Children's Orthopaedic Surgery Foundatio
Children's Orthopaedic Surgery Foundatio reported $93.5 million in revenue and $101.1 million in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $96.30 went to program services, $3.70 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 97.5% of the total. The highest compensation it reported for one person was $2,676,100 (Director). 53 people received more than $100,000 in reportable compensation. Revenue rose 58% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $101MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending September 30, 2025 · Form 990, Part VIII · total revenue $93MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 96.3% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 3.7% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.3% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 97.5% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $2,676,100 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 2.65% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 53 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 9.7 | 6.6 |
| Independent voting board members Part VI 1a–1b | 0 of 33 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseThe Foundation provides orthopaedic surgery 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 in need of orthopaedic services regardless of their ability to pay, as well as providing hospital and community based services that are limited in the community. During the year ended September 30, 2025…
The Foundation carries on and promotes basic and applied medical research and education in the field of orthopaedics by teaching students and other medical and scientific personnel; by providing or supplementing income to research personnel through fellowships, research grants, and stipends; and by giving lectures and publishing information concerning conditions and research results in the field of pediatric orthopaedics in order to educate the general public and the medical profession
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| Director Director/trustee, 55.00 hrs/week | $2,528,269 | $0 | $147,831 | $2,676,100 |
| Physician Highest compensated employee, 60.00 hrs/week | $1,916,685 | $0 | $120,953 | $2,037,638 |
| Director Director/trustee, 60.00 hrs/week | $1,782,903 | $0 | $121,759 | $1,904,662 |
| Director Director/trustee, 60.00 hrs/week | $1,783,588 | $0 | $120,934 | $1,904,522 |
| Director Director/trustee, 60.00 hrs/week | $1,735,902 | $0 | $124,151 | $1,860,053 |
| Director Director/trustee, 60.00 hrs/week | $1,680,382 | $0 | $132,543 | $1,812,925 |
| Director Director/trustee, 60.00 hrs/week | $1,516,045 | $0 | $196,653 | $1,712,698 |
| Director Director/trustee, 60.00 hrs/week | $1,583,933 | $0 | $80,192 | $1,664,125 |
53 people received more than $100,000 in reportable compensation from Children's Orthopaedic Surgery Foundatio (Part VII, line 2). Compensation of current officers, directors and key employees totaled $45M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b33 · 0 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26Yes
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 553
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| Massachusetts General Physicians Organiz Physiatry services | $2,343,817 |
| Harvard Medical Faculty Physicians Physician services | $1,358,119 |
| Coles & Bodoin Financial Counseling Services | $171,830 |
| BWPO Dept of Orthopaedics Fellowship services | $155,876 |
Individuals listed as contractors are left out. 4 contractors were paid more than $100,000 in all.
Private foundation grants it received
1 private foundation reported grants to Children's Orthopaedic Surgery Foundatio totaling $5,000 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Children's Orthopaedic Surgery Foundatio's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Children's Orthopaedic Surgery Foundatio, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Children's Orthopaedic Surgery Foundatio spent in FY2025, $96.30 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- La Rabida Children's HospitalChicago, IL · revenue $93M · programs 83.9% · FY2025
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- Versiti IndianaIndianapolis, IN · revenue $94M · programs 86.2% · 2024
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All health care charities · Largest charities in Massachusetts
Questions people ask
How much of Children's Orthopaedic Surgery Foundatio's spending goes to programs?
In the fiscal year ending September 30, 2025, Children's Orthopaedic Surgery Foundatio reported that 96.3% of its $101.1 million in expenses went to program services, 3.7% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Children's Orthopaedic Surgery Foundatio pay its top executive?
The largest total compensation Children's Orthopaedic Surgery Foundatio reported for one person in the fiscal year ending September 30, 2025 was $2,676,100, for the role of Director (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Children's Orthopaedic Surgery Foundatio get its money?
Of $93.5 million in revenue in the fiscal year ending September 30, 2025, 0.3% came from contributions and grants and 97.5% from program service revenue (Form 990, Part VIII).
Is Children's Orthopaedic Surgery Foundatio a registered charity?
The IRS lists EIN 04-2943146 as a 501(c)(3) organization (publicly supported organization (509(a)(2))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending September 30, 2025, object 202612269349303606 · read the filing
- FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202522109349301762 · read the filing
- FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202412279349300306 · read the filing
- FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202332279349300913 · read the filing
- FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202232169349301603 · read the filing
- FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202102289349301505 · read the filing
All filings for EIN 04-2943146: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.