Civic Intelligence

Chmc Anesthesia Foundation Inc

EIN 26-0538595 • 501(c)9 • Boston, MA

Profile

The retiree medical plan is a welfare plan as defined by ERISA. The plan is funded entirely by CHMC Anesthesia Foundation, Inc. (the employer). Benefits reimburse qualifying medical expenses defined in IRC Sections 213(d), incurred by participants, spouses, and dependent children not reimbursed from other sources.

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

17th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)9 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

21st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)9 • $25M-$50M nonprofits • Source year 2024

Net Margin

2nd percentile

-140%

Higher net margin than 2% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

99th percentile

$1,254,429

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 1395.7% of source-year revenue.

501(c)9 • $25M-$50M nonprofits • Source year 2024

Asset Growth

72nd percentile

14%

Faster asset growth than 72% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

1st percentile

-98%

Faster revenue growth than 1% of similar nonprofits.

501(c)9 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets17th percentile

Assets

Down

$24,046,764

Down $3,659,532 (-13%) from 2021

Liabilities

Flat

$0

Flat from 2021

Net Assets

Down

$24,046,764

Down $3,659,532 (-13%) from 2021

Operations
Liabilities / Revenue21st percentileNet Margin2nd percentile

Revenue

Down

$1,504,344

Down $213,460 (-12%) from 2021

Expenses

Down

$65,908

Down $1,264 (-1.9%) from 2021

Net Income

Down

$1,438,436

Down $212,196 (-13%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth72nd percentile

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

$30M$20M$10M$0Assets 2014: $15,363,444Liabilities 2014: $0Net Assets 2014: $15,363,4442014Assets 2015: $15,909,175Liabilities 2015: $0Net Assets 2015: $15,909,1752015Assets 2016: $15,650,540Liabilities 2016: $0Net Assets 2016: $15,650,5402016Assets 2017: $17,810,572Liabilities 2017: $0Net Assets 2017: $17,810,5722017Assets 2018: $19,598,197Liabilities 2018: $0Net Assets 2018: $19,598,1972018Assets 2019: $20,371,644Liabilities 2019: $0Net Assets 2019: $20,371,6442019Assets 2020: $21,055,191Liabilities 2020: $0Net Assets 2020: $21,055,1912020Assets 2021: $27,706,296Liabilities 2021: $0Net Assets 2021: $27,706,2962021Assets 2022: $24,046,764Liabilities 2022: $0Net Assets 2022: $24,046,7642022

Highlighted filing

2022

Assets$24,046,764
Liabilities$0
Net Assets$24,046,764
Open 2022 Filing

Operations Trend

Revenue Growth1st percentile

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

$2.0M$1.5M$1.0M$500K$0Revenue 2014: $1,161,414Expenses 2014: $19,814Net Income 2014: $1,141,6002014Revenue 2015: $1,068,514Expenses 2015: $6,365Net Income 2015: $1,062,1492015Revenue 2016: $405,691Expenses 2016: $15,504Net Income 2016: $390,1872016Revenue 2017: $632,949Expenses 2017: $8,292Net Income 2017: $624,6572017Revenue 2018: $1,094,590Expenses 2018: $298Net Income 2018: $1,094,2922018Revenue 2019: $1,066,331Expenses 2019: $36,552Net Income 2019: $1,029,7792019Revenue 2020: $86,825Expenses 2020: $33,000Net Income 2020: $53,8252020Revenue 2021: $1,717,804Expenses 2021: $67,172Net Income 2021: $1,650,6322021Revenue 2022: $1,504,344Expenses 2022: $65,908Net Income 2022: $1,438,4362022

Highlighted filing

2022

Revenue$1,504,344
Expenses$65,908
Net Income$1,438,436
Open 2022 Filing

Filings

Most recent year

2022 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$24,046,764
Liabilities
$0
Net assets
$24,046,764
Revenue
$1,504,344
Expenses
$65,908
Net income
$1,438,436
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$24.0$0.00$24.0$1.50$0.07$1.44
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$27.7$0.00$27.7$1.72$0.07$1.65
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$21.1$0.00$21.1$0.09$0.03$0.05
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$20.4$0.00$20.4$1.07$0.04$1.03
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.6$0.00$19.6$1.09$0.00$1.09
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.8$0.00$17.8$0.63$0.01$0.62
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.7$0.00$15.7$0.41$0.02$0.39
2015Detailed filing. Detailed filing data is available for this year.$15.9$0.00$15.9$1.07$0.01$1.06
2014Detailed filing. Detailed filing data is available for this year.$15.4$0.00$15.4$1.16$0.02$1.14
Latest Detailed Filing

The latest 2022 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2018 below.

Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Apr 3, 2019
Return Version
2017v2.3
Gross Receipts
$3,757,992
Mission and Program Overview

Mission

The retiree medical plan is a welfare plan as defined by ERISA. The plan is funded entirely by CHMC Anesthesia Foundation, Inc. (the employer). Benefits reimburse qualifying medical expenses defined in IRC Sections 213(d), incurred by participants, spouses, and dependent children not reimbursed from other sources.

Tax-exempt employee benefit trust

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$17,810,572$19,598,197▲ $1,787,625
Investments in Publicly Traded Securities$17,425,091$19,009,331▲ $1,584,240
Cash and Non-Interest-Bearing Accounts$385,481$588,866▲ $203,385
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$17,810,572$19,598,197▲ $1,787,625
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$17,810,572$19,598,197▲ $1,787,625
Total Liabilities and Net Assets / Fund Balance$17,810,572$19,598,197▲ $1,787,625
Compensation and Service Providers
Top Officer Pay99th percentile

Board Members and Trustees

NameTitle
Paul R Hickey MDPresident/Treasurer
Babu Koka MDDirector
Charles Nargozian MDDirector
Michael McManus MDDirector
Mark A Rockoff MDClerk
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$1,094,590
Other Revenue
$0
Change in Net Assets
$1,094,292
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$298
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Service Investment Mgmnt Fees---$298
Total Functional Expenses$0$0$0$298
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
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

“The Form 990 is reviewed by a Trustee and by the Director of Finance and the Controller of CHMC Anesthesia Foundation, Inc.”

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

“The Trust follows the conflict of interest policies of its tax-exempt employer, CHMC Anesthesia Foundation, Inc. The Trustees are required to file disclosure statements annually and have an affirmative obligation to disclose any situation in which they may have a conflict of interest. In the event of a conflict, the Trustee with the conflict cannot vote on any matter related to the conflict.”

Form 990, Part VI, Section C, line 19

“Documents are made available to the public upon request.”

Form 990, Part VII, Section A, Line 1A:

“RMB Committee Member, Dr. Paul Hickey, devoted an average of 60 hours per week to a related organization (CHMC Anesthesia Foundation, Inc.) in his position as Professor of Anesthesia. RMB Committee Member, Dr. Babu Koka, devoted an average of 60 hours per week to a related organization (CHMC Anesthesia Foundation, Inc.) in his position as Professor of Anesthesia. RMB Committee Member, Dr. Michael McManus, devoted an average of 60 hours per week to a related organization (CHMC Anesthesia Foundation, Inc.) in his position as Associate Professor of Anesthesia. RMB Committee Member, Dr. Charles Nargozian, devoted an average of 60 hours per week to a related organization (CHMC Anesthesia Foundation, Inc.) in his position as Assistant Professor of Anesthesia. RMB Committee Member, Dr. Mark Rockoff, devoted an average of 60 hours per week to a related organization (CHMC Anesthesia Foundation, Inc.) in his position as Professor of Anesthesia.”

Filing and Contact Details

Filer

Filer Name
CHMC Anesthesia Foundation Inc
EIN
26-0538595
Phone
6173557267
Address
300 Longwood Avenue, Boston, MA 02115

Signing Officer

Name
Paul R Hickey MD
Title
RMB Committee Member Trustee
Phone
6173557267
Signed
2019-04-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Paul R Hickey MD
Formed
2006
Legal Domicile
Ma
Voting Board Members
5
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Baker Newman & Noyes
Address
PO Box 507, Portland, ME 04112
Preparer
Nicholas E Porto
Phone
2078792100
Raw XML Appendix390 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
IRS990/AccountantCompileOrReviewInd00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0Tax-exempt employee benefit trust
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0Paul R Hickey MD
IRS990/BooksInCareOfDetail/PhoneNum06173557267
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0300 Longwood Avenue Bader 3
IRS990/BooksInCareOfDetail/USAddress/CityNm0Boston
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0MA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd002115
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt00
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt00
IRS990/CashNonInterestBearingGrp/BOYAmt0385481
IRS990/CashNonInterestBearingGrp/EOYAmt0588866
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt01094590
IRS990/CYOtherExpensesAmt0298
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt01094292
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt0298
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt01094590
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0Benefits to participants, spouses, and dependent children; the employer (CHMC Anesthesia Foundation, Inc.) does not charge for donated services.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt0298
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt059.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt159.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt259.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt359.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt459.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt0102380
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt194803
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt289329
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt394389
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt4102083
IRS990/Form990PartVIISectionAGrp/PersonNm0Paul R Hickey MD
IRS990/Form990PartVIISectionAGrp/PersonNm1Babu Koka MD
IRS990/Form990PartVIISectionAGrp/PersonNm2Michael McManus MD
IRS990/Form990PartVIISectionAGrp/PersonNm3Charles Nargozian MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Mark A Rockoff MD
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt01342318
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1515320
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt2657527
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt3500209
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt4716700
IRS990/Form990PartVIISectionAGrp/TitleTxt0President/Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt1Director
IRS990/Form990PartVIISectionAGrp/TitleTxt2Director
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Clerk
IRS990/Form990ProvidedToGvrnBodyInd00
IRS990/FormationYr02006
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/SecuritiesAmt0758756
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt05
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt03422158
IRS990/GrossReceiptsAmt03757992
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt0335834
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0335834
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt017425091
IRS990/InvestmentsPubTradedSecGrp/EOYAmt019009331
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0MA
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt02663402
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0The retiree medical plan is a welfare plan as defined by ERISA. The plan is funded entirely by CHMC Anesthesia Foundation, Inc. (the employer). Benefits reimburse qualifying medical expenses defined in IRC Sections 213(d), incurred by participants, spouses, and dependent children not reimbursed from other sources.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt017810572
IRS990/NetAssetsOrFundBalancesEOYAmt019598197
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0758756
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0758756
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0693333
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0Paul R Hickey MD
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0632949
IRS990/PYOtherExpensesAmt08292
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0624657
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt08292
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0632949
IRS990/ReconcilationRevenueExpnssAmt01094292
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt017810572
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt019598197
IRS990/ScheduleBRequiredInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt090000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt140000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt270500
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt357350
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt440000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt01032307
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1320000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2357085
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt3331971
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt4587500
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt191450
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt271305
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt337790
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt054000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt146180
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt237509
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt346567
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt454000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Paul R Hickey MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Babu Koka MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2Michael McManus MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3Charles Nargozian MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4Mark A Rockoff MD
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0All individuals listed in Schedule J, Part II, are compensated by a related organization, CHMC Anesthesia Foundation, Inc., which relied on a compensation committee, Forms 990 of other organizations, compensation surveys/studies, and approval by the board or compensation committee to establish compensation of the CEO/Executive Director in fiscal year ending June 30, 2018.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1CHMC Anesthesia Foundation, Inc. (a related organization) established the CHMC Anesthesia Foundation, Inc. 2005 Supplemental Executive Retirement Plan (SERP), effective as of January 1, 2005 to reward licensed physician employees with a benefit based on service. The SERP's sources of contributions are from employer discretionary amounts (if any), severance benefits, and elective deferrals. The amounts are vested after five years, attainment of normal retirement date, death, disability, or change in control. There were no contributions from CHMA Anesthesia Foundation, Inc. during the year to the plan for any individuals listed on Part VII-A or Schedule J. After a vesting period contributions to the plan, if any, will be included as part of taxable wages in the W-2 of each individual. During 2017, Dr. Michael McManus had a vested amount of $71,305, Dr. Charles Nargozian had a vested amount of $37,790, and Dr. Babu Koka had a vested amount of $91,450. These amounts have been reported in Schedule J, Part II, Column B(iii). Furthermore, as these amounts were reported on previous 990s as part of total compensation earned, they are being disclosed in Schedule J, Part II, Column F.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1Part I, Line 4b
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Form 990 is reviewed by a Trustee and by the Director of Finance and the Controller of CHMC Anesthesia Foundation, Inc.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The Trust follows the conflict of interest policies of its tax-exempt employer, CHMC Anesthesia Foundation, Inc. The Trustees are required to file disclosure statements annually and have an affirmative obligation to disclose any situation in which they may have a conflict of interest. In the event of a conflict, the Trustee with the conflict cannot vote on any matter related to the conflict.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Documents are made available to the public upon request.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3RMB Committee Member, Dr. Paul Hickey, devoted an average of 60 hours per week to a related organization (CHMC Anesthesia Foundation, Inc.) in his position as Professor of Anesthesia. RMB Committee Member, Dr. Babu Koka, devoted an average of 60 hours per week to a related organization (CHMC Anesthesia Foundation, Inc.) in his position as Professor of Anesthesia. RMB Committee Member, Dr. Michael McManus, devoted an average of 60 hours per week to a related organization (CHMC Anesthesia Foundation, Inc.) in his position as Associate Professor of Anesthesia. RMB Committee Member, Dr. Charles Nargozian, devoted an average of 60 hours per week to a related organization (CHMC Anesthesia Foundation, Inc.) in his position as Assistant Professor of Anesthesia. RMB Committee Member, Dr. Mark Rockoff, devoted an average of 60 hours per week to a related organization (CHMC Anesthesia Foundation, Inc.) in his position as Professor of Anesthesia.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VII, Section A, Line 1a:
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ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
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ReturnHeader/TaxPeriodBeginDt02017-07-01
ReturnHeader/TaxPeriodEndDt02018-06-30
ReturnHeader/TaxYr02017

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