2024-08-08T12:14:10-05:00 2023-09-30 010494526 Baker Newman & Noyes LLC 280 Fore Street Portland ME 04101 990 2022-10-01 043286718 Boston Plastic and Oral Surgery Foundation Inc BOST 6173556202 300 Longwood Avenue HU-158 Boston MA 02115 John G Meara MD DMD President 6173556202 2024-08-07 0 0 Nicholas E Porto P01310283 8002447444 2024-08-07 2022 2024-08-08 14:25:15Z John G Meara MD DMD 300 Longwood Avenue HU-158 Boston MA 02115 27739692 0 X N/A X 1995 MA The Foundation provides plastic and oral surgery services, medical research, and (see Schedule O) educational services to Boston Children's Hospital and Harvard Medical School. The Foundation also provides care for patients in need of plastic or oral surgery, regardless of their ability to pay, as well as providing and supporting hospital and community based services that are limited elsewhere in the community. 4 0 13 0 0 0 2775281 1002214 22315774 26599969 76006 137509 0 0 25167061 27739692 108644 2187098 0 0 18622900 22494014 0 0 0 4204920 4861016 22936464 29542128 2230597 -1802436 29290402 23939863 12368534 8284553 16921868 15655310 X The Foundation provides plastic and oral surgery services primarily to patients at Boston Children's Hospital and at satellite locations. The Foundation was organized exclusively for charitable, scientific, and educational purposes. The mission strives to (see Schedule O) provide multidisciplinary care for a variety of diagnoses including breast disorders, craniofacial anomalies, congenital hand anomalies, vascular malformations, and cleft lip and palate. 0 0 23767981 2187098 26143409 The Foundation provides plastic and oral surgery services primarily to patients at Boston Children's Hospital and at satellite locations. The Foundation may charge for patient care and other medical services provided that any net income be used exclusively for the charitable, scientific, and educational purposes for which the Foundation was created. The Foundation also provides care for patients in need of plastic or oral surgery services regardless of their ability to pay, as well as providing hospital and community based services that are limited in the community. 240081 456560 The Foundation receives income from Boston Children's Hospital for providing administration services. The Foundation carries on and promotes basic and applied medical research and education in the field of plastic and oral surgery by teaching students and other medical and scientific personnel; by providing or supplementing income to research personnel through fellowships, research grants, and stipends; and by giving lectures and publishing information concerning conditions and research results in the fields of plastic and oral surgery in order to educate the general public and the medical profession. 24008062 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 13 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X Ronald Heald Treasurer 6173556202 300 Longwood Avenue Boston MA 02115 Brian I Labow MD Vice President 60.00 0.00 X X 1548266 0 83916 Bonnie L Padwa MD DMD Secretary/Clerk 60.00 0.00 X X 1355708 0 100989 John G Meara MD DMD President 55.00 5.00 X X 1208618 0 121333 Ronald Heald Treasurer 55.00 5.00 X X 0 272255 26400 Physicians Org at CH Inc Institutional Trustee 2.00 0.00 X 0 0 0 Amir H Taghinia MD Physician 60.00 0.00 X 979068 0 77390 Cory M Resnick MD Physician 60.00 0.00 X 1025438 0 113700 Arin K Greene MD Physician 60.00 0.00 X 855347 0 133360 Oren Ganor MD Physician 60.00 0.00 X 884768 0 141339 Mark A Green MD Physician 60.00 0.00 X 910532 0 143861 8767745 272255 942288 12 0 1 0 0 1002214 1002214 Patient Service Revenue 621300 24951237 24951237 Other Revenue 621300 1192172 1192172 Education and Research Programs 611710 456560 456560 26599969 137509 137509 27739692 26599969 0 137509 2187098 2187098 5831215 5532560 298655 12833075 9679480 3153595 1230304 1230304 2224443 580200 1644243 374977 372169 2808 17669 17669 34535 34535 140490 38918 101572 1020020 1011163 8857 67199 67199 532521 532521 225311 202189 23122 244314 24546 219768 101231 101231 177619 148377 29242 Co-ordinated specialty 664021 664021 PO management services 622061 622061 Billing expense 515000 515000 BCH Tax 499025 499025 29542128 24008062 5534066 0 12191475 7491560 5223088 2954424 2953902 3372336 948484 948484 100663 86793 1410199 645850 865580 764349 6140644 7460443 866566 861474 29290402 23939863 5523862 86147 794404 596271 6050268 7602135 12368534 8284553 X 16541008 15280309 380860 375001 16921868 15655310 29290402 23939863 -1802436 535878 0 X X 0 1 X 1 0 X 851722 1112157 879374 2775281 1002214 6620748 20395619 18802844 22809419 22315774 26599969 110923625 21247341 19915001 23688793 25091055 27602183 117544373 0 0 0 117544373 92784 78595 50666 76006 137509 435560 92784 78595 50666 76006 137509 435560 146201 146201 21340125 20139797 23739459 25167061 27739692 118126134 0.99510 0.99420 0.00370 0.00290 X Schedule A, Part III, Line 12, Explanation of Other Income: Insurance rebate - 2019 Amount: $ 146,201. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 380860 50001 55860 375001 347906 1736360 1703406 380860 387000 363006 402100 347906 350000 451216 414216 387000 350000 46125 46125 350000 0.00000 0.00000 1.00000 0 0 945868 366658 579210 242959 85036 157923 194524 167308 27216 26848 26848 0 764349 Due to Boston Children's Hospital 1929665 Due to Physicians Organization at Children's Hospital, Inc. 23572 Deferred compensation plan 457(b) 4167875 Accrued defined contribution plan 917456 Accrued professional liability 425538 Lease Liability- Operating 37371 Due to Children's Hospital Pediatric Associates, Inc. 38078 Due to Children's Sports Medicine Foundation, Inc. 499 Due to Boston Pediatric Neurosurgical Foundation, Inc. 908 Other liabilities 61173 7602135 X 28275571 535878 535878 27739693 0 27739693 29542128 0 29542128 0 29542128 Part V, Line 4: The restricted funds represent assets held in trust that are available for physician recruitment whose use has been restricted by donors to a specific time period or purpose. Part X, Line 2: The Foundation is a tax-exempt corporation 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 Foundation 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)(2). 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 Foundation has evaluated the positions taken on the Foundation's filed tax returns and has concluded that no uncertain income tax positions exist at September 30, 2023. 1 Boston Children's Hospital 300 Longwood Avenue Boston MA 02115 042774441 501(c)(3) 2181248 0 N/A N/A General Support 1 0 Part I, Line 2: Monitoring is provided by the Boston Plastic and Oral Surgery Foundation, Inc. (the Foundation) through oversight of the terms and conditions of a written grant agreement. Multiyear agreements require yearly progress and financial reports for continuation of funding. During the year ended September 30, 2023, the Foundation only provided grant donations to other 501(c)(3) organizations. X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 Brian I Labow MD Vice President 500000 0 975000 0 73266 0 61000 0 22916 0 1632182 0 0 0 Bonnie L Padwa MD DMD Secretary/Clerk 500000 0 775000 0 80708 0 61000 0 39989 0 1456697 0 0 0 John G Meara MD DMD President 550000 0 577000 0 81618 0 61000 0 60333 0 1329951 0 0 0 Cory M Resnick MD Physician 450000 0 525000 0 50438 0 61000 0 52700 0 1139138 0 0 0 Amir H Taghinia MD Physician 450000 0 475000 0 54068 0 61000 0 16390 0 1056458 0 0 0 Mark A Green MD Physician 350000 0 475000 0 85532 0 61000 0 82861 0 1054393 0 0 0 Oren Ganor MD Physician 400000 0 425000 0 59768 0 61000 0 80339 0 1026107 0 0 0 Arin K Greene MD Physician 500000 0 275000 0 80347 0 61000 0 72360 0 988707 0 0 0 Ronald Heald Treasurer 0 212410 0 28800 0 31045 0 17269 0 9131 0 298655 0 0 Part I, Line 1a The Foundation provides gross-up payments for long-term disability insurance, life insurance, parking, and retirement plan contributions. These payments are included as taxable wages during the year. All permanent full-time employees of the Foundation are eligible for the gross-up payments. Part I, Line 7 Bonus compensation amounts are determined by the President of Boston Plastic and Oral Surgery Foundation, Inc. The bonuses are based on performance and are determined in a meeting between the Chief and the recipient, incorporating research activity, clinical performance, and if applicable, other practice or department related activity. The amounts are discretionary. John G Meara MD DMD President Purchase of common stock X 948484 948484 0 1 1 948484 Schedule L, Part II: During the year ended September 30, 2019, the Boston Plastic and Oral Surgery Foundation, Inc. (the Foundation) entered into a promissory note in the amount of $572,680 with the President of the Foundation, John G. Meara, MD, DMD, to purchase common stock in the Longwood Medical Trust (LMT) on behalf of the Foundation. The LMT requires that each shareholder be a physician. An agency agreement was executed between the Foundation and the President to meet the shareholder requirement. The President's interest in LMT cannot be sold without the written consent of the Foundation. LMT retains the right of first refusal to repurchase the stock if the President is: incapacitated; files for bankruptcy; ceases to be employed by an affiliated Foundation of Boston Children's Hospital; or dies. However, the Foundation has the right to assign a replacement purchaser upon triggering of any right of first refusal of LMT to repurchase the share.During the year ended September 30, 2021, the Boston Plastic and Oral Surgery Foundation, Inc. (the Foundation) entered into a promissory note in the amount of $375,804 with the President of the Foundation, John G. Meara, MD, DMD, to purchase common stock in the Longwood Medical Trust (LMT) on behalf of the Foundation. The LMT requires that each shareholder be a physician. An agency agreement was executed between the Foundation and the President to meet the shareholder requirement. The President's interest in LMT cannot be sold without the written consent of the Foundation. LMT retains the right of first refusal to repurchase the stock if the President is: incapacitated; files for bankruptcy; ceases to be employed by an affiliated Foundation of Boston Children's Hospital; or dies. However, the Foundation has the right to assign a replacement purchaser upon triggering of any right of first refusal of LMT to repurchase the share. Form 990, Part VI, Section A, line 1a A majority of Boston Plastic and Oral Surgery Foundation, Inc.'s (the Foundation's) 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. Form 990, Part VI, Section A, line 3 The Physicians Organization at Children's Hospital, Inc. (the PO) is the Class "C" member of Boston Plastic and Oral Surgery 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 as well as the right to review and approve 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. Form 990, Part VI, Section A, line 6 The Boston Plastic and Oral Surgery Foundation, Inc. (the Foundation) has three classes of members. The Chief of the Department of Plastic and Oral Surgery (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, a full-time faculty appointment from Harvard Medical School, and who is geographically full-time at the Hospital shall be a Class "B" member. Upon the recommendation from the Chief and with the approval of the President of the Hospital, exceptions may be made to permit other physicians who are members of the Foundation to be Class "B" members. The Physicians Organization at Children's Hospital, Inc. is the Class "C" member of the Foundation. Form 990, Part VI, Section A, line 7a According to the Articles of Organization, the Class "A" member is the Chief of the Department of Plastic and Oral Surgery (the Department) of Boston Children's Hospital (the Hospital). Any member of the Department who holds a medical staff appointment in plastic and oral surgery at the Hospital, a full-time faculty appointment from Harvard Medical School, and who is geographically full-time at 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: 1) vote in annual meetings or other elections; 2) serve on Boston Plastic and Oral Surgery Foundation Inc.'s Board; or 3) nominate candidates for election to the Board. Form 990, Part VI, Section A, line 7b The Physicians Organization at Children's Hospital, Inc. (the PO) is the Class "C" member of Boston Plastic and Oral Surgery 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 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. Form 990, Part VI, Section B, line 11b The detailed review will be conducted by the President of the Foundation, John G. Meara, MD, DMD, and the Treasurer, Ronald Heald. A copy of the Form 990 will be provided to the 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. Form 990, Part VI, Section B, line 12c The Physicians Organization at Children's Hospital, Inc. (the PO) and Boston Children's Hospital (the Hospital) administer an annual conflict of interest disclosure process to all of its 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 PO 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 their 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. Form 990, Part VI, Section B, line 15 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 the 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 Foundations. The maximum compensation limits are based on pediatric specialty, sub-specialty, academic rank and include a productivity adjustment. Any proposed compensation that exceeds the limit 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 President/Chief Executive Officer. Form 990, Part VI, Section C, line 19 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. Form 990, Part XII, Line 2c: The audit process and scope has not changed from the prior year. Boston Children's Hospital 300 Longwood Avenue Boston MA 02115 042774441 Hospital MA 501(c)(3) Line 3 N/A 0 Physicians Organization at Children's Hospital Inc 300 Longwood Avenue Boston MA 02115 043266103 Management Services MA 501(c)(3) Line 12c, III-FI N/A 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0