CHILDRENS HOSPITAL CORPORATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL CORPORATION (EIN 04-2774441)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-15
IRS object ID: 202422289349303527
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-15T15:33:23-05:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Ernst & Young LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1 Manhattan West	AddressLine1Txt
City	New York	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10001	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	042774441	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital Corporation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIL	BusinessNameControlTxt
Phone	6173556000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02115	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Doug Vanderslice	PersonNm
Person Title	EVP, CFO & Treasurer	PersonTitleTxt
Phone	6173556000	PhoneNum
Signature	2024-08-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Nicole Sokolowski	PreparerPersonNm
PTIN	P01683199	PTIN
Phone	2127733000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Boston Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Kevin B Churchwell MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02115	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,002,887,107	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.childrenshospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1982	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	Provider of pediatric healthcare, education, research & community service	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	17410	TotalEmployeeCnt
Total Volunteers	398	TotalVolunteersCnt
Total Gross UBI	$1,148,401	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$620,211,449	PYContributionsGrantsAmt
CY Contributions Grants	$542,541,296	CYContributionsGrantsAmt
PY Program Service Revenue	$1,752,382,034	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,028,312,606	CYProgramServiceRevenueAmt
PY Investment Income	$35,048,650	PYInvestmentIncomeAmt
CY Investment Income	$28,189,134	CYInvestmentIncomeAmt
PY Other Revenue	$85,397,682	PYOtherRevenueAmt
CY Other Revenue	$113,772,190	CYOtherRevenueAmt
PY Total Revenue	$2,493,039,815	PYTotalRevenueAmt
CY Total Revenue	$2,712,815,226	CYTotalRevenueAmt
PY Grants And Similar Paid	$11,425,400	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$14,499,651	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,165,548,226	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,311,079,018	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$1,005,173	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$1,813,902	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$42,665,388	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,250,684,761	PYOtherExpensesAmt
CY Other Expenses	$1,547,564,575	CYOtherExpensesAmt
PY Total Expenses	$2,428,663,560	PYTotalExpensesAmt
CY Total Expenses	$2,874,957,146	CYTotalExpensesAmt
PY Revenues Less Expenses	$64,376,255	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$162,141,920	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,956,588,388	TotalAssetsBOYAmt
Total Assets EOY	$8,080,111,478	TotalAssetsEOYAmt
Total Liabilities BOY	$2,867,951,045	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,991,147,261	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,088,637,343	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,088,964,217	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,932,266,295	ExpenseAmt
Grant	$14,499,651	GrantAmt
Revenue	$2,025,509,449	RevenueAmt
Desc	CLINICAL CARE: The services we offer - from well child visits and treatment for typical child health issues (broken bones, tonsillitis, etc.) to chronic care (asthma, diabetes, obesity, etc.) and specialty services (oncology, cardiology, neurology) - benefit from our clinicians' high level of specialization, our collaboration with research scientists (many of whom are also physicians) affiliated with the hospital, and our significant investments in equipment, facilities and clinical and support staff. We also offer the only pediatrics Department of Addiction Medicine in the U.S., as well as the only Orthopedic Sports Medicine program located at a children's hospital. We also offer the largest programs in Pediatric Anesthesiology, Pediatric Cardiology, and Pediatric Critical Care, in the nation. Boston Children's is the safety net institution for very sick children throughout the region, supporting the entire health care system for the most complex pediatric cases. We receive referrals from community hospitals as well as from other academic medical centers throughout New England. Approximately 25% of our inpatients are transferred from hospitals & medical centers across Massachusetts for care that no one else can provide. In FY23, Boston Children's saw approximately 1.2 million outpatient visits, 60,000 emergency department visits, 22,000 inpatient or observation stays, and 26,000 inpatient or day surgeries. Our inpatient case mix index was 1.54 (MA only) and the average length of stay was 6.4 days. Of the bedded cases, more than 19.1% (CMI > 2.00) can be qualified as clinically complex. Of these patients, approximately 35% (patients on Medicaid/Medicare) are considered low income.Our Medicaid ACO provides primary care to 20% of the children covered by Medicaid in the state. The ability to support the health-related social needs of patients and families via the ACO complements the work that we are doing in communities to address the more systemic social determinants of health. We can address "downstream" immediate needs of children and families, but also to work with communities and partners to affect the "upstream" factors that drive poorer health outcomes for so many. This includes a focus on policy that can impact the health. We remain committed to advancing health equity through our Sandra L. Fenwick Institute for Pediatric Health Equity and Inclusion. Through the Institute's works, we seek to transform pediatrics by addressing persistent disparities in the delivery of care to our nation's children. In 2023, we continued to work closely and successfully with Tufts Medicine to implement a collaboration to ensure continuity of care for Tufts Medicine pediatric patients after Tufts Medical Center converted Tufts Children's Hospital's pediatric inpatient beds to adult ICU and medical/surgical beds. We came together with a mutual commitment to expanding Tufts Medicine Pediatrics through the creation of a shared and sustainable model of comprehensive pediatric care with Boston Children's. Our mutual vision for the collaboration is anchored in four goals:- Improving the health and well-being of the patients, families and communities we serve, with a particular lens on equity, diversity and inclusion.- Extending care into community settings closer to where people live and work.- Integrating with community-based pediatric and family medicine clinicians to better coordinate care.- Continuing the important work of research, education and training that is vital to any academic medical system.In 2023, we also finalized our affiliation agreement with Franciscan Children's Hospital, through which we will create a new, more effective and equitable system of fully integrated behavioral health and rehabilitative care, research and teaching that will significantly improve the lives of children and families in Massachusetts, New England and throughout the country. Increasingly, we have been able to care for and improve life and health outcomes for medically complex children, many with conditions such as congenital heart conditions, childhood cancers & complex neurological and neurosurgical conditions. Our capabilities are accelerating rapidly as we develop new clinical & surgical approaches including gene therapies, stem cell transplant procedures, fetal surgical interventions, and the like.Boston Children's is at the absolute forefront nationally in these & many other areas. As a result, we have seen significant growth in the number of complex patients served - patients who stay longer, require more resources (such as intensive care unit-level care), use a broader range of interdisciplinary specialists, and frequently require substantial support for their whole family. Some of them travel great distances, but equally many are from here in Massachusetts.Boston Children's MA/Regional network consists of our satellite/physician office locations, formal primary care relationships with groups such as the PPOC and Atrius, community health center relationships and a broad array of relationships with other hospitals in MA and New England including community hospitals, academic medical centers and specialty hospitals. We maintain relationships of varying structures, shapes and sizes with nearly all of the major academic medical centers and specialty hospitals in MA and New England, from a single service agreement such as providing remote EEG interpretations to Elliot Hospital to staffing community hospitals 24/7 365 per year to our multi-faceted Brigham relationship and joint cancer program with Dana-Farber. Our satellite/physician office locations and our community hospital relationships in eastern MA have been central to our commitment to increasing access to high quality pediatric services. Over the past 20+ years we have gradually grown our network of satellites/physician office locations and community hospital relationships providing a mix of neonatal, ED and inpatient services. Today, nearly 40% of our outpatient specialty visits and surgical cases take place in a Boston Children's satellite or physician office location. Our affiliated community hospitals account for nearly half of our MA community hospital transfers and 30% (~1,000) of all intra-hospital transfers. These community hospital relationships also generate important downstream referrals to our specialists including important neonatal referrals from the obstetrical programs at these community hospitals. As fewer community hospitals provide inpatient pediatric care, these hospitals are increasingly serving as regional pediatric hubs to help stem the tide of patients who have to be referred to Boston for community level care.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$457,651,331	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	RESEARCH: Our Research Mission is to be the leading source of research and discovery. We are the leader in discovery and innovation that is dramatically advancing not only pediatric care but adult care as well. We have the world's largest pediatric research program for many reasons. The most important reason is our focus on our patients. We are constantly evolving care and caring for increasingly complex patients. Every child who walks through our doors teaches us something. In FY2023, Boston Children's was #1 in National Institutes of Health funding for all U.S. children's hospitals, and #4 in funding among all independent hospitals. More than 3,000 basic, clinical, and translational research employees work in our dedicated facilities, which total some 1 million square feet of space.Our more than 1,100 investigators include 13 members of the National Academy of Sciences, 28 members of the National Academy of Medicine, 23 Fellows of the American Academy of Arts and Sciences, 13 Fellows of the American Academy for the Advancement of Sciences, 12 current members and 13 alumni of the Howard Hughes Medical Institute. Twenty-seven faculty are members of the American Association of Physicians and 47 are members of the American Society of Clinical Investigation. Over the years, four Boston Children's investigators have won the Nobel Prize and six have won the nearly equally prestigious Lasker Award.Our investigators are Harvard Medical School faculty - basic scientists, clinical researchers and epidemiologists - who are accelerating the pace of medical discovery from brainstorm to bench to bedside. Our researchers were the first to develop 10 new disease-based stem cell lines by reprogramming adult stem cells that can be used to study treatments for diseases ranging from Parkinson's to Diabetes. Here are just a few research success stories from 2023:- A long-awaited gene therapy for sickle cell disease with deep roots at Boston Children's Hospital and Dana-Farber Cancer Institute was approved by the Food and Drug Administration (FDA). It is also the first therapy using CRISPR gene editing to gain FDA approval for any condition.- Boston Children's Gene Therapy Program, in close collaboration with the Leukodystrophy Clinic at Massachusetts General Hospital, infused the first patient ever to receive Skysona gene therapy outside of a clinical trial.- A team of specialists from Boston Children's and Brigham and Women's Hospital performed a first-of-its-kind intervention for a rare, life-threatening type of blood vessel anomaly called a vein of Galen malformation (VOGM) - performed in utero. The ultrasound-guided embolization involved deploying tiny metal coils into the affected vein via a microcatheter inserted through a needle that we guided through the mother's abdomen and into the fetus's brain.- Boston Children's researchers are investigating a cell or gene therapy approach to cystic fibrosis, targeting a cell type that's only recently been discovered.- Researchers in Boston Children's Department of Urology are developing a new approach to treating Clostridium difficile (C. diff) intestinal infections targeting the inflammation, not the bacteria.- Our cardiac surgeons are using 3D modeling to improve surgical planning by revealing details of patients' hearts.- Scientists in our Computational Health Informatics Program have found telltale markers of anxiety in electroencephalograms (EEGs), even in early childhood.- Sports medicine researchers at Boston Children's may have found a new pathway for preventing and treating medial tibial stress syndrome (shin splints) in young athletes by focusing on the muscles of the feet.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$47,076,220	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$24,615,931	RevenueAmt
Desc	TEACHING: Boston Children's is committed to providing high quality continuing education for pediatric providers and specialists throughout the world. As the primary pediatric teaching affiliate of Harvard Medical School, our more than 2,000 attending physicians and researchers are on the clinical frontier of effectively understanding and treating many pediatric diseases and disorders.We are proud to be the primary teaching hospital of Harvard Medical School, and our Nursing Department partners with 27 schools of nursing throughout Massachusetts and New England. We are home to the largest and most competitive training program in pediatrics, seeding the world with the next generations of scientists, innovators and caregivers.We offer more than 70 Training Programs (44 are accredited - more than any other freestanding children's hospital). We host over 500 Boston Children's-based residents and clinical fellows annually, selected for their potential leadership in their respective fields and their commitment to advancing the frontiers of pediatric care. A 24-year analysis of residents who have graduated from our Department of Medicine found that roughly 40% go on to become leaders in academic medicine, filling positions such as deans, chairs and program heads across the country. More than one third of the chiefs of pediatric departments across the country trained at Boston Children's. Our simulation program, Immersive Design Systems, is the first hospital-based simulator program at a teaching hospital in New England. Our goal is to make "practice prior to game time" part of healthcare routine, offering a fully integrated quality assurance and improvement resource, preparation and testing environment for hospitals. Boston Children's offers the only training programs in New England for Adolescent Medicine, Congenital Cardiac Surgery, and Neurodevelopmental Disabilities; and the only training programs in Massachusetts for Adolescent Medicine, Congenital Cardiac Surgery, Neurodevelopmental Disabilities, Pediatric Cardiology, Pediatric Hematology/Oncology, Pediatric Nephrology, Pediatric Orthopedics, Pediatric Pathology, and Pediatric Surgery.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$23,332,131	$0	$0	Community:Boston Children's Hospital was among the first academic medical centers in the country to expand the traditional missions of patient care, teaching, and research to embrace a fourth part of its mission - community. Through the years, Boston Children's has strived to ensure that community health is more than just words in its mission statement. The efforts have evolved from targeted services for individual families to innovative models that have proven to reduce health disparities, improve child health outcomes, and promote health equity.Boston Children's community mission is based on the needs of the community. It revolves around keeping children healthy through wellness and prevention efforts, ensuring that children have access to needed health care services, and partnering with others in the community to address the social determinants of health. These are issues that can have a significant impact on an individual's health such as exposure to violence, experiencing food insecurity, living in poverty or having unstable housing. In all its endeavors, Boston Children's focuses on meeting community needs and implementing programs that are aligned with the priorities of the City of Boston, the Boston Public Health Commission, the Boston Public Schools, as well as other key partners and city agencies.Understanding community needsBoston Children's conducts a comprehensive community health needs assessment every three years as required by the Internal Revenue Service. The full report from the 2022 assessment can be found at www.childrenshospital.org/community-health/needs. The findings inform the direction of Boston Children's Community Health Improvement Plan, which outlines how the hospital will use its resources and partner with others to address those themes and improve community health. This process also ensures that the hospital is utilizing its resources and leveraging community partnerships in the most effective way. The assessment was approved by the Boston Children's Board of Trustees in the fall of 2022. The 2022 assessment identified the health-related needs, strengths, and resources available to children, youth, families, and residents in Boston - specifically the neighborhoods of Dorchester, Jamaica Plain, Mattapan, Mission Hill, and Roxbury. The assessment also looked at those living in the communities served by Boston Children's locations outside of Boston, which includes Brookline, Lexington, North Dartmouth, Peabody, Waltham, and Weymouth.Boston Children's 2022 assessment also included data from the Boston Community Health Collaborative. This assessment included a wide range of Boston stakeholders - community organizations, community development corporations, health centers, hospitals, and the Boston Public Health Commission. While community health assessment and planning work are often conducted by individual organizations, the Boston Collaborative aligns and coordinates resources between multi-sector stakeholders across the city. Boston Children's is a founding member, and staff participate in the steering committee and work groups.Key themes from the assessment include how poverty impacts child and community health, access to stable and affordable housing, concerns about food access and insecurity, and the importance of prevention and focus on early childhood and youth development. Health issues of concern for families continue to be around mental/behavioral health, asthma, and obesity. A formal and comprehensive needs assessment is only one part of Boston Children's approach to understanding the health needs and vital resources within the community. Boston Children's is continually listening and learning from patient families, community leaders, and staff. The staff rely on ongoing conversations with Boston Children's key partners - community health centers and community-based organizations, as well as the Boston Public Health Commission, and the Boston Public Schools.Through the Community Advisory Board, which meets on a quarterly basis, Boston Children's has a direct link to expertise on Boston neighborhoods, community organizations, and current health needs. Members of the Community Advisory Board are instrumental in providing feedback throughout the year and play a key role in the Boston Children's formal assessment process. This feedback from experts, community leaders, and partners as well as the Community Advisory Board informs the hospital's community mission, strengthens the development of partnerships, and helps to shape the implementation of the hospital's Strategic Implementation Plan. Being a community health leaderBoston Children's has identified priority health areas - asthma, obesity, mental and behavioral health, and early childhood development - and has a programmatic response to each. Community programs are focused where Boston Children's has the clinical expertise, resources, and partnerships to make a difference. Boston Children's strategy for improving community health is to: 1) address the most pressing health needs of children and families; 2) provide services through programs that can lead to improvements in health; or 3) build community capacity to better meet the needs of children and families. Some of these programs are described briefly below.- Since 2005, the Community Asthma Initiative (CAI) has helped to improve the health and lives of 2,611 Boston children with asthma. Through a comprehensive asthma home visiting program, CAI provides case management, home visits, offers education to caregivers and patients, distributes asthma control supplies, connects families to resources and increases access through advocacy. CAI surpassed its quality goal, reducing the percent of patients with any hospitalizations by 82% and any emergency department visits by 54% after one year in the program. The program provided education and training for 196 community meetings with 2,362 participants, 2 community events with 50 participants, 4 trainings/talks with 40 participants. It cared for 75 new patients with 58 completing at least one home visit. Boston Children's staff completed 86 visits, with 84 by Community Health Workers and 2 by the Nurse Practitioner.- Boston Children's Hospital Neighborhood Partnerships Program (BCHNP) is the hospital's community-based behavioral health program. BCHNP places clinicians in Boston schools to provide a comprehensive array of services to better meet the needs of children and adolescents. In FY23, 1,392 students participated in 32 BCHNP classroom interventions focused on a range of topics, including but not limited to community building, emotion regulation, identity/self-awareness, and social skills. BCHNP continued to train educators and behavioral health professionals in a depression awareness curriculum, Break Free From Depression, nationwide through online training. BCHNP's School-Based Program implemented clinical intervention, early intervention, and prevention/promotion services with 1,551 students across five elementary, K8, middle, and high schools. Clinicians intervened in 66 crisis situations with a median wait time of 7 minutes, provided individual therapy to 24 students, and provided care coordination services to 102 students. BCHNP provided professional development webinars through its Training and Access Project (TAP), reaching 340 school-based social workers in 2023. Average satisfaction ratings across all stakeholders (students, caregivers, educators, and school staff) and services were over 95% with the majority of average satisfaction ratings falling well over 90%. - The Healthy in the City (HIC) program is a community-based approach to addressing obesity by offering prevention and intervention strategies to support children and youth who are overweight or at-risk for obesity, in making healthier choices and behavior changes. HIC supports 10 Boston community health centers to provide more than 1,000 children annually with case-management support, as well as access to nutrition and physical activity programs. In FY23, 59% of children decreased and 5% maintained their BMI over the year. Children also reported consuming less fast food and sugar-sweetened beverages, consuming more fruits and vegetables, watching less TV, and increasing their amount of exercise after 12 weeks in the program. The program also engaged an additional 530 children who are at-risk of obesity or identify as food insecure in nutrition education and physical activity and connected them to food resources.
			- Family Food Connections is a food pantry owned and operated by Boston Children's in the Mildred C. Hailey Apartments of the Boston Housing Authority. It opened for visitors in January 2022. This food pantry provides fresh fruits, vegetables, milk, eggs, bread, and staple items to families. The pantry is open to residents of Mildred C. Hailey Apartments, as well as the surrounding neighborhoods of Jamaica Plain and Roxbury. Boston Children's patients are also referred there and make up about 30% of the users. In FY23, there were 39,334 visits to the pantry. The food pantry became an official site of the Greater Boston Food Bank, and it has received great support from community partners and families. Families were also provided additional social and health care supports through our primary care locations at the Martha Eliot Health Center and the Primary Care Center at Longwood.Serving as an anchor for the communitySince 2018, Boston Children's has been a committed and proud member of the Healthcare Anchor Network, a national network of more than 70 hospitals and health care systems working to build more inclusive and sustainable local economies.Four focus areasThe Boston Children's anchor strategy puts corporate goals and business practices in place to address economic and racial inequities and aims to help improve community conditions that contribute to poor health. There are four pillars:1. Hiring and Workforce Development. Boston Children's partners with community organizations to recruit, hire, and train individuals from neighboring communities to ensure that employees are reflective of the communities we serve.2. Purchasing. Boston Children's supports community businesses by buying locally whenever possible, with a focus on increasing the participation of minority-owned, women-owned, and veteran-owned businesses.3. Investment. Boston Children's is investing in local projects that can produce significant health and social returns for our community. This includes projects that address affordable housing, early childhood education, youth engagement, and mental health efforts.4. Sustainability. Boston Children's is implementing approaches to advance reductions in hospital-generated greenhouse gas emissions and contribute to local climate resilience.The Boston Children's anchor strategy builds upon and amplifies the work of the hospital's community mission to improve the health and well-being of children and families.Boston Children's role as an anchor was further developed through a deployment of $2.5 million out of a $10 million allocation from the hospital's endowment for use in impact investments. Boston Children's Community Investment Advisory Committee provided input on strategy and reviewed projects for this investment. Four meetings were held to review and provide recommendations on this investment for a five-year low interest predevelopment loan that would benefit mixed-income housing projects in Jamaica Plain and Allston-Brighton. Boston Children's Hospital also secured a commitment from another community development financial institution to partner on a pipeline of affordable homeownership projects led by nontraditional developers and facility ownership projects for education and children's mental health service providers. The Community Health team has worked with the government, community leaders, and residents to identify projects and conduct due diligence. Expanded commitment through the Collaboration for Community HealthBoston Children's had an opportunity to build on its history of building partnerships with the community. In August 2018, Boston Children's started to distribute additional funds as part of an agreement with the Massachusetts Department of Public Health's Determination of Need/Community Health Initiative program.These funds - Boston Children's Collaboration for Community Health - are distributed to community organizations in addition to our ongoing commitments and support for programs and partners. The strategy to distribute funds followed a two-year community engagement process to inform how Boston Children's could make a long-lasting impact. That process resulted in identifying several strategic funding areas to address the critical needs of children and families.Funding and support for community-based projects are in the following strategic areas: Mental Health and Youth Support Systems, Community Trauma Response, Birth to Five Child Health and Development, Family Housing Stability and Economic Opportunity, Community Physical Activity, Recreation and Food Access and through the Children's Health Equity Collaborative.Through the Boston Children's Collaboration for Community Health, more than 80 organizations have now received funds and support from the hospital. The leadership and staff also have been convened by Boston Children's to network, share lessons learned, provide feedback, and receive assistance around advocacy and evaluation.More details on the Collaboration and the funded projects can be found at BostonChildrens.org/funding.Addressing social determinants of healthBoston Children's also responds to the social determinants of health by focusing on support and partnerships in three areas: - Education and schools. Boston Children's partners with the Boston Public Schools (BPS) to support and strengthen the system as well as to work directly in school settings to reach students and help families.In FY23, BCHNP's Training and Access Project (TAP) continued to provide professional development and consultation services focused on building the capacity of school communities to address social, emotional, and behavioral health. Through TAP's online free training series for school communities, it increased its national reach to over 11,000 participants to date. In 2022-2023, TAP provided a webinar training series that reached 340 BPS social workers from over 88 schools. Trainings were developed based on needs identified by the social workers. The series included 11 interactive trainings. TAP trainings can be accessed at www.bostonchildrens.org/TAPOnline. - Workforce Development. Boston Children's strives to bridge community and incumbent talent to build diverse teams that provide the best service and care for patient families. With equity, diversity, and inclusion at the core of this work, the hospital partners with numerous community-based organizations to recruit community talent to job, internship, and career exploration opportunities. Once a community member joins Boston Children's as an employee, there are extensive offerings available as individuals build their career within the enterprise.Boston Children's also supports the pipeline of health care workers by exposing youth to careers in the health field. Programs include SCOOP for students interested in nursing careers and the COACH program, which provides opportunities for high school students to work at the hospital during the summer. Last year, the program had 69 high school and 35 college students participating. Boston Children's has hired more than 50 former COACH interns into permanent, per diem, temporary and internship positions. Examples of other programs include:- Aspire Internship Program (MGH): internship program for adults with high cognitive autism spectrum disorder or a related social profile to gain real-world work experience. - ARCH JVS Training Program: Training program developed by Boston Children's and JVS to train high intermediate ESOL speakers in the field of animal care in research operations. The program offers free training in contextualized ESOL for the role and on-the-job training. The program pays wages while trainees learn. Upon successful completion, graduates are offered full-time jobs. - JVS Pharmacy Technician Program: Boston Children's sponsors community members to attend the JVS Pharmacy Tech program at no cost and then hosts trainees for externship hours. Upon successful completion, graduates are offered a position.
			- Partnering to support the health and social infrastructure in place for families. Boston Children's is also committed to and directs resources to build capacity within the existing infrastructure of care for Boston children and families. This means supporting key partners such as Boston community health centers. The hospital has relationships and strong partnerships with 11 Boston community health centers. Through these partnerships, Boston Children's improves access to care for underserved populations, helps efforts to better manage chronic diseases, and supports prevention and treatment services that improve the health of Boston children, youth, and families. Health center partners receive funding, training, and technical assistance. Due to the on-going mental and behavioral health crisis for children and youth, Boston Children's has made a substantial investment to develop internal resources to assist patients and their families (in coordination with state and community-based agencies) with crisis stabilization and care delivery transformation. Leveraging community partnerships and community-based providers, the focus is providing enhanced services to enable a safe transition to an appropriate level of care. Investments include but are not limited to enhanced behavioral response, state agency coordination, Emergency Department diversion programming, room-modifications, and more. Boston Children's also has relationships with a wide array of community organizations, which provide services as well as a voice for the families and neighborhoods they represent. Serving as a safety netBoston Children's remains committed to its local community, providing primary and preventative care, as well as inpatient care for complex illnesses. It is one of the leading providers of health care to low-income children in Massachusetts and it provides care unavailable elsewhere in the state and sometimes the nation. Boston Children's also is a safety net provider for Boston children. This safety net is financial in that the hospital provides free care, subsidizes care for Medicaid patients, and incurs bad debt for patient families who cannot pay for the care they receive. It is programmatic in that Boston Children's offers vital, hospital-subsidized services that are either unavailable elsewhere or available only in a limited capacity, such as mental health and dental care.Advocating for children and familiesAs the only freestanding children's hospital in Massachusetts, influencing public policy to improve child health is an important aspect of Boston Children's commitment to community health. The hospital is a leading provider of pediatric medical and behavioral health services to low-income children across the Commonwealth and is a critical component of the safety net for children throughout New England and the nation. Boston Children's has been an organized force and an influential advocate for health and wellbeing of children for more than 20 years.Boston Children's is an effective advocate on legislative and regulatory matters, both at state and federal levels, that affect children's wellbeing such as increasing access to quality pediatric mental health programs, promoting better treatment and access to services for children with medical complexity and chronic conditions, improving the landscape for pediatric medical research and advancing innovative public health policies grounded in racial equity. Boston Children's advocacy history is rooted in the promotion of better insurance coverage for children, including major child health expansions in the 1990s, the passage of Massachusetts's 2006 health reform law, and significant national involvement in work to promote child health access through the Children's Health Insurance Program, Medicaid, and the Affordable Care Act. As a result, Massachusetts has achieved near universal health access for children, with only 1.5 percent of children uninsured - the lowest rate in the country.Massachusetts has emphasized payment reform and cost containment policies within the health care system. Boston Children's played an active and vocal role in the development of the groundbreaking statewide payment reform legislation that was signed into law in August 2012. Nationally, Boston Children's engaged in efforts to preserve and improve Medicaid and the Children's Health Insurance Program, which serve as a safety net for children in all fifty states, ensuring their access to high-quality, effective coverage, and facilitates important quality measurement and improvement initiatives. We have also worked to ease the burdens on families in the Medicaid program who find it necessary to cross state lines for care.
			In 2006, Boston Children's (including its Boston Children's Hospital Neighborhood Partnerships Program for details see above) and a coalition of community organizations launched the Children's Mental Health Campaign (CMHC). The CMHC has converted its credibility and influence into several major policy accomplishments which have redefined the landscape of the children's mental health system in Massachusetts. In 2008, the CMHC was instrumental in securing passage of two landmark state laws. An Act Relative to Children's Mental Health (Chapter 321) creates a structure for enhancing early identification of behavioral health needs, treating children in the most appropriate settings, enhancing coordination among state health care agencies, and establishing mechanisms for oversight of and input into the state children's mental health system. Chapter 256 strengthened the state's mental health parity law by expanding the categories of disorders for which health insurance plans must provide mental health benefits. The CMHC is determined to hold key stakeholders accountable for implementing the new laws secured through its advocacy efforts. Current efforts at the state level address: access to behavioral health services, addressing the emergency room boarding crisis, improving mental health in schools, and ensuring access to behavioral health services for children involved with state agencies. At the federal level, Boston Children's is working with our peers to bolster the pediatric mental health workforce and ensure the availability of a full continuum of care for kids. Additionally, Boston Children's works in collaboration with a host of public health and prevention advocates to ensure public policies work to keep children safe and healthy. Boston Children's public health work includes social determinants of health and racial and social justice as an essential component. With this in mind, our priorities include affordable and accessible access to early education and childcare and school meals; the provision of safe, stable and affordable housing; and supporting efforts to reduce violence and environmental health exposures where our most vulnerable kids live play and learn. The hospital also lends expertise in efforts to reduce racial inequities in maternal and infant health. Boston Children's has established the over 4,000 member Children's Advocacy Network (CAN), a grassroots advocacy network that leverages the many voices of families, hospital staff, and community partners in support of child health. Since 2006, the hospital has trained hundreds of advocates through an in-depth training series that gives advocates a better understanding of the legislative process and the skills needed for effective advocacy. The CAN hosts regular educational sessions, which offer hospital staff and community partners a monthly opportunity to learn about a current topic related to children's health policy and explore ways to advocate for children at the federal and state levels. Staff members from departments throughout the hospital regularly engage with the CAN to receive information about policy changes that may impact their patient population or schedule in-service presentations about current events in Washington and at the state level.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$23,332,131	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$2,460,325,977	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1986	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	17410	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	Yes (1)	NondeductibleContributionsInd
Nondeductible Contri Discl	Yes (1)	NondeductibleContriDisclInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Doug Vanderslice	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6173556000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02115	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Kevin Churchwell MD
President & CEO	55.00	6.00	Yes (X)	Yes (X)	$3,239,502	$0	$125,802
Douglas Berthiaume
Director - Chairman	5.00	5.00	Yes (X)		$0	$0	$0
Allan Bufferd
Director	1.00	1.00	Yes (X)		$0	$0	$0
Winston Henderson
Director	1.00	1.00	Yes (X)		$0	$0	$0
Ivor Horn MD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Stephen Karp
Director	1.00	1.00	Yes (X)		$0	$0	$0
Steven Krichmar
Director	1.00	1.00	Yes (X)		$0	$0	$0
Robert Langer ScD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Vivian Lee MD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Harvey Lodish PhD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Gary Loveman MD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Ralph C Martin
Director	1.00	1.00	Yes (X)		$0	$0	$0
Thomas Melendez
Director	1.00	1.00	Yes (X)		$0	$0	$0
Ted Pappendick
Director	1.00	1.00	Yes (X)		$0	$0	$0
Kathleen Regan
Director	1.00	1.00	Yes (X)		$0	$0	$0
Robert A Smith
Director - Vice Chair	2.00	2.00	Yes (X)		$0	$0	$0
Alison Taunton-Rigby PhD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Lisa Wieland
Director	1.00	1.00	Yes (X)		$0	$0	$0
Marc B Wolpow
Director (thru 1/30/23)	1.00	1.00	Yes (X)		$0	$0	$0
Doug Vanderslice
EVP, CFO & Treasurer	55.00	7.00		Yes (X)	$1,981,768	$0	$75,202
Michele Garvin Esq
EVP, General Counsel & Secretary	55.00	6.00		Yes (X)	$1,698,464	$0	$45,408
Bruce Balter
Asst Treasurer/Dir Corp Fin Svcs	55.00	5.00		Yes (X)	$308,881	$0	$50,814
Christine Grenache
Asst Sec/Exec Manager	55.00	5.00		Yes (X)	$153,097	$0	$17,051
Philip Rotner
Chief Investment Officer	55.00	5.00			$1,872,096	$0	$63,954	Yes (X)
Peter Laussen MD
EVP, Health Affairs	55.00	5.00			$1,328,408	$0	$71,939	Yes (X)
Laura J Wood DNP MS RN
EVP, Chief Nursing Officer	55.00	5.00			$979,803	$0	$67,559	Yes (X)
Demosthenes Argys
EVP, Chief Administrative Officer	55.00	5.00			$1,066,845	$0	$48,780	Yes (X)
Lynn Susman
EVP, Chief Development Officer	55.00	5.00			$841,364	$0	$60,504	Yes (X)
Lisa Hogarty
SVP, RE Planning and Develop	55.00	5.00			$769,371	$0	$49,075	Yes (X)
Michael Gillespie
SVP, Clinical Services	55.00	5.00			$635,382	$0	$48,689	Yes (X)
Patricia Hickey PhD MBA RN NEA-BC
SVP, Nursing/Patient Care	55.00	5.00			$712,979	$0	$44,687	Yes (X)
August Cervini
SVP, Research Administration	55.00	5.00			$541,091	$0	$46,172	Yes (X)
Heather Nelson
SVP, Chief Information Officer	55.00	5.00			$836,528	$0	$45,726	Yes (X)
Joseph Mitchell
EVP & President, Franciscan's	5.00	55.00			$0	$917,580	$21,500	Yes (X)
Nancy Andrews
EVP, Chief Scientific Officer	55.00	5.00			$1,844,614	$0	$68,056	Yes (X)
Steven Luber
SVP, Finance	55.00	5.00			$588,349	$0	$10,437	Yes (X)
Martin Kelly
Director, Investments	55.00	5.00			$901,441	$0	$44,483		Yes (X)
Nirav Desai
Director, Investments	55.00	5.00			$832,477	$0	$41,173		Yes (X)
Alison Svizzero
Director, Investments	55.00	5.00			$857,945	$0	$23,418		Yes (X)
Cynthia Haines
SVP, National & International	55.00	5.00			$824,277	$0	$52,214		Yes (X)
Nader Rifai PhD
Director, Lab Medicine	55.00	5.00			$703,171	$0	$47,979		Yes (X)
Sandra Fenwick
Former President & CEO	0.00	0.00			$958,796	$0	$0			Yes (X)
Daniel Nigrin MD
Former SVP & CIO	0.00	0.00			$372,174	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$24,848,823	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$917,580	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,170,622	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3908	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Suffolk Construction
65 Allerton Street	Boston	MA	02119	Construction Services	$56,533,599
Vaya Workforce Solution LLC
5930 Cornerstone Ct W	San Diego	CA	92121	Staffing Services	$41,116,247
Skanska USA Building Inc
101 Seaport Blvd	Boston	MA	02210	Construction Services	$29,625,565
VPNE Parking Solutions
343 Congress Street	Boston	MA	02210	Parking Services	$17,324,646
The Brigham and Women's Hospital
75 Francis Street	Boston	MA	02115	Healthcare/Research Services	$13,179,388

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	401	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$37,982	FederatedCampaignsAmt
Fundraising	$5,592,439	FundraisingAmt
Government Grants	$323,877,847	GovernmentGrantsAmt
All Other Contributions	$213,033,028	AllOtherContributionsAmt
Noncash Contributions	$7,270,055	NoncashContributionsAmt
Total Contributions	$542,541,296	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Svc. Revenue	621110	$1,916,358,816	$1,916,358,816
Program Svc. Grants	621110	$72,861,627	$72,861,627
Graduate Med Education	611710	$24,615,931	$24,615,931
Prof. Svc. Revenue	621110	$14,476,232	$14,476,232

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,028,312,606	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,435,494	TotalRevenueColumnAmt
Exclusion	$8,435,494	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,509,096	TotalRevenueColumnAmt
Exclusion	$12,509,096	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$32,166,873	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$11,563,682	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$20,603,191	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,603,191	TotalRevenueColumnAmt
Unrelated Business Revenue	$663,463	UnrelatedBusinessRevenueAmt
Exclusion	$19,939,728	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$296,391,794	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$276,638,154	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$19,753,640	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,753,640	TotalRevenueColumnAmt
Exclusion	$19,753,640	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$1,677,936	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$5,592,439	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,870,045	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$192,109	TotalRevenueColumnAmt
Exclusion	-$192,109	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Other General Services	900099	$42,643,218	$42,643,218
ACO Revenue	621110	$21,812,774		$21,812,774
Parking Revenue	812930	$9,505,882	$9,020,944		$484,938

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,890,138	TotalRevenueColumnAmt
Exclusion	$6,890,138	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$80,852,012	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,712,815,226	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,050,125,380	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,148,401	UnrelatedBusinessRevenueAmt
Exclusion	$119,000,149	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,504,241	TotalAmt
Program Services	$13,504,241	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$995,410	TotalAmt
Program Services	$995,410	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$19,398,543	TotalAmt
Management And General	$18,557,179	ManagementAndGeneralAmt
Fundraising	$841,364	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,020,058,083	TotalAmt
Program Services	$840,678,604	ProgramServicesAmt
Management And General	$157,742,364	ManagementAndGeneralAmt
Fundraising	$21,637,115	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$55,541,932	TotalAmt
Program Services	$50,516,518	ProgramServicesAmt
Management And General	$3,635,936	ManagementAndGeneralAmt
Fundraising	$1,389,478	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$117,906,945	TotalAmt
Program Services	$114,864,238	ProgramServicesAmt
Management And General	$175,708	ManagementAndGeneralAmt
Fundraising	$2,866,999	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$98,173,515	TotalAmt
Program Services	$92,331,928	ProgramServicesAmt
Management And General	$3,385,605	ManagementAndGeneralAmt
Fundraising	$2,455,982	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$9,573,205	TotalAmt
Program Services	$4,212,142	ProgramServicesAmt
Management And General	$5,361,063	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$8,127,717	TotalAmt
Program Services	$5,730,777	ProgramServicesAmt
Management And General	$2,396,940	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,548,677	TotalAmt
Program Services	$1,471,565	ProgramServicesAmt
Management And General	$1,074,608	ManagementAndGeneralAmt
Fundraising	$2,504	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$107,262	TotalAmt
Program Services	$107,262	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$1,813,902	TotalAmt
Fundraising	$1,813,902	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$477,613,256	TotalAmt
Program Services	$410,502,212	ProgramServicesAmt
Management And General	$65,572,497	ManagementAndGeneralAmt
Fundraising	$1,538,547	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$8,750,676	TotalAmt
Program Services	$5,873,034	ProgramServicesAmt
Management And General	$2,312,251	ManagementAndGeneralAmt
Fundraising	$565,391	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$129,409,662	TotalAmt
Program Services	$77,203,769	ProgramServicesAmt
Management And General	$45,178,831	ManagementAndGeneralAmt
Fundraising	$7,027,062	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$69,636,368	TotalAmt
Program Services	$13,490,959	ProgramServicesAmt
Management And General	$55,152,529	ManagementAndGeneralAmt
Fundraising	$992,880	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$133,541,390	TotalAmt
Program Services	$130,755,646	ProgramServicesAmt
Management And General	$1,591,744	ManagementAndGeneralAmt
Fundraising	$1,194,000	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$8,749,112	TotalAmt
Program Services	$6,311,972	ProgramServicesAmt
Management And General	$2,304,258	ManagementAndGeneralAmt
Fundraising	$132,882	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,270,715	TotalAmt
Program Services	$1,190,351	ProgramServicesAmt
Fundraising	$80,364	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$53,055,693	TotalAmt
Program Services	$53,055,693	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$169,138,378	TotalAmt
Program Services	$169,011,460	ProgramServicesAmt
Fundraising	$126,918	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$16,392,763	TotalAmt
Program Services	$12,036,178	ProgramServicesAmt
Management And General	$4,356,585	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Lab/Medical/Pharmacy	$353,933,516	$350,765,833	$3,167,683
Uncompensated Care	$45,703,118	$45,703,118
Uncollectible Accts	$41,040,816	$41,040,816
Free Care	$18,972,251	$18,972,251

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,874,957,146	TotalAmt
Program Services	$2,460,325,977	ProgramServicesAmt
Management And General	$371,965,781	ManagementAndGeneralAmt
Fundraising	$42,665,388	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$22,004,224	BOYAmt
EOY	$26,259,736	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$183,528,610	BOYAmt
EOY	$193,986,825	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$403,858,161	BOYAmt
EOY	$492,291,322	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$42,279,774	BOYAmt
EOY	$43,755,767	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$25,226,281	BOYAmt
EOY	$23,223,012	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,884,991,607	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,484,176,112	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,175,410,179	BOYAmt
EOY	$2,400,815,495	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$295,673,453	BOYAmt
EOY	$697,273,878	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,304,477,965	BOYAmt
EOY	$958,258,523	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,908,976	BOYAmt
EOY	$1,785,810	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,502,220,765	BOYAmt
EOY	$3,242,461,110	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,956,588,388	BOYAmt
EOY	$8,080,111,478	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$361,267,585	BOYAmt
EOY	$437,029,812	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$174,564,642	BOYAmt
EOY	$187,188,034	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$719,633,721	BOYAmt
EOY	$717,200,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$860,139,945	BOYAmt
EOY	$865,101,692	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$752,345,152	BOYAmt
EOY	$784,627,723	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,867,951,045	BOYAmt
EOY	$2,991,147,261	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,184,957,333	BOYAmt
EOY	$3,075,653,961	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,903,680,010	BOYAmt
EOY	$2,013,310,256	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,088,637,343	BOYAmt
EOY	$5,088,964,217	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,956,588,388	BOYAmt
EOY	$8,080,111,478	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$162,141,920	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$88,261,513	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$74,207,281	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$415,137,440	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$573,205,044	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$544,299,928	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$620,211,449	CurrentTaxYearMinus1YearAmt
Current Tax Year	$542,541,293	CurrentTaxYearAmt
Total	$2,695,395,154	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$415,137,440	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$573,205,044	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$544,299,928	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$620,211,449	CurrentTaxYearMinus1YearAmt
Current Tax Year	$542,541,293	CurrentTaxYearAmt
Total	$2,695,395,154	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$2,695,395,154	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$31,356,204	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$39,457,318	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$28,655,925	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$32,927,683	CurrentTaxYearMinus1YearAmt
Current Tax Year	$41,217,378	CurrentTaxYearAmt
Total	$173,614,508	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	-$5,469,037	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	-$2,691,040	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	-$1,619,078	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	-$1,063,993	CurrentTaxYearMinus1YearAmt
Current Tax Year	$813,623	CurrentTaxYearAmt
Total	-$10,029,525	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$44,809,991	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$47,347,934	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$47,431,442	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$37,344,165	CurrentTaxYearMinus1YearAmt
Current Tax Year	$58,554,300	CurrentTaxYearAmt
Total	$235,487,832	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$3,094,467,969	TotalSupportAmt
Gross Receipts Rltd Activities	$8,350,292,743	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.87100	PublicSupportCY170Pct
Public Support PY170	0.87870	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part II, Line 10, Explanation of Other Income:	FormAndLineReferenceDesc
Explanation	Other General Services Parking Revenue Cafeteria Revenue	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (1)	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$188,251	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$559,181	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$747,432	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	Children's Hospital Corporation (Hospital) is a section 501(c)(3) organization whose mission is fourfold - to provide the best possible pediatric health care, combining compassion with advanced technical capabilities; to be the leading source of research and discovery, seeking new approaches to the prevention, diagnosis, and treatment of childhood diseases; to educate the next generation of leadership in child health care; and to provide education and healthcare services to the community. In fulfillment of the above mission, the Hospital advocates on behalf of children and the providers who care for them at the State and Federal levels. Professional staff in the Hospital's Office of Government Relations direct these activities and coordinate the work of other Hospital staff who support the advocacy efforts on an intermittent basis. The Hospital has also sent correspondence to and met directly with Federal, State and local legislators and officials. The Hospital has also utilized a grassroots network of employees and friends to advocate on behalf of children's health issues. In Fiscal Year 2023, four Office of Government Relations staff members registered with the State as lobbyists for some or all of the fiscal year, dedicating a portion of their time to lobbying activities. Three Office of Government Relations staff members registered as lobbyists at the Federal level. The Hospital utilized the services of two outside consultants in Fiscal Year 2023 in either the Massachusetts General Court or the U.S. Congress. These consultants, on behalf of the Hospital, prepared written materials which are distributed to officials and met with elected and appointed officials. The following is a detailed list of lobbying expenses incurred: Josh Greenberg Registered Lobbyist Children's Hospital personnel $196,875 - Amy DeLong Registered Lobbyist Children's Hospital personnel $78,449 - Amara Azabuike Children's Hospital personnel $31,532 - Shannon Moore Children's Hospital personnel $82,264 - Alyce Norcross Children's Hospital personnel $18,041 - Sarah Mills Children's Hospital personnel $44,758 - Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $40,000 - Nick Manetto Consultant Faegre BD 1050 K Street NW, Suite 400, Washington, DC 20001 $67,262 Total Lobbyist/Consultant expenses = $559,181 Expenses incurred by the Office of Government Relations for lobbying activities = $188,251 TOTAL LOBBYING EXPENSES = $747,432 In addition to Children's Hospital Corporation's direct and listed lobbying expenses, Children's Hospital Corporation pays dues to certain membership organizations, a piece of which may be used by such organizations for lobbying activities on behalf of this institution and other similarly situated organizations. Total direct and indirect lobbying expenditures were minimal and not substantial based on revenues.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,209,728,000	BeginningYearBalanceAmt
Contributions	$34,355,000	ContributionsAmt
Investment Earnings Or Losses	$87,576,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$62,533,000	OtherExpendituresAmt
End Year Balance	$1,269,126,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,281,297,000	BeginningYearBalanceAmt
Contributions	$42,734,000	ContributionsAmt
Investment Earnings Or Losses	-$77,210,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$37,093,000	OtherExpendituresAmt
End Year Balance	$1,209,728,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,222,213,000	BeginningYearBalanceAmt
Contributions	$13,623,000	ContributionsAmt
Investment Earnings Or Losses	$158,528,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$113,067,000	OtherExpendituresAmt
End Year Balance	$1,281,297,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,171,359,000	BeginningYearBalanceAmt
Contributions	$14,137,000	ContributionsAmt
Investment Earnings Or Losses	$44,286,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,569,000	OtherExpendituresAmt
End Year Balance	$1,222,213,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,162,157,000	BeginningYearBalanceAmt
Contributions	$21,654,000	ContributionsAmt
Investment Earnings Or Losses	$7,419,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$19,871,000	OtherExpendituresAmt
End Year Balance	$1,171,359,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.52450	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.27040	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.20510	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,481,368	OtherCostOrOtherBasisAmt
Book Value	$38,481,368	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,409,728,958	OtherCostOrOtherBasisAmt
Depreciation	$1,617,253,944	DepreciationAmt
Book Value	$1,792,475,014	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,074,070,150	OtherCostOrOtherBasisAmt
Depreciation	$860,001,385	DepreciationAmt
Book Value	$214,068,765	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$362,711,131	OtherCostOrOtherBasisAmt
Depreciation	$6,920,783	DepreciationAmt
Book Value	$355,790,348	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,400,815,495	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
3rd Pty External Administered Trusts	$40,343,155	F
Limited Partnerships	$917,915,368	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$958,258,523	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
Interest in the Net Assets of Children's Medical Center	$2,576,388,184
Expected Insur Recoveries for Prof Liability Claims	$62,881,728
Investment in Subsidiaries	$22,579,565
CERNER Asset	$5,655,830
Other Assets - Miscellaneous	$14,443,474
Operating Lease Right of Use Asset	$509,804,796
Deferred Implementation Costs	$42,917,148
Unamortized Bond Fees	$7,790,385

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,242,461,110	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue	$46,066,010
Funds Held for Others	$32,860,870
Reserve for Medical Malpractice	$13,463,068
Interest Rate Swap Liability	$31,332,464
Cerner Contra Asset	$9,129,489
Operating Lease Liability	$556,316,311
Malpractice Unpaid Loss	$62,881,728
Other Liabilities	$5,737,431
Accrued Pension Cost	$26,840,352

Field	Value	IRS element (for citing)
Total Liability	$784,627,723	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	The Children's Hospital's investment and spending policies for endowment assets are intended to provide a predictable stream of funding to support Children's Hospital's missions in pediatric patient care, education, research, and community programs.
Part X, Line 2:	There is no FIN48/ASC740 footnote in the organization's audited financial statements.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (12 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Europe	Program Services	Patient Care, Research & Education	$690,974
Central America & the Caribbean	Investments		$479,106,680
Sub-Saharan Africa	Investments		$74,916,686
Europe	Investments		$36,049,871
Central America & the Caribbean	Program Services	Patient Care, Research & Education	$1,879
East Asia & the Pacific	Program Services	Patient Care, Research & Education	$22,445
Middle East & North Africa	Program Services	Patient Care, Research & Education	$42,731
South Asia	Program Services	Patient Care, Research & Education	$83,728
Sub-Saharan Africa	Program Services	Patient Care, Research & Education	$145,472
North America	Program Services	Patient Care, Research & Education	$135,753
South America	Program Services	Patient Care, Research & Education	$44,398
Russia & Neighboring States	Program Services	Patient Care, Research & Education	$11,172

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$590,914,994	SubtotalSpentAmt
Continuation Spent	$336,795	ContinuationSpentAmt
Total Spent	$591,251,789	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, line 3:

Expenditures are accounted for and reported on an accrual basis. Children's Hospital's employees may travel outside the United States to support its missions in pediatric patient care, education, research, and community services. Business travel, on behalf of Children's Hospital, must follow the Hospital's Travel Policy. The traveler must submit a request for reimbursement, and provide itemized receipts as supporting documentation. Reimbursement approval is the responsibility of the Manager of the Department/Director/VP in which that activity is budgeted and expensed. In addition, the Department Manager/Principal Investigator/Director/VP is responsible for: - Ensuring that the travel policy and procedures are clearly communicated to all authorized travelers. - Ensuring compliance with all BCH travel policy and procedures, and applicable sponsor guidelines in the case of grant-sponsored activities; including timeliness and proper documentation requirements. - Maintaining supporting documentation of travel activity and expenses for proper record keeping and auditing purposes. - Assuring that proper authorizations are documented with the understanding that unauthorized expenses and/or personal expenses will not be reimbursed to the traveler. In general, the ordinary and necessary expenses incurred while traveling on hospital business are reimbursable upon submission and authorization of a completed reimbursement request with receipts as supporting documentation. Reimbursable expenses include transportation, hotel/lodging, meals and other reasonable expenses incidental to travel. Personal expenses are not reimbursable.

Part III Accounting Method:

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
Interactive Strategies LLC
1133 Connecticut Ave NW Suite 600	Washington	DC	20036	Fundraising Counsel	0	$2,212,425	$206,072	$2,006,353
NNE Marketing LLC
666 Massachusetts Ave	Lexington	MA	02420	Direct Mail Counsel	0	$1,152,980	$282,000	$870,980
Sarah Gardner
13 Smokey Hill Rd	Wayland	MA	01778	Fundraising Counsel	0	$518,940	$75,000	$443,940
Green Planet Sales Company Inc
407 College Ave Ste 349	Ithaca	NY	14850	Fundraising Solicitation	0	$292,817	$675,040	-$382,223
Good United
804 Meeting St	Charleston	SC	29403	Fundraising Counsel	0	$197,226	$14,943	$182,283
The Stelter Company
10425 New York Ave	Des Moines	IA	50322	Fundraising Counsel	0	$0	$249,170	-$147,748
Brodeur and Coville LLC
535 Boylston Street Floor 10	Boston	MA	02116	Fundraising Counsel	0	$0	$111,651	-$111,651
Marts & Lundy
15 Olde Lyme Rd	Winchester	MA	01890	Fundraising Counsel	0	$0	$110,294	-$110,294
Market Street Research Inc
9 1/2 Market Street	Northampton	MA	01060	Fundraising Counsel	0	$0	$68,350	-$68,350
Bentz Whaley Flessner Inc
7900 Xerxes Ave South Ste 980	Minneapolis	MN	55431	Counsel/Reporting	0	$0	$21,382	-$21,382

Field	Value	IRS element (for citing)
Total Gross Receipts	$4,374,388	TotalGrossReceiptsAmt
Total Retained By Contractors	$1,813,902	TotalRetainedByContractorsAmt
Total Net To Organization	$2,661,908	TotalNetToOrganizationAmt
Licensed States	CT	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	MA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Virtual Dinner/Auction	Event1Nm
Gross Receipts Event1	$4,470,476	GrossReceiptsEvent1Amt
Charitable Contri Event1	$3,664,200	CharitableContriEvent1Amt
Gross Revenue Event1	$806,276	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$65,995	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$350,842	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$659,644	OtherDirectExpensesEvent1Amt
Event2	Tournament	Event2Nm
Gross Receipts Event2	$929,275	GrossReceiptsEvent2Amt
Charitable Contri Event2	$929,275	CharitableContriEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$30,000	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$37,009	FoodAndBeverageEvent2Amt
Entertainment Event2	$1,350	EntertainmentEvent2Amt
Other Direct Expenses Event2	$108,979	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$1,870,624	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$998,964	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$871,660	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$275,670	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$89,440	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$700	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$250,416	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$7,270,375	GrossReceiptsTotalAmt
Charitable Contributions Tot	$5,592,439	CharitableContributionsTotAmt
Gross Revenue Total Events	$1,677,936	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$371,665	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$477,291	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$2,050	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$1,019,039	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,870,045	DirectExpenseSummaryEventsAmt
Net Income Summary	-$192,109	NetIncomeSummaryAmt

Field	Value	IRS element (for citing)
Individual With Books	Doug Vanderslice CFO Treasurer	IndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02115	ZIPCd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,003,576	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,849,996	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,153,580	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$774,182,610	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$493,701,554	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$280,481,056	NetCommunityBenefitExpnsAmt
Total Expense	0.09900	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$795,186,186	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$497,551,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$297,634,636	NetCommunityBenefitExpnsAmt
Total Expense	0.10510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,520,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,409,964	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,110,156	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,076,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,185,967	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,890,253	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,387,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,080,132	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,306,929	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$565,594,441	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$532,321,697	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,272,744	NetCommunityBenefitExpnsAmt
Total Expense	0.01170	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,221,655	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$112,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,109,155	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$730,799,497	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$605,110,260	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$125,689,237	NetCommunityBenefitExpnsAmt
Total Expense	0.04440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,525,985,683	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,102,661,810	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$423,323,873	NetCommunityBenefitExpnsAmt
Total Expense	0.14950	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	25	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,966,089	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,966,089	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$624,268	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$624,268	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	38	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,590,357	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,590,357	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$9,108,334	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$12,159,670	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,138,055	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,021,615	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 NONE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Boston Children's Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02115	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.childrenshospital.org	WebsiteAddressTxt
State License	MA LICENSE #2139	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Boston Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.childrenshospital.org/community-health/needs	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.childrenshospital.org/community-health/needs	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.childrenshospital.org/patient-resources/about-boston-childrens/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.childrenshospital.org/patient-resources/about-boston-childrens/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.childrenshospital.org/patient-resources/about-boston-childrens/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Boston Children's Hospital	Part V, Section B, Line 5: Boston Children's 2022 assessment used a participatory, collaborative approach and examined health in its broadest context. The assessment draws on data collected for the larger Boston Community Health Needs Assessment (CHNA) that includes data from the Massachusetts Department of Public Health, vital records, and surveillance systems. In Greater Boston, key informant interviews were conducted with 62 leaders across sectors including 8 interviews conducted by Boston Children's. In addition, there were 29 focus groups facilitated with residents including 6 focus groups with families and parents, and 8 focus groups with youth. To understand experiences and needs of those served by Boston Children's satellite clinics outside Boston, 9 interviews were conducted with community representatives from public health, health care, housing and homelessness, government, and social services sectors in Brookline, Lexington, North Dartmouth/New Bedford, and Peabody. Boston Children's also conducted a Community Health Survey, completed by 157 respondents, to inform the prioritization of community health needs.
Boston Children's Hospital	Part V, Section B, Line 7d: The complete Boston Children's Community Health Needs Assessment report is available on the hospital's website at www.childrenshospital.org/community-health/needs. In addition to the report, there is also an executive summary, data and slides on the findings, and the hospital's Community Health Improvement Plan. A recorded session is also available with a Boston Children's staff member providing an overview of the process and sharing the key findings.Boston Children's distributed the report to internal staff and to a list of key external community contacts by email.
Boston Children's Hospital	Part V, Section B, Line 11: Boston Children's addresses the health and social needs identified in the community health assessment process through our clinical care, services and programs and in collaboration with community partners. The Boston Children's Community Health Improvement Plan can be viewed at: www.childrenshospital.org/sites/default/files/2022-12/community-health-needs-2022-improvement-plan.pdfBelow is a summary of the goals and objectives.Goal 1. Promote mental health and emotional wellness by nurturing resilient communities and building equitable, accessible, and supportive systems of care. Objectives:Increase the number of diverse, culturally/linguistically competent licensed clinical behavioral health workers and community-based behavioral health caregivers.Provide services and supports, and identify resources to increase mental health and trauma services where children live and learn.Goal 2. Support safe, stable, healthy, equitable, affordable housing for children and families.Objectives:Make direct investments in housing stabilization and affordable housing production and work toward policy and systems changes that would decrease the number of low/moderate-income families with children who are homeless or housing insecure. Increase pathways to mobility for low-income families through approaches that build assets and facilitate homeownership. Goal 3. Promote healthy youth development through youth-centered programming and career pathways.Objectives:Foster personal development of youth through leadership skill-building, mentorship, interest exploration, and identity formation.Expand career pathways for youth through college, trades/training, and direct employment.Strengthen capacity of youth workforce.Goal 4. Increase access to affordable and nutritious food.Objectives:Provide culturally relevant food and nutrition education to children and families.Strengthen community infrastructure for healthy food.Goal 5. Improve early childhood education, health, and developmental supports.Objectives:Expand training and quality improvement supports for early education and care (EEC) community-based providers.Enhance engagement and skill building for parents and families with children birth to 5-years old through community programming.Advocate and collaborate to sustain and increase the amount of flexible, affordable, high quality child care for children birth to 5-years old.Goal 6. Improve the health of children and families managing asthma and obesity.Objectives: Implement community health programs that reduce the racial disparities in care and health outcomes for children with asthma and obesity.
Boston Children's Hospital	Part V, Section B, Line 15e: The Financial Assistance Policy provides as follows:1. A Patient/Guarantor who is uninsured or who seeks financial assistance will be referred to a Hospital Financial Counselor for determination of availability of/eligibility for Private Health Plan coverage; for Public Health Care Assistance Programs; or for Hospital financial assistance programs. 2. Patients who do not qualify for Public Health Care Assistance Programs or Private Health Plan coverage, may apply for financial assistance by completing the Hospital's Financial Assistance Application and providing all information, documentation, and verification described in the Financial Assistance Application. The Financial Assistance Application is available for download on the Hospital's website and is also available by mail or in person. Details on how to access a copy of the Financial Assistance Application are found in the section of this Financial Assistance Policy entitled "Publication/Availability of the Financial Assistance Policy, the Uninsured Patient Discount Policy, the Credit and Collection Policy, and Amounts Generally Billed Calculation." The Financial Assistance Application includes accompanying instructions for completion.3. Under certain circumstances, the Hospital may deem a patient's enrollment in a means tested Public Health Care Assistance Program to presumptively confirm the patient's eligibility for financial assistance for any services for which financial assistance may be available under this Financial Assistance Policy.4. Information collected will be provided to a designated Director in Patient Financial Services for determination of availability of/eligibility for financial assistance under the terms of this Financial Assistance Policy.5. Patients/Guarantors who are approved to receive financial assistance will be notified in writing by Patient Financial Services staff.6. Eligibility determinations will remain in effect for a period of 12 months following the date of the determination, and will apply to all additional services for which financial assistance may be available under this Financial Assistance Policy, unless the Hospital determines that the patient has become enrolled in/qualified for Private Health Plan or coverage, or for a Public Health Care Assistance Program.7. Accounts will be adjusted with the financial assistance discount for both the applicable Foundation and Hospital. The discount will be applied against gross charges. 8. Patients/Guarantors can receive help with understanding the Financial Assistance Policy and completing the Financial Assistance Application by calling the Financial Counselors at (617) 355-7201 and/or by asking for help in person or by mail through the Financial Counseling Division of the Patient Financial Services Department at Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, Farley Building rooms 160.
Boston Children's Hospital	Part V, Section B, Line 16j: Children's takes the following additional steps to make patients aware of the availability of financial assistance:- Posting of signage in all patient care admission areas of the availability of financial assistance,- All billing correspondence includes language regarding the availability of financial assistance,- The Hospital website provides contact information for Hospital Financial Counselors who can help assist patients with applying for programs to cover medical expenses.

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Boston Children's at Waltham
9 Hope Ave	Waltham	MA	02453	Outpatient Satellite Facility
2 - Boston Children's at Lexington
482 Bedford Street	Lexington	MA	02173	Outpatient Satellite Facility
3 - Boston Children's at Brookline Place
2 Brookline Place	Brookline	MA	02445	Outpatient Satellite Facility
4 - Boston Children's at Peabody
1 Essex Center Drive	Peabody	MA	01960	Outpatient Satellite Facility
5 - Martha Eliot Health Center
75 Bickford Street	Boston	MA	02130	Outpatient Community Health Center
6 - Boston Children's at North Dartmouth
500 Faunce Corner Road	North Dartmouth	MA	02747	Outpatient Satellite Facility
7 - Boston Children's at 333 Longwood Ave
333 Longwood Avenue	Boston	MA	02115	Outpatient Pediatric Clinic

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	Children's, based on its participation in the state of Massachusetts Health Safety Net, utilizes Federal Poverty Guidelines for determining eligibility for free care and discounted care to low income individuals. For purposes of discounted care, Children's offers discounts to individuals, regardless of income, who are uninsured and are ineligible for free care or other public programs.
Part I, Line 7:	Children's used an internal cost accounting system for purposes of reporting certain amounts on Part I, Line 7. The system is designed to address all segments of patient care (inpatient, outpatient and emergency) and assigns costs to patients from all payer sources (Medicaid, Medicare, managed care, commercial, uninsured and self-pay). The cost of charity care was determined based on the overall relationship of hospital costs as a percentage of hospital charges, applied to charges that qualified as charity care.Children's provides charity care to all children in need who meet the hospital's charity care standards, which are in alignment with all state mandated regulations. Nearly 30% of children who receive their care at Children's are insured through Medicaid programs in a number of states including Massachusetts. In aggregate, Medicaid programs do not reimburse the hospital for the total costs of providing care to these children. Children's has a strong commitment to improving the health status of the children in our local community. Based on a tri-annual community needs assessment, Children's supports a variety of programs and partners both internal and external that are addressing the needs of Boston children. Children's has also identified four major health focus areas in which it concentrates its efforts. For children in Boston, asthma, mental health, obesity and child development are major concerns. Children's has community based programs in each of these issue areas. The hospital also has an Office of Child Advocacy that provides support to these programs.Children's is a leader in education and training for healthcare professionals.Children's subsidizes services that are either limited or unavailable in the broader community. Examples include psychiatry, primary care, and dental care.Recognizing that Children's does not have the capacity to meet all the needs of the children of Boston, it supports through financial contributions and in kind services) a large number of community based organizations who are providing these important services. Beneficiaries range from full service community health centers to Head Start programs for pre-school children.For more information, visit www.childrenshospital.org/community.
Part I, Line 7g:	Children's does not subsidize physician services; thus there are none reported in the dollar amount for subsidized health services.
Part I, Ln 7 Col(f):	The total bad debt expense of $41,040,816 is included in Form 990, Part IX, line 25 column (A), but subtracted for purposes of calculating the percentage in this column.
Part I, Line 6a	Children's files an annual community benefits report with the Attorney General's Office (AG) in Massachusetts. There are significant differences between the AG and IRS requirements for reporting community benefits expenditures. The IRS counts the following as community benefits while the AG does not: Medicaid shortfalls, indirect costs, health professions education, and research funded by tax-exempt and government sources. Children's AG Report is publicly available and can be accessed directly on the AG's web site, www.mass.gov/AG andChildren's web site, www.childrenshospital.org.
Part II, Community Building Activities:	In FY23, Children's reported two types of community building activities: $1,966,089 for 25 community support programs and $624,268 for 13 community health improvement advocacy programs. Children's community building activities are designed specifically to address health disparities and improve the health of children, families and communities. According to public health literature (see Ambulatory Pediatrics and Health Affairs), initiatives that address disparities for children across four different levels: the individual, systemic, community and society can lead to meaningful improvements in health.As described in Form 990, Part III Program Service Accomplishments, Children's takes a multi-pronged approach to tackle the most pressing health issues facing Boston children. At the same time, Children's addresses non-health or social determinants of health issues such as violence, workforce development and education, which also impact a child's health. Therefore, Children's directs its community building activities in the following areas:- Children's public policy advocacy efforts help to improve access to health care for all individuals and ensure high-quality pediatric services.- As a major employer in Massachusetts and civic leader in Boston, Children's supports efforts to ensure a diverse and culturally competent health care workforce as well as promotes economic health in thesurrounding communities. - To improve life in local neighborhoods, Children's has targeted support towards community based organizations that do not focus specifically on health, but rather on the vibrancy of the community. Contributions to groups such as the Fenway Community Development Corporation and Sociedad Latina are as important as partnerships with community health centers. For more information, visit https://www.childrenshospital.org/community-health
Part III, Line 2:	Bad debt expense reflects patient charges that have been deemed uncollectible, converted to cost based on the ratio of patient care cost to charges from Worksheet 2.
Part III, Line 3:	There is not any amount of bad debt reflected as charity care, because it can't be quantified accurately at this time. However, some bad debts would be charity care.
Part III, Line 4:	Children's Medical Center and Subsidiaries' Audited Financial Statements does not contain any footnotes describing bad debt.
Part III, Line 8:	Medicare allowable costs are obtained directly from the Medicare Cost Report and are determined in accordance with Medicare principles of reimbursement.
Part III, Line 9b:	Children's makes reasonable and diligent efforts to collect each patient's insurance and other information and to verify coverage for health care services. Children's applies collection actions to all patients in the same manner, irrespective of their insurance status. Children's does not (and does not permit its agents to) engage in collection action of any kind, including billing, with respect to patients/guarantors that are exempt from collection action under Children's Credit and Collection Policy and under Massachusetts regulations governing the Health Safety Net program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. Children's does not (and does not permit its agents to) engage in legal action against patients/guarantors, including liens, wage garnishments, or lawsuits, or report patients/guarantors to credit bureaus or credit agencies without specific, case-by-case authorization by Children's Board of Directors. No legal action occurred during the year. Children's Credit and Collection Policy is filed with the Massachusetts Division of Health Care Finance and Policy. That policy and related policies are also available to patients upon request and on the Hospital's website.
Part VI, Line 2:	Boston Children's assesses the community needs on an ongoing basis through continuous dialogue with the community, participation on committees, working groups, and task forces, as well as input from Community Advisory Board and partners.For more information, visit www.childrenshospital.org/community-health/needs
Part VI, Line 3:	Children's provides patients with information about financial assistance programs that are available through the Commonwealth of Massachusetts or through the hospital's own financial assistance program.For those patients that request financial assistance, Children's assists patients by screening them for eligibility in an available public program and assisting them in applying for the program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. The screening and application process for a financial assistance programs is done through either the Virtual Gateway (which is an internet portal designed by the Massachusetts Executive Office of Health and Human Services to provide an online application for the programs offered by the state) or through a standard paper application. All Virtual Gateway and paper applications are reviewed and processed by the Massachusetts Office of Medicaid. Hospitals have no role in the determination of program eligibility made by the state, but at the patient's request may take a direct role in appealing or seeking information related to the coverage decisions.
Part VI, Line 4:	Boston Children's conducted a community health needs assessment to ensure that it was addressing the most pressing health concerns across Boston - specifically the neighborhoods of Dorchester, Fenway, Jamaica Plain, Mattapan, Mission Hill, and Roxbury. The assessment also looked at those living in the communities served by Boston Children's locations outside of Boston, which includes Brookline, Lexington, North Dartmouth, Peabody, Waltham, and Weymouth.FINDINGS:The residents of Boston Children's priority neighborhoods are ethnically and linguistically diverse, with wide variations in socioeconomic levels. Minority and low-income residents are disproportionately affected by the social and economic context in which they live. Population Overview: Boston's population is incredibly diverse in terms of race and ethnicity, country of birth, and language use. According to Census estimates, approximately 3 in 5 (60.0%) Boston residents identify as people of color. Key informants and focus group participants noted many languages spoken among residents, including Cantonese, Mandarin, Russian, Spanish, Haitian Creole, Cape Verdean Creole, and indigenous languages. About 1 in 5 Boston residents are 19 years old or younger. Charlestown (8.8%), Jamaica Plain (7.3%), and Mattapan (6.9%) have the highest proportion of children under 5 years old. The proportion of school-aged children (between the ages of 5 and 17) in Boston has declined over time. Education: Education is an important issue to Boston families and a critical factor affecting health. Assessment participants discussed how many children struggle in school, especially during the pandemic. In a survey during the pandemic, nearly 15% of Boston adults with children reported that they had unmet educational needs for children or teens during the COVID-19 pandemic. Early Childhood Services: In focus groups and interviews, early childhood and childcare services emerged as a growing need exacerbated by the pandemic. Between December 2017 and March 2021, there was an 11.3% decrease in the number of available childcare seats for children 0-5 years old across Boston. Between February 2020 and February 2021, the percent of eligible children referred to Early Intervention Services who actually received services decreased from 81% to 55%. Employment and Workforce: Jobs that pay well make it easier for families to afford childcare, high quality education, health care, and healthy food. However, interview and focus group participants described significant job loss linked with the pandemic and noted that finding and securing stable jobs is more difficult for residents of color, immigrants, people with disabilities, and residents with a criminal record. According to the Bureau of Labor Statistics, the Boston metro area's unemployment rate was 16.0% during the early stages of the pandemic in April 2020 and dropped to 3.7% nearly two years later in February 2022. Income and Financial Security: Community leaders and residents described financial stability as critical for health and shared that low-wage work and minimum wage is insufficient for many families to survive in Boston. Participants noted that the pandemic has worsened poverty for low-income residents across Boston. While 12.8% of families in Boston live below the poverty level, there are stark differences by race and ethnicity; for example, 3.2% of white families compared to 24.6% of Hispanic or Latino families are living below the poverty level. Housing and Homelessness: Interview and focus group participants cited housing affordability as a dominant concern that has been exacerbated by the pandemic and that directly impacts children. In the COVID-19 Health Equity Survey, 41.5% of adults overall and 54.7% of adults with at least one child in the home reported having trouble paying their rent or mortgage during the pandemic. Boston Children's Hospital Emergency Department Social Work records show a substantial increase in the annual number of families needing social work assistance with housing or homelessness from 51 families in 2014 to 411 families in 2021. Community leaders and residents described housing assistance as insufficient to meet the needs of low-income residents and families. Additionally, housing quality and in particular exposure to lead and asthma triggers were highlighted by a few interviewees as specific concerns for children and families. Transportation: Boston-based participants discussed transportation in the context of accessing services. Reports of transportation difficulties in the past year were highest among residents of Dorchester (02121 and 02125 zip codes; 20.4%), Mattapan (17.2%), and South Boston (16.2%). Many participants from satellite communities noted that public transportation options are often unreliable and cumbersome, and that transportation poses a challenge for coordinating school, childcare, and medical care for children.
Part VI, Line 5:	As the only free-standing children's hospital in the state, Children's treats 90% of the sickest kids in Massachusetts and offers a range of services that are unavailable elsewhere in the region, including pediatric transplants, critical care transport services, a level 1 Pediatric Trauma Unit and a level 3 Neonatal Intensive Care Unit. Children's also qualifies for DSH payments as the state's largest provider of pediatric care to low-income families. Approximately 30% of its patients are covered by Medicaid, including patients insured by out-of-state Medicaid programs. In addition, Children's has an open medical staff model.Children's is also a leader in education and training for healthcare professionals. Boston Children's Hospital has 41 accredited programs and 35 non-accredited programs. We have 475 residents and fellows based at BCH, along with more than 900 residents and fellows rotating here each year from other institutions.Children's offers a variety of continuing education courses designed for health care professionals in pediatric practice. The courses are accredited by the Office of Continuing Education at Harvard Medical School and each hour of instruction is approved for Category 1 credits towards the AMA Physician's Recognition Award. Children's is home to the world's largest and most active research enterprise at a pediatric center. Children's research mission encompasses basic research, clinical research, community service programs and the postdoctoral training of new scientists.Children's has a twenty-five person voluntary Board of Directors. Eighteen of the Board members are not direct employees of the hospital. The Board oversees the Hospital's endowment and follows a 4.5% spending rule in keeping with the industry standard of the responsible management of assets. Reserves are invested back into patient care, teaching, research, patient safety and quality initiatives, equipment, facilities, community benefits and to subsidize vital services that run a deficit.
Part VI, Line 6:	As sister organizations, Boston Children's Hospital (BCH) and Franciscan Children's (FC) will be able to offer a fully integrated care system providing children with care where and when they need it, all with one point of contact for families.The organizations are affiliating as sister hospitals to more effectively confront an acute children's mental health crisis in Massachusetts and across the country, and advance equitable access to care and eliminate disparities. By joining together, the two organizations will work to improve the lives of children and families by:- Improving care by modernizing programs and facilities. This affiliation will modernize the FC campus, which dates back to the 1940s. This will include a new, state-of-the-art, net carbon-neutral building that will house the full continuum of care programs for medical rehabilitation and mental health services.- Offering the full range of integrated care that children need. By coming together, BCH and FC will offer a fully integrated continuum of care across inpatient, outpatient, primary care, and school-based settings.- Building a new, more diverse generation of caregivers. By 2030, the organizations intend to hire 150-200 new full-time employees related to care for children, and invest in programs to build a diverse employee pipeline from high school through medical school. They will also increase training programs for students and staff.- Increasing the number of beds available. BCH and FC will increase the number of available beds for inpatient services from 98 to 127, and nearly double the behavioral health bed capacity. This will reduce the number of kids forced to board in emergency rooms for medical and mental health needs.- Expanding services. They will create and expand intensive outpatient therapy and partial hospitalization programs that will reduce the likelihood that mental health patients reach crisis levels.- Increasing sustained investments in research. Research is the future of children's mental health because the underlying causes are still poorly understood. The organizations will make sustained investments in research, better integrate research and clinical faculty, and hire 3-4 new clinician scientists.- Expanding community- and school-based prevention programs. BCH and FC plan to expand their community, early education and school-based programs.Please see the Schedule H included as part of the Franciscan Hospital for Children, Inc. Form 990 filed for the fiscal year ended September 30, 2023 for additional information regarding community benefits provided by FCH.In addition, as the largest pediatric referral center in the region, Children's maintains a variety of relationships with community hospitals and other smaller pediatric programs throughout New England. These relationships include seven community hospitals in eastern Massachusetts where Children's physicians have formal arrangements to provide on-site emergency medicine, inpatient, neonatal and/or outpatient pediatric specialty services. Children's also owns and operates six outpatient facilities in Waltham, Lexington, Peabody, North Dartmouth, Jamaica Plain and Brookline that offer access to pediatric specialty care in a wide array of subspecialties. Children's provides assistance to other pediatric facilities (Hasbro, RI, Dartmouth Hitchcock, NH, and Boston Medical Center) in the region through training, recruitment, consultations, on-site care and referrals for care that is not otherwise available.Additionally, the Pediatric Physicians Organization at Children's brings together pediatricians, pediatric medical groups and pediatric specialists at Children's.
Part VI, Line 7, Reports Filed With States	MA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (90 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Africano Waltham (African Cultural Services Inc)
PO Box 540325	Waltham	MA	02451	273145250	501(c)(3)	$50,000	$0	Community Partnership
Artists for Humanity
100 West 2nd Street	Boston	MA	02127	043138434	501(c)(3)	$10,000	$0	Community Partnership
Autism Insurance Resource Center
55 Lake Avenue North S3-301	Worcester	MA	01655	043167352	GOVT	$15,000	$0	Support of Community Health Center
Bikes Not Bombs (w Children's Services of Roxbury)
284 Amory Street	Jamaica Plain	MA	02130	043138753	501(c)(3)	$100,000	$0	Community Partnership
Boston Alliance of Gay Lesbian Bisexual and Transgender Youth
28 Court Square	Boston	MA	02108	042785336	501(c)(3)	$10,000	$0	Community Partnership
Boston Centers for Youth and Families
75 Newbury Street 3rd Floor	Boston	MA	02116	042602576	501(c)(3)	$150,000	$0	Community Partnership
Boston Chinatown Neighborhood Center
38 Ash Street	Boston	MA	02111	237209691	501(c)(3)	$300,000	$0	Community Partnership
Boston Community Pediatrics
527 Albany Street Suite 200	Boston	MA	02118	843091463	501(c)(3)	$80,000	$0	Community Partnership
Boston Housing Authority
52 Chauncy Street 10th Floor	Boston	MA	02111	046001907	GOVT	$100,000	$0	Community Partnership
Boston Municipal Research Bureau
333 Washington Street Suite 854	Boston	MA	02108	222673755	501(c)(3)	$8,750	$0	Community Partnership
Boston Opportunity Agenda
75 Arlington Street 3rd Floor	Boston	MA	02116	042104021	501(c)(3)	$200,000	$0	Community Partnership
Boston Public Health Commission
1010 Massachusetts Avenue 2nd Floor	Boston	MA	02118	043316655	GOVT	$571,466	$0	Community Partnership
Boston Public Schools
95 G Street	Boston	MA	02127	046001380	GOVT	$734,000	$0	Community Partnership
Boston's Higher Ground
384 Warren Street	Roxbury	MA	02119	273660369	501(c)(3)	$75,000	$0	Community Partnership
Bowdoin Street Community Health Center
230 Bowdoin Street	Dorchester	MA	02122	042529788	501(c)(3)	$107,500	$0	Support of Community Health Center
Boys & Girls Clubs of Metro South
19 Court Street	Taunton	MA	02780	222963214	501(c)(3)	$124,978	$0	Community Partnership
Brockton Interfaith Community
1350 Pleasant Street	Brockton	MA	02301	223135464	501(c)(3)	$171,738	$0	Community Partnership
Brockton Neighborhood Health Center
63 Main Street	Brockton	MA	02301	043165044	501(c)(3)	$200,000	$0	Community Partnership
Brookside Community Health Center
3297 Washington Street	Jamaica Plain	MA	02130	042312909	501(c)(3)	$92,500	$0	Support of Community Health Center
Bryce's Journey
11 Fairmount Avenue Suite 110	Hyde Park	MA	02136	823137371	501(c)(3)	$10,000	$0	Community Partnership
Cape Verdean Women United Inc
PO Box 264	Brockton	MA	02303	813674949	501(c)(3)	$100,000	$0	Community Partnership
Charles River Community Health
495 Western Avenue	Brighton	MA	02135	237221597	501(c)(3)	$92,500	$0	Support of Community Health Center
Chinatown Community Land Trust
28 Ash Street	Boston	MA	02111	473187874	501(c)(3)	$150,000	$0	Community Partnership
City of Boston
PO Box 9715	Boston	MA	02114	046001380	GOVT	$2,452,015	$0	Community Partnership
Codman Square Health Center
637 Washington Street	Dorchester	MA	02124	042678774	501(c)(3)	$100,000	$0	Community Partnership
Community Labor United
8 Beacon Street 5th Floor	Boston	MA	02108	203404034	501(c)(3)	$100,000	$0	Community Partnership
Crossroads for Kids
119 Myrtle Street	Duxbury	MA	02332	042103837	501(c)(3)	$50,000	$0	Community Partnership
DeeDee's Cry
2 John Eliot Square 2C	Roxbury	MA	02119	263068254	501(c)(3)	$10,000	$0	Community Partnership
Doc Wayne Youth Services
418 Commonwealth Avenue	Boston	MA	02215	274216064	501(c)(3)	$50,000	$0	Community Partnership
Dorchester Food Co-op
PO Box 1051	Northhampton	MA	01061	043241596	501(c)(3)	$25,000	$0	Community Partnership
Dot House Health
1353 Dorchester Avenue	Dorchester	MA	02122	237125970	501(c)(3)	$610,676	$0	Community Partnership
Dudley Street Neighborhood Initiative Inc
550 Dudley Street	Roxbury	MA	02119	042859066	501(c)(3)	$667,617	$0	Community Partnership
East Boston Neighborhood Health Center
10 Gove Street	Boston	MA	02128	237425849	501(c)(3)	$52,500	$0	Community Partnership
East Boston Social Centers
68 Central Square	Boston	MA	02128	042104257	501(c)(3)	$200,000	$0	Community Partnership
Families First
50 Hunt Street Suite 320	Watertown	MA	02472	043413397	501(c)(3)	$100,000	$0	Community Partnership
Family Voices
The Schrafft Center 529 Main Street	Boston	MA	02129	850430800	501(c)(3)	$15,000	$0	Community Partnership	Suite 1M3
Fenway Community Development Corporation
70 Burbank Street	Boston	MA	02115	042666507	501(c)(3)	$20,000	$0	Community Partnership
First Teacher
89 South Street Suite 700	Boston	MA	02111	042261109	501(c)(3)	$50,000	$0	Community Partnership
Greater Boston Chamber of Commerce
265 Franklin Street 12th Floor	Boston	MA	02110	041103090	501(c)(6)	$12,000	$0	Community Partnership
Haley House Inc
23 Dartmouth Street	Boston	MA	02116	042437845	501(c)(3)	$100,000	$0	Community Partnership
Health Care for All
One Federal Street 5th Floor	Boston	MA	02110	043071598	501(c)(3)	$25,000	$0	Community Partnership & Advocacy Support
Health Law Advocates
One Federal Street	Boston	MA	02110	043298116	501(c)(3)	$25,000	$0	Advocacy Support
Health Resources in Action
95 Berkeley Street	Boston	MA	02116	042229839	501(c)(3)	$50,250	$0	Community Partnership
Higher Ground
384 Warren Street 3rd floor	Roxbury	MA	02119	273660369	501(c)(3)	$578,058	$0	Community Partnership
Hoops Collaborative
27 Livingston Road	Brockton	MA	02301	921224607	501(c)(3)	$10,000	$0	Community Partnership
Hyde Square Task Force
PO Box 301871	Jamaica Plain	MA	02130	043118543	501(c)(3)	$351,562	$0	Community Partnership
Immigrant Family Services Institute
1626 Blue Hill Avenue	Mattapan	MA	02126	474400495	501(c)(3)	$150,000	$0	Community Partnership
Jamaica Plain Neighborhood Development Corporation
31 Germania Street	Jamaica Plain	MA	02130	042652919	501(c)(3)	$355,463	$0	Community Partnership
Massachusetts Affordable Housing Alliance
1803 Dorchester Avenue	Dorchester	MA	02124	223042637	501(c)(3)	$252,100	$0	Community Partnership
Massachusetts Budget and Policy Center
1 State Street Suite 1250	Boston	MA	02109	042967537	501(c)(3)	$25,000	$0	Advocacy Support
Massachusetts Early Childhood Funder Collaborative
133 Federal Street Suite 802	Boston	MA	02110	042457605	501(c)(3)	$15,000	$0	Community Partnership
Massachusetts Public Health Association
14 Beacon Street Suite 706	Boston	MA	02108	042326503	501(c)(3)	$10,000	$0	Community Partnership
Massachusetts Society for the Prevention of Cruelty to Children
125 Hartwell Avenue Suite 1	Lexington	MA	02421	042103596	501(c)(3)	$240,841	$0	Advocacy Support
Mathematica
955 Massachusetts Avenue Suite 801	Cambridge	MA	02139	222112296	501(c)(3)	$223,364	$0	Community Partnership
Mattapan Community Health Center
1575 Blue Hill Avenue	Mattapan	MA	02126	042544151	501(c)(3)	$95,000	$0	Support of the Community Health Center
Mattapan Food and Fitness Coalition
89 South Street Suite 700	Boston	MA	02111	042261109	501(c)(3)	$50,000	$0	Community Partnership
Metro SouthWest Workforce Board
201 Boston Post Road West Suite 301	Marlboro	MA	01752	465204651	501(c)(3)	$80,335	$0	Community Partnership
Native Americans Lifelines of Boston
2077 Centre Street	Roxbury	MA	02132	522225714	501(c)(3)	$10,000	$0	Community Partnership
Neighborhood Villages
64 Sigourney Street	Jamaica Plain	MA	02130	821859365	501(c)(3)	$100,000	$0	Community Partnership
NorthStar Learning Center
7 West 30th Street Floor 3	New York	NY	10001	134012096	501(c)(3)	$250,000	$0	Community Partnership
Nurtury Inc
2202 Washington Street Suite 306	Roxbury	MA	02119	042105893	501(c)(3)	$75,000	$0	Community Partnership
Playworks New England
PO Box 7834	San Francisco	CA	94120	943251867	501(c)(3)	$50,000	$0	Community Partnership
Raising a Reader Massachusetts
3 School Street 3rd Floor	Boston	MA	02108	800297898	501(c)(3)	$135,565	$0	Community Partnership
Room to Grow
424 East 147th Street Floor 5	Bronx	NY	10455	134012096	501(c)(3)	$50,000	$0	Community Partnership
Rose Conservatory
1350 Pleasant Street	Brockton	MA	02301	862501641	501(c)(3)	$109,016	$0	Community Partnership
Smart from the Start
68 Annunciation Road	Boston	MA	02120	454952663	501(c)(3)	$20,000	$0	Community Partnership
Sociedad Latina
1530 Tremont Street	Mission Hill	MA	02120	042678255	501(c)(3)	$51,000	$0	Community Partnership
Somali Parents Advocacy Center for Education
15 Myrtle Street Apt 3	Everett	MA	02149	842743083	501(c)(3)	$25,000	$0	Community Partnership
South Cove Community Health Center
145 South Street	Boston	MA	02111	042501818	501(c)(3)	$55,000	$0	Support of the Community Health Center
Southern Jamaica Plain Health Center
640 Centre Street	Jamaica Plain	MA	02130	042312909	501(c)(3)	$52,500	$0	Support of the Community Health Center
Southern Jamaica Plain Health CenterSouth Street Youth Center
36 Perkins Street	Jamaica Plain	MA	02130	042754281	501(c)(3)	$50,000	$0	Support of the Community Health Center
Strategies for Children - Massachusetts
400 Atlantic Avenue	Boston	MA	02110	043551406	501(c)(3)	$50,000	$0	Community Partnership
The Basics
89 South Street Suite 700	Boston	MA	02111	042261109	501(c)(3)	$139,159	$0	Community Partnership
The Community Builders
185 Dartmouth Street 9th Floor	Boston	MA	02116	042324773	501(c)(3)	$50,000	$0	Community Partnership
The Dimock Center
55 Dimock Street	Roxbury	MA	02119	043487835	501(c)(3)	$112,500	$0	Support of the Community Health Center
The Food Project
10 Lewis Street	Lincoln	MA	01773	043262532	501(c)(3)	$35,008	$0	Community Partnership
The NAN Project
125 Hartwell Avenue	Lexington	MA	02421	042316924	501(c)(3)	$100,000	$0	Community Partnership
Upham's Corner Health Center
415 Columbia Road	Dorchester	MA	02125	042708670	501(c)(3)	$92,500	$0	Support of the Community Health Center
Urban College of Boston
2 Boylston Street 2nd Floor	Boston	MA	02116	043403049	501(c)(3)	$135,000	$0	Community Partnership
Urban Edge
1542 Columbus Avenue Suite 2	Roxbury	MA	02119	222483475	501(c)(3)	$91,142	$0	Community Partnership
Urban Farming Institute of Boston
487R Norfolk Street	Mattapan	MA	02126	453961022	501(c)(3)	$25,520	$0	Community Partnership
Urban Revival Inc dba City LifeVida Urbana
284 Amory Street	Jamaica Plain	MA	02130	042660311	501(c)(3)	$230,030	$0	Community Partnership
Voices of the Community
160 Hollis Street	Framingham	MA	01702	201332310	501(c)(3)	$99,597	$0	Community Partnership
WalkBoston
405 Waltham Street Suite 309	Lexington	MA	02421	223061699	501(c)(3)	$50,000	$0	Community Partnership
Walker Inc
1968 Central Avenue	Needham	MA	02492	042171186	501(c)(3)	$199,674	$0	Community Partnership
Waltham Partnership for Youth Inc
617 Lexington Street	Waltham	MA	02451	043399437	501(c)(3)	$200,000	$0	Community Partnership
Wayside Youth & Family Support Network
1 Frederick Abbott Way	Framingham	MA	01701	042630450	501(c)(3)	$49,217	$0	Community Partnership
Whittier Street Health Center
1290 Tremont Street	Boston	MA	02120	042619517	501(c)(3)	$43,000	$0	Support of the Community Health Center
Youth Advocacy Foundation
44 Bromfield Street 2nd Floor	Boston	MA	02108	043583353	501(c)(3)	$10,000	$0	Advocacy Support
Youth Enrichment Services
412 Massachusetts Avenue	Boston	MA	02118	042509466	501(c)(3)	$25,000	$0	Community Partnership

Field	Value	IRS element (for citing)
Total501c3 Org	84	Total501c3OrgCnt
Total Other Org	6	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (21 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Nursing Education Scholarship Fund	52	$121,992	$0	FMV
Yawkey Family Inn Fund	3657	$0	$74,039	FMV	Housing Assistance
Devon Nicole House Operating Fund	381	$0	$15,557	FMV	Housing Assistance
Pet Therapy Program Fund	6916	$0	$89,075	FMV	Theurapeutic dog visits made to inpatients
Family Services Fund	2670	$0	$120,062	FMV	Greeting Cards and supplies for Adopt a Family Program & wellness supplies and services
Judith Nelson Endowment/Operating Fund for Families	11013	$0	$49,585	FMV	Staffing in the Center for Families and Career for Caregivers training program
A. Shuman Clothing Fund	241	$0	$2,917	FMV	Clothing
TAC Operating Fund	20	$0	$7,085	FMV	Supplies and scholarships
Ford Motor Company Patient Transportation Fund	147	$0	$9,383	FMV	Parking vouchers and taxis for families
Telemachus & Irene Demoulas Family Foundation Extraordinary Needs Endowment Operating Fund	221	$0	$19,351	FMV	PACT Hope program support and event supplies for Keeping Connections and Memorial services
Broadway Sam Fund	4447	$0	$13,626	FMV	Event tickets and weekly breakfast for families staying in patient housing
Hale Center for Families Endowment Operating Fund	13260	$0	$209,136	FMV	Staffing and supplies for children's events; gift cards for families
Mannheim Family Endowment/Operating Fund	2072	$0	$17,566	FMV	Support and supplies for patient family housing program
Milagros Para las Familias Fund	225	$0	$16,385	FMV	Support groups and supplies for extraordinary needs of families
Philip Nelson Endowment Operating Fund	6916	$0	$19,788	FMV	Dog lab expenses
Barber Family Endowment/Income Fund	200	$0	$3,550	FMV	Prep/distribution of promotional materials related to philanthropic programs managed by Center for Families.
Brandano Parent Apartment Fund	804	$0	$974	FMV	Housing supplies for new apartment leases as part of the Patient Family Housing Fund.
Extraordinary Needs Fund 2	3498	$0	$163,308	FMV	Emergency clothing/meals/personal supplies, parking vouchers, housing, caregiver webinars, bereavement programs.
Room to Heal Fund	1220	$0	$11,887	FMV	Welcome bags and Halloween trick-or-treat bags
Jennings Family Fund	3348	$0	$19,731	FMV	Bagel breakfasts and family meals
Patient Family Housing Fund	2072	$0	$10,412	FMV	Maintenance expenses and supply costs for housing program.

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Children's Hospital provides three types of grants and assistance: (1) Sponsorships, (2) Scholarships, and (3) Assistance Programs. SPONSORSHIPS: Children's supports external strategic partners that enhance Children's role and reputation as (1) a good neighbor; (2) community health partner; (3) civic leader; (4) and an employer of choice. The criteria for Children's funding decisions to the requesting organization are based on the following: 1. a non-profit that promotes careers in healthcare or health services and that Children's has collaborated, or is collaborating, with 2. a non-profit located in and serving Children's target neighborhoods (Fenway, Mission Hill, Jamaica Plain, Roxbury) that address social determinants of health and that Children's has collaborated, or is collaborating, with 3. one of Children's Hospital's affiliated community health centers 4. a citywide non-profit that is a strategic partner in one or more of the Children's primary community health focus areas (asthma, mental health, nutrition/fitness, violence prevention) and that Children's has collaborated, or is collaborating, with 5. a citywide non-profit that is a strategic partner in one or more of Children's secondary community health focus areas (early intervention, early childhood/elementary education) that Children's has collaborated, or is collaborating, with 6. a business, civic, or advocacy strategic partner that senior management is actively engaged in 7. meets the IRS and the Massachusetts Attorney General's community support or community benefit criteria 8. meets the City of Boston eligibility as a "payment in lieu of taxes" investment Records and copies of sponsorship requests and the resulting grants are kept in paper form in the Office of Child Advocacy. All sponsorships requests are commonly for general operating support. All sponsorship is sent a letter that reiterates the stated use of the grant or assistance and with any Community Partnership Grants, representatives of Children's make site visits to many of the grantees and request end-of-year reports. SCHOLARSHIPS: Children's Hospital offers scholarship programs to support the educational goals of its employees and/or their immediate families. The Nursing Education Scholarship is available to deserving nurses to further his or her education in patient care. All nursing scholarship applicants must have worked at least three months, be enrolled in an academic program leading to a degree, demonstrate a commitment to the patient care and be in good standing, both professionally and academically. Scholarship applications for the Nursing Education Scholarships are reviewed and maintained by the Department of Nursing/Patient Services selection committee. All scholarship recipients are required to sign a Terms of Acceptance agreement affirming the funds will only be used for tuition, fees and/or class materials required for course instructions. ASSISTANCE PROGRAMS: Children's Hospital offers several financial assistance programs to provide funding to patients and their families burdened by the costs associated with long-term hospitalization, acute/chronic illness, disability or impairment. We recognize the significant financial and support services burdens that patients and families face when experiencing frequent ambulatory services or prolonged inpatient admissions at Boston Children's Hospital. These funds are primarily intended for use in emergent situations, and as a stop-gap intervention only. They are not intended to provide permanent or long term solutions to financial need. Essentially, these are funds of "last resort" when alternative options do not exist. All financial assistance requests are assessed by a social worker. If there appears to be significant financial hardship, the social worker does a financial assessment based on the policies and guidelines for the use of these special funds. Typical requests include assistance with transportation, utilities (a child cannot be discharged without adequate heat, electricity, telephone contact in the home), etc. Each request is reviewed by the Director of the Fund. Checks are not payable to the family, rather a payment may be made directly to the company involved via an invoice from that company, e.g., National Grid. Assessment considerations for Special Fund requests are based on: * Duration of Need * Demographic * Family Status * Income Factors * Clinical Factors * Alternate Resources Available * Funding Limits	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kevin Churchwell MD
President & CEO	$1,548,242	$0	$1,160,000	$0	$531,260	$0	$24,400	$0	$101,402	$0	$3,365,304	$0	$0	$0
Doug Vanderslice
EVP, CFO & Treasurer	$885,183	$0	$754,720	$0	$341,865	$0	$27,450	$0	$47,752	$0	$2,056,970	$0	$0	$0
Philip Rotner
Chief Investment Officer	$839,174	$0	$835,000	$0	$197,922	$0	$27,450	$0	$36,504	$0	$1,936,050	$0	$0	$0
Nancy Andrews
EVP, Chief Scientific Officer	$793,548	$0	$920,000	$0	$131,066	$0	$24,400	$0	$43,656	$0	$1,912,670	$0	$0	$0
Michele Garvin Esq
EVP, General Counsel & Secretary	$770,048	$0	$771,250	$0	$157,166	$0	$24,400	$0	$21,008	$0	$1,743,872	$0	$0	$0
Peter Laussen MD
EVP, Health Affairs	$840,739	$0	$328,688	$0	$158,981	$0	$30,500	$0	$41,439	$0	$1,400,347	$0	$0	$0
Demosthenes Argys
EVP, Chief Administrative Officer	$726,371	$0	$217,500	$0	$122,974	$0	$27,450	$0	$21,330	$0	$1,115,625	$0	$0	$0
Laura J Wood DNP MS RN
EVP, Chief Nursing Officer	$659,158	$0	$199,875	$0	$120,770	$0	$27,450	$0	$40,109	$0	$1,047,362	$0	$0	$0
Sandra Fenwick
Former President & CEO	$0	$0	$0	$0	$958,796	$0	$0	$0	$0	$0	$958,796	$0	$958,796	$0
Martin Kelly
Director, Investments	$476,080	$0	$423,003	$0	$2,358	$0	$24,400	$0	$20,083	$0	$945,924	$0	$0	$0
Joseph Mitchell
EVP & President, Franciscan's	$0	$651,949	$0	$265,001	$0	$630	$0	$21,500	$0	$0	$0	$939,080	$0	$0
Lynn Susman
EVP, Chief Development Officer	$565,618	$0	$172,500	$0	$103,246	$0	$33,550	$0	$26,954	$0	$901,868	$0	$0	$0
Heather Nelson
SVP, Chief Information Officer	$592,174	$0	$150,000	$0	$94,354	$0	$15,300	$0	$30,426	$0	$882,254	$0	$0	$0
Alison Svizzero
Director, Investments	$456,781	$0	$400,503	$0	$661	$0	$21,350	$0	$2,068	$0	$881,363	$0	$0	$0
Cynthia Haines
SVP, National & International	$539,362	$0	$186,953	$0	$97,962	$0	$24,400	$0	$27,814	$0	$876,491	$0	$0	$0
Nirav Desai
Director, Investments	$435,210	$0	$396,002	$0	$1,265	$0	$21,350	$0	$19,823	$0	$873,650	$0	$0	$0
Lisa Hogarty
SVP, RE Planning and Develop	$501,758	$0	$176,920	$0	$90,693	$0	$21,350	$0	$27,725	$0	$818,446	$0	$0	$0
Patricia Hickey PhD MBA RN NEA-BC
SVP, Nursing/Patient Care	$517,987	$0	$125,006	$0	$69,986	$0	$36,600	$0	$8,087	$0	$757,666	$0	$0	$0
Nader Rifai PhD
Director, Lab Medicine	$484,837	$0	$211,383	$0	$6,951	$0	$33,550	$0	$14,429	$0	$751,150	$0	$0	$0
Michael Gillespie
SVP, Clinical Services	$447,940	$0	$112,500	$0	$74,942	$0	$27,450	$0	$21,239	$0	$684,071	$0	$0	$0
Steven Luber
SVP, Finance	$385,419	$0	$100,875	$0	$102,055	$0	$3,050	$0	$7,387	$0	$598,786	$0	$0	$0
August Cervini
SVP, Research Administration	$383,761	$0	$96,450	$0	$60,880	$0	$21,350	$0	$24,822	$0	$587,263	$0	$0	$0
Daniel Nigrin MD
Former SVP & CIO	$0	$0	$0	$0	$372,174	$0	$0	$0	$0	$0	$372,174	$0	$372,174	$0
Bruce Balter
Asst Treasurer/Dir Corp Fin Svcs	$286,726	$0	$18,728	$0	$3,427	$0	$36,600	$0	$14,214	$0	$359,695	$0	$0	$0
Christine Grenache
Asst Sec/Exec Manager	$136,813	$0	$16,000	$0	$284	$0	$9,359	$0	$7,692	$0	$170,148	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 4b	FormAndLineReferenceDesc
Explanation	Boston Children's Hospital made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contribution amounts are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for employee benefits and not for Boston Children's Hospital Director or Officer of the Board services and/or responsibilities. During calendar year 2022, Children's Hospital Corporation made contributions to the supplemental non-qualified retirement plan for the individuals below: Kevin Churchwell, MD received a contribution of $456,800 Douglas Vanderslice received a contribution of $242,524 Philip Rotner received a contribution of $171,716 Nancy Andrews received a contribution of $80,300 Michele Garvin received a contribution of $120,044 Peter Laussen, MD received a contribution of $125,228 Laura Wood received a contribution of $88,568 Demosthenes Argys received a contribution of $90,528 Lynn Susman received a contribution of $74,047 Lisa Hogarty received a contribution of $59,370 Cynthia Haines received a contribution of $65,983 Patricia Hickey received a contribution of $42,500 Michael Gillespie received a contribution of $47,209 Steven Luber received a contribution of $30,726 August Cervini received a contribution of $36,732 During calendar year 2022, the following individuals received supplemental executive retirement plan distributions: Sandra Fenwick received a distribution of $958,796 Daniel Nigrin received a distribution of $372,174	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MHEFA Revenue Bonds Series N
A	042456011	57586EUJ8	2010-05-13	$341,590,000	Refunded Series G, H, I, J & K	0	0	0
MDFA Revenue Bonds Series O
B	043431814	NoneAvail	2013-12-11	$200,640,000	Refunded Series L	0	0	0
MDFA Revenue Bonds Series Q
C	043431814	NoneAvail	2014-07-11	$50,255,000	New building construction & renovations	0	0	0
MDFA Revenue Bonds Series R
D	043431814	NoneAvail	2014-07-29	$125,350,000	Refunded a portion of Series N	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$341,590,000	$339,564,138	$2,025,862	2010	Yes (1)	Yes (1)	Yes (1)
B	$200,640,000	$200,000,000	$640,000	2013	Yes (1)	Yes (1)	Yes (1)
C	$50,255,000		$255,000	2016	0	Yes (1)	Yes (1)	$50,000,000
D	$125,350,000	$125,000,000	$350,000	2014	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)
D	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Goldman Sachs
A	0	0	0	Yes (1)	Yes (1)	Yes (1)	Mitsui Marine	30.000000000000	0	0	0	0	Yes (1)
Goldmn SachsBOA
B	0	0	0	Yes (1)	Yes (1)	Yes (1)		30.000000000000	0	0	0	0	Yes (1)
(no name)
C	0	0	0	Yes (1)	Yes (1)	0					0	0	Yes (1)
Goldman Sachs Mitsu
D	0	0	0	Yes (1)	Yes (1)	Yes (1)		30.000000000000	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Date Rebate Computation Performed	FormAndLineReferenceDesc
Explanation	Issuer Name: MHEFA, Revenue Bonds Series N Date the Rebate Computation was Performed: 09/30/2021 Issuer Name: MDFA, Revenue Bonds Series O Date the Rebate Computation was Performed: 12/11/2018 Issuer Name: MDFA, Revenue Bonds Series Q Date the Rebate Computation was Performed: 09/30/2023 Issuer Name: MDFA, Revenue Bonds Series R Date the Rebate Computation was Performed: 09/30/2023 Issuer Name: MDFA, Revenue Bonds Series S Date the Rebate Computation was Performed: 12/01/2019	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MDFA Revenue Bonds Series S	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	043431814	BondIssuerEIN
CUSIP	NoneAvail	CUSIPNum
Bond Issued	2017-12-19	BondIssuedDt
Issue Price	$135,215,000	IssuePriceAmt
Purpose	Refunded Series M	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$134,703,799	TotalProceedsAmt
Refunding Escrow	$134,703,799	RefundingEscrowAmt
Issuance Costs From Proceeds	$511,201	IssuanceCostsFromProceedsAmt
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	Yes (1)	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	BERNARD MATHEY-PREVOT	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF NANCY ANDREWS	RelationshipDescriptionTxt
Transaction	$64,001	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$9,950	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value per donor	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	62	ContributionCnt
Noncash Contributions Rpt F990	$6,630,855	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Mean Value on Gift Date	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	27	ContributionCnt
Noncash Contributions Rpt F990	$24,025	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value per donor	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Miscellaneous	29	$495,825	Market value per don
Yes (X)	Travel/Dining	17	$109,400	Market value per don

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Column (b):	The number reported in Column (b) is the number of contributions received for the type of property listed.
Part I, Line 32b:	The Hospital uses an event management firm to assist in processing non-cash donations received for an event auction.
Part I, Line 33:	The Hospital may receive items such as books, stuffed animals and video games that are donated to the units - these items are de minimus and values are not available so they are not reported in revenues.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part III, Line 1 Mission	Founded in 1869, Boston Children's is one of the largest pediatric hospitals in the U.S. and the only freestanding pediatric hospital in Massachusetts, with its main campus located in the Longwood Medical Area. Boston Children's provides access to safe, high quality health care services that meet the unique needs of our patients and their families, regardless of their ability to pay. Boston Children's has been and will continue to be the world leader in compassionate, equitable, family-centered care and science. Our vision and goal is to lead change in the care and well-being of children through cutting edge research, state of the art innovative clinical care and diagnostics and the development of new drugs, therapeutics and devices to treat and cure what is not currently possible and to solve the problems of tomorrow. Boston Children's serves a unique role in the pediatric landscape and adds value across our four mission pillars. CARING for children we are uniquely able to serve, delivering superior outcomes in pediatrics relative to national peers, and caring for an increasingly complex pediatric population. RESEARCH to develop new treatments and improve child health, running the world's largest pediatric research enterprise (and the leading recipient of pediatric research funding from the National Institutes of Health) and leveraging our research to directly impact patient care. TEACHING the next generation of leading pediatric care providers, serving as Harvard Medical School's primary pediatric teaching hospital, and filling a critical role in training sub-specialists. Serving the COMMUNITY as a care provider, safety net, collaborator, investor, and economic contributor; offering the only large PICU and 24/7 pediatric intensivist care in New England, serving as a safety net hospital for Massachusetts Medicaid; keeping care local and lower cost by decreasing our inpatient admissions from local/regional areas and providing back-up support to other hospitals; investing in community education and support (collaborate with schools); attracting jobs and funding to the Boston and Massachusetts economies. In 2023, U.S. News & World Report ranked Boston Children's among the best in the nation, based on a wide range of factors, including reputation among pediatric specialists, medical outcomes, and care-related indicators of quality, such as nurse staffing and the availability of specialized services. In 2008, 2012, 2017, and 2022, Boston Children's achieved Magnet Recognition from the American Nurses Credentialing Center. For the fifth year in a row, Boston Children's was selected as a Leader in LGBTQ Healthcare Equality by Healthcare Equality Index (HEI).
Form 990, Part VI, Section A, line 6	Children's Medical Center Corporation is the sole member of the Children's Hospital Corporation.
Form 990, Part VI, Section A, line 7a	Children's Medical Center Corporation is the sole member of the Children's Hospital Corporation. The Children's Medical Center Corporation elects the governing body of Children's Hospital Corporation because the Board of Directors of Children's Hospital Corporation must consist of the persons who serve from time to time as the directors of The Children's Medical Center Corporation.
Form 990, Part VI, Section A, line 7b	Children's Medical Center Corporation is the sole member of the Children's Hospital Corporation ("the Hospital"). As stated in the Hospital's By Laws, Children's Medical Center Corporation has the powers and rights: - to approve proposed operating and capital budgets of the Hospital; - to approve the sale of all or substantially all of the Hospital's assets or the Hospital; - to approve the establishment of all long-range plans, goals and objectives of the Hospital; - to approve any incurrence of long-term indebtedness by the Hospital; - to approve the appointment or removal of the Chief Executive Officer of the Hospital; - to approve mergers, consolidations, and other forms of corporate affiliations with third parties.
Form 990, Part VI, Section B, line 11b	The Form 990 tax return was prepared by the organization's staff and reviewed by management (including the President & Chief Executive Officer, Chief Financial Officer, General Counsel and other relevant departments of the organization), along with the outside accounting firm of Ernst & Young. The Form 990 tax return was then presented to the Children's Medical Center and affiliates' Audit & Compliance Committee. Also, a copy was made available to the Board before filing.
Form 990, Part VI, Section B, line 12c	The Hospital's Conflict of Interest and Commitment policy applies to all directors, Trust Board members, members of the medical or research staff, faculty, fellow, resident, student, visiting faculty or scientist, consultant, volunteers and employees of the Hospital. Directors, chiefs of service and division chiefs, senior directors and others who exercise influence over important strategic, business and purchasing decisions of the Hospital are required to complete an annual conflict of interest disclosure questionnaire about their financial interests and outside activities. If an expected questionnaire is not returned, the Compliance Officer notifies the individual's supervisor or the CEO or COO, and repeated requests for the completed questionnaire are made until the questionnaire is completed. Responses are reviewed by the Compliance Officer and any potential conflicts are discussed with the Office of General Counsel and/or the individual's supervisor; any actual or potential conflicts are managed by termination of the conflict, management of the conflict, recusal, disclosure, review, or a combination thereof. Outside interests and outside activities may be permitted as long as the Hospital, Medical Center or Trust determines that such interests and activities are consistent with the policies of the Hospital, Medical Center or Trust and the Hospital, Medical Center or Trust Board member, medical staff member or employee involved does the following: 1. discloses the fact that he/she has a financial interest or a consultative role in or with a person or company with which the Hospital, Medical Center or Trust is doing or is thinking of doing business; and 2. refrains from voting or exercising any personal influence whatsoever in the selection of a person or company to do business with the Hospital, Medical Center or Trust with whom or in which he/she has a financial interest or a consultative role; and 3. avoids any active participation in any financial negotiations between the Hospital, Medical Center or Trust and the person or company with whom or in which he/she has a financial interest or consultative role; and 4. does not permit such outside interests or activities to absorb such amounts of his/her time and effort as to make it impractical for them to fulfill their assigned responsibilities at the Hospital, Medical Center or Trust; and 5. does not permit such outside interests or activities to compromise or appear to compromise the name or reputation of the Hospital, Medical Center or Trust.
Form 990, Part VI, Section B, line 15	The Hospital has a board level compensation committee that annually reviews and approves the compensation for the following individuals: President & Chief Executive Officer Executive Vice President, Enterprise Services, System Chief Financial Officer Executive Vice President & Chief Scientific Officer Executive Vice President, System General Counsel, Chief of Staff Executive Vice President, Health Affairs Executive Vice President, Hospital, Satellite & Ambulatory Operations; Chief Culture Officer Executive Vice President, Patient Care Operations & System Chief Nursing Officer Executive Vice President & President, Boston Children's Hospital Trust, Chief Development Officer Executive Vice President, Chief Human Resources Officer Chief Investment Officer Senior Vice President & Chief Information Officer Senior Vice President, National and International Services Senior Vice President, Real Estate Planning & Development Senior Vice President, Clinical Operations Senior Vice President, Research Administration Senior Vice President, Support Services Senior Vice President, Finance Vice President, Government Relations Vice President, Chief Marketing Officer The committee is comprised of members of the board who are not employed by the organization, and no member may participate in the review and approval of compensation if the member has a conflict of interest with respect to that compensation arrangement. The committee relies on data, provided by an independent compensation consultant, which includes comparable compensation for similarly qualified persons, in functionally comparable positions, at similarly situated organizations. The deliberations and decisions of the committee are documented in minutes of the meeting.
Form 990, Part VI, Section C, line 19	The Hospital posts its Code of Conduct (which incorporates the Conflict of Interest Policy) and its Compliance Manual (which includes a summary of the Conflict of Interest Policy) on its external website and these are also available from the Compliance Office or the Office of General Counsel. Governing documents are not posted publicly but are available from the Hospital upon request and are also filed with the Massachusetts Secretary of State, where they are available to the public. Audited financial statements are filed annually with the Massachusetts Office of the Attorney General as part of the Hospital's Form PC filing and are available from the organization upon request. Quarterly financial statements are filed with the Hospital's bond trustee and are available to the public through the Electronic Municipal Market Access (EMMA) website maintained by the Municipal Securities Rulemaking Board.
Form 990, Part IX, line 11g	Purchased Medical Services: Program service expenses 131,803,163. Management and general expenses 26,374,063. Fundraising expenses 0. Total expenses 158,177,226. Purchased Research Services: Program service expenses 64,358,816. Management and general expenses -35,268. Fundraising expenses 0. Total expenses 64,323,548. Consulting Services: Program service expenses 5,113,216. Management and general expenses 4,676,621. Fundraising expenses 275,395. Total expenses 10,065,232. Misc. Purchased Services: Program service expenses 71,245,988. Management and general expenses 26,069,263. Fundraising expenses 781,647. Total expenses 98,096,898. Nursing Agency Fees: Program service expenses 77,445,011. Management and general expenses 112,671. Fundraising expenses 0. Total expenses 77,557,682. Laundry Services: Program service expenses 248,437. Management and general expenses 140,940. Fundraising expenses 0. Total expenses 389,377. Security Services: Program service expenses 33,818,713. Management and general expenses 3,176,281. Fundraising expenses 0. Total expenses 36,994,994. Catering Fees: Program service expenses 932,286. Management and general expenses 535,506. Fundraising expenses 29,303. Total expenses 1,497,095. Collection Agency Fees: Program service expenses 116,915. Management and general expenses 1,727,942. Fundraising expenses 0. Total expenses 1,844,857. Temp Agency Fees: Program service expenses 22,127,689. Management and general expenses 818,655. Fundraising expenses 99,039. Total expenses 23,045,383. Ambulance Services: Program service expenses 52,730. Management and general expenses 0. Fundraising expenses 0. Total expenses 52,730. Environmental Services: Program service expenses 395,664. Management and general expenses 269,862. Fundraising expenses 0. Total expenses 665,526. Employment Agency Services: Program service expenses 2,843,584. Management and general expenses 1,705,961. Fundraising expenses 353,163. Total expenses 4,902,708.
Form 990, Part XI, line 9:	Net transfers/support from Children's Medical Center 81,104,100. Pension adjustment -12,181,642. Net assets released from restrictions 2,784,823. Net asset transfers 2,500,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Children's One Brookline Place LLC
300 Longwood Avenue	Boston	MA	02115	205850015	Real Estate Holdings	MA	$10,950,531	$62,081,479	Children's Hospital Corporation
Children's Brookline Place LLC
300 Longwood Avenue	Boston	MA	02115	261523020	Real Estate Holdings	MA	$0	$0	Children's Hospital Corporation
Children's Five Brookline Place LLC
300 Longwood Avenue	Boston	MA	02115	205850117	Real Estate Holdings	MA	$477,322	$2,954,307	Children's Hospital Corporation
BCH Washington Street LLC
300 Longwood Avenue	Boston	MA	02115	814382781	Real Estate Holdings	MA	$0	$0	Children's Hospital Corporation
BCH Pearl Street LLC
300 Longwood Avenue	Boston	MA	02115	814393086	Real Estate Holdings	MA	$0	$0	Children's Hospital Corporation
BCH Brookline Ave LLC
300 Longwood Avenue	Boston	MA	02115	814457294	Real Estate Holdings	MA	$0	$0	Children's Hospital Corporation
Boston Children's Health International LLC
300 Longwood Avenue	Boston	MA	02115	814377341	Inactive	MA	$0	$0	Children's Medical Center Corp
Children's Westland LLC
300 Longwood Avenue	Boston	MA	02115	262904847	Inactive	MA	$0	$0	Longwood Research Institute
BCH 819 Beacon Street LLC
300 Longwood Avenue	Boston	MA	02115	814382691	Real Estate Holdings	MA	$1,976,400	$6,269,980	Longwood Research Institute
Children's Waltham Medical Center LLC
300 Longwood Avenue	Boston	MA	02115	202076874	Real Estate Holdings	MA	$0	$0	Children's Medical Center Corp
Boston Children's Health Accountable Care LLC
300 Longwood Avenue	Boston	MA	02115	300991601	Accountable Care	MA	$20,986,997	$9,650,186	Children's Hospital Corporation
BCD Hospital Energy Collaborative LLC
300 Longwood Avenue	Boston	MA	02115	821711826	Hospital Energy	MA	$0	$0	Children's Hospital Corporation
Boston Children's Health Physicians LLP
300 Longwood Avenue	Boston	MA	02115	133956599	Healthcare	NY	$168,536,384	$94,685,885	Children's Medical Center Corp
Boston Children's Health Solutions RX LLC
300 Longwood Avenue	Boston	MA	02115	861408128	Specialty Pharmacy	MA	$20,981,197	$5,613,446	Children's Hospital Corporation
Boston Children's Health National LLC
300 Longwood Avenue	Boston	MA	02115	933063006	Healthcare	MA	$0	$0	Children's Medical Center Corp

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Children's Medical Center Corporation
55 Shattuck Street	Boston	MA	02115	041174680	Holds & manages security, real estate investments for Children's Hospital	MA	501(c)(3)	Line 12c, III-FI	N/A	0
Longwood Research Institute Inc
300 Longwood Avenue	Boston	MA	02115	042781368	Medical & scientific research; holds real estate investments	MA	501(c)(3)	Line 12c, III-FI		0	Children's Medical Center Corporation
CHB Properties Inc
300 Longwood Avenue	Boston	MA	02115	043323330	Holds & manages satellite ambulatory centers; real estate investments	MA	501(c)(3)	Line 10		0	Children's Medical Center Corporation
Physician's Organization at Children's Hospital Inc
300 Longwood Avenue	Boston	MA	02115	043266103	Coord & develop integrated childhlth care system w/ affil members	MA	501(c)(3)	Line 12d, III-O	N/A	0
New England Congenital Cardiology Research Foundation
300 Longwood Avenue	Boston	MA	02115	800368043	Improve patient safety & quality for children w/ heart disease	MA	501(c)(3)	Line 7		Yes (1)	Children's Hospital Corporation
Children's Hospital League Corporation
300 Longwood Avenue	Boston	MA	02115	042780811	Fundraising	MA	501(c)(3)	Line 7		Yes (1)	Children's Hospital Corporation
Blood Research Institute Inc
300 Longwood Avenue	Boston	MA	02115	043136318	Owning & Leasing Real Estate	MA	501(c)(3)	Line 12c, III-FI		0	Children's Medical Center Corporation
BIDMCChildren's Hospital Medical Care Corp
300 Longwood Avenue	Boston	MA	02115	043200113	Pediatric Health Care, Education & Research	MA	501(c)(3)	Line 12b, II	N/A	0
Dana-FarberChildren's Hospital Cancer Care Inc
450 Brookline Avenue BP418	Boston	MA	02215	043554536	Joint program in pediatric oncology	MA	501(c)(3)	Line 12b, II	N/A	0
New England Life Flight Inc
Hangar 1727 Hanscom AFB	Bedford	MA	01730	222582060	Critical Care Transport	MA	501(c)(3)	Line 12b, II	N/A	0
Longwood Medical Energy Collaborative Inc
160 Longwood Avenue	Boston	MA	02115	043476764	Energy Related Initiatives	MA	501(c)(3)	Line 12a, I	N/A	0
Boston Children's Network Specialty Physicians Inc
300 Longwood Avenue	Boston	MA	02115	881343469	Healthcare	MA	501(c)(3)	Line 10		0	Children's Hospital Corporation
Franciscan Hospital for Children Inc
30 Warren Street	Brighton	MA	02135	042156082	Pediatric Rehabilitation and Behavioral Health	MA	501(c)(3)	Line 3		0	Children's Medical Center Corporation

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Franciscan Pediatrics Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	30 Warren Street	AddressLine1Txt
City	Brighton	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02135	ZIPCd

Field	Value	IRS element (for citing)
EIN	043160358	EIN
Primary Activities	Healthcare	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Franciscan Hospital for Children Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Boston Children's Network Specialty Physicians Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionTypeTxt
Involved	$19,005,415	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt