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CHILDRENS HOSPITAL CORPORATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL CORPORATION (EIN 04-2774441)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-13
IRS object ID
201942259349300709
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

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

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Gross Receipts$3,096,068,154GrossReceiptsAmt
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Activity Or MissionProvider of pediatric healthcare, education, research & community serviceActivityOrMissionDesc
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Total Volunteers1369TotalVolunteersCnt
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MissionBoston Children's Hospital is the nation's premier pediatric hospital and research enterprise. We serve as the community hospital for the children of Boston; provide specialty pediatric care throughout the region; and offer access to innovative, lifesaving care to children across the world facing rare and complex conditions. Our 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. As one of the largest pediatric hospitals in the US and the only freestanding pediatric hospital in Massachusetts, BCH provides access to safe, high quality health care services that meet the unique needs of our patients and their families.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,073,908,813ExpenseAmt
Grant$8,578,747GrantAmt
Revenue$1,400,955,195RevenueAmt
DescCLINICAL CARE: The services we offer - from well child visits and treatment for typical child health issues (broken bones, tonsillitis, etc.) to chronic care (asthma, diabetes, obesity, etc.) and specialty services (oncology, cardiology, neurology) - benefit from our clinicians' high level of specialization, our collaboration with research scientists (many of whom are also physicians) affiliated with the hospital, and our significant investments in equipment, facilities and clinical and support staff. Our team has a deep commitment to setting the bar for quality and safety and exceeding the expectations of our patients and their families for service, undertaking significant investments in each of these areas.In FY2018, BCH saw more than 622,000 outpatient visits, 60,000 emergency department visits, 24,000 inpatient or observation stays, and 28,000 inpatient or day surgeries. Our inpatient case mix index was 2.13 and the average length of stay was 5.4 days. Of the bedded cases, more than 16.8% (CMI > 2.00) can be qualified as clinically complex. Of these patients, approximately 33% (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. Additionally, in 2018 we became a referral source for 2nd.MD-which has 12 million members-so that our pediatric specialists can conduct virtual consults.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; total free care & losses from Medicaid in FY2018 were approximately $117 million.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 5 community hospitals throughout eastern Massachusetts, including Beverly Hospital, Winchester Hospital & South Shore Hospital. 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. In addition, 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.Additionally, we recently entered into an agreement with Hasbro Children's Hospital to further collaborate on critical child and adolescent needs, including psychiatry and stem-cell transplantation.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. In FY18, we took one of our most important steps-engaging our patients and their families in helping us make Boston Children's safer for everyone. We started by piloting High Reliability education through our in-room GetWell edutainment system, featuring patient families sharing their stories of how they spoke up for safety, and how they were heard. We've also created-with the input of patients and families-an error prevention toolkit focused on how they can help, and most importantly making it clear that we want and need that help. In the first 10 weeks of distribution we reached 1,124 families. While the toolkit was initially available just in English, we have since expanded to Spanish and Mandarin, with Arabic forthcomingFoster innovation: Through the creation 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 are making 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.We are working with GE to embed in their decision software expertise from our imaging experts at Boston Children's to allow for faster diagnosis and identification of brain disorders in children.We are also working with a number of voice recognition companies to embed both voice technology in both the hospital setting where we are piloting in our organ transplantation program the use of checklists that are voice enabled as well as with families.Desc

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Expense$395,614,086ExpenseAmt
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DescRESEARCH: Boston Children's is dedicated to enhancing the wellbeing of children and families by leading research and innovation around child health issues, and by seeking new approaches to the prevention, diagnosis and treatment of childhood and adult diseases.We have the world's largest pediatric research program-more the 1 million square feet of dedicated research space-for many reasons. The most important reason is our focus on our patients. We are constantly evolving care, and caring for increasingly complex patients - patients with congenital heart conditions, childhood cancers, complex neurological and neurosurgical conditions, and more. Research occurs in every clinical department, and our advancement of basic research helps us to advance the understanding of disease, but also model the diseases we see in pediatrics. In FY2018, Boston Children's received a total of $388M 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 15%+ 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 2018 produced over 3,000 publications, 96 within in the top 25 scientific journals with the highest Eigenfactor* impact score. Recognized by the National Institutes of Health (NIH) and multiple studies, the Eigenfactor score is a validated metric by the Eigenfactor Project that evaluates and provides a predictable measurement of the influence of scholarly literature.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 FY2018 alone, we disclosed 130 inventions, received 119 patents, executed 34 licensing agreements and formed seven startup companies to help bring our innovations to the patient bedside. Additional highlights include: - We developed a gene therapy treatment for sickle-cell disease that boosts fetal hemoglobin.- Through single-cell RNA sequencing, we identified stem-like cells that fuel diffuse intrinsic pontine glioma (DIPG), also revealing a potential therapeutic strategy.- We brought two drugs to clinical trials in rapid time-one in cancer for melanoma and one in the improvement in production of red blood cells.- We used patients' own mitochondria, taken from skeletal muscle, to strengthen their failing hearts.- We co-developed a tissue-engineered heart ventricle for studying rhythm disorders and cardiomyopathy.- We developed a new surgical approach to identifying conduction tissue.- We explored why bariatric surgery also eases diabetes - revealing new ways to combat both conditions without surgery-and showed that pre-treated blood stem cells can reverse diabetes, an approach now being readied for clinical trial.- We have steadily identified extremely subtle epilepsy mutations found only in the brain, and only in certain cells.- Showed the potential for microglia and blood stem cells to deliver gene-therapy treatments to the brain.- We developed a one-time hydrocephalus operation that avoids the need for shunting.Desc

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Expense$39,420,709ExpenseAmt
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DescTEACHING: As the primary pediatric teaching hospital for Harvard Medical School, Boston Children's is committed to educating the next generation of leaders in child health. We train more than 475 resident and clinical fellows annually and host approximately 100 medical students, offering more than 70 training programs (41 of which are accredited - more than any other freestanding children's hospital).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. 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 are the first pediatric hospital to receive joint accreditation, with 20 online accredited courses as part of OPENPediatrics and 40 live courses overall, national and regional.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.Boston Children's offers the only training programs in Massachusetts for: Adolescent Medicine, Medical Biochemical Genetics, Neurodevelopmental Disabilities, Pediatric Cardiology, Pediatric Hematology/Oncology, Pediatric Nephrology, Pediatric Orthopedics, Pediatric Pathology, Pediatric Surgery, Pediatric Sports Medicine, Pediatric Urology, Pediatric Transplant Hepatology and Congenital Cardiac Surgery.Boston Children's offers the only training programs in New England for Adolescent Medicine, Medical Biochemical Genetics, Neurodevelopmental Disabilities, Pediatric Sports Medicine, Pediatric Urology, Pediatric Transplant Hepatology and Congenital Cardiac Surgery.Boston Children's has the largest accredited training programs in the country for Pediatric Anesthesiology, Pediatric Cardiology and Pediatric Otolaryngology. The hospital also has the largest accredited training program in Child Neurology in New England.Boston Children's Pediatric Sports Medicine is one of only 28 accredited pediatric sports medicine programs in the country and Neurodevelopmental Disabilities is one of only 13 accredited neurodevelopmental disabilities programs in the country. Congenital Cardiac Surgery is one of 11 in the country, Pediatric Transplant Hepatology is one of 7 in the country, and Medical Biochemical Genetics is one of 16 in the country.Boston Children's Hospital is also home to one of only 7 Pediatrics/Anesthesia Combined Residencies in the country - and the only one in New England. Our combined Pediatrics/Medical Genetics Combined Residencies is one of 19 in the country, and the only one in Massachusetts.Our Clinical Informatics training program is one of only 5 pediatrics-based Clinical Informatics training programs in the country, and is the only such program in New England.Desc

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Community:Boston Children's Hospital (BCH) was among the first academic medical centers in the country to expand the traditional missions of patient care, teaching and research to embrace a fourth part of its mission-community. Through the years, BCH has strived to ensure that community health is more than just words in its mission statement. The efforts have evolved from targeted services for individual families to innovative models that have proven to reduce health disparities, improve child health outcomes and promote health equity.BCH's community mission is based on the needs of the community. It revolves around keeping children healthy through wellness and prevention efforts, ensuring that children have access to needed health care services and partnering with others to address the social determinants of health, those issues that have an impact on health such as an individual's 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 needsTo better understand current health needs in our community, BCH conducts a Community Health Needs Assessment (CHNA) every three years. The findings inform the direction of the hospital's community mission and the scope of its community health work. It also helps to ensure that BCH is utilizing resources and leveraging community partnerships in the most effective way. BCH's last assessment was completed in 2016. An assessment for 2019 is currently underway.In 2016, BCH used a participatory, collaborative approach and examined health in its broadest context. As part of the CHNA, BCH sought input from its Community Advisory Board 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 conducted to explore perceptions of the community, health and social challenges for children and families as well as recommendations for how to address these concerns. Additionally, BCH 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. BCH 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.Some of the key themes from the CHNA included the impact of poverty on child and community health, lack of stable and affordable housing, concerns about food access and insecurity and the importance of prevention and focus on early childhood. Health issues of concern include asthma, obesity and mental/behavioral health. More details on all the findings and our process can be found in the complete report and in the Community Health and Benefits Strategic Implementation Plan. The report and plan are available on the hospital's web site, Bostonchildrens.org/community. A formal and comprehensive needs assessment is only one part of BCH's approach to understanding the complex health needs and vital resources within the community. BCH is continually listening and learning from patient families, community leaders and staff. The staff rely on ongoing conversations with BCH's key partners-community health centers and community-based organizations, as well as the Boston Public Health Commission and the Boston Public Schools.Through the Community Advisory Board, which meets on a quarterly basis, BCH has a direct link to expertise on Boston neighborhoods, community organizations and current health needs. Members of the Community Advisory Board are instrumental in providing feedback throughout the year and play a key role in the BCH formal assessment process. This feedback from experts, community leaders and partners as well as the Community Advisory Board informs the hospital's community mission, facilitates and strengthens the development of partnerships and helps to shape the implementation of the hospital's Strategic Implementation Plan. Being a community health leaderBCH has identified priority health areas-asthma, obesity, mental/behavioral health and early childhood/child development-and has a programmatic response to each. Community programs are focused where BCH has the clinical expertise, resources and partnerships to make a difference. BCH's strategy for improving community health is to: 1) address the most pressing health needs of children and families; 2) provide services through programs that can lead to improvements in health; or 3) build community capacity to better meet the needs of children and families. Some of these programs are described briefly below.- The Community Asthma Initiative (CAI) helped to improve the health of Boston children with asthma. To date, CAI has served more than 2,132 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 81% and emergency department visits by 57%.- Boston Children's Hospital Neighborhood Partnerships Program (BCHNP) is the hospital's community-based behavioral health program. BCHNP 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 1,050 students received school-based services. The program also provided 1,500 hours of consultation to school staff and families and 40 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, 777 children were cared for by the ASK team. Expanding community commitmentBCH 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 BCH could make a long-lasting impact. That process resulted in identifying several strategic funding areas to address the critical needs of children and families.BCH 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.
Community (Continued):In August 2018, the hospital awarded more than $11 million to 31 funded partners and an additional $5 million to 14 funded partners was awarded in March 2019. This is a portion of the hospital's $53.4 million commitment. More details on the Collaboration and the funded partners can be found at BostonChildrens.org/fundingAddressing social determinants of healthBCH 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. FY18, BCHNP's Training and Access Project (TAP) provided support to 15 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 (BPHC) and 11 Boston community health centers. Boston Children's also has relationships with a wide array of community based 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 very 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 services to low-income children across the Commonwealth and is s 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 that affect children's wellbeing, such as increasing access to quality pediatric mental health programs, promoting better treatment models for children with medical complexity and chronic conditions 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, strong involvement in Massachusetts' Affordable Care Today Coalition (the catalyst behind 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 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 a number of 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 annual in-depth, five-session training series that gives advocates a better understanding of the legislative process and the skills needed for effective advocacy. This year, the training model was updated to a one-day advocacy boot camp to reflect the feedback from the community. 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. Staff members from departments throughout the hospital regularly engage with the CAN in order 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.$10,173,885$0$0
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$10,173,885TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,519,117,493TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1880IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee13585EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible ContributionsYes (1)NondeductibleContributionsInd
Nondeductible Contri DisclYes (1)NondeductibleContriDisclInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Stephen Karp
Trustee - Chairman5.005.00Yes (X)$0$0$0
Douglas Berthiaume
Trustee - Vice Chair2.002.00Yes (X)$0$0$0
Allan Bufferd
Trustee1.001.00Yes (X)$0$0$0
Alex Dimitrief
Trustee1.001.00Yes (X)$0$0$0
Steve Fishman MD
Trustee,ex officio1.001.00Yes (X)$0$0$0
Gary Fleisher MD
Trustee, ex officio1.001.00Yes (X)$0$0$0
Winston Henderson
Trustee1.001.00Yes (X)$0$0$0
Paul Hickey MD
Trustee,ex officio1.001.00Yes (X)$0$0$0
James Kasser MD
Trustee,ex officio1.001.00Yes (X)$0$0$0
Steven Krichmar
Trustee1.001.00Yes (X)$0$0$0
Robert Langer
Trustee1.001.00Yes (X)$0$0$0
Harvey Lodish PhD
Trustee1.001.00Yes (X)$0$0$0
Gary Loveman
Trustee1.001.00Yes (X)$0$0$0
Sheila Marcelo
Trustee1.001.00Yes (X)$0$0$0
Ralph C Martin
Trustee1.001.00Yes (X)$0$0$0
Thomas Melendez
Trustee1.001.00Yes (X)$0$0$0
Kathleen Regan
Trustee1.001.00Yes (X)$0$0$0
Robert A Smith
Trustee1.001.00Yes (X)$0$0$0
Alison Taunton-RigbyPhD
Trustee1.001.00Yes (X)$0$0$0
Marc B Wolpow
Trustee1.001.00Yes (X)$0$0$0
Laura J Wood DNP MS RN
CNO/Noncomp Trustee55.005.00Yes (X)$600,296$0$47,107
Gregory Young MD
Trustee, ex officio1.001.00Yes (X)$0$0$0
Sandra Fenwick
CEO, Noncomp Trustee55.006.00Yes (X)$2,369,896$0$76,509Yes (X)
Kevin Churchwell MD
President & COO/Noncomp Trustee55.005.00Yes (X)$1,384,919$0$59,935Yes (X)
Doug Vanderslice
EVP, Treasurer & CFO55.008.00$1,006,730$0$56,172Yes (X)
Bruce Balter
Asst Treasurer/Dir Corp Fin Svc55.005.00$260,759$0$50,306Yes (X)
Michele Garvin Esq
General Counsel & Secretary55.007.00$834,510$0$43,775Yes (X)
Dionne Mottley
Asst Sec/Exec Asst55.005.00$0$0$0Yes (X)
Demosthenes Argys
SVP, & Chief Administrative Officer55.005.00$699,011$0$50,990Yes (X)
August Cervini
VP, Research Administration55.005.00$368,339$0$42,705Yes (X)
Michael Gillespie
VP, Clinical Services55.005.00$475,864$0$35,749Yes (X)
Cynthia Haines
SVP, International Services55.005.00$577,777$0$47,755Yes (X)
Patricia Hickey PhD MBA RN NEA-BC
VP, Cardiovascular Services55.005.00$381,307$0$39,237Yes (X)
Lisa Hogarty
SVP, RE Planning and Development55.005.00$581,363$0$40,674Yes (X)
Daniel Nigrin MD
SVP & Chief Information Officer55.005.00$622,460$0$46,793Yes (X)
Philip Rotner
Chief Investment Officer55.005.00$1,622,124$0$51,557Yes (X)
Wendy Warring
SVP, Network Development55.005.00$651,873$0$41,987Yes (X)
Nader Rifai PhD
Director, Chemistry55.000.00$672,622$0$42,827Yes (X)
Lynn Susman
President, Children's Hospital Trust55.000.00$710,209$0$57,510Yes (X)
Orah Platt MD
Chief, Lab Medicine55.000.00$571,169$0$36,354Yes (X)
Martin Kelly
Director, Investments55.000.00$772,416$0$39,752Yes (X)
Alison Svizzero
Director, Investments55.000.00$708,415$0$20,472Yes (X)
James Mandell MD
Former CEO0.000.00$106,194$0$0Yes (X)
Margaret Coughlin
Former SVP & Chief Marketing Officer0.000.00$170,352$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$16,148,605TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$928,166TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2175IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Suffolk Construction
65 Allerton StreetBostonMA02119Construction Services$63,897,607
The Brigham and Women's Hospital
75 Francis StreetBostonMA02115Healthcare/Research Services$16,267,160
Shepley Bulfinch
Two Seaport LaneBostonMA02210Architectural Services$14,990,828
G Greene Construction Company
240 Lincoln StreetBostonMA02134Construction Services$8,176,887
VPNE Parking Solutions
343 Congress StreetBostonMA02210Parking Serives$7,324,098
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K267CntrctRcvdGreaterThan100KCnt
Federated Campaigns$23,928FederatedCampaignsAmt
Fundraising$3,994,294FundraisingAmt
Government Grants$221,903,817GovernmentGrantsAmt
All Other Contributions$191,572,499AllOtherContributionsAmt
Noncash Contributions$23,180,326NoncashContributionsAmt
Total Contributions$417,494,538TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Svc Revenue621110$1,336,008,680$1,336,008,680
Prog Svc Grants621110$50,648,562$50,648,562
Graduate Medical Educa611710$21,661,921$21,661,921
Prof Svc Revenue621110$13,838,331$13,838,331
Lab Revenue621500$459,622$459,622
FieldValueIRS element (for citing)
Total Program Service Revenue$1,422,617,116TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,411,945TotalRevenueColumnAmt
Unrelated Business Revenue-$91,763UnrelatedBusinessRevenueAmt
Exclusion$14,503,708ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,144,040TotalRevenueColumnAmt
Exclusion$6,144,040ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$19,932,302RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$11,787,689RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$8,144,613RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,144,613TotalRevenueColumnAmt
Unrelated Business Revenue-$3,118,833UnrelatedBusinessRevenueAmt
Exclusion$11,263,446ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,139,038,643SecuritiesAmt
Other$46,268,204OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,059,632,281SecuritiesAmt
Other$2,684,639OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$79,406,362SecuritiesAmt
Other$43,583,565OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$122,989,927TotalRevenueColumnAmt
Related Or Exempt Func Income$43,520,649RelatedOrExemptFuncIncomeAmt
Exclusion$79,469,278ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$3,038,967FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$3,994,294ContriRptFundraisingEventAmt
Fundraising Direct Expenses$2,308,756FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$730,211TotalRevenueColumnAmt
Exclusion$730,211ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Other General Services900099$11,233,274$11,233,274
Parking Revenue812930$7,536,260$7,536,260
Cafeteria Sales722210$7,432,929$7,432,929

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$919,936TotalRevenueColumnAmt
Unrelated Business Revenue$202,386UnrelatedBusinessRevenueAmt
Exclusion$717,550ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$27,122,399OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,019,654,789TotalRevenueColumnAmt
Related Or Exempt Func Income$1,465,678,143RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$2,548,588UnrelatedBusinessRevenueAmt
Exclusion$139,030,696ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,781,060TotalAmt
Program Services$6,781,060ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,797,686TotalAmt
Program Services$1,797,686ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$13,168,479TotalAmt
Management And General$13,168,479ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$696,135,098TotalAmt
Program Services$554,679,152ProgramServicesAmt
Management And General$123,839,120ManagementAndGeneralAmt
Fundraising$17,616,826FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$39,350,321TotalAmt
Program Services$36,790,772ProgramServicesAmt
Management And General$1,291,117ManagementAndGeneralAmt
Fundraising$1,268,432FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$84,974,750TotalAmt
Program Services$80,076,194ProgramServicesAmt
Management And General$2,470,985ManagementAndGeneralAmt
Fundraising$2,427,571FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$49,843,573TotalAmt
Program Services$46,601,488ProgramServicesAmt
Management And General$1,635,409ManagementAndGeneralAmt
Fundraising$1,606,676FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,973,496TotalAmt
Program Services$1,612,433ProgramServicesAmt
Management And General$5,361,063ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,659,119TotalAmt
Program Services$1,262,179ProgramServicesAmt
Management And General$2,396,940ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,757,702TotalAmt
Program Services$680,917ProgramServicesAmt
Management And General$1,074,608ManagementAndGeneralAmt
Fundraising$2,177FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$107,621TotalAmt
Program Services$107,621ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$1,310,640TotalAmt
Fundraising$1,310,640FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$262,073,026TotalAmt
Program Services$211,750,811ProgramServicesAmt
Management And General$48,794,250ManagementAndGeneralAmt
Fundraising$1,527,965FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,687,156TotalAmt
Program Services$2,570,555ProgramServicesAmt
Management And General$113,269ManagementAndGeneralAmt
Fundraising$3,332FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$24,659,125TotalAmt
Program Services$4,832,208ProgramServicesAmt
Management And General$13,683,758ManagementAndGeneralAmt
Fundraising$6,143,159FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$30,563,395TotalAmt
Management And General$30,080,670ManagementAndGeneralAmt
Fundraising$482,725FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$103,284,154TotalAmt
Program Services$101,810,798ProgramServicesAmt
Fundraising$1,473,356FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,282,193TotalAmt
Program Services$5,129,259ProgramServicesAmt
Management And General$1,068,981ManagementAndGeneralAmt
Fundraising$83,953FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,100,391TotalAmt
Program Services$1,266,307ProgramServicesAmt
Management And General$770,886ManagementAndGeneralAmt
Fundraising$63,198FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$41,938,693TotalAmt
Program Services$41,938,693ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$122,497,526TotalAmt
Program Services$119,301,672ProgramServicesAmt
Management And General$2,190,581ManagementAndGeneralAmt
Fundraising$1,005,273FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,707,703TotalAmt
Program Services$7,707,703ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Lab/Medical/Pharmacy$240,239,464$240,239,464$0$0
Uncollectible Accts$31,375,695$31,375,695$0$0
Uncompensated Care$11,484,478$11,484,478$0$0
Free Care$9,320,348$9,320,348$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,802,072,892TotalAmt
Program Services$1,519,117,493ProgramServicesAmt
Management And General$247,940,116ManagementAndGeneralAmt
Fundraising$35,015,283FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$555,487BOYAmt
EOY$607,592EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$249,635,384BOYAmt
EOY$269,599,895EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$274,198,901BOYAmt
EOY$297,700,414EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$25,433,859BOYAmt
EOY$27,808,866EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$28,494,947BOYAmt
EOY$27,006,801EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,985,146,990LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,787,907,608LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,113,275,435BOYAmt
EOY$1,197,239,382EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$188,506,751BOYAmt
EOY$264,908,943EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,077,697,645BOYAmt
EOY$1,070,412,496EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$2,403,230EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,573,670,861BOYAmt
EOY$2,824,829,438EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,531,469,270BOYAmt
EOY$5,982,517,057EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$251,571,179BOYAmt
EOY$315,085,352EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$109,685,487BOYAmt
EOY$122,272,940EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$861,592,970BOYAmt
EOY$872,393,932EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$384,673,044BOYAmt
EOY$347,349,157EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$356,097,779BOYAmt
EOY$265,815,691EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,963,620,459BOYAmt
EOY$1,922,917,072EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,013,295,842BOYAmt
EOY$2,381,710,816EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$780,538,938BOYAmt
EOY$879,854,728EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$774,014,031BOYAmt
EOY$798,034,441EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,567,848,811BOYAmt
EOY$4,059,599,985EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,531,469,270BOYAmt
EOY$5,982,517,057EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$217,581,897ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$24,861,860NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$249,307,417OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$330,383,668CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$307,902,601CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$342,539,011CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$444,270,077CurrentTaxYearMinus1YearAmt
Current Tax Year$417,494,538CurrentTaxYearAmt
Total$1,842,589,895TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$330,383,668CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$307,902,601CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$342,539,011CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$444,270,077CurrentTaxYearMinus1YearAmt
Current Tax Year$417,494,538CurrentTaxYearAmt
Total$1,842,589,895TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$53,171,139SubstantialContributorsTotAmt
Public Support Total170$1,789,418,756PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,521,020CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,931,142CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,495,716CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,976,961CurrentTaxYearMinus1YearAmt
Current Tax Year$31,911,194CurrentTaxYearAmt
Total$140,836,033TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$262,601CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$264,130CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$270,120CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$4,277,019CurrentTaxYearMinus1YearAmt
Current Tax Year-$2,548,588CurrentTaxYearAmt
Total-$6,568,996TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,157,674CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,227,656CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,213,103CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,424,665CurrentTaxYearMinus1YearAmt
Current Tax Year$26,920,013CurrentTaxYearAmt
Total$138,943,111TotalAmt
FieldValueIRS element (for citing)
Total Support$2,115,800,043TotalSupportAmt
Gross Receipts Rltd Activities$6,319,234,649GrossReceiptsRltdActivitiesAmt
Public Support CY1700.84570PublicSupportCY170Pct
Public Support PY1700.84810PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Mailings Members$145,179MailingsMembersAmt
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$89,008GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$528,871DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$763,058TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1FormAndLineReferenceDesc
ExplanationChildren's Hospital is a section 501(c)(3) organization whose mission is fourfold - to provide the best possible pediatric health care, combining compassion with advanced technical capabilities; to be the leading source of research and discovery, seeking new approaches to the prevention, diagnosis, and treatment of childhood diseases; to educate the next generation of leadership in child health care; and to provide education and healthcare services to the community. In fulfillment of the above mission, the Hospital advocates on behalf of children and the providers who care for them at the State and Federal levels. Professional staff in the Hospital's Office of Government Relations direct these activities and coordinate the work of other Hospital staff who support the advocacy efforts on an intermittent basis. The Hospital has also sent correspondence to and met directly with Federal, State and local legislators and officials. The Hospital has also utilized a grassroots network of employees and friends to advocate on behalf of children's health issues. In Fiscal Year 2018, 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 2018 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 $5,119 - Kathryn Audette Children's Hospital personnel $77,508 - Katherine Ginnis Children's Hospital personnel $28,892 - Jamie Gaynes Children's Hospital personnel $55,910 - 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 $67,621 Total Lobbyist/Consultant Expenses = $528,871 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $145,179 Grant to Massachusetts Hospital Association for health care related lobbying - $89,008 TOTAL LOBBYING EXPENSES = $763,058 In addition to Children's Hospital Corporation's direct and listed lobbying expenses, Children's Hospital Corporation pays dues to certain membership organizations, a piece of which may be used by such organizations for lobbying activities on behalf of this institution and other similarly situated organizations. Total direct and indirect lobbying expenditures were minimal and not substantial based on revenues.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,134,782,000BeginningYearBalanceAmt
Contributions-$461,000ContributionsAmt
Investment Earnings Or Losses$32,789,000InvestmentEarningsOrLossesAmt
Other Expenditures$4,953,000OtherExpendituresAmt
End Year Balance$1,162,157,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,007,240,000BeginningYearBalanceAmt
Contributions$11,924,000ContributionsAmt
Investment Earnings Or Losses$152,501,000InvestmentEarningsOrLossesAmt
Other Expenditures$36,883,000OtherExpendituresAmt
End Year Balance$1,134,782,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$939,779,000BeginningYearBalanceAmt
Contributions$33,474,000ContributionsAmt
Investment Earnings Or Losses$77,339,000InvestmentEarningsOrLossesAmt
Other Expenditures$43,352,000OtherExpendituresAmt
End Year Balance$1,007,240,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,027,000BeginningYearBalanceAmt
Contributions$26,449,000ContributionsAmt
Investment Earnings Or Losses-$22,205,000InvestmentEarningsOrLossesAmt
Other Expenditures$40,492,000OtherExpendituresAmt
End Year Balance$939,779,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$894,984,000BeginningYearBalanceAmt
Contributions$47,069,000ContributionsAmt
Investment Earnings Or Losses$71,647,000InvestmentEarningsOrLossesAmt
Other Expenditures$37,673,000OtherExpendituresAmt
End Year Balance$976,027,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.57670BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.18630PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.23700TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,907,241,641OtherCostOrOtherBasisAmt
Depreciation$1,089,954,345DepreciationAmt
Book Value$817,287,296BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$823,325,497OtherCostOrOtherBasisAmt
Depreciation$692,086,697DepreciationAmt
Book Value$131,238,800BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$241,960,504OtherCostOrOtherBasisAmt
Depreciation$5,866,566DepreciationAmt
Book Value$236,093,938BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,197,239,382TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (98 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
3rd Pty External Administered Trusts$53,340,187F
Abrams Capital$26,749,744F
AKO European Long-Only Fund$22,385,778F
Bain Cap Distr & Special Situations$6,605,760F
Bain Capital Fund IX$1,335,350F
Bain Capital Fund X$2,417,241F
Bain Capital Venture Fund 2012$1,952,158F
Bain Capital Venture Fund 2014$4,742,109F
Baupost$69,240,741F
Brookside Capital$588,904F
Circulation, Inc.$54,055F
Commure, Inc.$414,999F
Convexity$17,227,379F
Costanoa Ventures III, LP$1,036,437F
Costanoa Ventures Opportunity Fund, L.P.$625,757F
Crosslink Crossover Fund VI$2,372,218F
Crosslink Crossover Fund VII$2,231,891F
Crosslink Ventures VIII-B, L.P.$15,115F
Davidson Kempner$64,844,677F
Deccan Value$30,080,778F
Deerfield Partners, LP$17,225,602F
Deerfield Private Design Fund IV$2,809,718F
Deerfield Special Situations Fund$3,738,782F
Dune Real Estate Fund III$4,121,341F
ECM Feeder Fund I$29,456,092F
Energy Capital Partners$3,008,093F
Energy Capital Partners III$6,090,429F
Fidelity Notes Payable$2,593,401F
Fine Points Capital II$21,669,168F
Flare Capital Partners I$2,369,482F
Gaoling Feeder, Ltd.$16,706,611F
Golden Gate Capital$16,405,668F
Highfields Capital$39,542,653F
Hillhouse Fund III$4,088,029F
Hillhouse Fund IV, L.P.$143,355F
Himalaya Capital Investors, L.P.$16,837,578F
HMI Capital Partners$32,781,073F
Holdco.Opp. Fund II$4,973,809F
ICHIGO Japan Fund B$18,895,630F
Insignia Ventures Partners Fund I L.P.$1,618,827F
JMC Capital I-B$5,883,623F
JMC Platform Fund II-B$1,821,319F
JVL Energy$22,625,948F
King Street$78,723,383F
Lone Star Fund IX$2,783,416F
Lone Star Fund VIII$1,645,988F
Matrix China II$8,061,901F
Matrix China III$8,719,610F
Matrix China IV$5,099,521F
Matrix India II$4,272,836F
Matrix Partners China V, L.P.$643,250F
Matrix Partners India III, LLC$194,576F
Matrix Partners X$1,966,617F
Matrix Partners XI, L.P.$300,875F
Maveron Equity Partners VI$1,935,111F
MIT Private Equity Fund$16,451,736F
Nalanda$19,590,474F
Morphic Holding, LLC$174,656F
Park West Investors Ltd$36,043,703F
Riverstone$1,819,444F
Rivulet Capital Offshore Fund, Ltd.$31,101,011F
Sankaty Credit Opport Fund IV$1,941,512F
Sequoia Capital Global Equities$15,102,316F
Sequoia Capital Global Growth Fund II$6,258,107F
Sequoia Capital India IV$5,241,084F
Sequoia Capital India V$2,976,735F
Sequoia Capital India VI$242,775F
Sequoia China Growth III$4,662,843F
Sequoia China Growth IV$4,235,160F
Sequoia China Venture Fund IV$1,160,209F
Sequoia China Venture Fund V$1,630,594F
Sequoia China Venture Fund VI$1,146,164F
Sequoia US Growth Fund VII$485,548F
Sequoia US Venture Fund XIV$2,110,711F
Sequoia US Venture Fund XV$1,007,864F
SequoiaUSGrowFund V$1,389,765F
SequoiaUSGrowFund VI$2,653,002F
Sequoia US GrowFund VII$2,305,755F
Sequoia Capital China Growth Fund V, L.P.$1,345,359F
Sequoia Capital China Seed Fund I, L.P.$65,363F
Sequoia Capital China Venture Fund VII, L.P.$324,520F
Sequoia Capital U.S. Venture Fund XVI, L.P.$127,820F
Somerset$17,377,892F
SPUR Ventures II$6,789,573F
Steadfast$22,525,363F
Taris Biomedical$4,669F
Tenfore Holdings Fund II, L.P.$1,230,915F
Underscore VC Fund I, LP$2,309,787F
Underscore. VC Fund II, L.P.$332,000F
Union Park Capital II L.P.$404,483F
Wellington - Emerging Small Cap$13,151,105F
Wellington - Energy$11,622,037F
Wellington EM Opportunities$34,046,764F
Wellington Spindrift$575F
Wellington Ultra Short Duration$81,401,527F
Westbrook IX$1,992,000F
Westbrook X$1,701,500F
Whale Rock Flagship Fund, LTD.$15,913,483F
FieldValueIRS element (for citing)
Total Book Value Securities$1,070,412,496TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Interest in the Net Assets of Children's Medical Center$2,718,178,610
Expected Insur Recoveries for Prof Liability Claims$38,201,922
Investment in Subsidiaries$34,871,189
CERNER Asset$16,949,161
Other Assets - Miscellaneous$16,628,556
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,824,829,438TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (10 entries)

DescDescAmtAmt
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue$18,457,536
Estimated Insured Professional Liability Losses$38,201,922
Salary & Other Benefits$1,994,406
Funds Held for Others$32,227,378
Reserve for Medical Malpractice$4,825,661
Other Liabilities - Miscellaneous$10,663,975
Lease Obligations$21,176,436
Interest Rate Swap Liability$98,407,824
Accrued Pension Cost$23,113,947
Cerner Contra Asset$16,746,606
FieldValueIRS element (for citing)
Total Liability$265,815,691TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The Children's Hospital's investment and spending policies for endowment assets are intended to provide a predictable stream of funding to support Children's Hospital's missions in pediatric patient care, education, research, and community programs. Part V, Line 1b: The Contribution line is comprised of Net Assets Reclassifications of $90,000, Prior year Audited Financial Statement restatement adjustment of -7,733,000 and Contributions of $7,182,000.
Part X, Line 2:There is no FIN48/ASC740 footnote in the organization's audited financial statements.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (11 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America & the Caribbean00Program ServicesPatient Care, Research & Education$28,940
East Asia & The Pacific00Program ServicesPatient Care, Research & Education$255,371
Europe00Program ServicesPatient Care, Research & Education$541,062
Middle East and North Africa -00Program ServicesPatient Care, Research & Education$56,533
North America00Program ServicesPatient Care, Research & Education$97,955
South America00Program ServicesPatient Care, Research & Education$49,418
South Asia00Program ServicesPatient Care, Research & Education$105,676
Sub-Saharan Africa00Program ServicesPatient Care, Research & Education$300,808
Central America & the Caribbean00Investment$458,208,272
Sub-Saharan Africa00Investment$32,518,481
Russia & the Newly Independent States -00Program ServicePatient Care, Research & Education$24,113
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$1,435,763SubtotalSpentAmt
Continuation Spent$490,750,866ContinuationSpentAmt
Total Spent$492,186,629TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott CountriesYes (1)BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.

Schedule G IRS990ScheduleG

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

Fundraiser Activity Info FundraiserActivityInfoGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
Chapman Cubine Adams & Hussey
2000 15th Street NorthArlingtonVA22201Direct Mail Counsel0$998,494$431,339$567,155
Charity Dynamics LLC
4031 Guadalupe StreetAustinTX78751Online Counsel0$721,575$258,954$462,621
Sarah Gardner
13 Smokey Hill RdWaylandMA01778Fundraising Counsel0$478,087$68,750$410,337
Bentz Whaley Flessner
7251 Ohms LaneMinneapolisMN55439Counsel/Reports0$0$144,148-$144,148
Connelly Partners LLC
46 Waltham StreetBostonMA02118Fundraising Counsel0$0$72,847-$72,847
Advizor Solutions Inc
1333 Butterfield Road Suite 400Downers GroveIL60515Fundraising Counsel0$0$49,308-$49,308
The Pursuant Group Inc
15660 Dallas Pkwy STE 1000DallasTX75248Fundraising Counsel0$0$106,007-$106,007
Gift Strategies LLC
1539 Fall River Ave Suite 3SeekonkMA02771Fundraising Counsel0$0$70,380-$70,380
Copper Reef Enterprises
6965 El Camino RealCarlsbadCA92009Fundraising Counsel0$0$58,500-$58,500
Market Street Research Inc
9 1/2 Market StreetNorthamptonMA01060Fundraising Counsel0$0$50,407-$50,407
FieldValueIRS element (for citing)
Total Gross Receipts$2,198,156TotalGrossReceiptsAmt
Total Retained By Contractors$1,310,640TotalRetainedByContractorsAmt
Total Net To Organization$888,516TotalNetToOrganizationAmt
Licensed StatesCTLicensedStatesCd
Licensed StatesRILicensedStatesCd
Licensed StatesNHLicensedStatesCd
Licensed StatesVTLicensedStatesCd
Licensed StatesMELicensedStatesCd
Licensed StatesFLLicensedStatesCd
Licensed StatesNYLicensedStatesCd
Licensed StatesNJLicensedStatesCd
Licensed StatesNVLicensedStatesCd
Licensed StatesMALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Dinner/AuctionEvent1Nm
Gross Receipts Event1$2,579,118GrossReceiptsEvent1Amt
Charitable Contri Event1$1,943,865CharitableContriEvent1Amt
Gross Revenue Event1$635,253GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$0RentFacilityCostsEvent1Amt
Food And Beverage Event1$259,489FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$616,350OtherDirectExpensesEvent1Amt
Event2Investment ConferenceEvent2Nm
Gross Receipts Event2$1,838,798GrossReceiptsEvent2Amt
Charitable Contri Event2$851,574CharitableContriEvent2Amt
Gross Revenue Event2$987,224GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$0NonCashPrizesEvent2Amt
Rent Facility Costs Event2$34,186RentFacilityCostsEvent2Amt
Food And Beverage Event2$101,172FoodAndBeverageEvent2Amt
Entertainment Event2$0EntertainmentEvent2Amt
Other Direct Expenses Event2$129,973OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$2,615,345GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$1,198,855CharitableContriOtherEventsAmt
Gross Revenue Other Events$1,416,490GrossRevenueOtherEventsAmt
Cash Prizes Other Events$0CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$0NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$67,578RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$258,198FoodAndBeverageOtherEventsAmt
Entertainment Other Events$8,035EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$833,775OthDirectExpnssOtherEventsAmt
Gross Receipts Total$7,033,261GrossReceiptsTotalAmt
Charitable Contributions Tot$3,994,294CharitableContributionsTotAmt
Gross Revenue Total Events$3,038,967GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$101,764RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$618,859FoodAndBeverageTotalEventsAmt
Entertainment Total Events$8,035EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$1,580,098OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$2,308,756DirectExpenseSummaryEventsAmt
Net Income Summary$730,211NetIncomeSummaryAmt
FieldValueIRS element (for citing)
Individual With BooksDoug Vanderslice CFO TreasurerIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

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

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,854,222TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,451,698DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,402,524NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$382,104,795TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$264,829,371DirectOffsettingRevenueAmt
Net Community Benefit Expns$117,275,424NetCommunityBenefitExpnsAmt
Total Expense0.06620TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$410,959,017TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$283,281,069DirectOffsettingRevenueAmt
Net Community Benefit Expns$127,677,948NetCommunityBenefitExpnsAmt
Total Expense0.07210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,030,073TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$219,975DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,810,098NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,420,709TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,209,593DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,211,116NetCommunityBenefitExpnsAmt
Total Expense0.01820TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,310,510TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,703,084DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,607,426NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$395,614,086TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$383,759,188DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,854,898NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,712,643TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,712,643NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$472,088,021TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$414,891,840DirectOffsettingRevenueAmt
Net Community Benefit Expns$57,196,181NetCommunityBenefitExpnsAmt
Total Expense0.03240TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$883,047,038TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$698,172,909DirectOffsettingRevenueAmt
Net Community Benefit Expns$184,874,129NetCommunityBenefitExpnsAmt
Total Expense0.10450TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs27ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,773,903TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,773,903NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Total Community Benefit Expns$657,266TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$657,266NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs38ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,431,169TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,431,169NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$6,294,653BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$9,678,311ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,816,677CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$138,366MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Boston Children's HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.childrenshospital.orgOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLchildrenshospital.org/about-us/community-mission/community-needs-assessmentStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.childrenshospital.org/financialassistanceFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.childrenshospital.org/financialassistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.childrenshospital.org/financialassistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Boston Children's HospitalPart V, Section B, Line 5: 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 HospitalPart V, Section B, Line 7d: A comprehensive report on Boston Children's CHNA is available on the hospital's website. In addition, a special report on the CHNA was created to share the process, top findings and Boston Children's plan to address community-identified concerns. The special report was distributed by mail and by email to key stakeholders and all external participants involved in the community process. Boston Children's also distributed the report widely to internal staff. The complete assessment and special report can be found on our website at Bostonchildrens.org/community
Boston Children's HospitalPart V, Section B, Line 11: Boston Children's addresses the health and social needs identified in a comprehensive community health assessment process through our clinical care, services and programs and in collaboration with community partners. Below is a summary of the needs identified and Boston Children's efforts. For the complete Community Health and Benefits Plan, visit bostonchildrens.org/community. Behavioral health and issues related to substance abuse- Offering training and education for school and health center staff- Providing education and direct services in schools and community health locations for children and families- Advocating for changes to improve systems of 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 HospitalPart V, Section B, Line 15e: The Financial Assistance Policy provides as follows:Patient/Parent will be referred to a Hospital Financial counselor for determination of eligibility for public assistance or Hospital financial assistance programs. For patients not qualifying for public assistance, information collected will be provided to the Director, Financial Clearance and Financial Counseling, for determination of eligibility in the Hospital Financial Assistance Program. Patients who potentially qualify for financial assistance will be approved by the Hospital Chief Financial Officer, 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 HospitalPart V, Section B, Line 16j: Children's takes the following additional steps to make patients aware of the availability of financial assitance:- Posting of signage in all patient care admission areas of the availability of financial assitance,- All billing correspondence includes language regarding the availability of financial assistance,- The Hospital web-site provides contact information for Hospital Financial Counselors who can help assist patients with applying for programs to cover medical expenses.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

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

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:Children's, based on its participation in the state of Massachusetts Health Safety Net, utilizes Federal Poverty Guidelines for determining eligibility for free care and discounted care to low income individuals. For purposes of discounted care, Children's offers discounts to individuals, regardless of income, who are uninsured and are ineligible for free care or other public programs.
Part I, Line 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 $31,375,695 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 FY18, Children's reported two types of community building activities: $1,773,903 for 27 community support programs and $657,266 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:"The provision for uncollectible accounts is 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 are reduced by an allowance for uncollectible accounts. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. 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 Trustees. 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-four person voluntary Board of Trustees. Twenty-one 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 4.5% spending rule in keeping with the industry standard of the responsible management of assets. Reserves are invested back into patient care, teaching, research, patient safety and quality initiatives, equipment, facilities, community benefits and to subsidize vital services that run a deficit.
Part VI, Line 6:Although Children's does not have true affiliates as defined by the IRS, it does have other affiliations. As the largest pediatric referral center in the region, Children's maintains a variety of relationships with community hospitals and other smaller pediatric programs throughout New England. These relationships include seven community hospitals in eastern Massachusetts where Children's physicians have formal arrangements to provide on-site emergency medicine, inpatient, neonatal and/or outpatient pediatric specialty services. Children's also owns and operates five outpatient facilities in Waltham, Lexington, Peabody, North Dartmouth and Jamaica Plain that offer access to pediatric specialty care in a wide array of subspecialties. Children's provides assistance to other pediatric facilities (Hasbro, RI, Dartmouth Hitchcock, NH, and Boston Medical Center) in the region through training, recruitment, consultations, on-site care and referrals for care that is not otherwise available.In addition, the Pediatric Physicians Organization at Children's brings together pediatricians, pediatric medical groups and pediatric specialists at Children's.
Part VI, Line 7, Reports Filed With StatesMA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (82 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
Health Resources In Action
622 Washington StreetDorchesterMA02124042229839501(c)(3)$14,501Community Partnership
Boston Public Health Commission
1010 Massachusetts AveBostonMA02118043316655115$295,686Community Partnership
Bowdoin Street Health Center Inc
230 Bowdoin StreetBostonMA02122042529788501(c)(3)$95,000Support of Community Health Center
Community Catalyst Inc
30 Winter Street 10th FloorBostonMA02108043355127501(c)(3)$50,000Advocacy Support
The Dimock Center
55 Dimock StreetRoxburyMA02119043487835501(c)(3)$111,000Community Partnership
Fenway Community Development Corporation
73 Hemenway StreetBostonMA02115042666507501(c)(3)$17,500Community Partnership
Project RIGHT
320 A Blue Hill AvenueDorchesterMA02121043265420501(c)(3)$10,000Advocacy Support
Community Service Care Inc
295 Center StreetJamaica PlainMA02130042754281501(c)(3)$20,000Community Partnership - JP Coalition
Mattapan Community Health Center
1425 Blue Hill AveMattapanMA02426042544151501(c)(3)$87,500Support of the Community Health Center
Sociedad Latina Inc
1530 Tremont StreetRoxburyMA02120042678255501(c)(3)$51,000Community Partnership
South Cove Community Health Center Inc
145 South StreetBostonMA02111042501818501(c)(3)$95,000Support of the Community Health Center
South End Community Health Center Inc
1601 Washington StreetBostonMA02118042456134501(c)(3)$157,500Support of the Community Health Center
Upham's Corner Community Center Inc
500 Columbia RoadDorchesterMA02125042708670501(c)(3)$70,000Support of the Community Health Center
Whittier Street Health Center Committee Inc
1125 Tremont StreetRoxburyMA02120042619517501(c)(3)$83,500Support of the Community Health Center
Nurtury Inc
95 Berkeley Street Suite 306BostonMA02116042105893501(c)(3)$10,000Community Partnership
Massachusetts League of Community Health Centers
40 Court Street 10th FloorBostonMA02108042507409501(c)(3)$5,000Community Partnership
The Hyde Square Task Force Inc
375 Centre StreetJamaica PlainMA02130043118543501(c)(3)$12,500Community Partnership
Action for Boston Community Development
178 Tremont StreetBostonMA02111042304133501(c)(3)$55,000Community Partnership
Massachusetts Public Health Association
101 Tremont StreetBostonMA02108042326503501(c)(3)$221,494Community Partnership
Smart from the Start Inc
68 Annunciation RoadBostonMA02120454952663501(c)(3)$19,000Community Partnership
Health Law Advocates
30 Winter Street 10th FloorBostonMA02108043298116501(c)(3)$15,000Advocacy Support
Mass Society for the Prevention of Cruelty to Children
3815 Washington Street Ste 2BostonMA02130042103596501(c)(3)$183,532Advocacy Support
Greater Boston Chamber of Commerce
265 Franklin Street 12th FloorBostonMA02110041103090501(c)(3)$10,000Community Partnership
Massachusetts Communities Action Network
50 Mt Vernon StreetBostonMA02125042863903501(c)(3)$2,500Community Partnership
Center for Comm Health Education Research & Service Inc
320 Huntington AvenueBostonMA02115043286409501(c)(3)$2,500Community Partnership
Express Yourself Inc
6 Ellis StreetPeabodyMA01960043294365501(c)(3)$2,000Community Partnership
Breakthrough Greater Boston
PO Box 381486CambridgeMA02238043307783501(c)(3)$2,500Community Partnership
NAACP Boston
30 Martin Luther King BoulevardRoxburyMA02119043574060501(c)(3)$2,000Massachusetts Voter Education
Boston Municipal Research Bureau
333 Washington StreetBostonMA02108222673755501(c)(3)$7,500Community Partnership
Mission Hill Neighborhood Housing Services
1620 Tremont StreetMission HillMA02120237428011501(c)(3)$1,000Community Partnership
WriteBoston
2300 Washington StreetRoxburyMA02119461255108501(c)(3)$2,500Community Partnership
Black Ministerial Alliance of Greater Boston
2010 Columbus AvenueBostonMA02119043499852501(c)(3)$2,500Community Partnership
Brigham and Women's Hospital Inc
3297 Washington StreetJamaica PlainMA02130042312909501(c)(3)$160,000Support of Community Health Center
City of Boston
City Hall PlazaBostonMA02201046001380115$1,451,473Community Partnership
Charles River Community Health Inc
287 Western AvenueAllstonMA02134237221597501(c)(3)$80,000Support of Community Health Center
Massachusetts Budget and Policy Center
15 Court Square Suite 700BostonMA02108042967537501(c)(3)$25,000Advocacy Support
Metropolitan Boston Housing Project
125 Lincoln Street 3rd FloorBostonMA02111042775991501(c)(3)$5,000Community Partnership
Urban Edge
1542 Columbus Avenue Suite 2RoxburyMA02119222483475501(c)(3)$1,000Community Partnership
Massachusetts Associtation for Mental Health
50 Federal Street 6th FloorBostonMA02110042104711501(c)(3)$15,000Advocacy Support
Massachusetts Health Council
200 Reservoir Road Suite 101NeedhamMA02494042296739501(c)(3)$5,000Community Partnership
Boston Center for Youth and Families
75 Newbury Street 3rd FlooeBostonMA02116042602576501(c)(3)$139,360Community Partnership
City LifeVida Urbana
PO Box 300107BostonMA02130042660311501(c)(3)$150,000Community Partnership
National Alliance on Mental Illness
529 Main Street Suite 1M17BostonMA02129042777012501(c)(3)$5,000Advocacy Support
Mission Hill Little League
PO Box 02120RoxburyMA02120043415069501(c)(3)$2,000Community Partnership
Family Nurturing Center of Massachusetts
200 Bowdoin StreetDorchesterMA02122311626186501(c)(3)$238,048Community Partnership
Family Independence Initiative
1201 Martin Luther King Jr WayOaklandCA94612020784790501(c)(3)$91,000Community PartnershipSuite 100
Friends of the Children
555 Armory StreetBostonMA02130201581289501(c)(3)$12,500Community Partnership
Associated Industries of Massachusetts
One Beacon Street 16th FloorBostonMA02108041045830501(c)(3)$3,000Advocacy Support
Waltham Boys & Girls Club
20 Exchange StreetWalthamMA02451042103927501(c)(3)$50,000Community Partnership
Boston Children's Museum
308 Congress StreetBostonMA02210042103993501(c)(3)$104,005Community Partnership
Third Sector New England Inc
89 South Street Suite 700BostonMA02110042261109501(c)(3)$319,277Community Partnership
The Community Builders Inc
185 Dartmouth StreetBostonMA02116042324773501(c)(3)$108,699Community Partnership
United Way of Massachusetts Bay Inc
51 Sleeper StreetBostonMA02210042382233501(c)(3)$99,706Community Partnership
Haley House Inc
23 Dartmouth StreetBostonMA02116042437845501(c)(3)$100,000Community Partnership
Massachusetts Housing Finance Agency
One Beacon StreetBostonMA02108042443980115$75,000Community Partnership
Youth Enrichment Services Inc
412 Massachusetts AvenueBostonMA02118042509466501(c)(3)$50,000Community Partnership
Chinatown People Progressive Association Inc
28 Ash StreetBostonMA02111042631569501(c)(3)$150,000Community Partnership
Jamaica Plain Neighborhood Development Corporation
31 Germania StreetJamaica PlainMA02130042652919501(c)(3)$225,000Community Partnership
Codman Square Health Center Inc
637 Washington StreetDorchesterMA02124042678774501(c)(3)$10,000Community Partnership
Massachusetts Association of Community Development Corporations
15 Court Square Suite 600BostonMA02108042759909501(c)(3)$10,000Community Partnership
Health Care for All Inc
One Federal Street 5th FloorBostonMA02110043071598501(c)(3)$120,000Community Partnership & Advocacy Support
Asian Women for Health
83 Wallace StreetSomervilleMA02144320390494501(c)(3)$1,000Community Partnership
The Food Project
10 Lewis StreetLincolnMA01773043262532501(c)(3)$10,000Community Partnership
Urban College of Boston
2 Boylston Street 2nd FloorBostonMA02116043403049501(c)(3)$150,000Community Partnership
Boston Housing Authority (Homestart)
52 Chauncy Street 7th FloorbostonMA02111046001907115$150,000Community Partnership
National Association of Social Workers Inc
14 Beacon Street Suite 409BostonMA02108135643515501(c)(3)$2,375Community Partnership & Advocacy Support
Boston Educational Development Foundation Inc
7 Palmer Street 2nd FloorRoxburyMA02119222514422501(c)(3)$153,511Community Partnership
Massachusetts Affordable Housing Alliance Inc
1803 Dorchester AvenueDorchesterMA02124223042637501(c)(3)$134,183Community Partnership
Walk Boston Inc
45 School StreetBostonMA02108223061699501(c)(3)$8,605Community Partnership
Boston Chinatown Neighborhood Center Inc
885 Washington StreetBostonMA02111237209691501(c)(3)$127,952Community Partnership
Conference of Boston Teaching Hospitals
11 Beacon Street Suite 710BostonMA02108263583138501(c)(3)$37,500Community Health Needs Assessment
Youth and Family Enrichment Services
1613 Blue Hill Avenue Suite 303MattapanMA02126050588064501(c)(3)$45,623Community Partnership
Boston's Higher Ground
384 Warren StreetRoxburyMA02119273660369501(c)(3)$150,000Community Partnership
Mothers for Justice and Equality Inc
2201 Washington StreetRoxburyMA02119453741482501(c)(3)$10,000Community Partnership
Commonwheels Inc
59 Aldie Street 1AllstonMA02134454645136501(c)(3)$49,530Community Partnership
Father's Uplift Inc
12 Southern AvenueBostonMA02124461407932501(c)(3)$10,000Community Partnership
Fresh Truck Inc
69 Shirley StreetBostonMA02119462848535501(c)(3)$1,000Community Partnership
Boston Debate League
566 Columbus AvenueBostonMA02118593789722501(c)(3)$10,000Community Partnership
Raising a Reader Massachusetts
3 School Street 3rd FloorBostonMA02108800297898501(c)(3)$145,000Community Partnership
The Family Exchange Inc
964 Parker Street 274Jamaica PlainMA02130814003528501(c)(3)$5,000Community Partnership
Playworks Education Energized
380 Washington SreetOaklandCA94607943251867501(c)(3)$50,000Community Partnership
Massachusetts Law Reform Institute Inc
99 Chauncy Street Suite 500BostonMA02111046004303501(c)(3)$10,000Advocacy Support
FieldValueIRS element (for citing)
Total501c3 Org78Total501c3OrgCnt
Total Other Org4TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (19 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
Sibylla Orth Young Fund for Student Aid18$34,000$0FMV
Nursing Education Scholarship Fund10$40,103$0FMV
Joshua T. Shairs Cardiology Fund2$2,000$0FMV
Family Resource Center Fund143$0$85,622FMVEducational Resources
Yawkey Family Inn Fund2279$0$607,344FMVHousing Assistance
Devon Nicole House Operating Fund1381$0$135,752FMVHousing Assistance
Pet Therapy Program Fund3338$0$104,000OtherTheurapeutic dog visits made to inpatients
Sandra & Geoffrey Fenwick Family Income Fund339$0$3,068FMVBereavement programs for families
Extraordinary Needs Fund II587$231,862$0FMV
Volunteer Department Fund5000$0$28,710FMVSupplies, Catering and Entertainment for Patients and Patient's families.
Broadway Sam Fund1286$0$30,136FMVTickets for Art and Entertainment Events
Family Services Fund3789$0$175,524FMVGreeting Cards and supplies for Adopt a Family Program & wellness supplies and services
Milagros Para las Family Fund500$0$62,247FMVTranslation services and program support for spanish speaking families.
Knez Family Fund for Patient Family Housing104$0$123,297FMVHousing Assistance
Barber Family Endowment Fund15$0$32,838FMVTeen Advisory Committee expenses
Live4Evan Fund for Patient Family Housing18$0$23,384FMVHousing Assistance
Hale Center for Families Endowment Operating Fund528$0$65,954FMVChild Life Specialist and art supplies.
Matthew Puffer Parking Fund25$2,000$0FMV
Jennings Family Fund3782$0$9,845FMVGift cards for food, toiletries, and craft supplies for patient families during communal program/events.

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationChildren's Hospital provides three types of grants and assistance: (1) Sponsorships, (2) Scholarships, and (3) Assistance Programs. SPONSORSHIPS: Children's supports external strategic partners that enhance Children's role and reputation as (1) a good neighbor; (2) community health partner; (3) civic leader; (4) and an employer of choice. The criteria for Children's funding decisions to the requesting organization are based on the following: 1. a non-profit that promotes careers in healthcare or health services and that Children's has collaborated, or is collaborating, with 2. a non-profit located in and serving Children's target neighborhoods (Fenway, Mission Hill, Jamaica Plain, Roxbury) that address social determinants of health and that Children's has collaborated, or is collaborating, with 3. one of Children's Hospital's affiliated community health centers 4. a citywide non-profit that is a strategic partner in one or more of the Children's primary community health focus areas (asthma, mental health, nutrition/fitness, violence prevention) and that Children's has collaborated, or is collaborating, with 5. a citywide non-profit that is a strategic partner in one or more of Children's secondary community health focus areas (early intervention, early childhood/elementary education,) that Children's has collaborated, or is collaborating, with 6. a business , civic, or advocacy strategic partner that senior management is actively engaged in 7. meets the IRS and the Massachusetts Attorney General's community support or community benefit criteria 8. meets the City of Boston eligibility as a "payment in lieu of taxes' investment Records and copies of sponsorship requests and the resulting grants are kept in paper form in the Office of Child Advocacy. All sponsorships requests are commonly for general operating support. All sponsorship is sent a letter that reiterates the stated use of the grant or assistance and with any Community Partnership Grants, representatives of Children's make site visits to many of the grantees and request end-of-year reports. SCHOLARSHIPS: Children's Hospital offers several scholarship programs to support the educational goals of its employees and/or their immediate families. The Sibylla Orth Young Scholarship is available to employees and their immediate families who have worked at least six months and meet income and grade point average guidelines as well as demonstration of sincere commitment to the healthcare profession. Priority will be given to those pursuing careers in healthcare positions experiencing labor shortages (e.g., radiographer, pharmacy technician, clinical lab technician, nursing). Sibylla Orth Young Scholarship applications are reviewed and maintained by the Office of Learning and Development selection committee. The Nursing Education Scholarship is available to deserving nurses to further his or her education in patient care 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 LimitsExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Laura J Wood DNP MS RN
CNO/Noncomp Trustee$426,563$0$92,987$0$80,746$0$21,600$0$25,507$0$647,403$0$0$0
Sandra Fenwick
CEO, Noncomp Trustee$1,092,965$0$775,000$0$501,931$0$27,000$0$49,509$0$2,446,405$0$0$0
Kevin Churchwell MD
President & COO/Noncomp Trustee$737,013$0$350,000$0$297,906$0$18,900$0$41,035$0$1,444,854$0$0$0
Doug Vanderslice
EVP, Treasurer & CFO$671,078$0$205,251$0$130,401$0$21,600$0$34,572$0$1,062,902$0$0$0
Bruce Balter
Asst Treasurer/Dir Corp Fin Svc$230,361$0$14,392$0$16,006$0$31,925$0$18,381$0$311,065$0$0$0
Michele Garvin Esq
General Counsel & Secretary$541,028$0$188,471$0$105,011$0$21,600$0$22,175$0$878,285$0$0$0
Demosthenes Argys
SVP, & Chief Administrative Officer$474,457$0$120,488$0$104,066$0$24,300$0$26,690$0$750,001$0$0$0
August Cervini
VP, Research Administration$273,707$0$48,787$0$45,845$0$18,900$0$23,805$0$411,044$0$0$0
Michael Gillespie
VP, Clinical Services$346,677$0$70,984$0$58,203$0$21,600$0$14,149$0$511,613$0$0$0
Cynthia Haines
SVP, International Services$410,921$0$91,563$0$75,293$0$21,600$0$26,155$0$625,532$0$0$0
Patricia Hickey PhD MBA RN NEA-BC
VP, Cardiovascular Services$325,282$0$28,271$0$27,754$0$32,400$0$6,837$0$420,544$0$0$0
Lisa Hogarty
SVP, RE Planning and Development$416,121$0$91,673$0$73,569$0$14,041$0$26,633$0$622,037$0$0$0
Daniel Nigrin MD
SVP & Chief Information Officer$442,997$0$98,010$0$81,453$0$24,300$0$22,493$0$669,253$0$0$0
Philip Rotner
Chief Investment Officer$642,026$0$854,937$0$125,161$0$21,600$0$29,957$0$1,673,681$0$0$0
Wendy Warring
SVP, Network Development$472,798$0$98,271$0$80,804$0$21,600$0$20,387$0$693,860$0$0$0
Nader Rifai PhD
Director, Chemistry$459,732$0$209,679$0$3,211$0$29,700$0$13,127$0$715,449$0$0$0
Lynn Susman
President, Children's Hospital Trust$430,910$0$202,895$0$76,404$0$27,000$0$30,510$0$767,719$0$0$0
Orah Platt MD
Chief, Lab Medicine$481,946$0$82,737$0$6,486$0$29,700$0$6,654$0$607,523$0$0$0
Martin Kelly
Director, Investments$340,520$0$431,064$0$832$0$21,600$0$18,152$0$812,168$0$0$0
Alison Svizzero
Director, Investments$316,247$0$391,877$0$291$0$18,900$0$1,572$0$728,887$0$0$0
James Mandell MD
Former CEO$0$0$0$0$106,194$0$0$0$0$0$106,194$0$0$0
Margaret Coughlin
Former SVP & Chief Marketing Officer$85,152$0$85,200$0$0$0$0$0$0$0$170,352$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Lines 4a-bFormAndLineReferenceDesc
ExplanationBoston Children's Hospital made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contribution amounts are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for employee benefits and not for Boston Children's Hospital Trustee or Officer of the Board services and/or responsibilities. Demosthenes Argys, received in 2017, a contribution of $54,296 August Cervini, received in 2017, a contribution of $24,374 Kevin Churchwell, received in 2017, a contribution of $119,010 Sandra Fenwick, received in 2017, a contribution of $460,300 Michele Garvin, received in 2017, a contribution of $70,566 Michael Gillespie, received in 2017, a contribution of $32,946 Cynthia Haines, received in 2017, a contribution of $45,991 Lisa Hogarty, received in 2017, a contribution of $34,275 Daniel Nigrin, received in 2017, a contribution of $57,150 Philip Rotner, received in 2017, a contribution of $101,431 Lynn Susman, received in 2017, a contribution of $49,881 Doug Vanderslice, received in 2017, a contribution of $83,736 Wendy Warring, received in 2017, a contribution of $53,552 Laura Wood, received in 2017, a contribution of $51,067 During Calendar Year 2017, the following individuals received supplemental executive retirement plan distributions: James Mandell, received in 2017, a distribution of $106,194 Charles Weinstein, received in 2017, a distribution of $316,119 During Calendar Year 2017, the following individual received severance payments: Margaret Coughlin, received in 2017, severance payments of $85,152ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MHEFA Revenue Bonds Series N
A04245601157586EUJ82010-05-13$341,590,000Refunded Series G, H, I, J & K000
MDFA Revenue Bonds Series O
B043431814NoneAvail2013-12-11$200,640,000Refunded Series L000
MDFA Revenue Bonds Series P
C04343181457583UK312014-05-21$136,685,000New bldg construction, reno. & capital equip000
MDFA Revenue Bonds Series Q
D043431814NoneAvail2014-07-11$50,255,000New building construction & renovations000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$341,590,000$339,564,138$2,025,8622010Yes (1)0Yes (1)Yes (1)
B$200,640,000$200,000,000$640,0002013Yes (1)0Yes (1)Yes (1)
C$151,753,430$1,753,430201300Yes (1)Yes (1)$150,000,000
D$50,255,000$255,000201600Yes (1)Yes (1)$50,000,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndBusiness Name Line2HedgeProviderName/BusinessNameLine2TxtTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Goldman Sachs
A000Yes (1)Yes (1)Yes (1)Mitsui Marine30.0000000000000000Yes (1)
Goldmn SachsBOA
B000Yes (1)Yes (1)Yes (1)30.0000000000000000Yes (1)
(no name)
C000Yes (1)0000Yes (1)
(no name)
D000Yes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: MHEFA, Revenue Bonds Series N Date the Rebate Computation was Performed: 09/30/2014 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: 09/30/2018ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$125,350,000$125,000,000$350,0002014Yes (1)0Yes (1)Yes (1)
B$134,703,799$511,2010Yes (1)Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Goldman Sachs Mitsu
A000Yes (1)Yes (1)Yes (1)30.0000000000000000Yes (1)
(no name)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$9,134NoncashContributionsRptF990Amt
Method Of Determining RevenuesMkt Value per DonorMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution104ContributionCnt
Noncash Contributions Rpt F990$23,043,987NoncashContributionsRptF990Amt
Method Of Determining RevenuesMean Value on Gift DateMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution18ContributionCnt
Noncash Contributions Rpt F990$3,910NoncashContributionsRptF990Amt
Method Of Determining RevenuesMkt Value per DonorMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Misc. Other47$105,063Mkt Value per Donor
Yes (X)Travel/Dining3$18,232Mkt Value per Donor
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation.
Form 990, Part VI, Section A, line 7aChildren's Medical Center Corporation is the sole Member of the Children's Hospital Corporation. The Children's Medical Center Corporation elects the governing body of Children's Hospital Corporation because the Board of Trustees of Children's Hospital Corporation must consist of the persons who serve from time to time as the trustees of The Children's Medical Center Corporation.
Form 990, Part VI, Section A, line 7bChildren's Medical Center Corporation is the sole Member of the Children's Hospital Corporation ("the Hospital"). As stated in the Hospital's By Laws, Children's Medical Center Corporation has the powers and rights: - to approve proposed operating and capital budgets of the Hospital; - to approve the sale of all or substantially all of the Hospital's assets; - 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 set executive compensation.
Form 990, Part VI, Section B, line 11bThe Form 990 tax return was prepared by the organization's staff and reviewed by management (including the 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 12cThe Hospital's conflict of interest policy applies to all trustees, Trust Board members, members of the medical staff and employees of the Hospital. Trustees, 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 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 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 has a financial interest or consultative role; and 4. does not permit such outside interests or activities to absorb such amounts of his time and effort as to make it impractical for him to fulfill his assigned responsibilities at the Hospital, Medical Center or Trust; and 5. does not permit such outside interests or activities to compromise or appear to compromise the name or reputation of the Hospital, Medical Center or Trust.
Form 990, Part VI, Section B, line 15The Hospital has a board level compensation committee that annually reviews and approves the compensation for the following individuals: Chief Executive Officer President & Chief Operating Officer Executive Vice President of Finance, IS & RE & Chief Financial Officer Senior Vice President & General Counsel Senior Vice President, Patient Care Services & Chief Nursing Officer Senior Vice President & Chief Administrative Officer Vice President, Research Administration President, Children's Hospital Trust Vice President, Government Relations Vice President & Chief Marketing Officer Senior Vice President & Chief Information Officer Vice President, Human Resources Vice President, Support Services Senior Vice President, Real Estate Planning & Development Chief Investment Officer Senior Vice President, Network Development & Strategic Partnerships Vice President, Clinical Services Senior Vice President, International Services The committee is comprised of members of the board who are not employed by the organization, and no member may participate in the review and approval of compensation if the member has a conflict of interest with respect to that compensation arrangement. The committee relies on data, provided by an independent compensation consultant, which includes comparable compensation for similarly qualified persons, in functionally comparable positions, at similarly situated organizations. The deliberations and decisions of the committee are documented in minutes of the meeting.
Form 990, Part VI, Section C, line 19The Hospital posts its Code of Conduct (which incorporates the Conflict of Interest Policy) and its Compliance Manual (which includes a summary of the Conflict of Interest Policy) on its external website and these are also available from the Compliance Office or the Office of General Counsel. Governing documents are not posted publicly but are available from the Hospital upon request and are also filed with the Massachusetts Secretary of State, where they are available to the public. Audited financial statements are filed annually with the Massachusetts Office of the Attorney General as part of the Hospital's Form PC filing and are available from the organization upon request. Quarterly financial statements are filed with the Hospital's bond trustee and are available to the public through the Electronic Municipal Market Access (EMMA) website maintained by the Municipal Securities Rulemaking Board.
Form 990, Part IX, line 11gPurchased Medical Services: Program service expenses 107,770,800. Management and general expenses 15,156,246. Fundraising expenses 0. Total expenses 122,927,046. Purchased Research Services: Program service expenses 45,168,125. Management and general expenses 0. Fundraising expenses 0. Total expenses 45,168,125. Consulting Services: Program service expenses 13,652,401. Management and general expenses 17,852,330. Fundraising expenses 514,145. Total expenses 32,018,876. Misc. Purchased Services: Program service expenses 20,571,417. Management and general expenses 10,298,922. Fundraising expenses 648,089. Total expenses 31,518,428. Nursing Agency Fees: Program service expenses 11,065,612. Management and general expenses 153,645. Fundraising expenses 0. Total expenses 11,219,257. Laundry Services: Program service expenses 2,300,794. Management and general expenses 72,091. Fundraising expenses 0. Total expenses 2,372,885. Security Services: Program service expenses 5,993,700. Management and general expenses 110,208. Fundraising expenses 0. Total expenses 6,103,908. Catering Fees: Program service expenses 927,073. Management and general expenses 232,183. Fundraising expenses 21,682. Total expenses 1,180,938. Collection Agency Fees: Program service expenses 0. Management and general expenses 1,903,966. Fundraising expenses 0. Total expenses 1,903,966. Temp Agency Fees: Program service expenses 2,387,401. Management and general expenses 2,050,035. Fundraising expenses 344,049. Total expenses 4,781,485. Ambulance Services: Program service expenses 82,557. Management and general expenses 0. Fundraising expenses 0. Total expenses 82,557. Environmental Services: Program service expenses 691,742. Management and general expenses 286,646. Fundraising expenses 0. Total expenses 978,388. Waste Disposal Services: Program service expenses 1,139,189. Management and general expenses 677,978. Fundraising expenses 0. Total expenses 1,817,167.
Form 990, Part XI, line 9:Net Transfers/Support from Children's Medical Center 175,343,553. Pension Adjustment 35,136,289. Other Adjustments 38,497,683. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others 329,892.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CarePlex LLC
300 Longwood AvenueBostonMA02115472258145InactiveMA$0$0Children's Medical Center Corp
Children's One Brookline Place LLC
300 Longwood AvenueBostonMA02115205850015Real Estate HoldingsMA$0$0Children's Hospital Corporation
Children's Brookline Place LLC
300 Longwood AvenueBostonMA02115261523020Real Estate HoldingsMA$0$0Children's Hospital Corporation
Children's Five Brookline Place LLC
300 Longwood AvenueBostonMA02115205850117Real Estate HoldingsMA$0$0Children's Hospital Corporation
BCH Washington Street LLC
300 Longwood AvenueBostonMA02115814382691Real Estate HoldingsMA-$3,236,135$45,523,344Children's Hospital Corporation
BCH Pearl Street LLC
300 Longwood AvenueBostonMA02115817393086Real Estate HoldingsMA$0$9,913,172Children's Hospital Corporation
BCH Brookline Ave LLC
300 Longwood AvenueBostonMA02115814457294Real Estate HoldingsMA$40,449$4,090,087Children's Hospital Corporation
Boston Children's Health International LLC
300 Longwood AvenueBostonMA02115814377341InactiveMA$0$0Children's Medical Center Corp
Children's Westland LLC
300 Longwood AvenueBostonMA02115262904847InactiveMA$0$0Longwood Research Institute
BCH 819 Beacon Street LLC
300 Longwood AvenueBostonMA02115814382691Real Estate HoldingsMA$1,060,101$9,488,108Longwood Research Institute
Children's Waltham Medical Center LLC
300 Longwood AvenueBostonMA02115202076874Real Estate HoldingsMA$0$0Children's Medical Center Corp
Boston Children's Health Accountable Care LLC
300 Longwood AvenueBostonMA02115300991601Accountable CareMA$0$0Children's Hospital Corporation
BCD Hospital Energy Collaborative LLC
300 Longwood AvenueBostonMA02115821711826Hospital EnergyMA$43,520,649$43,322,238Children's Hospital Corporation
Boston Children's Health Physicians LLP
300 Longwood AvenueBostonMA02115133956599HealthcareNY$153,164,220$53,090,391Children's Medical Center Corp

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Children's Medical Center Corporation
55 Shattuck StreetBostonMA02115041174680Holds & manages security, real estate investments for Children's HospitalMA501(c)(3)Line 12c, III-FIN/A0
Longwood Research Institute Inc
300 Longwood AvenueBostonMA02115042781368Medical & scientific research; holds real estate investmentsMA501(c)(3)Line 12c, III-FI0Children's Medical Center Corporation
CHB Properties Inc
300 Longwood AvenueBostonMA02115043323330Holds & manages satellite ambulatory centers; real estate investmentsMA501(c)(3)Line 100Children's Medical Center Corporation
Longwood Corporation
55 Shattuck StreetBostonMA02115042779882Holds & manages real estate investmentsMA501(c)(2)0Children's Medical Center Corporation
Physician's Organization at Children's Hospital Inc
300 Longwood AvenueBostonMA02115043266103Coord & develop integrated childhlth care system w/ affil membersMA501(c)(3)Line 12d, III-ON/A0
New England Congenital Cardiology Research Foundation
300 Longwood AvenueBostonMA02115800368043Improve patient safety & quality for children w/ heart diseaseMA501(c)(3)Line 7Yes (1)Children's Hospital Corporation
Children's Hospital League Corporation
300 Longwood AvenueBostonMA02115042780811FundraisingMA501(c)(3)Line 7Yes (1)Children's Hospital Corporation
Blood Research Institute Inc
300 Longwood AvenueBostonMA02115043136318Owning & Leasing Real EstateMA501(c)(3)Line 12c, III-FI0Children's Medical Center Corporation
Beth Israel Hospital and Children's Hospital Medical Corporation
300 Longwood AvenueBostonMA02115043200113Pediatric Health Care, Education & ResearchMA501(c)(3)Line 12b, IIN/A0
Dana-FarberChildren's Hospital Cancer Care Inc
450 Brookline Avenue BP418BostonMA02215043554536Joint program in pediatric oncologyMA501(c)(3)Line 12b, IIN/A0
New England Life Flight Inc
Hangar 1727 Hanscom AFBBedfordMA01730222582060Critical Care TransportMA501(c)(3)Line 12b, IIN/A0
Longwood Medical Energy Collaborative Inc
160 Longwood AvenueBostonMA02115043476764Energy Related InitiativesMA501(c)(3)Line 12a, IN/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Marketplace LaGuardia LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Wells AvenueAddressLine1Txt
CityNewtonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02459ZIPCd
FieldValueIRS element (for citing)
EIN200417454EIN
Primary ActivitiesInvestment in Marketplace LaGuardia LPPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Children's Hospital CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income Type5% InvestmentPredominantIncomeTypeTxt
Share Of Total Income-$588ShareOfTotalIncomeAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Longwood Associates IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 Shattuck StreetAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02115ZIPCd
FieldValueIRS element (for citing)
EIN042943755EIN
Primary ActivitiesProperty ManagementPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Children's Medical Center CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd