Children's Hospital Pathology Foundation Inc

Nonprofit profile at a glance

EIN
043085427
IRS 990 coverage
2017–2024
Forms available
Form 990 2024
Location
Boston, MA, USA
Phone
6173554589
Rating
70
Verdict
SUPPORTED
Rating confidence
Moderate

Reported finances

Revenue
$15,997,315
Expenses
$14,668,744
Assets
$13,693,661
Liabilities
$1,682,173

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

Leadership & pay

14 people listed

Executive titles in this filing

  • MARK D FLEMING MD (PRESIDENT)

Highest reported compensation

  • MARK D FLEMING MD (PRESIDENT): $1,183,399 total reported compensation
  • JEFFREY D GOLDSMITH MD (BOARD MEMBER): $683,517 total reported compensation
  • ANTONIO R PEREZ-ATAYDE MD (PHYSICIAN): $668,667 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's mission is to provide pathology 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 pathology. The (see schedule o) foundation also provides services for patients regardless of their ability to pay.

What it reported doing in 2024

The foundation was organized exclusively for charitable, scientific, and educational purposes. The foundation provides pathology 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 is used exclusively 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 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 15,321 pathology encounters. The foundation provided $161,007 in free care services, had (see schedule o) expenditures of $237,125 for research efforts, and provided funding of $1,669,546 for teaching or educational initiatives for the year ended september 30, 2025.

Operating model

Revenue model
Earned-program. 95% 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

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 assets have declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 74
  • Transparency & Controls: 86
  • Accountability: 42
  • Sustainability: 48
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 80.4%; rating input score 80
  • Program expense ratio: 88.4%; rating input score 88
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 14th 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: 89.7%; rating input score 90; 20th 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: 8.3%; rating input score 63; 63rd percentile among comparable filings
  • Total-asset coverage ratio: 0.93; rating input score 34; 34th percentile among comparable filings
  • Liabilities to assets ratio: 0.12; rating input score 70; 70th percentile among comparable filings
  • Officer compensation ratio: 50.9%; rating input score 0; 0th percentile among comparable filings

Growth

  • Program expense growth: 5.2% per year; rating input score 100; 43rd percentile among comparable filings
  • Revenue growth: 4.9% per year; rating input score 100; 43rd percentile among comparable filings
  • Asset growth: -0.8% per year; rating input score 0; 8th percentile among comparable filings

Details

  • Where the money goes: 80.4% of revenue deployed · 88.4% of spending went to programs
  • Governance: 0 of 6 board members independent · 9 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $13M in reported program spending
  • Leadership: top reported pay $1.2M · 14 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 1 contractor listed · $152K reported
  • Consistency: 29 of 30 current checks pass · 1 finding to review
  • Schedules: 8 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 8 filing years from 2017 to 2024
  • Contacts: How to reach this organization
  • Money network: 16 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.

Key Signals

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

  • High — Accountability: Independent voting board scored 0/100.
  • High — Growth: Asset growth scored 0/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 34/100.
  • High — Sustainability: Officer compensation ratio scored 0/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.