2026-08-14T16:38:43-05:00 2025-09-30 346565596 ERNST & YOUNG US LLP 200 CLARENDON STREET BOSTON MA 021165072 990 2024-10-01 431987409 CHILDREN'S HOSPITAL PEDIATRIC ASSOCIATES CHIL 300 LONGWOOD AVENUE BOSTON MA 02115 WENDY K CHUNG MD PHD PRESIDENT 6179192822 2026-08-14 1 0 GEORGE PAGANO P01978122 6172662000 2024 2025-03-06 01:10:19Z WENDY K CHUNG MD PHD 300 LONGWOOD AVENUE BOSTON MA 02115 835468773 0 X N/A X 2002 MA THE FOUNDATION PROVIDES MEDICAL, HEALTH CARE SERVICES, AND EDUCATIONAL SERVICES TO (SEE SCHEDULE O) BOSTON CHILDREN'S HOSPITAL AND HARVARD MEDICAL SCHOOL. THE FOUNDATION ALSO PROVIDES CARE FOR PATIENTS IN NEED OF HEALTH CARE SERVICES, REGARDLESS OF THEIR ABILITY TO PAY, AS WELL AS PROVIDING COMMUNITY BASED SERVICES. 22 2 612 0 0 0 1091390 1023395 390547597 421896856 63218226 55179112 0 2644630 454857213 480743993 30013508 2542401 0 0 319990360 334372351 0 0 0 64418933 73044694 414422801 409959446 40434412 70784547 674975207 687303324 179999489 127312974 494975718 559990350 X THE FOUNDATION PROVIDES MEDICAL AND HEALTH CARE SERVICES PRIMARILY TO PATIENTS AT BOSTON CHILDREN'S HOSPITAL, AND AT SATELLITE LOCATIONS. THE FOUNDATION CARRIES ON AND PROMOTES BASIC AND APPLIED MEDICAL RESEARCH AND EDUCATION IN THE FIELD OF PEDIATRIC CARE BY (SCHEDULE O) TEACHING STUDENTS AND OTHER MEDICAL AND SCIENTIFIC PERSONNEL. THE FOUNDATION ALSO PROVIDES CARE FOR PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 0 0 316132806 2542401 307891523 THE FOUNDATION WAS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, AND EDUCATIONAL PURPOSES. THE FOUNDATION PROVIDES MEDICAL AND HEALTH CARE SERVICES PRIMARILY TO PATIENTS AT BOSTON CHILDREN'S HOSPITAL, AND AT SATELLITE LOCATIONS. THE FOUNDATION MAY CHARGE FOR PATIENT CARE AND OTHER MEDICAL SERVICES, 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 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. DURING THE YEAR ENDED SEPTEMBER 30, 2025, THE FOUNDATION PERFORMED 227,018 AMBULATORY VISITS. THE FOUNDATION PROVIDED $2,960,306 IN FREE (SEE SCHEDULE O) CARE SERVICES, HAD EXPENDITURES OF $16,340,407 FOR RESEARCH EFFORTS, AND PROVIDED FUNDING OF $2,893,800 FOR TEACHING OR EDUCATIONAL INITIATIVES FOR THE YEAR ENDED SEPTEMBER 30, 2025. 11426487 50455305 THE FOUNDATION RECEIVES INCOME FROM BOSTON CHILDREN'S HOSPITAL FOR PROVIDING ADMINISTRATION 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. 53323607 63550028 THE FOUNDATION RECEIVES REIMBURSEMENT OF CERTAIN SALARY AND FRINGE COSTS FROM GRANTS FROM BOSTON CHILDREN'S HOSPITAL. 380882900 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 41 0 1 612 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 2 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X MIRA B IRONS MD 6179192800 300 LONGWOOD AVENUE BOSTON MA 02115 VINCENT W CHIANG MD TREASURER/CLERK (10/24) 60.00 0.00 X X 778583 0 73679 MIRA B IRONS MD TREASURER/CLERK (11/24-9/25) 60.00 0.00 X X 429264 0 54095 RICHARD G BACHUR MD TRUSTEE (10/24) 45.00 15.00 X 1312744 0 73813 JOEL N HIRSCHHORN MD PHD TRUSTEE 60.00 0.00 X 417231 0 94561 HANS OETTGEN MD TRUSTEE 60.00 0.00 X 416970 0 72851 STELLA KOUREMBANAS MD TRUSTEE 60.00 0.00 X 589878 0 105813 CHRISTINA RUSS MD TRUSTEE 60.00 0.00 X 320169 0 72854 AMANDA S GROWDON MD TRUSTEE 60.00 0.00 X 279351 0 72851 CHRISTOPHER P LANDRIGAN MD MPH TRUSTEE 60.00 0.00 X 423860 0 93847 STEPHEN C HARRISON PHD TRUSTEE 60.00 0.00 X 0 0 0 DENNIS H KIM MD PHD TRUSTEE 60.00 0.00 X 531005 0 94561 DAVID A WILLIAMS MD TRUSTEE 60.00 0.00 X 634733 0 73813 CHRISTOPHER A WALSH MD PHD TRUSTEE 60.00 0.00 X 77979 0 75404 FRIEDHELM HILDEBRANDT MD TRUSTEE 60.00 0.00 X 530247 0 74561 MICHAEL SD AGUS MD TRUSTEE 60.00 0.00 X 529935 0 99211 WILLIAM J BARBARESI MD TRUSTEE 60.00 0.00 X 435830 0 92851 BENJAMIN A RABY MD PHD TRUSTEE 60.00 0.00 X 497237 0 86047 SCOTT B SNAPPER MD PHD TRUSTEE 60.00 0.00 X 615760 0 93561 ANNE HANSEN MD MPH TRUSTEE 60.00 0.00 X 360774 0 84073 PETER A NIGROVIC MD TRUSTEE 60.00 0.00 X 610542 0 54970 AMY D DIVASTA MD MMSC TRUSTEE 60.00 0.00 X 392250 0 82650 WENDY K CHUNG MD PHD PRESIDENT 55.00 5.00 X X 848860 0 84047 SHARON J LEVY MD MPH TRUSTEE 60.00 0.00 X 383423 0 85604 REBEKAH C MANNIX MD MPH TRUSTEE (11/24-9/25) 60.00 0.00 X 361271 0 72851 PHYSICIANS ORG AT CH INC INSTITUTIONAL TRUSTEE 2.00 0.00 X 0 0 0 MELISSA MARTIN MBA PHR VICE PRESIDENT, PEDIATRIC SERVICES 10.00 40.00 X 0 357570 31405 SARA TOOMEY MD PHYSICIAN 60.00 0.00 X 641980 0 71951 JOHN LEE MD PHYSICIAN 60.00 0.00 X 574117 0 77225 MARILYN LIANG MD PHYSICIAN 60.00 0.00 X 602045 0 73679 PATRICIA ELLEN GRANT MD PHYSICIAN 60.00 0.00 X 589466 0 59047 KENNETH MANDL MD PHYSICIAN 60.00 0.00 X 724459 0 73909 GARY R FLEISHER MD FORMER PRESIDENT 55.00 5.00 X 570624 0 54095 15480587 357570 2309879 561 1 1 0 DANA FARBER CANCER INSTITUTE 44 BINNEY STREET BOSTON MA 02115 ONCOLOGY SERVICES 4791031 BOSTON CHILDREN'S NETWORK SPECIALTY PHYS 300 LONGWOOD AVENUE BOSTON MA 02115 PHYSICIAN SERVICES 1733648 FIDELITY BROKERAGE SERVICES LLC 900 SALEM STREET SMITHFIELD RI 02917 INVESTMENT MANAGEMENT 794134 BWPO EMERGENCY MEDICINE PO BOX 3684 BOSTON MA 02241 PHYSICIAN SERVICES 565033 SENTINEL BENEFITS GROUP INC 100 QUANNAPOWITT PARKWAY SUITE 300 WAKEFIELD MA 01880 BENEFITS ADMINISTRATION 329869 12 1023395 1023395 PATIENT SERV. REV., NET OF CONTR. 621300 289878413 289878413 RESEARCH REVENUE 621300 63550028 63550028 SERVICE, RESEARCH, & OTHER REVENU 611710 50455305 50455305 CONTRACT REVENUE 621300 18013110 18013110 421896856 11813715 11813715 398090177 354724780 43365397 43365397 43365397 INSURANCE REBATE 900099 2644630 2644630 2644630 480743993 421896856 0 57823742 2542401 2542401 15655016 15266042 388974 268819844 245051899 23767945 21261493 21261493 19915821 19915821 8720177 8667481 52696 16284 16284 126813 126813 1240397 1240397 8547731 8971017 -423286 4161 4161 3755437 2616167 1139270 163800 163800 7702860 7371541 331319 304583 304583 2526435 2526435 4648 4648 5000096 4689496 310600 RESEARCH EXPENSES 16340407 16340407 COORDINATED SPECIALTY P 7328590 7328590 BILLING FEES 5830152 5830152 BCH ADMINISTRATIVE FEES 5797568 5797568 8354732 6401807 1952925 409959446 380882900 29076546 0 18392778 35092724 60217764 50998724 28391619 29523260 504913 667931 7308247 6401830 657893 1133324 777477 772600 9525 4877 500078669 510868026 59413799 52612628 674975207 687303324 15141884 21057824 164857605 106255150 179999489 127312974 X 489524379 554034688 5451339 5955662 494975718 559990350 674975207 687303324 70784547 -5769915 0 X X 0 1 X 1 0 X 5225495 6607270 1103880 1091390 1023395 15051430 288159793 311135950 359340833 390547598 421896856 1771081030 293385288 317743220 360444713 391638988 422920251 1786132460 0 0 0 1786132460 6638950 8154119 9944777 12930641 11813715 49482202 6638950 8154119 9944777 12930641 11813715 49482202 2644630 2644630 300024238 325897339 370389490 404569629 437378596 1838259292 0.97160 0.97240 0.02690 0.02660 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: INSURANCE REBATE - 2024 AMOUNT: $ 2,644,630. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5451339 1023395 519072 5955662 5170156 1091390 810207 5451339 4915927 1103881 849652 5170156 1684926 6607271 3376270 4915927 1853472 5225495 5394041 1684926 0.00000 0.00000 1.00000 0 0 777477 772600 4877 4877 DUE FROM BOSTON CHILDREN'S HOSPITAL 32454591 MALPRACTICE INSURANCE RECEIVABLE 6273233 OTHER RECEIVABLES 4521283 DUE FROM AFFILIATES 103447 DUE FROM PHYSICIANS ORGANIZATION AT CHILDREN'S HOSPITAL, INC. 9260074 52612628 DUE TO BOSTON CHILDREN'S HOSPITAL 59955447 DUE TO PHYSICIANS ORGANIZATION AT CHILDREN'S HOSPITAL, INC. 2499429 DEFERRED COMPENSATION PLANS 31447794 ACCRUED PROFESSIONAL LIABILITY 12272060 DUE TO AFFILIATES 80420 106255150 X 473733681 -5769915 -5769915 479503596 1240397 1240397 480743993 408719049 0 408719049 1240397 1240397 409959446 PART V, LINE 4: THE FOUNDATION HAS PLANS TO USE ITS ENDOWMENT FUNDS FOR PHYSICIAN RECRUITMENT EXPENSES, EDUCATION PROGRAMS, AND RESEARCH INITIATIVES. PART X, LINE 2: THE FOUNDATION IS A TAX-EXEMPT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. IN ADDITION, THE 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. MANAGEMENT OF THE FOUNDATION HAS EVALUATED THE POSITIONS TAKEN ON THE FOUNDATION'S FILED TAX RETURNS AND HAS CONCLUDED THAT NO UNCERTAIN INCOME TAX POSITIONS EXIST AT SEPTEMBER 30, 2025. 1 BOSTON CHILDREN'S HOSPITAL 300 LONGWOOD AVENUE BOSTON MA 02115 042774441 501(C)(3) 2541000 0 N/A N/A GENERAL SUPPORT 1 0 PART I, LINE 2: MONITORING IS PROVIDED BY CHILDREN'S HOSPITAL PEDIATRIC ASSOCIATES, INC. (THE 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, 2025, THE FOUNDATION ONLY PROVIDED GRANT DONATIONS TO OTHER 501(C)(3) ORGANIZATIONS. X X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 RICHARD G BACHUR MD TRUSTEE (10/24) 767067 0 23198 0 522479 0 33755 0 40058 0 1386557 0 516121 0 WENDY K CHUNG MD PHD PRESIDENT 757500 0 87500 0 3860 0 48755 0 35292 0 932907 0 0 0 VINCENT W CHIANG MD TREASURER/CLERK (10/24) 606519 0 169068 0 2996 0 33755 0 39924 0 852262 0 0 0 KENNETH MANDL MD PHYSICIAN 664002 0 28500 0 31957 0 33755 0 40154 0 798368 0 0 0 SARA TOOMEY MD PHYSICIAN 531580 0 104252 0 6148 0 33755 0 38196 0 713931 0 0 0 SCOTT B SNAPPER MD PHD TRUSTEE 570652 0 45000 0 108 0 52755 0 40806 0 709321 0 0 0 DAVID A WILLIAMS MD TRUSTEE 558394 0 45621 0 30718 0 33755 0 40058 0 708546 0 0 0 STELLA KOUREMBANAS MD TRUSTEE 541340 0 31566 0 16972 0 65755 0 40058 0 695691 0 0 0 MARILYN LIANG MD PHYSICIAN 350963 0 228726 0 22356 0 33755 0 39924 0 675724 0 0 0 PETER A NIGROVIC MD TRUSTEE 505996 0 43119 0 61427 0 51755 0 3215 0 665512 0 0 0 JOHN LEE MD PHYSICIAN 265016 0 236193 0 72908 0 37298 0 39927 0 651342 0 0 0 PATRICIA ELLEN GRANT MD PHYSICIAN 515754 0 10500 0 63212 0 33755 0 25292 0 648513 0 0 0 MICHAEL SD AGUS MD TRUSTEE 510927 0 9612 0 9396 0 58405 0 40806 0 629146 0 0 0 DENNIS H KIM MD PHD TRUSTEE 407445 0 27026 0 96534 0 53755 0 40806 0 625566 0 0 0 GARY R FLEISHER MD FORMER PRESIDENT 507330 0 42500 0 20794 0 33755 0 20340 0 624719 0 0 0 FRIEDHELM HILDEBRANDT MD TRUSTEE 474930 0 38345 0 16972 0 33755 0 40806 0 604808 0 0 0 BENJAMIN A RABY MD PHD TRUSTEE 450518 0 24999 0 21720 0 50755 0 35292 0 583284 0 0 0 WILLIAM J BARBARESI MD TRUSTEE 407445 0 11413 0 16972 0 53755 0 39096 0 528681 0 0 0 CHRISTOPHER P LANDRIGAN MD MPH TRUSTEE 407445 0 14059 0 2356 0 53755 0 40092 0 517707 0 0 0 JOEL N HIRSCHHORN MD PHD TRUSTEE 378342 0 36533 0 2356 0 53755 0 40806 0 511792 0 0 0 HANS OETTGEN MD TRUSTEE 390830 0 7920 0 18220 0 33755 0 39096 0 489821 0 0 0 MIRA B IRONS MD TREASURER/CLERK (11/24-9/25) 373700 0 25000 0 30564 0 33755 0 20340 0 483359 0 0 0 AMY D DIVASTA MD MMSC TRUSTEE 376605 0 13643 0 2002 0 47355 0 35295 0 474900 0 0 0 SHARON J LEVY MD MPH TRUSTEE 365845 0 0 0 17578 0 46505 0 39099 0 469027 0 0 0 ANNE HANSEN MD MPH TRUSTEE 332515 0 16679 0 11580 0 39755 0 44318 0 444847 0 0 0 REBEKAH C MANNIX MD MPH TRUSTEE (11/24-9/25) 314146 0 24769 0 22356 0 33755 0 39096 0 434122 0 0 0 CHRISTINA RUSS MD TRUSTEE 304470 0 11033 0 4666 0 33755 0 39099 0 393023 0 0 0 MELISSA MARTIN MBA PHR VICE PRESIDENT, PEDIATRIC SERVICES 0 357090 0 0 0 480 0 0 0 31405 0 388975 0 0 AMANDA S GROWDON MD TRUSTEE 258667 0 20199 0 485 0 33755 0 39096 0 352202 0 0 0 CHRISTOPHER A WALSH MD PHD TRUSTEE 35000 0 45000 0 -2021 0 36200 0 39204 0 153383 0 0 0 PART I, LINE 1A THE FOUNDATION PROVIDES GROSS-UP PAYMENTS FOR MORTGAGE FORGIVENESS, LONG-TERM DISABILITY INSURANCE, AND LIFE INSURANCE. THESE PAYMENTS ARE INCLUDED AS TAXABLE WAGES DURING THE YEAR. ALL PERMANENT FULL-TIME EMPLOYEES OF THE FOUNDATION ARE ELIGIBLE FOR THE GROSS-UP PAYMENTS. PART I, LINE 4B THE CHILDREN'S HOSPITAL PEDIATRIC ASSOCIATES, INC. (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 EMPLOYEE CONTRIBUTIONS IN A RABBI TRUST. EACH EMPLOYEE WHO IS: A) AN OFFICER OR HIGHLY COMPENSATED EMPLOYEE OF THE FOUNDATION; B) A PROFESSOR AT HARVARD UNIVERSITY, OR ITS PROFESSIONAL EQUIVALENT; AND 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 AT 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, PAGE 7: MICHAEL S.D. AGUS, MD, $24,650; WILLIAM J. BARBARESI, MD, $20,000; JOEL N. HIRSCHHORN, MD, $20,000; STELLA KOUREMBANAS, MD, $32,000; BENJAMIN A. RABY, MD, PHD, $17,000; CHRISTOPHER WALSH, MD, $32,000; CHRISTOPHER P. LANDRIGAN, MD, MPH, $20,000; DENNIS H. KIM, MD, PHD, $20,000; SCOTT B. SNAPPER, MD, PHD, $19,000; PETER A. NIGROVIC, MD, $18,000; AMY D. DIVASTA, MD, MMSC, $13,600; WENDY K. CHUNG, MD, PHD, $15,000; SHARON J. LEVY, MD, MPH, $12,750; AND ANNE HANSEN, MD, MPH, $6,000. THE FOUNDATION MADE THE FOLLOWING DISTRIBUTIONS FROM THE 457(F) PLAN FOR THE EMPLOYEES LISTED ON PART VII, PAGE 7: RICHARD G. BACHUR, MD, $516,121. PART I, LINE 7 BONUS COMPENSATION METHODOLOGY IS REVIEWED AND APPROVED BY CHILDREN'S HOSPITAL PEDIATRIC ASSOCIATES, INC.'S (THE FOUNDATION'S) FINANCE COMMITTEE. THE BONUSES ARE BASED ON CLINICAL AND ACADEMIC PERFORMANCE, ALONG WITH INDIVIDUAL CITIZENSHIP. ALL FINAL BONUS AMOUNTS ARE APPROVED BY THE APPLICABLE DIVISION CHIEF AND PRESIDENT OF THE FOUNDATION. DENNIS H KIM MD PHD TRUSTEE PHYSICIAN RECRUITMENT X 669902 267931 0 1 1 BENJAMIN A RABY MD PHD TRUSTEE PHYSICIAN RECRUITMENT X 200000 80000 0 1 1 PETER A NIGROVIC MD TRUSTEE PHYSICIAN RECRUITMENT X 100000 60000 0 1 1 AMY D DIVASTA MD MMSC TRUSTEE PHYSICIAN RECRUITMENT X 100000 100000 0 1 1 MIRA B IRONS MD OFFICER PHYSICIAN RECRUITMENT X 200000 160000 0 1 1 667931 SABINE HILDEBRANDT MD FAMILY MEMBER 202589 FRIEDHELM HILDEBRANDT, MD, SERVES AS A TRUSTEE OF THE ORGANIZATION. DR. HILDEBRANDT'S SPOUSE IS EMPLOYED BY THE ORGANIZATION AS A PHYSICIAN. CALENDAR YEAR W-2 COMPENSATION FOR DR. HILDEBRANDT'S SPOUSE WAS $202,589 WHICH IS COMMENSURATE WITH THE SALARY OF SIMILIAR PERSONS EMPLOYED AT THIS POSITION AND EXPERIENCE LEVEL WITH THE ORGANIZATION. 0 OFFER LEVY MD FAMILY MEMBER 357616 SHARON J. LEVY, MD, MPH, SERVES AS A TRUSTEE OF THE ORGANIZATION. DR. LEVY'S SPOUSE IS EMPLOYED BY THE ORGANIZATION AS A PHYSICIAN. CALENDAR YEAR W-2 COMPENSATION FOR DR. LEVY'S SPOUSE WAS $357,616 WHICH IS COMMENSURATE WITH THE SALARY OF SIMILIAR PERSONS EMPLOYED AT THIS POSITION AND EXPERIENCE LEVEL WITH THE ORGANIZATION. 0 LISE NIGROVIC MD FAMILY MEMBER 406344 PETER NIGROVIC, MD, SERVES AS A TRUSTEE OF THE ORGANIZATION. DR. NIGROVIC'S SPOUSE IS EMPLOYED BY THE ORGANIZATION AS A PHYSICIAN. CALENDAR YEAR W-2 COMPENSATION FOR DR. NIGROVIC'S SPOUSE WAS $406,344 WHICH IS COMMENSURATE WITH THE SALARY OF SIMILIAR PERSONS EMPLOYED AT THIS POSITION AND EXPERIENCE LEVEL WITH THE ORGANIZATION. 0 SCHEDULE L, PART II: THE CHILDREN'S HOSPITAL PEDIATRIC ASSOCIATES, INC. (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 A SECOND MORTGAGE ON THE RESIDENCE. THE FOUNDATION HAS PROVIDED FIVE LOANS TO FOUR TRUSTEES AND ONE OFFICER OF THE BOARD. HOWEVER, THE FOUNDATION HAS PROVIDED LOANS TO OTHER EMPLOYEES. THE AMOUNTS FOR THE RECRUITMENT LOANS WERE ORIGINALLY FUNDED BY RESTRICTED DONATIONS PROVIDED BY BOSTON 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 HIS/HER 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. AT SEPTEMBER 30, 2025, THE BALANCE OF THE LOANS OUTSTANDING IS $7,069,761. FUTURE PRINCIPAL BALANCES DUE ARE $2,436,706 IN 2026; $1,772,048 IN 2027; $925,625 IN 2028; $612,765 IN 2029; $286,809 IN 2030; AND $1,035,808 THEREAFTER. LOAN AMOUNTS TO INDIVIDUALS REPORTED IN PART VII HAVE BEEN DISCLOSED IN SCHEDULE L, PART II, THE BALANCE OF THE NOTES RECEIVABLE ARE WITH INDIVIDUALS WHO ARE NOT REQUIRED TO BE DISCLOSED IN SCHEDULE L PER THE INTERNAL REVENUE SERVICE INSTRUCTIONS. FORM 990, PART VI, SECTION A, LINE 1A THE MAJORITY OF THE CHILDREN'S HOSPITAL PEDIATRIC ASSOCIATES, INC. (THE FOUNDATION) BOARD MEMBERS ARE PHYSICIANS WHO ARE NOT INDEPENDENT FROM THE FOUNDATION. HOWEVER, THE FOUNDATION IS PART OF AN INTEGRATED DELIVERY SYSTEM WITH BOSTON CHILDREN'S HOSPITAL (THE HOSPITAL) WHICH DOES HAVE A COMMUNITY BOARD. THE FOUNDATION WAS ORGANIZED IN 2002. AT THE 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 BY ADDING THE PHYSICIANS ORGANIZATION AT CHILDREN'S HOSPITAL, INC. (THE PO) AS A MEMBER. SEE SCHEDULE O, PART VI, QUESTIONS 3, 6, 7B, AND 12 FOR MORE ON THE PO'S RIGHTS. FORM 990, PART VI, SECTION A, LINE 3 THE PHYSICIANS ORGANIZATION AT CHILDREN'S HOSPITAL, INC. (THE PO) IS A CLASS "C" MEMBER OF CHILDREN'S HOSPITAL PEDIATRIC ASSOCIATES, INC. (THE FOUNDATION). THE PO PROVIDES MANAGEMENT SERVICES FOR THE FOUNDATION. THE PO HAS THE POWER TO APPROVE THE INDEPENDENT AUDITOR AND LEGAL COUNSEL OF THE FOUNDATION FROM A 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 BUDGETS AND BY-LAW CHANGES OF THE FOUNDATION. LASTLY, BOSTON CHILDREN'S HOSPITAL 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. FORM 990, PART VI, SECTION A, LINE 6 THE CHILDREN'S HOSPITAL PEDIATRIC ASSOCIATES, INC. (THE FOUNDATION) HAS FOUR CLASSES OF MEMBERS. THE PEDIATRICIAN-IN-CHIEF OR ANY ACTING PEDIATRICIAN-IN-CHIEF, AS CHIEF OF THE DEPARTMENT OF MEDICINE (THE DEPARTMENT) OF BOSTON CHILDREN'S HOSPITAL (THE HOSPITAL), 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'S 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 CLASS "B" MEMBER. THE PHYSICIANS ORGANIZATION AT CHILDREN'S HOSPITAL, INC. (THE PO) IS A CLASS "C" MEMBER. ALL OTHER INDIVIDUALS WHO HOLD HARVARD APPOINTMENTS OTHER THAN THE CLASS "A AND "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 BOSTON CHILDREN'S HOSPITAL (THE HOSPITAL), IS THE CLASS "A" MEMBER OF CHILDREN'S HOSPITAL PEDIATRIC ASSOCIATES, INC. (THE FOUNDATION). ACCORDING TO THE ARTICLES OF ORGANIZATION, THE CLASS "A" MEMBER APPOINTS THE BOARD 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, INC. (THE PO) IS A CLASS "C" MEMBER OF THE CHILDREN'S HOSPITAL PEDIATRIC ASSOCIATES, INC. (THE FOUNDATION). THE PO PROVIDES MANAGEMENT SERVICES FOR THE FOUNDATION. THE PO HAS THE POWER TO APPROVE THE INDEPENDENT AUDITOR AND LEGAL COUNSEL OF THE FOUNDATION FROM A 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 BUDGETS AND BY-LAW CHANGES OF THE FOUNDATION. LASTLY, BOSTON CHILDREN'S HOSPITAL 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. AS A CLASS "C" MEMBER OF THE FOUNDATION, THE PO ATTENDS THE FOUNDATION'S ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 11B A REVIEW IS CONDUCTED BY THE PRESIDENT OF THE FOUNDATION, WENDY K. CHUNG, MD, PHD; AND THE DIRECTOR OF FINANCE, SUSAN MCBRIDE. A COPY OF FORM 990 WILL BE PROVIDED TO THE BOARD PRIOR TO FILING. THE PHYSICIANS ORGANIZATION AT CHILDREN'S HOSPITAL, INC. WILL REVIEW THE FORM 990 WITH THE BOARD MEMBERS. THE DETAILED REVIEW WILL BE CONDUCTED BEFORE FILING THE RETURN WITH THE INTERNAL REVENUE SERVICES. FORM 990, PART VI, SECTION B, LINE 12C THE PHYSICIANS ORGANIZATION AT CHILDREN'S HOSPITAL, INC. (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 AUDIT COMMITTEE SHALL DETERMINE THOSE INDIVIDUALS (INCLUDING MEDICAL STAFF MEMBERS) WHO SHALL BE REQUIRED TO COMPLETE THE DISCLOSURE STATEMENT. THE AUDIT COMMITTEE, AT ITS DISCRETION, MAY EITHER: 1) REFER ANY OR ALL DISCLOSURE STATEMENTS TO THE BOARD OF DIRECTORS; 2) APPOINT AN AD HOC COMMITTEE TO REVIEW AND RESOLVE ANY CONFLICT OF INTEREST ISSUES; OR 3) REVIEW AND RESOLVE ANY CONFLICT OF INTEREST ISSUES PERSONALLY OR THROUGH A DESIGNEE(S). ANY PERSON NOT RECEIVING A DISCLOSURE STATEMENT NEVERTHELESS HAS AN AFFIRMATIVE OBLIGATION TO DISCLOSE TO THE PO PRESIDENT, PO GENERAL COUNSEL, OR HIS/HER SUPERVISOR WHENEVER HE/SHE BELIEVES HE/SHE HAS OR MAY HAVE A CONFLICT OF INTEREST. SIMILARLY, EACH PERSON COMPLETING A DISCLOSURE STATEMENT HAS AN AFFIRMATIVE OBLIGATION TO UPDATE THE STATEMENT ANY TIME CIRCUMSTANCES CHANGE AND/OR HE/SHE BELIEVES THAT A CONFLICT OF INTEREST MAY EXIST. IN THE EVENT A CONFLICT OF INTEREST IS FOUND TO EXIST, THE 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 FACULTY COMPENSATION MUST COMPLY WITH THE BOSTON CHILDREN'S HOSPITAL PHYSICIAN COMPENSATION GUIDELINES. THESE GUIDELINES ARE DEVELOPED IN CONSULTATION WITH AN INDEPENDENT EXTERNAL COMPENSATION CONSULTING FIRM AND ARE APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF CHILDREN'S MEDICAL CENTER CORPORATION AND BOSTON CHILDREN'S HOSPITAL. THE GUIDELINES SET THE MAXIMUM COMPENSATION LIMITS BASED ON A PEER GROUP ANALYSIS FOR THE FOUNDATIONS. THE MAXIMUM COMPENSATION LIMITS ARE BASED ON PEDIATRIC SPECIALTY, SUB-SPECIALTY, ACADEMIC RANK AND INCLUDE A PRODUCTIVITY ADJUSTMENT. ANY PROPOSED COMPENSATION THAT EXCEEDS THE LIMIT MUST BE PROSPECTIVELY APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF THE HOSPITAL. ANNUAL COMPENSATION FOR INDIVIDUAL FACULTY MEMBERS IS SET BY THE PRESIDENT OF EACH FOUNDATION, REVIEWED AND APPROVED BY THE FOUNDATION IN ACCORDANCE WITH THE FOUNDATION'S COMPENSATION POLICIES AND PROCEDURES. THE FOUNDATION'S PRESIDENT'S COMPENSATION IS REVIEWED AND APPROVED ANNUALLY ON A PROSPECTIVE BASIS BY THE BOSTON CHILDREN'S HOSPITAL PRESIDENT/CHIEF EXECUTIVE OFFICER. 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, BOSTON, MA 02115. THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE AUDIT PROCESS AND SCOPE HAS NOT CHANGED FROM THE PRIOR YEAR. BOSTON CHILDREN'S HOSPITAL 300 LONGWOOD AVENUE BOSTON MA 02115 042774441 HOSPITAL MA 501(C)(3) LINE 3 N/A 0 PHYSICIANS ORGANIZATION AT CHILDREN'S HOSPITAL INC 300 LONGWOOD AVENUE BOSTON MA 02115 043266103 MANAGEMENT SERVICES MA 501(C)(3) LINE 12C, III-FI N/A 0 0 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0