Form 990 for tax year 2022
Filed by CHILDRENS HOSPITAL PEDIATRIC ASSOCIATES INC.
Totals
- Total revenue
- $392,458,224
- Total expenses
- $362,805,646
- Contributions and grants received
- $1,103,880
- Grants paid
- $11,804,666
- Program services expenses (Part IX)
- $315,223,664
- Management and general expenses
- $47,581,982
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $315,223,664
Program services were 86.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
Gary R Fleisher MD
President (10/22 to 6/23)
- Total calculated
- $917,760
- From this org
- $831,176
- From related orgs
- $0
- Other
- $86,584
- Hours/week
- 55 + 5 related
Schedule J breakdown matched by us
- Base
- $426,282
- Bonus
- $108,080
- Other
- $296,814
- Deferred
- $66,986
- Nontaxable benefits
- $19,598
- Filer's total
- $917,760
-
Vincent Chiang MD
Treasurer/Clerk
- Total calculated
- $938,395
- From this org
- $865,666
- From related orgs
- $0
- Other
- $72,729
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $564,987
- Bonus
- $253,880
- Other
- $46,799
- Deferred
- $34,986
- Nontaxable benefits
- $37,743
- Filer's total
- $938,395
-
Richard Bachur MD
Trustee
- Total calculated
- $882,885
- From this org
- $782,274
- From related orgs
- $0
- Other
- $100,611
- Hours/week
- 45 + 15 related
Schedule J breakdown matched by us
- Base
- $730,696
- Bonus
- $8,447
- Other
- $43,131
- Deferred
- $61,986
- Nontaxable benefits
- $38,625
- Filer's total
- $882,885
-
Joel Hirschhorn MD
Trustee
- Total calculated
- $485,776
- From this org
- $394,165
- From related orgs
- $0
- Other
- $91,611
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $344,043
- Bonus
- $46,852
- Other
- $3,270
- Deferred
- $52,986
- Nontaxable benefits
- $38,625
- Filer's total
- $485,776
-
Anne Stack MD
Trustee
- Total calculated
- $483,760
- From this org
- $427,850
- From related orgs
- $0
- Other
- $55,910
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $350,924
- Bonus
- $32,308
- Other
- $44,618
- Deferred
- $34,986
- Nontaxable benefits
- $20,924
- Filer's total
- $483,760
-
Stella Kourembanas MD
Trustee
- Total calculated
- $640,099
- From this org
- $534,488
- From related orgs
- $0
- Other
- $105,611
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $490,163
- Bonus
- $26,639
- Other
- $17,686
- Deferred
- $66,986
- Nontaxable benefits
- $38,625
- Filer's total
- $640,099
-
Frederick Lovejoy MD
Trustee
- Total calculated
- $0
- Hours/week
- 60
-
Joanne Cox MD
Trustee
- Total calculated
- $407,603
- From this org
- $321,906
- From related orgs
- $0
- Other
- $85,697
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $270,458
- Bonus
- $35,348
- Other
- $16,100
- Deferred
- $46,986
- Nontaxable benefits
- $38,711
- Filer's total
- $407,603
-
Christopher Landrigan MD
Trustee
- Total calculated
- $500,679
- From this org
- $409,782
- From related orgs
- $0
- Other
- $90,897
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $370,508
- Bonus
- $14,756
- Other
- $24,518
- Deferred
- $52,986
- Nontaxable benefits
- $37,911
- Filer's total
- $500,679
-
Stephen C Harrison MD
Trustee
- Total calculated
- $0
- Hours/week
- 60
-
Dennis Kim MD
Trustee
- Total calculated
- $611,748
- From this org
- $520,137
- From related orgs
- $0
- Other
- $91,611
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $370,508
- Bonus
- $26,684
- Other
- $122,945
- Deferred
- $52,986
- Nontaxable benefits
- $38,625
- Filer's total
- $611,748
-
David Williams MD
Trustee
- Total calculated
- $647,096
- From this org
- $573,485
- From related orgs
- $0
- Other
- $73,611
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $506,567
- Bonus
- $49,032
- Other
- $17,886
- Deferred
- $34,986
- Nontaxable benefits
- $38,625
- Filer's total
- $647,096
-
Christopher Walsh MD
Trustee
- Total calculated
- $134,779
- From this org
- $68,489
- From related orgs
- $0
- Other
- $66,290
- Hours/week
- 60
-
Friedhelm Hildebrandt MD
Trustee
- Total calculated
- $686,534
- From this org
- $592,423
- From related orgs
- $0
- Other
- $94,111
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $431,876
- Bonus
- $48,121
- Other
- $112,426
- Deferred
- $55,486
- Nontaxable benefits
- $38,625
- Filer's total
- $686,534
-
Michael Agus MD
Trustee
- Total calculated
- $601,984
- From this org
- $505,423
- From related orgs
- $0
- Other
- $96,561
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $457,628
- Bonus
- $12,688
- Other
- $35,107
- Deferred
- $57,936
- Nontaxable benefits
- $38,625
- Filer's total
- $601,984
-
William Barbaresi MD
Trustee
- Total calculated
- $480,285
- From this org
- $390,384
- From related orgs
- $0
- Other
- $89,901
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $370,508
- Bonus
- $12,804
- Other
- $7,072
- Deferred
- $52,986
- Nontaxable benefits
- $36,915
- Filer's total
- $480,285
-
Benjamin Raby MD
Trustee
- Total calculated
- $561,178
- From this org
- $477,361
- From related orgs
- $0
- Other
- $83,817
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $409,676
- Bonus
- $44,474
- Other
- $23,211
- Deferred
- $50,286
- Nontaxable benefits
- $33,531
- Filer's total
- $561,178
-
Scott Snapper MD
Trustee
- Total calculated
- $613,793
- From this org
- $528,978
- From related orgs
- $0
- Other
- $84,815
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $518,919
- Bonus
- $8,750
- Other
- $1,309
- Deferred
- $51,986
- Nontaxable benefits
- $32,829
- Filer's total
- $613,793
-
Wanda Phipatanakul MD
Trustee
- Total calculated
- $390,656
- From this org
- $322,139
- From related orgs
- $0
- Other
- $68,517
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $302,968
- Bonus
- $14,469
- Other
- $4,702
- Deferred
- $34,986
- Nontaxable benefits
- $33,531
- Filer's total
- $390,656
-
Peter Nigrovic MD
Trustee
- Total calculated
- $633,841
- From this org
- $579,594
- From related orgs
- $0
- Other
- $54,247
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $460,125
- Bonus
- $60,522
- Other
- $58,947
- Deferred
- $50,986
- Nontaxable benefits
- $3,261
- Filer's total
- $633,841
-
Amy Divasta MD
Trustee
- Total calculated
- $377,619
- From this org
- $308,082
- From related orgs
- $0
- Other
- $69,537
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $260,338
- Bonus
- $46,484
- Other
- $1,260
- Deferred
- $34,986
- Nontaxable benefits
- $34,551
- Filer's total
- $377,619
-
Wendy Chung MD
President (7/23 to 9/23)
- Total calculated
- $0
- Hours/week
- 55 + 5 related
-
Physicians Org at CH Inc
Institutional Trustee
- Total calculated
- $0
- Hours/week
- 2
-
Gregory Beaumier
Chief Financial Officer (10/22 to 7/23)
- Total calculated
- $272,464
- From this org
- $0
- From related orgs
- $225,090
- Other
- $47,374
- Hours/week
- 15 + 45 related
Schedule J breakdown matched by us
- Base
- $0 + $189,621 related
- Bonus
- $0 + $11,019 related
- Other
- $0 + $24,450 related
- Deferred
- $0 + $20,500 related
- Nontaxable benefits
- $0 + $26,874 related
- Filer's total
- $0 + $272,464 related
-
William Tarvainen
Chief Operations Officer
- Total calculated
- $539,336
- From this org
- $439,521
- From related orgs
- $0
- Other
- $99,815
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $362,364
- Bonus
- $2,619
- Other
- $74,538
- Deferred
- $66,986
- Nontaxable benefits
- $32,829
- Filer's total
- $539,336
-
Sara Toomey MD
Physician
- Total calculated
- $636,344
- From this org
- $593,885
- From related orgs
- $0
- Other
- $42,459
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $484,109
- Bonus
- $111,339
- Other
- -$1,563
- Deferred
- $34,986
- Nontaxable benefits
- $7,473
- Filer's total
- $636,344
-
Marilyn Liang MD
Physician
- Total calculated
- $548,750
- From this org
- $477,077
- From related orgs
- $0
- Other
- $71,673
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $328,705
- Bonus
- $148,332
- Other
- $40
- Deferred
- $34,986
- Nontaxable benefits
- $36,687
- Filer's total
- $548,750
-
Alejandro Flores MD
Physician
- Total calculated
- $592,363
- From this org
- $519,454
- From related orgs
- $0
- Other
- $72,909
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $500,000
- Bonus
- $0
- Other
- $19,454
- Deferred
- $34,986
- Nontaxable benefits
- $37,923
- Filer's total
- $592,363
-
Patricia Ellen Grant MD
Physician
- Total calculated
- $595,832
- From this org
- $524,463
- From related orgs
- $0
- Other
- $71,369
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $455,319
- Bonus
- $15,290
- Other
- $53,854
- Deferred
- $34,986
- Nontaxable benefits
- $36,383
- Filer's total
- $595,832
-
Kenneth Mandl MD
Physician
- Total calculated
- $647,969
- From this org
- $576,452
- From related orgs
- $0
- Other
- $71,517
- Hours/week
- 60
Schedule J breakdown matched by us
- Base
- $517,384
- Bonus
- $33,231
- Other
- $25,837
- Deferred
- $34,986
- Nontaxable benefits
- $36,531
- Filer's total
- $647,969
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 — 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 · Discretionary spending account
- 1a · Housing allowance or residence for personal use
- 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
- 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 Agus, MD, $22,950; Richard Bachur, MD, $27,000; William Barbaresi, MD, $18,000; Gary Fleisher, MD, $32,000; Friedhelm Hildebrandt, MD, $20,500; Joel Hirschhorn, MD, $18,000; Stella Kourembanas, MD, $32,000; Benjamin Raby, MD, $15,300; William Tarvainen, $32,000; Christopher Walsh, MD, $31,000; Christopher Landrigan, MD, $18,000; Dennis Kim, MD, $18,000; Scott Snapper, MD, $17,000; Peter Nigrovic, MD, $16,000; and Joanne Cox, MD, $12,000.
- 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.
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
-
$11,804,166
General Support
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.
-
501(c)(3) · Hospital · MA
-
Physicians Organization at Children's Hospital Inc
501(c)(3) · Management services · MA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 12 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202442289349302254
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