Children's Orthopaedic Surgery FoundationInc (EIN 042943146) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1986

Legal Domicile

Principal Officer

Martha M Murray MD

Phone

6173552460

Tax Period

2023-10-01 to 2024-09-30

Children's Orthopaedic Surgery FoundationInc, founded in 1986, is a mid-sized nonprofit in the Health Care sector that reported $89.6M in total revenue in fiscal year 2023. Revenue grew 18% year-over-year, indicating healthy expansion. Expenses of $105.9M exceeded revenue, resulting in a 18% operating deficit.

Mission

The Foundation provides orthopaedic 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 located in Massachusetts in need of orthopaedic services, regardless of their ability to pay, as well as providing and supporting hospital and community based services that are limited in the community.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $516,841

Program Service Revenue $84,353,486

Investment Income $4,709,849

Other Revenue $0

TOTAL REVENUE $89,580,176

Expense Breakdown

Grants Paid $26,124,592

Salaries & Benefits $63,521,185

Fundraising Expenses $0

Program Expenses $102,264,412

Other Expenses $16,278,287

TOTAL EXPENSES $105,924,064

Year-over-Year Comparison

	2023	2022	Change
Revenue	$89,580,176	$76,080,289	+0.2%
Expenses	$105,924,064	$84,602,503	+0.3%
Net Income	$-16,343,888	$-8,522,214	+0.9%

Key Indicators

✓ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

N/A

Employees

Volunteers

N/A

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$3,186,167

Total Directors

$34,779,223

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Mininder S Kocher MD	Director	55.00	Director	$2,342,292	$112,309	$2,454,601
Benton E Heyworth MD	Director	60.00	Director	$1,399,232	$118,190	$1,517,422
Benjamin J Shore MD	Director	60.00	Director	$1,723,611	$105,288	$1,828,899
Eduardo N Novais MD	Director	60.00	Director	$1,615,602	$105,030	$1,720,632
Young-Jo Kim MD	Director	55.00	Director	$1,441,431	$86,518	$1,527,949
Daniel J Hedequist MD	Director	60.00	Director	$1,453,765	$112,862	$1,566,627
Donald S Bae MD	Treasurer	60.00	Officer Director	$1,275,827	$99,666	$1,375,493
Collin May MD	Director	60.00	Director	$954,771	$75,778	$1,030,549
Dennis E Kramer MD	Director	60.00	Director	$1,260,403	$135,769	$1,396,172
Carley Vuillermin MD	Director	60.00	Director	$1,085,429	$3,600	$1,089,029
Andrea Bauer MD	Director	60.00	Director	$1,098,032	$108,274	$1,206,306
Matthew D Milewski MD	Director	60.00	Director	$1,341,966	$101,336	$1,443,302
Colyn J Watkins MD	Director	60.00	Director	$1,200,477	$101,336	$1,301,813
Yi-Meng Yen MD	Director	60.00	Director	$1,261,579	$108,933	$1,370,512
M Timothy Hresko MD	Director	60.00	Director	$800,532	$83,603	$884,135
John B Emans MD	Director	60.00	Director	$286,833	$103,091	$389,924
Samantha A Spencer MD	Clerk	60.00	Officer Director	$754,053	$81,030	$835,083
Travis H Matheney MD	Director	60.00	Director	$1,182,659	$71,600	$1,254,259
Megan Hannon MD	Director	60.00	Director	$598,808	$101,840	$700,648
Lawrence I Karlin MD	Director (10/23-1/24)	60.00	Director	$159,321	$56,043	$215,364
Melissa Christino MD	Director	60.00	Director	$838,051	$85,492	$923,543
Susan Mahan MD	Director	60.00	Director	$522,110	$101,336	$623,446
Brian Snyder MD	Director	60.00	Director	$821,382	$86,056	$907,438
Michael B Millis MD	Director	60.00	Director	$125,874	$29,130	$155,004
Martha M Murray MD	President	60.00	Officer Director	$903,838	$71,753	$975,591
Craig Birch MD	Director	60.00	Director	$1,258,500	$85,143	$1,343,643
Grant Hogue MD	Director	60.00	Director	$1,618,287	$101,336	$1,719,623
Kiriaki C White MD	Director	60.00	Director	$435,601	$71,600	$507,201
Michael Beasley MD	Director (10/23-3/24)	60.00	Director	$608,695	$84,026	$692,721
Rebecca Vieira MD	Director	60.00	Director	$507,949	$3,600	$511,549
Michelle Mo MD	Director	60.00	Director	$878,936	$71,600	$950,536
Kristin Livingston MD	Director	60.00	Director	$356,609	$3,600	$360,209
Aristides Cruz MD	Director (3/24-9/24)	60.00	Director	$0	$0	$0
Benjamin Gundlach MD	Director (6/24-9/24)	60.00	Director	$0	$0	$0
Joleen Weissert MD	Director (8/24-9/24)	60.00	Director	$0	$0	$0
N/A	Institutional Trustee	2.00		$0	$0	$0
Lyle J Micheli MD	Physician	2.00	Highest	$834,564	$82,563	$917,127
Andrea Straccolini MD	Physician	20.00	Highest	$705,299	$71,600	$776,899
Kathryn Ackerman MD	Physician	20.00	Highest	$788,763	$101,214	$889,977
Sarah Jackson MD	Physician	20.00	Highest	$717,136	$84,026	$801,162
William Meehan MD	Physician	20.00	Highest	$578,498	$101,336	$679,834

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$89,580,176	$105,924,064	$149,096,569	$-16,343,888
2023	$76,080,289	$84,602,503	$148,452,842	$-8,522,214
2022	$70,316,844	$56,671,789	$144,962,988	$13,645,055
2021	$69,430,775	$66,626,517	$150,881,893	$2,804,258
2020	$59,334,909	$57,509,793	$133,683,990	$1,825,116
2019	$64,038,304	$60,340,468	$124,047,360	$3,697,836
2018	$63,317,233	$53,675,208	$118,116,537	$9,642,025

Children's Orthopaedic Surgery FoundationInc