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Nonprofiteer
← BOSTON CHILDRENS NETWORK SPECIALTY PHYSICIANS INC

Form 990 for tax year 2022

Filed by BOSTON CHILDRENS NETWORK SPECIALTY PHYSICIANS INC.

Totals

Total revenue
$20,205,420
Total expenses
$21,602,163
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$20,204,657
Investment income
$0
Other revenue
$763
Total assets, end of year
$19,375,690
Total liabilities, end of year
$20,772,433
Net assets or fund balances, end of year
-$1,396,743
Program services expenses (Part IX)
$20,770,232
Management and general expenses
$831,931
Fundraising expenses
$0
Program service expenses (Part III)
$20,770,232

Program services were 96.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Peter Laussen MD

    President & Director

    Total calculated
    $1,400,347
    From this org
    $0
    From related orgs
    $1,328,408
    Other
    $71,939
    Hours/week
    5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $840,739 related
    Bonus
    $0 + $328,688 related
    Other
    $0 + $158,981 related
    Deferred
    $0 + $30,500 related
    Nontaxable benefits
    $0 + $41,439 related
    Filer's total
    $0 + $1,400,347 related

  • Kevin Churchwell MD

    Director (End 2/2023)

    Total calculated
    $3,365,304
    From this org
    $0
    From related orgs
    $3,239,502
    Other
    $125,802
    Hours/week
    5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,548,242 related
    Bonus
    $0 + $1,160,000 related
    Other
    $0 + $531,260 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $101,402 related
    Filer's total
    $0 + $3,365,304 related

  • Michael Tarnoff MD

    Director (End 2/2023)

    Total calculated
    $0
    Hours/week
    5

  • Geoffrey Binney Jr MD

    Treasurer & Director (Begin 3/2023)

    Total calculated
    $0
    Hours/week
    1

  • Jaclyn Boulais MD

    Director (Begin 3/2023)

    Total calculated
    $0
    Hours/week
    1

  • Charles Hannum MD

    Director (Begin 3/2023)

    Total calculated
    $0
    Hours/week
    1

  • Shirley Huang MD

    Director (Begin 3/2023)

    Total calculated
    $0
    Hours/week
    1

  • Melissa Mauro-Small MD

    Director (End 8/2023)

    Total calculated
    $0
    Hours/week
    1

  • Tiffany Perkins MD

    Director (Begin 3/2023)

    Total calculated
    $0
    Hours/week
    1

  • Daniel A Rauch MD

    Director (End 6/2023)

    Total calculated
    $0
    Hours/week
    1

  • Richard Robertson MD

    Clerk & Director (Begin 3/2023)

    Total calculated
    $0
    Hours/week
    1

  • Monica Ultmann MD

    Director (Begin 3/2023)

    Total calculated
    $0
    Hours/week
    1

  • Mark V Zilberman MD

    Director (Begin 3/2023)

    Total calculated
    $0
    Hours/week
    1

  • Jane Harrington MD

    Director (Begin 7/2023)

    Total calculated
    $0
    Hours/week
    1

  • Kevin Petit MD

    Director (Begin 9/2023)

    Total calculated
    $0
    Hours/week
    1

  • Doug Vanderslice

    Treasurer (End 2/2023)

    Total calculated
    $2,056,970
    From this org
    $0
    From related orgs
    $1,981,768
    Other
    $75,202
    Hours/week
    5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $885,183 related
    Bonus
    $0 + $754,720 related
    Other
    $0 + $341,865 related
    Deferred
    $0 + $27,450 related
    Nontaxable benefits
    $0 + $47,752 related
    Filer's total
    $0 + $2,056,970 related

  • Michele Garvin Esq

    Clerk (End 2/2023)

    Total calculated
    $1,743,872
    From this org
    $0
    From related orgs
    $1,698,464
    Other
    $45,408
    Hours/week
    5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $770,048 related
    Bonus
    $0 + $771,250 related
    Other
    $0 + $157,166 related
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $21,008 related
    Filer's total
    $0 + $1,743,872 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 4b
Children's Hospital Corporation, a related organization, made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contribution amounts are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for Children's Hospital Corporation employee benefits and not for Boston Children's Network Specialty Physicians, Inc.'s Director or Officer of the Board services and/or responsibilities. During calendar year 2022, Children's Hospital Corporation made contributions to the supplemental non-qualified retirement plan for the individuals listed below: Kevin Churchwell, MD received a contribution of $456,800 Douglas Vanderslice received a contribution of $242,524 Michele Garvin, Esq. received a contribution of $120,044 Peter Laussen, MD received a contribution of $125,228 During calendar year 2022, no individuals received supplemental executive retirement plan distributions from Children's Hospital Corporation.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2024
IRS schema version
2022v5.0
Source object
202402279349303590

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