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Nonprofiteer
← MT WASHINGTON PEDIATRIC HOSPITAL INC

Form 990 for tax year 2022

Filed by MT WASHINGTON PEDIATRIC HOSPITAL INC.

Totals

Total revenue
$68,577,399
Total expenses
$69,785,395
Contributions and grants received
$3,817,944
Grants paid
$0
Program service revenue
$63,840,276
Investment income
$699,576
Other revenue
$219,603
Total assets, end of year
$157,763,986
Total liabilities, end of year
$21,062,246
Net assets or fund balances, end of year
$136,701,740
Program services expenses (Part IX)
$59,510,876
Management and general expenses
$10,274,519
Fundraising expenses
$0
Program service expenses (Part III)
$59,510,876

Program services were 85.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $689,491

  • 1d · Related organizations

    $1,416,400

  • 1e · Government grants (contributions)

    $147,695

  • 1f · All other contributions, gifts and grants

    $1,564,358

  • 2a · Program service revenue: Net Patient Revenue

    total $63,840,276 · related or exempt $63,840,276 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $1,401,630 · related or exempt $0 · unrelated business $0 · excluded $1,401,630

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $2,964,227

  • 7b · Less cost or other basis and sales expenses

    securities $3,666,281

  • 7c · Gain or loss

    securities -$702,054 · other assets $0

  • 7d · Net gain or loss

    total -$702,054 · related or exempt $0 · unrelated business $0 · excluded -$702,054

  • 8a · Fundraising events: gross income

    $198,873

  • 8a · Fundraising events: contributions included on line 1c

    $689,491

  • 8b · Fundraising events: direct expenses

    $537,474

  • 8c · Net income from fundraising events

    total -$338,601 · unrelated business $0 · excluded -$338,601

  • 11a · Other revenue: Cafeteria

    total $175,336 · related or exempt $0 · unrelated business $0 · excluded $175,336

  • 11b · Other revenue: Medical records

    total $6,913 · related or exempt $0 · unrelated business $0 · excluded $6,913

  • 11c · Other revenue: School for the Blind

    total $110,451 · related or exempt $110,451 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $265,504 · related or exempt $265,504 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $558,204

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $1,927,500 · program services $1,605,029 · management and general $322,471 · fundraising $0

  • 7 · Other salaries and wages

    total $35,900,610 · program services $29,894,438 · management and general $6,006,172 · fundraising $0

  • 8 · Pension plan contributions

    total $2,086,956 · program services $1,737,808 · management and general $349,148 · fundraising $0

  • 9 · Other employee benefits

    total $5,207,662 · program services $4,336,420 · management and general $871,242 · fundraising $0

  • 10 · Payroll taxes

    total $2,432,130 · program services $2,025,235 · management and general $406,895 · fundraising $0

  • 11c · Fees: accounting

    total $428,997 · program services $0 · management and general $428,997 · fundraising $0

  • 11d · Fees: lobbying

    total $486 · program services $0 · management and general $486 · fundraising $0

  • 11f · Fees: investment management

    total $117,272 · program services $0 · management and general $117,272 · fundraising $0

  • 11g · Fees: other

    total $6,033,934 · program services $5,703,377 · management and general $330,557 · fundraising $0

  • 12 · Advertising and promotion

    total $36,490 · program services $30,385 · management and general $6,105 · fundraising $0

  • 13 · Office expenses

    total $465,393 · program services $387,533 · management and general $77,860 · fundraising $0

  • 16 · Occupancy

    total $1,228,182 · program services $1,022,707 · management and general $205,475 · fundraising $0

  • 17 · Travel

    total $41,628 · program services $34,664 · management and general $6,964 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $570 · program services $475 · management and general $95 · fundraising $0

  • 20 · Interest

    total $57,143 · program services $47,583 · management and general $9,560 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $5,377,462 · program services $4,810,596 · management and general $566,866 · fundraising $0

  • 23 · Insurance

    total $449,837 · program services $437,457 · management and general $12,380 · fundraising $0

  • 24a · Other expenses: Medical Supplies

    total $4,096,664 · program services $4,096,664 · management and general $0 · fundraising $0

  • 24b · Other expenses: Bad Debt

    total $625,382 · program services $625,382 · management and general $0 · fundraising $0

  • 24c · Other expenses: Repairs/Maintenance

    total $990,275 · program services $824,602 · management and general $165,673 · fundraising $0

  • 24d · Other expenses: Minor equipment rent

    total $115,315 · program services $96,023 · management and general $19,292 · fundraising $0

  • 24e · All other expenses

    total $2,165,507 · program services $1,794,498 · management and general $371,009 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $8,363,039 · end of year $478,934

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $2,675,119

  • 3 · Pledges and grants receivable

    beginning of year $1,802,221 · end of year $777,504

  • 4 · Accounts receivable

    beginning of year $5,189,866 · end of year $6,947,515

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $98,674 · end of year $152,553

  • 9 · Prepaid expenses and deferred charges

    beginning of year $9,973,111 · end of year $10,731,050

  • 10a · Land, buildings and equipment: cost or other basis

    $88,776,182

  • 10b · Land, buildings and equipment: accumulated depreciation

    $51,153,325

  • 10c · Land, buildings and equipment, net

    beginning of year $36,900,847 · end of year $37,622,857

  • 11 · Investments: publicly traded securities

    beginning of year $63,960,099 · end of year $66,552,585

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $29,483,727 · end of year $31,825,869

  • 17 · Accounts payable and accrued expenses

    beginning of year $16,911,864 · end of year $14,017,000

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $239,199 · end of year $262,348

  • 20 · Tax-exempt bond liabilities

    beginning of year $3,133,884 · end of year $2,714,821

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $4,178,980 · end of year $4,068,077

  • 27 · Net assets without donor restrictions

    beginning of year $109,897,835 · end of year $116,039,737

  • 28 · Net assets with donor restrictions

    beginning of year $21,409,822 · end of year $20,662,003

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

MT. WASHINGTON PEDIATRIC HOSPITAL IS DEDICATED TO MAXIMIZING THE HEALTH AND INDEPENDENCE OF THE CHILDREN WE SERVE.

  • MT. WASHINGTON PEDIATRIC HOSPITAL, INC. OFFERED PEDIATRIC INPATIENT AND OUTPATIENT SERVICES FOR CHILDREN WITH CHRONIC ILLNESSES AND REHABILITATION NEEDS. 16,493 INPATIENT DAYS OF CARE WERE PROVIDED DURING THE FISCAL YEAR. 60,935 VISITS WERE RECORDED AT ITS SPECIALIZED CLINICS. THE MAJORITY OF PATIENTS TREATED WERE SOCIOECONOMIC DISADVANTAGED CHILDREN. 79% OF INPATIENTS AND 56% OF OUTPATIENTS RECEIVED MEDICAL ASSISTANCE.

    Expenses $59,510,876 · Revenue $64,216,231

As filed on the 2022 return.

Listed in Part VII

  • DAVID HACKAM MD

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1

  • STEVEN J CZINN MD

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • BERYL ROSENSTEIN MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • BETH ARMACOST

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • CYNTHIA A KELLEHER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • FRED WOLF III ESQ

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • KAREN E DOYLE MBA

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • KEVIN SOWERS MSNRNFAAN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MARGARET MOON MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MARK R MARCANTANO JR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MOHAN SUNTHA MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • PETER MANCINO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Roslyn Stoler

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SUSAN T COSTER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • W CHRISTOPHER GOLDEN MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • ALFRED A PIETSCH

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • DENISE PUDINSKI

    VP NURSING ADMIN

    Total calculated
    $267,194
    From this org
    $180,209
    From related orgs
    $0
    Other
    $86,985
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $160,283
    Bonus
    $15,952
    Other
    $3,974
    Deferred
    $68,116
    Nontaxable benefits
    $18,869
    Filer's total
    $267,194

  • JILL FEINBERG

    VP DEVELOPMENT/EXTERNAL AFFAIRS

    Total calculated
    $170,159
    From this org
    $151,317
    From related orgs
    $0
    Other
    $18,842
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $137,964
    Bonus
    $12,927
    Other
    $426
    Deferred
    $18,016
    Nontaxable benefits
    $826
    Filer's total
    $170,159

  • JUSTINA STAROBIN

    VP OUTPATIENT SVCS

    Total calculated
    $234,477
    From this org
    $200,556
    From related orgs
    $0
    Other
    $33,921
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $184,781
    Bonus
    $13,898
    Other
    $1,877
    Deferred
    $15,152
    Nontaxable benefits
    $18,769
    Filer's total
    $234,477

  • KATHERINE PABICH

    ASSISTANT SECRETARY

    Total calculated
    $69,761
    From this org
    $45,052
    From related orgs
    $0
    Other
    $24,709
    Hours/week
    40

  • LISA ARCE-WILLIAMS

    SECRETARY

    Total calculated
    $71,657
    From this org
    $52,066
    From related orgs
    $0
    Other
    $19,591
    Hours/week
    40

  • MARY MILLER

    VP FINANCE AND CFO

    Total calculated
    $370,713
    From this org
    $308,963
    From related orgs
    $0
    Other
    $61,750
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $169,606
    Bonus
    $16,891
    Other
    $122,466
    Deferred
    $36,016
    Nontaxable benefits
    $25,734
    Filer's total
    $370,713

  • RICHARD KATZ MD

    VP MEDICAL AFFAIRS

    Total calculated
    $0
    Hours/week
    40

  • SHELDON STEIN

    PRESIDENT AND CEO

    Total calculated
    $504,945
    From this org
    $463,332
    From related orgs
    $0
    Other
    $41,613
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $387,997
    Bonus
    $66,352
    Other
    $8,983
    Deferred
    $24,483
    Nontaxable benefits
    $17,130
    Filer's total
    $504,945

  • THOMAS ELLIS

    VP HUMAN RESOURCES

    Total calculated
    $226,742
    From this org
    $183,372
    From related orgs
    $0
    Other
    $43,370
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,233
    Bonus
    $16,122
    Other
    $4,017
    Deferred
    $24,483
    Nontaxable benefits
    $18,887
    Filer's total
    $226,742

  • KAREN WILLING MD

    ATTENDING PHYSICIAN

    Total calculated
    $251,204
    From this org
    $223,544
    From related orgs
    $0
    Other
    $27,660
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $222,698
    Bonus
    $0
    Other
    $846
    Deferred
    $11,045
    Nontaxable benefits
    $16,615
    Filer's total
    $251,204

  • MICHELLE CHUDOW MD

    ATTENDING PHYSICIAN

    Total calculated
    $207,614
    From this org
    $206,864
    From related orgs
    $0
    Other
    $750
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $206,711
    Bonus
    $0
    Other
    $153
    Deferred
    $0
    Nontaxable benefits
    $750
    Filer's total
    $207,614

  • STEPHEN NICHOLS MD

    ATTENDING PHYSICIAN

    Total calculated
    $277,829
    From this org
    $231,833
    From related orgs
    $0
    Other
    $45,996
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $231,329
    Bonus
    $0
    Other
    $504
    Deferred
    $20,367
    Nontaxable benefits
    $25,629
    Filer's total
    $277,829

  • TAREK BELAL MD

    ATTENDING PHYSICIAN

    Total calculated
    $232,369
    From this org
    $223,049
    From related orgs
    $0
    Other
    $9,320
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $223,049
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,320
    Filer's total
    $232,369

  • TIKEE SELBY MD

    NEONATAL PROGRAM DIRECTOR

    Total calculated
    $282,155
    From this org
    $245,508
    From related orgs
    $0
    Other
    $36,647
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $245,047
    Bonus
    $0
    Other
    $461
    Deferred
    $12,749
    Nontaxable benefits
    $23,898
    Filer's total
    $282,155

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

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 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)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
During the fiscal year ended June 30, 2022, certain officers and key employees participated in the Mt. Washington Pediatric Hospital supplemental nonqualified retirement plan. The individuals listed below have not vested in the plan therefore the accrued contribution to the plan for the fiscal year is reported on schedule J, part II, column C, retirement and other deferred compensation: Justina Starobin Denise Pudinski During the fiscal year ended June 30, 2022, certain officers and key employees participated in the Mt. Washington Pediatric Hospital supplemental nonqualified retirement plan. THE INDIVIDUAL LISTED BELOW HAS VESTED IN THE PLAN IN THE REPORTING TAX YEAR, THEREFORE THE FULL VALUE OF THE PLAN, INCLUDING ANY CONTRIBUTIONS TO THE PLAN FOR THE CURRENT FISCAL YEAR ARE REPORTED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II, LINE B(III), OTHER REPORTABLE COMPENSATION. Mary Miller, $120,923
Schedule J, Part I, Line 7 Non-fixed payments
BONUSES PAID ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202431349349305233

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