2025-08-13T14:58:22-05:00 2024-09-30 346565596 Ernst & Young LLP 1 Manhattan West New York NY 10001 990 2023-10-01 881343469 Boston Children's Network Specialty Physicians Inc BOST 6173556000 300 Longwood Avenue Boston MA 02115 Geoffrey Binney Jr MD MPH Treasurer 6173556000 2025-08-13 1 1 Nicole Sokolowski P01683199 2127733000 2023 2025-03-06 01:10:19Z Peter Laussen MD 300 Longwood Avenue Boston MA 02115 24631800 0 X N/A X 2022 MA Pediatric health care, education and research 11 0 83 0 0 0 0 0 20204657 24630853 0 0 763 947 20205420 24631800 0 0 0 0 18684335 22093195 0 0 0 2917828 3113647 21602163 25206842 -1396743 -575042 19375690 17274684 20772433 19246469 -1396743 -1971785 X BCNSP supports the following three pillars of Boston Children's Hospital's four-part mission: (1) providing care to individuals in the community, (2) improving clinical care to its patients, and (3) educating and training clinicians. In addition, physicians employed by BCNSP may participate in research activities, the fourth pillar of Boston Children's Hospital's mission. 0 0 24221482 0 24630853 BCNSP promotes health by providing highly specialized pediatric medical care, contributing to pediatric medical teaching and research, and providing administrative leadership for pediatric services at hospitals in the community, as well as at Boston Children's Hospital and its affiliates. 24221482 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 83 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X Geoffrey Binney Jr MD MPH - Treasurer 6173556000 300 Longwood Avenue Boston MA 02115 X Peter Laussen MD President & Director 5.00 55.00 X X 0 1255547 93916 Geoffrey Binney Jr MD Treasurer & Director 55.00 0.00 X X 484188 0 73370 Jaclyn Boulais MD Director 55.00 0.00 X 482677 0 39635 Charles Hannum MD Director 55.00 0.00 X 215811 0 28236 Shirley Huang MD Director 55.00 0.00 X 359648 0 72844 Tiffany Perkins MD Director 55.00 0.00 X 251191 0 18466 Richard Robertson MD Clerk & Director 55.00 0.00 X X 0 661167 78659 Monica Ultmann MD Director 55.00 0.00 X 137394 0 15872 Mark V Zilberman MD Director 55.00 0.00 X 376712 0 72836 Jane Harrington MD Director 55.00 0.00 X 160901 0 44483 Kevin Petit MD Director 55.00 0.00 X 335374 0 72566 Rachana Singh MD Physician 55.00 0.00 X 564473 0 72732 Mario Cordova MD Physician 55.00 0.00 X 397191 0 72566 Jonathan Davis MD Physician 55.00 0.00 X 391668 0 73129 Shahenda Aly MD Physician 55.00 0.00 X 381906 0 50555 Elizabeth Yen MD Physician 55.00 0.00 X 381159 0 72498 Doug Vanderslice Former Treasurer 0.00 55.00 X 0 1604073 80122 Michele Garvin Esq Former Clerk 0.00 55.00 X 0 1201614 53172 4920293 4722401 1085657 72 1 1 0 0 PATIENT SERVICE REVENUE 621110 24630853 24630853 24630853 PARKING REVENUE 812930 947 947 947 24631800 24630853 0 947 17667076 17667076 1498366 1498366 1959607 1959607 968146 968146 970055 970055 876047 876047 275992 260687 15305 991553 991553 25206842 24221482 985360 0 19210972 17077163 164718 197521 19375690 17274684 1182594 181266 19589839 19065203 20772433 19246469 X -1396743 -1971785 -1396743 -1971785 19375690 17274684 -575042 0 X 0 1 X 1 0 X 20204657 24630853 44835510 20204657 24630853 44835510 0 0 0 44835510 763 947 1710 20205420 24631800 44837220 X 0 DUE TO PARENT 18196331 RESERVE FOR MEDICAL MALPRACTICE 868872 19065203 Part X, Line 2 There is no FIN48/ASC740 footnote in the organization's audited financial statements. 0 1 0 0 0 0 0 0 0 Doug Vanderslice Former Treasurer 0 902247 0 353818 0 348008 0 29700 0 50422 0 1684195 0 0 Peter Laussen MD President & Director 0 839522 0 253052 0 162973 0 33000 0 60916 0 1349463 0 0 Michele Garvin Esq Former Clerk 0 768780 0 270589 0 162245 0 29700 0 23472 0 1254786 0 0 Richard Robertson MD Clerk & Director 0 590633 0 18038 0 52496 0 35000 0 43659 0 739826 0 0 Rachana Singh MD Physician 563648 0 0 0 825 0 36300 0 36432 0 637205 0 0 0 Geoffrey Binney Jr MD Treasurer & Director 449166 0 33000 0 2022 0 36300 0 37070 0 557558 0 0 0 Jaclyn Boulais MD Director 480594 0 1724 0 359 0 24990 0 14645 0 522312 0 0 0 Mario Cordova MD Physician 393976 0 0 0 3215 0 36300 0 36266 0 469757 0 0 0 Jonathan Davis MD Physician 386654 0 0 0 5014 0 36300 0 36829 0 464797 0 0 0 Elizabeth Yen MD Physician 380538 0 0 0 621 0 36300 0 36198 0 453657 0 0 0 Mark V Zilberman MD Director 315503 0 59039 0 2170 0 36300 0 36536 0 449548 0 0 0 Shirley Huang MD Director 314360 0 44747 0 541 0 36300 0 36544 0 432492 0 0 0 Shahenda Aly MD Physician 381573 0 0 0 333 0 36300 0 14255 0 432461 0 0 0 Kevin Petit MD Director 332145 0 0 0 3229 0 36300 0 36266 0 407940 0 0 0 Tiffany Perkins MD Director 250983 0 0 0 208 0 17540 0 926 0 269657 0 0 0 Charles Hannum MD Director 197694 0 17923 0 194 0 13941 0 14295 0 244047 0 0 0 Jane Harrington MD Director 160770 0 0 0 131 0 8752 0 35731 0 205384 0 0 0 Monica Ultmann MD Director 131113 0 5000 0 1281 0 15041 0 831 0 153266 0 0 0 Part I, Line 4b Children's Hospital Corporation, a related organization, made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contribution amounts are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for Children's Hospital Corporation employee benefits and not for Boston Children's Network Specialty Physicians, Inc.'s Director or Officer of the Board services and/or responsibilities. During calendar year 2023, Children's Hospital Corporation made contributions to the supplemental non-qualified retirement plan for the individuals listed below: Douglas Vanderslice received a contribution of $246,666 Peter Laussen, MD received a contribution of $127,220 Michele Garvin, Esq. received a contribution of $123,124 During calendar year 2023, no individuals received supplemental executive retirement plan distributions from Children's Hospital Corporation. Form 990, Part VI, Section A, line 6 Boston Children's Network Specialty Physicians, Inc. ("BCNSP") has two classes of members, designated as Class A and Class B. Class A consists solely of the individual serving as the Children's Hospital Corporation (the "Hospital") from time to time as its Executive Vice President of Health Affairs (the "EVP of Health Affairs"). Class B members include each physician-employee of BCNSP with an active, affiliate or adjunct medical staff appointment from the Hospital who (i) provides all or most of such physician's clinical services at a hospital site other than the Hospital's main campus pursuant to an agreement between the site operator and the corporation or the Hospital; (ii) has a faculty appointment and teaching responsibilities at a medical school other than Harvard Medical School; or (iii) is otherwise approved by the Class A member to be included as a Class B member (each such physician, a "Network Physician"). Form 990, Part VI, Section A, line 7a The board of directors shall consist of: (a) the individual serving as the Class A member, ex-officio, with vote; (b) five individuals appointed by the Class A member (the "Class A Directors"); and (c) five directors elected by the Class B members (collectively, the "Elected Directors"). Form 990, Part VI, Section A, line 7b The affairs of BCNSP shall be managed by the directors who shall have and may exercise all the powers of the corporation, except those powers reserved to the members by law, the Articles of Organization, or the Bylaws. The powers of the board of directors shall be exercised subject to the rights of the members to approve any matter where the approval of the members of a Massachusetts Chapter 180 corporation is required by law, and shall be subject to the rights of the Class A member to approve, upon recommendation of the board of directors, but prior to the implementation thereof, the following actions: (a) the amendment of the Articles of Organization and Bylaws of BCNSP; and (b) the selection of the independent auditor and legal counsel of BCNSP which approval shall not be withheld so long as the legal counsel and auditors are selected from an approved list of firms mutually agreed to by BCNSP and the Class A member. In addition, the Class A member shall have the right to review, but not to approve, the annual operating budget and all capital budgets of the corporation, which budgets shall be developed by the board of directors and presented to the Class A member at least thirty days before the beginning of the fiscal year to which such budgets apply. The Class A member shall have the authority to recruit, hire and terminate physician and other employees of the corporation. The Class A member shall also have the authority to amend these Bylaws and may do so without any prior recommendation by or further action of the board of directors. Form 990, Part VI, Section B, line 11b The Form 990 tax return was prepared by Children's Hospital staff and reviewed by the Chief Financial Officer and General Counsel, along with the outside accounting firm of Ernst & Young. A copy was made available to the Board prior to filing. Form 990, Part VI, Section B, line 12c BCNSP adopts the Conflict of Interest Policy in the form adopted and maintained by the Children's Hospital Corporation, as from time to time in effect. The Organization's conflict of interest policy applies to all directors, Trust Board members, members of the medical or research staff, faculty, fellow, resident, student, visiting faculty or scientist, consultant, volunteers and employees of the Hospital. Directors, chiefs of service and division chiefs, senior directors and others who exercise influence over important strategic, business and purchasing decisions of the Hospital are required to complete an annual conflict of interest disclosure questionnaire about their financial interests and outside activities. If an expected questionnaire is not returned, the Compliance Officer notifies the individual's supervisor or the CEO or 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 termination of the conflict, management of the conflict, recusal, disclosure, review, or a combination thereof. Outside interests and outside activities may be permitted as long as the Hospital, Medical Center or Trust determines that such interests and activities are consistent with the policies of the Hospital, Medical Center or Trust and the Hospital, Medical Center or Trust Board member, medical staff member or employee involved does the following: 1. discloses the fact that he/she has a financial interest or a consultative role in or with a person or company with which the Hospital, Medical Center or Trust is doing or is thinking of doing business; and 2. refrains from voting or exercising any personal influence whatsoever in the selection of a person or company to do business with the Hospital, Medical Center or Trust with whom or in which he/she has a financial interest or a consultative role; and 3. avoids any active participation in any financial negotiations between the Hospital, Medical Center or Trust and the person or company with whom or in which he/she has a financial interest or consultative role; and 4. does not permit such outside interests or activities to absorb such amounts of his/her time and effort as to make it impractical for them to fulfill their assigned responsibilities at the Hospital, Medical Center or Trust; and 5. does not permit such outside interests or activities to compromise or appear to compromise the name or reputation of the Hospital, Medical Center or Trust. Form 990, Part VI, Section C, line 19 BCNSP adopts the Code of Conduct, the Conflict of Interest Policy, and the Compliance Manual in the form adopted and maintained by the Children's Hospital Corporation, as from time to time in effect. Children's Hospital posts its Code of Conduct (which incorporates the Conflict of Interest Policy) and its Compliance Manual (which includes a summary of the Conflict of Interest Policy) on its external website and these are also available from the Compliance Office or the Office of General Counsel. Governing documents are not posted publicly but are available upon request and are also filed with the Massachusetts Secretary of State, where they are available to the public. Financial statements are available upon request. Form 990, Part VII, Section A The individuals, who have compensation from related organization from related organizations, listed in Column E, spend the remainder of their full time hours working for Children's Medical Center and its other affiliates. Children's Medical Center Corporation 300 Longwood Avenue Boston MA 02115 041174680 Holds & manages sec., real estate inv. for Children's Hospital MA 501(c)(3) Line 12b, II N/A 0 Children's Hospital Corporation 300 Longwood Avenue Boston MA 02115 042774441 Pediatric healthcare, education & research hospital MA 501(c)(3) Line 3 Children's Medical Center Corporation 0 Longwood Research Institute Inc 300 Longwood Avenue Boston MA 02115 042781368 Medical & scientific research; holds real estate investments MA 501(c)(3) Line 12b, II Children's Medical Center Corporation 0 Blood Research Institute Inc 300 Longwood Avenue Boston MA 02115 043136318 Owning & leasing real estate MA 501(c)(3) Line 12a, I Children's Medical Center Corporation 0 Franciscan Hospital for Children Inc 30 Warren Street Brighton MA 02135 042156082 Pediatric rehabilitation and behavioral health MA 501(c)(3) Line 3 Children's Medical Center Corporation 0 CHB Properties Inc 300 Longwood Avenue Boston MA 02115 043323330 Holds & manages satellite ambulatory centers; real estate investments MA 501(c)(3) Line 10 Children's Medical Center Corporation 0 Franciscan Pediatrics Inc 30 Warren Street Brighton MA 02135 043160358 Healthcare MA Franciscan Hospital for Children Inc C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0