CHILDRENS HOSPITAL RADIOLOGY FOUNDATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL RADIOLOGY FOUNDATION INC (EIN 04-3259647)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-09
IRS object ID
201101299349300110
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-09T08:05:02-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1O'BrienFitzGeraldTaylor&Keaveney PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1CPAs-85 Central St-Box 540351AddressLine1
CityWalthamCity
StateMAState
ZIP Code024540351ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043259647EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL RADIOLOGY FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone6173558347Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 LONGWOOD AVENUEAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02115ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEDMOND REIDYName
TitleADMINISTRATORTitle
Phone6173558347Phone
Date Signed2011-05-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKENNETH F KOZIKOWSKI CPAName
Phone7818934010Phone
Date Prepared2011-05-04DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGEORGE A TAYLOR MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 LONGWOOD AVENUEAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02115ZIPCode
FieldValueIRS element (for citing)
Gross Receipts38753933GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Site- N/A -WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionPROVIDES MEDICAL, SCIENTIFIC & EDUCATIONAL SERVICES FOR THE PATIENTS OF CHILDREN'S HOSPITAL BOSTON.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year300000ContributionsGrantsPriorYear
Contributions Grants Current Year1500000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year29078727ProgramServiceRevenuePriorYear
Program Service Revenue CY31904129ProgramServiceRevenueCY
Investment Income Prior Year-195374InvestmentIncomePriorYear
Investment Income Current Year503529InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year29183353TotalRevenuePriorYear
Total Revenue Current Year33907658TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20005959SalariesEtcPriorYear
Salaries Etc Current Year22630606SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3417669OtherExpensePriorYear
Other Expenses Current Year3088550OtherExpensesCurrentYear
Total Expenses Prior Year23423628TotalExpensesPriorYear
Total Expenses Current Year25719156TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5759725RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8188502RevenuesLessExpensesCY
Total Assets BOY19807192TotalAssetsBOY
Total Assets EOY27274445TotalAssetsEOY
Total Liabilities BOY4648376TotalLiabilitiesBOY
Total Liabilities EOY6125641TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15158816NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21148804NetAssetsOrFundBalancesEOY
Mission DescriptionTHE FOUNDATION WAS ORGANIZED AND OPERATES EXCLUSIVELY FOR THE BENEFIT OF CHILDREN'S HOSPITAL (THE HOSPITAL) AND HARVARD MEDICAL SCHOOL (HARVARD) LOCATED IN BOSTON, MASSACHUSETTS. THE FOUNDATION IS SUBJECT TO ESTABLISHED POLICIES, PRACTICES AND PROCEDURES OF THE HOSPITAL AND HARVARD. ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES, THE FOUNDATION PROVIDES RADIOLOGY SERVICES PRIMARILY TO PATIENTS AT THE HOSPITAL AND AT OTHER HEALTH CARE FACILITIES AFFILIATED WITH THE HOSPITAL.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense24972386Expense
Revenue31904129Revenue
DescriptionTHE FOUNDATION PROVIDES RADIOLOGY SERVICES TO PATIENTS AT CHILDREN'S HOSPITAL. IT ALSO CARRIES ON AND PROMOTES BASIC AND APPLIED MEDICAL RESEARCH AND EDUCATION IN THE FIELD OF PEDIATRIC RADIOLOGY BY TEACHING STUDENTS AND OTHER MEDICAL AND SCIENTIFIC PERSONNEL; BY PROVIDING OR SUPPLEMENTING INCOME TO RESEARCH PERSONNEL THROUGH FELLOWSHIPS, RESEARCH GRANTS AND STIPENDS; AND BY GIVING LECTURES AND PUBLISHING INFORMATION REGARDING PROBLEMS AND RESEARCH RESULTS IN THE FIELD OF PEDIATRIC RADIOLOGY IN ORDER TO EDUCATE THE MEDICAL PROFESSION AND THE GENERAL PUBLIC. THE FOUNDATION MAY CHARGE FOR PATIENT CARE, OTHER MEDICAL SERVICES AND RELATED PRODUCTS, PROVIDED THAT ANY NET INCOME BE USED EXCLUSIVELY FOR THE CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES FOR WHICH THE FOUNDATION WAS CREATED. THE FOUNDATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE HOSPITAL'S FREE-CARE POLICY WITHOUT CHARGE OR AT AN AMOUNT LESS THAN ITS ESTABLISHED RATES.Description
Total Program Service Expense24972386TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonEDMOND REIDYNamePerson
Telephone Number6173558347TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 LONGWOOD AVENUEAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02115ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD ROBERTSON MD
PRESIDENT50.00XX479421096307
KIRSTEN ECKLUND MD
TREASURER40.00XX340948089309
S TED TREVES MD
CLERK50.00XX4675540163415
CAROL BARNEWOLT MD
DIRECTOR50.00X367172079598
MICHAEL CALLAHAN MD
DIRECTOR50.00X427112074568
HORACIO PADUA MD
DIRECTOR50.00X482578073142
CAROLINE ROBSON MD
DIRECTOR50.00X438002095827
GEORGE TAYLOR MD
DIRECTOR50.00X4410260152000
MICHELE WALTERS MD
DIRECTOR50.00X262904066228
EDMOND REIDY
ADMINISTRATOR50.001150018321626454X
AHMAD ALOMARI MD
RADIOLOGIST50.00502366056205X
PAUL KLEINMAN MD
RADIOLOGIST50.004166250194262X
JUDY ESTROFF MD
RADIOLOGIST50.003787730163742X
SUSAN CONNOLLY MD
RADIOLOGIST50.003935080137729X
STEPHAN VOSS MD PHD
RADIOLOGIST50.00444059098638X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5853548TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs183216TotalReportableCompFrmRltdOrgs
Total Other Compensation1567424TotalOtherCompensation
Number Individuals GT100 K32NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CHILDREN'S HOSPITAL PEDIATRIC ASSOC
300 LONGWOOD AVEBOSTONMA02115MEDICAL CONSULTATION208060
BRIGHAM & WOMEN'S HOSPITAL DEPT OF RADIO
75 FRANCIS STREETBOSTONMA02115INR SERVICES, MR PULSE SEQUENCES, ORBACH168797
AMS PLUS
91 STILE RDSALEMNH03079BILLING SERVICES121356
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations1500000RelatedOrganizations
Total Contributions1500000TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE RE6219902938615629386156
RESEARCH & OTHER REVEN62199019133401913340
TEACHING & SUPERVISION621990604633604633
FieldValueIRS element (for citing)
Total Program Service Revenue31904129TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column478880TotalRevenueColumn
Exclusion$478,880ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4870924Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4846275Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities24649Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column24649TotalRevenueColumn
Exclusion$24,649ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33907658TotalRevenueColumn
Related Or Exempt Function Income31904129RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$503,529ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4960282Total
Program Services4854681ProgramServices
Management And General105601ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13757564Total
Program Services13757564ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1987262Total
Program Services1987262ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1394729Total
Program Services1394729ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total530769Total
Program Services514268ProgramServices
Management And General16501ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total31756Total
Management And General31756ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total34110Total
Management And General34110ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total70000Total
Management And General70000ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16206Total
Management And General16206ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total105360Total
Management And General105360ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total77999Total
Program Services72556ProgramServices
Management And General5443ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total123549Total
Management And General123549ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total37458Total
Management And General37458ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL CONSULTANTS545785545785
MALPRACTICE INSURANCE384576384576
ACADEMIC EXPENSES349088349088
PHYSICIANS ORGANIZATION253382253382
OTHER PURCHASED SERVICE19717118063416537

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total862110Total
Program Services677861ProgramServices
Management And General184249ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25719156Total
Program Services24972386ProgramServices
Management And General746770ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2430158BOY
EOY1795339EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6671326BOY
EOY7540743EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY236158BOY
EOY228132EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY40000EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY102517BOY
EOY823729EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY237258BOY
EOY242384EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1381993LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1210631LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY294911BOY
EOY171362EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6876247BOY
EOY13106049EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY145340BOY
EOY145340EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2813277BOY
EOY3181367EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19807192BOY
EOY27274445EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY450153BOY
EOY461592EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4198223BOY
EOY5664049EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4648376BOY
EOY6125641EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14508816BOY
EOY19801503EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY650000BOY
EOY1347301EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15158816BOY
EOY21148804EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19807192BOY
EOY27274445EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years400000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year300000CurrentTaxYearMinus1Year
Current Tax Year1500000CurrentTaxYear
Total2200000Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16814195CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20889868CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25310129CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29078727CurrentTaxYearMinus1Year
Current Tax Year31904129CurrentTaxYear
Total123997048Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16814195CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20889868CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25710129CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29378727CurrentTaxYearMinus1Year
Current Tax Year33404129CurrentTaxYear
Total126197048Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509126197048PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years259834CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years299550CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years382422CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year344178CurrentTaxYearMinus1Year
Current Tax Year478880CurrentTaxYear
Total1764864Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years259834CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years299550CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years382422CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year344178CurrentTaxYearMinus1Year
Current Tax Year478880CurrentTaxYear
Total1764864Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17074029CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21189418CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26092551CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29722905CurrentTaxYearMinus1Year
Current Tax Year33883009CurrentTaxYear
Total127961912Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98620PublicSupportPercentage509
Prior Year Support Percentage0.98590PriorYearSupportPercentage
Investment Income Percentage0.01380InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01410PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis81413OtherCostOrOtherBasis
Depreciation73428Depreciation
Book Value7985BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1087761OtherCostOrOtherBasis
Depreciation936230Depreciation
Book Value151531BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis212819OtherCostOrOtherBasis
Depreciation200973Depreciation
Book Value11846BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings171362TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM CHILDREN'S HOSPITAL2397783
DUE FROM PHYSICIANS' ORGANIZATION347517
ASSETS LIMITED AS TO USE150546
OTHER RECEIVABLES285521
FieldValueIRS element (for citing)
Total Book Value Other Assets3181367TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DUE TO CHILDREN'S HOSPITAL$337,749
DUE TO PHYSICIANS' ORGANIZATION$34,664
ACCRUED PENSION CONTRIBUTION-DEFINED CONTRIB$346,660
ACCRUED PENSION OBLIGATION-DEFINED BENEFIT$4,694,430
ACCRUED PENSION CONTRIBUTION-SUPPLEMENTAL$150,546
PROMISES TO GIVE COMMITMENT$100,000
FieldValueIRS element (for citing)
Total Of Amounts5664049TotalOfAmounts
Total Revenue33907658TotalRevenue
Total Expenses25719156TotalExpenses
Excess Or Deficit For Year8188502ExcessOrDeficitForYear
Net Unrealized GL On Investments528272NetUnrealizedGLOnInvestments
Other-$2,726,786OtherAmount
Total Adjustments-2198514TotalAdjustments
Excess Or Deficit Per FS5989988ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt35238629TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments528272NetUnrealizedGainsInvestments
Other Revenues802699OtherRevenues
Revenue Not Rptd F9901330971RevenueNotRptdF990
Revenue Subtotal33907658RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99033907658TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt29248641TotExpensesEtcAuditedFinclStmt
Other Expenses Included3529485OtherExpensesIncluded
Expenses Not Rptd F9903529485ExpensesNotRptdF990
Expenses Subtotal25719156ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025719156TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:DEFINED BENEFIT PENSION ADJUSTMENT: -2726786.
Part XII, Line 2d - Other Adjustments:NET ASSETS RELEASED FROM RESTRICTIONS: 802699.
Part XIII, Line 2d - Other Adjustments:NET ASSETS RELEASED FROM RESTRICTIONS: 802699. PENSION ADJUSTMENT FOR DEFINED BENEFIT PLAN: 2726786.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD ROBERTSON MD
40950006124308678074782021525057572802452620
KIRSTEN ECKLUND MD
29954003321708191066309023000043025701802370
S TED TREVES MD
4000550307380367610138227025188063096902535510
CAROL BARNEWOLT MD
321250035106010816077858017400446770000
MICHAEL CALLAHAN MD
37825304032408535049775024793050168002308620
HORACIO PADUA MD
420000050180012398051617021525055572002637800
CAROLINE ROBSON MD
377437038897021668073735022092053382902300760
GEORGE TAYLOR MD
3919580325130165550131085020915059302602367370
MICHELE WALTERS MD
224100032575062290420280242000329132000
EDMOND REIDY
0157925115006500018791020154063001150020967011500102405
AHMAD ALOMARI MD
4575000365000836604703709168055857102676150
PAUL KLEINMAN MD
358227038948019450019265201610061088702212770
JUDY ESTROFF MD
33443603293401140301402170235250542515000
SUSAN CONNOLLY MD
3470280358580106220111132026597053123702178390
STEPHAN VOSS MD PHD
398303035415010341076193022445054269702319430

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 1aReturnReference
ExplanationHEALTH CLUB DUES ARE REIMBURSED TO SOME EMPLOYEES AND INCLUDED AS TAXABLE INCOME ON THEIR W-2'S.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonMICHELE WALTERS MDNamePerson
Purpose Of LoanQUALIFYING RECRUITMENT RESIDENCE PURCHASE SECURED LOANPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$50,000OriginalPrincipalAmount
Balance Due40000BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due40000TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 7aMEMBERS OF THE FOUNDATION ELECT THE AT-LARGE DIRECTORS AND THE TREASURER AND CLERK. UNDER THE BYLAWS OF THE FOUNDATION, THE CHIEF IS AUTOMATICALLY THE PRESIDENT OF THE BOARD OF DIRECTORS AND THE DIVISION CHIEFS ARE AUTOMATICALLY DIRECTORS OF THE BOARD.
Form 990, Part VI, Section B, line 11FORM 990 IS REVIEWED BY THE PRESIDENT AND THE ADMINISTRATOR BEFORE FILING.
Form 990, Part VI, Section B, line 12cALL FOUNDATION EMPLOYEES ARE REQUIRED TO READ THE POLICY ANNUALLY AND REPORT ANY POTENTIAL CONFLICTS.
Form 990, Part VI, Section B, line 15THE PRESIDENT OF THE BOARD OF DIRECTORS' SALARY IS SET BY THE PRESIDENT OF THE HOSPITAL. OTHER OFFICERS AND DIRECTORS' SALARIES ARE SET BY THE FINANCE COMMITTEE, A SUB-COMMITTEE OF THE BOARD THAT USES A FORMULA BASED ON ACADEMIC RANK, YEARS OF SERVICE AND ADMINISTRATIVE RESPONSIBILITIES. A SECONDARY REVIEW IS DONE BY HOSPITAL SENIOR MANAGEMENT.
Form 990, Part VI, Section C, line 18FORMS 1023, 990 AND 990-T ARE AVAILABLE AT THE OFFICE OF THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.
Form 990, Part VI, Section C, line 19THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE AT THE OFFICE OF THE SECRETARY OF THE COMMONWEALTH OF MASSACHUSETTS. ITS FINANCIAL STATEMENTS ARE AVAILABLE AT THE OFFICE OF THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST BY CALLING THE ORGANIZATION'S BUSINESS OFFICE.
NO CHANGES TO THE PROCESS FOR AUDIT OVERSIGHT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatus
CHILDREN'S HOSPITAL CORPORATION
300 LONGWOOD AVEBOSTONMA02115042774441NON-PROFIT PEDIATRIC HOSPITALMA501(C)(3)170(b)(1)(A)(iii)
PHYSICIANS' ORGANIZATION AT CHILDREN'S HOSPITAL
300 LONGWOOD AVEBOSTONMA02115043266103FUNCTIONAL SUPPORT FOR CHILDREN'S HOSPITAL & FOUNDATIONSMA501(C)(3)509(a)(3)
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
CHILDREN'S HOSPITAL CORPORATION
B100000
CHILDREN'S HOSPITAL CORPORATION
C1500000
PHYSICIANS' ORGANIZATION AT CHILDREN'S HOSPITAL INC
L253382
CHILDREN'S HOSPITAL CORPORATION
O3779420
CHILDREN'S HOSPITAL CORPORATION
K604633

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