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CHILDRENS HOSPITAL CORPORATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL CORPORATION (EIN 04-2774441)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-15
IRS object ID
202212279349300801
Schema version
2020v4.2
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$2,319,146,445GrossReceiptsAmt
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DescCLINICAL CARE: The services we offer from well child visits and treatment for typical child health issues (broken bones, tonsillitis, etc.) to chronic care (asthma, diabetes, obesity, etc.) and specialty services (oncology, cardiology, neurology) benefit from our clinicians' high level of specialization, our collaboration with research scientists (many of whom are also physicians) affiliated with the hospital, and our significant investments in equipment, facilities and clinical and support staff. 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 FY21, Boston Children's saw approximately 692,000 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 2.33 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.Boston Children's is the single largest provider of care to children enrolled in the Medicaid program, caring for approximately 30% of all pediatric Medicaid patients statewide, including many of the sickest children in the state. In FY21, Boston Children's cared for 56,492 unique MA Medicaid patients.Increasingly, we have been able to care for and improve life and health outcomes for medically complex children, many with conditions such as congenital heart conditions, childhood cancers & complex neurological and neurosurgical conditions. Our capabilities are accelerating rapidly as we develop new clinical & surgical approaches including gene therapies, stem cell transplant procedures, fetal surgical interventions, and the like.Boston Children's is at the absolute forefront nationally in these & many other areas. As a result, we have seen significant growth in the number of complex patients served patients who stay longer, require more resources (such as intensive care unit-level care), use a broader range of interdisciplinary specialists, and frequently require substantial support for their whole family. Some of them travel great distances, but equally many are from here in Massachusetts.In 2021, we continued to work toward the completion of our Hale Family Building (opening in June 2022), our new clinical tower, which will strengthen our ability to realize our vision of harnessing our powerful combination of life-changing care and world-changing research to drive the breakthroughs that advance and improve the health and well-being of all children. This new facility will improve access to the Boston Children's experience for all children (with private rooms for all families), strengthen patient care, meet increasing demand, and enable teams to collaborate more effectively.Recognizing the difficulties that community-based hospitals face in providing specialized pediatric care (which requires significant investments in staff, equipment & training), Boston Children's has formed partnerships with community hospitals throughout eastern Massachusetts, including Beverly Hospital, Winchester Hospital, & South Shore Hospital. We've also expanded partnerships with Barbara Bush Hospital at Maine Medical Center and Hasbro Children's Hospital in Providence, RI. Additionally, our physicians see patients at Massachusetts General Hospital. With approximately 100 physicians serving those community hospitals, we enhance the community's and the state's ability to provide access to emergency, neonatal, inpatient & outpatient specialty services for children. Boston Children's also operates satellite facilities in Lexington, North Dartmouth, Peabody & Waltham where we offer specialized care in cardiology, gastroenterology, neurology, respiratory diseases, diabetes, orthopedic surgery, urology, behavioral health and other specialties, as well as Martha Eliot Health Center, our community health center in Jamaica Plain. In addition, our physicians offer outpatient services at our Physician Office Locations in Brockton, Milford, Norwood & Weymouth. In our ongoing efforts to ensure that patients and families have access to a full range of integrated pediatric care services in convenient settings as close to home as possible, we are also exploring additional investments in Waltham, Weymouth, Needham and surrounding communities including several underserved communities. These include modernizing our existing Waltham facility; relocating our existing physician practice and adding pediatric hospital services in Weymouth; and building an ambulatory surgical center and providing pediatric specialty care services in Needham.In addition, as we strive to better address our nation's behavioral health crisis, in October, we signed an affiliation agreement to combine our collective experience and expertise with Franciscan Children's, which specializes in pediatric behavioral health, to create an integrated system of pediatric behavioral health and rehabilitative care, research and teaching. If approved, this affiliation will improve the lives of children and families in Massachusetts, New England and throughout the country.Additionally, we recently signed a letter of intent with Tufts Medical Center to work together to ensure continuity of care for Tufts Children's Hospital pediatric patients when Tufts Medical Center converts its 41 pediatric inpatient beds to much-needed adult ICU and medical/surgical beds. The Pediatric Physicians Organization at Children's consists of more than 500 physicians, nurse practitioners, and physician assistants in over 100 locations throughout Massachusetts who work in close collaboration with Boston Children's. Additionally, our BCH Physicians partnership is a multi-specialty, pediatric practice with strong medical and academic roots, whose more than 300 physicians serve families in 57 locations throughout New York's Metropolitan Area, the Hudson Valley, Connecticut and New Jersey.Focus on Quality and Safety: Boston Children's Hospital is committed to providing the best possible care to every patient and family, and raising the bar for the quality and safety of pediatric health care across the country. We constantly measure our performance to continuously improve what we do. We also work hard to make sure that practices reflect the latest science, while responding to the unique needs, preferences, and values of our patients and families, every step of the way.We value the insights of parents, patients, and families when it comes to quality and safety. Parents know their child best, and they often have excellent ideas about how care can be improved. The Program for Patient Safety and Quality supports improvement work throughout Boston Children's. The team includes physician leaders, improvement consultants, patient safety reviewers, clinical effectiveness experts and many others.Doctors, nurses, researchers & administrators throughout Boston Children's are continually exploring new ways of improving the quality of care we provide. Whenever possible, we share our successes & breakthroughs with the wider world, so that other health care professionals can learn from our experience and join us in raising the standard of care for children everywhere.In addition, Boston Children's is engaged in an ongoing enterprise-wide commitment, extending to all staff as well as patients and families, to be a High Reliability Organization, one where ZERO preventable harm will occur to any patient, family member or team member.Desc

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DescRESEARCH: Boston Children's is dedicated to enhancing the wellbeing of children and families by leading research and innovation around child health issues, and by seeking new approaches to the prevention, diagnosis and treatment of childhood and adult diseases.Boston Children's research enterprise is the world's largest at a pediatric center. Our work is fueled by a deep understanding of disease biology coupled with world-class discovery platforms, including genetics and genomics, gene editing, bioinformatics, proteomics, bioengineering, image analysis, biobanks, disease-specific stem cell lines, and a range of animal models. We have special expertise in rare disease discovery, a robust Translational Research Program and large, diverse patient populations for clinical research and trials.In FY2021, 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 10 members of the National Academy of Sciences, 26 members of the National Academy of Medicine, 10 Howard Hughes Medical Institute Investigators, and eight 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 10 research success stories from 2021- A promising new anti-seizure drug tailored to newborns- A Pediatric Cancer Dependency Map- Noninvasive biomarkers, found in urine, help track DIPG, moyamoya- An oral medication improves motor function in spinal muscular atrophy- A new ring for pediatric heart valve surgery- A study showing that low-carb diets outperform low-fat diets- Evidence of the connection between exercise, sleep and teen brain function- New hope for patients with unrelated bone marrow donors- Best practices for personalized treatments - Advances in COVID-19 science. Throughout 2021, Boston Children's had produced thousands of COVID-19-related research publications. These range from molecular investigations of SARS-CoV-2 and the immune response to large-scale clinical studies of the effects of COVID vaccination.Desc

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Expense$42,112,581ExpenseAmt
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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 800 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), and host over 500 Boston Children's-based residents and clinical fellows annually. These men and women are selected for their potential leadership in their respective fields and their commitment to advancing the frontiers of pediatric care. In fact, 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. Over a 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. Our groundbreaking programs in simulation technology, 3D printing, advanced genomic testing, and other areas allow us to bring new techniques to medicine that are unique to our institution many of them specialized for the care of the smallest babies.We are the only pediatric hospital to offer certification for physicians in use of robotic equipment, helping surgeons develop and perfect new robotic procedures and surgical techniques.We offer the only Pediatric Addiction Medicine program 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 offers the only programs in New England for 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.Additionally, OPENPediatrics is an open access online community of healthcare professionals sharing best practices from all resource settings around the world through innovative collaboration and digital learning technologies. Through OPENPediatrics, healthcare professionals around the world can access peer-reviewed content, including accredited and non-accredited courses, expert lectures and demonstrations, interactive device simulators, protocols and medical calculators.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 2019 assessment can be found at https://www.childrenshospital.org/community-health/needs. Key themes include the impacts of poverty on child and community health, the importance of stable and affordable housing, concerns about food insecurity, and a focus on early childhood health and development. Health concerns for families continue to be asthma, obesity, and mental and behavioral health. The findings inform the direction of Boston Children's Strategic Implementation 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 2019. The 2019 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 include Lexington, North Dartmouth, Peabody, Waltham, and Weymouth. This 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 stakeholderscommunity organizations, community development corporations, health centers, hospitals, and the Boston Public Health Commission. It was the first large-scale collaborative city-wide assessment and plan conducted in Boston. 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 was a founding member and staff participated in the Steering Committee and work groups. Details about this process and the findings can be found in the full report at www.childrenshospital.org/community-health/needs.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. Boston Children's is now completing a community health needs assessment for 2022 and will be sharing the results this fall. Being a community health leaderBoston Children's has identified priority health areas asthma, obesity, mental and behavioral health, and early childhood development and has a programmatic response to each. Community programs are focused where Boston Children's has the clinical expertise, resources, and partnerships to make a difference. Boston Children's strategy for improving community health is to: 1) address the most pressing health needs of children and families; 2) provide services through programs that can lead to improvements in health; or 3) build community capacity to better meet the needs of children and families. Some of these programs are described briefly below.- Since 2005, the Community Asthma Initiative (CAI) has helped to improve the health and lives of 2,424 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 111 community meetings with 1174 participants, 4 community events with 470 participants, 18 trainings/talks with 274 participants, and 4 insurance/policy related meeting with 67 participants. It cared for 96 new patients with 70 completing at least one home visit (73%). Boston Children's staff completed 120 visits, with 117 by Community Health Workers and 3 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 FY21, 1,217 students participated in 60 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 1,469 students across eleven elementary, K8, middle, and high schools, making up over one-fifth of the total 2020-2021 school year's enrollment. Clinicians intervened in 96 crisis situations with a median wait time of 5 minutes, provided individual therapy to 35 students, and provided care coordination services to 137 students. Average satisfaction ratings across all stakeholders (students, caregivers, educators, and school staff) and services were over 90% with the majority of average satisfaction ratings falling well over 95%.- Healthy in the City (HIC) 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. FIC supports 11 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 FY21, 56% 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 417 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):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 - are distributed to community organizations in addition to our ongoing commitments and support for programs and partners. The strategy to distribute funds followed a two-year community engagement process to inform how Boston Children's could make a long-lasting impact. That process resulted in identifying several strategic funding areas to address the critical needs of children and families.Funding and support for community-based projects are in the following strategic areas: Mental Health and Youth Support Systems, Community Trauma Response, Zero 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. This support has included the leadership and staff from the funded organizations being convened by Boston Children's to network with each other, share lessons learned, provide feedback, and receive technical assistance around advocacy and evaluation.More details on the Collaboration and the funded projects can be found at 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: - 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.- 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 was a hybrid model with 45 high school and 31 college students participating. Boston Children's has hired over 50 former COACH interns into permanent, per diem, temporary and internship positions. 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. - RAMP (Tufts and Urban College of Boston): Research Apprenticeship Multicultural Partnership which trains community members for roles in clinical research study recruitment. - ARCH JVS Training Program: Training program developed by Boston Children's and JVS to train high intermediate ESOL speakers in the field of animal care in research operations. The program offers free training in contextualized ESOL for the role and on-the-job training. The program pays wages while trainees learn. Upon successful completion, graduates are offered full-time jobs. - JVS Pharmacy Technician Program: Boston Children's sponsors community members to attend the JVS Pharmacy Tech program at no cost and then hosts trainees for externship hours. Upon successful completion, graduates are offered a position.- Partnering to support the health and social infrastructure in place for families. Boston Children's is also committed to and directs resources to build capacity within the existing infrastructure of care for Boston children and families. This means supporting key partners such as Boston community health centers. The hospital has relationships and strong partnerships with 12 Boston community health centers, and nine of them are affiliated. 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.
Community (Continued):Advocating for children and familiesAs the only freestanding children's hospital in Massachusetts, influencing public policy to improve child health is an important aspect of Boston Children's commitment to community health. The hospital is a leading provider of pediatric medical and behavioral health services to low-income children across the Commonwealth and is a critical component of the safety net for children throughout New England and the nation. Boston Children's has been an organized force and an influential advocate for health and wellbeing of children for more than 20 years.Boston Children's is an effective advocate on legislative and regulatory matters, both at state and federal levels, that affect children's wellbeing such as increasing access to quality pediatric mental health programs, promoting better treatment and access to services for children with medical complexity and chronic conditions, improving the landscape for pediatric medical research and advancing innovative public health policies grounded in racial equity. Boston Children's advocacy history is rooted in the promotion of better insurance coverage for children, including major child health expansions in the 1990s, the passage of Massachusetts's 2006 health reform law, and significant national involvement in work to promote child health access through the Children's Health Insurance Program, Medicaid, and the Affordable Care Act. As a result, Massachusetts has achieved near universal health access for children, with only 1.5 percent of children 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.$18,374,920$0$0
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$18,374,920TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,817,415,078TotalProgramServiceExpensesAmt
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 Document1765IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee14449EmployeeCnt
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
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
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 (41 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 & CEO (from 3/31/21)55.006.00Yes (X)Yes (X)$2,386,105$0$81,496
Sandra Fenwick
CEO (through 3/31/21)55.005.00Yes (X)Yes (X)$1,967,534$0$70,716
Philip Rotner
Chief Investment Officer55.005.00$1,571,772$0$58,687Yes (X)
Doug Vanderslice
EVP, Treasurer & CFO55.007.00Yes (X)$1,293,368$0$69,528
Peter Laussen MD
EVP of Health Affairs55.005.00$1,245,729$0$60,148Yes (X)
Michele Garvin Esq
General Counsel & Secretary55.006.00Yes (X)$883,606$0$58,799
Martin Kelly
Director, Investments55.005.00$736,519$0$41,589Yes (X)
Lynn Susman
EVP, Chief Development Officer55.005.00$699,641$0$57,576Yes (X)
Nader Rifai PhD
Director, Chemistry55.005.00$710,325$0$44,543Yes (X)
Demosthenes Argys
EVP, & Chief Administrative Officer55.005.00$693,326$0$46,292Yes (X)
Alison Svizzero
Director, Investments55.005.00$690,579$0$21,442Yes (X)
Nirav Desai
Director, Investments55.005.00$672,203$0$38,004Yes (X)
Daniel Nigrin MD
SVP & Chief Information Officer55.005.00$659,526$0$39,619Yes (X)
Laura J Wood DNP MS RN
EVP, Chief Nursing Officer55.005.00$636,160$0$49,553Yes (X)
Cynthia Haines
SVP, National & International Svcs.55.005.00$631,633$0$47,036Yes (X)
Lisa Hogarty
SVP, RE Planning and Development55.005.00$578,890$0$46,948Yes (X)
Orah Platt
Chief, Lab Medicine55.005.00$572,472$0$38,286Yes (X)
Michael Gillespie
VP, Clinical Services55.005.00$504,369$0$37,272Yes (X)
Patricia Hickey PhD MBA RN NEA-BC
SVP, Patient Services55.005.00$444,442$0$41,306Yes (X)
August Cervini
SVP, Research Administration55.005.00$385,610$0$40,897Yes (X)
Wendy Warring
Former SVP, Network Development0.000.00$371,237$0$0Yes (X)
Bruce Balter
Asst Treasurer/Dir Corp Finance55.005.00Yes (X)$275,426$0$46,804
Christine Grenache
Asst Sec/Exec Asst55.005.00Yes (X)$129,727$0$15,183
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
Director (from 1/21)1.001.00Yes (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
Director (from 1/21)1.001.00Yes (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
Director (from 1/21)1.001.00Yes (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
Director (from 1/21)1.001.00Yes (X)$0$0$0
Marc B Wolpow
Director1.001.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$18,740,199TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,051,724TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2866IndivRcvdGreaterThan100KCnt
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$235,284,648
Skanska USA Building Inc
101 Seaport Blvd Suite 200BostonMA02210Construction Services$33,201,944
Turner Construction Company
Two Seaport Lane Suite 200BostonMA02210Construction Services$15,698,666
VPNE Parking Solutions
343 Congress StreetBostonMA02210Parking Services$10,290,789
The Brigham and Women's Hospital
75 Francis StreetBostonMA02115Healthcare/Research Services$10,095,657
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K286CntrctRcvdGreaterThan100KCnt
Federated Campaigns$41,438FederatedCampaignsAmt
Fundraising$2,757,283FundraisingAmt
Government Grants$276,353,081GovernmentGrantsAmt
All Other Contributions$265,148,126AllOtherContributionsAmt
Noncash Contributions$18,016,203NoncashContributionsAmt
Total Contributions$544,299,928TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Svc. Revenue621110$1,503,592,607$1,503,592,607
Program Svc. Grants621110$57,006,500$57,006,500
Graduate Med Education611710$22,663,519$22,663,519
Prof. Svc. Revenue621110$12,549,215$12,549,215
FieldValueIRS element (for citing)
Total Program Service Revenue$1,595,811,841TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,628,764TotalRevenueColumnAmt
Exclusion$5,628,764ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,192,923TotalRevenueColumnAmt
Exclusion$9,192,923ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$23,357,041RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$11,203,674RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$12,153,367RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,153,367TotalRevenueColumnAmt
Unrelated Business Revenue-$1,680,871UnrelatedBusinessRevenueAmt
Exclusion$13,834,238ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$92,541,933SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$58,619,031SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$33,922,902SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,922,902TotalRevenueColumnAmt
Exclusion$33,922,902ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$820,780FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$2,757,283ContriRptFundraisingEventAmt
Fundraising Direct Expenses$317,961FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$502,819TotalRevenueColumnAmt
Exclusion$502,819ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
ACO Revenue621110$21,001,998$21,001,998
Other General Services900099$13,621,257$13,621,257
Parking Revenue812930$7,832,839$7,832,839

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,037,141TotalRevenueColumnAmt
Unrelated Business Revenue$61,793UnrelatedBusinessRevenueAmt
Exclusion$4,975,348ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$47,493,235OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,249,005,779TotalRevenueColumnAmt
Related Or Exempt Func Income$1,616,813,839RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$1,619,078UnrelatedBusinessRevenueAmt
Exclusion$89,511,090ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,845,844TotalAmt
Program Services$10,845,844ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,051,931TotalAmt
Program Services$1,051,931ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$15,854,724TotalAmt
Management And General$15,097,507ManagementAndGeneralAmt
Fundraising$757,217FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$823,118,851TotalAmt
Program Services$663,200,158ProgramServicesAmt
Management And General$141,422,421ManagementAndGeneralAmt
Fundraising$18,496,272FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$61,184,626TotalAmt
Program Services$56,048,988ProgramServicesAmt
Management And General$3,627,265ManagementAndGeneralAmt
Fundraising$1,508,373FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$97,950,474TotalAmt
Program Services$95,029,757ProgramServicesAmt
Management And General$736,369ManagementAndGeneralAmt
Fundraising$2,184,348FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$74,153,809TotalAmt
Program Services$71,674,516ProgramServicesAmt
Management And General$651,193ManagementAndGeneralAmt
Fundraising$1,828,100FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,907,728TotalAmt
Program Services$3,546,665ProgramServicesAmt
Management And General$5,361,063ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,916,861TotalAmt
Program Services$513,190ProgramServicesAmt
Management And General$2,396,940ManagementAndGeneralAmt
Fundraising$6,731FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,688,292TotalAmt
Program Services$610,584ProgramServicesAmt
Management And General$1,074,608ManagementAndGeneralAmt
Fundraising$3,100FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$107,219TotalAmt
Program Services$107,219ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$880,343TotalAmt
Fundraising$880,343FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$284,042,697TotalAmt
Program Services$239,117,555ProgramServicesAmt
Management And General$43,904,903ManagementAndGeneralAmt
Fundraising$1,020,239FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,962,476TotalAmt
Program Services$2,962,293ProgramServicesAmt
Management And General$1,568,419ManagementAndGeneralAmt
Fundraising$431,764FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$56,113,102TotalAmt
Program Services$25,081,078ProgramServicesAmt
Management And General$27,166,815ManagementAndGeneralAmt
Fundraising$3,865,209FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$41,006,526TotalAmt
Program Services$9,679,418ProgramServicesAmt
Management And General$30,794,831ManagementAndGeneralAmt
Fundraising$532,277FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$120,702,647TotalAmt
Program Services$119,395,123ProgramServicesAmt
Fundraising$1,307,524FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,039,807TotalAmt
Program Services$584,845ProgramServicesAmt
Management And General$451,782ManagementAndGeneralAmt
Fundraising$3,180FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$728,050TotalAmt
Program Services$637,523ProgramServicesAmt
Management And General$72,415ManagementAndGeneralAmt
Fundraising$18,112FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$29,524,529TotalAmt
Program Services$29,524,529ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$122,497,161TotalAmt
Program Services$119,830,942ProgramServicesAmt
Management And General$2,250,990ManagementAndGeneralAmt
Fundraising$415,229FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,075,633TotalAmt
Program Services$10,648,725ProgramServicesAmt
Management And General$1,426,908ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Lab/Medical/Pharmacy$291,903,876$288,772,222$3,131,654$0
Uncollectible Accts$32,872,673$32,872,673$0$0
Uncompensated Care$26,481,995$26,481,995$0$0
Free Care$9,197,305$9,197,305$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,131,809,179TotalAmt
Program Services$1,817,415,078ProgramServicesAmt
Management And General$281,136,083ManagementAndGeneralAmt
Fundraising$33,258,018FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$35,062,852BOYAmt
EOY$27,480,717EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$198,714,601BOYAmt
EOY$213,786,787EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$328,616,122BOYAmt
EOY$355,969,590EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$37,802,731BOYAmt
EOY$39,402,535EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,664,451BOYAmt
EOY$16,417,449EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,048,357,114LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,123,453,272LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,646,916,822BOYAmt
EOY$1,924,903,842EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$251,638,066BOYAmt
EOY$279,893,556EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,206,761,984BOYAmt
EOY$1,521,772,843EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,155,570BOYAmt
EOY$2,032,143EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,750,517,183BOYAmt
EOY$3,542,097,107EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,478,850,382BOYAmt
EOY$7,923,756,569EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$376,599,986BOYAmt
EOY$364,269,042EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$163,167,272BOYAmt
EOY$180,376,660EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$871,828,174BOYAmt
EOY$871,058,491EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$644,980,005BOYAmt
EOY$661,848,848EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$856,558,204BOYAmt
EOY$674,154,299EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,913,133,641BOYAmt
EOY$2,751,707,340EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,820,749,913BOYAmt
EOY$3,033,004,208EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,744,966,828BOYAmt
EOY$2,139,045,021EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,565,716,741BOYAmt
EOY$5,172,049,229EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,478,850,382BOYAmt
EOY$7,923,756,569EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$117,196,600ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$354,445,850NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$134,690,038OtherChangesInNetAssetsAmt
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$444,270,077CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$417,494,538CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$415,137,440CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$573,205,044CurrentTaxYearMinus1YearAmt
Current Tax Year$544,299,928CurrentTaxYearAmt
Total$2,394,407,027TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$444,270,077CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$417,494,538CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$415,137,440CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$573,205,044CurrentTaxYearMinus1YearAmt
Current Tax Year$544,299,928CurrentTaxYearAmt
Total$2,394,407,027TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,394,407,027PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,976,961CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,911,194CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,356,204CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,457,318CurrentTaxYearMinus1YearAmt
Current Tax Year$28,655,925CurrentTaxYearAmt
Total$157,357,602TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$4,277,019CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$2,548,588CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$5,469,037CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$2,691,040CurrentTaxYearMinus1YearAmt
Current Tax Year-$1,619,078CurrentTaxYearAmt
Total-$16,604,762TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,424,665CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,920,013CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,809,991CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$47,347,934CurrentTaxYearMinus1YearAmt
Current Tax Year$47,431,442CurrentTaxYearAmt
Total$196,934,045TotalAmt
FieldValueIRS element (for citing)
Total Support$2,732,093,912TotalSupportAmt
Gross Receipts Rltd Activities$7,307,633,032GrossReceiptsRltdActivitiesAmt
Public Support CY1700.87640PublicSupportCY170Pct
Public Support PY1700.87390PublicSupportPY170Pct
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$130,655MailingsMembersAmt
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$548,191DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$678,846TotalLobbyingExpendituresAmt
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 2021, 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. The Hospital also registered its previous CEO as a lobbyist, although her involvement in these efforts was minimal. 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 2021 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 $71,970 - Jamie Gaynes Children's Hospital personnel $65,221 - Amara Azabuike Children's Hospital personnel $29,741 - Shannon Moore Children's Hospital personnel $77,166 - 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 $67,219 Total Lobbyist/Consultant Expenses = $548,191 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $130,655 TOTAL LOBBYING EXPENSES = $678,847 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$1,222,213,000BeginningYearBalanceAmt
Contributions$13,623,000ContributionsAmt
Investment Earnings Or Losses$158,528,000InvestmentEarningsOrLossesAmt
Other Expenditures$113,067,000OtherExpendituresAmt
End Year Balance$1,281,297,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,007,240,000BeginningYearBalanceAmt
Contributions$11,924,000ContributionsAmt
Investment Earnings Or Losses$152,501,000InvestmentEarningsOrLossesAmt
Other Expenditures$36,883,000OtherExpendituresAmt
End Year Balance$1,134,782,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.52300BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.20760PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.26940TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,403,634OtherCostOrOtherBasisAmt
Book Value$29,403,634BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,266,481,574OtherCostOrOtherBasisAmt
Depreciation$1,305,205,864DepreciationAmt
Book Value$961,275,710BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$923,926,713OtherCostOrOtherBasisAmt
Depreciation$812,074,593DepreciationAmt
Book Value$111,852,120BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$828,545,193OtherCostOrOtherBasisAmt
Depreciation$6,172,815DepreciationAmt
Book Value$822,372,378BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,924,903,842TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (131 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
3rd Pty External Administered Trusts$50,628,817F
Abrams Capital$44,882,824F
AKO European Long-Only Fund$17,553,811F
Bain Cap Distr & Special Situations$2,738,904F
Bain Capital Fund IX$57,624F
Bain Capital Fund X$1,053,696F
Bain Capital Venture Fund 2012$2,789,080F
Bain Capital Venture Fund 2014$6,346,480F
Baker Brothers Life Sciences, L.P.$26,635,224F
Baupost$48,134,464F
Blacksheep Fund$24,052,728F
Brightline, Inc$196,000F
Brightstar Capital Partners Fund II, L.P.$1,568,392F
Brookside Capital$25,480F
Commure, Inc.$392,000F
Costanoa Ventures III, LP$5,667,928F
Costanoa Ventures IV, L.P.$1,802,024F
Costanoa Ventures Opportunity Fund II, L.P.$1,085,056F
Costanoa Ventures Opportunity Fund, L.P.$2,547,216F
Crosslink Crossover Fund VI$4,128,544F
Crosslink Crossover Fund VII$14,668,640F
Crosslink Ventures IX, L.P.$900,032F
Crosslink Ventures VIII-B, L.P.$7,657,720F
Davidson Kempner$75,113,472F
Deccan Value$41,650,358F
Deerfield Healthcare Innov Fund II$2,747,528F
Deerfield Partners, LP$24,523,128F
Deerfield Private Design Fund IV$7,051,296F
Deerfield Private Design Fund V, L.P$1,462,944F
Deerfield Special Situations Fund$13,328F
Dune Real Estate Fund III$2,967,440F
ECM Feeder Fund I$34,415,517F
Energy Capital Partners II$601,328F
Energy Capital Partners III$3,952,536F
Fidelity Notes Payable$2,449,608F
Fine Points Capital II$45,515,904F
Flare Capital Partners I$13,159,048F
Flare Capital Partners II$3,794,168F
Gaoling Feeder, Ltd.$26,779,643F
Golden Gate Capital$13,027,728F
Highfields Capital$300,272F
Hillhouse Fund III$4,704,000F
Hillhouse Fund IV, L.P.$2,626,400F
Himalaya Capital Investors, L.P.$30,689,060F
HMI Capital Partners$77,128,402F
Holdco.Opp. Fund II$597,408F
Holdco.Opp. Fund III$16,215,080F
ICHIGO Japan Fund B$24,298,915F
Incentive Active Value Long Only Fund$21,760,831F
Insignia Ventures Partners Annex Fund I, L.P.$849,072F
Insignia Ventures Partners Fund I L.P.$6,779,248F
Insignia Ventures Partners Fund II L.P.$2,146,984F
JMC Capital I-B$3,126,984F
JMC Platform Fund II-B$3,214,792F
JVL Energy$156,038F
King Street$8,306,480F
Lone Star Fund IX$1,417,080F
Lone Star Fund VIII$1,001,168F
Madison Avenue Offshore Ltd.$40,444,600F
Matrix China II$13,278,608F
Matrix China III$10,360,952F
Matrix China IV$7,716,520F
Matrix India II$6,199,872F
Matrix Partners China V, L.P.$7,582,064F
Matrix Partners China VI, L.P.$8,221,808F
Matrix Partners India III, LLC$2,704,408F
Matrix Partners X$4,350,416F
Matrix Partners XI, L.P.$3,484,880F
Maveron Equity Partners VI$7,734,944F
Maveron Equity Partners VII, L.P.$7,771,400F
Misc. Investments$7,537,547F
MIT Private Equity Fund$6,923,504F
Nalanda$36,863,865F
Park West Investors Ltd$49,469,224F
Riverstone$849,856F
Rivulet Capital Offshore Fund, Ltd.$37,655,520F
Roundshield Co-Invest Fund$931,784F
Roundshield III, LP$4,223,408F
RoundShield IV, L.P.$1,249,696F
Sequoia Capital China Growth Fund V, L.P.$7,458,192F
Sequoia Capital China Growth Fund VI, L.P.$3,546,032F
Sequoia Capital China Seed Fund I, L.P.$572,320F
Sequoia Capital China Seed Fund II, L.P.$508,424F
Sequoia Capital China Venture Fund VII, L.P.$2,203,824F
Sequoia Capital China Venture Fund VIII, L.P.$877,688F
Sequoia Capital Global Equities$41,614,720F
Sequoia Capital Global Growth Fund II$24,203,648F
Sequoia Capital Global Growth Fund III China Annex Fund, L.P.$359,072F
Sequoia Capital Global Growth Fund III U.S./India Annex Fund, L.P.$302,232F
Sequoia Capital Global Growth Fund III$6,799,632F
Sequoia Capital India Growth Fund III Ltd.$798,896F
Sequoia Capital India IV$7,613,816F
Sequoia Capital India Seed Fund I Ltd.$625,240F
Sequoia Capital India Seed Fund II Ltd.$234,024F
Sequoia Capital India V$6,534,640F
Sequoia Capital India Venture VII Ltd.$421,008F
Sequoia Capital India VI Ltd.$5,192,040F
Sequoia Capital U.S. Venture Fund XVI, L.P.$1,366,904F
Sequoia Capital U.S. Venture Fund XVII, L.P.$540,568F
Sequoia Capital US/E Seed Fund IV, L.P.$32,536F
Sequoia China Growth III$20,138,608F
Sequoia China Growth IV$12,727,064F
Sequoia China Venture Fund IV$2,300,256F
Sequoia China Venture Fund V$2,088,184F
Sequoia China Venture Fund VI$1,820,840F
Sequoia U.S. Growth Fund IX, L.P.$1,699,320F
Sequoia US GrowFund VII$8,677,704F
Sequoia US Growth Fund VIII$6,670,272F
Sequoia US Venture Fund XIV$11,268,432F
Sequoia US Venture Fund XV$2,352,000F
SequoiaUSGrowFund V$2,263,800F
SequoiaUSGrowFund VI$7,945,448F
Sessa Capital Special Opportunity Fund II, L.P.$7,337,456F
Sessa Capital, L.P.$7,480,144F
Shine Capital I, L.P.$1,433,544F
SPUR Ventures II$5,503,680F
Steadfast$25,192,272F
Stock Distribution Account$2,669,912F
Sunridge Agribusiness Opp. I, LP$4,818,856F
Sunridge Agribusiness Opportunities II, L.P.$923,552F
Tenfore Holdings Fund II, L.P.$5,770,632F
Tourmaline Capital Fund II LP$225,008F
Underscore VC Fund I, LP$4,202,240F
Underscore. VC Fund II, L.P.$5,954,480F
Union Park Capital II L.P.$6,322,568F
Union Park Capital III L.P.$599,760F
Wellington EM Opportunities$46,960,454F
WELLINGTON LIQUIDITY PORTFOLIO$143,581,113F
Westbrook IX$981,960F
Westbrook X$1,787,520F
Whale Rock Flagship Fund, LTD.$22,659,560F
FieldValueIRS element (for citing)
Total Book Value Securities$1,521,772,843TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Interest in the Net Assets of Children's Medical Center$3,108,599,931
Expected Insur Recoveries for Prof Liability Claims$41,925,393
Investment in Subsidiaries$22,849,318
CERNER Asset$10,169,497
Other Assets - Miscellaneous$16,886,810
Operating Lease Right of Use Asset$341,666,158
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,542,097,107TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue$26,606,361
Salary & Other Benefits$1,477,224
Funds Held for Others$32,552,205
Reserve for Medical Malpractice$12,567,011
Interest Rate Swap Liability$140,215,022
Cerner Contra Asset$12,530,266
Operating Lease Liability$373,757,129
Deferred Payroll Taxes$19,727,382
Malpractice Unpaid Loss$41,925,393
Other Liabilities$12,796,306
FieldValueIRS element (for citing)
Total Liability$674,154,299TotalLiabilityAmt

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 (9 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America & the Caribbean00Program ServicesPatient Care, Research & Education$1,764
East Asia & The Pacific00Program ServicesPatient Care, Research & Education$1,889
Europe00Program ServicesPatient Care, Research & Education$18,902
Middle East and North Africa -00Program ServicesPatient Care, Research & Education$4,279
South Asia00Program ServicesPatient Care, Research & Education$2,527
Sub-Saharan Africa00Program ServicesPatient Care, Research & Education$32,461
Central America & the Caribbean00Investment$629,870,327
Sub-Saharan Africa00Investment$67,187,809
Europe00Investment$36,200,024
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$697,119,958SubtotalSpentAmt
Continuation Spent$36,200,024ContinuationSpentAmt
Total Spent$733,319,982TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
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 (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
NNE Marketing LLC
666 Massachusetts AveLexingtonMA02420Direct Mail Counsel0$994,868$299,250$695,618
Interactive Strategies LLC
1133 Connecticut Ave NW Suite 600WashingtonDC20036Fundraising Counsel0$925,824$155,820$770,004
Sarah Gardner
13 Smokey Hill RdWaylandMA01778Fundraising Counsel0$48,561$75,350-$26,789
Chapman Cubine Adams & Hussey
2000 15th Street NorthArlingtonVA22201Direct Mail Counsel0$0$123,399-$123,399
Charity Dynamics LLC
4031 Guadalupe StreetAustinTX78751Online Counsel0$0$30,275-$30,275
Bentz Whaley Flessner
7251 Ohms LaneMinneapolisMN55439Counsel/Reports0$0$22,528-$22,528
The Pursuant Group Inc
15660 Dallas Pkwy STE 1000DallasTX75248Fundraising Counsel0$0$6,600-$6,600
Quantcast Corporation
795 Folsom StreetSan FranciscoCA94107Fundraising Counsel0$0$44,088-$44,088
Mal Warnick Associates
1625 K Street NW Suite 300WashingtonDC20006Fundraising Counsel0$0$24,664-$24,664
Brodeur and Coville LLC
535 Boylston Street Floor 10BostonMA02116Fundraising Counsel0$0$98,369-$98,369
FieldValueIRS element (for citing)
Total Gross Receipts$1,969,253TotalGrossReceiptsAmt
Total Retained By Contractors$880,343TotalRetainedByContractorsAmt
Total Net To Organization$1,088,910TotalNetToOrganizationAmt
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)
Event1Dinner/AuctionEvent1Nm
Gross Receipts Event1$2,055,677GrossReceiptsEvent1Amt
Charitable Contri Event1$1,809,897CharitableContriEvent1Amt
Gross Revenue Event1$245,780GrossRevenueEvent1Amt
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
Event2Virtual Investment ConferenceEvent2Nm
Gross Receipts Event2$708,297GrossReceiptsEvent2Amt
Charitable Contri Event2$220,797CharitableContriEvent2Amt
Gross Revenue Event2$487,500GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$0NonCashPrizesEvent2Amt
Rent Facility Costs Event2$0RentFacilityCostsEvent2Amt
Food And Beverage Event2$5,000FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$24,500OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$814,089GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$726,589CharitableContriOtherEventsAmt
Gross Revenue Other Events$87,500GrossRevenueOtherEventsAmt
Cash Prizes Other Events$0CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$0NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$0RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$0FoodAndBeverageOtherEventsAmt
Entertainment Other Events$5,000EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$7,156OthDirectExpnssOtherEventsAmt
Gross Receipts Total$3,578,063GrossReceiptsTotalAmt
Charitable Contributions Tot$2,757,283CharitableContributionsTotAmt
Gross Revenue Total Events$820,780GrossRevenueTotalEventsAmt
Food And Beverage Total Events$15,118FoodAndBeverageTotalEventsAmt
Entertainment Total Events$5,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$297,843OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$317,961DirectExpenseSummaryEventsAmt
Net Income Summary$502,819NetIncomeSummaryAmt
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$31,331,372TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,414,813DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,916,559NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$502,428,467TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$321,614,461DirectOffsettingRevenueAmt
Net Community Benefit Expns$180,814,006NetCommunityBenefitExpnsAmt
Total Expense0.08610TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$533,759,839TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$341,029,274DirectOffsettingRevenueAmt
Net Community Benefit Expns$192,730,565NetCommunityBenefitExpnsAmt
Total Expense0.09180TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,370,512TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,253,014DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,117,498NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,112,581TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,005,036DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,107,545NetCommunityBenefitExpnsAmt
Total Expense0.01670TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,143,954TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,901,250DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,242,704NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$486,680,861TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$462,629,301DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,051,560NetCommunityBenefitExpnsAmt
Total Expense0.01150TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,268,553TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$203,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,065,053NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$594,576,461TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$511,992,101DirectOffsettingRevenueAmt
Net Community Benefit Expns$82,584,360NetCommunityBenefitExpnsAmt
Total Expense0.03940TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,128,336,300TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$853,021,375DirectOffsettingRevenueAmt
Net Community Benefit Expns$275,314,925NetCommunityBenefitExpnsAmt
Total Expense0.13120TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,177,608TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,177,608NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Total Community Benefit Expns$558,247TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$558,247NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs28ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,735,855TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,735,855NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$8,255,455BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$13,114,224ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,562,548CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$551,676MedicareSurplusOrShortfallAmt

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 Conducted19CHNAConductedYr
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
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 2019 assessment used a participatory, collaborative approach and examined health in its broadest context. The assessment draws on data collected for the larger Boston CHNA that includes data from the Massachusetts Department of Public Health, vital records, and surveillance systems. In addition, a community-wide survey was conducted for the Boston CHNA that engaged over 2,400 residents including 548 parents/caregivers of children 18 or younger and 201 youth under 18. Seven of the 13 focus groups conducted for the Boston CHNA emphasized parent and family experiences, and there was one youth specific focus group. Forty-five key informant interviews were conducted for the Boston CHNA, 18 of which focused on issues related to parents, families, or children in Boston. To understand experiences and needs of those served by Boston Children's satellite locations outside Boston, 11 key informant interviews were conducted with clinic staff such as nurses, social workers, and administrators, as well as staff of community-based partner organizations.
Boston Children's HospitalPart V, Section B, Line 7d: A comprehensive report on Boston Children's CHNA is available on the hospital's website. In addition, a special report on the CHNA was created to share the process, top findings and Boston Children's plan to address community-identified concerns. The special report was distributed by mail and by email to key stakeholders and all external participants involved in the community process. Boston Children's also distributed the report widely to internal staff. The complete assessment and special report can be found on our website at www.childrenshospital.org/community-health/needs
Boston Children's HospitalPart V, Section B, Line 11: Boston Children's addresses the health and social needs identified in a comprehensive community health assessment process through our clinical care, services and programs and in collaboration with community partners. Below is a summary of the needs identified and Boston Children's efforts. For the complete Community Health and Benefits Plan, visit www.childrenshospital.org/community-health/needs.Behavioral health and issues related to substance abuse- Offering training and education for school and health center staff- Providing education and direct services in schools and community health locations for children and families- Advocating for changes to improve systems of care - Asthma management, education and treatment- Improving health and quality of life outcomes for children with asthma through home visiting and case management services- Developing cost-effective program models that help families to better control asthma- Advocating for changes to improve asthma care Obesity with a focus on healthy eating and access to physical fitnessopportunities- Offering prevention and treatment efforts- Supporting children and families and connecting them to community resources- Building capacity in community settings to help children improve nutrition and increase physical activity Impact of violence and trauma on children, families and communities- Utilizing clinical expertise to provide prevention, treatment and advocacy services- Supporting efforts to help children and families affected by violenceSupport for early childhood/child development- Building community capacity to identify and help children and families with behavioral health concerns- Supporting efforts to create integrated systems of care for families with children starting at birth- Partnering with community organizations that provide families with support and treatment servicesPrograms and opportunities for youth including workforce development efforts- Continuing support for programming related to youth-identified needs and interests- Working with partners to provide education support and recreation for youthHealth education for children and families- Building upon the health education opportunities currently provided through community programs and services- Coordinating these resources to better meet the need for health education in the communityOther issues that affect the health of children and families such as housing, jobs, food and safety- Supporting, funding and working closely with partners and coalitions working on these issues
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 alsohas 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 $32,872,673 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 FY21, Children's reported two types of community building activities: $2,177,608 for 16 community support programs and $558,247 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 and its four priority neighborhoods- Roxbury, Mission Hill, Fenway and Jamaica Plain.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. Demographic Characteristics: Residents and stakeholders commented on the variety of cultures represented in the communities served by Boston Children's. Quantitative data illustrate that racial and ethnic diversity varies across Boston Children's priority neighborhoods and citywide. While the majority of residents in Roxbury/Mission Hill self-identify as Black (60.9%), Fenway and Jamaica Plain have a larger proportion of White residents (70.2% and 62.0%, respectively) compared to the city (53.9%). Poverty, Income, and Employment: Economic data demonstrate that among the priority neighborhoods, a greater proportion of families in Roxbury/Mission Hill (31.0%) were living in poverty compared to families citywide (16.0%). Additionally, nearly half of female headed households with children under five years of age in Boston were living in poverty (46.7%).Education: Quantitative data show that educational attainment across the priority neighborhoods ranges from 71.0% of Fenway residents with abachelor's degree or higher to 25.0% of Roxbury/Mission Hill adults. Additionally, Black and Hispanic students graduate at lower rates than their White and Asian counterparts.Housing: Housing concerns disproportionately affect renters, who represent the majority in Boston; 42.4% of renters in Boston contribute 35% or more of their income to housing costs. Neighborhood Crime and Perceptions of Safety: Quantitative data validate residents' concerns; between January and June 2013, Boston Children's priority neighborhoods collectively accounted for approximately 40% of thetotal crimes reported citywide during this time period, the majority of which were classified as larceny or attempted larceny. Furthermore, over half of all homicides occurred in Roxbury/Mission Hill.There are 4 hospitals and 7 community health centers serving our priority neighborhoods. There are 22 Census Tracks that fall under 2 different MUA/P areas that are within the Boston Children's Hospital priority areas. Massachusetts has a low rate of uninsured children.0-5 years 1.1% uninsured - 35.9% on Medicaid6-18 years 1.5% uninsured - 30.6% on Medicaid19-25 yrs-7% uninsured - 18.9% on Medicaid
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. It sponsors 38 Accreditation Council for Graduate Medical Education-accredited training programs, one American Dental Association accredited training program and 15 non-accredited subspecialty fellowships with 512 residents/clinical fellows enrolled in these programs. Children's partners with 27 schools of nursing throughout Massachusetts and New England to provide clinical experiences in pediatrics.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. Topics include autism, eating disorders, sports injuries, endometriosis, substance abuse, concussions, strabismus, Type II Diabetes and vascular anomalies. Children's also offers half-day programs titled Pediatric Health Care Summits that are held at local hospitals, such as Beverly Hospital, Lawrence General and South Shore Hospital (Weymouth). Additionally, Children's partners with area community hospitals such as Good Samaritan Medical Center, Holy Family, Lawrence General, South Shore, St. Anne's and St. Joseph's to sponsor Community Hospital Pediatrics Grand Rounds with monthly lectures provided by faculty in medical and surgical sub-specialties.Children's also operates "Career Opportunity Advancement Children's Hospital", a seven-week program for Boston youth to explore health care careers while having a safe and meaningful summer and the program "Student Career Opportunity Outreach Program", designed by Children's nurses to introduce young people to nursing career opportunities.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 (94 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Boston Municipal Research Bureau
333 Washington StreetBostonMA02108222673755501(c)(3)$7,500Community Partnership
Center for Comm Health Education Research & Service Inc
320 Huntington AvenueBostonMA02115043286409501(c)(3)$10,000Community Partnership
Freedom House
5 Crawford StreetBostonMA02121042240448501(c)(3)$10,000Community Partnership
Greater Boston Chamber of Commerce
265 Franklin Street 12th FloorBostonMA02110041103090501(c)(6)$10,000Community Partnership
Massachusetts Public Health Association
50 Federal Street 8th FloorBostonMA02210042326503501(c)(3)$10,000Community Partnership
Federation for Children with Special Needs
529 Main Street Suite 1102BostonMA02129042557572501(c)(3)$15,000Advocacy Support
Fenway Community Development Corporation
73 Hemenway StreetBostonMA02115042666507501(c)(3)$20,000Community Partnership
Madison Park Development Corporation
184 Dudley Street 102BostonMA02119237164223501(c)(3)$20,000Community Partnership
Massachusetts Law Reform Institute Inc
99 Chauncy Street Suite 500BostonMA02111046004303501(c)(3)$20,000Advocacy Support
Project RIGHT
320 A Blue Hill AvenueDorchesterMA02121043265420501(c)(3)$20,000Advocacy Support
Health Law Advocates
30 Winter Street 10th FloorBostonMA02108043298116501(c)(3)$25,000Advocacy Support
Youth Enrichment Services
412 Massachusetts AvenueBostonMA02118042509466501(c)(3)$25,000Community Partnership
Massachusetts Budget and Policy Center
15 Court Square Suite 700BostonMA02108042967537501(c)(3)$30,000Advocacy Support
Smart from the Start Inc
68 Annunciation RoadBostonMA02120454952663501(c)(3)$30,000Community Partnership
South End Community Health Center Inc
1601 Washington StreetBostonMA02118042456134501(c)(3)$40,000Support of the Community Health Center
Upham's Corner Community Center Inc
500 Columbia RoadDorchesterMA02125042708670501(c)(3)$40,000Support of the Community Health Center
Whittier Street Health Center Committee Inc
1125 Tremont StreetRoxburyMA02120042619517501(c)(3)$42,500Support of the Community Health Center
Community Service Care Inc
295 Centre Street 31Jamaica PlainMA02130042754281501(c)(3)$50,000Community Partnership
Playworks New England
1423 Broadway PMB 161OaklandCA94607943251867501(c)(3)$50,000Community Partnership
Sociedad Latina Inc
1530 Tremont StreetRoxburyMA02120042678255501(c)(3)$51,000Community Partnership
Boston Educational Development Foundation Inc
7 Palmer Street 2nd FloorRoxburyMA02119222514422501(c)(3)$52,500Community Partnership
Boston Center for Youth and Families
75 Newbury Street 3rd FlooeBostonMA02116042602576501(c)(3)$55,000Community Partnership
Bowdoin Street Health Center Inc
230 Bowdoin StreetBostonMA02122042529788501(c)(3)$55,000Support of Community Health Center
South Cove Community Health Center Inc
145 South StreetBostonMA02111042501818501(c)(3)$55,000Support of the Community Health Center
East Boston Neighborhood Health Center
10 Gove StreetEast BostonMA02128237425849501(c)(3)$65,000Community Partnership
Mattapan Community Health Center
1425 Blue Hill AveMattapanMA02426042544151501(c)(3)$80,000Support of the Community Health Center
Charles River Community Health Inc
287 Western AvenueAllstonMA02134237221597501(c)(3)$81,000Support of Community Health Center
Jamaica Plain Neighborhood Development Corporation
31 Germania StreetJamaica PlainMA02130042652919501(c)(3)$85,000Community Partnership
City Life Vida Urbana
284 Amory Street 1st FloorBostonMA02130042660311501(c)(3)$91,216Community Partnership
Raising a Reader Massachusetts
3 School Street 3rd FloorBostonMA02108800297898501(c)(3)$95,745Community Partnership
Health Care for All Inc
One Federal Street 5th FloorBostonMA02110043071598501(c)(3)$100,000Community Partnership & Advocacy Support
The Dimock Center
55 Dimock StreetRoxburyMA02119043487835501(c)(3)$100,000Community Partnership
Urban College of Boston
2 Boylston Street 2nd FloorBostonMA02116043403049501(c)(3)$100,000Community Partnership
Massachusetts Affordable Housing Alliance
1803 Dorchester AvenueDorchesterMA02124223042637501(c)(3)$102,100Community Partnership
Brigham and Women's Hospital Inc
3297 Washington StreetJamaica PlainMA02130042312909501(c)(3)$162,500Support of Community Health Center
Mass Society for the Prevention of Cruelty to Children
3815 Washington Street Ste 2BostonMA02130042103596501(c)(3)$183,950Advocacy Support
TSNE MissionWorks
89 South StreetBostonMA02111042261109501(c)(3)$200,000Community Partnership
Health Resources In Action
622 Washington StreetDorchesterMA02124042229839501(c)(3)$213,093Community Partnership
Mathematica
955 Massachusetts Avenue Suite 801CambridgeMA02139222112296501(c)(3)$213,480Community Partnership
Dudley Street Neighborhood Initiative Inc
550 Dudley StreetRoxburyMA02119042859066501(c)(3)$330,136Community Partnership
Boston Public Health Commission
1010 Massachusetts AveBostonMA02118043316655GOVT$411,048Community Partnership
Dot House Health
1353 Dorchester AvenueDorchesterMA02122237125970501(c)(3)$427,900Community Partnership
Boston's Higher Ground
384 Warren StreetRoxburyMA02119273660369501(c)(3)$655,258Community Partnership
The Community Builders Inc
185 Dartmouth StreetBostonMA02116042324773501(c)(3)$800,000Community Partnership
City of Boston
City Hall PlazaBostonMA02201046001380GOVT$2,001,597Community Partnership
All Dorchester Sports and Leadership
1565 Dorchester AvenueDorchesterMA02122222827346501(c)(3)$30,000Community Partnership
Umass Medical School
55 Lake Avenue North S3-301WorcesterMA01655GOVT$15,000Advocacy Support
Bikes Not Bombs (w Children's Services of Roxbury)
284 Amory StreetJamaica PlainMA02130043138753501(c)(3)$100,000Community Partnership
BMA TenPoint
2010 Columbus AvenueRoxburyMA02119043499852501(c)(3)$10,100Community Partnership
Bold Teens
14 Euclid StreetDorchesterMA02124853198745501(c)(3)$18,000Community Partnership
Boston Asian Youth Essential Service
199 Harrison AvenueBostonMA02111237288855501(c)(3)$23,462Community Partnership
Boston Chinatown Neighborhood Center
38 Ash StreetBostonMA02111237209691501(c)(3)$100,000Community Partnership
Boston Community Pediatrics
527 Albany Street Suite 200BostonMA02118843091463501(c)(3)$22,500Community Partnership
Boston Explorers
72 Montgomery StreetBostonMA02116453710863501(c)(3)$15,000Community Partnership
The Boston Foundation
75 Arlington Street 3rd FloorBostonMA02116042104021501(c)(3)$200,000Community Partnership
Bridge Over Troubled Waters
47 West StreetBostonMA02111042472126501(c)(3)$10,000Community Partnership
Brookview House
2 Brookview StreetDorchesterMA02124223032466501(c)(3)$10,000Community Partnership
Chinatown Community Land Trust
28 Ash StreetBostonMA02111473187874501(c)(3)$150,000Community Partnership
Community Labor United
8 Beacon Street 5th FloorBostonMA02108203404034501(c)(3)$100,000Community Partnership
Conference of Boston Teaching Hospitals
11 Beacon Street Suite 710BostonMA02108263583138501(c)(3)$31,250Community Partnership
Crossroads
119 Myrtle StreetDuxburyMA02332042103837501(c)(3)$15,000Community Partnership
DEAFinitelyFamilies Creating Together
4 June LaneNewtonMA02459841809435501(c)(3)$20,800Community Partnership
Dorchester Food Co-op
PO Box 1051 NorthhamptonNorthhamptonMA01061043241596501(c)(3)$25,000Community Partnership
East Boston Social Centers
68 Central SquareEast BostonMA02128042104257501(c)(3)$210,000Community Partnership
Elevate Youth
89 South Street Suite 203BostonMA02111821643548501(c)(3)$15,000Community Partnership
Families First
50 Hunt Street Suite 320WatertownMA02472043413397501(c)(3)$103,000Community Partnership
First Baptist Church in Jamaica Plain
633 Centre StreetJamaica PlainMA02130042263045501(c)(3)$10,000Community Partnership
Friends of the Children
184 Dudley Street Suite 100RoxburyMA02119021581289501(c)(3)$15,000Community Partnership
Boston After School and Beyond Inc
PO Box 190323RoxburyMA02119201308560501(c)(3)$10,000Community Partnership
Haley House Inc
23 Dartmouth StreetBostonMA02116042437845501(c)(3)$100,000Community Partnership
Heading Home
529 Main Street Suite 100CharlestownMA02129237364546501(c)(3)$1,000,000Community Partnership
Hyde Square Task Force
PO Box 301871Jamaica PlainMA02130043118543501(c)(3)$309,700Community Partnership
Inquilinos Boricuas en Accin
405 Shawmut StreetBostonMA02118237090081501(c)(3)$5,300Community Partnership
Local Initiatives Support Corporation - Boston
34 Liberty Street 34th floorNew YorkNY10005133030229501(c)(3)$250,000Community Partnership
Rian Immigrant Center
One State Street Suite 800BostonMA02109043063382501(c)(3)$10,000Community Partnership
Massachusetts League of Community Health Centers
40 Court Street 10th FloorBostonMA02108042507409501(c)(3)$7,500Community Partnership
Maverick Landing Community Services
31 Liverpool StreetEast BostonMA02128205911734501(c)(3)$10,000Community Partnership
Mission SAFE
PO Box 201060RoxburyMA02120043457195501(c)(3)$28,000Community Partnership
Neighborhood Villages
64 Sigourney StreetJamaica PlainMA02130821859365501(c)(3)$100,000Community Partnership
Nurtury Inc
2201 Washington Street Suite 306RoxburyMA02119042105893501(c)(3)$52,500Community Partnership
Room to Grow
7 West 30th Street Floor 3New YorkNY10001134012096501(c)(3)$50,000Community Partnership
Roxbury Tenants of Harvard
11 New Whitney StreetBostonMA02115042555987501(c)(3)$10,000Community Partnership
Saint Stephen's Youth Program
419 Shawmut AvenueBostonMA02118042515730501(c)(3)$25,000Community Partnership
Somali Parents Advocacy Center for Education
15 Myrtle Street Apt 3EverettMA02149842743083501(c)(3)$35,000Community Partnership
South End Soccer
PO Box 180833BostonMA02118900623475501(c)(3)$10,000Community Partnership
Strategies for Children - Massachusetts
400 Atlantic AveBostonMA02110043551406501(c)(3)$45,500Community Partnership
Catholic Charitable Bureau of the Archdiocese of Boston
278 Bowdoin StreetDorchesterMA02122042534041501(c)(3)$40,000Community Partnership
The Food Project
10 Lewis StreetLincolnMA01773043262532501(c)(3)$34,732Community Partnership
Urban Edge
1542 Columbus Avenue Suite 2RoxburyMA02119222483475501(c)(3)$60,850Community Partnership
Urban Farming Institute of Boston
487R Norfolk StreetMattapanMA02126453961022501(c)(3)$23,960Community Partnership
Vietnamese American Initiative for Development Inc
42 Charles Street Suite EDorchesterMA02122043289039501(c)(3)$10,000Community Partnership
WalkBoston
405 Waltham Street Suite 309LexingtonMA02421223061699501(c)(3)$51,000Community Partnership
The Prepatory Foundation Inc
885 River StreetHyde ParkMA02136331053424501(c)(3)$7,800Community Partnership
Youth Advocacy Foundation
44 Bromfield Street 2nd FloorBostonMA02108043583353501(c)(3)$12,500Advocacy Support
FieldValueIRS element (for citing)
Total501c3 Org93Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (16 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceAmtNon Cash AssistanceNonCashAssistanceDesc
Sibylla Orth Young Fund for Student Aid14$24,000FMV
Nursing Education Scholarship Fund26$50,000FMV
Yawkey Family Inn Fund1533FMV$288,494Housing Assistance
Devon Nicole House Operating Fund1095FMV$16,396Housing Assistance
Pet Therapy Program Fund1184FMV$132,688Theurapeutic dog visits made to inpatients
Extraordinary Needs Fund II100$255,453FMV
Family Services Fund1824FMV$90,692Greeting Cards and supplies for Adopt a Family Program & wellness supplies and services
Milagros Para las Family Fund361FMV$35,525Translation services and program support for spanish speaking families.
Barber Family Endowment Fund15FMV$8,743Teen Advisory Committee expenses
Matthew Puffer Parking Fund7$385FMV
Patient Family Housing Fund2993FMV$24,815Housing Assistance
Telemachus and Irene Demoulas Family Foundation Extraordinary Needs Endowment Operating Fund187FMV$5,195PACT Hope Program support, comfort sheets for end of life, Keeping Connections event
Alexander Mosse Baer Entertainment Fund50FMV$100Sponsored one dog show and four magic shows
Brandano Parent Apartment Fund690FMV$102,720Housing Assistance
Patient Care Support Services Endowment/Income Fund361FMV$9,424Parking Vouchers & Spanish Speaking Support
Jenning Family Fund2993FMV$7,301Provide Meals to Patients & 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 (22 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
Kevin Churchwell MD
President & CEO (from 3/31/21)$929,644$0$1,117,598$0$338,863$0$22,800$0$58,696$0$2,467,601$0$0$0
Sandra Fenwick
CEO (through 3/31/21)$1,383,563$0$0$0$583,971$0$31,350$0$39,366$0$2,038,250$0$0$0
Philip Rotner
Chief Investment Officer$715,845$0$693,000$0$162,927$0$22,800$0$35,887$0$1,630,459$0$0$0
Doug Vanderslice
EVP, Treasurer & CFO$815,287$0$150,257$0$327,824$0$22,800$0$46,728$0$1,362,896$0$0$0
Peter Laussen MD
EVP of Health Affairs$540,554$0$550,000$0$155,175$0$28,500$0$31,648$0$1,305,877$0$0$0
Michele Garvin Esq
General Counsel & Secretary$644,253$0$105,549$0$133,804$0$22,800$0$35,999$0$942,405$0$0$0
Martin Kelly
Director, Investments$401,588$0$332,899$0$2,032$0$22,800$0$18,789$0$778,108$0$0$0
Lynn Susman
EVP, Chief Development Officer$462,494$0$151,003$0$86,144$0$31,350$0$26,226$0$757,217$0$0$0
Nader Rifai PhD
Director, Chemistry$496,618$0$209,879$0$3,828$0$31,350$0$13,193$0$754,868$0$0$0
Demosthenes Argys
EVP, & Chief Administrative Officer$534,322$0$62,061$0$96,943$0$25,650$0$20,642$0$739,618$0$0$0
Alison Svizzero
Director, Investments$379,739$0$310,263$0$577$0$19,950$0$1,492$0$712,021$0$0$0
Nirav Desai
Director, Investments$363,270$0$308,162$0$771$0$19,950$0$18,054$0$710,207$0$0$0
Daniel Nigrin MD
SVP & Chief Information Officer$511,947$0$59,542$0$88,037$0$22,800$0$16,819$0$699,145$0$0$0
Laura J Wood DNP MS RN
EVP, Chief Nursing Officer$488,457$0$57,263$0$90,440$0$25,650$0$23,903$0$685,713$0$0$0
Cynthia Haines
SVP, National & International Svcs.$483,123$0$55,350$0$93,160$0$19,950$0$27,086$0$678,669$0$0$0
Lisa Hogarty
SVP, RE Planning and Development$444,110$0$52,418$0$82,362$0$19,950$0$26,998$0$625,838$0$0$0
Orah Platt
Chief, Lab Medicine$523,035$0$42,299$0$7,138$0$31,350$0$6,936$0$610,758$0$0$0
Michael Gillespie
VP, Clinical Services$399,295$0$36,877$0$68,197$0$22,800$0$14,472$0$541,641$0$0$0
Patricia Hickey PhD MBA RN NEA-BC
SVP, Patient Services$402,145$0$37,284$0$5,013$0$34,200$0$7,106$0$485,748$0$0$0
August Cervini
SVP, Research Administration$298,593$0$33,626$0$53,391$0$17,100$0$23,797$0$426,507$0$0$0
Wendy Warring
Former SVP, Network Development$0$0$0$0$371,237$0$0$0$0$0$371,237$0$176,500$0
Bruce Balter
Asst Treasurer/Dir Corp Finance$265,331$0$8,269$0$1,826$0$33,722$0$13,082$0$322,230$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 2020, a contribution of $65,494 August Cervini, received in 2020, a contribution of $30,240 Kevin Churchwell, received in 2020, a contribution of $301,500 Sandra Fenwick, received in 2020, a contribution of $539,500 Michele Garvin, received in 2020, a contribution of $97,680 Michael Gillespie, received in 2020, a contribution of $41,461 Cynthia Haines, received in 2020, a contribution of $62,179 Lisa Hogarty, received in 2020, a contribution of $52,036 Peter Laussen, received in 2020, a contribution of $46,500 Daniel Nigrin, received in 2020, a contribution of $60,846 Philip Rotner, received in 2020, a contribution of $137,718 Lynn Susman, received in 2020, a contribution of $57,943 Doug Vanderslice, received in 2020, a contribution of $229,480 Laura Wood, received in 2020, a contribution of $59,236 During Calendar Year 2020, the following individuals received supplemental executive retirement plan distributions: Wendy Warring, received in 2020, a distribution of $371,237ExplanationTxt

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 P
C04343181457583UK312014-05-21$136,685,000New bldg construction, reno. & capital equip000
MDFA Revenue Bonds Series Q
D043431814NoneAvail2014-07-11$50,255,000New building construction & renovations000

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$151,753,430$1,753,430201300Yes (1)Yes (1)$150,000,000
D$50,255,000$255,000201600Yes (1)Yes (1)$50,000,000

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)0000Yes (1)
(no name)
D000Yes (1)Yes (1)000Yes (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: 09/30/2019 Issuer Name: MDFA, Revenue Bonds Series O Date the Rebate Computation was Performed: 12/11/2018 Issuer Name: MDFA, Revenue Bonds Series P Date the Rebate Computation was Performed: 09/30/2018 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 (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MDFA Revenue Bonds Series R
A043431814NoneAvail2014-07-29$125,350,000Refunded a portion of Series N000
MDFA Revenue Bonds Series S
B043431814NoneAvail2017-12-19$135,215,000Refunded Series M000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$125,350,000$125,000,000$350,0002014Yes (1)0Yes (1)Yes (1)
B$134,703,799$511,2010Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Goldman Sachs Mitsu
A000Yes (1)Yes (1)Yes (1)30.0000000000000000Yes (1)
(no name)
B000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$315NoncashContributionsRptF990Amt
Method Of Determining RevenuesMkt Value per DonorMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution78ContributionCnt
Noncash Contributions Rpt F990$17,945,523NoncashContributionsRptF990Amt
Method Of Determining RevenuesMean Value on Gift DateMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution35ContributionCnt
Noncash Contributions Rpt F990$13,540NoncashContributionsRptF990Amt
Method Of Determining RevenuesMkt Value per DonorMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Misc. Other28$56,250Mkt Value per Donor
Yes (X)Travel/Dining2$575Mkt Value per Donor
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
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 MissionBoston Children's Hospital is the nation's premier pediatric hospital and research enterprise. We serve as the community hospital for the children of Boston; provide specialty pediatric care throughout the region; and offer access to innovative, lifesaving care to children across the world facing rare and complex conditions. Founded in 1869, Boston Children's is one of the largest pediatric hospitals in the U.S. and the only freestanding pediatric hospital in Massachusetts, with its main campus located in the Longwood Medical Area. Boston Children's provides access to safe, high quality health care services that meet the unique needs of our patients and their families, regardless of their ability to pay. Our four-part mission is to provide access to safe, high quality, compassionate, equitable, and innovative clinical care to children; research new cures and treatments for diseases and methods of care delivery; train the next generation of pediatric caregivers; and improve the health and well-being of children, with a special emphasis on partnering with the community to address the most pressing health care needs in surrounding neighborhoods, and helping the children of Boston grow and learn in safe, healthy environments. Our vision is to build on our legacy of discovery and innovation to harness our powerful combination of life-changing care and world-changing research to drive the breakthroughs that advance and improve the health and well-being of children everywhere. In FY2021, Boston Children's continued to address COVID, as well as significant public health risks exacerbated by the ongoing pandemic, including the behavioral health crisis. With thousands of employees working from home, our remote work policy evolved to make some level of remote work for many employees a permanent part of how we operate. While many patients and families began to return to Boston Children's in person, we continued to serve virtual care needs based on comfort and necessity. For the safety of our employees, patients, families, and the community at large, in September 2021, we made vaccination for COVID a requirement for all Boston Children's W-2 employees, medical staff, research staff, students, and contracted staff, and enacted the same requirement for COVID boosters in February 2022. In order to help families in our local community struggling with increasing food insecurity throughout the pandemic, Boston Children's worked with the Boston Housing Authority in 2021 to launch the Family Food Connections food pantry in Jamaica Plain, available to patients and families referred from Primary Care at Martha Eliot, our Adolescent/Young Adult practice, and the Celiac Disease Program. We plan to expand that availability in 2022. Additionally, in October 2021, we announced the creation of the Sandra L. Fenwick Institute for Pediatric Health Equity and Inclusion, a major initiative to advance pediatric health equity by addressing persistent disparities in the delivery of care to our nation's children.
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: Chief Executive Officer President & Chief Operating Officer Executive Vice President of Finance, IS & RE & Chief Financial Officer Senior Vice President & General Counsel Senior Vice President, Patient Care Services & Chief Nursing Officer Senior Vice President & Chief Administrative Officer Vice President, Research Administration President, Children's Hospital Trust Vice President, Government Relations Vice President & Chief Marketing Officer Senior Vice President & Chief Information Officer Vice President, Human Resources Vice President, Support Services Senior Vice President, Real Estate Planning & Development Chief Investment Officer Senior Vice President, Network Development & Strategic Partnerships Vice President, Clinical Services Senior Vice President, International Services Executive Vice President of Health Affairs 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 117,874,813. Management and general expenses 10,297,409. Fundraising expenses 0. Total expenses 128,172,222. Purchased Research Services: Program service expenses 59,683,959. Management and general expenses 0. Fundraising expenses 0. Total expenses 59,683,959. Consulting Services: Program service expenses 2,582,355. Management and general expenses 7,822,167. Fundraising expenses 306,059. Total expenses 10,710,581. Misc. Purchased Services: Program service expenses 40,652,907. Management and general expenses 22,012,129. Fundraising expenses 650,642. Total expenses 63,315,678. Nursing Agency Fees: Program service expenses 1,858,754. Management and general expenses 0. Fundraising expenses 1,744. Total expenses 1,860,498. Laundry Services: Program service expenses 0. Management and general expenses 2,883. Fundraising expenses 0. Total expenses 2,883. Security Services: Program service expenses 13,359,736. Management and general expenses 653,967. Fundraising expenses 0. Total expenses 14,013,703. Catering Fees: Program service expenses 291,579. Management and general expenses 77,561. Fundraising expenses 4,906. Total expenses 374,046. Collection Agency Fees: Program service expenses 0. Management and general expenses 1,405,991. Fundraising expenses 0. Total expenses 1,405,991. Temp Agency Fees: Program service expenses 1,322,223. Management and general expenses 272,900. Fundraising expenses 40,888. Total expenses 1,636,011. Ambulance Services: Program service expenses 69,965. Management and general expenses 0. Fundraising expenses 0. Total expenses 69,965. Environmental Services: Program service expenses 504,887. Management and general expenses 157,428. Fundraising expenses 0. Total expenses 662,315. Employment Agency Services: Program service expenses 916,377. Management and general expenses 1,202,468. Fundraising expenses 16,000. Total expenses 2,134,845.
Form 990, Part XI, line 9:Net Transfers/Support from Children's Medical Center -17,932,748. Pension Adjustment 151,500,670. Other Adjustments -823,280. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others 1,945,396.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (13 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$8,209,958$64,502,101Children'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$485,547$3,027,471Children'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$432,500$5,397,346Longwood 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$21,001,998$21,819,471Children'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$137,088,857$87,585,106Children's Medical Center Corp

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 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
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