Boston Pediatric Neurosurgical Foundation Inc

Nonprofit profile at a glance

EIN
042986097
IRS 990 coverage
2016–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Boston, MA, USA
Phone
6173554615
Rating
72
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Surgery Specialties

Reported finances

Revenue
$21,637,535
Expenses
$18,799,583
Assets
$25,477,065
Liabilities
$9,859,686

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

10 people listed

Executive titles in this filing

  • MARK R PROCTOR MD (PRESIDENT)

Highest reported compensation

  • EDWARD R SMITH MD (CLERK/TREASURER): $1,637,752 total reported compensation
  • MARK R PROCTOR MD (PRESIDENT): $1,617,918 total reported compensation
  • LISSA C BAIRD MD (DIRECTOR): $1,554,041 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The foundation provides neurosurgical services primarily to patients at boston children's hospital and at satellite locations. The foundation carries on and promotes basic and applied medical research and education in the field of neurosurgery by (see schedule o) teaching students and other medical and scientific personnel. The foundation also provides care for patients regardless of their ability to pay.

What it reported doing in 2024

The foundation provides neurosurgical services primarily to patients at boston children's hospital, brigham and women's hospital, inc., and at satellite locations. The foundation may charge for patient care and other medical services, provided that any net income is used for the charitable, scientific, and educational purposes for which the foundation was created. The foundation also provides care for patients regardless of their ability to pay, as well as providing and supporting hospital and community based services that are either unavailable or limited elsewhere in the community. During the year ended september 30, 2025, the foundation performed 6,749 ambulatory visits and 1,086 surgical cases. The foundation provided $445,223 in free care services, had expenditures of $11,890 for research efforts, and (see schedule o) provided funding of $1,248,147 for teaching or educational initiaitives for the year ended september 30, 2025.

Operating model

Revenue model
Earned-program. 96% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 99% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 72
  • Transparency & Controls: 91
  • Accountability: 42
  • Sustainability: 53
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 76.4%; rating input score 76
  • Program expense ratio: 88.7%; rating input score 89
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 72nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 0%; rating input score 0; 3rd percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 13.1%; rating input score 73; 73rd percentile among comparable filings
  • Total-asset coverage ratio: 1.36; rating input score 47; 47th percentile among comparable filings
  • Liabilities to assets ratio: 0.39; rating input score 38; 38th percentile among comparable filings
  • Officer compensation ratio: 62.5%; rating input score 0; 0th percentile among comparable filings

Growth

  • Program expense growth: 7.6% per year; rating input score 100; 59th percentile among comparable filings
  • Revenue growth: 8.2% per year; rating input score 100; 66th percentile among comparable filings
  • Asset growth: 4.6% per year; rating input score 100; 33rd percentile among comparable filings

Details

  • Where the money goes: 76.4% of revenue deployed · 88.7% of spending went to programs
  • Governance: 0 of 9 board members independent · 9 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $16.7M in reported program spending
  • Leadership: top reported pay $1.6M · 10 people listed · 5 of 6 pay-setting controls reported
  • Consistency: 33 of 33 current checks pass
  • Schedules: 8 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 9 filing years from 2016 to 2024
  • Contacts: How to reach this organization
  • Money network: 12 filed money-flow records
  • Related organizations: 4 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 47/100.
  • High — Sustainability: Officer compensation ratio scored 0/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 38/100.