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CHILDRENS HOSPITAL CORPORATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL CORPORATION (EIN 04-2774441)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-16
IRS object ID
202112289349300901
Schema version
2019v5.2
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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Form 990 IRS990

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Business Name Line1Boston Children's HospitalBusinessNameLine1Txt
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Principal OfficerKevin B Churchwell MDPrincipalOfficerNm

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Gross Receipts$2,250,683,519GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
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Website Addresswww.childrenshospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
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Activity Or MissionProvider of pediatric healthcare, education, research & community serviceActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee14847TotalEmployeeCnt
Total Volunteers543TotalVolunteersCnt
Total Gross UBI-$2,691,040TotalGrossUBIAmt
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PY Contributions Grants$415,137,440PYContributionsGrantsAmt
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CY Investment Income$19,243,990CYInvestmentIncomeAmt
PY Other Revenue$59,892,635PYOtherRevenueAmt
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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. Our team has a deep commitment to setting the bar for quality and safety and exceeding the expectations of our patients and their families for service, undertaking significant investments in each of these areas.In FY2020, Boston Children's saw more than 670,000 outpatient visits, 61,000 emergency department visits, 23,000 inpatient or observation stays, and 29,000 inpatient or day surgeries. Our inpatient case mix index was 2.16 and the average length of stay was 5.81 days. Of the bedded cases, more than 16.8% (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 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. 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. Boston Children's also provides clinical care for the largest number of uninsured children in the state. Due to an extension on Medicaid data until July 1, 2021, we do not have our complete FY20 data yet, but we incurred a Medicaid loss over $120M for FY19. For our Massachusetts patients, 40.1% of our gross patient service revenue (GPSR) was from Medicaid, including carved out behavioral health programs and the Children's Medical Security Plan.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.We've attempted to manage these trends by delivering care in lower cost settings including community hospitals that we help support, and by transitioning inpatient care to multi-specialty outpatient settings where possible. We've built care teams that work effectively across disciplines. We've strived to create a more welcoming and family-centered environment for children & families on the Longwood campus. We need to do more.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. 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.Each year, Boston Children's improves the quality of the clinical care it provides by recruiting talented staff, investing in cutting-edge equipment and technology, undertaking safety & quality initiatives, supporting community health programs and ensuring that our facilities make the care process easier & more comfortable for all the patients & families we serve. For example:Focus on Quality and Safety: At Boston Children's, a dedication to quality & patient safety is embedded in everything we do. We continuously measure & track our performance in order to improve the care we provide. We believe measurement is essential for providing world-class care. If we don't track how we're doing, we can't identify areas of care that need improvement. And we can't identify high-performing areas that could serve as a model throughout Boston Children's & the health care industry as a whole. By closely watching our quality & safety outcomes, we push ourselves to get better every day & raise the standard of care everywhere. We are committed to transparency in our efforts to constantly improve quality & safety, and clinical departments at Boston Children's publish information on both in their own sections of our website.We value the insights of parents, patients & 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. Adult family members, and children who are old enough, are encouraged to voice their observations, opinions or concerns to members of the care team. 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. Fostering Innovation: Through the work of the Innovation and Digital Health Accelerator, Boston Children's reinforces a commitment to, and investment in pediatric innovation. We are combining our data, clinical expertise, and health care technology development experience, with leading worldwide industry partners including start-ups to transform health care. Through the IDHA, we continue to make significant investments in the area of digital and technology-driven care. We know that the patient's journey is going to be not only more personalized as it comes to their care, but clearly more digital.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.We have the world's largest pediatric research program - more the 1 million square feet of dedicated research space - for many reasons. The most important reason is our focus on our patients. We are constantly evolving care, and caring for increasingly complex patients - patients with congenital heart conditions, childhood cancers, complex neurological and neurosurgical conditions, and more. Research occurs in every clinical department, and our advancement of basic research helps us to advance the understanding of disease, but also model the diseases we see in pediatrics. In FY2020, Boston Children's received a total of $420M in research funding - federal (NIH, etc.), non-federal direct and indirect. We are the 4th largest NIH funding recipient of all hospitals in the U.S. and received 17%+ more NIH funding secured than any other pediatric hospital. Our funding amount has a multiplier effect, serving as a magnet for medical education, research and corporate investments.Boston Children's research faculty and trainees in 2020 produced over 4,000 publications. This continues a historical count of research publications in the top 25 Eigenfactor scientific journals for 5 years running.Our investigators hold numerous prestigious honors and awards, including many "research firsts." In our laboratories and clinics, hundreds of scientists seek to identify the factors that contribute to both childhood and adult diseases and to develop effective treatments for them. Our investigators are Harvard Medical School faculty - basic scientists, clinical researchers and epidemiologists - who are accelerating the pace of medical discovery from brainstorm to bench to bedside. Our researchers were the first to develop 10 new disease-based stem cell lines by reprogramming adult stem cells that can be used to study treatments for diseases ranging from Parkinson's to Diabetes. Clinicians and researchers at Boston Children's work with colleagues throughout the medical community to translate basic science research into applications for clinical care. These projects frequently have applications that go beyond pediatrics to impact adult care as well. In FY2020 alone, we disclosed 153 inventions, received 269 patents, executed 54 licensing agreements and 24 sponsored research agreements, and formed 6 startup companies to help bring our innovations to the patient bedside. Our research specialties include: Research-driven discovery science platforms Established collaborations focused on childhood diseases World-leading, disease-specific expertise Therapeutic trials experience Comprehensive understanding of regulatory landscapes Top-level genetics and genomics research infrastructure Deeply phenotyped disease cohorts World-class informatics Our research Innovation Initiatives include: Children's Rare Cohorts Initiative (CRCI) Digestive Biology Hemoglobinopathies Gene Therapy Innovation & Digital Health Accelerator OPENPediatrics Organs on Chips Precision Medicine Simulator Program (SIMPeds) Virtual VisitsDesc

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Expense$40,738,107ExpenseAmt
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Revenue$22,231,251RevenueAmt
DescTeaching: 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. Boston Children's has trained approximately 20% of the practicing pediatric cardiology specialists in the U.S., and 42 of those trainees have been pediatric cardiology division chiefs.We train individuals throughout all areas of the care continuum, including medical students, interns, residents, fellows, nursing students and community pediatricians. We provide continuing professional education for all of our clinical staff. Our Department of Continuing Medical Education enables clinicians around the world to tap into Boston Children's expertise.Our Simulation Program (SIMPeds) 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.SIMPeds has run over 1,000 courses, servicing roughly 4,000 participants from all sectors of the hospital, and is one of the first pediatric hospital programs to be accredited through the Society for Simulation in Healthcare. 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.Desc

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Community:Boston Children's Hospital (BCH) was among the first academic medical centers in the country to expand the traditional missions of patient care, teaching, and research to embrace a fourth part of its mission - community. Through the years, BCH 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.BCH'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, BCH 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.Community response to COVID: The COVID pandemic disproportionally impacted communities of color, immigrant communities, and those living in low-income neighborhoods. In 2020, BCH directed resources to support our community partners including community health centers to help address the many needs of families. Food insecurity concerns only increased for families during the pandemic. The hospital continues to support and has reallocated funds to help health centers with purchasing and distributing food to families in-need. Families were also reached through our primary care locations including the Martha Eliot Health Center and the Primary Care at Longwood. The hospital also provided flexibility in the use of its funds made available through the Collaboration for Community Health (see below for more details on the Collaboration) and allowed its funded partners to redirect their efforts to meet priority needs and adjust during this public health emergency. In the summer and fall of 2020, the hospital also released additional funds through the Collaboration to support childcare providers in Boston with grants ranging from $3,500 - $10,000. In total, 130 childcare providers received grants. These funds were used by childcare providers to follow public health guidelines, adapt physical spaces, and cover increased costs for staff, overhead, personal protective equipment, and cleaning supplies.Understanding community needs: BCH 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/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 issues. Health concerns for families continue to be around asthma, obesity, and mental and behavioral health. The findings inform the direction of BCH'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 BCH 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 BCH'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 stakeholders - community 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. (http://www.childrenshospital.org/community-health/community-health-needs)A formal and comprehensive needs assessment is only one part of BCH's approach to understanding the health needs and vital resources within the community. BCH is continually listening and learning from patient families, community leaders, and staff. The staff rely on ongoing conversations with BCH's key partners - community health centers and community-based organizations, as well as the Boston Public Health Commission, and the Boston Public Schools.Through the Community Advisory Board, which meets on a quarterly basis, BCH 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 BCH formal assessment process. This feedback from experts, community leaders, and partners as well as the Community Advisory Board informs the hospital's community mission, strengthens the development of partnerships, and helps to shape the implementation of the hospital's Strategic Implementation Plan. Being a community health leader: BCH 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 BCH has the clinical expertise, resources, and partnerships to make a difference. BCH'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.-The Community Asthma Initiative (CAI) helped to improve the health of Boston children with asthma. To date, CAI has served more than 2,300 children with asthma. CAI provides case-management services, offers home visits, educates caregivers and providers, distributes asthma control supplies, and connects families to local resources. The population served is 40% Black and 45% Latino.The program has reduced the percentage of patients with any asthma-related hospitalizations by 82% and emergency department visits by 54%.-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. Last year, more than 1,147 students received school-based services. The program also provided 1,515 hours of consultation to school staff and families and 45 workshops were held on social, emotional, and behavioral health.-Fitness in the City (FIC) 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 almost 1,100 children annually with case-management support, as well as access to nutrition and physical activity programs. Last year, 63% of children participating in FIC have reduced their Body Mass Index. Participants also have made behavioral changes such as reducing consumption of sugar sweetened beverages and increasing the amount of time being physically active.
Community (Continued)Expanded commitment through the Collaboration for Community Health: BCH 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 fundsBoston Children's Collaboration for Community Healthare distributed to community organizations in addition to our ongoing commitments and support for programs and partners. The strategy to distribute funds followed a two-year community engagement process to inform how Boston Children's could make a long-lasting impact. That process resulted in identifying several strategic funding areas to address the critical needs of children and families.Funding and support for community-based projects are in the following strategic areas: Mental Health and Youth Support Systems, Community Trauma Response, 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.To date, $18.1 million has been awarded to 56 organizations that are addressing health disparities and the social determinants of health. More details on the Collaboration and the funded projects can be found at BostonChildrens.org/fundingAddressing social determinants of health: BCH also responds to the social determinants of health by focusing on support and partnerships in three areas: - Education and schools. BCH 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. BCHNP's Training and Access Project (TAP) provided support to 25 schools by providing training and consultation in building sustainable systems in schools to support student behavioral health needs.- Workforce Development. BCH recognizes that one of the most significant ways to support the community and help to ensure a diverse workforce is the recruitment and retention of Boston residents as employees. BCH's comprehensive workforce development efforts are in partnership with local organizations such as the Fenway Community Development Corporation and Jewish Vocational Services. BCH 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 virtual with 41 high school and 15 college students participating. - Partnering to support the health and social infrastructure in place for families. BCH 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 partnersthe Boston Public Health Commission and 11 Boston community health centers. BCH also has relationships with a wide array of community organizations, which provide a voice for the families and neighborhoods they represent. Serving as a safety net: BCH 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. BCH 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 BCH offers vital, hospital-subsidized services that are either unavailable elsewhere or available only in a limited capacity, such as mental health and dental care.Advocating for children and families: As the only freestanding children's hospital in Massachusetts, influencing public policy to improve child health is an important aspect of BCH'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. BCH has been an organized force and an influential advocate for health and wellbeing of children for more than 20 years.BCH is an effective advocate on legislative and regulatory matters in Massachusetts and at the federal level 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. BCH'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 1.3 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, BCH 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.
Community (Continued)In 2006, BCH (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. Since that time, the CMHC has had several legislative and budget successes that have increased access to appropriate care for children and adolescents with mental health disorders and their families. A significant success during this year was the inclusion in the Substance Use Treatment, Education, and Prevention Act of a requirement for schools to screen all youth for substance use at two different grade points during their middle to high school careers. 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. In addition, the CMHC is working to address mental health parity compliance (legislative and regulatory) Additionally, BCH works in collaboration with a host of public health and prevention advocates to ensure public policies work to keep children safe and healthy. This year, BCH has reframed the public health work to include social determinants of health and racial and social justice as an essential component. With this in mind, our priorities now 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. BCH has established the over 5,000 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 has found creative solutions to keep advocates engaged including virtual advocacy briefings and trainings, a roundtable featuring a patient advocate and the President of BCH, Dr. Kevin Churchwell, for new legislators, as well as online event partnerships with the Office of Health Equity and Office of Community Health.$10,039,551$0$0
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$10,039,551TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,697,811,121TotalProgramServiceExpensesAmt
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 Document2141IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee14847EmployeeCnt
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 Members16GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Sandra Fenwick
CEO, Noncomp Director55.006.00Yes (X)Yes (X)$3,006,745$0$74,520
Kevin Churchwell MD
President & COO/Noncomp Director55.005.00Yes (X)Yes (X)$1,903,112$0$75,239
Doug Vanderslice
EVP, Treasurer & CFO55.007.00Yes (X)$1,494,018$0$68,621
Philip Rotner
Chief Investment Officer55.005.00$1,428,022$0$57,780Yes (X)
Michele Garvin Esq
General Counsel & Secretary55.006.00Yes (X)$1,056,045$0$62,085
James E Lock MD
Former Chief of Cardiology55.005.00$842,502$0$0Yes (X)
Demosthenes Argys
SVP, & Chief Administrative Officer55.005.00$763,923$0$45,518Yes (X)
Wendy Warring
SVP, Network Development55.005.00$736,010$0$45,748Yes (X)
Lynn Susman
President, Children's Hospital Trust55.005.00$697,371$0$59,287Yes (X)
Daniel Nigrin MD
SVP & Chief Information Officer55.005.00$715,963$0$38,895Yes (X)
Cynthia Haines
SVP, International Service55.005.00$691,631$0$46,341Yes (X)
Nader Rifai PhD
Director, Chemistry55.005.00$689,410$0$43,648Yes (X)
Laura J Wood DNP MS RN
SVP, Chief Nursing Officer55.005.00$682,285$0$50,424Yes (X)
Martin Kelly
Director, Investments55.005.00$688,045$0$41,947Yes (X)
Lisa Hogarty
SVP, RE Planning and Development55.005.00$651,034$0$46,252Yes (X)
Reginald Stover
VP, Human Resources55.005.00$665,889$0$18,054Yes (X)
Michael Gillespie
VP, Clinical Services55.005.00$552,043$0$36,710Yes (X)
August Cervini
VP, Research Administration55.005.00$428,019$0$40,090Yes (X)
Patricia Hickey PhD MBA RN NEA-BC
VP, Cardiovascular Service55.005.00$411,789$0$40,489Yes (X)
Bruce Balter
Asst Treasurer/Dir Corp Finance55.005.00Yes (X)$274,815$0$52,624
Christine Grenache
Asst Sec/Exec Asst55.005.00Yes (X)$81,808$0$10,852
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
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
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
Kathleen Regan
Director1.001.00Yes (X)$0$0$0
Robert A Smith
Director - Vice Chair2.002.00Yes (X)$0$0$0
Alison Taunton-RigbyPhD
Director1.001.00Yes (X)$0$0$0
Marc B Wolpow
Director1.001.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$18,460,479TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$955,124TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2634IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
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$183,452,744
The Brigham and Women's Hospital
75 Francis StreetBostonMA02115Healthcare/Research Services$13,079,244
VPNE Parking Solutions
343 Congress StreetBostonMA02210Parking Serives$10,141,482
Turner Construction Company
Two Seaport Lane Suite 200BostonMA02210Construction Services$9,812,071
PricewaterhouseCoopers LLP
PO Box 7247-8001PhiladelphiaPA19170Consulting Services$9,294,427
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K305CntrctRcvdGreaterThan100KCnt
Federated Campaigns$32,342FederatedCampaignsAmt
Fundraising$4,480,517FundraisingAmt
Government Grants$330,656,385GovernmentGrantsAmt
All Other Contributions$238,035,800AllOtherContributionsAmt
Noncash Contributions$28,052,867NoncashContributionsAmt
Total Contributions$573,205,044TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Svc Revenue621110$1,295,222,529$1,295,222,529
Prof Svc Revenue621110$49,797,033$49,797,033
Graduate Medical Educa611710$22,231,251$22,231,251
Prog Svc Grants621110$11,844,543$11,844,543
FieldValueIRS element (for citing)
Total Program Service Revenue$1,379,095,356TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,696,362TotalRevenueColumnAmt
Exclusion$12,696,362ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,235,232TotalRevenueColumnAmt
Exclusion$14,235,232ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$19,268,985RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$9,491,241RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$9,777,744RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,777,744TotalRevenueColumnAmt
Unrelated Business Revenue-$2,747,980UnrelatedBusinessRevenueAmt
Exclusion$12,525,724ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$203,940,196SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$197,392,568SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,547,628SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,547,628TotalRevenueColumnAmt
Exclusion$6,547,628ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$837,470FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$4,480,517ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,280,978FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$443,508TotalRevenueColumnAmt
Exclusion-$443,508ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Other General Services900099$34,419,308$34,419,308
Parking Revenue812930$7,061,026$7,061,026
Cafeteria Sales722210$5,665,724$5,665,724

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$258,816TotalRevenueColumnAmt
Unrelated Business Revenue$56,940UnrelatedBusinessRevenueAmt
Exclusion$201,876ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$47,404,874OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,042,518,732TotalRevenueColumnAmt
Related Or Exempt Func Income$1,379,095,356RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$2,691,040UnrelatedBusinessRevenueAmt
Exclusion$92,909,372ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$11,620,834TotalAmt
Program Services$11,620,834ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$938,335TotalAmt
Program Services$938,335ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$15,669,451TotalAmt
Management And General$15,669,451ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$785,474,919TotalAmt
Program Services$644,307,614ProgramServicesAmt
Management And General$124,193,840ManagementAndGeneralAmt
Fundraising$16,973,465FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$57,140,593TotalAmt
Program Services$55,094,978ProgramServicesAmt
Management And General$674,929ManagementAndGeneralAmt
Fundraising$1,370,686FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$88,189,575TotalAmt
Program Services$85,380,704ProgramServicesAmt
Management And General$926,757ManagementAndGeneralAmt
Fundraising$1,882,114FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$71,374,056TotalAmt
Program Services$68,818,887ProgramServicesAmt
Management And General$843,051ManagementAndGeneralAmt
Fundraising$1,712,118FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,390,322TotalAmt
Program Services$3,029,259ProgramServicesAmt
Management And General$5,361,063ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,317,119TotalAmt
Program Services$915,329ProgramServicesAmt
Management And General$2,396,940ManagementAndGeneralAmt
Fundraising$4,850FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,058,598TotalAmt
Program Services$980,890ProgramServicesAmt
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$1,292,158TotalAmt
Fundraising$1,292,158FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$260,383,823TotalAmt
Program Services$222,564,116ProgramServicesAmt
Management And General$36,651,072ManagementAndGeneralAmt
Fundraising$1,168,635FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,650,678TotalAmt
Program Services$3,097,796ProgramServicesAmt
Management And General$364,474ManagementAndGeneralAmt
Fundraising$188,408FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$34,365,214TotalAmt
Program Services$11,621,218ProgramServicesAmt
Management And General$17,561,760ManagementAndGeneralAmt
Fundraising$5,182,236FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$36,835,273TotalAmt
Program Services$7,456,524ProgramServicesAmt
Management And General$28,968,085ManagementAndGeneralAmt
Fundraising$410,664FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$114,225,200TotalAmt
Program Services$112,675,200ProgramServicesAmt
Fundraising$1,550,000FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,399,870TotalAmt
Program Services$2,780,969ProgramServicesAmt
Management And General$577,415ManagementAndGeneralAmt
Fundraising$41,486FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$996,443TotalAmt
Program Services$859,562ProgramServicesAmt
Management And General$107,929ManagementAndGeneralAmt
Fundraising$28,952FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$29,740,764TotalAmt
Program Services$29,740,764ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$135,266,975TotalAmt
Program Services$119,782,847ProgramServicesAmt
Management And General$14,695,309ManagementAndGeneralAmt
Fundraising$788,819FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,017,390TotalAmt
Program Services$10,748,509ProgramServicesAmt
Management And General$2,268,881ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Lab/Medical/Pharmacy$252,860,312$248,788,797$4,071,515$0
Uncollectible Accts$23,877,752$23,877,752$0$0
Uncompensated Care$23,783,466$23,783,466$0$0
Free Care$8,839,552$8,839,552$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,986,815,891TotalAmt
Program Services$1,697,811,121ProgramServicesAmt
Management And General$256,407,079ManagementAndGeneralAmt
Fundraising$32,597,691FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$30,179,033BOYAmt
EOY$35,062,852EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$252,769,686BOYAmt
EOY$198,714,601EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$325,186,584BOYAmt
EOY$328,616,122EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$31,244,443BOYAmt
EOY$37,802,731EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,740,177BOYAmt
EOY$20,664,451EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,658,409,352LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,011,492,530LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,366,902,736BOYAmt
EOY$1,646,916,822EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$237,357,146BOYAmt
EOY$251,638,066EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,124,465,251BOYAmt
EOY$1,206,761,984EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,279,295BOYAmt
EOY$2,155,570EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,943,357,342BOYAmt
EOY$3,750,517,183EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,333,481,693BOYAmt
EOY$7,478,850,382EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$310,682,550BOYAmt
EOY$376,599,986EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$148,299,094BOYAmt
EOY$163,167,272EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$872,102,006BOYAmt
EOY$871,828,174EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$347,442,169BOYAmt
EOY$644,980,005EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$444,575,379BOYAmt
EOY$856,558,204EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,123,101,198BOYAmt
EOY$2,913,133,641EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,474,416,269BOYAmt
EOY$2,820,749,913EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,735,964,226BOYAmt
EOY$1,744,966,828EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,210,380,495BOYAmt
EOY$4,565,716,741EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,333,481,693BOYAmt
EOY$7,478,850,382EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$55,702,841ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$57,201,667NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$4,164,252PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$238,267,486OtherChangesInNetAssetsAmt
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$342,539,011CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$444,270,077CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$417,494,538CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$415,137,440CurrentTaxYearMinus1YearAmt
Current Tax Year$573,205,044CurrentTaxYearAmt
Total$2,192,646,110TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$342,539,011CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$444,270,077CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$417,494,538CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$415,137,440CurrentTaxYearMinus1YearAmt
Current Tax Year$573,205,044CurrentTaxYearAmt
Total$2,192,646,110TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,420,932SubstantialContributorsTotAmt
Public Support Total170$2,191,225,178PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,495,716CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,976,961CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,911,194CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,356,204CurrentTaxYearMinus1YearAmt
Current Tax Year$39,457,318CurrentTaxYearAmt
Total$153,197,393TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$270,120CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$4,277,019CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$2,548,588CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$5,469,037CurrentTaxYearMinus1YearAmt
Current Tax Year-$2,691,040CurrentTaxYearAmt
Total-$15,255,804TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,213,103CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,424,665CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,920,013CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,809,991CurrentTaxYearMinus1YearAmt
Current Tax Year$47,347,934CurrentTaxYearAmt
Total$176,715,706TotalAmt
FieldValueIRS element (for citing)
Total Support$2,507,303,405TotalSupportAmt
Gross Receipts Rltd Activities$6,957,127,366GrossReceiptsRltdActivitiesAmt
Public Support CY1700.87390PublicSupportCY170Pct
Public Support PY1700.85240PublicSupportPY170Pct
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$141,427MailingsMembersAmt
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$116,600GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$531,923DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$789,950TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1FormAndLineReferenceDesc
ExplanationChildren's 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 2020, 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 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 2020 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 $56,946 - Sandra Fenwick Registered Lobbyist Children's Hospital personnel $4,188 - Jamie Gaynes Children's Hospital personnel $83,965 - Amara Azabuike Children's Hospital personnel $21,223 - Shannon Moore Children's Hospital personnel $61,507 - 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 = $531,923 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $141,427 Grant to National Association of Children's Hospitals for graduate medical education related lobbying - $116,600 TOTAL LOBBYING EXPENSES = $789,950 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$1,171,359,000BeginningYearBalanceAmt
Contributions$14,137,000ContributionsAmt
Investment Earnings Or Losses$44,286,000InvestmentEarningsOrLossesAmt
Other Expenditures$7,569,000OtherExpendituresAmt
End Year Balance$1,222,213,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$939,779,000BeginningYearBalanceAmt
Contributions$33,474,000ContributionsAmt
Investment Earnings Or Losses$77,339,000InvestmentEarningsOrLossesAmt
Other Expenditures$43,352,000OtherExpendituresAmt
End Year Balance$1,007,240,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.54830BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.20640PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.24530TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,619,348OtherCostOrOtherBasisAmt
Book Value$12,619,348BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,530,392,518OtherCostOrOtherBasisAmt
Depreciation$1,224,878,053DepreciationAmt
Book Value$305,514,465BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$885,856,118OtherCostOrOtherBasisAmt
Depreciation$780,535,452DepreciationAmt
Book Value$105,320,666BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,229,541,368OtherCostOrOtherBasisAmt
Depreciation$6,079,025DepreciationAmt
Book Value$1,223,462,343BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,646,916,822TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (117 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
3rd Pty External Administered Trusts$41,535,870F
Abrams Capital$38,619,763F
AKO European Long-Only Fund$23,593,614F
Bain Cap Distr & Special Situations$3,370,530F
Bain Capital Fund IX$481,164F
Bain Capital Fund X$929,377F
Bain Capital Venture Fund 2012$2,016,760F
Bain Capital Venture Fund 2014$5,504,405F
Baupost$66,590,795F
Blacksheep Fund$16,174,574F
Brookside Capital$25,011F
Commure, Inc.$397,000F
Costanoa Ventures III, LP$3,424,125F
Costanoa Ventures Opportunity Fund, L.P.$2,084,647F
Crosslink Crossover Fund VI$3,322,493F
Crosslink Crossover Fund VII$9,095,270F
Crosslink Ventures VIII-B, L.P.$3,995,805F
Davidson Kempner$67,622,995F
Deccan Value$31,218,205F
Deerfield Healthcare Innov Fund II$1,146,139F
Deerfield Partners, LP$23,114,531F
Deerfield Private Design Fund IV$5,712,036F
Deerfield Special Situations Fund$83,370F
Dune Real Estate Fund III$3,141,064F
ECM Feeder Fund I$17,430,516F
Energy Capital Partners II$464,093F
Energy Capital Partners III$5,232,857F
Fidelity Notes Payable$2,480,853F
Fine Points Capital II$39,568,196F
Flare Capital Partners I$4,923,197F
Flare Capital Partners II$1,383,545F
Gaoling Feeder, Ltd.$26,164,220F
Golden Gate Capital$13,823,937F
Highfields Capital$979,002F
Hillhouse Fund III$4,721,124F
Hillhouse Fund IV, L.P.$2,679,353F
Himalaya Capital Investors, L.P.$27,253,700F
HMI Capital Partners$59,933,036F
Holdco.Opp. Fund II$523,246F
Holdco.Opp. Fund III$4,870,793F
ICHIGO Japan Fund B$20,588,240F
Incentive Active Value Long Only Fund$12,543,031F
Insignia Ventures Partners Fund I L.P.$4,270,926F
JMC Capital I-B$3,926,727F
JMC Platform Fund II-B$6,160,646F
JVL Energy$210,535F
King Street$34,859,776F
Lone Star Fund IX$2,011,996F
Lone Star Fund VIII$1,217,202F
Madison Avenue Offshore Ltd.$19,794,817F
Matrix China II$12,098,178F
Matrix China III$8,177,009F
Matrix China IV$7,205,550F
Matrix India II$4,675,866F
Matrix Partners China V, L.P.$4,641,327F
Matrix Partners India III, LLC$1,376,399F
Matrix Partners X$3,401,893F
Matrix Partners XI, L.P.$1,566,562F
Maveron Equity Partners VI$4,300,304F
MIT Private Equity Fund$7,377,054F
Nalanda$27,699,169F
Park West Investors Ltd$33,601,683F
Riverstone$573,268F
Rivulet Capital Offshore Fund, Ltd.$35,179,758F
Roundshield III, LP$3,760,384F
Sankaty Credit Opport Fund IV$427,172F
Sequoia Capital China Growth Fund V, L.P.$5,099,862F
Sequoia Capital China Seed Fund I, L.P.$458,535F
Sequoia Capital China Venture Fund VII, L.P.$1,310,497F
Sequoia Capital Global Equities$29,452,636F
Sequoia Capital Global Growth Fund II$16,023,714F
Sequoia Capital Global Growth Fund III$4,038,284F
Sequoia Capital India IV$5,783,496F
Sequoia Capital India Seed Fund I Ltd.$326,334F
Sequoia Capital India V$4,435,284F
Sequoia Capital U.S. Venture Fund XVI, L.P.$649,492F
Sequoia China Growth III$12,785,782F
Sequoia China Growth IV$10,931,792F
Sequoia China Venture Fund IV$1,253,726F
Sequoia China Venture Fund V$2,005,644F
Sequoia China Venture Fund VI$1,572,120F
Sequoia US GrowFund VII$6,125,313F
Sequoia US Growth Fund VIII$2,801,629F
Sequoia US Venture Fund XIV$3,773,882F
Sequoia US Venture Fund XV$1,350,197F
SequoiaUSGrowFund V$1,198,940F
SequoiaUSGrowFund VI$4,407,097F
SPUR Ventures II$4,788,614F
Steadfast$24,947,083F
Sunridge Agribusiness Opp. I, LP$2,766,693F
Tenfore Holdings Fund II, L.P.$4,659,589F
Tourmaline Capital Fund II LP$163,961F
Underscore VC Fund I, LP$2,590,822F
Underscore. VC Fund II, L.P.$2,552,313F
Union Park Capital II L.P.$4,364,221F
Wellington EM Opportunities$38,720,552F
Westbrook IX$1,034,979F
Westbrook X$2,416,936F
Whale Rock Flagship Fund, LTD.$24,193,974F
Baker Brothers Life Sciences, L.P.$29,553,474F
Brightstar Capital Partners Fund II, L.P.$141,332F
Costanoa Ventures IV, L.P.$207,234F
Costanoa Ventures Opportunity Fund II, L.P.$470,842F
Deerfield Private Design Fund V, L.P$470,445F
Insignia Ventures Partners Fund II L.P.$568,901F
Matrix Partners China VI, L.P.$993,691F
Maveron Equity Partners VII, L.P.$1,115,967F
Roundshield Co-Invest Fund$711,424F
Sequoia Capital China Growth Fund VI, L.P.$570,886F
Sequoia Capital China Seed Fund II, L.P.$26,202F
Sequoia Capital China Venture Fund VIII, L.P.$113,939F
Sequoia Capital Global Growth Fund III China Annex Fund, L.P.$171,901F
Sequoia Capital India Growth Fund III Ltd.$186,590F
Sequoia Capital India Venture VII Ltd.$49,625F
Sequoia Capital India VI Ltd.$2,899,688F
WELLINGTON LIQUIDITY PORTFOLIO$104,784,613F
Misc. Investments$7,464,554F
FieldValueIRS element (for citing)
Total Book Value Securities$1,206,761,984TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Interest in the Net Assets of Children's Medical Center$3,279,939,600
Expected Insur Recoveries for Prof Liability Claims$32,366,117
Investment in Subsidiaries$37,983,615
CERNER Asset$12,429,385
Other Assets - Miscellaneous$17,576,068
Operating Lease Right of Use Asset$370,222,398
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,750,517,183TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue$32,973,147
Salary & Other Benefits$897,268
Funds Held for Others$28,913,220
Reserve for Medical Malpractice$11,109,515
Lease Obligations$45,449,431
Interest Rate Swap Liability$189,482,890
Accrued Pension Cost$133,168,961
Cerner Contra Asset$14,042,561
Operating Lease Liability$400,521,211
FieldValueIRS element (for citing)
Total Liability$856,558,204TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (12 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America & the Caribbean00Program ServicesPatient Care, Research & Education$21,158
East Asia & The Pacific00Program ServicesPatient Care, Research & Education$85,404
Europe00Program ServicesPatient Care, Research & Education$198,317
Middle East and North Africa -00Program ServicesPatient Care, Research & Education$22,531
North America00Program ServicesPatient Care, Research & Education$21,977
South America00Program ServicesPatient Care, Research & Education$50,692
South Asia00Program ServicesPatient Care, Research & Education$35,362
Sub-Saharan Africa00Program ServicesPatient Care, Research & Education$53,794
Central America & the Caribbean00Investment$504,282,693
Sub-Saharan Africa00Investment$47,432,451
Europe00Investment$23,413,075
Russia and Neighboring States00Program ServicesPatient Care, Research & Education$3,768
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$489,235SubtotalSpentAmt
Continuation Spent$575,131,987ContinuationSpentAmt
Total Spent$575,621,222TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott CountriesYes (1)BoycottCountriesInd

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
Chapman Cubine Adams & Hussey
2000 15th Street NorthArlingtonVA22201Direct Mail Counsel0$973,176$386,277$586,900
Charity Dynamics LLC
4031 Guadalupe StreetAustinTX78751Online Counsel0$709,260$505,600$203,660
Sarah Gardner
13 Smokey Hill RdWaylandMA01778Fundraising Counsel0$270,647$75,000$195,647
Bentz Whaley Flessner
7251 Ohms LaneMinneapolisMN55439Counsel/Reports0$0$63,745-$63,745
Connelly Partners LLC
46 Waltham StreetBostonMA02118Fundraising Counsel0$0$12,026-$12,026
The Pursuant Group Inc
15660 Dallas Pkwy STE 1000DallasTX75248Fundraising Counsel0$0$6,600-$6,600
Copper Reef Enterprises
6965 El Camino RealCarlsbadCA92009Fundraising Counsel0$0$81,994-$81,994
Market Street Research Inc
9 1/2 Market StreetNorthamptonMA01060Fundraising Counsel0$0$24,515-$24,515
Brodeur and Coville LLC
535 Boylston Street Floor 10BostonMA02116Fundraising Counsel0$0$97,520-$97,520
Interactive Strategies LLC
1133 Connecticut Ave NW Suite 600WashingtonDC20036Fundraising Counsel0$0$38,880-$38,880
FieldValueIRS element (for citing)
Total Gross Receipts$1,953,083TotalGrossReceiptsAmt
Total Retained By Contractors$1,292,157TotalRetainedByContractorsAmt
Total Net To Organization$660,927TotalNetToOrganizationAmt
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$2,534,918GrossReceiptsEvent1Amt
Charitable Contri Event1$1,846,073CharitableContriEvent1Amt
Gross Revenue Event1$688,845GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$0RentFacilityCostsEvent1Amt
Food And Beverage Event1$280,335FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$771,263OtherDirectExpensesEvent1Amt
Event2Virtual Investment ConferenceEvent2Nm
Gross Receipts Event2$1,268,010GrossReceiptsEvent2Amt
Charitable Contri Event2$1,268,010CharitableContriEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$0NonCashPrizesEvent2Amt
Rent Facility Costs Event2$0RentFacilityCostsEvent2Amt
Food And Beverage Event2$0FoodAndBeverageEvent2Amt
Entertainment Event2$0EntertainmentEvent2Amt
Other Direct Expenses Event2$42,495OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$1,515,059GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$1,366,434CharitableContriOtherEventsAmt
Gross Revenue Other Events$148,625GrossRevenueOtherEventsAmt
Cash Prizes Other Events$0CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$0NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$0RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$65,128FoodAndBeverageOtherEventsAmt
Entertainment Other Events$34,645EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$87,112OthDirectExpnssOtherEventsAmt
Gross Receipts Total$5,317,987GrossReceiptsTotalAmt
Charitable Contributions Tot$4,480,517CharitableContributionsTotAmt
Gross Revenue Total Events$837,470GrossRevenueTotalEventsAmt
Food And Beverage Total Events$345,463FoodAndBeverageTotalEventsAmt
Entertainment Total Events$34,645EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$900,870OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,280,978DirectExpenseSummaryEventsAmt
Net Income Summary-$443,508NetIncomeSummaryAmt
FieldValueIRS element (for citing)
Individual With BooksDoug Vanderslice CFO TreasurerIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

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CityBostonCityNm
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All Hospitals PolicyYes (X)AllHospitalsPolicyInd
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Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
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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$29,169,390TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,664,814DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,504,576NetCommunityBenefitExpnsAmt
Total Expense0.00480TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$422,205,842TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$276,657,126DirectOffsettingRevenueAmt
Net Community Benefit Expns$145,548,716NetCommunityBenefitExpnsAmt
Total Expense0.07410TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$451,375,232TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$296,321,940DirectOffsettingRevenueAmt
Net Community Benefit Expns$155,053,292NetCommunityBenefitExpnsAmt
Total Expense0.07890TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,970,054TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$283,503DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,686,551NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,738,107TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,960,068DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,778,039NetCommunityBenefitExpnsAmt
Total Expense0.01720TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,883,903TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,869,789DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,014,114NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$438,494,402TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$420,994,923DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,499,479NetCommunityBenefitExpnsAmt
Total Expense0.00890TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,085,405TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,085,405NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$527,171,871TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$455,108,283DirectOffsettingRevenueAmt
Net Community Benefit Expns$72,063,588NetCommunityBenefitExpnsAmt
Total Expense0.03670TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$978,547,103TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$751,430,223DirectOffsettingRevenueAmt
Net Community Benefit Expns$227,116,880NetCommunityBenefitExpnsAmt
Total Expense0.11560TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs31ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,514,683TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,514,683NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Total Community Benefit Expns$753,517TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$753,517NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs43ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,268,200TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,268,200NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,761,795BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$10,246,785ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$10,570,703CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$323,918MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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Hospital Facilities HospitalFacilitiesGrp

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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.orgOwnWebsiteURLTxt
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 URLchildrenshospital.org/about-us/community-mission/community-needs-assessmentStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
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 URLwww.childrenshospital.org/financialassistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.childrenshospital.org/financialassistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.childrenshospital.org/financialassistanceFAPSummaryOnWebsiteURLTxt
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 (5 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 Bostonchildrens.org/community
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 bostonchildrens.org/community.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:Patient/Parent will be referred to a Hospital Financial counselor for determination of eligibility for public assistance or Hospital financial assistance programs. For patients not qualifying for public assistance, information collected will be provided to the Director, Financial Clearance and Financial Counseling, for determination of eligibility in the Hospital Financial Assistance Program. Patients who potentially qualify for financial assistance will be approved by the Hospital Chief Financial Officer, Vice President of Patient Financial Services and/or Director, Financial Clearance and Financial Counseling, with consultation and approval of the appropriate Foundation Chief or a designee as appropriate.
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 assitance:- Posting of signage in all patient care admission areas of the availability of financial assitance,- All billing correspondence includes language regarding the availability of financial assistance,- The Hospital web-site provides contact information for Hospital Financial Counselors who can help assist patients with applying for programs to cover medical expenses.
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 (18 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 $23,877,752 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 6aChildren'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 FY20, Children's reported two types of community building activities: $1,514,683 for 31 community support programs and $753,517 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 http://www.childrenshospital.org/about-us/community-mission.
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/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-one person voluntary Board of Directors. Eighteen of the Board members are not direct employees of the hospital and all of them live in the hospital's service area. The Board oversees the Hospital's endowment and follows a 4% 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 andquality 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
501(r) Reporting under IRS Revenue Procedure 2015-21In June 2020, outside counsel reviewed the processes and procedures implemented by Boston Children's Hospital (BCH) in connection with its Financial Assistance Policy, Credit & Collection Policy, Plain Language Summary and Community Health Needs Assessment, to determine compliance with 501(r) requirements. As a result of these reviews, a number of apparent omissions, errors and other failures to meet requirements, as described below, were discovered. BCH promptly took steps to correct these omissions, errors and failures, as described below. Processes and procedures were also put in place to ensure that these omissions, errors and failures do not recur. Financial Assistance Policy ("FAP"): Publicizing FAP and Related Documents:Plain Language Summary While BCH has historically posted the plain language summary of its FAP on its public website, it has not consistently offered to patients a copy of the plain language summary as part of the intake or discharge process. As of July 18, 2020, the plain language summary has been offered during the discharge process for patients treated in the Emergency Department. As of October 1, 2020, the plain language summary has also been offered as part of the intake process by hospital based clinics, and offering of the plain language summary has been incorporated into the pre-admissions and admissions intake processes. A prompt in Epic to offer the plain language summary appears in Epic during the intake process for outpatient visits, inpatient admissions, and day surgery and during the discharge process for patients who presented in the ED and for inpatients who were not offered the plain language summary during the intake process.BCH is not aware of any individuals affected by this error and believes there were no individuals adversely affected because any individual applying for financial assistance or expressing concern regarding ability to pay for care was provided with financial counseling and made aware of the availability of financial assistance and the process for applying for financial assistance. In addition, the plain language summary is and has been available on BCH's public website. Website Address on Billing StatementWhile BCH has historically included a conspicuous written notice on its billing statements of the telephone number for its financial counseling office, which includes staff who are available to help identify financial assistance available, BCH had not included on its billing statements the direct website address where copies of the Financial Assistance Policy (FAP), FAP Application form and plain language summary could be accessed. BCH added the direct website address to billing statements as of July 20, 2020. BCH does not believe that any individuals have been adversely affected as result of this oversight, since the contact information of the department able to provide information about the FAP and able to assist with the FAP application process was provided on the billing statements. Updating the billing statement addressed the failure to comply with these requirements, so no additional practices or procedures were necessary to minimize the likelihood of such failures recurring. This omission would have impacted all patients who received billing statements prior to July 20, 2020, when the error was corrected. It is not reasonably feasible for BCH to restore individuals to the position they would have been in had this information not been omitted, as this would require sending billing statements to all individuals who received them prior to correction of the error, which would likely cause confusion for individuals who have settled their bills with BCH. Translations of FAP and Related Documents While BCH had provided translations of its FAP, FAP application form and plain language summary for ten (10) limited English proficiency groups, based on an update of its analysis of the limited English proficiency groups in the community served by BCH and the population likely to be affected or encountered by BCH, BCH needed to make available translations of these documents in three additional languages: Russian, Italian and Somali. BCH made available translations of these documents in Somali as of June 20, 2020, and in Russian and Italian as of August 4, 2020. BCH is unaware of any individuals being adversely affected as a result of this omission and believes there were no individuals adversely affected because BCH provides any individual with limited English proficiency access to an interpreter to assist in any financial assistance matters. In addition, BCH has implemented a process to (a) review data related to limited English proficiency groups annually; (b) update the list of languages into which the FAP, FAP Application form and plain language summary need to be translated; (c) obtain translations needed in any additional languages; and (d) make those translations available to our patients and their families. It is not reasonably feasible for BCH to restore individuals to the position they would have been in had the failure not occurred. This would require identifying all patients who accessed these documents and who might have needed translations of these documents in one of these three additional languages, which is likely not possible. Provider ListBCH discovered in May, 2020 that, while BCH has historically posted its FAP provider list, the provider list had not been updated at least every 90 days. BCH updated its provider list on May 20, 2020, and has implemented a process to ensure that it is updated at least quarterly thereafter. BCH is not aware of any individuals being adversely affected as a result of this error.BCH has assigned to a supervisor and a manager the responsibility to update the provider list on a quarterly basis. These staff members will review a report generated by BCH's Credentialing and Enrollment department, which includes all providers who have been granted medical staff privileges by BCH. If BCH has added any new practices or providers that/who were not on the provider list posted, the revised provider list will be sent for translation and the revised provider list, along with all required translations will be posted on BCH's external website. It is not reasonably feasible for BCH to restore individuals to the position they would have been in had the failure not occurred. This would require identifying all patients who accessed the provider list, and providing the updated list to those patients, which would include many who are not in active treatment and may cause confusion. Methodology for Calculating AGB:While BCH had posted and otherwise made available a methodology for calculating amounts generally billed ("AGB"), BCH had in practice used a different methodology to calculate the AGB applied to bills of individuals eligible for financial assistance. The methodology used was more favorable (i.e., the discount applied was greater than the discount that would have been applied using the posted AGB methodology). BCH updated the AGB methodology to reflect the methodology it uses to calculate AGB, and posted and otherwise made available the updated methodology on May 20, 2020. Following the close of each fiscal year (which usually occurs by the end of each calendar year), BCH's Finance and Reimbursement department will gather the information necessary to calculate the AGB, and calculate AGB. Patient Financial Services will make any changes to the AGB document required, based on such annual calculation. The updated AGB will then be posted on BCH's external website. BCH does not believe any individual was adversely affected by this error, as the methodology used was favorable to patients. Therefore, BCH has not attempted to restore individuals to the position they would have been in had the failure not occurred.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (77 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
Association of Haitian Women
178 Tremont StreetBostonMA02111043268599501(c)(3)$9,000Community Partnership
BAGLY Inc
28 Court SquareBostonMA02108042785336501(c)(3)$200,000Community Partnership
Black Ministerial Alliance of Greater Boston
2010 Columbus AvenueBostonMA02119043499852501(c)(3)$11,000Community Partnership
Boston Center for Youth and Families
75 Newbury Street 3rd FlooeBostonMA02116042602576501(c)(3)$188,624Community Partnership
Boston Educational Development Foundation Inc
7 Palmer Street 2nd FloorRoxburyMA02119222514422501(c)(3)$580,992Community Partnership
Boston Municipal Research Bureau
333 Washington StreetBostonMA02108222673755501(c)(3)$7,500Community Partnership
Boston Private Industry Council
2 Oliver StreetBostonMA02109042676661501(c)(3)$150,000Community Partnership
Boston Public Health Commission
1010 Massachusetts AveBostonMA02118043316655115$419,508Community Partnership
Boston's Higher Ground
384 Warren StreetRoxburyMA02119273660369501(c)(3)$209,970Community Partnership
Bowdoin Street Health Center Inc
230 Bowdoin StreetBostonMA02122042529788501(c)(3)$95,000Support of Community Health Center
Brigham and Women's Hospital Inc
3297 Washington StreetJamaica PlainMA02130042312909501(c)(3)$160,000Support of Community Health Center
Cambridge Family & Children's Service
60 Gore StreetCambridgeMA02141042104057501(c)(3)$150,000Community Partnership
Center for Comm Health Education Research & Service Inc
320 Huntington AvenueBostonMA02115043286409501(c)(3)$19,958Community Partnership
Charles River Community Health Inc
287 Western AvenueAllstonMA02134237221597501(c)(3)$100,000Support of Community Health Center
Children's Services of Roxbury
520 Dudley StreetBostonMA02119043082352501(c)(3)$199,998Community Partnership
Chinatown People Progressive Association Inc
28 Ash StreetBostonMA02111042631569501(c)(3)$157,500Community Partnership
City of Boston
City Hall PlazaBostonMA02201046001380115$1,219,978Community Partnership
Codman Square Neighborhood Development Corporation
587 Washington StreetDorchesterMA02124042752507501(c)(3)$10,000Community Partnership
Community Catalyst Inc
30 Winter Street 10th FloorBostonMA02108043355127501(c)(3)$30,000Advocacy Support
Community Service Care Inc
295 Centre Street 31Jamaica PlainMA02130042754281501(c)(3)$28,000Community Partnership
Dot House Health
1353 Dorchester AvenueDorchesterMA02122237125970501(c)(3)$60,000Community Partnership
Dudley Street Neighborhood Initiative Inc
550 Dudley StreetRoxburyMA02119042859066501(c)(3)$60,000Community Partnership
East Boston Neighborhood Health Center
10 Gove StreetEast BostonMA02128237425849501(c)(3)$335,214Community 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
Freedom House
5 Crawford StreetBostonMA02121042240448501(c)(3)$20,000Community Partnership
Greater Boston Chamber of Commerce
265 Franklin Street 12th FloorBostonMA02110041103090501(c)(3)$13,500Community Partnership
Health Care for All Inc
One Federal Street 5th FloorBostonMA02110043071598501(c)(3)$150,000Community Partnership & Advocacy Support
Health Law Advocates
30 Winter Street 10th FloorBostonMA02108043298116501(c)(3)$25,000Advocacy Support
Health Resources In Action
622 Washington StreetDorchesterMA02124042229839501(c)(3)$330,974Community Partnership
HopeWell Inc
3 Allied Drive Suite 308DedhamMA02026042438910501(c)(3)$50,000Community Partnerships
Lawyers for Civil Rights
61 Batterymarch Street 5th FlBostonMA02110043490614501(c)(3)$7,500Advocacy Support
Madison Park Development Corporation
184 Dudley Street 102BostonMA02119237164223501(c)(3)$150,000Community Partnership
Mass Society for the Prevention of Cruelty to Children
3815 Washington Street Ste 2BostonMA02130042103596501(c)(3)$582,379Advocacy Support
Massachusetts Associtation for Mental Health
50 Federal Street 6th FloorBostonMA02110042104711501(c)(3)$10,000Advocacy Support
Massachusetts Budget and Policy Center
15 Court Square Suite 700BostonMA02108042967537501(c)(3)$30,000Advocacy Support
Massachusetts Communities Action Network
50 Mt Vernon StreetBostonMA02125042863903501(c)(3)$7,500Community Partnership
Massachusetts Law Reform Institute Inc
99 Chauncy Street Suite 500BostonMA02111046004303501(c)(3)$20,000Advocacy Support
Mathematica
955 Massachusetts Avenue Suite 801CambridgeMA02139222112296501(c)(3)$502,982Community Partnership
Mattapan Community Health Center
1425 Blue Hill AveMattapanMA02426042544151501(c)(3)$80,000Support of the Community Health Center
Peer Health Exchange
745 Atlantic AveBostonMA02111562374305501(c)(3)$50,000Community Partnership
Project RIGHT
320 A Blue Hill AvenueDorchesterMA02121043265420501(c)(3)$150,000Advocacy Support
Simmons University School of Social Work
300 The FenwayBostonMA02115042103629501(c)(3)$199,850Community Partnership
Smart from the Start Inc
68 Annunciation RoadBostonMA02120454952663501(c)(3)$20,000Community Partnership
Sociedad Latina Inc
1530 Tremont StreetRoxburyMA02120042678255501(c)(3)$56,000Community Partnership
South Cove Community Health Center Inc
145 South StreetBostonMA02111042501818501(c)(3)$85,000Support of the Community Health Center
South End Community Health Center Inc
1601 Washington StreetBostonMA02118042456134501(c)(3)$80,000Support of the Community Health Center
The Community Builders Inc
185 Dartmouth StreetBostonMA02116042324773501(c)(3)$354,749Community Partnership
The Dimock Center
55 Dimock StreetRoxburyMA02119043487835501(c)(3)$295,000Community Partnership
University of Massachusetts
Wheatley 2 160 DCSPBostonMA02125043167352501(c)(1)$469,952Community Partnership
Upham's Corner Community Center Inc
500 Columbia RoadDorchesterMA02125042708670501(c)(3)$40,000Support of the Community Health Center
West End House
105 Allston StreetAllstonMA02134042105825501(c)(3)$50,000Community Partnership
Whittier Street Health Center Committee Inc
1125 Tremont StreetRoxburyMA02120042619517501(c)(3)$20,000Support of the Community Health Center
William James College Inc
1 Wells AveBostonMA02459042620216501(c)(3)$462,110Community Partnership
TSNE MissionWorks
89 South StreetBostonMA02111042261109501(c)(3)$367,389Community Partnership
Boston Children's Museum
308 Congress StreetBostonMA02210042103993501(c)(3)$110,581Community Partnership
Boston Chinatown Neighborhood Center
885 Washington StreetBostonMA02111237209691501(c)(3)$132,757Community Partnership
Boston Housing Authority (Homestart)
52 Chauncy Street 7th FloorBostonMA02111046001907115$150,000Community Partnership
City Life Vida Urbana
284 Amory Street 1st FloorBostonMA02130042660311501(c)(3)$150,000Community Partnership
Excel Academy Inc
1105 Blue Hill AveDorchesterMA02124043453316501(c)(3)$10,000Community Partnership
Family Independence Initiative
1201 Martin Luther King Jr WayOaklandCA94612020784790501(c)(3)$104,500Community PartnershipSuite 100
Family Nurturing Center of Massachusetts Inc
200 Bowdoin StreetDorchesterMA02122311626186501(c)(3)$244,864Community Partnership
Haley House (Hawthorne Youth Community Center)
23 Dartmouth StreetBostonMA02116042437845501(c)(3)$100,000Community Partnership
Jamaica Plain Neighborhood Development Corporation
31 Germania StreetJamaica PlainMA02130042652919501(c)(3)$225,000Community Partnership
Jamaica Plain Tree of Life Arbol de Vida
295 Centre Street 31Jamaica PlainMA02130042754281501(c)(3)$28,000Community Partnership
Massachusetts Affordable Housing Alliance
1803 Dorchester AvenueDorchesterMA02124223042637501(c)(3)$159,690Community Partnership
Massachusetts Public Health Association
50 Federal Street 8th FloorBostonMA02210042326503501(c)(3)$200,357Community Partnership
MassHousing
160 Federal St 2BostonMA02110043129500501(c)(3)$75,000Community Partnership
Mattapan Food and Fitness Coalition
1613 Blue Hill Avenue Suite 303MattapanMA02126272507783501(c)(3)$45,858Community Partnership
Playworks New England
1423 Broadway PMB 161OaklandCA94607943251867501(c)(3)$50,000Community Partnership
Raising a Reader Massachusetts
3 School Street 3rd FloorBostonMA02108800297898501(c)(3)$151,000Community Partnership
United Way of Massachusetts Bay Inc
51 Sleeper StreetBostonMA02210042382233501(c)(3)$99,949Community Partnership
Urban College of Boston
2 Boylston Street 2nd FloorBostonMA02116043403049501(c)(3)$150,000Community Partnership
Waltham Boys & Girls Club
20 Exchange StreetWalthamMA02451042103927501(c)(3)$50,000Community Partnership
Youth Enrichment Services
412 Massachusetts AvenueBostonMA02118042509466501(c)(3)$50,000Community Partnership
Little Brown Bear Academy
37 Moreland StreetRoxburyMA02119$7,500Community Partnership
Little Scholars Learning Academy
438 River StMattapanMA02126$7,500Community Partnership
FieldValueIRS element (for citing)
Total501c3 Org72Total501c3OrgCnt
Total Other Org5TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (20 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceAmtNon Cash AssistanceNonCashAssistanceDesc
Sibylla Orth Young Fund for Student Aid16$31,000FMV
Nursing Education Scholarship Fund47$93,000FMV
Yawkey Family Inn Fund4112FMV$93,695Housing Assistance
Devon Nicole House Operating Fund2118FMV$1,535Housing Assistance
Pet Therapy Program Fund2552FMV$131,015Theurapeutic dog visits made to inpatients
Extraordinary Needs Fund II100$63,701FMV
Volunteer Department Fund1000FMV$9,551Supplies, Catering and Entertainment for Patients and Patient's families.
Broadway Sam Fund56FMV$10,260Tickets for Art and Entertainment Events
Family Services Fund1821FMV$125,614Greeting Cards and supplies for Adopt a Family Program & wellness supplies and services
Milagros Para las Family Fund550FMV$29,163Translation services and program support for spanish speaking families.
Barber Family Endowment Fund21FMV$5,931Teen Advisory Committee expenses
Hale Center for Families Endowment Operating Fund356FMV$95,792Child Life Specialist and art supplies.
Matthew Puffer Parking Fund23$420FMV
Foster Grandparent Program Fund30FMV$200Sponsored dog show, music events, magic shows and face painting activities
Patient Family Housing Fund697FMV$64,794Housing Assistance
Room to Heal Fund74FMV$5,073Did You Know lunch series catering, printed materials for family resources
Telemachus and Irene Demoulas Family Foundation Extraordinary Needs Endowment Operating Fund252FMV$18,883PACT Hope Program support, comfort sheets for end of life, Keeping Connections event
Alexander Mosse Baer Entertainment Fund100FMV$525Sponsored one dog show and four magic shows
Brandano Parent Apartment Fund932FMV$58,120Housing Assistance
Patient Care Support Services Endowment/Income Fund4000FMV$100,063Parking Vouchers & Spanish Speaking Support

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 PaymentYes (1)SeverancePaymentInd
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 (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Sandra Fenwick
CEO, Noncomp Director$1,346,647$0$1,100,000$0$560,098$0$28,000$0$46,520$0$3,081,265$0$0$0
Kevin Churchwell MD
President & COO/Noncomp Director$892,672$0$600,000$0$410,440$0$22,400$0$52,839$0$1,978,351$0$0$0
Doug Vanderslice
EVP, Treasurer & CFO$792,869$0$396,900$0$304,249$0$22,400$0$46,221$0$1,562,639$0$0$0
Philip Rotner
Chief Investment Officer$680,529$0$585,152$0$162,341$0$22,400$0$35,380$0$1,485,802$0$0$0
Michele Garvin Esq
General Counsel & Secretary$614,302$0$318,212$0$123,531$0$22,400$0$39,685$0$1,118,130$0$0$0
James E Lock MD
Former Chief of Cardiology$2,862$0$0$0$839,640$0$0$0$0$0$842,502$0$0$0
Demosthenes Argys
SVP, & Chief Administrative Officer$506,969$0$166,372$0$90,582$0$25,200$0$20,318$0$809,441$0$0$0
Wendy Warring
SVP, Network Development$497,153$0$154,744$0$84,113$0$25,200$0$20,548$0$781,758$0$0$0
Lynn Susman
President, Children's Hospital Trust$452,020$0$165,242$0$80,109$0$30,800$0$28,487$0$756,658$0$0$0
Daniel Nigrin MD
SVP & Chief Information Officer$482,952$0$149,700$0$83,311$0$22,400$0$16,495$0$754,858$0$0$0
Cynthia Haines
SVP, International Service$461,593$0$146,210$0$83,828$0$19,600$0$26,741$0$737,972$0$0$0
Nader Rifai PhD
Director, Chemistry$464,848$0$211,057$0$13,505$0$30,800$0$12,848$0$733,058$0$0$0
Laura J Wood DNP MS RN
SVP, Chief Nursing Officer$455,449$0$142,629$0$84,207$0$25,200$0$25,224$0$732,709$0$0$0
Martin Kelly
Director, Investments$378,482$0$307,653$0$1,910$0$22,400$0$19,547$0$729,992$0$0$0
Lisa Hogarty
SVP, RE Planning and Development$434,771$0$138,455$0$77,808$0$19,600$0$26,652$0$697,286$0$0$0
Reginald Stover
VP, Human Resources$473,200$0$123,000$0$69,689$0$0$0$18,054$0$683,943$0$18,500$0
Michael Gillespie
VP, Clinical Services$389,020$0$97,419$0$65,604$0$22,400$0$14,310$0$588,753$0$0$0
August Cervini
VP, Research Administration$286,397$0$92,974$0$48,648$0$16,800$0$23,290$0$468,109$0$0$0
Patricia Hickey PhD MBA RN NEA-BC
VP, Cardiovascular Service$344,436$0$43,326$0$24,027$0$33,600$0$6,889$0$452,278$0$0$0
Bruce Balter
Asst Treasurer/Dir Corp Finance$242,681$0$15,527$0$16,607$0$33,600$0$19,024$0$327,439$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Lines 4a-bFormAndLineReferenceDesc
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 2019, a contribution of $59,639 August Cervini, received in 2019, a contribution of $26,004 Kevin Churchwell, received in 2019, a contribution of $284,000 Sandra Fenwick, received in 2019, a contribution of $516,000 Michele Garvin, received in 2019, a contribution of $87,913 Michael Gillespie, received in 2019, a contribution of $37,275 Cynthia Haines, received in 2019, a contribution of $53,353 Lisa Hogarty, received in 2019, a contribution of $47,988 Daniel Nigrin, received in 2019, a contribution of $56,223 Philip Rotner, received in 2019, a contribution of $137,638 Reginald Stover, received in 2019, a contribution of $12,704 Lynn Susman, received in 2019, a contribution of $52,414 Doug Vanderslice, received in 2019, a contribution of $206,411 Wendy Warring, received in 2019, a contribution of $55,888 Laura Wood, received in 2019, a contribution of $53,509 During Calendar Year 2019, the following individuals received supplemental executive retirement plan distributions: Reginald Stover, received in 2019, a distribution of $69,689 During Calendar Year 2019, the following individuals received severance payments: Reginald Stover, received in 2019, a severance payment of $205,000 James Lock, MD, received in 2019, a severance payment of $839,570ExplanationTxt

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$13,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesMkt Value per DonorMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution191ContributionCnt
Noncash Contributions Rpt F990$27,704,004NoncashContributionsRptF990Amt
Method Of Determining RevenuesMean Value on Gift DateMethodOfDeterminingRevenuesTxt

Securities Closely Held Stock SecuritiesCloselyHeldStockGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1NoncashContributionsRptF990Amt
Method Of Determining RevenuesUnable to DetermineMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution21ContributionCnt
Noncash Contributions Rpt F990$9,685NoncashContributionsRptF990Amt
Method Of Determining RevenuesMkt Value per DonorMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$5,429NoncashContributionsRptF990Amt
Method Of Determining RevenuesMkt Value per DonorMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6ContributionCnt
Noncash Contributions Rpt F990$154,180NoncashContributionsRptF990Amt
Method Of Determining RevenuesReplacement CostMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Misc. Other30$138,568Mkt Value per Donor
Yes (X)Travel/Dining8$25,000Mkt 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
Form 990, 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. 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. 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 helping the children of Boston grow and learn in safe, healthy environments. 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. In FY2020, Boston Children's tackled the coronavirus pandemic by successfully transitioning more than 10,000 employees to some level of remote work while increasing our virtual patient visits by 553%. Our commitment to high-reliability principles guided innovations such as personal protective equipment renewal and the installation of over 27,000 square feet of Plexiglas in all our locations. 51,827 COVID-19 tests have been administered, and as of February 2021, approximately 80% of all employees have been vaccinated for COVID-19. Additionally, in August, Boston Children's published its Declaration for Equity, Diversity, and Inclusivity to ensure that we remain a leader in equity for all.
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 Centerand 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, volunteer sand 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 96,331,997. Management and general expenses 8,070,696. Fundraising expenses 0. Total expenses 104,402,693. Purchased Research Services: Program service expenses 71,238,883. Management and general expenses 0. Fundraising expenses 0. Total expenses 71,238,883. Consulting Services: Program service expenses 18,145,250. Management and general expenses 19,399,709. Fundraising expenses 0. Total expenses 37,544,959. Misc. Purchased Services: Program service expenses 24,082,414. Management and general expenses 3,454,986. Fundraising expenses 112,186. Total expenses 27,649,586. Nursing Agency Fees: Program service expenses 2,478,830. Management and general expenses 68,826. Fundraising expenses 2,543. Total expenses 2,550,199. Laundry Services: Program service expenses 32,490. Management and general expenses 211,592. Fundraising expenses 0. Total expenses 244,082. Security Services: Program service expenses 8,318,978. Management and general expenses 110,104. Fundraising expenses 680,179. Total expenses 9,109,261. Catering Fees: Program service expenses 728,330. Management and general expenses 179,774. Fundraising expenses 15,787. Total expenses 923,891. Collection Agency Fees: Program service expenses 97. Management and general expenses 1,226,017. Fundraising expenses 0. Total expenses 1,226,114. Temp Agency Fees: Program service expenses 0. Management and general expenses 1,491,194. Fundraising expenses 199,569. Total expenses 1,690,763. Ambulance Services: Program service expenses 135,607. Management and general expenses 0. Fundraising expenses 0. Total expenses 135,607. Environmental Services: Program service expenses 460,942. Management and general expenses 230,415. Fundraising expenses 0. Total expenses 691,357. Employment Agency Services: Program service expenses 610,298. Management and general expenses 2,207,759. Fundraising expenses 158,371. Total expenses 2,976,428.
Form 990, Part XI, line 9:Net Transfers/Support from Children's Medical Center 316,218,919. Pension Adjustment 8,000,881. Other Adjustments -306,780. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others 3,419,555. Net Assets Released from Restriction -89,065,089.

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-$2,720,959$109,461,519Children's Hospital Corporation
BCH Pearl Street LLC
300 Longwood AvenueBostonMA02115817393086Real Estate HoldingsMA$0$10,942,905Children's Hospital Corporation
BCH Brookline Ave LLC
300 Longwood AvenueBostonMA02115814457294Real Estate HoldingsMA$125,560$4,898,386Children'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$212,285$4,957,568Longwood 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$16,937,588$17,832,370Children'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$123,371,333$78,570,566Children'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