Liabilities / Assets
3rd percentile
Tied with the lowest-debt nonprofits in its peer group.
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.00x
Liabilities / Revenue
3rd percentile
Tied with the lowest-debt nonprofits in its peer group.
Net Margin
68th percentile
Higher net margin than 68% of similar nonprofits.
Top Officer Pay
89th percentile
Higher top officer pay than 89% of similar nonprofits.
Top officer pay equals 425.4% of source-year revenue.
Asset Growth
68th percentile
Faster asset growth than 68% of similar nonprofits.
Revenue Growth
1st percentile
Faster revenue growth than 1% of similar nonprofits.
Balance Sheet
Assets
Up$79,565,143
Up $12,713,911 (+19%) from 2020
Net Assets
Up$79,565,143
Up $12,713,911 (+19%) from 2020
Liabilities
Flat$0
Flat from 2020
Revenue And Expenses
Revenue
Down$246,844
Down $63,840,723 (-100%) from 2020
Expenses
Up$190,301
Up $143,080 (+303%) from 2020
Net Income
Down$56,543
Down $63,983,803 (-100%) from 2020
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Oct 1, 2020 to Sep 30, 2021
- Signed
- Aug 9, 2022
- Return Version
- 2020v4.2
- Gross Receipts
- $246,844
Mission and Program Overview
Mission
The Trust was established to fund one or more individual departments and programs of Anesthesiology at Boston Children's Hospital (BCH) including clinical, educational and research programs in anesthesiology, critical care and pain medicine departments at BCH.
The Trust was established to fund one or more individual departments and (see Schedule O) programs of Anesthesiology at Boston Children's Hospital (the Hospital) including clinical, educational and research programs in anesthesiology, critical care, and pain medicine departments at the Hospital.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments Other Securities | $58,534,780 | $71,324,177 | ▲ $12,789,397 |
| Savings and Temporary Cash Investments | $6,205,485 | $8,240,966 | ▲ $2,035,481 |
| Pledges and Grants Receivable | $2,110,967 | - | - |
| Total Assets | $66,851,232 | $79,565,143 | ▲ $12,713,911 |
| Liabilities | |||
| Total Liabilities | $0 | $0 | → $0 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $66,851,232 | $79,565,143 | ▲ $12,713,911 |
| Total Net Assets Fund Balance | $66,851,232 | $79,565,143 | ▲ $12,713,911 |
| Total Liabilities and Net Assets / Fund Balance | $66,851,232 | $79,565,143 | ▲ $12,713,911 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Securities | $71,324,177 | - | - |
Compensation and Service Providers
Board Members and Trustees
| Name | Title |
|---|---|
| Joseph P Cravero MD | President/Treasurer |
| James A DiNardo MD | Trustee |
| Jeffrey Burns MD | Trustee |
| Lynne R Ferrari MD | Trustee |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| PO Pooled Investment Fund | Investment management | 300 Longwood Avenue, Boston, MA 02115 | $190,301 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $0
- Investment Income
- $246,844
- Other Revenue
- $0
- Change in Net Assets
- $56,543
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $190,301 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Service Investment Mgmnt Fees | - | $190,301 | - | $190,301 |
| Total Functional Expenses | $0 | $190,301 | $0 | $190,301 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying 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
- 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
- No
- Other officer compensation reviewed
- No
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- Yes
- Key decisions subject to board approval
- No
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, line 7A
“The Trust's initial trustees were appointed by the Foundation. Successor trustees, the successor Anesthesiologist-in-Chief and the Division Heads of the Anesthesiology Department, would be appointed by Boston Children's Hospital, the primary beneficiary of the Trust. If a Division Chief resigns or ceases to be an employee of the Foundation, the Assistant Chief of the applicable division, a person appointed by Boston Children's Hospital, becomes the successor trustee. The Foundation can remove a Trustee, but has no authority to appoint his or her successor. As a result, at some future point in time, a majority of the individuals who are trustees of the Trust will be appointed by Boston Children's Hospital, but will continue be subject to removal by the Foundation.”
Form 990, Part VI, Section A, line 8B
“The Trust does not have any committees with the authority to act on behalf of the governing body.”
Form 990, Part VI, Section B, line 11B
“The detailed review will be conducted by a Trustee, the Senior Director of Foundation Financial Operations & Strategy Planning, and the Director of Finance. The Physicians Organization at Children's Hospital, Inc. will review the Form 990 with the Trustees. The detailed review will be conducted before filing the return with the Internal Revenue Service.”
Form 990, Part VI, Section B, line 12C
“The Trust follows the conflict of interest policies of 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
“The Trust maintains all 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
- CHMC Anesthesia Foundation Inc
- EIN
- 30-6692912
- Phone
- 6173556457
- Address
- 300 Longwood Avenue No Bader3, Boston, MA 02115
Signing Officer
- Name
- Joseph P Cravero MD
- Title
- President/Treasurer
- Phone
- 6173556457
- Signed
- 2022-08-09
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Joseph P Cravero MD
- Formed
- 2020
- Legal Domicile
- Ma
- Voting Board Members
- 4
- Independent Board Members
- 0
- 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 Trust is part of a consolidated audited financial statements with CHMC Anesthesia Foundation, Inc. and affiliates. Oversight of the audit is conducted at the Physicians Organization at Children's Hospital, Inc. and Foundation level. The audit process has not changed from the prior year.”
Financial Statement Notes
Part X, Line 2:
“The Physicians Organization at Children's Hospital, Inc. (the PO) and Foundations are tax-exempt corporations as described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code. In addition, the PO and Foundations qualify for the charitable contribution deduction under Section 170(b)(1)(a), and have been classified as organizations that are not a private foundation under Section 509(a)(3) and Section 509(a)(2), respectively. 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 Foundations have evaluated the positions taken on the respective filed tax returns and have concluded that no uncertain income tax positions exist at September 30, 2021.”
Raw XML AppendixShowing 400 of 441 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/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | The Trust was established to fund one or more individual departments and (see Schedule O) programs of Anesthesiology at Boston Children's Hospital (the Hospital) including clinical, educational and research programs in anesthesiology, critical care, and pain medicine departments at the Hospital. |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Joseph P Cravero MD |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6173556457 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 300 Longwood Avenue |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Boston |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 02115 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 190301 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 02115 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | PO Pooled Investment Fund |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Investment management |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 246844 |
| IRS990/CYOtherExpensesAmt | 0 | 190301 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 56543 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 190301 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 246844 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/Desc | 0 | The Trust will provide support to the CHMC Anesthesia Foundation, Inc. (the Foundation) to fund one or more individual departments and programs of Anesthesiology at Boston Children's Hospital (the Hospital) including fellowships for clinical, educational and research programs in anesthesiology, critical care, and pain medicine departments at the Hospital. Additionally, a portion of the funds in the Trust will support scientific research conducted under the direction of Dr. Daniel S. Kohane or successor departmental research activities deemed by the Anesthesiologist-in-Chief most likely to be scientifically productive should Dr. Kohane retire, separate from the organization, or his laboratory otherwise no longer qualifies for the Research Subtrust funding (see Schedule O).But for the existence of the Trust, these functions would be carried out by the Foundation, the grantor of the Trust. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 0 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 190301 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 190301 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 59.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 128202 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 152816 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 101362 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 101362 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Joseph P Cravero MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Jeffrey Burns MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | James A DiNardo MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Lynne R Ferrari MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 921874 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 828588 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 930240 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 710883 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Trustee |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2020 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 246844 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
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| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 246844 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 58534780 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 71324177 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | The Trust was established to fund one or more individual departments and programs of Anesthesiology at Boston Children's Hospital (the Hospital) including clinical, educational and research programs in anesthesiology, critical care and pain medicine (see Schedule O) departments at the Hospital. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
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| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 79565143 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
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| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 79565143 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
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| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
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| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | Joseph P Cravero MD |
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| IRS990/PYTotalRevenueAmt | 0 | 64087567 |
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| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 0 |
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| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 8240966 |
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| IRS990ScheduleA/OtherSupportSumAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrganizationsCnt | 0 | 1 |
| IRS990ScheduleA/SupportedOrganizationsTotalCnt | 0 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 0 | 042702169 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 0 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 0 | 10 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt | 0 | CHMC Anesthesia Foundation Inc |
| IRS990ScheduleA/SupportingOrganization509a3Ind | 0 | X |
| IRS990ScheduleA/SupportingOrgType1Ind | 0 | X |
| IRS990ScheduleA/SupportSumAmt | 0 | 0 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 0 | 71324177 |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 0 | P.O. Pooled Investment Fund, LLC |
| IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd | 0 | F |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | The Physicians Organization at Children's Hospital, Inc. (the PO) and Foundations are tax-exempt corporations as described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Internal Revenue Code. In addition, the PO and Foundations qualify for the charitable contribution deduction under Section 170(b)(1)(a), and have been classified as organizations that are not a private foundation under Section 509(a)(3) and Section 509(a)(2), respectively. 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 Foundations have evaluated the positions taken on the respective filed tax returns and have concluded that no uncertain income tax positions exist at September 30, 2021. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part X, Line 2: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 0 |
| IRS990ScheduleD/TotalBookValueSecuritiesAmt | 0 | 71324177 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 0 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 2 | 50000 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 3 | 50000 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 3 | 0 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 1 | 0 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 1 | 0 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 3 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 83000 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 1 | 57000 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 2 | 108499 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 3 | 57000 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 1 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 2 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 3 | 0 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 1 | 44362 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 2 | 44317 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 3 | 44362 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 3 | 0 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 1 | 317305 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 2 | 119003 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | Joseph P Cravero MD |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | James A DiNardo MD |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | Jeffrey Burns MD |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 3 | Lynne R Ferrari MD |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | President/Treasurer |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 1 | Trustee |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 2 | Trustee |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 3 | Trustee |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 3 | 0 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 1 | 1031602 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 2 | 981404 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 3 | 812245 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | 0 |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | CHMC Anesthesia Foundation, Inc. (the Foundation) reviews the compensation of the CHMC Anesthesia Foundation, Inc. Charitable Trust's (the Trust's) President. The Foundation uses a compensation committee, independent compensation consultant, Form 990 of other organizations, compensation survies or studies, and approval by the Foundation's board or compensation committee. The Trust's President's compensation complies with Boston Children's Hospital's (the Hospital's) Physician Compensation Guidelines. |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 1 | The Foundation 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 services. The plan was restated on January 1, 2016 to the CHMC Anesthesia Foundation, Inc. 2016 After-Tax Plan (the Plan). Each participant employed on June 30 is allocated 6% of base salary, excluding bonuses and clinical incentive payments, during the Plan year. For the Plan year in which an eligible employee becomes a participant, they will receive an additional contribution equal to 6% of their Plan compensation for each year of service prior to becoming a participant. The Foundation's contributions under the Plan are taxable to the participant as they are made and are not subject to forfeiture if the participant leaves before retiring. Contributions to the Plan will be included as part of taxable wages in the W-2 of each individual. During 2020, the following participants received a contribution that is recorded on the W-2: Joseph P. Cravero, MD, $174,469; Lynne R. Ferrari, MD, $30,467; James A. DiNardo, MD, $31,392; and Jeffrey Burns, MD, $41,400. In addition to the regular annual contribution, the foundation makes a one-time contribution on behalf of participants first employed by the Foundation after December 21,2008 after completing seven years of service. The amount of the contribution is $20,000 for each of the seven years of service in which the participant was a full-time employee (at least 32 hours per week), and $20,000 prorated, based on the participant's full-time equivalent percentage (FTE), for each year in which the participant worked part-time. Any pre-2016 account contributions are fully vested for each participant. The vesting schedule is 50% of post-2016 earnings account amounts vest after ten years of service, 75% vest after fifteen years of service, and amounts are fully invested after twenty years of service. |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part I, Line 3 |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Part I, Line 4b |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | 1 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | The Trust's initial trustees were appointed by the Foundation. Successor trustees, the successor Anesthesiologist-in-Chief and the Division Heads of the Anesthesiology Department, would be appointed by Boston Children's Hospital, the primary beneficiary of the Trust. If a Division Chief resigns or ceases to be an employee of the Foundation, the Assistant Chief of the applicable division, a person appointed by Boston Children's Hospital, becomes the successor trustee. The Foundation can remove a Trustee, but has no authority to appoint his or her successor. As a result, at some future point in time, a majority of the individuals who are trustees of the Trust will be appointed by Boston Children's Hospital, but will continue be subject to removal by the Foundation. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | The Trust does not have any committees with the authority to act on behalf of the governing body. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | The detailed review will be conducted by a Trustee, the Senior Director of Foundation Financial Operations & Strategy Planning, and the Director of Finance. The Physicians Organization at Children's Hospital, Inc. will review the Form 990 with the Trustees. The detailed review will be conducted before filing the return with the Internal Revenue Service. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | The Trust follows the conflict of interest policies of 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/ExplanationTxt | 4 | The Trust maintains all governing documents at its main office at 300 Longwood Avenue, Boston, MA 02115. The documents are available upon request. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | The Trust is part of a consolidated audited financial statements with CHMC Anesthesia Foundation, Inc. and affiliates. Oversight of the audit is conducted at the Physicians Organization at Children's Hospital, Inc. and Foundation level. The audit process has not changed from the prior year. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Form 990, Part VI, Section A, line 7a |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Form 990, Part VI, Section A, line 8b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Form 990, Part VI, Section B, line 11b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | Form 990, Part VI, Section B, line 12c |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | Form 990, Part VI, Section C, line 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | Form 990, Part XII, Line 2c: |
| IRS990ScheduleR/AssetExchangeInd | 0 | 0 |
| IRS990ScheduleR/AssetPurchaseFromOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/AssetSaleToOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/DivRelatedOrganizationInd | 0 | 0 |
| IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd | 0 | 0 |
| IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd | 0 | 0 |
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| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 1 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt | 0 | CHMC Anesthesia Foundation Inc |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd | 0 | N/A |
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| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt | 1 | CHMC Anesthesia Foundation Inc Retiree Medical Benefit Trust |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN | 0 | 042702169 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN | 1 | 260538595 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt | 0 | 501(c)(3) |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt | 1 | 501(c)(9) |
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| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd | 1 | MA |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt | 0 | To promote anesthesiology services and research |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt | 1 | Tax-exempt employee benefit trust |
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| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt | 1 | 300 Longwood Avenue |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm | 0 | Boston |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm | 1 | Boston |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd | 1 | MA |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd | 0 | 02115 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd | 1 | 02115 |
| IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd | 0 | 0 |
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| IRS990ScheduleR/PerformOfServicesForOthOrgInd | 0 | 0 |
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| IRS990ScheduleR/ReimbursementPaidByOtherOrgInd | 0 | 0 |
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| IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd | 0 | 0 |
| IRS990ScheduleR/RentalOfFcltsFromOthOrgInd | 0 | 0 |
| IRS990ScheduleR/SharingOfFacilitiesInd | 0 | 0 |
| IRS990ScheduleR/TransferFromOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/TransferToOtherOrgInd | 0 | 0 |
| IRS990/SchoolOperatingInd | 0 | 0 |
| IRS990/SignificantChangeInd | 0 | 0 |
| IRS990/SignificantNewProgramSrvcInd | 0 | 0 |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 0 | MA |
| IRS990/SubjectToExcsTaxNetInvstIncInd | 0 | 0 |
| IRS990/SubjectToProxyTaxInd | 0 | 0 |
| IRS990/SubjToTaxRmnrtnExPrchtPymtInd | 0 | 0 |
| IRS990/TaxablePartyNotificationInd | 0 | 0 |
| IRS990/TaxExemptBondsInd | 0 | 0 |
| IRS990/TerminateOperationsInd | 0 | 0 |
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| IRS990/TotalAssetsEOYAmt | 0 | 79565143 |
| IRS990/TotalAssetsGrp/BOYAmt | 0 | 66851232 |
| IRS990/TotalAssetsGrp/EOYAmt | 0 | 79565143 |
| IRS990/TotalCompGreaterThan150KInd | 0 | 1 |
| IRS990/TotalEmployeeCnt | 0 | 0 |
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| IRS990/TotalLiabilitiesEOYAmt | 0 | 0 |
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| IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt | 0 | 79565143 |
| IRS990/TotalOtherCompensationAmt | 0 | 483742 |
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| IRS990/TotalVolunteersCnt | 0 | 0 |
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| IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt | 0 | 79565143 |
| IRS990/TotReportableCompRltdOrgAmt | 0 | 3391585 |
| IRS990/TrnsfrExmptNonChrtblRltdOrgInd | 0 | 0 |
| IRS990/TypeOfOrganizationCorpInd | 0 | X |
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| IRS990/UponRequestInd | 0 | X |
| IRS990/USAddress/AddressLine1Txt | 0 | 300 Longwood Avenue No Bader3 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2021 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $79,565,143
- Liabilities
- $0
- Net assets
- $79,565,143
- Revenue
- $246,844
- Expenses
- $190,301
- Net income
- $56,543