Civic Intelligence

Physicians Organization at Children'S Hospital Inc

EIN 04-3266103 • 501(c)3 • Boston, MA

Profile

The Organization operates exclusively for the benefit of the charitable purposes of Boston Children's Hospital (the Hospital) and the affiliated Foundations. It works jointly with the Hospital and the Foundations in developing and coordinating an (see Schedule O) integrated child health system and to foster cost effective, quality patient care within that system. The Organization negotiates and enters into agreements with insurers, payors, managed care plans, and fringe benefit plans on behalf of its member Foundations.

Refreshing map…

300 Longwood AvenueBoston, MA 02115

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

78th percentile

0.68x

Higher debt load relative to assets than 78% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

58th percentile

0.57x

Higher debt load relative to revenue than 58% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

17th percentile

-8.0%

Higher net margin than 17% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

96th percentile

$3,502,172

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 3.3% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

15th percentile

-3.4%

Faster asset growth than 15% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

40th percentile

3.7%

Faster revenue growth than 40% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Down

$88,436,038

Down $3,075,342 (-3.4%) from 2023

Liabilities

Up

$59,714,144

Up $1,038,517 (+1.8%) from 2023

Net Assets

Down

$28,721,894

Down $4,113,859 (-13%) from 2023

Revenue

Up

$104,935,235

Up $3,743,677 (+3.7%) from 2023

Expenses

Up

$113,279,060

Up $18,751,096 (+20%) from 2023

Net Income

Down

-$8,343,825

Down $15,007,419 (-225%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$100M$50M$0Assets 2011: $32,919,601Liabilities 2011: $18,239,564Net Assets 2011: $14,680,0372011Assets 2012: $32,347,782Liabilities 2012: $14,111,730Net Assets 2012: $18,236,0522012Assets 2013: $34,599,817Liabilities 2013: $14,828,387Net Assets 2013: $19,771,4302013Assets 2014: $38,353,291Liabilities 2014: $18,518,990Net Assets 2014: $19,834,3012014Assets 2015: $40,143,426Liabilities 2015: $22,530,241Net Assets 2015: $17,613,1852015Assets 2016: $38,030,684Liabilities 2016: $23,607,643Net Assets 2016: $14,423,0412016Assets 2017: $43,811,495Liabilities 2017: $26,640,703Net Assets 2017: $17,170,7922017Assets 2018: $58,624,983Liabilities 2018: $37,907,914Net Assets 2018: $20,717,0692018Assets 2019: $62,981,108Liabilities 2019: $37,029,614Net Assets 2019: $25,951,4942019Assets 2020: $83,649,973Liabilities 2020: $58,496,101Net Assets 2020: $25,153,8722020Assets 2021: $74,839,781Liabilities 2021: $45,508,565Net Assets 2021: $29,331,2162021Assets 2022: $75,684,514Liabilities 2022: $51,137,458Net Assets 2022: $24,547,0562022Assets 2023: $91,511,380Liabilities 2023: $58,675,627Net Assets 2023: $32,835,7532023Assets 2024: $88,436,038Liabilities 2024: $59,714,144Net Assets 2024: $28,721,8942024

Highlighted filing

2024

Assets$88,436,038
Liabilities$59,714,144
Net Assets$28,721,894

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50MRevenue 2011: $24,380,396Expenses 2011: $24,051,689Net Income 2011: $328,7072011Revenue 2012: $26,367,156Expenses 2012: $23,533,887Net Income 2012: $2,833,2692012Revenue 2013: $26,862,165Expenses 2013: $25,807,183Net Income 2013: $1,054,9822013Revenue 2014: $37,304,870Expenses 2014: $37,801,457Net Income 2014: -$496,5872014Revenue 2015: $32,951,979Expenses 2015: $34,916,739Net Income 2015: -$1,964,7602015Revenue 2016: $42,232,246Expenses 2016: $46,158,284Net Income 2016: -$3,926,0382016Revenue 2017: $57,408,221Expenses 2017: $55,394,180Net Income 2017: $2,014,0412017Revenue 2018: $70,291,149Expenses 2018: $67,869,787Net Income 2018: $2,421,3622018Revenue 2019: $76,371,337Expenses 2019: $71,416,424Net Income 2019: $4,954,9132019Revenue 2020: $72,546,154Expenses 2020: $74,285,063Net Income 2020: -$1,738,9092020Revenue 2021: $84,396,979Expenses 2021: $82,791,027Net Income 2021: $1,605,9522021Revenue 2022: $86,699,876Expenses 2022: $88,967,962Net Income 2022: -$2,268,0862022Revenue 2023: $101,191,558Expenses 2023: $94,527,964Net Income 2023: $6,663,5942023Revenue 2024: $104,935,235Expenses 2024: $113,279,060Net Income 2024: -$8,343,8252024

Highlighted filing

2024

Revenue$104,935,235
Expenses$113,279,060
Net Income-$8,343,825

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$88.4$59.7$28.7$105$113$8.34
2023Detailed filing. Detailed filing data is available for this year.$91.5$58.7$32.8$101$94.5$6.66
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$75.7$51.1$24.5$86.7$89.0$2.27
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$74.8$45.5$29.3$84.4$82.8$1.61
2020Detailed filing. Detailed filing data is available for this year.$83.6$58.5$25.2$72.5$74.3$1.74
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$63.0$37.0$26.0$76.4$71.4$4.95
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$58.6$37.9$20.7$70.3$67.9$2.42
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$43.8$26.6$17.2$57.4$55.4$2.01
2016Summary only. Only limited summary data is available for this year.$38.0$23.6$14.4$42.2$46.2$3.93
2015Summary only. Only limited summary data is available for this year.$40.1$22.5$17.6$33.0$34.9$1.96
2014Summary only. Only limited summary data is available for this year.$38.4$18.5$19.8$37.3$37.8$0.50
2013Summary only. Only limited summary data is available for this year.$34.6$14.8$19.8$26.9$25.8$1.05
2012Summary only. Only limited summary data is available for this year.$32.3$14.1$18.2$26.4$23.5$2.83
2011Summary only. Only limited summary data is available for this year.$32.9$18.2$14.7$24.4$24.1$0.33
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Jul 29, 2025
Return Version
2023v6.0
Gross Receipts
$104,935,235
Mission and Program Overview

Mission

The Organization operates exclusively for the benefit of the charitable purposes of Boston Children's Hospital (the Hospital) and the affiliated Foundations. It works jointly with the Hospital and the Foundations in developing and coordinating an (see Schedule O) integrated child health system and to foster cost effective, quality patient care within that system. The Organization negotiates and enters into agreements with insurers, payors, managed care plans, and fringe benefit plans on behalf of its member Foundations.

The Organization was formed to promote health by coordinating the practice of (see Schedule O) pediatric medicine and related health care services provided by its affiliated member Foundations. The Organization supports the Foundations by assisting in managed care and risk based contracts, quality management, patient safety, and other professional management services that enhance the Foundations' operations.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$30,060,607$31,227,190▲ $1,166,583
Pledges and Grants Receivable$28,591,107$30,339,085▲ $1,747,978
Cash and Non-Interest-Bearing Accounts$9,724,389$8,544,938▼ $1,179,451
Investments Program Related$1,627,791$1,741,174▲ $113,383
Savings and Temporary Cash Investments$1,892,987$1,694,491▼ $198,496
Land, Buildings, and Equipment, Net$1,143,792$849,419▼ $294,373
Receivables From Officers Etc$428,645$428,645→ $0
Prepaid Expenses and Deferred Charges$295,634$234,557▼ $61,077
Total Assets$91,511,380$88,436,038▼ $3,075,342
Other Assets Total$17,746,428$13,376,539▼ $4,369,889
Liabilities
Other Liabilities$51,603,278$52,025,981▲ $422,703
Accounts Payable and Accrued Expenses$7,072,349$7,688,163▲ $615,814
Total Liabilities$58,675,627$59,714,144▲ $1,038,517
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$25,724,290$23,882,809▼ $1,841,481
Net Assets With Donor Restrictions$7,111,463$4,839,085▼ $2,272,378
Total Net Assets Fund Balance$32,835,753$28,721,894▼ $4,113,859
Total Liabilities and Net Assets / Fund Balance$91,511,380$88,436,038▼ $3,075,342

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$421,765$7,667,246$8,089,011
Leasehold Improvements$427,654$2,001,936$2,429,590
Other Assets Org$6,795,539--
Other Securities$31,227,190--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$7,111,463$24,047,978--$4,839,085
2022$4,837,750$25,300,027--$7,111,463
2021$4,539,820$16,721,405--$4,837,750
2020$1,839,833$18,402,450--$4,539,820
2019$1,990,011$12,865,571--$1,839,833
Compensation and Service Providers

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Massachusetts General Physicians OrganizPhysiatry services55 Fruit Street, Boston, MA 02114$2,284,821
Harvard Medical Faculty Physicians at BIPhysician services375 Longwood Ave 3rd Floor, Boston, MA 02115$1,199,596
Bdo USA LLPConsulting servicesOne International Place, Boston, MA 02110$456,679
Thomas Vorder DpmPhysician services100 Landsdowne Street Apt 904, Cambridge, MA 02139$368,468
Baker Newman & Noyes LLCAudit & Tax servicesPO Box 507, Portland, ME 04112$286,200
Revenue and Support

Revenue Composition

Contributions and Grants
$24,047,978
Program Service Revenue
$80,870,610
Investment Income
$16,647
Other Revenue
$0
Change in Net Assets
$-8,343,825

Audited Revenue Reconciliation

Revenue per Audited Statements
$104,935,235
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$4,229,966
Total Revenue per Audited Statements
$109,165,201
Total Revenue per Form 990
$104,935,235
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$73,152,088
Grants and Similar Amounts Paid$1,312
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$40,125,660--$40,125,660
Office Expenses$6,092,487$1,672,801-$7,765,288
Fees for Services Other$4,707,071$1,820,145-$6,527,216
All Other Expenses$2,598,622--$2,598,622
Occupancy$1,430,920--$1,430,920
Fees for Services Accounting-$645,540-$645,540
Fees for Services Legal-$525,731-$525,731
Depreciation Depletion$384,780--$384,780
Other Expenses$161,901$2,437,081-$161,901
Insurance-$155,070-$155,070
Conferences and Meetings$86,617--$86,617
Travel$5,898--$5,898
Grants to Domestic Orgs$1,312--$1,312
Total Functional Expenses$106,022,692$7,256,368$0$113,279,060

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$113,279,060
Total Expenses per Audited Statements$113,279,060
Total Expenses per Form 990$113,279,060
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$428,645$428,645→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to member Foundations and affiliates$40,576,452
Lease liability$7,181,203
Accrual for unbilled insurance claims$2,955,414
Due to CHICO$1,312,912
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

The Children's Medical Center Corporation (the Medical Center) is the Class "A" member of the Physicians Organization at Children's Hospital, Inc. (the Organization). The Class "B" members consist of those persons time to time as the Elected Officers of the Corporation and the four non-chief At-Large individuals elected by the Physicians Organization Congress. The Chief Operating Officer and the Chief Financial Officer of the Organization have the right to attend all meetings of the Board of Directors but they are not entitled to vote.

Form 990, Part VI, Section A, line 7A

The majority of the board members of the Physicians Organization at Children's Hospital, Inc. (the Organization) are elected by the Physicians Organization Congress. The President, the Chair of the Board, the Chief Operating Officer, the Chief Financial Officer, and the Clerk/Treasurer are the principal officers of the Organization. The principal officers may appoint such assistants and other officers as they deem necessary, and such other officers shall have such authority and shall perform such duties as from time to time may be prescribed by the Board or principal officers. The Organization may also have such agents, if any, as the Board from time to time and at its discretion may appoint. A lay member of the Board of Trustees of the Class "A" member serves as the community representative of the Organization.

Form 990, Part VI, Section A, line 7B

All of the board decisions are subject to approval by the Class "B" members of the Physicians Organization at Children's Hospital, Inc. (the Organization). The Class "A and "B" members have the right to approve the following: a) hiring and firing of senior management of the Organization excluding the officers; b) legal counsel of the Organization and any Foundation which approval shall not be withheld if selected from an approved list of firms mutually agreed to by the Board and the Members; and c) amendments to the Articles of Organization and by-laws of any Foundation but only after initiation and approval of such amendments by the Board of Directors of such Foundation. The Board has delegated the audit and compliance authority to the Boston Children's Hospital (the Hospital) Audit Committee for the selection of the external auditor or internal audit programs. The Audit Committee shall meet according to a schedule developed by the Hospital in consultation with the PO. The Audit Committee shall: (a) approve the selection of all external auditors to ensure quality and integrity of Foundation financial statements or other related regulatory or internal audits; and (b) monitor internal controls (including, but not limited to, accounting, compliance, regulatory matters, and designing policies to mitigate risk).

Form 990, Part VI, Section B, line 11B

The board has voted to designate the review process to the Executive Committee which is comprised of the elected and non-elected members of the Organization. The Physicians Organization at Children's Hospital, Inc. will review the Form 990 with the Executive Committee. A copy of the Form 990 will be provided to the Physicians Organization Executive Committee prior to filing. The detailed review will be conducted before filing the return with the Internal Revenue Service.

Form 990, Part VI, Section B, line 12C

In conjunction with Boston Children's Hospital (the Hospital), the Physicians Organization at Children's Hospital, Inc. (the Organization) has a Conflict of Interest and Commitment policy that applies to all Chiefs, Senior Directors, Directors, and others who exercise influence over important strategic, business, and purchasing decisions of the PO. They are required to complete an annual conflict of interest disclosure questionnaire about their financial interest and outside activities. If an expected questionnaire is not returned, the Compliance Officer notifies the individual's supervisor or the CEO/COO, and repeated requests for the completed questionnaire are made until the questionnaire is completed. Responses are reviewed by the Compliance Officer and any potential conflicts are discussed with the Office of General Counsel and/or the individual's supervisor; any actual or potential conflicts are managed by resolution of the conflict. Management of the conflict, recusal, disclosure, review, or a combination thereof. Any person not receiving a disclosure statement nevertheless 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 Organization prohibits the member from voting on any matter to which the conflict relates or otherwise influence the voting on such matter. Violation of this policy may result in disciplinary or other remedial action, including disruption of employment and removal from office.

Form 990, Part VI, Section B, line 15

The Physicians Organization at Children's Hospital, Inc. (the Organization) has a compensation committee that is comprised of elected officers. Compensation of non-elected officers and key employees are reviewed annually and benchmarked against comparable positions at similar entities. Goals are established at the beginning of the fiscal year which is an indicator in determining the subsequent year annual compensation increase. The Organization committee reviews and approves the annual compensation of the Chief Operating Officer, the Chief Financial Officer, and the Directors of the Organization. Faculty compensation must comply with the Boston Children's Hospital Physician Compensation Guidelines. These guidelines are developed in consultation with an independent external compensation consulting firm and are approved by independent Compensation Committee of the Board of Children's Medical Center Corporation and Boston Children's 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, research, teaching and administrative responsibilities, 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 each 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 Chief Executive Officer and President.

Form 990, Part VI, Section C, line 19

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

Filing and Contact Details

Filer

Filer Name
Physicians Organization at Children's
EIN
04-3266103
Phone
6179194078
Address
300 Longwood Avenue, Boston, MA 02115

Signing Officer

Name
Thomas J Hart
Title
CFO
Phone
6179194078
Signed
2025-07-29
Discuss with paid preparer
No

Organization Details

Principal Officer
Richard G Bachur MD
Formed
1995
Legal Domicile
Ma
Voting Board Members
27
Independent Board Members
1
Employees
0
Volunteers
0

Preparer

Firm
Baker Newman & Noyes LLC
Address
280 Fore Street, Portland, ME 04101
Preparer
Nicholas E Porto
Phone
8002447444
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2C:

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

Financial Statement Notes

Part V, Line 4:

The restricted funds represent a donation that was given for ACO contributions to enhance clinical care. The use of these funds was restricted by the donor.

Part X, Line 2:

The Organization is a tax-exempt organization, as described in Section 501(c)(3) of the Internal Revenue Code (the Code), and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. In addition, the Organization qualifies for the charitable contribution deduction under Section 170(b)(1)(A), and has been classified as an organization that is not a private foundation under Section 509(a)(3). Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items, including unrelated business income or tax status. Management of the Organization has evaluated the positions taken on the Organization's filed tax returns and has concluded that no uncertain income tax positions exist at September 30, 2024.

Raw XML AppendixShowing 400 of 1,581 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AccountsPayableAccrExpnssGrp/EOYAmt07688163
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IRS990/Desc0The Physicians Organization at Children's Hospital, Inc. (the Organization) sponsors health, dental, life, and disability benefit plans for the member Foundations. The health and dental plans are self-funded with internal premiums based upon the expected utilization of the plan members. Any surplus or deficit generated at the plan year-end is applied to the calculation when determining the subsequent year's premiums. Life and disability revenue is directly offset by premiums paid to the insurance carriers.
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