2020-08-14T07:28:47-05:00 2019-09-30 346565596 Ernst & Young LLP 200 Clarendon Street Boston MA 021165072 990 2018-10-01 042774441 Children's Hospital Corporation CHIL 6173556000 300 Longwood Avenue Boston MA 02115 Doug Vanderslice EVP, CFO & Treasurer 6173556000 2020-08-11 1 Mike A Cincotta P01595811 6172662000 134.174.21.188 2020-08-13 08:05:28 ED P 1C42921AB4AAEB5368A0BF0C9756BFD13CB343CF E62AE0E244772ECCE00F71027E18D5174EBA8BD1 2018 2020-11-19 02:30:22Z Boston Children's Hospital Sandra Fenwick 300 Longwood Avenue Boston MA 02115 2321586528 0 X www.childrenshospital.org X 1982 MA Provider of pediatric healthcare, education, research & community service 16 14 14622 723 -5469037 0 417494538 415137440 1422617116 1527371090 137401872 44327243 42141263 59892635 2019654789 2046728408 8578746 11365599 0 0 883472221 928799601 1310640 1378073 35863926 908711285 968474584 1802072892 1910017857 217581897 136710551 5982517057 6333481693 1922917072 2123101198 4059599985 4210380495 X Boston 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 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. 0 0 1235635575 11365599 1505413240 CLINICAL CARE: The services we offer - from well child visits and treatment for typical child health issues (broken bones, tonsillitis, etc.) to chronic care (asthma, diabetes, obesity, etc.) and specialty services (oncology, cardiology, neurology) - benefit from our clinicians' high level of specialization, our collaboration with research scientists (many of whom are also physicians) affiliated with the hospital, and our significant investments in equipment, facilities and clinical and support staff. 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 FY2019, 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 2.26 and the average length of stay was 5.8 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.BCH 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. BCH 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. BCH also provides clinical care for the largest number of uninsured children in the state. While the numbers are not finalized, we're projecting a Medicaid loss over $120M for FY19. In FY18 (the most recent complete year we have), for our Massachusetts patients, 39.4% 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.BCH 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), BCH has formed partnerships with community hospitals throughout eastern Massachusetts, including Beverly Hospital, Winchester Hospital, Charlton Memorial in Fall River, Milford Regional, St. Luke's in New Bedford, Tobey Hospital in Wareham & 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. BCH 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 300 physicians and 100 nurse practitioners and physician assistants across 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 276 physicians serve families in 57 locations throughout New York's Metropolitan Area, the Hudson Valley, Connecticut and New Jersey.Each year, BCH 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 BCH, 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 BCH & 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 BCH 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 BCH 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, BCH 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. Foster innovation: Through the work of the Innovation and Digital Health Accelerator, BCH 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.Some of our ongoing projects include:- Circulation, which leverages on-demand transportation services to ease the burden of non-emergency medical transportation- Mightier, which uses the power of video games to help kids 6-14 struggling with anxiety and controlling emotions build emotional strength and resilience- An Early Literacy Screening App that can effectively screen for early signs of literacy challenges in only 30 minutes and link to risk-specific evidence-based responses for screening- Mindlight Medical, a brain-based diagnostic service that leverages EEG data to provide risk assessment & monitoring services for autism in infants as early as 3-6 months. 334680695 0 0 RESEARCH: 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 FY2019, Boston Children's received a total of $410M in research funding-federal (NIH, etc.), non-federal direct and indirect. We are the 5th largest NIH funding recipient of all hospitals in the U.S. and received 16%+ 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 2019 produced over 3,000 publications.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 FY2019 alone, we disclosed 153 inventions, received 269 patents, executed 54 licensing agreements and 24 sponsored research agreements, and formed six 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 42726096 0 21581499 Teaching: 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 (41 are accredited - more than any other freestanding children's hospital), and host nearly 500 BCH-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. We were the first pediatric hospital to receive joint accreditation, Our Simulation Program is the first hospital-based simulator program at a teaching hospital in New England. Our goal is to make "practice prior to game time" part of healthcare routine, offering a fully integrated quality assurance and improvement resource, preparation and testing environment for hospitals. Our groundbreaking programs in simulation technology, 3D printing, advanced genomic testing, and other areas allow us to bring new techniques to medicine that are unique to our institution - many of them specialized for the care of the smallest babies.We are the only pediatric hospital to offer certification for physicians in use of robotic equipment, helping surgeons develop and perfect new robotic procedures and surgical techniques. We offer the only Pediatric Addiction Medicine program in the U.S., as well as the only Orthopedic Sports Medicine program located at a children's hospital. We also offer the largest programs in Pediatric Anesthesiology, Pediatric Cardiology, and Pediatric Critical Care, in the nation. Boston Children's offers the only programs in New England for The only training programs in New England for Adolescent Medicine, Congenital Cardiac Surgery, and Neurodevelopmental Disabilities; and the only training programs in Massachusetts for Adolescent Medicine, Congenital Cardiac Surgery, Neurodevelopmental Disabilities, Pediatric Cardiology, Pediatric Hematology/Oncology, Pediatric Nephrology, Pediatric Orthopedics, Pediatric Pathology, and Pediatric Surgery. Community:Boston Children's Hospital was among the first academic medical centers in the country to expand the traditional missions of patient care, teaching, and research to embrace a fourth part of its mission-community. Through the years, Boston Children's has strived to ensure that community health is more than just words in its mission statement. The efforts have evolved from targeted services for individual families to innovative models that have proven to reduce health disparities, improve child health outcomes, and promote health equity.Boston Children's community mission is based on the needs of the community. It revolves around keeping children healthy through wellness and prevention efforts, ensuring that children have access to needed health care services, and partnering with others to address the social determinants of health-those issues that have an impact on an individual's health such as exposure to violence, or living in poverty. In all its endeavors, Boston Children's focuses on meeting community needs and implementing programs that are aligned with the priorities of the City of Boston, the Boston Public Health Commission, the Boston Public Schools, as well as other key partners and city agencies.Understanding community needsBoston Children's conducts a comprehensive community health needs assessment every three years as required by the Internal Revenue Service. The full report from the 2019 assessment can be found at http://www.childrenshospital.org/about-us/community-mission/community-needs-assessment. Key themes include how poverty impacts child and community health, access to stable and affordable housing, concerns about food access and insecurity, and the importance of prevention and focus on early childhood issues. Health concerns for families continue to be around asthma, obesity, and mental and behavioral health. The findings inform the direction of Boston Children's Strategic Implementation Plan which outlines how the hospital will use its resources and partner with others to address those themes and improve community health. This process also ensures that the hospital is utilizing its resources and leveraging community partnerships in the most effective way. The assessment was approved by the Boston Children's Board of Trustees in the Fall of 2019. The 2019 assessment identified the health-related needs, strengths, and resources available to children, youth, families, and residents in Boston-specifically the neighborhoods of Dorchester, Jamaica Plain, Mattapan, Mission Hill, and Roxbury. The assessment also looked at those living in the communities served by Boston Children's locations outside of Boston which 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. A formal and comprehensive needs assessment is only one part of Boston Children's approach to understanding the complex health needs and vital resources within the community. Boston Children's is continually listening and learning from patient families, community leaders, and staff. The staff rely on ongoing conversations with Boston Children's key partners-community health centers and community-based organizations, as well as the Boston Public Health Commission, and the Boston Public Schools.Through the Community Advisory Board, which meets on a quarterly basis, Boston Children's has a direct link to expertise on Boston neighborhoods, community organizations, and current health needs. Members of the Community Advisory Board are instrumental in providing feedback throughout the year and play a key role in the Boston Children's formal assessment process. This feedback from experts, community leaders, and partners as well as the Community Advisory Board informs the hospital's community mission, strengthens the development of partnerships, and helps to shape the implementation of the hospital's Strategic Implementation Plan. Being a community health leader: Boston Children's has identified priority health areas-asthma, obesity, mental and behavioral health, and early childhood development-and has a programmatic response to each. Community programs are focused where Boston Children's has the clinical expertise, resources, and partnerships to make a difference. Boston Children's strategy for improving community health is to: 1) address the most pressing health needs of children and families; 2) provide services through programs that can lead to improvements in health; or 3) build community capacity to better meet the needs of children and families. Some of these programs are described briefly below.- The Community Asthma Initiative (CAI) helped to improve the health of Boston children with asthma. To date, CAI has served more than 2,229 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 program has reduced the percentage of patients with any asthma-related hospitalizations by 82% and emergency department visits by 55%.- Boston Children's Hospital Neighborhood Partnerships Program (BCHNP) is the hospital's community-based behavioral health program. CHNP places clinicians in Boston schools and community health centers to provide a comprehensive array of services to better meet the needs of children and adolescents. Last year, more than 1,409 students received school-based services. The program also provided 1,400 hours of consultation to school staff and families and 53 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 obese, 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, 65% 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.- The Advocating Success for Kids Program (ASK) provides access to intensive and critically needed services for children experiencing school-functioning problems and learning delays through Boston Children's primary care clinic and in two Boston community health centers. Last year, 731 children were cared for by the ASK team. Expanding community commitmentBoston Children's has an opportunity to build on its history of partnering with the community to make a significant impact on the health of children and to address the social determinants that can affect an individual's health such as the environment that surrounds them, their housing conditions and consequences from exposure to violence or living in poverty. Boston Children's will distribute new funds as part of an agreement with the Massachusetts Department of Public Health's Determination of Need/Community Health Initiative program.These funds-Boston Children's Collaboration for Community Health-will be 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.Boston Children's has released funding 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.More details on the Collaboration and the funded partners can be found at BostonChildrens.org/funding 7857862 0 0 Community (continued):Addressing social determinants of healthBoston Children's also responds to the social determinants of health by focusing on support and partnerships in three areas: - Education and schools. Boston Children's partners closely 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. FY19, BCHNP's Training and Access Project (TAP) provided support to 20 schools by providing training and consultation in building sustainable systems in schools to support student behavioral health needs.- Workforce Development. Boston Children's 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. Boston Children's comprehensive workforce development efforts are in partnership with local organizations such as the Fenway Community Development Corporation and Jewish Vocational Services. Boston Children's also supports the pipeline of health care workers by exposing youth to careers in the health field. Programs include SCOOP for students interested in nursing careers and the COACH program, which provides opportunities for high school students to work at the hospital during the summer. - Partnering to support the health and social infrastructure in place for families. Boston Children's is also committed to and directs resources to build capacity within the existing infrastructure of care for Boston children and families. This means supporting key partners-the Boston Public Health Commission and 11 Boston community health centers. Boston Children's 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 netBoston Children's remains committed to its local community, providing primary and preventative care, as well as inpatient care for complex illnesses. It is one of the leading providers of health care to low-income children in Massachusetts and it provides care unavailable elsewhere in the state and sometimes the nation. Boston Children's also is a safety net provider for Boston children. This safety net is financial in that the hospital provides free care, subsidizes care for Medicaid patients, and incurs bad debt for patient families who cannot pay for the care they receive. It is programmatic in that Boston Children's offers vital, hospital-subsidized services that are either unavailable elsewhere or available only in a limited capacity, such as mental health and dental care.Advocating for children and familiesAs the only freestanding children's hospital in Massachusetts, influencing public policy to improve child health is an important aspect of Boston Children's commitment to community health. The hospital is a leading provider of pediatric medical and behavioral health services to low-income children across the Commonwealth and is a critical component of the safety net for children throughout New England and the nation. Boston Children's has been an organized force and an influential advocate for health and wellbeing of children for more than 20 years.Boston Children's is an effective advocate on legislative and regulatory matters in Massachusetts and throughout the nation 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. Boston Children's advocacy history is rooted in the promotion of better insurance coverage for children, including major child health expansions in the 1990s, the passage of Massachusetts's 2006 health reform law) and significant national involvement in work to promote child health access through the Children's Health Insurance Program, Medicaid, and the Affordable Care Act. As a result, Massachusetts has achieved near universal health access for children, with less than 1 percent of children uninsured-the lowest rate in the country. In recent years, Massachusetts has emphasized payment reform and cost containment policies within the health care system. Boston Children's played an active and vocal role in the development of the groundbreaking statewide payment reform legislation that was signed into law in August 2012. Nationally, Boston Children's is 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.In 2006, Boston Children's (including its Boston Children's Hospital Neighborhood Partnerships Program - for details see above) and a coalition of community organizations launched the Children's Mental Health Campaign (CMHC). The CMHC has converted its credibility and influence into several major policy accomplishments which have redefined the landscape of the children's mental health system in Massachusetts. In 2008, the CMHC was instrumental in securing passage of two landmark state laws. An Act Relative to Children's Mental Health (Chapter 321) creates a structure for enhancing early identification, 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, diversion from juvenile justice programs, improving mental health in schools, and adolescent substance use prevention. In addition, the CMHC is working to address mental health parity compliance (legislative and regulatory) Additionally, Boston Children's works in collaboration with a host of public health and prevention advocates to ensure public policies work to keep children safe and healthy. This year, Boston Children's is working to ensure the protection of children and adolescents under the state's new legalized marijuana laws by advocating for appropriate child safety packaging regulation and funding for the Poison Control Center and adolescent substance prevention efforts. The hospital also lends expertise in the effort to raise the minimum purchase age for tobacco products 21, create a tiered tax on sugar sweetened beverages, and improve child passenger safety legislation. Boston Children's 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. 7857862 0 0 1620900228 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 1 0 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 1952 1 1 14622 1 1 1 0 0 0 1 1 1 1 0 0 0 0 1 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X Doug Vanderslice 6173556000 300 Longwood Avenue Boston MA 02115 Douglas Berthiaume Director - Chairman 5.00 5.00 X 0 0 0 Allan Bufferd Director 1.00 1.00 X 0 0 0 Winston Henderson Director 1.00 1.00 X 0 0 0 Stephen Karp Director 1.00 1.00 X 0 0 0 Steven Krichmar Director 1.00 1.00 X 0 0 0 Robert Langer Director 1.00 1.00 X 0 0 0 Harvey Lodish PhD Director 1.00 1.00 X 0 0 0 Gary Loveman Director 1.00 1.00 X 0 0 0 Ralph C Martin Director 1.00 1.00 X 0 0 0 Thomas Melendez Director 1.00 1.00 X 0 0 0 Kathleen Regan Director 1.00 1.00 X 0 0 0 Robert A Smith Director - Vice Chair 2.00 2.00 X 0 0 0 Alison Taunton-RigbyPhD Director 1.00 1.00 X 0 0 0 Marc B Wolpow Director 1.00 1.00 X 0 0 0 Sandra Fenwick CEO, Noncomp Director 55.00 6.00 X X 2606425 0 77051 Kevin Churchwell MD President & COO/Noncomp Director 55.00 5.00 X X 1543129 0 75817 Doug Vanderslice EVP, Treasurer & CFO 55.00 7.00 X 1513352 0 55817 Bruce Balter Asst Treasurer/Dir Corp Finance 55.00 5.00 X 267629 0 50653 Michele Garvin Esq General Counsel & Secretary 55.00 6.00 X 909793 0 47262 Dionne Mottley Asst Sec/Exec Asst 55.00 5.00 X 60077 0 7456 Laura J Wood DNP MS RN CNO/Noncomp Director 55.00 5.00 X 619506 0 46840 Demosthenes Argys SVP, & Chief Administrative Officer 55.00 5.00 X 687652 0 44700 August Cervini VP, Research Administration 55.00 5.00 X 400518 0 42029 Michael Gillespie VP, Clinical Services 55.00 5.00 X 492436 0 36069 Cynthia Haines SVP, International Services 55.00 5.00 X 627094 0 48357 Patricia Hickey PhD MBA RN NEA-BC VP, Cardiovascular Services 55.00 5.00 X 394938 0 39897 Lisa Hogarty SVP, RE Planning and Development 55.00 5.00 X 600433 0 48268 Daniel Nigrin MD SVP & Chief Information Officer 55.00 5.00 X 640764 0 40877 Philip Rotner Chief Investment Officer 55.00 5.00 X 1430107 0 62807 Wendy Warring SVP, Network Development 55.00 5.00 X 678867 0 45057 Nader Rifai PhD Director, Chemistry 55.00 0.00 X 684753 0 42902 Lynn Susman President, Children's Hospital Trust 55.00 0.00 X 631673 0 58082 Reginald Stover VP, Human Resources 55.00 0.00 X 621874 0 22751 Martin Kelly Director, Investments 55.00 0.00 X 641298 0 39714 Alison Svizzero Director, Investments 55.00 0.00 X 583880 0 20858 James Mandell MD Former CEO 0.00 X 674930 0 0 17311128 0 953264 2333 1 1 0 Suffolk Construction 65 Allerton Street Boston MA 02119 Construction Services 139503168 The Brigham and Women's Hospital 75 Francis Street Boston MA 02115 Healthcare/Research Services 28978007 Shepley Bulfinch Two Seaport Lane Boston MA 02210 Architectural Services 12780774 VPNE Parking Solutions 343 Congress Street Boston MA 02210 Parking Serives 8111991 PricewaterhouseCoopers LLP PO Box 7247-8001 Philadelphia PA 19170 Consulting Services 7724481 277 37348 4219036 231488798 179392258 15183774 415137440 Patient Svc Revenue 621110 1434737224 1434737224 Prog Svc Grants 621110 52905804 52905804 Graduate Medical Educa 611710 21581499 21581499 Prof Svc Revenue 621110 17770212 17770212 Lab Revenue 621500 376351 376351 1527371090 10336616 -352577 10689193 8354266 8354266 15100941 8459072 6641869 6641869 -5670876 12312745 298412299 264421672 33990627 33990627 33990627 1885820 4219036 1977376 -91556 -91556 Other General Services 900099 27759876 27759876 Parking Revenue 812930 8524714 8524714 Cafeteria Sales 722210 7894079 7894079 809387 178065 631322 44988056 2046728408 1526994739 -5469037 110065266 X 9973085 9973085 1392514 1392514 14241675 14241675 740588925 581410652 141500723 17677550 38923190 37436141 239877 1247172 65555689 63414949 345324 1795416 69490122 66835274 428255 2226593 7615654 2254591 5361063 3917196 1520256 2396940 1770096 693038 1074608 2450 107669 107669 1378073 1378073 279539505 237750422 41035477 753606 2142100 1861730 264526 15844 41667273 18230446 15852021 7584806 38886347 12772679 25544371 569297 108479940 107009241 1470699 6975275 5502471 1350723 122081 1266446 1185690 80756 36045670 35566224 479446 120863104 119923521 939583 8155701 5925759 2229942 Lab/Medical/Pharmacy 258005886 257097154 908732 Uncollectible Accts 34188976 34188976 Uncompensated Care 10336281 10336281 Free Care 8511465 8511465 1910017857 1620900228 253253703 35863926 607592 30179033 269599895 252769686 297700414 325186584 27808866 31244443 27006801 19740177 3253196418 1886293682 1197239382 1366902736 264908943 237357146 1070412496 1124465251 2403230 2279295 2824829438 2943357342 5982517057 6333481693 315085352 310682550 122272940 148299094 872393932 872102006 347349157 347442169 265815691 444575379 1922917072 2123101198 X 2381710816 2474416269 879854728 904708832 798034441 831255394 4059599985 4210380495 5982517057 6333481693 X 136710551 -76287661 -3768169 94125789 X 0 1 X 1 1 1 X 307902601 342539011 444270077 417494538 415137440 1927343667 307902601 342539011 444270077 417494538 415137440 1927343667 35557274 1891786393 32931142 24495716 25976961 31911194 31356204 146671217 264130 -270120 -4277019 -2548588 -5469037 -12300634 28227656 27213103 30424665 26920013 44809991 157595428 2219309678 6738295650 0.85240 0.84570 X Schedule A, Part II, Line 10, Explanation of Other Income: Other General Services Parking Revenue Cafeteria Revenue RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 158793 0 1 120000 1 532451 0 0 811244 0 Part II-B, Line 1 Children'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 2019, 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. In accordance with state lobbying laws, 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 2019 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 $8,377 - Kathryn Audette Children's Hospital personnel $66,043 - Katherine Ginnis Children's Hospital personnel $21,203 - Jamie Gaynes Children's Hospital personnel $75,338 - 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 $67,669 Total Lobbyist/Consultant Expenses = $532,451 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $158,793 Grant to National Association of Children's Hospitals for graduate medical education related lobbying - $120,000 TOTAL LOBBYING EXPENSES = $811,244 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. 1162157000 21654000 7419000 19871000 1171359000 1134782000 -461000 32789000 4953000 1162157000 1007240000 11924000 152501000 36883000 1134782000 939779000 33474000 77339000 43352000 1007240000 976027000 26449000 -22205000 40492000 939779000 0.57210 0.20330 0.22460 0 0 12619348 12619348 1943188590 1146409357 796779233 860339232 733903403 126435829 437049248 5980922 431068326 1366902736 3rd Pty External Administered Trusts 50447805 F Abrams Capital 28674352 F AKO European Long-Only Fund 23474245 F Bain Cap Distr & Special Situations 4409375 F Bain Capital Fund IX 746396 F Bain Capital Fund X 1278654 F Bain Capital Venture Fund 2012 1719910 F Bain Capital Venture Fund 2014 5347763 F Baupost 67533548 F Brookside Capital 74256 F Commure, Inc. 407999 F Convexity 24194 F Costanoa Ventures III, LP 1621710 F Costanoa Ventures Opportunity Fund, L.P. 1348707 F Crosslink Crossover Fund VI 2683039 F Crosslink Crossover Fund VII 4907382 F Crosslink Ventures VIII-B, L.P. 1854220 F Davidson Kempner 66219821 F Deccan Value 25938211 F Deerfield Partners, LP 16267007 F Deerfield Private Design Fund IV 3944672 F Deerfield Special Situations Fund 2761912 F Deerfield Healthcare Innov Fund II 541675 F Dune Real Estate Fund III 4347469 F ECM Feeder Fund I 22648698 F Energy Capital Partners II 1073255 F Energy Capital Partners III 5748571 F Fidelity Notes Payable 2549657 F Fine Points Capital II 28040069 F Flare Capital Partners I 3213319 F Flare Capital Partners II 54491 F Gaoling Feeder, Ltd. 17450953 F Golden Gate Capital 19622157 F Highfields Capital 2121811 F Hillhouse Fund III 3914270 F Hillhouse Fund IV, L.P. 290918 F Himalaya Capital Investors, L.P. 24753249 F HMI Capital Partners 34983713 F Holdco.Opp. Fund II 731041 F Holdco.Opp. Fund III 99058 F ICHIGO Japan Fund B 17764450 F Insignia Ventures Partners Fund I L.P. 2594282 F JMC Capital I-B 5424807 F JMC Platform Fund II-B 5135026 F JVL Energy 4565647 F King Street 63789251 F Lone Star Fund IX 2533964 F Lone Star Fund VIII 1527469 F Madison Avenue Offshore Ltd. 8500493 F Matrix China II 7775655 F Matrix China III 8895786 F Matrix China IV 6171101 F Matrix India II 4936171 F Matrix Partners China V, L.P. 3479460 F Matrix Partners India III, LLC 881859 F Matrix Partners X 2655657 F Matrix Partners XI, L.P. 547682 F Maveron Equity Partners VI 3382992 F MIT Private Equity Fund 12412411 F Morphic Holding, LLC 171710 F Nalanda 22900504 F Park West Investors Ltd 35005631 F Riverstone 1272737 F Rivulet Capital Offshore Fund, Ltd. 34515957 F Roundshield III, LP 2457974 F Sankaty Credit Opport Fund IV 718629 F Sequoia Capital China Growth Fund V, L.P. 2638287 F Sequoia Capital China Seed Fund I, L.P. 258329 F Sequoia Capital China Venture Fund VII, L.P. 883200 F Sequoia Capital Global Equities 18122593 F Sequoia Capital Global Growth Fund II 10345911 F Sequoia Capital Global Growth Fund III 994614 F Sequoia Capital India IV 8001504 F Sequoia Capital India V 4385954 F Sequoia Capital India VI 1629517 F Sequoia Capital India Seed Fund I Ltd. 161568 F Sequoia Capital U.S. Venture Fund XVI, L.P. 296159 F Sequoia China Growth III 9420920 F Sequoia China Growth IV 5806714 F Sequoia China Venture Fund IV 1179411 F Sequoia China Venture Fund V 1597597 F Sequoia China Venture Fund VI 1354933 F Sequoia US GrowFund VII 5152880 F Sequoia US Growth Fund VIII 1918865 F Sequoia US Venture Fund XIV 3823320 F Sequoia US Venture Fund XV 1285024 F SequoiaUSGrowFund V 1383188 F SequoiaUSGrowFund VI 2960264 F Somerset 17567727 F SPUR Ventures II 6417736 F Steadfast 23691647 F Sunridge Agribusiness Opp. I, LP 1480429 F Taris Biomedical 4590 F Tenfore Holdings Fund II, L.P. 3206257 F Tourmaline Capital Fund II LP 122424 F Underscore VC Fund I, LP 2624963 F Underscore. VC Fund II, L.P. 818784 F Union Park Capital II L.P. 1958837 F Wellington - Energy 7390039 F Wellington EM Opportunities 34415384 F Wellington Ultra Short Duration 159605707 F Westbrook IX 1536120 F Westbrook X 2880480 F Whale Rock Flagship Fund, LTD. 15136039 F Blacksheep Fund 8740176 F Incentive Active Value Long Only Fund 9380303 F 1124465251 Interest in the Net Assets of Children's Medical Center 2829792591 Expected Insur Recoveries for Prof Liability Claims 43804270 Investment in Subsidiaries 36805883 CERNER Asset 14689273 Other Assets - Miscellaneous 18265325 2943357342 Estimated Final Settlement Due to Third Party Payors & Deferred Revenue 29499366 Estimated Insured Professional Liability Losses 43804270 Salary & Other Benefits 897268 Funds Held for Others 32832917 Reserve for Medical Malpractice 4547858 Other Liabilities - Miscellaneous 10330502 Lease Obligations 26364338 Interest Rate Swap Liability 161652686 Accrued Pension Cost 119537473 Cerner Contra Asset 15108701 444575379 X 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. Central America & the Caribbean 0 0 Program Services Patient Care, Research & Education 49653 East Asia & The Pacific 0 0 Program Services Patient Care, Research & Education 225203 Europe 0 0 Program Services Patient Care, Research & Education 403728 Middle East and North Africa - 0 0 Program Services Patient Care, Research & Education 82598 North America 0 0 Program Services Patient Care, Research & Education 142135 South America 0 0 Program Services Patient Care, Research & Education 76974 South Asia 0 0 Program Services Patient Care, Research & Education 155364 Sub-Saharan Africa 0 0 Program Services Patient Care, Research & Education 193268 Central America & the Caribbean 0 0 Investment 419705269 Sub-Saharan Africa 0 0 Investment 42897076 Europe 0 0 Investment 12678578 0 0 0 0 0 0 1328923 475280923 476609846 1 0 1 1 1 1 Part I, Line 2: 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 I, line 3: Expenditures are accounted for and reported on an accrual basis. X X X X X X X 1 Chapman Cubine Adams & Hussey 2000 15th Street North Arlington VA 22201 Direct Mail Counsel 0 897942 501974 395968 Charity Dynamics LLC 4031 Guadalupe Street Austin TX 78751 Online Counsel 0 648126 468638 179489 Sarah Gardner 13 Smokey Hill Rd Wayland MA 01778 Fundraising Counsel 0 580900 81250 499650 Bentz Whaley Flessner 7251 Ohms Lane Minneapolis MN 55439 Counsel/Reports 0 0 106026 -106026 Connelly Partners LLC 46 Waltham Street Boston MA 02118 Fundraising Counsel 0 0 80456 -80456 Advizor Solutions Inc 1333 Butterfield Road Suite 400 Downers Grove IL 60515 Fundraising Counsel 0 0 7214 -7214 The Pursuant Group Inc 15660 Dallas Pkwy STE 1000 Dallas TX 75248 Fundraising Counsel 0 0 12000 -12000 CKathryn W Miree & Associates 2205 16th Ave S Unit A Birmingham AL 35205 Fundraising Counsel 0 0 5262 -5262 Copper Reef Enterprises 6965 El Camino Real Carlsbad CA 92009 Fundraising Counsel 0 0 88110 -88110 Market Street Research Inc 9 1/2 Market Street Northampton MA 01060 Fundraising Counsel 0 0 27143 -27143 2126968 1378073 748896 CT RI NH VT ME FL NY NJ NV MA Dinner/Auction 2946101 2108386 837715 0 0 0 277426 0 687252 Investment Conference 1203500 895375 308125 0 0 45000 99474 0 134493 4 1955255 1215275 739980 0 0 41500 174392 13290 504549 6104856 4219036 1885820 86500 551292 13290 1326294 1977376 -91556 Doug Vanderslice CFO Treasurer 300 Longwood Avenue Boston MA 02115 1 1 X 1 X 1 X 1 1 0 1 1 31096136 19664813 11431323 0.00610 397744105 263471642 134272463 0.07160 428840241 283136455 145703786 0.07770 6131908 236673 5895235 0.00310 42726096 6797851 35928245 0.01920 29418270 26159216 3259054 0.00170 423047752 403786293 19261459 0.01030 1725954 1725954 0.00090 503049980 436980033 66069947 0.03520 931890221 720116488 211773733 0.11290 15 1568573 1568573 0.00080 10 791186 791186 0.00040 25 2359759 2359759 0.00120 0 34188976 0 12306065 10429554 1876511 X 1 1 1 None 1 1 Boston Children's Hospital 300 Longwood Avenue Boston MA 02115 www.childrenshospital.org MA LICENSE #2139 X X X X X X Boston Children's Hospital 1 0 0 1 X X X X X X X 16 1 0 0 1 X www.childrenshospital.org X X 1 16 1 childrenshospital.org/about-us/community-mission/community-needs-assessment 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X X 1 X www.childrenshospital.org/financialassistance X www.childrenshospital.org/financialassistance X www.childrenshospital.org/financialassistance X X X X X X X 1 X 0 X X 1 X 0 0 Boston Children's Hospital Part V, Section B, Line 5: For the 2016 CHNA, Boston Children's Hospital used a participatory, collaborative approach and examined health in its broadest context. As part of the CHNA, Boston Children's sought input from its Community Advisory Board (CAB) members and engaged youth to design, collect and analyze data on youth perceptions of needs and opportunities. The assessment process also included synthesizing existing data on social, economic, and health indicators in Boston. Eight stakeholder interviews and two focus groups with community residents were also conducted to explore perceptions of the community, health and social challenges for children and families, and recommendations for how to address these concerns. Additionally, Boston Children's collaborated with other hospitals through the Conference of Boston Teaching Hospitals to gather information on community needs via four focus groups hosted by community coalitions. Boston Children's also gathered information on challenges faced by children with special needs and their families by attending a focus group listening session facilitated by Health Care for All. Lastly, the CHNA was informed by results from Boston Children's Determination of Need community engagement process. This process, which was guided by an Advisory Group that met in person six times, included conducting seven facilitated open community engagement sessions across the city of Boston. Four targeted small group discussions were also held with communities that were under-represented in the larger community sessions.A formal and comprehensive needs assessment is only one part of Boston Children's approach to understanding the complex health needs and vital resources within the community. Boston Children's is constantly listening and learning from patient families, community leaders and staff. The staff rely on ongoing conversations with the hospital'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 CAB, which meets on a quarterly basis, Boston Children's has a direct link to expertise on Boston neighborhoods, community organizations and current health needs. The CAB is instrumental in providing feedback throughout the year and in the development and execution of Boston Children's formal assessment process. Boston Children's Hospital Part 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 Hospital Part 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 careAsthma 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 careObesity with a focus on healthy eating and access to physical fitness opportunities- 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 activityImpact 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 Hospital Part 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, Sr. Director 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 Hospital Part 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. 6 1 - Boston Children's at Waltham 9 Hope Ave Waltham MA 02453 Outpatient Satellite Facility 2 - Boston Children's at Lexington 482 Bedford Street Lexington MA 02173 Outpatient Satellite Facility 3 - Martha Eliot Health Center 75 Bickford Street Boston MA 02130 Outpatient Community Health Center 4 - Boston Children's at Peabody 1 Essex Center Drive Peabody MA 01960 Outpatient Satellite Facility 5 - Boston Children's at North Dartmouth 500 Faunce Corner Road North Dartmouth MA 02747 Outpatient Satellite Facility 6 - Boston Children's at 333 Longwood Ave 333 Longwood Avenue Boston MA 02115 Outpatient Pediatric Clinic 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 6a: Children's files an annual community benefits report with the Attorney General's Office (AG) in Massachusetts. There are significant differences between the AG and IRS requirements for reporting community benefits expenditures. The IRS counts the following as community benefits while the AG does not: Medicaid shortfalls, indirect costs, health professions education, and research funded by tax-exempt and government sources. Children's AG Report is publicly available and can be accessed directly on the AG's web site, www.mass.gov/AG and Children's web site, www.childrenshospital.org. Part I, Line 7: Children's used an internal cost accounting system for purposes of reporting certain amounts on Part I, line 7. The system is designed to address all segments of patient care (inpatient, outpatient and emergency) and assigns costs to patients from all payer sources (Medicaid, Medicare, managed care, commercial, uninsured and self-pay). The cost of charity care was determined based on the overall relationship of hospital costs as a percentage of hospital charges, applied to charges that qualified as charity care.Children's provides charity care to all children in need who meet the hospital's charity care standards, which are in alignment with all state mandated regulations.Nearly 30% of children who receive their care at Children's are insured through Medicaid programs in a number of states including Massachusetts. In aggregate, Medicaid programs do not reimburse the hospital for the total costs of providing care to these children.Children's has a strong commitment to improving the health status of the children in our local community. Based on a tri-annual community needs assessment, Children's supports a variety of programs and partners both internal and external that are addressing the needs of Boston children. Children's has also identified four major health focus areas in which it concentrates its efforts. For children in Boston, asthma, mental health, obesity and child development are major concerns. Children's has community based programs in each of these issue areas. The hospital also has an Office of Child Advocacy that provides support to these programs. Children's is a leader in education and training for healthcare professionals. Children's subsidizes services that are either limited or unavailable in the broader community. Examples include psychiatry, primary care, and dental care. Children's is home to the world's largest and most active research enterprise at a pediatric center. Recognizing that Children's does not have the capacity to meet all the needs of the children of Boston, it supports (through financial contributions and in kind services) a large number of community based organizations who are providing these important services. Beneficiaries range from full service community health centers to Head Start programs for pre-school children.For more information, visit www.childrenshospital.org/community. Part I, Line 7g: Children's does not subsidize physician services; thus there are none reported in the dollar amount for subsidized health services. Part I, Ln 7 Col(f): The total bad debt expense of $34,188,976 is included in Form 990, Part IX, line 25 column (A), but subtracted for purposes of calculating the percentage in this column. Part II, Community Building Activities: In FY19, Children's reported two types of community building activities: $1,568,573 for 15 community support programs and $791,186 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 the surrounding 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 contain the following bad debt footnote:"As a result of the adoption of ASU 2014-09, beginning on October 1, 2018, the provision for uncollectible accounts is considered an implicit price concession and is a direct reduction to net patient services revenue and is no longer presented separately on the consolidated statements of operations.Prior to the adoption of ASU 2014-09, the Medical Center and its subsidiaries record a provision for uncollectible accounts related primarily to uninsured accounts and copayment and deductible amounts to record the net self-pay accounts receivable at the estimated amounts expected to be collected. The provision for uncollectible accounts was based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Accounts receivable were reduced by an allowance for uncollectible accounts. Periodically throughout the year, management assessed the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. Following the adoption of ASU 2014-09, such uncollectible patient activity no longer meets the criteria for revenue recognition and is now classified as an implicit price concession. Additionally, the provision for uncollectible amounts, when applicable, will now be presented as an expense item rather than a reduction to net patient services revenue.After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Medical Center follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the Medical Center. Accounts receivable are written off after collection efforts have been followed in accordance with the Medical Center's policies." 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/about-us/community-mission/community-needs-assessment. 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 a bachelor'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 the total 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 and quality initiatives, equipment, facilities, community benefits and to subsidize vital services that run a deficit. Part VI, Line 6: Although Children's does not have true affiliates as defined by the IRS, it does have other affiliations. As the largest pediatric referral center in the region, Children's maintains a variety of relationships with community hospitals and other smaller pediatric programs throughout New England. These relationships include seven community hospitals in eastern Massachusetts where Children's physicians have formal arrangements to provide on-site emergency medicine, inpatient, neonatal and/or outpatient pediatric specialty services. Children's also owns and operates five outpatient facilities in Waltham, Lexington, Peabody, North Dartmouth and Jamaica Plain that offer access to pediatric specialty care in a wide array of subspecialties. Children's provides assistance to other pediatric facilities (Hasbro, RI, Dartmouth Hitchcock, NH, and Boston Medical Center) in the region through training, recruitment, consultations, on-site care and referrals for care that is not otherwise available.In addition, the Pediatric Physicians Organization at Children's brings together pediatricians, pediatric medical groups and pediatric specialists at Children's. Part VI, Line 7, Reports Filed With States MA 1 Health Resources In Action 622 Washington Street Dorchester MA 02124 042229839 501(c)(3) 310544 0 Community Partnership Boston Public Health Commission 1010 Massachusetts Ave Boston MA 02118 043316655 115 295686 0 Community Partnership Bowdoin Street Health Center Inc 230 Bowdoin Street Boston MA 02122 042529788 501(c)(3) 95000 0 Support of Community Health Center Community Catalyst Inc 30 Winter Street 10th Floor Boston MA 02108 043355127 501(c)(3) 30000 0 Advocacy Support The Dimock Center 55 Dimock Street Roxbury MA 02119 043487835 501(c)(3) 205000 0 Community Partnership Fenway Community Development Corporation 73 Hemenway Street Boston MA 02115 042666507 501(c)(3) 40000 0 Community Partnership Project RIGHT 320 A Blue Hill Avenue Dorchester MA 02121 043265420 501(c)(3) 75000 0 Advocacy Support Mattapan Community Health Center 1425 Blue Hill Ave Mattapan MA 02426 042544151 501(c)(3) 82500 0 Support of the Community Health Center Sociedad Latina Inc 1530 Tremont Street Roxbury MA 02120 042678255 501(c)(3) 60000 0 Community Partnership South Cove Community Health Center Inc 145 South Street Boston MA 02111 042501818 501(c)(3) 85000 0 Support of the Community Health Center South End Community Health Center Inc 1601 Washington Street Boston MA 02118 042456134 501(c)(3) 85000 0 Support of the Community Health Center Upham's Corner Community Center Inc 500 Columbia Road Dorchester MA 02125 042708670 501(c)(3) 80000 0 Support of the Community Health Center Whittier Street Health Center Committee Inc 1125 Tremont Street Roxbury MA 02120 042619517 501(c)(3) 23750 0 Support of the Community Health Center Nurtury Inc 95 Berkeley Street Suite 306 Boston MA 02116 042105893 501(c)(3) 2500 0 Community Partnership Massachusetts League of Community Health Centers 40 Court Street 10th Floor Boston MA 02108 042507409 501(c)(3) 5000 0 Community Partnership The Hyde Square Task Force Inc 375 Centre Street Jamaica Plain MA 02130 043118543 501(c)(3) 2500 0 Community Partnership Massachusetts Public Health Association 101 Tremont Street Boston MA 02108 042326503 501(c)(3) 204793 0 Community Partnership Smart from the Start Inc 68 Annunciation Road Boston MA 02120 454952663 501(c)(3) 3000 0 Community Partnership Health Law Advocates 30 Winter Street 10th Floor Boston MA 02108 043298116 501(c)(3) 25000 0 Advocacy Support Mass Society for the Prevention of Cruelty to Children 3815 Washington Street Ste 2 Boston MA 02130 042103596 501(c)(3) 380432 0 Advocacy Support Greater Boston Chamber of Commerce 265 Franklin Street 12th Floor Boston MA 02110 041103090 501(c)(3) 10000 0 Community Partnership Massachusetts Communities Action Network 50 Mt Vernon Street Boston MA 02125 042863903 501(c)(3) 2500 0 Community Partnership Center for Comm Health Education Research & Service Inc 320 Huntington Avenue Boston MA 02115 043286409 501(c)(3) 149938 0 Community Partnership Express Yourself Inc 6 Ellis Street Peabody MA 01960 043294365 501(c)(3) 2500 0 Community Partnership Breakthrough Greater Boston PO Box 381486 Cambridge MA 02238 043307783 501(c)(3) 2500 0 Community Partnership NAACP Boston 30 Martin Luther King Boulevard Roxbury MA 02119 043574060 501(c)(3) 5500 0 Massachusetts Voter Education Boston Municipal Research Bureau 333 Washington Street Boston MA 02108 222673755 501(c)(3) 7500 0 Community Partnership Mission Hill Neighborhood Housing Services 1620 Tremont Street Mission Hill MA 02120 237428011 501(c)(3) 1000 0 Community Partnership Black Ministerial Alliance of Greater Boston 2010 Columbus Avenue Boston MA 02119 043499852 501(c)(3) 2500 0 Community Partnership Brigham and Women's Hospital Inc 3297 Washington Street Jamaica Plain MA 02130 042312909 501(c)(3) 160000 0 Support of Community Health Center City of Boston City Hall Plaza Boston MA 02201 046001380 115 1416439 0 Community Partnership Charles River Community Health Inc 287 Western Avenue Allston MA 02134 237221597 501(c)(3) 130000 0 Support of Community Health Center Massachusetts Budget and Policy Center 15 Court Square Suite 700 Boston MA 02108 042967537 501(c)(3) 30000 0 Advocacy Support Metropolitan Boston Housing Project 125 Lincoln Street 3rd Floor Boston MA 02111 042775991 501(c)(3) 22500 0 Community Partnership Urban Edge 1542 Columbus Avenue Suite 2 Roxbury MA 02119 222483475 501(c)(3) 1000 0 Community Partnership Massachusetts Associtation for Mental Health 50 Federal Street 6th Floor Boston MA 02110 042104711 501(c)(3) 5000 0 Advocacy Support Massachusetts Health Council 200 Reservoir Road Suite 101 Needham MA 02494 042296739 501(c)(3) 5000 0 Community Partnership Boston Center for Youth and Families 75 Newbury Street 3rd Flooe Boston MA 02116 042602576 501(c)(3) 152352 0 Community Partnership City LifeVida Urbana PO Box 300107 Boston MA 02130 042660311 501(c)(3) 150000 0 Community Partnership Mission Hill Little League PO Box 02120 Roxbury MA 02120 043415069 501(c)(3) 2000 0 Community Partnership Family Nurturing Center of Massachusetts 200 Bowdoin Street Dorchester MA 02122 311626186 501(c)(3) 240881 0 Community Partnership Family Independence Initiative 1201 Martin Luther King Jr Way Suite 100 Oakland CA 94612 020784790 501(c)(3) 104500 0 Community Partnership Friends of the Children 555 Armory Street Boston MA 02130 201581289 501(c)(3) 2500 0 Community Partnership Waltham Boys & Girls Club 20 Exchange Street Waltham MA 02451 042103927 501(c)(3) 50000 0 Community Partnership Boston Children's Museum 308 Congress Street Boston MA 02210 042103993 501(c)(3) 105414 0 Community Partnership Third Sector New England Inc 89 South Street Suite 700 Boston MA 02110 042261109 501(c)(3) 261878 0 Community Partnership The Community Builders Inc 185 Dartmouth Street Boston MA 02116 042324773 501(c)(3) 283849 0 Community Partnership United Way of Massachusetts Bay Inc 51 Sleeper Street Boston MA 02210 042382233 501(c)(3) 99798 0 Community Partnership Haley House Inc 23 Dartmouth Street Boston MA 02116 042437845 501(c)(3) 100000 0 Community Partnership Massachusetts Housing Finance Agency One Beacon Street Boston MA 02108 042443980 115 75000 0 Community Partnership Youth Enrichment Services Inc 412 Massachusetts Avenue Boston MA 02118 042509466 501(c)(3) 50000 0 Community Partnership Chinatown People Progressive Association Inc 28 Ash Street Boston MA 02111 042631569 501(c)(3) 150000 0 Community Partnership Jamaica Plain Neighborhood Development Corporation 31 Germania Street Jamaica Plain MA 02130 042652919 501(c)(3) 225000 0 Community Partnership Health Care for All Inc One Federal Street 5th Floor Boston MA 02110 043071598 501(c)(3) 180000 0 Community Partnership & Advocacy Support Urban College of Boston 2 Boylston Street 2nd Floor Boston MA 02116 043403049 501(c)(3) 150000 0 Community Partnership Boston Housing Authority (Homestart) 52 Chauncy Street 7th Floor boston MA 02111 046001907 115 150000 0 Community Partnership Boston Educational Development Foundation Inc 7 Palmer Street 2nd Floor Roxbury MA 02119 222514422 501(c)(3) 88936 0 Community Partnership Massachusetts Affordable Housing Alliance Inc 1803 Dorchester Avenue Dorchester MA 02124 223042637 501(c)(3) 156127 0 Community Partnership Boston Chinatown Neighborhood Center Inc 885 Washington Street Boston MA 02111 237209691 501(c)(3) 129258 0 Community Partnership Boston's Higher Ground 384 Warren Street Roxbury MA 02119 273660369 501(c)(3) 300000 0 Community Partnership Commonwheels Inc 59 Aldie Street 1 Allston MA 02134 454645136 501(c)(3) 49530 0 Community Partnership Fresh Truck Inc 69 Shirley Street Boston MA 02119 462848535 501(c)(3) 1000 0 Community Partnership Raising a Reader Massachusetts 3 School Street 3rd Floor Boston MA 02108 800297898 501(c)(3) 146000 0 Community Partnership Playworks Education Energized 380 Washington Sreet Oakland CA 94607 943251867 501(c)(3) 50000 0 Community Partnership Massachusetts Law Reform Institute Inc 99 Chauncy Street Suite 500 Boston MA 02111 046004303 501(c)(3) 15000 0 Advocacy Support Dudley Street Neighborhood Initiative Inc 550 Dudley Street Roxbury MA 02119 042859066 501(c)(3) 150000 0 Community Partnership Dot House Health 1353 Dorchester Avenue Dorchester MA 02122 237125970 501(c)(3) 150000 0 Community Partnership Spontaneous Celebrations Inc 45 Danforth Street Jamaica Plain MA 02130 013253364 501(c)(3) 10000 0 Community Partnership Simmons University School of Social Work 300 The Fenway Boston MA 02115 042103629 501(c)(3) 99925 0 Community Partnership Cambridge Family & Children's Service 60 Gore Street Cambridge MA 02141 042104057 501(c)(3) 75000 0 Community Partnership West End House 105 Allston Street Allston MA 02134 042105825 501(c)(3) 25000 0 Community Partnership Freedom House 5 Crawford Street Boston MA 02121 042240448 501(c)(3) 150000 0 Community Partnership TSNE MissionWorks 89 South Street Suite 700 Boston MA 02116 042261109 501(c)(3) 85000 0 Community Partnership Community Music Center of Boston Inc 34 Warren Avenue Boston MA 02116 042437973 501(c)(3) 17500 0 Community Partnership HopeWell Inc 3 Allied Drive Suite 308 Dedham MA 02026 042438910 501(c)(3) 25000 0 Community Partnerships William James College Inc 1 Wells Ave Boston MA 02459 042620216 501(c)(3) 249998 0 Community Partnership Boston Private Industry Council 2 Oliver Street Boston MA 02109 042676661 501(c)(3) 75000 Community Partnership Community Service Care Inc 295 Centre Street 31 Jamaica Plain MA 02130 042754281 501(c)(3) 150000 0 Community Partnership Mathematica 955 Massachusetts Avenue Suite 801 Cambridge MA 02139 222112296 501(c)(3) 278973 0 Community Partnership BAGLY Inc 28 Court Square Boston MA 02108 042785336 501(c)(3) 100000 0 Community Partnership Children's Services of Roxbury 520 Dudley Street Boston MA 02119 043082352 501(c)(3) 99999 0 Community Partnership Boston Healthcare for the Homeless Program 780 Albany Street Boston MA 02118 043160480 501(c)(3) 18500 0 Community Partnership UMass Boston Wheatley 2 160 DCSP Boston MA 02125 043167352 501(c)(3) 249610 0 Community Partnership Foundation for Salem Public Education 45 Cherry Street Lynn MA 01902 043276653 501(c)(3) 1000 0 Community Partnership Familes First 9 Galen Street Suite 400 Watertown MA 02472 043413397 501(c)(3) 3000 0 Community Partnership Roxbury Presbyterian Church Social Impact Center 328 Warren Street Roxbury MA 02119 043506648 501(c)(3) 50000 0 Community Partnership Fenway High School Fund 67 Alleghany Street Boston MA 02120 046719813 501(c)(3) 20000 0 Community Partnership Madison Park Development Corporation 184 Dudley Street 102 Boston MA 02119 237164223 501(c)(3) 75000 0 Community Partnership East Boston Neighborhood Health Center 10 Gove Street East Boston MA 02128 237425849 501(c)(3) 188857 0 Community Partnership Youth and Family Enrichment Services 1613 Blue Hill Avenue Suite 303 Mattapan MA 02126 272507783 501(c)(3) 45868 0 Community Partnership ABCD 178 Tremont Street Boston MA 02111 042304133 501(c)(3) 5000 0 Community Partnership Girls on the Run Greater Boston 89 South Street LL00 Boston MA 02111 463532424 501(c)(3) 2000 0 Community Partnership Fenway Community Center 1282 Boylston Street Boston MA 02215 475582148 501(c)(3) 3000 0 Community Partnership Rennie Center for Education Research & Policy 114 State Street Boston MA 02109 510548106 501(c)(3) 17500 0 Advocacy Support Peer Health Exchange 745 Atlantic Ave Boston MA 02111 562374305 501(c)(3) 24250 0 Community Partnership Dana Farber Cancer Institute 450 Brookline Avenue Boston MA 02215 042263040 501(c)(3) 10000 0 Advocacy Support The Children's Trust Inc 55 Court Street 4th Floor Boston MA 02108 043123184 501(c)(3) 4500 0 Advocacy Support 93 4 Sibylla Orth Young Fund for Student Aid 21 39000 FMV Nursing Education Scholarship Fund 91 181900 FMV Joshua T. Shairs Cardiology Fund 3 3000 FMV Family Resource Center Fund 21 47146 FMV Educational Resources Yawkey Family Inn Fund 2462 171634 FMV Housing Assistance Devon Nicole House Operating Fund 1321 47447 FMV Housing Assistance Pet Therapy Program Fund 4749 134792 Other Theurapeutic dog visits made to inpatients Sandra & Geoffrey Fenwick Family Income Fund 96 928 FMV Bereavement programs for families Extraordinary Needs Fund II 100 97573 FMV Volunteer Department Fund 1000 10540 FMV Supplies, Catering and Entertainment for Patients and Patient's families. Broadway Sam Fund 1331 39935 FMV Tickets for Art and Entertainment Events Family Services Fund 2588 206817 FMV Greeting Cards and supplies for Adopt a Family Program & wellness supplies and services Milagros Para las Family Fund 561 60327 FMV Translation services and program support for spanish speaking families. Barber Family Endowment Fund 19 18534 FMV Teen Advisory Committee expenses Hale Center for Families Endowment Operating Fund 664 97061 FMV Child Life Specialist and art supplies. Matthew Puffer Parking Fund 25 7360 FMV Foster Grandparent Program Fund 1000 14175 FMV Sponsored dog show, music events, magic shows and face painting activities Amos's Endowment/Operating Fund 2577 5376 FMV Supplies for Center for Families to meet patient family needs,specifically printed materials to inform families of services available (center brochures in multiple languages) Patient Family Housing Fund 85 182763 FMV Covers 6 apartments for long-term (one to 4 month stays) patient families - rent, furniture, electricity, cable & supplies Room to Heal Fund 33 6899 FMV Did You Know lunch series catering, printed materials for family resurces (Milagros, hotel information, and CFF guide), and ICU Parent Sleep Space room cards Telemachus and Irene Demoulas Family Foundation Extraordinary Needs Endowment Operating Fund 219 18357 FMV PACT Hope Program support, comfort sheets for end of life, Keeping Connections event supplies and parking vouchers, and Memorial Service hall reservation and printed material. Alexander Mosse Baer Entertainment Fund 100 950 FMV Sponsored one dog show and four magic shows Part I, Line 2: Children's Hospital provides three types of grants and assistance: (1) Sponsorships, (2) Scholarships, and (3) Assistance Programs. SPONSORSHIPS: Children's supports external strategic partners that enhance Children's role and reputation as (1) a good neighbor; (2) community health partner; (3) civic leader; (4) and an employer of choice. The criteria for Children's funding decisions to the requesting organization are based on the following: 1. a non-profit that promotes careers in healthcare or health services and that Children's has collaborated, or is collaborating, with 2. a non-profit located in and serving Children's target neighborhoods (Fenway, Mission Hill, Jamaica Plain, Roxbury) that address social determinants of health and that Children's has collaborated, or is collaborating, with 3. one of Children's Hospital's affiliated community health centers 4. a citywide non-profit that is a strategic partner in one or more of the Children's primary community health focus areas (asthma, mental health, nutrition/fitness, violence prevention) and that Children's has collaborated, or is collaborating, with 5. a citywide non-profit that is a strategic partner in one or more of Children's secondary community health focus areas (early intervention, early childhood/elementary education,) that Children's has collaborated, or is collaborating, with 6. a business , civic, or advocacy strategic partner that senior management is actively engaged in 7. meets the IRS and the Massachusetts Attorney General's community support or community benefit criteria 8. meets the City of Boston eligibility as a "payment in lieu of taxes' investment Records and copies of sponsorship requests and the resulting grants are kept in paper form in the Office of Child Advocacy. All sponsorships requests are commonly for general operating support. All sponsorship is sent a letter that reiterates the stated use of the grant or assistance and with any Community Partnership Grants, representatives of Children's make site visits to many of the grantees and request end-of-year reports. SCHOLARSHIPS: Children's Hospital offers 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 and the Joshua T. Shairs Cardiology Fund is a scholarship for nurses in the field of cardiology. 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 and Joshua T. Shairs Cardiology Funds are reviewed and maintained by the Department of Nursing/Patient Services selection committee. All scholarship recipients are required to sign a Terms of Acceptance agreement affirming the funds will only be used for tuition, fees and/or class materials required for course instructions. ASSISTANCE PROGRAMS: Children's Hospital offers several financial assistance programs to provide funding to patients and their families burdened by the costs associated with long-term hospitalization, acute/chronic illness, disability or impairment. We recognize the significant financial and support services burdens that patients and families face when experiencing frequent ambulatory services or prolonged inpatient admissions at Boston Children's Hospital. These funds are primarily intended for use in emergent situations, and as a stop-gap intervention only. They are not intended to provide permanent or long term solutions to financial need. Essentially, these are funds of "last resort" when alternative options do not exist. All financial assistance requests are assessed by a social worker. If there appears to be significant financial hardship, the social worker does a financial assessment based on the policies and guidelines for the use of these special funds. Typical requests include assistance with transportation, utilities (a child cannot be discharged without adequate heat, electricity, telephone contact in the home), etc. Each request is reviewed by the Director of the Fund. Checks are not payable to the family, rather a payment may be made directly to the company involved via an invoice from that company, e.g., National Grid. Assessment considerations for Special Fund requests are based on: * Duration of Need * Demographic * Family Status * Income Factors * Clinical Factors * Alternate Resources Available * Funding Limits X 0 0 X X X X X X 1 1 0 0 0 0 0 0 0 Sandra Fenwick CEO, Noncomp Director 1168187 0 900000 0 538238 0 27500 0 49551 0 2683476 0 0 0 Kevin Churchwell MD President & COO/Noncomp Director 782233 0 450000 0 310896 0 22000 0 53817 0 1618946 0 0 0 Doug Vanderslice EVP, Treasurer & CFO 710929 0 225090 0 577333 0 22000 0 33817 0 1569169 0 0 0 Bruce Balter Asst Treasurer/Dir Corp Finance 235560 0 15689 0 16380 0 32986 0 17667 0 318282 0 0 0 Michele Garvin Esq General Counsel & Secretary 563935 0 232655 0 113203 0 24750 0 22512 0 957055 0 0 0 Laura J Wood DNP MS RN CNO/Noncomp Director 437382 0 104243 0 77881 0 22000 0 24840 0 666346 0 0 0 Demosthenes Argys SVP, & Chief Administrative Officer 487486 0 113421 0 86745 0 24750 0 19950 0 732352 0 0 0 August Cervini VP, Research Administration 282386 0 73505 0 44627 0 19250 0 22779 0 442547 0 0 0 Michael Gillespie VP, Clinical Services 364515 0 66420 0 61501 0 22000 0 14069 0 528505 0 0 0 Cynthia Haines SVP, International Services 428591 0 119630 0 78873 0 22000 0 26357 0 675451 0 0 0 Patricia Hickey PhD MBA RN NEA-BC VP, Cardiovascular Services 331840 0 31044 0 32054 0 33000 0 6897 0 434835 0 0 0 Lisa Hogarty SVP, RE Planning and Development 424650 0 100553 0 75230 0 22000 0 26268 0 648701 0 0 0 Daniel Nigrin MD SVP & Chief Information Officer 456897 0 107010 0 76857 0 24750 0 16127 0 681641 0 0 0 Philip Rotner Chief Investment Officer 660018 0 580317 0 189772 0 22000 0 40807 0 1492914 0 0 0 Wendy Warring SVP, Network Development 485492 0 112545 0 80830 0 24750 0 20307 0 723924 0 0 0 Nader Rifai PhD Director, Chemistry 461592 0 210264 0 12897 0 30250 0 12652 0 727655 0 0 0 Lynn Susman President, Children's Hospital Trust 438562 0 115000 0 78111 0 27500 0 30582 0 689755 0 0 0 Reginald Stover VP, Human Resources 386090 0 150000 0 85784 0 0 0 22751 0 644625 0 0 0 Martin Kelly Director, Investments 355220 0 284467 0 1611 0 22000 0 17714 0 681012 0 0 0 Alison Svizzero Director, Investments 325553 0 257818 0 509 0 19250 0 1608 0 604738 0 0 0 James Mandell MD Former CEO 0 0 0 0 674930 0 0 0 0 0 674930 0 0 0 Part I, Line 1a One officer received a gross up payment during the year. This amount was included in taxable income and is reported on Form 990, Part VII and Schedule J. Part I, Line 1b The one reportable listed benefit in line 1a was approved by the Hospital's board level compensation committee. The committee is comprised of members of the board who are not employed the Organization. Part I, Lines 4a-b Boston Children's Hospital made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contribution amounts are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for employee benefits and not for Boston Children's Hospital Director or Officer of the Board services and/or responsibilities. Demosthenes Argys, received in 2018, a contribution of $56,475 August Cervini, received in 2018, a contribution of $22,655 Kevin Churchwell, received in 2018, a contribution of $131,500 Sandra Fenwick, received in 2018, a contribution of $495,500 Michele Garvin, received in 2018, a contribution of $78,258 Michael Gillespie, received in 2018, a contribution of $35,944 Cynthia Haines, received in 2018, a contribution of $49,071 Lisa Hogarty, received in 2018, a contribution of $46,083 Daniel Nigrin, received in 2018, a contribution of $51,195 Philip Rotner, received in 2018, a contribution of $165,642 Reginald Stover, received in 2018, a contribution of $30,756 Lynn Susman, received in 2018, a contribution of $51,088 Doug Vanderslice, received in 2018, a contribution of $102,130 Wendy Warring, received in 2018, a contribution of $53,178 Laura Wood, received in 2018, a contribution of $47,856 During Calendar Year 2018, the following individuals received supplemental executive retirement plan distributions: James Mandell, received in 2018, a distribution of $674,930 A MHEFA Revenue Bonds Series N 042456011 57586EUJ8 2010-05-13 341590000 Refunded Series G, H, I, J & K 0 0 0 B MDFA Revenue Bonds Series O 043431814 NoneAvail 2013-12-11 200640000 Refunded Series L 0 0 0 C MDFA Revenue Bonds Series P 043431814 57583UK31 2014-05-21 136685000 New bldg construction, reno. & capital equip 0 0 0 D MDFA Revenue Bonds Series Q 043431814 NoneAvail 2014-07-11 50255000 New building construction & renovations 0 0 0 A 341590000 339564138 2025862 2010 1 0 1 1 B 200640000 200000000 640000 2013 1 0 1 1 C 151753430 1753430 150000000 2013 0 0 1 1 D 50255000 255000 50000000 2016 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 Goldman Sachs Mitsui Marine 30.000000000000 0 0 0 0 1 B 0 0 0 1 1 1 Goldmn SachsBOA 30.000000000000 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: MHEFA, Revenue Bonds Series N Date the Rebate Computation was Performed: 09/30/2014 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: 12/01/2019 A MDFA Revenue Bonds Series R 043431814 NoneAvail 2014-07-29 125350000 Refunded a portion of Series N 0 0 0 B MDFA Revenue Bonds Series S 043431814 NoneAvail 2017-12-19 135215000 Refunded Series M 0 0 0 A 125350000 125000000 350000 2014 1 0 1 1 B 134703799 511201 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 Goldman Sachs Mitsu 30.000000000000 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 A 1 B 1 X 91 14958119 Mean Value on Gift Date X 19 4325 Mkt Value per Donor X Travel/Dining 4 155000 Mkt Value per Donor X Misc. Other 26 65830 Mkt Value per Donor 0 1 1 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. Form 990, Part VI, Section A, line 6 Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation. Form 990, Part VI, Section A, line 7a Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation. The Children's Medical Center Corporation elects the governing body of Children's Hospital Corporation because the Board of Directors of Children's Hospital Corporation must consist of the persons who serve from time to time as the directors of The Children's Medical Center Corporation. Form 990, Part VI, Section A, line 7b Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation ("the Hospital"). As stated in the Hospital's By Laws, Children's Medical Center Corporation has the powers and rights: - to approve proposed operating and capital budgets of the Hospital; - to approve the sale of all or substantially all of the Hospital's assets or the Hospital; - to approve the establishment of all long-range plans, goals and objectives of the Hospital; - to approve any incurrence of long-term indebtedness by the Hospital; - to approve the appointment or removal of the Chief Executive Officer of the Hospital; - to approve mergers, consolidations, and other forms of corporate affiliations with third parties. Form 990, Part VI, Section B, line 11b The Form 990 tax return was prepared by the organization's staff and reviewed by management (including the Chief Executive Officer, President & Chief Operating Officer, Chief Financial Officer, General Counsel and other relevant departments of the organization), along with the outside accounting firm of Ernst & Young. The Form 990 tax return was then presented to the Children's Medical Center and affiliates' Audit & Compliance Committee. Also, a copy was made available to the Board before filing. Form 990, Part VI, Section B, line 12c The Hospital's Conflict of Interest and Commitment policy applies to all directors, Trust Board members, members of the medical or research staff, faculty, fellow, resident, student, visiting faculty or scientist, consultant, 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 15 The 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 The committee is comprised of members of the board who are not employed by the organization, and no member may participate in the review and approval of compensation if the member has a conflict of interest with respect to that compensation arrangement. The committee relies on data, provided by an independent compensation consultant, which includes comparable compensation for similarly qualified persons, in functionally comparable positions, at similarly situated organizations. The deliberations and decisions of the committee are documented in minutes of the meeting. Form 990, Part VI, Section C, line 19 The Hospital posts its Code of Conduct (which incorporates the Conflict of Interest Policy) and its Compliance Manual (which includes a summary of the Conflict of Interest Policy) on its external website and these are also available from the Compliance Office or the Office of General Counsel. Governing documents are not posted publicly but are available from the Hospital upon request and are also filed with the Massachusetts Secretary of State, where they are available to the public. Audited financial statements are filed annually with the Massachusetts Office of the Attorney General as part of the Hospital's Form PC filing and are available from the organization upon request. Quarterly financial statements are filed with the Hospital's bond trustee and are available to the public through the Electronic Municipal Market Access (EMMA) website maintained by the Municipal Securities Rulemaking Board. Form 990, Part IX, line 11g Purchased Medical Services: Program service expenses 111,194,937. Management and general expenses 12,014,781. Fundraising expenses 0. Total expenses 123,209,718. Purchased Research Services: Program service expenses 49,027,918. Management and general expenses 6,652. Fundraising expenses 0. Total expenses 49,034,570. Consulting Services: Program service expenses 20,420,420. Management and general expenses 15,945,778. Fundraising expenses 488,268. Total expenses 36,854,466. Misc. Purchased Services: Program service expenses 25,005,773. Management and general expenses 7,548,842. Fundraising expenses 159,007. Total expenses 32,713,622. Nursing Agency Fees: Program service expenses 11,234,248. Management and general expenses 383,652. Fundraising expenses 0. Total expenses 11,617,900. Laundry Services: Program service expenses 2,349,807. Management and general expenses 46,046. Fundraising expenses 0. Total expenses 2,395,853. Security Services: Program service expenses 8,214,112. Management and general expenses 114,703. Fundraising expenses 310. Total expenses 8,329,125. Catering Fees: Program service expenses 1,006,853. Management and general expenses 260,639. Fundraising expenses 26,488. Total expenses 1,293,980. Collection Agency Fees: Program service expenses 0. Management and general expenses 1,717,030. Fundraising expenses 0. Total expenses 1,717,030. Temp Agency Fees: Program service expenses 8,384,518. Management and general expenses 2,740,557. Fundraising expenses 79,533. Total expenses 11,204,608. Ambulance Services: Program service expenses 121,561. Management and general expenses 0. Fundraising expenses 0. Total expenses 121,561. Environmental Services: Program service expenses 790,275. Management and general expenses 256,797. Fundraising expenses 0. Total expenses 1,047,072. Form 990, Part XI, line 9: Net Transfers/Support from Children's Medical Center 194,968,968. Pension Adjustment -98,688,719. Other Adjustments 993. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others -2,155,453. Children's One Brookline Place LLC 300 Longwood Avenue Boston MA 02115 205850015 Real Estate Holdings MA 0 0 Children's Hospital Corporation Children's Brookline Place LLC 300 Longwood Avenue Boston MA 02115 261523020 Real Estate Holdings MA 0 0 Children's Hospital Corporation Children's Five Brookline Place LLC 300 Longwood Avenue Boston MA 02115 205850117 Real Estate Holdings MA 0 0 Children's Hospital Corporation BCH Washington Street LLC 300 Longwood Avenue Boston MA 02115 814382691 Real Estate Holdings MA -5657956 40136225 Children's Hospital Corporation BCH Pearl Street LLC 300 Longwood Avenue Boston MA 02115 817393086 Real Estate Holdings MA 0 9884746 Children's Hospital Corporation BCH Brookline Ave LLC 300 Longwood Avenue Boston MA 02115 814457294 Real Estate Holdings MA 156434 4248817 Children's Hospital Corporation Boston Children's Health International LLC 300 Longwood Avenue Boston MA 02115 814377341 Inactive MA 0 0 Children's Medical Center Corp Children's Westland LLC 300 Longwood Avenue Boston MA 02115 262904847 Inactive MA 0 0 Longwood Research Institute BCH 819 Beacon Street LLC 300 Longwood Avenue Boston MA 02115 814382691 Real Estate Holdings MA 1121863 10609971 Longwood Research Institute Children's Waltham Medical Center LLC 300 Longwood Avenue Boston MA 02115 202076874 Real Estate Holdings MA 0 0 Children's Medical Center Corp Boston Children's Health Accountable Care LLC 300 Longwood Avenue Boston MA 02115 300991601 Accountable Care MA 18624963 13313733 Children's Hospital Corporation BCD Hospital Energy Collaborative LLC 300 Longwood Avenue Boston MA 02115 821711826 Hospital Energy MA 0 0 Children's Hospital Corporation Boston Children's Health Physicians LLP 300 Longwood Avenue Boston MA 02115 133956599 Healthcare NY 156732549 65771311 Children's Medical Center Corp Children's Medical Center Corporation 55 Shattuck Street Boston MA 02115 041174680 Holds & manages security, real estate investments for Children's Hospital MA 501(c)(3) Line 12c, III-FI N/A 0 Longwood Research Institute Inc 300 Longwood Avenue Boston MA 02115 042781368 Medical & scientific research; holds real estate investments MA 501(c)(3) Line 12c, III-FI Children's Medical Center Corporation 0 CHB Properties Inc 300 Longwood Avenue Boston MA 02115 043323330 Holds & manages satellite ambulatory centers; real estate investments MA 501(c)(3) Line 10 Children's Medical Center Corporation 0 Physician's Organization at Children's Hospital Inc 300 Longwood Avenue Boston MA 02115 043266103 Coord & develop integrated childhlth care system w/ affil members MA 501(c)(3) Line 12d, III-O N/A 0 New England Congenital Cardiology Research Foundation 300 Longwood Avenue Boston MA 02115 800368043 Improve patient safety & quality for children w/ heart disease MA 501(c)(3) Line 7 Children's Hospital Corporation 1 Children's Hospital League Corporation 300 Longwood Avenue Boston MA 02115 042780811 Fundraising MA 501(c)(3) Line 7 Children's Hospital Corporation 1 Blood Research Institute Inc 300 Longwood Avenue Boston MA 02115 043136318 Owning & Leasing Real Estate MA 501(c)(3) Line 12c, III-FI Children's Medical Center Corporation 0 Beth Israel Hospital and Children's Hospital Medical Corporation 300 Longwood Avenue Boston MA 02115 043200113 Pediatric Health Care, Education & Research MA 501(c)(3) Line 12b, II N/A 0 Dana-FarberChildren's Hospital Cancer Care Inc 450 Brookline Avenue BP418 Boston MA 02215 043554536 Joint program in pediatric oncology MA 501(c)(3) Line 12b, II N/A 0 New England Life Flight Inc Hangar 1727 Hanscom AFB Bedford MA 01730 222582060 Critical Care Transport MA 501(c)(3) Line 12b, II N/A 0 Longwood Medical Energy Collaborative Inc 160 Longwood Avenue Boston MA 02115 043476764 Energy Related Initiatives MA 501(c)(3) Line 12a, I N/A 0 0 0 1 0 1 0 0 0 0 1 1 1 1 0 1 1 1 1 1