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CHILDRENS HOSPITAL CORPORATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL CORPORATION (EIN 04-2774441)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-14
IRS object ID
202302269349301075
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

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

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Principal OfficerKevin B Churchwell MDPrincipalOfficerNm

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Gross Receipts$2,590,587,573GrossReceiptsAmt
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Formation1982FormationYr
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Activity Or MissionProvider of pediatric healthcare, education, research & community serviceActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
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Total Volunteers306TotalVolunteersCnt
Total Gross UBI-$1,063,993TotalGrossUBIAmt
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PY Contributions Grants$544,299,928PYContributionsGrantsAmt
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Expense$1,581,716,920ExpenseAmt
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DescCLINICAL CARE: In 2022, we opened the Hale Family Building, our new clinical tower, strengthening our ability strengthening our commitment by enabling enhanced, more efficient care for the benefit of patients, families, and the teams who deliver and support that care. We continue to work to renovate our existing inpatient campus, aiming for completion by 2029.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 FY22, Boston Children's saw approximately 1.2 million outpatient visits, 48,000 emergency department visits, 22,000 inpatient or observation stays, and 26,000 inpatient or day surgeries. Our inpatient case mix index was 1.72 (MA only) and the average length of stay was 5.91 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 are able to 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 2022, with Tufts's decision to close their pediatric inpatient beds, and urgent unmet pediatric need in behavioral health, we agreed to partner with both Franciscans and Tufts Medicine to strengthen the care continuum in Boston and beyond. We also partnered with PM Pediatrics, a national provider of urgent care, to support ED alternatives. We continue to extend our virtual care offerings to our local providers, so that we can help to keep care with local pediatricians and community hospitals whenever possibleIncreasingly, 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 NE 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 Boson Children's satellite or physician office location. Our affiliated community hospitals account for nearly half of our MA community hospital transfers and 30% 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

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DescRESEARCH: 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 FY2022, 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.Members of our research community include 12 members of the National Academy of Sciences, 21 members of the National Academy of Medicine, 25 Howard Hughes Medical Institute Investigators, and 8 Lasker Award recipients. In total, our research community publishes more peer-reviewed research in top scientific journals than the next 20 children's hospitals combined more than 3,000 annually since 2015.Our investigators are Harvard Medical School faculty basic scientists, clinical researchers and epidemiologistswho 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 2022- Our Gene Therapy Program, collaborating with the Leukodystrophy Clinic at Massachusetts General Hospital, infused first patient to receive gene therapy outside of a clinical trial for Cerebral adrenoleukodystrophy- Mapping symptoms of conditions like autism to hotspots in the brain could lead to treatment with noninvasive brain stimulation- Clinical trials started for first prosthetic pulmonary valve replacement specifically designed for pediatric patients that can expand over time (invented at Boston Children's)- Researchers identified proteins in urine that could help doctors diagnose and track a child's concussion- Genetic findings changed how we understand conditions ranging from sudden infant death syndrome to cerebral palsy to heart disease- Studies explored how to prevent "chemo brain," an unfortunate side effect of chemotherapy on children's memory, attention, and learning- Surgical advances to make heart operations safer, like an improved system for controlling body temperature and tools to locate the vital tissues that control the beating of the heart so surgeons can operate safely around themDesc

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Expense$41,421,355ExpenseAmt
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DescTEACHING: 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 word 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

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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 missioncommunity. 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 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 Bostonspecifically 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 Lexington, North Dartmouth, Peabody, Waltham, and Weymouth.Boston Children's 2022 assessment also included data from the Boston Collaborative Community Health Needs Assessment, also known as the Boston CHNA-CHIP 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 CHNA-CHIP 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 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 partnerscommunity 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 areasasthma, obesity, mental and behavioral health, and early childhood developmentand 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 2,553 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 54.7% after one year in the program. The program provided education and training for 174 community meetings with 2,775 participants, 2 community events with 725 participants, 15 trainings/talks with 158 participants, and 2 insurance/policy related meeting with 25 participants. It cared for 112 new patients with 83 completing at least one home visit (74%). Boston Children's staff completed 142 visits, with 138 by Community Health Workers and 4 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 FY22, 1,075 students participated in 24 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 1,314 students across four elementary, K8, middle, and high schools, making up over one-third of the total 2021-2022 school year's enrollment. Clinicians intervened in 71 crisis situations with a median wait time of 4 minutes, provided individual therapy to 49 students, and provided care coordination services to 145 students. Average satisfaction ratings across all stakeholders (students, caregivers, educators, and school staff) and services were over 88% 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 FY22, 64% 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 506 children who are at-risk of obesity or identify as food insecure in nutrition education and physical activity and connected them to food resources.
Community (continued):- 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. While primarily targeting Boston Children's patients and residents of Mildred C. Hailey Apartments, the pantry is open to everyone. In FY22, there were 13,491 visits to the pantry, and 85% of those families live in a Boston zip code.Expanded commitment through the Collaboration for Community HealthBoston Children's had an opportunity to build on its history of partnering 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 Healthare - 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 56 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 www.BostonChildrens.org/fundingAddressing social determinants of healthBoston Children's also responds to the social determinants of health by focusing on support and partnerships in three areas: 1) 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 overcome barriers that may prevent their children from functioning well in school. In FY21, BCHNP's Training and Access Project (TAP) partnered with five schools. Since 2015, TAP has partnered with 25 BPS schools. The program utilizes a combination of high quality professional development and consultation over the course of a two-year partnership to support the development of the systems, protocols, and procedures needed to effectively and sustainably address student's social, emotional, and behavioral health needs in schools. TAP continues to broaden its reach beyond its partner schools by developing free online professional development trainings adapted from the in-person TAP professional development workshops. To date, TAP has over 5,400 participants. Last year, TAP Online released: 1) a three-part training series to support school staff in meeting the social, emotional, and behavioral health needs of their school's community upon return to school during the COVID-19 pandemic, 2) a training about the impact of trauma on learning, and 3) a documentary and resource guide specifically for families coping with anxiety. All free trainings can now be accessed at www.childrenshospital.org/TAPOnline. BCHNP also continued an ongoing partnership with the Boston Public Schools' Behavioral Health Department to support systemic changes aimed at enhancing schools' capacities to support students' behavioral health needs.2) 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 63 high school and 32 college students participating. Boston Children's has hired over 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.3) 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. 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.
Community (Continued):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 uninsuredthe 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 creating a behavioral health urgent care system. 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 closing the SNAP Gap, addressing issues in the housing market, and expanding the earned income tax credit. The hospital also lends expertise in efforts to reduce racial inequities in maternal and infant health, lead poisoning, and improve child passenger safety legislation. 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 monthly 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. During the COVID crisis, the CAN found creative solutions to keep advocates engaged including virtual advocacy briefings, webinars and trainings, as well as online event partnerships with the Offices of Health Equity and Community Health.$18,990,856$0$0
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$18,990,856TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,075,467,793TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1781IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee15422EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible ContributionsYes (1)NondeductibleContributionsInd
Nondeductible Contri DisclYes (1)NondeductibleContriDisclInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Doug VandersliceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6173556000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AvenueAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02115ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Kevin Churchwell MD
President & CEO55.006.00Yes (X)Yes (X)$2,753,801$0$104,479
Douglas Berthiaume
Director - Chairman5.005.00Yes (X)$0$0$0
Allan Bufferd
Director1.001.00Yes (X)$0$0$0
Winston Henderson
Director1.001.00Yes (X)$0$0$0
Ivor Horn
Director1.001.00Yes (X)$0$0$0
Stephen Karp
Director1.001.00Yes (X)$0$0$0
Steven Krichmar
Director1.001.00Yes (X)$0$0$0
Robert Langer
Director1.001.00Yes (X)$0$0$0
Vivian Lee
Director1.001.00Yes (X)$0$0$0
Harvey Lodish PhD
Director1.001.00Yes (X)$0$0$0
Gary Loveman
Director1.001.00Yes (X)$0$0$0
Ralph C Martin
Director1.001.00Yes (X)$0$0$0
Thomas Melendez
Director1.001.00Yes (X)$0$0$0
Ted Pappendick
Director1.001.00Yes (X)$0$0$0
Kathleen Regan
Director1.001.00Yes (X)$0$0$0
Robert A Smith
Director - Vice Chair2.002.00Yes (X)$0$0$0
Alison Taunton-Rigby PhD
Director1.001.00Yes (X)$0$0$0
Lisa Wieland
Director1.001.00Yes (X)$0$0$0
Marc B Wolpow
Director1.001.00Yes (X)$0$0$0
Doug Vanderslice
EVP, Treasurer & CFO55.007.00Yes (X)$1,574,687$0$72,322
Michele Garvin Esq
EVP, General Counsel & Secretary55.006.00Yes (X)$1,152,711$0$58,731
Bruce Balter
Asst Treasurer/Dir Corp Finance55.005.00Yes (X)$300,990$0$48,496
Christine Grenache
Asst Sec/Exec Asst55.005.00Yes (X)$137,890$0$15,772
Philip Rotner
Chief Investment Officer55.005.00$1,660,061$0$60,407Yes (X)
Peter Laussen MD
EVP, Health Affairs55.005.00$1,253,860$0$69,705Yes (X)
Laura J Wood DNP MS RN
EVP, Chief Nursing Officer55.005.00$912,436$0$51,172Yes (X)
Demosthenes Argys
EVP, Chief Administrative Officer55.005.00$904,350$0$47,785Yes (X)
Lynn Susman
EVP, Chief Development Officer55.005.00$755,397$0$59,178Yes (X)
Lisa Hogarty
SVP, RE Planning and Development55.005.00$756,108$0$48,941Yes (X)
Michael Gillespie
SVP, Clinical Operations55.005.00$574,960$0$42,110Yes (X)
Patricia Hickey PhD MBA RN NEA-BC
SVP, Patient Services55.005.00$506,047$0$42,386Yes (X)
August Cervini
SVP, Research Administration55.005.00$469,927$0$45,247Yes (X)
Martin Kelly
Director, Investments55.005.00$858,320$0$42,674Yes (X)
Nirav Desai
Director, Investments55.005.00$806,890$0$38,354Yes (X)
Alison Svizzero
Director, Investments55.005.00$823,472$0$21,730Yes (X)
Cynthia Haines
SVP, National & International Svcs.55.005.00$753,560$0$48,933Yes (X)
Nader Rifai PhD
Director, Chemistry55.005.00$702,879$0$45,833Yes (X)
Sandra Fenwick
Former CEO0.000.00$4,369,302$0$5,117Yes (X)
Daniel Nigrin MD
Former SVP & CIO0.000.00$905,045$0$204Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$22,932,693TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$969,576TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3170IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Suffolk Construction
65 Allerton StreetBostonMA02119Construction Services$210,802,705
VPNE Parking Solutions
343 Congress StreetBostonMA02210Parking Services$12,932,558
The Brigham and Women's Hospital
75 Francis StreetBostonMA02115Healthcare/Research Services$11,791,612
Turner Construction Company
Two Seaport Lane Suite 200BostonMA02210Construction Services$9,516,984
Shepley Bulfinch
99 Chauncy StreetBostonMA02111Architecture Services$9,402,206
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K310CntrctRcvdGreaterThan100KCnt
Federated Campaigns$31,694FederatedCampaignsAmt
Fundraising$6,148,684FundraisingAmt
Government Grants$306,742,389GovernmentGrantsAmt
All Other Contributions$307,288,682AllOtherContributionsAmt
Noncash Contributions$7,648,743NoncashContributionsAmt
Total Contributions$620,211,449TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Svc. Revenue621110$1,641,534,852$1,641,534,852
Program Svc. Grants621110$72,018,707$72,018,707
Graduate Med Education611710$23,734,290$23,734,290
Prof. Svc. Revenue621110$15,094,185$15,094,185
FieldValueIRS element (for citing)
Total Program Service Revenue$1,752,382,034TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,010,982TotalRevenueColumnAmt
Exclusion$9,010,982ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,526,680TotalRevenueColumnAmt
Exclusion$6,526,680ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$28,648,473RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$12,385,880RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$16,262,593RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,262,593TotalRevenueColumnAmt
Unrelated Business Revenue-$1,127,428UnrelatedBusinessRevenueAmt
Exclusion$17,390,021ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$110,230,466SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$84,180,860SecuritiesAmt
Other$11,938OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$26,049,606SecuritiesAmt
Other-$11,938OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,037,668TotalRevenueColumnAmt
Exclusion$26,037,668ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$1,096,384FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$6,148,684ContriRptFundraisingEventAmt
Fundraising Direct Expenses$969,080FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$127,304TotalRevenueColumnAmt
Exclusion$127,304ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
ACO Revenue621110$25,073,505$25,073,505
Other General Services$23,407,781$23,407,781
Parking Revenue812930$8,118,766$8,118,766

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,881,053TotalRevenueColumnAmt
Unrelated Business Revenue$63,435UnrelatedBusinessRevenueAmt
Exclusion$5,817,618ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$62,481,105OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,493,039,815TotalRevenueColumnAmt
Related Or Exempt Func Income$1,777,455,539RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$1,063,993UnrelatedBusinessRevenueAmt
Exclusion$96,436,820ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,642,348TotalAmt
Program Services$10,642,348ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$783,052TotalAmt
Program Services$783,052ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$14,479,954TotalAmt
Management And General$13,665,379ManagementAndGeneralAmt
Fundraising$814,575FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$912,063,475TotalAmt
Program Services$745,849,033ProgramServicesAmt
Management And General$146,831,741ManagementAndGeneralAmt
Fundraising$19,382,701FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$69,546,703TotalAmt
Program Services$65,283,078ProgramServicesAmt
Management And General$2,442,095ManagementAndGeneralAmt
Fundraising$1,821,530FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$85,031,232TotalAmt
Program Services$82,877,130ProgramServicesAmt
Fundraising$2,154,102FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$84,426,862TotalAmt
Program Services$82,215,599ProgramServicesAmt
Fundraising$2,211,263FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,695,561TotalAmt
Program Services$3,334,498ProgramServicesAmt
Management And General$5,361,063ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,256,735TotalAmt
Program Services$1,859,795ProgramServicesAmt
Management And General$2,396,940ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,055,644TotalAmt
Program Services$977,936ProgramServicesAmt
Management And General$1,074,608ManagementAndGeneralAmt
Fundraising$3,100FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$107,211TotalAmt
Program Services$107,211ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$1,005,173TotalAmt
Fundraising$1,005,173FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$392,390,322TotalAmt
Program Services$335,260,153ProgramServicesAmt
Management And General$55,857,412ManagementAndGeneralAmt
Fundraising$1,272,757FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,616,096TotalAmt
Program Services$4,009,957ProgramServicesAmt
Management And General$2,256,214ManagementAndGeneralAmt
Fundraising$349,925FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$95,310,983TotalAmt
Program Services$54,187,633ProgramServicesAmt
Management And General$35,885,209ManagementAndGeneralAmt
Fundraising$5,238,141FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$39,309,170TotalAmt
Program Services$6,506,671ProgramServicesAmt
Management And General$32,302,844ManagementAndGeneralAmt
Fundraising$499,655FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$121,284,170TotalAmt
Program Services$109,259,753ProgramServicesAmt
Management And General$10,800,750ManagementAndGeneralAmt
Fundraising$1,223,667FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,425,969TotalAmt
Program Services$2,245,938ProgramServicesAmt
Management And General$1,138,742ManagementAndGeneralAmt
Fundraising$41,289FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,226,997TotalAmt
Program Services$771,549ProgramServicesAmt
Management And General$416,335ManagementAndGeneralAmt
Fundraising$39,113FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$30,645,338TotalAmt
Program Services$30,645,338ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$148,199,052TotalAmt
Program Services$148,058,559ProgramServicesAmt
Fundraising$140,493FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,934,508TotalAmt
Program Services$9,925,961ProgramServicesAmt
Management And General$3,008,547ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Lab/Medical/Pharmacy$306,497,207$302,936,803$3,560,404$0
Uncollectible Accts$34,733,044$34,733,044$0$0
Uncompensated Care$28,818,249$28,818,249$0$0
Free Care$14,178,505$14,178,505$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,428,663,560TotalAmt
Program Services$2,075,467,793ProgramServicesAmt
Management And General$316,998,283ManagementAndGeneralAmt
Fundraising$36,197,484FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$27,480,717BOYAmt
EOY$22,004,224EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$213,786,787BOYAmt
EOY$183,528,610EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$355,969,590BOYAmt
EOY$403,858,161EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$39,402,535BOYAmt
EOY$42,279,774EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$16,417,449BOYAmt
EOY$25,226,281EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,481,135,539LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,305,725,360LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,924,903,842BOYAmt
EOY$2,175,410,179EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$279,893,556BOYAmt
EOY$295,673,453EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,521,772,843BOYAmt
EOY$1,304,477,965EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,032,143BOYAmt
EOY$1,908,976EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,542,097,107BOYAmt
EOY$3,502,220,765EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,923,756,569BOYAmt
EOY$7,956,588,388EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$364,269,042BOYAmt
EOY$361,267,585EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$180,376,660BOYAmt
EOY$174,564,642EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$871,058,491BOYAmt
EOY$719,633,721EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$661,848,848BOYAmt
EOY$860,139,945EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$674,154,299BOYAmt
EOY$752,345,152EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,751,707,340BOYAmt
EOY$2,867,951,045EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,033,004,208BOYAmt
EOY$3,184,957,333EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,139,045,021BOYAmt
EOY$1,903,680,010EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,172,049,229BOYAmt
EOY$5,088,637,343EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,923,756,569BOYAmt
EOY$7,956,588,388EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$64,376,255ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$135,104,426NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$12,683,715OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$417,494,538CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$415,137,440CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$573,205,044CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$544,299,928CurrentTaxYearMinus1YearAmt
Current Tax Year$620,211,449CurrentTaxYearAmt
Total$2,570,348,399TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$417,494,538CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$415,137,440CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$573,205,044CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$544,299,928CurrentTaxYearMinus1YearAmt
Current Tax Year$620,211,449CurrentTaxYearAmt
Total$2,570,348,399TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,570,348,399PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,911,194CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,356,204CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,457,318CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,655,925CurrentTaxYearMinus1YearAmt
Current Tax Year$32,927,683CurrentTaxYearAmt
Total$164,308,324TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$2,548,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$5,469,037CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$2,691,040CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$1,619,078CurrentTaxYearMinus1YearAmt
Current Tax Year-$1,063,993CurrentTaxYearAmt
Total-$13,391,736TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,920,013CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,809,991CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$47,347,934CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$47,431,442CurrentTaxYearMinus1YearAmt
Current Tax Year$37,344,165CurrentTaxYearAmt
Total$203,853,545TotalAmt
FieldValueIRS element (for citing)
Total Support$2,925,118,532TotalSupportAmt
Gross Receipts Rltd Activities$7,766,037,616GrossReceiptsRltdActivitiesAmt
Public Support CY1700.87870PublicSupportCY170Pct
Public Support PY1700.87640PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationOther General Services Parking Revenue Cafeteria RevenueExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Mailings Members$142,845MailingsMembersAmt
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$18,322GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$517,035DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$678,202TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1FormAndLineReferenceDesc
ExplanationChildren'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 2022, 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 2022 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 $75,796 - Amara Azabuike Children's Hospital personnel $38,220 - Shannon Moore Children's Hospital personnel $79,482 - Alyce Norcross Children's Hospital personnel $12,626 - Sarah Mills Children's Hospital personnel $6,825 - 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 $67,211 Total Lobbyist/Consultant Expenses = $517,035 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $142,845 Grant to National Association of Children's Hospitals for graduate medical education related lobbying - $18,322 TOTAL LOBBYING EXPENSES = $678,202 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,134,782,000BeginningYearBalanceAmt
Contributions-$461,000ContributionsAmt
Investment Earnings Or Losses$32,789,000InvestmentEarningsOrLossesAmt
Other Expenditures$4,953,000OtherExpendituresAmt
End Year Balance$1,162,157,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.55400BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.25520PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.19080TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,248,238,809OtherCostOrOtherBasisAmt
Depreciation$1,475,723,298DepreciationAmt
Book Value$1,772,515,511BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,033,091,979OtherCostOrOtherBasisAmt
Depreciation$823,164,881DepreciationAmt
Book Value$209,927,098BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$161,323,383OtherCostOrOtherBasisAmt
Depreciation$6,837,181DepreciationAmt
Book Value$154,486,202BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,175,410,179TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (154 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
3rd Pty External Administered Trusts$39,174,365F
Abrams Capital$28,680,960F
AKO European Long-Only Fund$13,823,440F
Bain Cap Distr & Special Situations$1,957,848F
Bain Capital Fund X$784,148F
Bain Capital Venture Fund 2012$2,541,400F
Bain Capital Venture Fund 2014$4,512,440F
Baker Brothers Life Sciences, L.P.$17,837,912F
Baupost$46,107,204F
Blacksheep Fund$15,546,772F
Brightline, Inc$693,744F
Brightstar Capital Partners Fund II, L.P.$5,322,196F
Brookside Capital$5,820F
Commure, Inc.$388,000F
Costanoa Ventures III, LP$7,526,424F
Costanoa Ventures IV, L.P.$3,528,860F
Costanoa Ventures Opportunity Fund II, L.P.$1,364,208F
Costanoa Ventures Opportunity Fund, L.P.$2,677,976F
Crosslink Crossover Fund VI$4,133,752F
Crosslink Crossover Fund VII$13,869,448F
Crosslink Ventures IX, L.P.$3,277,048F
Crosslink Ventures VIII-B, L.P.$10,628,096F
Davidson Kempner$73,127,136F
Deccan Value$18,627,780F
Deerfield Healthcare Innov Fund II$3,860,988F
Deerfield Partners, LP$23,352,944F
Deerfield Private Design Fund IV$6,914,548F
Deerfield Private Design Fund V, L.P$2,594,556F
Dune Real Estate Fund III$2,523,940F
ECM Feeder Fund I$36,182,812F
Energy Capital Partners II$37,248F
Energy Capital Partners III$2,046,700F
Fidelity Notes Payable$2,424,612F
Fine Points Capital II$40,165,372F
Flare Capital Partners I$6,885,060F
Flare Capital Partners II$3,250,664F
Gaoling Feeder, Ltd.$16,303,597F
Golden Gate Capital$7,314,188F
Hillhouse Fund III$3,608,400F
Hillhouse Fund IV, L.P.$2,483,200F
Himalaya Capital Investors, L.P.$21,634,870F
HMI Capital Partners$38,147,902F
Holdco.Opp. Fund II$528,456F
Holdco.Opp. Fund III$2,774,200F
ICHIGO Japan Fund B$23,483,462F
Incentive Active Value Long Only Fund$15,260,328F
Insignia Ventures Partners Annex Fund I, L.P.$2,694,272F
Insignia Ventures Partners Fund I L.P.$11,514,288F
Insignia Ventures Partners Fund II L.P.$6,282,108F
JMC Capital I-B$3,255,708F
JMC Platform Fund II-B$3,648,752F
King Street$8,329,884F
Lone Star Fund IX$1,222,200F
Lone Star Fund VIII$938,184F
Madison Avenue Offshore Ltd.$43,615,468F
Matrix China II$5,645,400F
Matrix China III$6,431,488F
Matrix China IV$7,108,548F
Matrix India II$8,894,900F
Matrix Partners China V, L.P.$9,523,460F
Matrix Partners China VI, L.P.$9,883,912F
Matrix Partners India III, LLC$7,806,560F
Matrix Partners X$3,715,876F
Matrix Partners XI, L.P.$8,439,776F
Maveron Equity Partners VI$6,652,260F
Maveron Equity Partners VII, L.P.$10,872,148F
Misc. Investments$5,633,222F
Nalanda$35,180,697F
Park West Investors Ltd$37,726,404F
Riverstone$850,884F
Rivulet Capital Offshore Fund, Ltd.$32,339,024F
Roundshield Co-Invest Fund$600,624F
Roundshield III, LP$3,168,796F
RoundShield IV, L.P.$3,145,516F
Sequoia Capital China Growth Fund V, L.P.$8,722,628F
Sequoia Capital China Growth Fund VI, L.P.$4,593,144F
Sequoia Capital China Seed Fund I, L.P.$620,412F
Sequoia Capital China Seed Fund II, L.P.$732,156F
Sequoia Capital China Venture Fund VII, L.P.$1,659,864F
Sequoia Capital China Venture Fund VIII, L.P.$1,118,992F
Sequoia Capital Global Equities$27,407,932F
Sequoia Capital Global Growth Fund II$16,283,584F
Sequoia Capital Global Growth Fund III$6,528,100F
Sequoia Capital Global Growth Fund III China Annex Fund, L.P.$475,300F
Sequoia Capital Global Growth Fund III U.S./India Annex Fund, L.P.$673,956F
Sequoia Capital India Growth Fund III Ltd.$1,330,064F
Sequoia Capital India IV$7,122,516F
Sequoia Capital India Seed Fund I Ltd.$989,400F
Sequoia Capital India Seed Fund II Ltd.$507,504F
Sequoia Capital India V$6,823,756F
Sequoia Capital India Venture VII Ltd.$775,612F
Sequoia Capital India VI Ltd.$7,417,784F
Sequoia Capital U.S. Venture Fund XVI, L.P.$2,314,032F
Sequoia Capital U.S. Venture Fund XVII, L.P.$1,079,804F
Sequoia Capital US/E Seed Fund IV, L.P.$178,092F
Sequoia China Growth III$30,854,536F
Sequoia China Growth IV$8,763,368F
Sequoia China Venture Fund IV$1,124,036F
Sequoia China Venture Fund V$1,672,280F
Sequoia China Venture Fund VI$1,831,748F
Sequoia U.S. Growth Fund IX, L.P.$3,247,948F
Sequoia US Growth Fund VII$4,263,732F
Sequoia US Growth Fund VIII$5,226,360F
Sequoia US Venture Fund XIV$6,038,056F
Sequoia US Venture Fund XV$1,957,460F
Sequoia US Growth Fund V$339,888F
Sequoia US Growth Fund VI$3,452,036F
Sessa Capital Special Opportunity Fund II, L.P.$10,314,980F
Sessa Capital, L.P.$12,667,036F
Shine Capital I, L.P.$2,987,212F
SPUR Ventures II$4,636,988F
Steadfast$17,040,184F
Sunridge Agribusiness Opp. I, LP$3,857,884F
Sunridge Agribusiness Opportunities II, L.P.$1,511,648F
Tenfore Holdings Fund II, L.P.$7,008,056F
Tourmaline Capital Fund II LP$2,073,860F
Underscore VC Fund I, LP$4,213,680F
Underscore. VC Fund II, L.P.$8,073,892F
Union Park Capital II L.P.$6,450,888F
Union Park Capital III L.P.$3,318,564F
WELLINGTON LIQUIDITY PORTFOLIO$144,861,957F
Westbrook IX$795,400F
Westbrook X$1,408,440F
Whale Rock Flagship Fund, LTD.$11,377,324F
Akmazo Capital Fund I, L.P.$1,134,900F
Akmazo Co-Investment A, LLC$451,632F
Bain Capital Life Sciences Fund III, L.P.$426,412F
HoldCo Opportunities Fund IV, L.P.$11,952,728F
Insignia Ventures Partners Fund III L.P.$293,716F
Marcus Capital Partners Fund IV, L.P.$108,640F
Matrix Partners China VII, L.P.$294,880F
Matrix Partners India IV, LLC$403,520F
Matrix Partners XII, L.P.$776,000F
Maveron Equity Partners VIII, L.P.$674,344F
Paradigm One, L.P.$1,238,884F
Qiming Venture Partners VIII, L.P.$324,756F
Qiming Venture Partners VIII-Healthcare, L.P.$55,484F
RHCP-III, L.P.$393,044F
Sankaty Credit Opport Fund IV$32,204F
Sequoia Capital China Seed Fund III, L.P.$15,132F
Sequoia Capital China Venture Fund IX, L.P.$25,996F
Sequoia Capital India Growth Fund IV Ltd.$29,100F
Sequoia Capital India VIII Ltd.$31,040F
Sequoia Capital SEA Fund I Ltd.$54,320F
Sequoia Capital Fund, L.P.$9,773,353F
Sequoia Capital US/E Expansion Fund I, L.P.$341,440F
Sequoia US/E Crypto Fund I, L.P.$120,668F
Sequoia US/E Ecosystem Fund I, L.P.$23,280F
Sessa Capital Special Opportunity Fund III, L.P.$1,866,280F
Shine Capital II, L.P.$348,036F
Shine Capital Opportunities Fund I, L.P.$149,380F
Summus Global, Inc.$194,000F
Tenfore Holdings Fund III, L.P.$332,904F
Will Ventures Fund II, L.P.$852,436F
FieldValueIRS element (for citing)
Total Book Value Securities$1,304,477,965TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Interest in the Net Assets of Children's Medical Center$2,900,137,925
Expected Insur Recoveries for Prof Liability Claims$51,525,630
Investment in Subsidiaries$24,564,012
CERNER Asset$8,159,026
Other Assets - Miscellaneous$16,198,277
Operating Lease Right of Use Asset$501,635,895
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,502,220,765TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue$36,697,947
Funds Held for Others$32,860,870
Reserve for Medical Malpractice$12,824,377
Interest Rate Swap Liability$51,518,323
Cerner Contra Asset$10,863,712
Operating Lease Liability$540,041,097
Malpractice Unpaid Loss$51,525,630
Other Liabilities$16,013,196
FieldValueIRS element (for citing)
Total Liability$752,345,152TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America & the Caribbean00Program ServicesPatient Care, Research & Education$1,020
East Asia & The Pacific00Program ServicesPatient Care, Research & Education$12,185
Europe00Program ServicesPatient Care, Research & Education$375,122
Middle East and North Africa00Program ServicesPatient Care, Research & Education$23,198
South Asia00Program ServicesPatient Care, Research & Education$45,455
Sub-Saharan Africa00Program ServicesPatient Care, Research & Education$78,975
Central America & the Caribbean00Investment$521,478,401
Sub-Saharan Africa00Investment$76,963,253
Europe00Investment$27,831,240
North America00Program ServicesPatient Care, Research & Education$73,699
Russia and Neighboring States00Program ServicesPatient Care, Research & Education$6,065
South America00Program ServicesPatient Care, Research & Education$24,103
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$598,977,609SubtotalSpentAmt
Continuation Spent$27,935,107ContinuationSpentAmt
Total Spent$626,912,716TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
Interactive Strategies LLC
1133 Connecticut Ave NW Suite 600WashingtonDC20036Fundraising Counsel0$2,583,150$98,840$2,484,310
NNE Marketing LLC
666 Massachusetts AveLexingtonMA02420Direct Mail Counsel0$1,377,905$283,000$1,094,905
Sarah Gardner
13 Smokey Hill RdWaylandMA01778Fundraising Counsel0$408,841$82,243$326,598
The Outreach Team LLC
407 College Ave Ste 349IthacaNY14850Fundraising Solicitation0$55,117$210,865-$155,748
Charity Dynamics LLC
6300 Bridge Point Parkway Ste 240AustinTX78751Online Counsel0$0$10,633-$10,633
The Stelter Company
10425 New York AveDes MoinesIA50322Fundraising Counsel0$0$147,748-$147,748
The Pursuant Group Inc
15660 Dallas Pkwy STE 1000DallasTX75248Fundraising Counsel0$0$6,600-$6,600
Quantcast Corporation
795 Folsom StreetSan FranciscoCA94107Fundraising Counsel0$0$14,976-$14,976
Brodeur and Coville LLC
535 Boylston Street Floor 10BostonMA02116Fundraising Counsel0$0$150,268-$150,268
FieldValueIRS element (for citing)
Total Gross Receipts$4,425,013TotalGrossReceiptsAmt
Total Retained By Contractors$1,005,173TotalRetainedByContractorsAmt
Total Net To Organization$3,419,840TotalNetToOrganizationAmt
Licensed StatesCTLicensedStatesCd
Licensed StatesRILicensedStatesCd
Licensed StatesNHLicensedStatesCd
Licensed StatesVTLicensedStatesCd
Licensed StatesMELicensedStatesCd
Licensed StatesFLLicensedStatesCd
Licensed StatesNYLicensedStatesCd
Licensed StatesNJLicensedStatesCd
Licensed StatesNVLicensedStatesCd
Licensed StatesMALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Virtual Dinner/AuctionEvent1Nm
Gross Receipts Event1$3,958,844GrossReceiptsEvent1Amt
Charitable Contri Event1$3,899,940CharitableContriEvent1Amt
Gross Revenue Event1$58,904GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$0RentFacilityCostsEvent1Amt
Food And Beverage Event1$10,118FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$266,187OtherDirectExpensesEvent1Amt
Event2Investment ConferenceEvent2Nm
Gross Receipts Event2$987,814GrossReceiptsEvent2Amt
Charitable Contri Event2$725,314CharitableContriEvent2Amt
Gross Revenue Event2$262,500GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$0NonCashPrizesEvent2Amt
Rent Facility Costs Event2$0RentFacilityCostsEvent2Amt
Food And Beverage Event2$0FoodAndBeverageEvent2Amt
Entertainment Event2$0EntertainmentEvent2Amt
Other Direct Expenses Event2$30,919OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$2,298,410GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$1,523,430CharitableContriOtherEventsAmt
Gross Revenue Other Events$774,980GrossRevenueOtherEventsAmt
Cash Prizes Other Events$0CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$0NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$118,734RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$279,353FoodAndBeverageOtherEventsAmt
Entertainment Other Events$1,125EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$262,644OthDirectExpnssOtherEventsAmt
Gross Receipts Total$7,245,068GrossReceiptsTotalAmt
Charitable Contributions Tot$6,148,684CharitableContributionsTotAmt
Gross Revenue Total Events$1,096,384GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$118,734RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$289,471FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,125EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$559,750OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$969,080DirectExpenseSummaryEventsAmt
Net Income Summary$127,304NetIncomeSummaryAmt
FieldValueIRS element (for citing)
Individual With BooksDoug Vanderslice CFO TreasurerIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AvenueAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02115ZIPCd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,699,963TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,170,860DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,529,103NetCommunityBenefitExpnsAmt
Total Expense0.00690TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$617,583,771TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$362,031,737DirectOffsettingRevenueAmt
Net Community Benefit Expns$255,552,034NetCommunityBenefitExpnsAmt
Total Expense0.10670TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$653,283,734TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$381,202,597DirectOffsettingRevenueAmt
Net Community Benefit Expns$272,081,137NetCommunityBenefitExpnsAmt
Total Expense0.11360TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,512,604TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,955,052DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,557,552NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,421,355TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,093,304DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,328,051NetCommunityBenefitExpnsAmt
Total Expense0.01430TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,705,942TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,075,654DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,630,288NetCommunityBenefitExpnsAmt
Total Expense0.00900TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$516,771,819TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$503,173,462DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,598,357NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,884,444TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$233,400DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,651,044NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$656,296,164TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$573,530,872DirectOffsettingRevenueAmt
Net Community Benefit Expns$82,765,292NetCommunityBenefitExpnsAmt
Total Expense0.03450TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,309,579,898TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$954,733,469DirectOffsettingRevenueAmt
Net Community Benefit Expns$354,846,429NetCommunityBenefitExpnsAmt
Total Expense0.14810TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs22ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,067,950TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,067,950NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Total Community Benefit Expns$525,858TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$525,858NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs33ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,593,808TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,593,808NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$6,958,013BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$11,529,405ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,071,015CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$541,610MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 NoneBusinessNameLine1Txt
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Boston Children's HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AvenueAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02115ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.childrenshospital.orgWebsiteAddressTxt
State LicenseMA LICENSE #2139StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Boston Children's HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.childrenshospital.org/community-health/needsOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.childrenshospital.org/community-health/needsStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care400.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Page 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Page 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Page 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Boston Children's HospitalPart 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 HospitalPart 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 HospitalPart 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 programing.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 HospitalPart 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 HospitalPart 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.
Part V, Section B, Lines 16a-16cThe Hospital's FAP, FAP Application and plain language summary can be found at:https://www.childrenshospital.org/patient-resources/financial-and-billing-matters/credit-and-collection-policies
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Boston Children's at Waltham
9 Hope AveWalthamMA02453Outpatient Satellite Facility
2 - Boston Children's at Lexington
482 Bedford StreetLexingtonMA02173Outpatient Satellite Facility
3 - Martha Eliot Health Center
75 Bickford StreetBostonMA02130Outpatient Community Health Center
4 - Boston Children's at Peabody
1 Essex Center DrivePeabodyMA01960Outpatient Satellite Facility
5 - Boston Children's at North Dartmouth
500 Faunce Corner RoadNorth DartmouthMA02747Outpatient Satellite Facility
6 - Boston Children's at 333 Longwood Ave
333 Longwood AvenueBostonMA02115Outpatient Pediatric Clinic

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $34,733,044 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 and Children's web site, www.childrenshospital.org.
Part II, Community Building Activities:In FY22, Children's reported two types of community building activities: $2,067,950 for 22 community support programs and $525,858 for community health improvement advocacy. 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 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:Although Children's does not have true affiliates as defined by the IRS, it does have other affiliations.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 five outpatient facilities in Waltham, Lexington, Peabody, North Dartmouth and Jamaica Plain 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.In addition, 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 StatesMA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (97 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
Allston Brighton Community Development Corporation
18R Shepard Street Suite 100BrightonMA02135042716278501(c)(3)$10,000$0Community Partnership
BAGLY Inc
28 Court SquareBostonMA02108042785336501(c)(3)$50,000$0Community Partnership
Bikes Not Bombs (w Children's Services of Roxbury)
284 Amory StreetJamaica PlainMA02130043138753501(c)(3)$100,000$0Community Partnership
Boston After School and Beyond
89 South Street Suite 601BostonMA02111201308560501(c)(3)$25,000$0Community Partnership
Boston Center for Youth and Families
75 Newbury Street 3rd FloorBostonMA02116042602576501(c)(3)$55,000$0Community Partnership
Boston Chinatown Neighborhood Center
38 Ash StreetBostonMA02111237209691501(c)(3)$100,000$0Community Partnership
Boston College School of Social Work
140 Commonwealth AvenueChestnut HillMA02467042103545501(c)(3)$250,000$0Community Partnership
Boston Community Pediatrics
527 Albany Street Suite 200BostonMA02118843091463501(c)(3)$64,500$0Community Partnership
Boston Educational Development Foundation Inc
26 Court StreetBostonMA02119222514422501(c)(3)$52,500$0Community Partnership
Boston Municipal Research Bureau
333 Washington StreetBostonMA02108222673755501(c)(3)$8,500$0Community Partnership
Boston Private Industry Council
2 Oliver StBostonMA02109042676661501(c)(3)$49,995$0Community Partnership
Boston Public Health Commission
1010 Massachusetts AveBostonMA02118043316655GOVT$345,380$0Community Partnership
Boston's Higher Ground
384 Warren StreetRoxburyMA02119273660369501(c)(3)$383,184$0Community Partnership
Bowdoin Street Health Center Inc
230 Bowdoin StreetBostonMA02122042529788501(c)(3)$50,000$0Support of Community Health Center
Boys and Girls Club of Boston
200 High Street Suite 3BBostonMA02110042103922501(c)(3)$10,000$0Community Partnership
Brigham and Women's Hospital Inc
3297 Washington StreetJamaica PlainMA02130042312909501(c)(3)$178,000$0Support of Community Health Center
Brookview House
2 Brookview StreetDorchesterMA02124223032466501(c)(3)$50,000$0Community Partnership
Cambridge Family & Children's Service
60 Gore StreetCambridgeMA02141042104057501(c)(3)$100,000$0Community Partnership
Center for Economic Democracy
769 Centre Street Suite 149Jamaica PlainMA02130473589804501(c)(3)$10,000$0Community Partnership
Charles River Community Health Inc
495 Western AvenueBrightonMA02135237221597501(c)(3)$93,000$0Support of Community Health Center
Children's Services of Roxbury
520 Dudley StreetRoxburyMA02119043082352501(c)(3)$150,000$0Community Partnership
Chinatown Community Land Trust
28 Ash StreetBostonMA02111473187874501(c)(3)$150,000$0Community Partnership
City of Boston
City Hall PlazaBostonMA02201046001380GOVT$2,058,694$0Community Partnership
Community Labor United
8 Beacon Street 5th FloorBostonMA02108203404034501(c)(3)$100,000$0Community Partnership
Community Service Care Inc
295 Centre Street 31Jamaica PlainMA02130042754281501(c)(3)$51,500$0Community Partnership
Doc Wayne Youth Services
418 Commonwealth AvenueBostonMA02214274216064501(c)(3)$10,000$0Community Partnership
Dorchester Food Co-op
PO Box 1051 NorthhamptonNorthhamptonMA01061043241596501(c)(3)$25,000$0Community Partnership
Dot House Health
1353 Dorchester AvenueDorchesterMA02122237125970501(c)(3)$318,700$0Community Partnership
Dudley Street Neighborhood Initiative Inc
550 Dudley StreetRoxburyMA02119042859066501(c)(3)$333,702$0Community Partnership
East Boston Neighborhood Health Center
10 Gove StreetEast BostonMA02128237425849501(c)(3)$59,500$0Community Partnership
East Boston Social Centers
68 Central SquareEast BostonMA02128042104257501(c)(3)$200,000$0Community Partnership
Families First
50 Hunt Street Suite 320WatertownMA02472043413397501(c)(3)$103,000$0Community Partnership
Federation for Children with Special Needs
The Schrafft Center 529 Main StreetBostonMA02129042557572501(c)(3)$15,000$0Advocacy Support
Fenway Community Development Corporation
73 Hemenway StreetBostonMA02115042666507501(c)(3)$17,500$0Community Partnership
Freedom House
5 Crawford StreetBostonMA02121042240448501(c)(3)$50,000$0Community Partnership
Greater Boston Chamber of Commerce
265 Franklin Street 12th FloorBostonMA02110041103090501(c)(6)$12,000$0Community Partnership
Haley House Inc
23 Dartmouth StreetBostonMA02116042437845501(c)(3)$100,000$0Community Partnership
Health Care for All Inc
One Federal Street 5th FloorBostonMA02110043071598501(c)(3)$50,000$0Community Partnership & Advocacy Support
Health Law Advocates
30 Winter Street 10th FloorBostonMA02108043298116501(c)(3)$25,000$0Advocacy Support
Health Resources In Action
622 Washington StreetDorchesterMA02124042229839501(c)(3)$436,250$0Community Partnership
Hyde Square Task Force
PO Box 301871Jamaica PlainMA02130043118543501(c)(3)$371,238$0Community Partnership
Immigrant Family Services Institute
1626 Blue Hill AvenueMattapanMA02126474400495501(c)(3)$10,000$0Community Partnership
Inquilinos Boricuas en Accin
405 Shawmut StreetBostonMA02118237090081501(c)(3)$25,000$0Community Partnership
Jamaica Plain Neighborhood Development Corporation
31 Germania StreetJamaica PlainMA02130042652919501(c)(3)$50,000$0Community Partnership
Madison Park Development Corporation
184 Dudley Street 102BostonMA02119237164223501(c)(3)$55,000$0Community Partnership
Mass Society for the Prevention of Cruelty to Children
3815 Washington Street Ste 2BostonMA02130042103596501(c)(3)$161,788$0Advocacy Support
Massachusetts Affordable Housing Alliance
1803 Dorchester AvenueDorchesterMA02124223042637501(c)(3)$95,800$0Community Partnership
Massachusetts Association of Community Development Corporations
44 School Street Suite 800BostonMA02108042759909501(c)(3)$10,000$0Community Partnership
Massachusetts Budget and Policy Center
15 Court Square Suite 700BostonMA02108042967537501(c)(3)$30,000$0Advocacy Support
Massachusetts Housing Investment Corporation
21 Custom House Street 8th FloorBostonMA02110043094550501(c)(3)$515,000$0Community Partnership
Massachusetts League of Community Health Centers
40 Court Street 10th FloorBostonMA02108042507409501(c)(3)$20,000$0Community Partnership
Massachusetts Public Health Association
50 Federal Street 8th FloorBostonMA02210042326503501(c)(3)$10,000$0Community Partnership
Massachusetts Taxpayers Foundation
333 Washington Street Suite 853BostonMA02108041590310501(c)(3)$10,000$0Advocacy Support
Massachusetts Voter Education NetworkMassVOTE
41 West Street Suite 700BostonMA02121043574060501(c)(3)$30,000$0Advocacy Support
Mathematica
955 Massachusetts Avenue Suite 801CambridgeMA02139222112296501(c)(3)$179,635$0Community Partnership
Mattapan Community Health Center
1425 Blue Hill AveMattapanMA02426042544151501(c)(3)$81,500$0Support of the Community Health Center
Mission SAFE
PO Box 201060RoxburyMA02120043457195501(c)(3)$100,000$0Community Partnership
Mothers for Justice and Equality Inc
2201 Washington St 3rd floorRoxburyMA02119453741482501(c)(3)$50,000$0Community Partnership
Neighborhood Villages
64 Sigourney StreetJamaica PlainMA02130821859365501(c)(3)$100,000$0Community Partnership
Nurtury Inc
2201 Washington Street Suite 306RoxburyMA02119042105893501(c)(3)$50,000$0Community Partnership
Operation PEACE
42 Peterborough StreetBostonMA02215043558709501(c)(3)$10,000$0Community Partnership
Peer Health Exchange
1423 Broadway 1059OaklandCA94612562374305501(c)(3)$50,000$0Community Partnership
Playworks New England
1423 Broadway PMB 161OaklandCA94607943251867501(c)(3)$50,000$0Community Partnership
Project RIGHT
320 A Blue Hill AvenueDorchesterMA02121043265420501(c)(3)$50,000$0Advocacy Support
Raising a Reader Massachusetts
3 School Street 3rd FloorBostonMA02108800297898501(c)(3)$100,862$0Community Partnership
Room to Grow
7 West 30th Street Floor 3New YorkNY10001134012096501(c)(3)$50,000$0Community Partnership
Rosies Place
889 Harrison AvemueBostonMA02118042582187501(c)(3)$10,000$0Community Partnership
Silver Lining Mentoring
727 Atlantic Ave 3rd floorBostonMA02111043575764501(c)(3)$50,000$0Community Partnership
Simmons University School of Social Work
300 The FenwayBostonMA02115042103629501(c)(3)$98,961$0Community Partnership
Smart from the Start Inc
68 Annunciation RoadBostonMA02120454952663501(c)(3)$20,000$0Community Partnership
Sociedad Latina Inc
1530 Tremont StreetRoxburyMA02120042678255501(c)(3)$102,000$0Community Partnership
Somali Parents Advocacy Center for Education
15 Myrtle Street Apt 3EverettMA02149842743083501(c)(3)$25,000$0Community Partnership
South Cove Community Health Center Inc
145 South StreetBostonMA02111042501818501(c)(3)$55,000$0Support of the Community Health Center
South End Community Health Center Inc
1601 Washington StreetBostonMA02118042456134501(c)(3)$20,000$0Support of the Community Health Center
Springfield College Dept of Social Work
263 Alden StreetSprinfieldMA01109042104329501(c)(3)$74,738$0Community Partnership
Strategies for Children - Massachusetts
400 Atlantic AveBostonMA02110043551406501(c)(3)$47,500$0Community Partnership
The Boston Foundation
75 Arlington Street 3rd FloorBostonMA02116042104021501(c)(3)$200,000$0Community Partnership
The Center for Teen Empowerment
144 McBride StreetBostonMA02130043091002501(c)(3)$32,394$0Community Partnership
The Community Builders Inc
185 Dartmouth StreetBostonMA02116042324773501(c)(3)$50,000$0Community Partnership
The Dimock Center
55 Dimock StreetRoxburyMA02119043487835501(c)(3)$114,000$0Community Partnership
The Food Project
10 Lewis StreetLincolnMA01773043262532501(c)(3)$34,948$0Community Partnership
TSNE MissionWorks
89 South Street Suite 700BostonMA02111042261109501(c)(3)$200,000$0Community Partnership
Umass Medical School
55 Lake Avenue North S3-301WorcesterMA01655GOVT$15,000$0Advocacy Support
United Way
51 Sleeper StreetBostonMA02210042382233501(c)(3)$10,500$0Community Partnership
Upham's Corner Community Center Inc
500 Columbia RoadDorchesterMA02125042708670501(c)(3)$94,000$0Support of the Community Health Center
Urban College of Boston
2 Boylston Street 2nd FloorBostonMA02116043403049501(c)(3)$151,000$0Community Partnership
Urban Edge
1542 Columbus Avenue Suite 2RoxburyMA02119222483475501(c)(3)$49,792$0Community Partnership
Urban Farming Institute of Boston
487R Norfolk StreetMattapanMA02126453961022501(c)(3)$25,520$0Community Partnership
Urban Food Initiative (Daily Table)
420 Washington StreetDorchesterMA02124460673197501(c)(3)$10,000$0Community Partnership
Urban Revival (City LifeVida Urbana)
PO Box 300107Jamaica PlainMA02130042660311501(c)(3)$80,000$0Community Partnership
WalkBoston
405 Waltham Street Suite 309LexingtonMA02421223061699501(c)(3)$51,000$0Community Partnership
West End House
105 Allston StBostonMA02134042105825501(c)(3)$60,000$0Community Partnership
Whittier Street Health Center Committee Inc
1125 Tremont StreetRoxburyMA02120042619517501(c)(3)$43,000$0Support of the Community Health Center
William James College
One Wells AveNewtonMA02459042620216501(c)(3)$250,000$0Community Partnership
Young Man with a Plan
885 River StBostonMA02136113690799501(c)(3)$25,000$0Community Partnership
Youth Advocacy Foundation
44 Bromfield Street 2nd FloorBostonMA02108043583353501(c)(3)$10,000$0Advocacy Support
Youth Enrichment Services
412 Massachusetts AvenueBostonMA02118042509466501(c)(3)$25,000$0Community Partnership
FieldValueIRS element (for citing)
Total501c3 Org125Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (12 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceAmtNon Cash AssistanceNonCashAssistanceDesc
Sibylla Orth Young Fund for Student Aid19$37,000FMV
Nursing Education Scholarship Fund23$85,090FMV
Yawkey Family Inn Fund1650FMV$158,176Housing Assistance
Devon Nicole House Operating Fund646FMV$25,594Housing Assistance
Pet Therapy Program Fund3971FMV$92,929Theurapeutic dog visits made to inpatients
Family Services Fund2363FMV$123,577Greeting Cards and supplies for Adopt a Family Program & wellness supplies and services
Brandano Parent Apartment Fund2377FMV$119,468Housing Assistance
Jenning Family Fund360FMV$14,926Provide Meals to Patients & Families
Judith Nelson Endowment/Operating Fund for Families28FMV$8,559Career for Caregivers training program
A. Shuman Clothing Fund271FMV$3,721Clothing
TAC Operating Fund17$2,000FMV$3,042Supplies & Scholarships
Ford Motor Company Patient Transportation Fund9655FMV$108,968Parking vouchers and taxis for families

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationChildren'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 several scholarship programs to support the educational goals of its employees and/or their immediate families. The Sibylla Orth Young Scholarship is available to employees and their immediate families who have worked at least six months and meet income and grade point average guidelines as well as demonstration of sincere commitment to the healthcare profession. Priority will be given to those pursuing careers in healthcare positions experiencing labor shortages (e.g., radiographer, pharmacy technician, clinical lab technician, nursing). Sibylla Orth Young Scholarship applications are reviewed and maintained by the Office of Learning and Development selection committee. 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 LimitsExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Sandra Fenwick
Former CEO$320,386$0$1,969,219$0$2,079,697$0$0$0$5,117$0$4,374,419$0$1,498,245$0
Kevin Churchwell MD
President & CEO$1,254,040$0$1,100,000$0$399,761$0$23,200$0$81,279$0$2,858,280$0$0$0
Philip Rotner
Chief Investment Officer$745,985$0$725,000$0$189,076$0$23,200$0$37,207$0$1,720,468$0$0$0
Doug Vanderslice
EVP, Treasurer & CFO$843,958$0$427,431$0$303,298$0$23,200$0$49,122$0$1,647,009$0$0$0
Peter Laussen MD
EVP, Health Affairs$814,819$0$326,504$0$112,537$0$29,000$0$40,705$0$1,323,565$0$0$0
Michele Garvin Esq
EVP, General Counsel & Secretary$673,012$0$357,402$0$122,297$0$23,200$0$35,531$0$1,211,442$0$0$0
Laura J Wood DNP MS RN
EVP, Chief Nursing Officer$604,600$0$209,304$0$98,532$0$26,100$0$25,072$0$963,608$0$0$0
Demosthenes Argys
EVP, Chief Administrative Officer$634,016$0$163,931$0$106,403$0$26,100$0$21,685$0$952,135$0$0$0
Daniel Nigrin MD
Former SVP & CIO$19,851$0$0$0$885,194$0$0$0$204$0$905,249$0$588,970$0
Martin Kelly
Director, Investments$431,943$0$424,204$0$2,173$0$23,200$0$19,474$0$900,994$0$0$0
Nirav Desai
Director, Investments$408,521$0$397,203$0$1,166$0$20,300$0$18,054$0$845,244$0$0$0
Alison Svizzero
Director, Investments$421,152$0$401,703$0$617$0$20,300$0$1,430$0$845,202$0$0$0
Lynn Susman
EVP, Chief Development Officer$486,997$0$184,094$0$84,306$0$31,900$0$27,278$0$814,575$0$0$0
Lisa Hogarty
SVP, RE Planning and Development$470,581$0$207,483$0$78,044$0$20,300$0$28,641$0$805,049$0$0$0
Cynthia Haines
SVP, National & International Svcs.$524,198$0$145,495$0$83,867$0$20,300$0$28,633$0$802,493$0$0$0
Nader Rifai PhD
Director, Chemistry$484,769$0$211,197$0$6,913$0$31,900$0$13,933$0$748,712$0$0$0
Michael Gillespie
SVP, Clinical Operations$417,551$0$91,741$0$65,668$0$23,200$0$18,910$0$617,070$0$0$0
Patricia Hickey PhD MBA RN NEA-BC
SVP, Patient Services$453,696$0$46,553$0$5,798$0$34,800$0$7,586$0$548,433$0$0$0
August Cervini
SVP, Research Administration$330,817$0$85,842$0$53,268$0$20,300$0$24,947$0$515,174$0$0$0
Bruce Balter
Asst Treasurer/Dir Corp Finance$278,991$0$20,166$0$1,833$0$34,800$0$13,696$0$349,486$0$0$0
Christine Grenache
Asst Sec/Exec Asst$136,406$0$1,200$0$284$0$8,476$0$7,296$0$153,662$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 4bFormAndLineReferenceDesc
ExplanationBoston 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. Demosthenes Argys, received in 2021, a contribution of $74,947 August Cervini, received in 2021, a contribution of $30,111 Kevin Churchwell, received in 2021, a contribution of $342,612 Sandra Fenwick, received in 2021, a contribution of $22,500 Michele Garvin, received in 2021, a contribution of $86,166 Michael Gillespie, received in 2021, a contribution of $38,925 Cynthia Haines, received in 2021, a contribution of $52,879 Lisa Hogarty, received in 2021, a contribution of $47,712 Peter Laussen, received in 2021, a contribution of $81,975 Philip Rotner, received in 2021, a contribution of $163,860 Lynn Susman, received in 2021, a contribution of $56,098 Doug Vanderslice, received in 2021, a contribution of $204,947 Laura Wood, received in 2021, a contribution of $67,322 During Calendar Year 2021, the following individuals received supplemental executive retirement plan distributions: Sandra Fenwick received in 2021, a distribution of $2,079,697 Daniel Nigrin received in 2021, a distribution of $885,194ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MHEFA Revenue Bonds Series N
A04245601157586EUJ82010-05-13$341,590,000Refunded Series G, H, I, J & K000
MDFA Revenue Bonds Series O
B043431814NoneAvail2013-12-11$200,640,000Refunded Series L000
MDFA Revenue Bonds Series Q
C043431814NoneAvail2014-07-11$50,255,000New building construction & renovations000
MDFA Revenue Bonds Series R
D043431814NoneAvail2014-07-29$125,350,000Refunded a portion of Series N000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$341,590,000$339,564,138$2,025,8622010Yes (1)0Yes (1)Yes (1)
B$200,640,000$200,000,000$640,0002013Yes (1)0Yes (1)Yes (1)
C$50,255,000$255,000201600Yes (1)Yes (1)$50,000,000
D$125,350,000$125,000,000$350,0002014Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndBusiness Name Line2HedgeProviderName/BusinessNameLine2TxtTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Goldman Sachs
A000Yes (1)Yes (1)Yes (1)Mitsui Marine30.0000000000000000Yes (1)
Goldmn SachsBOA
B000Yes (1)Yes (1)Yes (1)30.0000000000000000Yes (1)
(no name)
C000Yes (1)Yes (1)000Yes (1)
Goldman Sachs Mitsu
D000Yes (1)Yes (1)Yes (1)30.0000000000000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer 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: 09/30/2018 Issuer Name: MDFA, Revenue Bonds Series R Date the Rebate Computation was Performed: 09/30/2018 Issuer Name: MDFA, Revenue Bonds Series S Date the Rebate Computation was Performed: 12/01/2019ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MDFA Revenue Bonds Series SBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043431814BondIssuerEIN
CUSIPNoneAvailCUSIPNum
Bond Issued2017-12-19BondIssuedDt
Issue Price$135,215,000IssuePriceAmt
PurposeRefunded Series MPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$134,703,799TotalProceedsAmt
Refunding Escrow$134,703,799RefundingEscrowAmt
Issuance Costs From Proceeds$511,201IssuanceCostsFromProceedsAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$7,691,819NoncashContributionsRptF990Amt
Method Of Determining RevenuesMean Value on Gift DateMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Line 1 MissionFounded 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 largest pediatric research program in the world 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 ped. 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 2022, U.S. News & World Report ranked 90 children's hospitals among the top 50 in at least one of 10 pediatric specialties. Boston Children's earned the most top rankings for the ninth year in a row. For the fifth year in a row, Boston Children's achieved Magnet Recognition from the American Nurses Credentialing Center. For the sixth 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 6Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation.
Form 990, Part VI, Section A, line 7aChildren'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 7bChildren'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 11bThe 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 12cThe 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 15The 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, System General Counsel, Chief of Staff Executive Vice President Patient Care Operations, System Chief Nursing Officer Executive Vice President, Hospital, Satellite & Ambulatory Operations; Chief Culture Office Senior Vice President, Research Administration Executive Vice President and President, Boston Children's Hospital Trust, Chief Development Officer Vice President, Government Relations Vice President & Chief Marketing Officer Senior Vice President & Chief Information Officer Executive Vice President, Chief Human Resources Officer Senior Vice President, Support Services Senior Vice President, Real Estate Planning & Development Chief Investment Officer Senior Vice President, Clinical Operations Senior Vice President, National and International Services Executive Vice President of Health Affairs Executive Vice President & Chief Scientific 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 19The 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 11gPurchased Medical Services: Program service expenses 122,415,182. Management and general expenses 22,637,328. Fundraising expenses 0. Total expenses 145,052,510. Purchased Research Services: Program service expenses 71,056,291. Management and general expenses 0. Fundraising expenses 0. Total expenses 71,056,291. Consulting Services: Program service expenses 4,749,110. Management and general expenses 6,127,085. Fundraising expenses 125,241. Total expenses 11,001,436. Misc. Purchased Services: Program service expenses 53,522,234. Management and general expenses 18,433,930. Fundraising expenses 884,108. Total expenses 72,840,272. Nursing Agency Fees: Program service expenses 45,219,109. Management and general expenses 36,709. Fundraising expenses 0. Total expenses 45,255,818. Laundry Services: Program service expenses 172,357. Management and general expenses 57,582. Fundraising expenses 0. Total expenses 229,939. Security Services: Program service expenses 27,761,808. Management and general expenses 1,919,306. Fundraising expenses 0. Total expenses 29,681,114. Catering Fees: Program service expenses 694,952. Management and general expenses 2,528,281. Fundraising expenses 28,964. Total expenses 3,252,197. Collection Agency Fees: Program service expenses 65,167. Management and general expenses 1,129,389. Fundraising expenses 0. Total expenses 1,194,556. Temp Agency Fees: Program service expenses 6,129,380. Management and general expenses 647,345. Fundraising expenses 124,381. Total expenses 6,901,106. Ambulance Services: Program service expenses 86,634. Management and general expenses 0. Fundraising expenses 0. Total expenses 86,634. Environmental Services: Program service expenses 510,971. Management and general expenses 213,922. Fundraising expenses 0. Total expenses 724,893. Employment Agency Services: Program service expenses 2,876,958. Management and general expenses 2,126,535. Fundraising expenses 110,063. Total expenses 5,113,556.
Form 990, Part XI, line 9:Net Transfers/Support from Children's Medical Center 32,542,101. Pension Adjustment 34,932,148. Net Asset Transfer to/from Affiliates -11,149,580. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others 1,230,840. Net Assets Released from Restrictions -70,229,561. Other Adjustments -9,663.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Children's One Brookline Place LLC
300 Longwood AvenueBostonMA02115205850015Real Estate HoldingsMA$0$0Children's Hospital Corporation
Children's Brookline Place LLC
300 Longwood AvenueBostonMA02115261523020Real Estate HoldingsMA$0$0Children's Hospital Corporation
Children's Five Brookline Place LLC
300 Longwood AvenueBostonMA02115205850117Real Estate HoldingsMA$0$0Children's Hospital Corporation
BCH Washington Street LLC
300 Longwood AvenueBostonMA02115814382691Real Estate HoldingsMA$9,986,902$61,397,203Children's Hospital Corporation
BCH Pearl Street LLC
300 Longwood AvenueBostonMA02115817393086Real Estate HoldingsMA$0$0Children's Hospital Corporation
BCH Brookline Ave LLC
300 Longwood AvenueBostonMA02115814457294Real Estate HoldingsMA$463,098$2,789,581Children's Hospital Corporation
Boston Children's Health International LLC
300 Longwood AvenueBostonMA02115814377341InactiveMA$0$0Children's Medical Center Corp
Children's Westland LLC
300 Longwood AvenueBostonMA02115262904847InactiveMA$0$0Longwood Research Institute
BCH 819 Beacon Street LLC
300 Longwood AvenueBostonMA02115814382691Real Estate HoldingsMA$4,329,200$5,463,062Longwood Research Institute
Children's Waltham Medical Center LLC
300 Longwood AvenueBostonMA02115202076874Real Estate HoldingsMA$0$0Children's Medical Center Corp
Boston Children's Health Accountable Care LLC
300 Longwood AvenueBostonMA02115300991601Accountable CareMA$25,073,505$12,210,568Children's Hospital Corporation
BCD Hospital Energy Collaborative LLC
300 Longwood AvenueBostonMA02115821711826Hospital EnergyMA$0$0Children's Hospital Corporation
Boston Children's Health Physicians LLP
300 Longwood AvenueBostonMA02115133956599HealthcareNY$162,321,359$90,315,066Children's Medical Center Corp
Boston Children's Health Solutions RX LLC
300 Longwood AvenueBostonMA02115861408128Specialty PharmacyMA$1,218,561$222,135Children's Hospital Corporation

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Children's Medical Center Corporation
55 Shattuck StreetBostonMA02115041174680Holds & manages security, real estate investments for Children's HospitalMA501(c)(3)Line 12c, III-FIN/A0
Longwood Research Institute Inc
300 Longwood AvenueBostonMA02115042781368Medical & scientific research; holds real estate investmentsMA501(c)(3)Line 12c, III-FI0Children's Medical Center Corporation
CHB Properties Inc
300 Longwood AvenueBostonMA02115043323330Holds & manages satellite ambulatory centers; real estate investmentsMA501(c)(3)Line 100Children's Medical Center Corporation
Physician's Organization at Children's Hospital Inc
300 Longwood AvenueBostonMA02115043266103Coord & develop integrated childhlth care system w/ affil membersMA501(c)(3)Line 12d, III-ON/A0
New England Congenital Cardiology Research Foundation
300 Longwood AvenueBostonMA02115800368043Improve patient safety & quality for children w/ heart diseaseMA501(c)(3)Line 7Yes (1)Children's Hospital Corporation
Children's Hospital League Corporation
300 Longwood AvenueBostonMA02115042780811FundraisingMA501(c)(3)Line 7Yes (1)Children's Hospital Corporation
Blood Research Institute Inc
300 Longwood AvenueBostonMA02115043136318Owning & Leasing Real EstateMA501(c)(3)Line 12c, III-FI0Children's Medical Center Corporation
Beth Israel Hospital and Children's Hospital Medical Corporation
300 Longwood AvenueBostonMA02115043200113Pediatric Health Care, Education & ResearchMA501(c)(3)Line 12b, IIN/A0
Dana-FarberChildren's Hospital Cancer Care Inc
450 Brookline Avenue BP418BostonMA02215043554536Joint program in pediatric oncologyMA501(c)(3)Line 12b, IIN/A0
New England Life Flight Inc
Hangar 1727 Hanscom AFBBedfordMA01730222582060Critical Care TransportMA501(c)(3)Line 12b, IIN/A0
Longwood Medical Energy Collaborative Inc
160 Longwood AvenueBostonMA02115043476764Energy Related InitiativesMA501(c)(3)Line 12a, IN/A0
Boston Children's Network Specialty Physicians Inc
300 Longwood AvenueBostonMA02115881343469HealthcareMA501(c)(3)Line 100Children's Hospital Corporation
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd