CHMC CARDIOVASCULAR SURGICAL FOUNDATION INCORPORATED: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CHMC CARDIOVASCULAR SURGICAL FOUNDATION INCORPORATED (EIN 04-2764370)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-13
- IRS object ID
- 201442259349301104
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-08-13T09:12:10-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111986323 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 53 STATE STREET FLOOR 38 | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02109 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042764370 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHMC CARDIOVASCULAR SURGICAL FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHMC | NameControl |
| Phone | 6173557008 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 LONGWOOD AVENUE | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02115 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PEDRO J DEL NIDO | Name |
| Title | PRESIDENT | Title |
| Phone | 6173557008 | Phone |
| Date Signed | 2014-08-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARRY CHAIT | Name |
| PTIN | P01452996 | PTIN |
| Phone | 6177429666 | Phone |
| Date Prepared | 2014-08-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PEDRO J DEL NIDO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 LONGWOOD AVENUE | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02115 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12197079 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | THE FOUNDATION PROVIDES CARDIOVASCULAR SERVICES, MEDICAL RESEARCH, AND EDUCATIONAL SERVICES TO THE CHILDREN'S HOSPITAL IN BOSTON. THE FOUNDATION ALSO PROVIDES CARE FOR PATIENTS LOCATED IN MASSACHUSETTS REGARDLESS OF THEIR ABILITY TO PAY, AS WELL AS PROVIDING AND SUBSIDIZING HOSPITAL AND COMMUNITY BASED SERVICES THAT ARE EITHER UNAVAILABLE OR LIMITED ELSEWHERE IN THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 7 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12106889 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11943451 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 105580 | InvestmentIncomePriorYear |
| Investment Income Current Year | 268565 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -8203 | OtherRevenuePriorYear |
| Other Revenue Current Year | -14937 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12204266 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12197079 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 974900 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 911170 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6836014 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13332996 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1357532 | OtherExpensePriorYear |
| Other Expenses Current Year | 1799389 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 9168446 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16043555 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3035820 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3846476 | RevenuesLessExpensesCY |
| Total Assets BOY | 28072012 | TotalAssetsBOY |
| Total Assets EOY | 28822173 | TotalAssetsEOY |
| Total Liabilities BOY | 8830071 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 11735281 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19241941 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 17086892 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE FOUNDATION PROVIDES CARDIOVASCULAR SERVICES PRIMARILY TO PATIENTS AT THE CHILDREN'S HOSPITAL IN BOSTON AND OTHER HEALTH CARE PROVIDERS AT SATELLITE LOCATIONS. THE FOUNDATION WAS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES. THE FOUNDATION ALSO PROVIDES CARE FOR PATIENTS LOCATED IN MASSACHUSETTS IN NEED OF CARDIOVASCULAR SERVICES, REGARDLESS OF THEIR ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 14159467 | Expense |
| Grants | 911170 | Grants |
| Revenue | 11407470 | Revenue |
| Description | THE FOUNDATION WAS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES. THE FOUNDATION PROVIDES CARDIOVASCULAR SERVICES PRIMARILY TO PATIENTS AT CHILDREN'S HOSPITAL IN BOSTON AND OTHER HEALTH CARE PROVIDERS AT SATELLITE LOCATIONS. THE FOUNDATION MAY CHARGE FOR PATIENT CARE, OTHER MEDICAL SERVICES, AND RELATED PRODUCTS, PROVIDED THAT ANY NET INCOME IS USED EXCLUSIVELY FOR THE CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES FOR WHICH THE FOUNDATION WAS CREATED. THE FOUNDATION ALSO PROVIDES CARE FOR PATIENTS LOCATED IN MASSACHUSETTS IN NEED OF CARDIOVASCULAR SERVICES REGARDLESS OF THEIR ABILITY TO PAY, AS WELL AS PROVIDING AND SUBSIDIZING HOSPITAL AND COMMUNITY BASED SERVICES THAT ARE LIMITED IN THE COMMUNITY. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 918924 | Expense |
| Revenue | 533981 | Revenue |
| Description | THE FOUNDATION RECEIVES INCOME FROM CHILDREN'S HOSPITAL IN BOSTON FOR PROVIDING ADMINISTRATION, SUPERVISION, AND TEACHING SERVICES. THE PHYSICIANS EMPLOYED BY THE FOUNDATION PERFORM MEDICAL RESEARCH ACTIVITIES AND HAVE PIONEERED MANY OF THE DEVELOPMENTS IN THE FIELD, AS WELL AS LECTURE AND PUBLISH RELATED EDUCATIONAL ARTICLES. ALL OF THESE ACTIVITIES PLAY A CRITICAL ROLE IN THE TREATMENT AND RECOVERY OF PATIENTS AT THE HOSPITAL AND MAKE POSSIBLE CARDIOVASCULAR ADVANCES FOR WHICH THE HOSPITAL IS RENOWNED. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 15078391 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 7 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 7 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEDRO J DEL NIDO MD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6173558290 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 LONGWOOD AVENUE | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02115 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (7 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Institutional TrusteeInstitutionalTrustee |
|---|---|---|---|---|---|---|---|
| PEDRO DEL NIDO MD | |||||||
| PRESIDENT/DIRECTOR | 60.00 | X | X | 2697850 | 0 | 0 | |
| JOHN E MAYER JR MD | |||||||
| SECRETARY/TREASURER/DIRECT | 60.00 | X | X | 2833183 | 0 | 0 | |
| FRANK A PIGULA MD | |||||||
| DIRECTOR | 60.00 | X | 748098 | 0 | 0 | ||
| SITARAM M EMANI | |||||||
| DIRECTOR | 60.00 | X | 593156 | 0 | 0 | ||
| CHRISTOPHER J BAIRD MD | |||||||
| PHYSICIAN | 60.00 | X | 521148 | 0 | 0 | ||
| FRANCIS FLYNN THOMPSON MD | |||||||
| PHYSICIAN | 60.00 | X | 0 | 0 | 0 | ||
| PHYSICIANS' ORG AT CHILDREN'S INC | |||||||
| INDEPENDENT BOARD MEMBER | 2.00 | 0 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7393435 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HART ASSOCIATES | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 ALLIED DRIVE SUITE 312 | AddressLine1 |
| City | DEDHAM | City |
| State | MA | State |
| ZIP Code | 02026 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | MEDICAL BILLING SERVICE | DescriptionOfServices |
| Compensation | 296606 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621300 | 11409470 | 11409470 |
| EDUCATION AND RESEARCH | 611710 | 533981 | 533981 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11943451 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 142399 | TotalRevenueColumn |
| Exclusion | $142,399 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 126166 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 126166 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 126166 | TotalRevenueColumn |
| Exclusion | $126,166 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISC. REVENUE | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | -14937 | TotalRevenueColumn |
| Related Or Exempt Function Income | -14937 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -14937 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12197079 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11928514 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $268,565 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 911170 | Total |
| Program Services | 911170 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4810458 | Total |
| Program Services | 4810458 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1240990 | Total |
| Program Services | 1240990 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6004896 | Total |
| Program Services | 6004896 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1054114 | Total |
| Program Services | 1054114 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222538 | Total |
| Program Services | 222538 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68073 | Total |
| Management And General | 68073 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60327 | Total |
| Management And General | 60327 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65377 | Total |
| Management And General | 65377 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 304169 | Total |
| Management And General | 304169 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131905 | Total |
| Program Services | 52909 | ProgramServices |
| Management And General | 78996 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148101 | Total |
| Program Services | 134320 | ProgramServices |
| Management And General | 13781 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67848 | Total |
| Program Services | 67848 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5756 | Total |
| Management And General | 5756 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 241196 | Total |
| Program Services | 207897 | ProgramServices |
| Management And General | 33299 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| PO DUES | 294080 | 294080 | |
| TUITION REIMBURSEMENT | 192170 | 192170 | |
| BAD DEBT EXPENSE | 127236 | 127236 | |
| MEDICAL SUPPLIES | 32604 | 32604 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60547 | Total |
| Program Services | 19241 | ProgramServices |
| Management And General | 41306 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16043555 | Total |
| Program Services | 15078391 | ProgramServices |
| Management And General | 965164 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8011480 | BOY |
| EOY | 2575106 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3129816 | BOY |
| EOY | 2195234 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1767202 | BOY |
| EOY | 2259446 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50000 | BOY |
| EOY | 3280000 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1075704 | BOY |
| EOY | 1443432 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 222940 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 214827 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8783 | BOY |
| EOY | 8113 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8425694 | BOY |
| EOY | 12486444 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5479305 | BOY |
| EOY | 3586279 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124028 | BOY |
| EOY | 988119 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28072012 | BOY |
| EOY | 28822173 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 797854 | BOY |
| EOY | 959814 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1000000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8032217 | BOY |
| EOY | 9775467 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8830071 | BOY |
| EOY | 11735281 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18113508 | BOY |
| EOY | 17086892 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1128433 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19241941 | BOY |
| EOY | 17086892 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28072012 | BOY |
| EOY | 28822173 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3846476 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 550680 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 1140747 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1600000 | CurrentTaxYearMinus4Years |
| Total | 1600000 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9830672 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10401114 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4636864 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12106889 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11943451 | CurrentTaxYear |
| Total | 48918990 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11430672 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10401114 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4636864 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12106889 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11943451 | CurrentTaxYear |
| Total | 50518990 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 50518990 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 256686 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 198824 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 76255 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 183096 | CurrentTaxYearMinus1Year |
| Current Tax Year | 142399 | CurrentTaxYear |
| Total | 857260 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 256686 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 198824 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 76255 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 183096 | CurrentTaxYearMinus1Year |
| Current Tax Year | 142399 | CurrentTaxYear |
| Total | 857260 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | -8203 | CurrentTaxYearMinus1Year |
| Current Tax Year | -14938 | CurrentTaxYear |
| Total | -23141 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11687358 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10599938 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4713119 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12281782 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12070912 | CurrentTaxYear |
| Total | 51353109 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98380 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97940 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01670 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.02080 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART III, SECTIONS A AND B THE AMOUNTS SHOWN IN COLUMN (C) ARE FOR THE SHORT YEAR PERIOD OF THIS RETURN (JUNE 1, 2011 - SEPTEMBER 30, 2011). AMOUNTS SHOWN IN COLUMN (B) ARE FOR THE CALENDAR YEAR 2010; AMOUNTS SHOWN IN COLUMN (A) ARE FOR THE CALENDAR YEAR 2009. | GeneralExplanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1128433 | BeginningOfYearBalance |
| Other Expenditures | 1128433 | OtherExpenditures |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1385551 | BeginningOfYearBalance |
| Other Expenditures | 257118 | OtherExpenditures |
| End Of Year Balance | 1128433 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1462305 | BeginningOfYearBalance |
| Other Expenditures | 76754 | OtherExpenditures |
| End Of Year Balance | 1385551 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1574553 | BeginningOfYearBalance |
| Other Expenditures | 112248 | OtherExpenditures |
| End Of Year Balance | 1462305 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 1600000 | Contributions |
| Other Expenditures | 25447 | OtherExpenditures |
| End Of Year Balance | 1574553 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 222940 | OtherCostOrOtherBasis |
| Depreciation | 214827 | Depreciation |
| Book Value | 8113 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8113 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTEREST IN THE PO FUND | Description |
| Book Value | 3586279 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 3586279 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO PHYSICIANS' ORGANIZATION | $103,977 |
| PATIENT DEPOSITS | $810,497 |
| ACCRUED PENSION OBLIGATION - PROFIT SHARING | $490,005 |
| ACCRUED SERP OBLIGATIONS | $6,936,728 |
| DEFERRED COMPENSATION PLAN | $269,923 |
| ACCRUED PROFESSIONAL LIABILITY | $1,164,337 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9775467 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 14155930 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 550680 | NetUnrealizedGainsInvestments |
| Other Revenues | 1535407 | OtherRevenues |
| Revenue Not Rptd F990 | 2086087 | RevenueNotRptdF990 |
| Revenue Subtotal | 12069843 | RevenueSubtotal |
| Other Revenues Not Included | 127236 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 127236 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12197079 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 15182546 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 15182546 | ExpensesSubtotal |
| Other Expenses Not Included | 861009 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 861009 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 16043555 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | ASSETS LIMITED TO USE REPRESENT INVESTMENTS HELD IN TRUST THAT ARE AVAILABLE TO PAY FOR FUTURE BENEFITS TO PARTICIPANTS OF THE DEFERRED COMPENSATION PLANS AND INVESTMENTS WHOSE USE HAS BEEN RESTRICTED BY DONORS TO A SPECIFIC TIME PERIOD OR PURPOSE. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE FOUNDATION IS A TAX-EXEMPT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. IN ADDITION, THE FOUNDATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). TAX-EXEMPT 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. THE FOUNDATION HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE FOUNDATION HAS CONCLUDED THAT NO UNCERTAIN INCOME TAX POSITIONS EXIST AT SEPTEMBER 30, 2013. THE FOUNDATION'S TAX YEARS FROM 2010 THROUGH 2013 ARE POTENTIALLY SUBJECT TO EXAMINATION. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTION 1,128,433. CHANGE IN PO POOLED INVESTMENT FUND 406,974. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 127,236. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD EXPENSE 127,236. PENSION ADJUSTMENT 733,773. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL BOSTON | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 LONGWOOD AVENUE | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02115 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 042774441 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 463000 | AmountOfCashGrant |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: MONITORING IS PROVIDED BY THE CHMC CARDIOVASCULAR SURGICAL FOUNDATION, INC. (THE "FOUNDATION") THROUGH OVERSIGHT OF THE TERMS AND CONDITIONS OF A WRITTEN GRANT AGREEMENT. MULTI-YEAR AGREEMENTS REQUIRE YEARLY PROGRESS AND FINANCIAL REPORTS FOR CONTINUATION OF FUNDING. DURING THE YEAR ENDED SEPTEMBER 30, 2013, THE FOUNDATION ONLY PROVIDED GRANT DONATIONS TO OTHER 501(C)(3) ORGANIZATIONS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEDRO DEL NIDO MD | ||||||||||||||
| PRESIDENT/DIRECTOR | 2697850 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2697850 | 0 | 0 | 0 |
| JOHN E MAYER JR MD | ||||||||||||||
| SECRETARY/TREASURER/DIRECT | 2833183 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2833183 | 0 | 0 | 0 |
| FRANK A PIGULA MD | ||||||||||||||
| DIRECTOR | 748098 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 748098 | 0 | 0 | 0 |
| SITARAM M EMANI | ||||||||||||||
| DIRECTOR | 593156 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 593156 | 0 | 0 | 0 |
| CHRISTOPHER J BAIRD MD | ||||||||||||||
| PHYSICIAN | 521148 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 521148 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | THE FOUNDATION HAS A DEFERRED COMPENSATION ARRANGEMENT UNDER A NONQUALIFIED DEFINED CONTRIBUTION PLAN TO PROVIDE SUPPLEMENTAL RETIREMENT BENEFITS TO CERTAIN EMPLOYEES. THE EMPLOYEES WHO PARTICIPATED WERE: PEDRO DEL NIDO, MD $17,000 JOHN MAYER, JR., MD $17,000 FRANK A. PIGULA, MD $17,000 CHRISTOPHER BAIRD, MD $17,000 | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SITAREM EMANI | NamePerson |
| Purpose Of Loan | EMPLOYEE LOAN | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $89,590 | OriginalPrincipalAmount |
| Balance Due | 20000 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 20000 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | A MAJORITY OF THE FOUNDATION'S BOARD MEMBERS ARE PHYSICIANS WHO ARE NOT INDEPENDENT FROM THE FOUNDATION. HOWEVER, THE FOUNDATION PARTICIPATES IN AN INTEGRATED DELIVERY SYSTEM WITH THE CHILDREN'S HOSPITAL OF BOSTON (THE HOSPITAL), WHICH DOES HAVE A COMMUNITY BOARD. THE FOUNDATION WAS ORGANIZED IN 1982. AT THAT TIME, THE BOARD WAS COMPOSED ENTIRELY OF PHYSICIANS, A BOARD STRUCTURE THAT WAS APPROVED BY THE INTERNAL REVENUE SERVICE. THE FOUNDATION HAS SINCE ADJUSTED THE BOARD STRUCTURE TO MAKE IT MORE RESPONSIVE TO THE HOSPITAL BY ADDING THE PHYSICIANS' ORGANIZATION (THE PO) AS A MEMBER. SEE SCHEDULE O, PART VI, QUESTION 3, 6, 7B AND 12 FOR MORE DETAILS ON THE PO'S RIGHTS. | |
| FORM 990, PART VI, SECTION A, LINE 3 | THE PHYSICIANS' ORGANIZATION AT CHILDREN'S HOSPITAL BOSTON (THE PO) IS A CLASS "C" MEMBER OF CHMC CARDIOVASCULAR SURGICAL FOUNDATION (THE FOUNDATION). THE PO IS RESPONSIBLE FOR ALL THIRD PARTY CONTRACTING FOR THE FOUNDATION. THE PO HAS THE POWER TO SELECT THE INDEPENDENT AUDITOR AND LEGAL COUNSEL OF THE FOUNDATION FROM AN APPROVED LIST OF FIRMS MUTUALLY AGREED TO BY THE PO AND THE FOUNDATION. THE PO ALSO HAS THE RIGHT TO REVIEW, BUT NOT TO APPROVE, THE ANNUAL OPERATING BUDGET AND ALL CAPITAL BUDGETS OF THE FOUNDATION. LASTLY, THE PO HAS THE RIGHT TO REVIEW FOR COMPLIANCE WITH APPLICABLE LAW, THE GENERAL TERMS OF AND ANY MODIFICATION TO PHYSICIAN COMPENSATION AND BENEFIT PLANS FOR ALL PHYSICIAN EMPLOYEES OF THE FOUNDATION. THE PO IS CONSIDERED THE COMPENSATION COMMITTEE OF THE FOUNDATION. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE CHMC CARDIOVASCULAR SURGICAL FOUNDATION HAS THREE CLASSES OF MEMBERS. THE CHIEF OF THE DEPARTMENT OF ORTHOPAEDIC SURGERY (FOUNDATION) OF THE CHILDREN'S HOSPITAL IN BOSTON IS A CLASS "A" MEMBER. EACH PERSON WHO IS A MEMBER OF THE FOUNDATION, OTHER THAN THE CHIEF OF THE FOUNDATION, MAY BECOME A CLASS "B" MEMBER OF THE FOUNDATION, UPON RECOMMENDATION BY THE CLASS "A" MEMBER AND APPROVAL OF THE CLASS "B" MEMBERS. THE PHYSICIANS' ORGANIZATION AT CHMC HOSPITAL BOSTON IS A CLASS "C" MEMBER OF CHILDREN'S CARDIOVASCULAR SURGICAL FOUNDATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | ACCORDING TO THE ARTICLES OF ORGANIZATION, THE CHIEF OF THE DEPARTMENT OF CARDIOVASCULAR SURGERY OF CHILDREN'S HOSPITAL IS THE CLASS "A" MEMBER OF CHMC CARDIOVASCULAR SURGICAL FOUNDATION, INC. (THE FOUNDATION). EACH PERSON WHO IS A MEMBER OF THE FOUNDATION, OTHER THAN THE CHIEF OF THE DEPARTMENT, IS A CLASS "B" MEMBER OF THE FOUNDATION. THE CLASS "A" AND CLASS "B" MEMBERS OF THE FOUNDATION ELECT THE BOARD OF DIRECTORS FROM NOMINEES PRESENTED BY THE EXECUTIVE COMMITTEE AT THEIR ANNUAL MEETING. EACH MEMBER IS ENTITLED TO ONE VOTE UPON ANY QUESTION AT ANY MEETING OF THE MEMBERS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE PHYSICIANS' ORGANIZATION AT CHILDREN'S HOSPITAL BOSTON (THE PO) IS A CLASS "C" MEMBER OF CHILDREN'S HOSPITAL CARDIOVASCULAR SURGICAL FOUNDATION, INC. (THE FOUNDATION). THE PO IS RESPONSIBLE FOR ALL THIRD PARTY CONTRACTING FOR THE FOUNDATION. THE PO HAS THE POWER TO SELECT THE INDEPENDENT AUDITOR AND LEGAL COUNSEL OF THE FOUNDATION FROM AN APPROVED LIST OF FIRMS MUTUALLY AGREED TO BY THE PO AND THE FOUNDATION. THE PO ALSO HAS THE RIGHT TO REVIEW, BUT NOT TO APPROVE, THE ANNUAL OPERATING BUDGET AND ALL CAPITAL BUDGETS OF THE FOUNDATION. LASTLY, THE PO HAS THE RIGHT TO REVIEW FOR COMPLIANCE WITH APPLICABLE LAW, THE GENERAL TERMS OF AND ANY MODIFICATION TO PHYSICIAN COMPENSATION AND BENEFIT PLANS FOR ALL PHYSICIAN EMPLOYEES OF THE FOUNDATION. THE PO IS CONSIDERED THE COMPENSATION COMMITTEE OF THE FOUNDATION. AS A CLASS "C" MEMBER OF THE FOUNDATION, THE PO ATTENDS THE FOUNDATION'S ANNUAL MEETING AND HAS CERTAIN VOTING RIGHTS. THE PO AS A CLASS "C" MEMBER HAS ONE OF FOUR VOTES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE DETAILED REVIEW WILL BE CONDUCTED BY THE PRESIDENT OF THE FOUNDATION, PEDRO J. DEL NIDO, AND THE ADMINISTRATOR, JANET HORGAN. AN ELECTRONIC COPY WILL BE PROVIDED TO THE BOARD ALONG WITH A HARD COPY OF FORM 990 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 | THE PHYSICIANS' ORGANIZATION AT CHILDREN'S HOSPITAL BOSTON (THE PO) ADMINISTERS AN ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS TO ALL OF ITS MEMBER FOUNDATIONS, WHICH ASKS PHYSICIANS (OFFICERS, TOP MANAGEMENT, AND HIGHLY COMPENSATED EMPLOYEES) AND SELECTED FOUNDATION STAFF TO DISCLOSE POTENTIAL CONFLICTS. A DISCLOSURE STATEMENT WILL BE CIRCULATED ANNUALLY TO MEMBERS OF THE PO. THE PO AUDIT COMMITTEE SHALL DETERMINE THOSE INDIVIDUALS (INCLUDING MEDICAL STAFF MEMBERS) WHO SHALL BE REQUIRED TO COMPLETE THE DISCLOSURE STATEMENT. THE PO AUDIT COMMITTEE, AT ITS DISCRETION, MAY EITHER 1) REFER ANY OR ALL STATEMENTS TO THE BOARD OF DIRECTORS, 2) APPOINT AN AD HOC COMMITTEE TO REVIEW AND RESOLVE ANY CONFLICTS OF INTEREST ISSUES, OR 3) REVIEW AND RESOLVE ANY CONFLICTS OF INTEREST PERSONALLY OR THROUGH A DESIGNEE(S). ANY PERSON NOT RECEIVING A DISCLOSURE STATEMENT HAS AN AFFIRMATIVE OBLIGATION TO DISCLOSE TO THE PO PRESIDENT, PO GENERAL COUNSEL, OR HIS/HER SUPERVISOR WHENEVER HE/SHE BELIEVES HE/SHE HAS OR MAY HAVE A CONFLICT OF INTEREST. SIMILARLY, EACH PERSON COMPLETING A DISCLOSURE STATEMENT HAS AN AFFIRMATIVE OBLIGATION TO UPDATE THE STATEMENT ANY TIME CIRCUMSTANCES CHANGE AND/OR HE/SHE BELIEVES THAT A CONFLICT OF INTEREST MAY EXIST. IN THE EVENT A CONFLICT OF INTEREST IS FOUND TO EXIST, THE FOUNDATION PROHIBITS THE MEMBER FROM VOTING ON ANY MATTER TO WHICH THE CONFLICT RELATES OR OTHERWISE INFLUENCE THE VOTING ON SUCH MATTER. | |
| FORM 990, PART VI, SECTION B, LINE 15 | ALL THE PHYSICIANS (TOP MANAGEMENT, OFFICERS, AND HIGHLY COMPENSATED INDIVIDUALS) 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 HOSPITAL'S BOARD OF TRUSTEES TO ENSURE THAT TOTAL DIRECT AND INDIRECT COMPENSATION DOES NOT EXCEED THE PRE-DETERMINED GUIDELINES OF HARVARD UNIVERSITY. 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. THE PROCESS WAS FOLLOWED FOR THE YEAR ENDED SEPTEMBER 30, 2013. THE PHYSICIANS' ORGANIZATION AT CHILDREN'S HOSPITAL BOSTON (THE PO) IS CONSIDERED THE COMPENSATION COMMITTEE OF THE FOUNDATION. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FOUNDATION MAINTAINS ALL FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICIES, AND GOVERNING DOCUMENTS AT ITS MAIN OFFICE AT 300 LONGWOOD AVENUE, FEGAN 3, BOSTON, MA 02115. THE DOCUMENTS ARE AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN LIMITED LIABILITY PARTNERSHIP INTEREST 406,974. PENSION ADJUSTMENT 733,773. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| PART XII, QUESTION 2C | THE AUDIT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL CORPORATION | ||||||||||
| 300 LONGWOOD AVENUE | BOSTON | MA | 02115 | 042774441 | HOSPITAL | MA | 501(C)(3) | LINE 3 | N/A | 0 |
| PHYSICIANS' ORG AT CHILDREN'S HOSPITAL | ||||||||||
| 300 LONGWOOD AVENUE | BOSTON | MA | 02115 | 043266103 | PHYSICIAN ORGANIZATION | MA | 501(C)(3) | LINE 11A, I | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CHILDREN'S HOSPITAL | ||
| C | 519381 | FMV |
| CHILDREN'S HOSPITAL | ||
| P | FMV | |
| PHYSICIANS' ORGANIZATION AT CHILDREN'S HOSPITAL | ||
| D | 103977 | FMV |
| PHYSICIANS' ORGANIZATION AT CHILDREN'S HOSPITAL | ||
| M | 155956 | FMV |
| CHILDREN'S HOSPITAL | ||
| E | 898991 | FMV |
| CHILDREN'S HOSPITAL | ||
| B | 30000 | FMV |
| PHYSICIANS' ORGANIZATION AT CHILDREN'S HOSPITAL | ||
| N | 3586279 | FMV |
| CHILDREN'S HOSPITAL | ||
| O | 1774416 | FMV |
| CHILDREN'S HOSPITAL | ||
| D | 105550 | FMV |
| BOSTON CHILDREN'S HEART FOUNDATION INC | ||
| D | 45000 | FMV |
| CHILDREN'S HOSPITAL | ||
| R | 211586 | FMV |
| CHILDREN'S HOSPITAL | ||
| N | 1724845 | FMV |
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