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Massachusetts · Nonprofit

Children's Orthopaedic Surgery Foundatio

Children's Orthopaedic Surgery Foundatio (Massachusetts) receives grants from 2 organizations whose IRS filings report $1,733,465 to it, the largest being President and Fellows of Harvard College ($1,657,665). 1 of them have funded it in more than one year, and 96% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.

Revenue FY2025
$93M
Funders on record
2
Grants received
$1.7M
Net assets
$82M
1/2 repeat funderspeak grant-dependency 0%
01What it does

What Children's Orthopaedic Surgery Foundatio does

Mission

The Foundation provides orthopaedic surgery services to patients at Boston Children's Hospital and at satellite locations. The mission strives to provide care for patients with a wide range of developmental, congenital, neuromuscular, and post (see Schedule O) traumatic problems of the musculoskeletal system. The Foundation also provides care for patients in need of orthopaedic services, regardless of their ability to pay.

As stated on its FY2025 Form 990.

Programs

  1. The 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 performed 100,467 ambulatory visits and 6,193 surgical cases. The Foundation provided $629,563 in free care services, had expenditures of $7,943,020 for research efforts, and provided funding (see Schedule O) of $4,332,556 for teaching or educational initiatives for the year ended September 30, 2025.

    $94,452,959 spentof which $6,095,999 as grants$89,616,003 earned by the program
    97% of program spending
  2. 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.

    $2,921,226 spent$1,493,399 earned by the program
    3% of program spending

The 2 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $97,374,185.

02The organization over time

The organization over time

Each line starts at 100 in 2018, so what you read is the shape rather than the size: 150 means half as much again as 2018, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20182018 Revenue 100 ($63M) Expenses 100 ($54M) Net assets 100 ($89M)2019 Revenue 101 ($64M) Expenses 112 ($60M) Net assets 106 ($94M)2020 Revenue 94 ($59M) Expenses 107 ($58M) Net assets 112 ($99M)2021 Revenue 110 ($69M) Expenses 124 ($67M) Net assets 129 ($115M)2022 Revenue 111 ($70M) Expenses 106 ($57M) Net assets 129 ($115M)2023 Revenue 120 ($76M) Expenses 158 ($85M) Net assets 128 ($113M)2024 Revenue 141 ($90M) Expenses 197 ($106M) Net assets 93 ($83M)2025 Revenue 148 ($93M) Expenses 188 ($101M) Net assets 92 ($82M)
'18'19'20'21'22'23'24'25
Revenue (148)Expenses (188)Net assets (92)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2024 to 2025, from $149M to $129M (−13%).

$118M
$124M
$134M
$151M
$145M
$148M
$149M
$129M
'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2020 2% · 2021 2%. Grants only. Government contracts and fees sit inside program revenue.

0% of Children's Orthopaedic Surgery Foundatio’s revenue is contributions — more earned-revenue than three-quarters of its peers (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 3 of the last 8 reported years ran a deficit.

$9.6M
’18
$3.7M
’19
$1.8M
’20
$2.8M
’21
$14M
’22
−$8.5M
’23
−$16M
’24
−$7.6M
’25
1.8
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

'18'19'20'21'22'23'24'25
Listed3332353336374042
Joined·+1+4+1+4+3+6+5
No longer listed·2131233
03Who funds it

Who funds it, year by year

2017 → 2020: the base held at 1 funder, grant income rose $23k → $38k.

Funder
'17
'19
'20
'25*
total
funders
1
1
1
1

1 of 2 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 96% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

Left out of every figure on this page: $132k from one payer (the payer shares this organization's board, largest Children's Sports Medicine Foundation Inc). These are real filings, and they are not money Children's Orthopaedic Surgery Foundatio raised.

From the IRS filings of Children's Orthopaedic Surgery Foundatio’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

Children's Orthopaedic Surgery Foundatio leans on a few funders — its largest provides 96% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

100% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund Children's Orthopaedic Surgery Foundatio.

96%
largest funder
100%
top three
~1
effective funders

Largest funder’s share by year: 2017 100% · 2019 100% · 2020 100% — broadly stable.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

96% of Children's Orthopaedic Surgery Foundatio's grant income arrives through donor-advised or pass-through sponsors, whose addresses record where the money is held rather than where the donor is. Of the $76k that is directly attributable, 100% of it comes from funders outside Massachusetts, across 1 state.

IL

In-state vs out-of-state, by year

’17
’19
’20
Massachusetts out of state home

Funder states come from each funder’s own filing. $1.7M arriving through sponsors registered in 1 state is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

Children's Orthopaedic Surgery Foundatio is better cushioned than half of the 2,843 health nonprofits its size.

Operating margin−8% · bottom quartile
Months of reserve1.8mo · above the median
Revenue growth (annualized)6% · below the median

this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025

Organizations like Children's Orthopaedic Surgery Foundatio

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Massachusetts

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

96% of spending goes to programs.

Program 96%Management 4%Fundraising 0%

Governance

33
board members
0%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

98%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Files a return copy in 1 state

MA

Part of a family of 2 related entities

  • Boston Children's Hospital · exempt
  • Physicians Org at Children's Hospital Inc · exempt

Screen this organization

A dated, signed PDF of the compliance screen for Children's Orthopaedic Surgery Foundatio: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds Children's Orthopaedic Surgery Foundatio?
Children's Orthopaedic Surgery Foundatio (Massachusetts) receives grants from 2 organizations whose IRS filings report $1,733,465 to it, the largest being President and Fellows of Harvard College ($1,657,665). 1 of them have funded it in more than one year, and 96% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
How many funders does Children's Orthopaedic Surgery Foundatio have?
IRS filings report 2 organizations giving $1,733,465 in grants to Children's Orthopaedic Surgery Foundatio, 1 of which have funded it in more than one year.
Who is the largest funder of Children's Orthopaedic Surgery Foundatio?
President and Fellows of Harvard College is the largest funder on record, with $1,657,665 in grants. The full list of funders is on this page.
How can an organization like Children's Orthopaedic Surgery Foundatio find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Massachusetts. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2018–2025), and the filings of 2 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing