Children'S Hospital Radiology Foundation Inc

“A majority of the Children's Hospital Radiology Foundation, Inc. (the Foundation) board members are physicians who are not independent from the Foundation. However, the Foundation participates in an integrated delivery system with Boston Children's Hospital (the Hospital) which does have a community board. The Foundation was organized in 1995. At that 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 to make it more responsive to the Hospital 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 details on the PO's rights.”

“The Physicians Organization at Children's Hospital, Inc. (the PO) is the Class "C" member of Children's Hospital Radiology Foundation, Inc. (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 the annual budgets and review and approve the 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.”

“The Children's Hospital Radiology Foundation, Inc. (the Foundation) has three classes of members. The Chief of the Department of Radiology (the Department) of Boston Children's Hospital (the Hospital) is the Class "A" member. Any member of the Department (other than the Chief) who holds a medical staff appointment from the Hospital, has a full-time faculty appointment from Harvard University Medical School, and who has entered into a written agreement and receives compensation from the Foundation shall be a Class "B" member. Individuals engaged in clinical or research matters in the field of radiology at the Hospital may request membership and can be Class "B" members if invited by the Chief and ratified by the Class "B" members. The Physicians Organization at Children's Hospital, Inc. is the Class "C" member of the Foundation.”

“According to the Articles of Organization, the Class "A" member is the Chief of the Department of Radiology (the Department) of Boston Children's Hospital (the Hospital). Any member of the Department who holds a medical staff appointment from the Hospital, has a full-time faculty appointment from Harvard Medical School, and who has entered into a written employment agreement and receives compensation from the Hospital shall be a Class "B" member. Class "A and "B" members hold their membership as long as they remain qualified for membership. Only Class "A and "B" members may vote at their annual meeting or other elections or serve on the Foundation's Board and may nominate candidates for election to the Board.”

“The Physicians Organization at Children's Hospital, Inc. (the PO) is the Class "C" member of Children's Hospital Radiology Foundation, Inc. (the Foundation). The PO is responsible for providing management services to 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 the annual budgets and review and approve the 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 the Class "C" member of the Foundation, the PO attends the Foundation's annual meeting.”

“The detailed review will be conducted by the President of the Foundation, Tina Young Poussaint, MD and the Financial Director, Paul Cochran. A copy of the Form 990 will be provided to the governing 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 Service.”

“In conjunction with Boston Children's Hospital (the Hospital), the Physicians Organization at Children's Hospital, Inc. (the PO) administers an annual conflict of interest disclosure to all of their 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 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 personally or through a designee(s). Any person not receiving a disclosure statement 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.”

“Faculty compensation must comply with the Boston Children's Hospital (the 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 the Hospital. The guidelines set the maximum compensation limits based on a peer group analysis for the Foundation. The maximum compensation limits are based on pediatric specialty, sub-specialty, academic rank and include productivity adjustments. Any proposed compensation that exceeds the limits 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 the Children's Hospital Radiology Foundation, Inc. (the 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.”

“The Foundation maintains all financial records, conflict of interest policies, and governing documents at its main office at 300 Longwood Avenue, Boston, MA 02115. The documents are available upon request.”

“Pension adjustment 565,372. Net asset transfer to affiliate -9,384,144.”

“The audit process and scope has not changed from the prior year.”

“The prior year column of the balance sheet on Form 990 was updated to agree to the audited financial statements. The lines that were updated are: Line 9 was updated from $4,735,217 to $198,928 and Line 15 was updated from $2,252,921 to $6,789,210.”