedro del Nido MD | ||||||||||||||
| Director | $0 | $1,528,050 | $0 | $25,000 | $0 | $469,755 | $0 | $0 | $0 | $33,274 | $0 | $2,056,079 | $0 | $0 |
| Michael J Cunningham MD FACS | ||||||||||||||
| Director | $0 | $720,000 | $0 | $87,758 | $0 | $53,309 | $0 | $0 | $0 | $84,952 | $0 | $946,019 | $0 | $0 |
| Robert C Shamberger MD | ||||||||||||||
| Director | $0 | $754,213 | $0 | $185,616 | $0 | $28,594 | $0 | $83,255 | $0 | $32,735 | $0 | $1,084,413 | $0 | $0 |
| Sandra Fenwick | ||||||||||||||
| Director | $0 | $935,607 | $0 | $700,000 | $0 | $472,479 | $0 | $26,500 | $0 | $49,435 | $0 | $2,184,021 | $0 | $0 |
| Kevin Churchwell MD | ||||||||||||||
| Director | $0 | $682,826 | $0 | $373,000 | $0 | $289,896 | $0 | $18,550 | $0 | $32,168 | $0 | $1,396,440 | $0 | $0 |
| Michele Garvin | ||||||||||||||
| Director | $0 | $498,451 | $0 | $174,300 | $0 | $98,249 | $0 | $21,200 | $0 | $27,944 | $0 | $820,144 | $0 | $0 |
| Thomas J Hart | ||||||||||||||
| CFO | $0 | $348,903 | $0 | $67,752 | $0 | $2,330 | $0 | $0 | $0 | $31,656 | $0 | $450,641 | $0 | $0 |
| Irene G Paresky | ||||||||||||||
| COO | $0 | $421,829 | $0 | $84,516 | $0 | $28,986 | $0 | $35,000 | $0 | $30,156 | $0 | $600,487 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | The Severance Benefit Plan is to reward certain employees with a monetary severance benefit based on their years of service with the Foundation or Organization. Under the terms of the plan, each participant is eligible for benefits upon completion of a number of years of service depending on the plan. The liability owed to those officers or directors listed on Part VII for the Severance Benefit Plan are the COO and the CFO. 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 Foundation established the CHMC Anesthesia Foundation, Inc. 2005 Supplemental Executive Retirement Plan (SERP), effective as of January 1,2005 to reward licensed physician employees with a benefit based on service. The SERP's sources of contributions are from employer discretionary amounts (if any), severance benefits, and elective deferrals. The amounts are vested after five years, attainment of normal retirement date, death, disability, or change in control. After a vesting period, these contributions will be included as part of taxable wages in the W-2 of each individual. During 2016, Paul R. Hickey,MD had a vested amount of $182,285 which has been reported in Schedule J, Part II, Column B(iii). Furthermore, as thes amounts were reported on previous 990s as part of total compensation earned, they are being disclosed in Schedule J, Part II, Column F. The Foundations made contributions to the retirement plans for Paul R. Hickey, MD, $61,630 (SERP); Robert C. Shamberger, MD, $30,255 (defined benefit pension plan); Gary Fleisher, MD, $32,000 (457(f)); and Steven J. Fishman, MD, $105,908 (defined benefit pension plan). Boston Children's Hospital made contributions to the supplemental non-qualified retirement plan for Michelle Garvin, $21,200. | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| Paul R Hickey MD | |||||||
| Chairman | Purchase of common stock | Yes (X) | $224,664 | $224,664 | 0 | Yes (1) | Yes (1) |
| Steven J Fishman MD | |||||||
| President | Purchase of common stock | Yes (X) | $203,981 | $203,981 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $428,645 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lyle J Micheli MD PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Dr. Micheli is the sole shareholder of LJM, PC & a director of the PO | RelationshipDescriptionTxt |
| Transaction | $456,937 | TransactionAmt |
| Transaction | Payment of services rendered to a related organization | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part II | FormAndLineReferenceDesc |
| Explanation | On April 21, 2009, the Physicians Organization at Children's Hospital, Inc. (the PO) entered into a promissory note in the amount of $224,664 with a Director of the PO, Paul R. Hickey, 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 Foundation 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. During the year ended September 30, 2017, the PO entered into a promissory note in the amount of $203,981 with the President of the PO, Steven J. Fishman, MD, to purchase common stock in the 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 President to meet the shareholder requirement. The President'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 President is: incapacitated; files for bankruptcy; ceases to be employed by an affiliated Foundations of Boston Children's Hospital; or dies. However, the PO as 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The 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 Secretary/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 7a | The 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 Secretary/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. The Class "A" member of the Organization elects the community representatives who serve from time to time as lay members of the Board of Trustees. |
| Form 990, Part VI, Section A, line 7b | All 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) selection of the independent auditor and 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. |
| Form 990, Part VI, Section B, line 11b | The detailed review will be conducted by the Board of Directors; the Chief Financial Officer, Thomas J. Hart; and the Director of Financial Operations and Reporting, John Redmond. 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 12c | In conjunctions with Boston Children's Hospital, the Physicians Organization at Children's Hospital, Inc. (the Organization) administers an annual conflict of interest disclosure process to all of its member Foundations, which asks physicians (officers, top management, and highly compensated employees) and selected Foundation staff to disclose potential conflicts. A disclosure statement will be circulated annually to members of the Organization. The audit committee shall determine those individuals (including medical staff members) who shall be required to complete the disclosure statement. The audit committee, at its discretion, may either: 1) refer any or all disclosure statements to the Board of Directors; 2) appoint an ad hoc committee to review and resolve any conflict of interest issues; or 3) review and resolve any conflict of interest 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 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 15 | The Physicians Organization at Children's Hospital, Inc. (the Organization) has a compensation committee that is comprised of internal officers. Compensation of officers and key employees is 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. All of the physician directors (top management, officers, and highly compensated individuals) from the related Foundations fall under compensation guidelines determined by Harvard University, with limitations established for certain positions/ranks within the medical school. Annually, compensation is reviewed and reported to the Boston Children's Hospital (the Hospital) Board of Trustees. Any new indirect benefit plan requires approval by the Foundation's Board of Directors, which then must be reviewed and permitted by the Hospital. Major procedures of the approval process involve: comparing compensation data of physicians within the comparable field of medicine, indirect compensation currently being offered, and the financial stability of the Foundation. |
| Form 990, Part VI, Section C, line 19 | The 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/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 Heart Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042790699 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| Boston Pediatric Neurosurgical Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042986097 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| Boston Plastic & Oral Surgery Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 043286718 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| CHMC Anesthesia Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042702169 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| CHMC Cardiovascular Surgical Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042764370 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| CHMC Otolaryngologic Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042751258 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| CHMC Surgical Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042767602 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| CH Neurology Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 222678594 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| Children's Hospital Ophthalmology Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042864081 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| Children's Orthopaedic Surgery Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042943146 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| Children's Hospital Pathology Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 043085427 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| Children's Hospital Pediatric Association Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 431987409 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| Children's Hospital Radiology Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 043259647 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| Children's Sports Medicine Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042970129 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| Children's Urological Foundation Inc | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042910304 | Healthcare | MA | 501(c)(3) | 10 | N/A | 0 |
| Boston Children's Hospital | ||||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042774441 | Hospital | MA | 501(c)(3) | 3 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 | Yes (1) | 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 | 0 | TransferFromOtherOrgInd |