CHILDRENS HOSPITAL PEDIATRIC ASSOCIATES INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HOSPITAL PEDIATRIC ASSOCIATES INC (EIN 43-1987409)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-11
- IRS object ID
- 201122239349301007
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-11T10:32:27-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 280 Fore St PO Box 507 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 04101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431987409 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Hospital Pediatric Associates Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHIL | NameControl |
| Phone | 6179192822 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 Overland Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 022153309 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Gary R Fleisher | Name |
| Title | President | Title |
| Phone | 6179192822 | Phone |
| Date Signed | 2011-08-10 | DateSigned |
| Authorize Third Party | 0 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | E Drew Cheney | Name |
| Phone | 2078792100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Gary R Fleisher | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 Overland Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 022153309 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 247678170 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | The Foundation provides medical, health care services and educational services to the Children's Hospital of Boston and Harvard Medical School. The Foundation also provides care for patients located in Massachusetts in need of health care services, regardless of their ability to pay, as well as providing community based services. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 314 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | -4634 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -4634 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 11081677 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 176149278 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 187241007 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -10103713 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7446877 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 177127242 | TotalRevenuePriorYear |
| Total Revenue Current Year | 194687884 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1636236 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 21017115 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 119052731 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 132729914 | 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 | 17189591 | OtherExpensePriorYear |
| Other Expenses Current Year | 35194681 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 137878558 | TotalExpensesPriorYear |
| Total Expenses Current Year | 188941710 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 39248684 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5746174 | RevenuesLessExpensesCY |
| Total Assets BOY | 234149463 | TotalAssetsBOY |
| Total Assets EOY | 241185726 | TotalAssetsEOY |
| Total Liabilities BOY | 28752718 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 22996960 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 205396745 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 218188766 | NetAssetsOrFundBalancesEOY |
| Mission Description | The Foundation provides medical and health care services primarily to patients at Children's Hospital, and other health care providers at satellite locations. The Foundation carries on and promotes basic and applied medical research and education in the field of pediatric care by teaching students and other medical and scientific personnel. The Foundation also provides care for patients in Massachusetts regardless of their ability to pay. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 141318261 | Expense |
| Grants | 21017115 | Grants |
| Revenue | 150285055 | Revenue |
| Description | The Foundation was organized exclusively for charitable, scientific, and educational purposes. The Foundation provides medical and health care 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 be used for the charitable, scientific, and educational purposes for which the Foundation was created. The Foundation also provides care for patients 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 12026266 | Expense |
| Grants | 0 | Grants |
| Revenue | 12789346 | Revenue |
| Description | The Foundation receives income from the Children's Hospital in Boston for providing administration, supervision, and teaching services. The Foundation carries on and promotes basic and applied medical research and education in the field of pediatric care 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 concerning problems and research results in the field of pediatric care in order to educate the general public and the medical profession. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 22724700 | Expense |
| Grants | 0 | Grants |
| Revenue | 24166606 | Revenue |
| Description | The Foundation receives reimbursement of certain salary and fringe costs from grants from the Hospital. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 176069227 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | 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 | 155 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 314 | 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 |
| Nbr Voting Governing Body Members | 18 | 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 | 0 | 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 | William Tarvanien | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6179192822 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 Overland Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 022153309 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Institutional TrusteeInstitutionalTrustee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Gary R Fleisher MD | ||||||||
| President | 60.00 | X | X | 635918 | 0 | 90907 | ||
| William E Harmon MD | ||||||||
| Treasurer/Clerk | 60.00 | X | X | 327100 | 0 | 90260 | ||
| S Jean Emans MD | ||||||||
| Trustee | 60.00 | X | 282593 | 0 | 89630 | |||
| Raif S Geha MD | ||||||||
| Trustee | 60.00 | X | 285789 | 0 | 88074 | |||
| Craig Gerard MD | ||||||||
| Trustee | 60.00 | X | 263934 | 0 | 76515 | |||
| Stella Kourembanas MD | ||||||||
| Trustee | 60.00 | X | 358451 | 0 | 79398 | |||
| Alan Leichtner MD | ||||||||
| Trustee | 60.00 | X | 347351 | 0 | 79787 | |||
| Wayne Lencer MD | ||||||||
| Trustee | 60.00 | X | 335076 | 0 | 75560 | |||
| Joseph Majzoub MD | ||||||||
| Trustee | 60.00 | X | 278467 | 0 | 87864 | |||
| Leonard Rappaport MD | ||||||||
| Trustee | 60.00 | X | 306607 | 0 | 74367 | |||
| Mark Schuster MD | ||||||||
| Trustee | 60.00 | X | 397350 | 0 | 73445 | |||
| Christopher Walsh MD | ||||||||
| Trustee | 60.00 | X | 0 | 0 | 0 | |||
| William Tarvanien | ||||||||
| Chief Financial Officer | 60.00 | X | X | 297699 | 0 | 81749 | ||
| Michael Wessels MD | ||||||||
| Trustee | 60.00 | X | 283795 | 0 | 79866 | |||
| David Williams MD | ||||||||
| Trustee | 60.00 | X | 541130 | 0 | 74604 | |||
| Richard Bachur MD | ||||||||
| Trustee | 60.00 | X | 323640 | 0 | 64317 | |||
| Frederick Lovejoy MD | ||||||||
| Trustee | 60.00 | X | 241910 | 0 | 52014 | |||
| Physicians' Org at Children's Hospi | ||||||||
| Institutional Trustee | 2.00 | 0 | 0 | 0 | X | |||
| Michael Agus MD | ||||||||
| Physician | 60.00 | 309008 | 0 | 73344 | X | |||
| Marilyn Liang MD | ||||||||
| Physician | 60.00 | 324618 | 0 | 53146 | X | |||
| Samuel Nurko MD | ||||||||
| Physician | 60.00 | 361892 | 0 | 52657 | X | |||
| Isaac Kohane MD | ||||||||
| Physician | 60.00 | 322430 | 0 | 58445 | X | |||
| Jackson Wong MD | ||||||||
| Physician | 60.00 | 333674 | 0 | 58269 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7158432 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1554218 | TotalOtherCompensation |
| Number Individuals GT100 K | 261 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Dana Farber Cancer Institute | |||||
| 44 Binney Street | Boston | MA | 02115 | Oncology Services | 1684991 |
| Marcam Associates | |||||
| 396 High Street | Somersworth | NH | 03878 | Billing/Collections | 497651 |
| Boston Private Bank | |||||
| Ten Post Office Square | Boston | MA | 02109 | Investment Fees | 327799 |
| Bank of New York | |||||
| One Boston Place | Boston | MA | 02108 | Investment Fees | 191972 |
| Jill K Shivapour | |||||
| 175 Blossom Street | Boston | MA | 02114 | Physician Services | 122002 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net Patient Service Re | 621300 | 140814522 | 140814522 |
| Grant Revenue | 900009 | 24166605 | 24166605 |
| Service, Research, & O | 611710 | 10240496 | 10240496 |
| Contract Revenue | 900099 | 9470534 | 9470534 |
| Teaching, Admin. and S | 611710 | 2548850 | 2548850 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 187241007 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3678207 | TotalRevenueColumn |
| Unrelated Business Revenue | -4634 | UnrelatedBusinessRevenue |
| Exclusion | $3,682,841 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 56758956 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 52990286 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3768670 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3768670 | TotalRevenueColumn |
| Exclusion | $3,768,670 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 194687884 | TotalRevenueColumn |
| Related Or Exempt Function Income | 187241007 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -4634 | UnrelatedBusinessRevenue |
| Exclusion | $7,451,511 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21017115 | Total |
| Program Services | 21017115 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7176432 | Total |
| Program Services | 6817610 | ProgramServices |
| Management And General | 358822 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108901483 | Total |
| Program Services | 101134851 | ProgramServices |
| Management And General | 7766632 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7252519 | Total |
| Program Services | 6889893 | ProgramServices |
| Management And General | 362626 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6494275 | Total |
| Program Services | 5520134 | ProgramServices |
| Management And General | 974141 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2905205 | Total |
| Program Services | 2469424 | ProgramServices |
| Management And General | 435781 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 773761 | Total |
| Management And General | 773761 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24770 | Total |
| Management And General | 24770 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 519771 | Total |
| Management And General | 519771 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46675 | Total |
| Management And General | 46675 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112781 | Total |
| Program Services | 112781 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 983686 | Total |
| Program Services | 690559 | ProgramServices |
| Management And General | 293127 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130961 | Total |
| Management And General | 130961 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2582019 | Total |
| Program Services | 2582019 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 454207 | Total |
| Program Services | 340655 | ProgramServices |
| Management And General | 113552 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 237222 | Total |
| Program Services | 237222 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86495 | Total |
| Program Services | 86495 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2621377 | Total |
| Program Services | 2621377 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Research Expense | 19599339 | 19599339 | |
| Bad Debt Expense | 3386323 | 3386323 | |
| Physicians' Organizatio | 1587621 | 1587621 | |
| Patient Staff Relations | 727508 | 727508 | |
| Billing and Collections | 496255 | 496255 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 823910 | Total |
| Program Services | 479554 | ProgramServices |
| Management And General | 344356 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188941710 | Total |
| Program Services | 176069227 | ProgramServices |
| Management And General | 12872483 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11702362 | BOY |
| EOY | 8292467 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34475077 | BOY |
| EOY | 22767761 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13793224 | BOY |
| EOY | 15444253 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1050550 | BOY |
| EOY | 748440 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3460757 | BOY |
| EOY | 3663824 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 571416 | BOY |
| EOY | 752310 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 542812 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 186747 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66745 | BOY |
| EOY | 356065 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110569950 | BOY |
| EOY | 135289449 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35359976 | BOY |
| EOY | 38987565 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23099406 | BOY |
| EOY | 14883592 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 234149463 | BOY |
| EOY | 241185726 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6666392 | BOY |
| EOY | 7343453 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22086326 | BOY |
| EOY | 15653507 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28752718 | BOY |
| EOY | 22996960 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 193021745 | BOY |
| EOY | 215005816 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12375000 | BOY |
| EOY | 3182950 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 205396745 | BOY |
| EOY | 218188766 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 234149463 | BOY |
| EOY | 241185726 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | 3350000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2550000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5449762 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11081677 | CurrentTaxYearMinus1Year |
| Total | 22431439 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 107374971 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 130305603 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 152826834 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 176149278 | CurrentTaxYearMinus1Year |
| Current Tax Year | 187241007 | CurrentTaxYear |
| Total | 753897693 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 110724971 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 132855603 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 158276596 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 187230955 | CurrentTaxYearMinus1Year |
| Current Tax Year | 187241007 | CurrentTaxYear |
| Total | 776329132 | 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 | 776329132 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2357229 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4394481 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4737274 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3861758 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3682841 | CurrentTaxYear |
| Total | 19033583 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2357229 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4394481 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4737274 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3861758 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3682841 | CurrentTaxYear |
| Total | 19033583 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | -6282 | CurrentTaxYearMinus1Year |
| Current Tax Year | -4634 | CurrentTaxYear |
| Total | -10916 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 113082200 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 137250084 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 163013870 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 191086431 | CurrentTaxYearMinus1Year |
| Current Tax Year | 190919214 | CurrentTaxYear |
| Total | 795351799 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97610 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97620 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.02390 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.02830 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Balance | 0 | BeginningBalance |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12375000 | BeginningOfYearBalance |
| Other Expenditures | 9192050 | OtherExpenditures |
| End Of Year Balance | 3182950 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2509857 | BeginningOfYearBalance |
| Contributions | 11081677 | Contributions |
| Other Expenditures | 1216534 | OtherExpenditures |
| End Of Year Balance | 12375000 | 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 | 67011 | OtherCostOrOtherBasis |
| Depreciation | 11169 | Depreciation |
| Book Value | 55842 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 475801 | OtherCostOrOtherBasis |
| Depreciation | 175578 | Depreciation |
| Book Value | 300223 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 356065 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CH Pooled Investment | 1641202 | F |
| Interest in the P.O. Pool Investment Fund | 37346363 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 38987565 | TotalOfBookValueSecurities |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from Children's Hospital | 13150044 |
| Due from PO | 1733548 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 14883592 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Community Hospitals | $3,301,821 |
| Deferred Compensation Plans | $5,165,885 |
| Due to Children's Hospital | $7,130,892 |
| Due to PO | $54,909 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 15653507 | TotalOfAmounts |
| Total Revenue | 194687884 | TotalRevenue |
| Total Expenses | 188941710 | TotalExpenses |
| Excess Or Deficit For Year | 5746174 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 3575248 | NetUnrealizedGLOnInvestments |
| Other | $3,470,599 | OtherAmount |
| Total Adjustments | 7045847 | TotalAdjustments |
| Excess Or Deficit Per FS | 12792021 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 201733731 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 3575248 | NetUnrealizedGainsInvestments |
| Other Revenues | 3470599 | OtherRevenues |
| Revenue Not Rptd F990 | 7045847 | RevenueNotRptdF990 |
| Revenue Subtotal | 194687884 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 194687884 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 188941710 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 188941710 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 188941710 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | The Foundation has plans to use its endowment funds for the Quality and Charge Capture Project, physician recruitment expenses, and research initiatives. |
| Part XI, Line 8 - Other Adjustments: | Unrealized Change in Limited Liability Partnership Interest: 3470599. | |
| Part XII, Line 2d - Other Adjustments: | Unrealized Change in Limited Liability Partnership Interest: 3470599. | |
| PART X, FIN 48 In June 2006, the FASB issued Financial Interpretation No. (FIN) 48, Accounting for Uncertainty in Income Taxes, which provides guidance to all enterprises, including pass-through entities, for how uncertain tax provisions should be recognized, measured, presented, and disclosed in the financial statements. On December 30, 2008, the FASB issued Financial Statement Position (FSP) FIN 48-3, Effective Date of FASB Interpretation No 48 for Certain Nonpublic Enterprises, which defers the effective date of the interpretation for certain non-public enterprises to annual financial statements for fiscal years beginning after December 15, 2008, and is to be applied to all open tax years as of the effective date. The Foundation is a non-public enterprise to which this deferral applies, and FIN 48 will be first effective for the Foundation's financial statements for fiscal year ending September 30, 2010. Management continues to evaluate the implications of the interpretation, and any impact to the future financial position and results of the operations of the Foundation has not yet been determined. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| Children's Hospital Corporation | ||||||||
| 300 Longwood Ave | Boston | MA | 02115 | 042774441 | 501(c) (3) | 21001515 | 0 | General Support |
| Pres & Fellows of Harvard College | ||||||||
| 75 Francis Street | Boston | MA | 02115 | 042103580 | 501(c) (3) | 15600 | 0 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
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 Children's Hospital Pediatric Associates, Inc. (Foundation) through oversight of the terms and conditions of a written grant agreement. Multiyear agreements require yearly progress and financial reports for continuation of funding. During the year ended September 30, 2010, 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 |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| 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 | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gary R Fleisher MD | |||||||||||||
| 620014 | 0 | 10833 | 0 | 5071 | 0 | 66827 | 0 | 24080 | 0 | 726825 | 0 | 0 | 0 |
| William E Harmon MD | |||||||||||||
| 254520 | 0 | 46488 | 0 | 26092 | 0 | 66827 | 0 | 23433 | 0 | 417360 | 0 | 0 | 0 |
| S Jean Emans MD | |||||||||||||
| 254520 | 0 | 17500 | 0 | 10573 | 0 | 66827 | 0 | 22803 | 0 | 372223 | 0 | 0 | 0 |
| Raif S Geha MD | |||||||||||||
| 236000 | 0 | 44882 | 0 | 4907 | 0 | 65324 | 0 | 22750 | 0 | 373863 | 0 | 0 | 0 |
| Craig Gerard MD | |||||||||||||
| 236000 | 0 | 21103 | 0 | 6831 | 0 | 54324 | 0 | 22191 | 0 | 340449 | 0 | 0 | 0 |
| Stella Kourembanas MD | |||||||||||||
| 302906 | 0 | 39457 | 0 | 16088 | 0 | 55827 | 0 | 23571 | 0 | 437849 | 0 | 0 | 0 |
| Alan Leichtner MD | |||||||||||||
| 309049 | 0 | 26731 | 0 | 11571 | 0 | 56827 | 0 | 22960 | 0 | 427138 | 0 | 0 | 0 |
| Wayne Lencer MD | |||||||||||||
| 275264 | 0 | 34123 | 0 | 25689 | 0 | 54827 | 0 | 20733 | 0 | 410636 | 0 | 0 | 0 |
| Joseph Majzoub MD | |||||||||||||
| 236000 | 0 | 2941 | 0 | 39526 | 0 | 65324 | 0 | 22540 | 0 | 366331 | 0 | 0 | 0 |
| Leonard Rappaport MD | |||||||||||||
| 291638 | 0 | 3427 | 0 | 11542 | 0 | 50827 | 0 | 23540 | 0 | 380974 | 0 | 0 | 0 |
| Mark Schuster MD | |||||||||||||
| 265273 | 0 | 45451 | 0 | 86626 | 0 | 50827 | 0 | 22618 | 0 | 470795 | 0 | 0 | 0 |
| William Tarvanien | |||||||||||||
| 242157 | 0 | 20500 | 0 | 35042 | 0 | 58353 | 0 | 23396 | 0 | 379448 | 0 | 0 | 0 |
| Michael Wessels MD | |||||||||||||
| 242848 | 0 | 24098 | 0 | 16849 | 0 | 56468 | 0 | 23398 | 0 | 363661 | 0 | 0 | 0 |
| David Williams MD | |||||||||||||
| 374063 | 0 | 37095 | 0 | 129972 | 0 | 50827 | 0 | 23777 | 0 | 615734 | 0 | 0 | 0 |
| Richard Bachur MD | |||||||||||||
| 274453 | 0 | 50500 | 0 | -1313 | 0 | 40827 | 0 | 23490 | 0 | 387957 | 0 | 0 | 0 |
| Frederick Lovejoy MD | |||||||||||||
| 212100 | 0 | 500 | 0 | 29310 | 0 | 29333 | 0 | 22681 | 0 | 293924 | 0 | 0 | 0 |
| Michael Agus MD | |||||||||||||
| 288450 | 0 | 29730 | 0 | -9172 | 0 | 49827 | 0 | 23517 | 0 | 382352 | 0 | 0 | 0 |
| Marilyn Liang MD | |||||||||||||
| 236255 | 0 | 91722 | 0 | -3359 | 0 | 33367 | 0 | 19779 | 0 | 377764 | 0 | 0 | 0 |
| Samuel Nurko MD | |||||||||||||
| 212183 | 0 | 114245 | 0 | 35464 | 0 | 29347 | 0 | 23310 | 0 | 414549 | 0 | 0 | 0 |
| Isaac Kohane MD | |||||||||||||
| 318832 | 0 | 1900 | 0 | 1698 | 0 | 34827 | 0 | 23618 | 0 | 380875 | 0 | 0 | 0 |
| Jackson Wong MD | |||||||||||||
| 306275 | 0 | 29309 | 0 | -1910 | 0 | 34827 | 0 | 23442 | 0 | 391943 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 4b: | The Foundation established the Ineligible Deferred Compensation Plan. This plan is intended to qualify under Section 457(f) of the Code, and is intended to constitute a "top-hat plan" described in Section 201(2) of ERISA. The payment of benefits under the Plan is at the sole discretion of the Foundation. In meeting its funding obligation, the employer will hold employer contributions in a Rabbi Trust. Each employee who is (a) an officer or highly compensated employee of the Foundation, (b) a professor at Harvard, or its professional equivalent, and/or (c) determined by the Foundation's president to be eligible, may participate in the Plan. Additionally, each Trustee of the Foundation who is determined by the Foundation's president to be eligible may participate in the Plan. Participants may elect to defer compensation by a specific amount which, for any taxable year, shall not exceed an amount established by the Plan Administrator. The Foundation may, but is not required to, contribute an amount determined in the sole discretion of the Foundation, on behalf of one or more eligible participants for a plan year. Participants are fully vested in the funds credited to their accounts after seven consecutive years of service. The Foundation made the following contributions to the 457(f) plan for the employees listed on Part VII: William Harmon, MD $32,000 S. Jean Emans, MD $32,000 Raif S. Geha, MD $32,000 Craig Gerard, MD $21,000 Stella Kourembanas, MD $21,000 Alan Leichtner, MD $22,000 Wayne Lencer, MD $20,000 Leonard Rappaport, MD $16,000 William Tarvainen $24,000 Michael Wessels, MD $22,000 David Williams, MD $16,000 Michael Agus, MD $15,000 Richard Bachur, MD $6,000 Gary R. Fleisher, MD $32,000 Mark Schuster, MD $16,000 Joseph Majzoub $32,000 |
| Part I, Line 7 | The Children's Hospital Pediatric Associates, Inc. (Foundation) paid bonus compensation based on the net earnings of the Foundation. a) Ambulatory Clinic Bonus - participants are eligible for this bonus if they work a minimum of 0.2 FTE in the clinic and have an overall surplus that is greater than 2.2 times the salary charged to the Foundation or the service fund. The eligible participant can receive 22% of their first $100K surplus, 17% of their surplus between $100K and $200K, and 24% of any surplus greater than $200K. The bonus award is subject to the participant's total direct compensation not exceeding the Harvard Medical School's compensation guidelines. b) Academic Bonus - 7.5% of the department's surplus has been set aside to award academic bonuses. The bonus pool has been distributed to the divisions based on its revenue. The division chief may distribute his/her bonus pool at their discretion. Faculty and staff are eligible to receive this bonus as long as they are on the Children's Hospital Boston or Children's Hospital Pediatric Associates' payroll. c) Bonuses for emergency, newborn, inpatient programs , and PHA are based on 13% of the division/program surplus. Bonus compensation are usually approved by the division chiefs and the president of the Foundation. |
Schedule L IRS990ScheduleL
Loan Table LoanTable (3 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Mark Schuster | ||||||
| Physician Recruitment | X | $400,000 | 240000 | 0 | 1 | 1 |
| David Williams | ||||||
| Physician Recruitment | X | $650,000 | 440000 | 0 | 1 | 1 |
| Isaac Kohane | ||||||
| Physician Recruitment | X | $85,550 | 68440 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 748440 | TotalBalanceDue |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 1 | A majority of the Children's Hospital Pediatric Associates, Inc. (Foundation) board members are physicians who are not independent from the Foundation. However, the Foundation is part of an integrated delivery system with Children's Hospital of Boston (Hospital) which does have a community board. The Foundation was organized in 2002. 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 (PO) as a member. See Schedule O, Part VI, Questions 3, 6, 7b, and 12 for more details of the PO's rights. | |
| Form 990, Part VI, Section A, line 3 | The Physicians' Org. at Children's Hospital Boston (PO) is a Class "C" member of Children's Hospital Pediatric Associates, Inc. (Foundation). The PO is responsible for all 3rd 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 Children's Hospital Pediatric Associates, Inc. (Foundation) has four classes of members. The Pediatrician-in-Chief or any Acting Pediatrician-in-Chief, as Chief of the Department of Medicine of the Children's Hospital in Boston, is a Class "A" member. Any person who (i) is a physician-employee of the Foundation with an active medical staff appointment from the Hospital, and (ii) either (A) is a Division Chief of a Division of the Department whose faculty are on the Foundation payroll, or (B) functions as a Division Chief of a Division of the Department whose faculty are not on the Foundation payroll, or (C) has a faculty appointment from Harvard Medical School shall be a Clas "B" member. The Physicians' Organization at Children's Hospital Boston is a Class "C" member. All other individuals who hold Harvard appointments other than the Class "A" and Class "B" members shall be Class "D" members. | |
| Form 990, Part VI, Section A, line 7a | The Pediatrician-in-Chief or any Acting Pediatrician-in-Chief, as Chief of the Department of Medicine of the Children's Hospital Corporation, is the Class "A" member of Childrens Hospital Pediatric Associates, Inc. (Foundation). According to the Articles of Organization, the Class "A" member appoints the board's members of the Foundation for a 3-year term at the Foundation's annual meeting. | |
| Form 990, Part VI, Section A, line 7b | The Physicians' Organization at Children's Hospital Boston (PO) is a Class "C" member of Children's Hospital Pediatric Associates, Inc. (Foundation). The PO is responsible for all 3rd 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 laws, 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 the 18 votes. | |
| Form 990, Part VI, Section B, line 11 | The detailed review will be conducted by the President of the Foundation, Gary R. Fleisher, and the Chief Financial Officer, William Tarvainen. 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 (PO) at Children's Hospital Boston 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 disclosure statements to the board of directors, 2) appoint an ad hoc committee to review and resolve any conflict of interest issues, or 3) review and resolve any conflict of interest issues personally or through a designee(s). Any person not receiving a disclosure statement, nevertheless, has an affirmative obligation to disclose to the PO President, PO General Counsel, or his/her supervisor whenever he/she believes he/she has or may have a conflict of interest. Similarly, each person completing a disclosure statement has an affirmative obligation to update the statement any time circumstances change and/or he/she believes that a conflict of interest may exist. In the event a conflict of interest is found to exist, the Foundation prohibits the member from voting on any matter to which the conflict relates or otherwise influence the voting on such matter. | |
| Form 990, Part VI, Section B, line 15 | 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 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. This process was followed for year ended 9/30/2010. The Physicians' Organization at Children's Hospital, Inc. (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 20 Overland Street, Boston, MA 02215-3309. The documents are available upon request. | |
| Form 990, Part XI, Line 2c: | The audit process has not changed from the prior year. | Oversight of Audit: |
| Form 990, Part VI, Question 13 and 14 | Currently, the Foundation does not have a whistleblower policy or a written document retention and destruction policy. However, the board committee has plans to develop these policies in the next year. | |
| Form 990, Part X, Column A | The prior year column of the balance sheet on Form 990 was updated to agree to the amounts on the audited financial statements. The lines that were updated are: Line 11 was changed from $106,754,377 to $110,569,950 and Line 15 was changed from $26,914,979 to $23,099,406. | |
| Sch L, Part II | The Foundation has developed a recruitment loan program for eligible employees as incentive for qualified employees to relocate to certain facilities as demands of the Foundation's practice arise. The loan proceeds are to be used for the purchase of a principal personal residence. The loans are secured by a promissory note and second mortgage on the residence. The Foundation has provided five loans to three members of the board. However, the Foundation has provided demand loans to other employees. The loans were made for recruitment and relocation purposes, to assist physician employees in the purchase of their primary residence. The amounts for the recruitment loans were originally funded by restricted donations provided by Children's Hospital for use in recruitment. The loans will be forgiven over the terms of the notes if the recipients remain employed at the Foundation or its affiliates. If any borrower terminates their employment the remaining balance becomes immediately due. The amount of the loan forgiveness will be included with accrued interest, if applicable, as compensation in the year forgiven. |
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 |
|---|---|---|---|---|---|---|---|---|---|
| Children's Hospital Corporation | |||||||||
| 300 Longwood Ave | Boston | MA | 02115 | 042774441 | Hospital | MA | 501(c) (3) | 3 | N/A |
| Physicians' Org at Children's Hospital | |||||||||
| 300 Longwood Ave | Boston | MA | 02115 | 043266103 | Physician Organization | MA | 501(c) (3) | 11 | N/A |
| 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 |
| 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 | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |