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Nonprofiteer
← CHMC SURGICAL FOUNDATION INC

Form 990 for tax year 2024

Filed by CHMC SURGICAL FOUNDATION INC.

Totals

Total revenue
$54,882,014
Total expenses
$50,324,528
Contributions and grants received
$306,127
Grants paid
$0
Program service revenue
$49,764,552
Investment income
$1,950,846
Other revenue
$2,860,489
Total assets, end of year
$115,486,816
Total liabilities, end of year
$32,382,836
Net assets or fund balances, end of year
$83,103,980
Program services expenses (Part IX)
$46,384,226
Management and general expenses
$3,940,302
Fundraising expenses
$0
Program service expenses (Part III)
$46,384,226

Program services were 92.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • STEVEN J FISHMAN MD

    PRESIDENT

    Total calculated
    $1,859,103
    From this org
    $1,722,866
    From related orgs
    $0
    Other
    $136,237
    Hours/week
    55 + 5 related

    Schedule J breakdown matched by us

    Base
    $1,312,752
    Bonus
    $340,000
    Other
    $70,114
    Deferred
    $69,253
    Nontaxable benefits
    $66,984
    Filer's total
    $1,859,103

  • HEUNG BAE KIM MD

    CLERK

    Total calculated
    $1,352,917
    From this org
    $1,223,902
    From related orgs
    $0
    Other
    $129,015
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $764,140
    Bonus
    $200,000
    Other
    $259,762
    Deferred
    $69,253
    Nontaxable benefits
    $59,762
    Filer's total
    $1,352,917

  • TOM JAKSIC MD

    TREAS (10/24-3/25)/DIR (4/25-9/25)

    Total calculated
    $791,678
    From this org
    $664,973
    From related orgs
    $0
    Other
    $126,705
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $531,184
    Bonus
    $37,000
    Other
    $96,789
    Deferred
    $69,253
    Nontaxable benefits
    $57,452
    Filer's total
    $791,678

  • SHAWN J RANGEL MD

    DIRECTOR

    Total calculated
    $1,061,386
    From this org
    $837,037
    From related orgs
    $0
    Other
    $224,349
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $536,152
    Bonus
    $71,250
    Other
    $229,635
    Deferred
    $162,997
    Nontaxable benefits
    $61,352
    Filer's total
    $1,061,386

  • BIREN P MODI MD

    DIR (10/24-3/25)/TREAS (4/25-9/25)

    Total calculated
    $1,250,118
    From this org
    $1,048,417
    From related orgs
    $0
    Other
    $201,701
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $575,764
    Bonus
    $200,000
    Other
    $272,653
    Deferred
    $145,507
    Nontaxable benefits
    $56,194
    Filer's total
    $1,250,118

  • BRENT WEIL MD

    DIRECTOR

    Total calculated
    $1,239,230
    From this org
    $1,011,754
    From related orgs
    $0
    Other
    $227,476
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $565,067
    Bonus
    $200,000
    Other
    $246,687
    Deferred
    $134,569
    Nontaxable benefits
    $92,907
    Filer's total
    $1,239,230

  • TERRY L BUCHMILLER MD

    DIRECTOR

    Total calculated
    $1,180,086
    From this org
    $1,072,000
    From related orgs
    $0
    Other
    $108,086
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $686,440
    Bonus
    $200,000
    Other
    $185,560
    Deferred
    $69,253
    Nontaxable benefits
    $38,833
    Filer's total
    $1,180,086

  • PHYSICIANS ORG AT CH INC

    INSTITUTIONAL TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • MARC R LAUFER MD

    DEPT. CHIEF

    Total calculated
    $1,089,501
    From this org
    $955,724
    From related orgs
    $0
    Other
    $133,777
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $879,947
    Bonus
    $0
    Other
    $75,777
    Deferred
    $69,253
    Nontaxable benefits
    $64,524
    Filer's total
    $1,089,501

  • KONSTANTINOS PAPADAKIS MD

    PHYSICIAN

    Total calculated
    $1,063,121
    From this org
    $934,151
    From related orgs
    $0
    Other
    $128,970
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $544,560
    Bonus
    $130,770
    Other
    $258,821
    Deferred
    $69,253
    Nontaxable benefits
    $59,717
    Filer's total
    $1,063,121

  • CATHERINE C CHEN MD

    PHYSICIAN

    Total calculated
    $1,030,637
    From this org
    $897,011
    From related orgs
    $0
    Other
    $133,626
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $495,016
    Bonus
    $200,000
    Other
    $201,995
    Deferred
    $69,253
    Nontaxable benefits
    $64,373
    Filer's total
    $1,030,637

  • BELINDA HSI DICKIE MD

    PHYSICIAN

    Total calculated
    $1,084,972
    From this org
    $935,116
    From related orgs
    $0
    Other
    $149,856
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $500,332
    Bonus
    $200,000
    Other
    $234,784
    Deferred
    $69,253
    Nontaxable benefits
    $80,603
    Filer's total
    $1,084,972

  • ALIREZA ABDOLLAH SHAMSHIRSAZ MD

    PHYSICIAN

    Total calculated
    $1,176,577
    From this org
    $980,457
    From related orgs
    $0
    Other
    $196,120
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $719,344
    Bonus
    $74,984
    Other
    $186,129
    Deferred
    $154,441
    Nontaxable benefits
    $41,679
    Filer's total
    $1,176,577

  • ALEX G CUENCA MD

    PHYSICIAN

    Total calculated
    $1,104,426
    From this org
    $899,055
    From related orgs
    $0
    Other
    $205,371
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $437,704
    Bonus
    $200,000
    Other
    $261,351
    Deferred
    $148,213
    Nontaxable benefits
    $57,158
    Filer's total
    $1,104,426

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

  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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
CHMC SURGICAL FOUNDATION, INC. (THE FOUNDATION) ESTABLISHED A DEFINED BENEFIT PENSION PLAN, EFFECTIVE OCTOBER 1, 2006, TO PROVIDE ITS EMPLOYEES WITH FAIR AND ADEQUATE RETIREMENT BENEFITS. THE PLAN CALLS FOR BENEFITS TO BE PAID TO ELIGIBLE EMPLOYEES AT RETIREMENT BASED UPON YEARS OF SERVICE WITH THE FOUNDATION AND COMPENSATION RATES NEAR RETIREMENT. CONTRIBUTIONS TO THE PLAN REFLECT BENEFITS ATTRIBUTED TO EMPLOYEES' SERVICES TO DATE, AS WELL AS SERVICES EXPECTED TO BE EARNED IN THE FUTURE. DURING THE YEAR ENDED SEPTEMBER 30, 2025, THE FOUNDATION MADE THE FOLLOWING CONTRIBUTIONS TO THE PLAN: BIREN P. MODI, MD, $76,254; BRENT WEIL, MD $65,316; SHAWN J. RANGEL, MD, $93,744; ALIREZA ABDOLLAH SHAMSHIRSAZ, MD, $85,188; AND ALEX G. CUENCA, MD, $78,960.
PART I, LINE 7
BONUS COMPENSATION AMOUNTS ARE DETERMINED BY THE CHIEF OF CHMC SURGICAL FOUNDATION, INC. (THE FOUNDATION). THE AMOUNTS ARE DISCRETIONARY BASED ON JOB PERFORMANCE AND THE FINANCIAL PERFORMANCE OF THE FOUNDATION. BONUSES FOR THE CHIEF ARE REVIEWED AND APPROVED BY HOSPITAL LEADERSHIP INCLUDING THE CEO.

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.

Provenance

Return type
form_990
Tax year
2024
IRS schema version
2024v5.5
Source object
202612129349301401

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