Center for Medical Simulation Inc

Nonprofit profile at a glance

EIN
043486127
IRS 990 coverage
2013–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Charlestown, MA, USA
Phone
7817448924
Rating
47
Verdict
MIXED
Rating confidence
Moderate
Sector
Management & Technical Assistance

Official website

Reported finances

Revenue
$2,896,167
Expenses
$2,919,757
Assets
$2,749,256
Liabilities
$1,335,415

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

Leadership & pay

17 people listed

Executive titles in this filing

  • SHAEFI MD SHAHZAD (PRESIDENT; ANESTHESIOLOGIST)
  • GARDNER MD ROXANE (CLERK & EXECUTIVE DIRECTOR)
  • RUDOLPH PHD JENNY (FORMER CLERK & EXECUTIVE DIRECTOR)

Highest reported compensation

  • TALMOR MD MPH DANIEL (BOARD CHR; ANEST CHF BIDMC/CHR HMFP): $992,860 total reported compensation
  • LEIBOWITZ MD AKIVA (DIRECTOR; ANESTHESIOLOGIST): $757,169 total reported compensation
  • SHAEFI MD SHAHZAD (PRESIDENT; ANESTHESIOLOGIST): $710,533 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 principal purpose of the organization is to improve patient safety and healthcare quality by using simulation for education, training, and research. The center for medical simulation (cms) provides world-class healthcare simulation for a broad spectrum of providers and applications. Hands-on simulation helps teams and individuals develop preparedness and insight that is best learned and practiced in realistic conditions. Cms was one of the world's first healthcare simulation centers and continues to be a global leader in the field. Cms is approved by the american college of surgeons (acs) as a level 1-accredited educational institute, and is endorsed by the american society of anesthesiologists (asa).

What it reported doing in 2024

During the year the organization's most significant activities were as follows: simulation instructor training: the organization offered training to directors, principal faculty, and instructors of current or prospective simulation programs. Clinical training: the organization offered courses designed for individuals and teams across the health care field. Physicians, nurses, health care professionals, educators, and leaders all benefited from expanding their skills and collaboration through simulation. The organization regularly schedules courses in anesthesiology, obstetrics and surgery environments. Leadership and management training: the organization also provided health care adventures (hca) courses which focused on leadership and management teams across the health care field.

Operating model

Revenue model
Earned-program. 98% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% 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

MIXED - The filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 53
  • Transparency & Controls: 60
  • Accountability: 33
  • Sustainability: 27
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 59.6%; rating input score 60
  • Program expense ratio: 59.3%; rating input score 59
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.8%; rating input score 94; 20th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 16.7%; rating input score 17; 6th percentile among comparable filings
  • Governance controls: 5 of 9 controls in place; rating input score 56
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Fail
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -0.8%; rating input score 30; 30th percentile among comparable filings
  • Total-asset coverage ratio: 0.94; rating input score 35; 35th percentile among comparable filings
  • Liabilities to assets ratio: 0.49; rating input score 22; 22nd percentile among comparable filings
  • Officer compensation ratio: 45.2%; rating input score 2; 2nd percentile among comparable filings

Growth

  • Program expense growth: -4.4% per year; rating input score 0; 6th percentile among comparable filings
  • Revenue growth: -1.9% per year; rating input score 0; 7th percentile among comparable filings
  • Asset growth: -1.8% per year; rating input score 0; 8th percentile among comparable filings

Details

  • Where the money goes: 59.6% of revenue deployed · 59.3% of spending went to programs
  • Governance: 1 of 6 board members independent · 5 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $1.7M in reported program spending
  • Leadership: top reported pay $993K · 17 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 26 of 27 current checks pass · 1 finding to review
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 12 filing years from 2013 to 2024
  • Contacts: How to reach this organization
  • Money network: 5 filed money-flow records
  • Related organizations: 80 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.

Key Signals

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

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Accountability: Independent voting board scored 17/100.
  • Review — Financial Efficiency: Program expense ratio scored 59/100.
  • Review — Accountability: Governance controls: 4 of 9 not reported.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • Moderate — Sustainability: Operating margin scored 30/100.
  • High — Growth: Asset growth scored 0/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 35/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • High — Sustainability: Officer compensation ratio scored 2/100.
  • High — Sustainability: Liabilities to assets ratio scored 22/100.