﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2012v2.1">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2014-08-15T07:47:14-05:00</Timestamp>
    <TaxPeriodEndDate>2013-09-30</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>263753134</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>CBIZ TOFIAS</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>500 BOYLSTON STREET</AddressLine1>
        <City>BOSTON</City>
        <State>MA</State>
        <ZIPCode>02116</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-10-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>222984590</EIN>
      <Name>
        <BusinessNameLine1>JOSLIN CLINIC INC</BusinessNameLine1>
      </Name>
      <NameControl>JOSL</NameControl>
      <Phone>6172265730</Phone>
      <USAddress>
        <AddressLine1>ONE JOSLIN PLACE</AddressLine1>
        <City>BOSTON</City>
        <State>MA</State>
        <ZIPCode>02215</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>JOHN L BROOKS III</Name>
      <Title>PRESIDENT AND CEO</Title>
      <Phone>6172265730</Phone>
      <DateSigned>2014-08-14</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>CRAIG KLEIN</Name>
      <PTIN>P00734640</PTIN>
      <Phone>6177610600</Phone>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>JOHN L BROOKS III</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>ONE JOSLIN PLACE</AddressLine1>
        <City>BOSTON</City>
        <State>MA</State>
        <ZIPCode>02215</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>25778891</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.JOSLIN.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1984</YearFormation>
      <StateLegalDomicile>MA</StateLegalDomicile>
      <ActivityOrMissionDescription>PATIENT CARE</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>3</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>1</NbrIndependentVotingMembers>
      <TotalNbrEmployees>0</TotalNbrEmployees>
      <TotalNbrVolunteers>1</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>5403458</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>6254622</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>20219310</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>19524269</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>0</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>0</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>63312</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>0</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>25686080</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>25778891</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>0</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>0</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>25686080</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>25778891</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>25686080</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>25778891</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>0</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>0</RevenuesLessExpensesCY>
      <TotalAssetsBOY>2540823</TotalAssetsBOY>
      <TotalAssetsEOY>2659233</TotalAssetsEOY>
      <TotalLiabilitiesBOY>3068170</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>2659233</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>-527347</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>0</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>PATIENT CARE</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>25778891</Expense>
      <Revenue>19524269</Revenue>
      <Description>PATIENT CARE: JOSLIN CLINIC HAS TREATED PATIENTS IN ITS SIXTEEN YEARS OF OPERATION. PATIENTS ARE TREATED ANNUALLY ON AN OUTPATIENT BASIS FOR SERVICES THAT INCLUDE ENDOCRINOLOGY, OPHTHALMOLOGY, NEPHROLOGY, PSYCHOSOCIAL SERVICES, NUTRITION, EXERCISE, PHYSIOLOGY AND OTHER. SEE THE COMMUNITY BENEFIT STATEMENT ON SCHEDULE O.</Description>
      <TotalProgramServiceExpense>25778891</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <SubjectToProxyTax>0</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">0</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">0</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">1</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>1</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">0</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>0</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <NumberOfEmployees>0</NumberOfEmployees>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <ExcessBusinessHoldings>0</ExcessBusinessHoldings>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>3</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>1</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>1</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>1</MembersOrStockholders>
      <ElectionOfBoardMembers>1</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>0</CompensationProcessCEO>
      <CompensationProcessOther>0</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>MA</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>TIMOTHY P GARLAND</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>6173095744</TelephoneNumber>
        <AddressUS>
          <AddressLine1>ONE JOSLIN PLACE</AddressLine1>
          <City>BOSTON</City>
          <State>MA</State>
          <ZIPCode>02215</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>ROSS J MARKELLO</NamePerson>
        <Title>CFO, TREASURER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>39.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>518809</ReportableCompFromRelatedOrgs>
        <OtherCompensation>47043</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANNE M LAGASSE</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>2.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN L BROOKS III</NamePerson>
        <Title>PRESIDENT AND CEO</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>39.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>715913</ReportableCompFromRelatedOrgs>
        <OtherCompensation>37894</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN C CHAPMAN</NamePerson>
        <Title>CLERK</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>39.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>284943</ReportableCompFromRelatedOrgs>
        <OtherCompensation>14583</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARTIN J ABRAHAMSON</NamePerson>
        <Title>MEDICAL DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>39.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>336503</ReportableCompFromRelatedOrgs>
        <OtherCompensation>49735</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARIA BUCKLEY</NamePerson>
        <Title>CLERK</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>39.00</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>112936</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5046</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>0</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>1969104</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>154301</TotalOtherCompensation>
      <NumberIndividualsGT100K>0</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>JOSLIN DIABETES CENTER INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>ONE JOSLIN PLACE</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>02215</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MANAGEMENT SERVICES</DescriptionOfServices>
        <Compensation>19413628</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>BETH ISRAEL DEACONESS MEDICAL CENTER</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>375 LONGWOOD AVE</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>02215</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CLINICAL SERVICES</DescriptionOfServices>
        <Compensation>940631</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>2</NumberOfContractorsGT100K>
      <RelatedOrganizations>6235072</RelatedOrganizations>
      <AllOtherContributions>19550</AllOtherContributions>
      <TotalContributions>6254622</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT CARE</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>14701170</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>14701170</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OFFSITE PATIENT CARE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>4684414</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4684414</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>RESEARCH STUDIES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>138685</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>138685</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>19524269</TotalProgramServiceRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>25778891</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>19524269</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalRevenue>
      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <FeesForServicesOther>
        <Total>25778891</Total>
        <ProgramServices>25778891</ProgramServices>
      </FeesForServicesOther>
      <TotalFunctionalExpenses>
        <Total>25778891</Total>
        <ProgramServices>25778891</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <AccountsReceivable>
        <BOY>1935022</BOY>
        <EOY>1307340</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>605801</BOY>
        <EOY>1351893</EOY>
      </PrepaidExpensesDeferredCharges>
      <TotalAssets>
        <BOY>2540823</BOY>
        <EOY>2659233</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>738588</BOY>
        <EOY>603353</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>2329582</BOY>
        <EOY>2055880</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>3068170</BOY>
        <EOY>2659233</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-527347</BOY>
        <EOY>0</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-527347</BOY>
        <EOY>0</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>2540823</BOY>
        <EOY>2659233</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>0</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>527347</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type1>X</SupportingOrg509a3Type1>
      <CertificationCheckbox>X</CertificationCheckbox>
      <ContribByControllingIndividual>0</ContribByControllingIndividual>
      <ContributionByRelatedParty>0</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>0</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>JOSLIN DIABETES CENTER INC</BusinessNameLine1>
        </Name>
        <EIN>042203836</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>1</SupportedOrganizationNotified>
        <OrganizedInUS>1</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>1</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>0</SumOfAmounts>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalOfBookValueLandBuildings>0</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>DUE TO JOSLIN DIABETES CENTER</Description>
        <Amount>2055880</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2055880</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>25778891</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>25778891</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>25778891</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>25778891</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>25778891</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>25778891</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>THE CLINIC HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS AN ORGANIZATION DESCRIBED IN INTERNAL REVENUE CODE (THE "CODE") SECTION 501(C)(3) AND, THEREFORE, IS EXEMPT FROM TAXATION ON RELATED INCOME UNDER SECTION 501(A) OF THE CODE. THE IRS HAS ALSO PREVIOUSLY DETERMINED THAT THIS ENTITY IS NOT A PRIVATE FOUNDATION PURSUANT TO SECTION 509(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePayment>1</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>ROSS J MARKELLO</NamePerson>
        <Title>CFO, TREASURER</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>468919</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>48000</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1890</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>19495</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>27548</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>565852</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN L BROOKS III</NamePerson>
        <Title>PRESIDENT AND CEO</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>657784</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>56700</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1429</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>37894</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>753807</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN C CHAPMAN</NamePerson>
        <Title>CLERK</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>199603</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>85340</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>14583</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>299526</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARTIN J ABRAHAMSON</NamePerson>
        <Title>MEDICAL DIRECTOR</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>304613</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>30000</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1890</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>19493</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>30242</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>386238</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4A</ReturnReference>
        <Explanation>JOHN C. CHAPMAN, $84,031 SEVERANCE</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>THE CLINIC'S TOP MANAGEMENT OFFICIAL AND TOP FINANCIAL OFFICIAL ARE COMPENSATED THROUGH ITS RELATED ORGANIZATION, JOSLIN DIABETES CENTER. THE FOLLOWING IS THE DISCLOSURE AS PRESENTED ON THE JOSLIN DIABETES CENTER'S FORM 990 REGARDING COMPENSATION FOR THE TOP OFFICERS AND THE CEO: EXECUTIVE COMPENSATION INCLUDES THE CEO AND THE SENIOR LEADERSHIP TEAM. PAY FOR THE CEO IS DETERMINED BY THE BOARD. THE HUMAN RESOURCE DEPARTMENT PROVIDES SURVEY DATA AS REQUESTED. SENIOR LEADERSHIP TEAM PAY IS DETERMINED BY THE CEO WITH SURVEY DATA PROVIDED BY HR. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD. IN ALL CASES, COMPENSATION IS DETERMINED BY INDEPENDENT PERSONS. INDIVIDUALS ARE PROHIBITED FROM ACTIVE PARTICIPATION IN ANY DECISIONS REGARDING THEIR OWN COMPENSATION.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>COMMUNITY BENEFIT STATEMENT</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A:</ReturnReference>
        <Explanation>JOSLIN CLINIC IS PART OF JOSLIN DIABETES CENTER, THE WORLD'S LARGEST DIABETES RESEARCH AND CLINICAL CARE ORGANIZATION. JOSLIN IS DEDICATED TO ENSURING THAT PEOPLE WITH DIABETES LIVE LONG, HEALTHY LIVES AND OFFERS REAL HOPE AND PROGRESS TOWARD DIABETES PREVENTION AND A CURE. JOSLIN IS AN INDEPENDENT, NONPROFIT INSTITUTION AFFILIATED WITH HARVARD MEDICAL SCHOOL. OUR MISSION IS TO PREVENT, TREAT AND CURE DIABETES. OUR VISION IS A WORLD FREE OF DIABETES AND ITS COMPLICATIONS. WE HAVE BEEN MEETING THE CHALLENGE OF DIABETES IN MASSACHUSETTS FOR 116 YEARS. DIABETES IN MASSACHUSETTS DIABETES AFFECTS MORE THAN 6.2% OF THE POPULATION IN MASSACHUSETTS. EACH PERSON WITH DIABETES IS AT HIGH RISK FOR DIABETES COMPLICATIONS WHICH ARE A DEVASTATING BURDEN TO PATIENTS, THEIR FAMILIES AND THE HEALTHCARE SYSTEM. THREE OUT OF FIVE PEOPLE WITH DIABETES HAVE AT LEAST ONE COMPLICATION, SUCH AS CARDIAC DISEASE, KIDNEY DISEASE, CIRCULATORY PROBLEMS, AND EYE DISEASE. OVER TIME, HIGH BLOOD GLUCOSE FROM POORLY CONTROLLED DIABETES CAN LEAD TO COMPLICATIONS SUCH AS NEUROPATHY (NERVE DAMAGE), NEPHROPATHY (KIDNEY DISEASE), AND RETINOPATHY (EYE DISEASE). DESPITE THE ADVANCES IN TREATMENTS FOR PATIENTS WITH DIABETES, THE DISEASE IS STILL THE LEADING CAUSE OF AMPUTATIONS AND PREVENTABLE VISION LOSS. THE IMPACT JOSLIN HAS IN PREVENTING DIABETES COMPLICATIONS IS SECOND TO NONE. EACH YEAR JOSLIN PROVIDES MORE THAN 22,000 PATIENTS (INCLUDING HALF OF THE CHILDREN WITH DIABETES IN MASSACHUSETTS, AND A QUARTER OR MORE OF THE KIDS WITH DIABETES IN NEW ENGLAND) WITH A COMPREHENSIVE SPECTRUM OF MULTI-DISCIPLINARY CARE FOR DIABETES AND ENDOCRINE DISORDERS. FOUNDED IN 1898 BY THE DIABETES PIONEER DR. ELLIOTT P. JOSLIN, AS THE FIRST CLINIC IN THE WORLD DEVOTED EXCLUSIVELY TO THE TREATMENT OF PEOPLE WITH DIABETES, JOSLIN CLINIC IS TODAY AN INDEPENDENT, NON-PROFIT INSTITUTION, AFFILIATED WITH THE HARVARD MEDICAL SCHOOL, AND CONTINUES TO BE THE WORLD'S MOST RESPECTED AND MOST INNOVATIVE DIABETES CARE FACILITY. DR. JOSLIN'S BELIEF THAT THE KEY TO MANAGING DIABETES LAY IN PATIENT INVOLVEMENT, EDUCATION AND EMPOWERMENT IS EMBODIED IN JOSLIN'S MODEL OF CARE: A MULTI-DISCIPLINARY PROGRAM THAT ENABLES PEOPLE WITH DIABETES TO LIVE LONG AND HEALTHY LIVES THROUGH STATE-OF-THE-ART MEDICAL CARE, SEQUENCED DIABETES EDUCATION, PERSONALIZED NUTRITION AND EXERCISE PRESCRIPTIONS, AND THE AGGRESSIVE PREVENTION AND MANAGEMENT OF COMPLICATIONS. JOSLIN CLINIC HAS MORE BOARD-CERTIFIED PHYSICIANS WHO ARE EXPERT IN TREATING ALL FORMS OF DIABETES AND ITS COMPLICATIONS THAN ANYWHERE IN THE WORLD. WE ALSO HAVE THE WORLD'S LARGEST STAFF OF CERTIFIED DIABETES EDUCATORS-NURSES, DIETITIANS, EXERCISE PHYSIOLOGISTS, NURSE PRACTITIONERS AND MENTAL HEALTH PROFESSIONALS. THE CARE PROVIDED BY THIS HIGHLY SPECIALIZED AND MULTI-SKILLED TEAM, EXPERT IN ALL FACETS OF DIABETES, INCLUDES ADULT AND PEDIATRIC DIABETES, KIDNEY DISEASE, MENTAL HEALTH AND PREGNANCY. THE BEETHAM EYE INSTITUTE DELIVERS THE WORLD'S FINEST DIABETES EYE CARE, AND TECHNIQUES PIONEERED AT THE BEETHAM HAVE PRESERVED THE VISION OF MORE THAN NINE MILLION PEOPLE AROUND THE GLOBE. OUR PATIENT EDUCATION PROGRAMS RANGE FROM DIABETES MANAGEMENT TO PUMP THERAPY TO WEIGHT CONTROL TO MENTAL HEALTH AND SUPPORT GROUPS. WE ADDRESS EVERY ASPECT OF DIABETES CARE, AND THE OUTCOMES FROM THE JOSLIN CARE MODEL ARE PROOF THAT WITHIN THE JOSLIN STANDARD OF CARE AND MANAGEMENT, COMPLICATIONS OF DIABETES CAN BE PREVENTED OR REVERSED. JOSLIN CLINIC CONSISTENTLY RANKS AMONG THE BEST IN THE CARE OF PATIENTS WITH DIABETES AS MEASURED BY NATIONAL QUALITY INDICATOR DATA COLLECTED BY AMERICAN DIABETES ASSOCIATION, NATIONAL COMMITTEE ON QUALITY ASSURANCE AND NUMEROUS PRIVATE AND FOR-PROFIT HEALTH DATA CONSORTIUMS, INCLUDING BRIDGES TO EXCELLENCE AND U.S. NEWS AND WORLD REPORT'S LIST OF THE NATION'S TOP ENDOCRINOLOGY PROVIDERS. PEDIATRIC HEALTH SERVICES IN ADDITION TO ADULT DIABETES CARE, JOSLIN CLINIC HAS A REPUTATION FOR PIONEERING CARE AND SUPPORT OF PEDIATRIC PATIENTS AND THEIR FAMILIES. OUR STAFF INCLUDES: - BOARD-CERTIFIED PEDIATRIC ENDOCRINOLOGISTS - PEDIATRIC NURSE PRACTITIONERS - PEDIATRIC DIABETES NURSE EDUCATORS - PEDIATRIC NUTRITIONISTS - CHILD PSYCHOLOGISTS AND SOCIAL WORKERS - CHILD LIFE SPECIALISTS - EXERCISE PHYSIOLOGISTS - CARE AMBASSADORS JOSLIN PEDIATRICS PROVIDES THE MOST DIABETES PATIENT AND FAMILY SUPPORT PROGRAMS ANYWHERE, INCLUDING GROUPS FOR FAMILIES WITH VERY YOUNG AND SCHOOL-AGE CHILDREN, AND FOR PARENTS OF TEENS WITH DIABETES; ONLINE DISCUSSION BOARDS FOR ADOLESCENTS AND THEIR PARENTS; AND MULTIPLE CLINICAL RESEARCH STUDIES EVALUATING THE NEWEST APPROACHES TO FAMILY-BASED CARE. IN ADDITION, JOSLIN HAS ONE OF THE LARGEST AND MOST EXPERIENCED PEDIATRIC INSULIN PUMP PROGRAMS IN THE WORLD. JOSLIN HAS A UNIQUE PROTOCOL FOR INTRODUCING INSULIN PUMP THERAPY FOR KIDS OF ALL AGES. JUMPSTART PROGRAM WHEN A CHILD OR TEEN IS DIAGNOSED WITH DIABETES, THE WHOLE FAMILY HAS A GREAT DEAL TO LEARN IN A SHORT TIME. JUMPSTART IS A JOSLIN PROGRAM DESIGNED TO MAKE THE PROCESS OF FITTING DIABETES INTO FAMILY LIFE MORE MANAGEABLE. THE GOAL IS TO MAKE SURE EVERY CHILD WITH TYPE 1 OR TYPE 2 DIABETES GETS OFF ON THE RIGHT TRACK. FROM RESEARCH WE KNOW THAT YOUNG PEOPLE WHO LEARN GOOD MANAGEMENT SKILLS EARLY ON ARE MORE LIKELY TO ENJOY A LIFETIME OF BETTER HEALTH. WE ASSIGN CHILDREN A TEAM OF PROFESSIONALS TO HELP THEM LEARN HOW TO MANAGE THEIR DIABETES. THIS INCLUDES A PHYSICIAN, NURSE, DIETITIAN AND A CARE AMBASSADOR, WHO IS IN REGULAR CONTACT. IN ADDITION TO FAMILY SUPPORT, JUMPSTART PROVIDES FINANCIAL ASSISTANCE TO PATIENTS WHO DO NOT HAVE INSURANCE, OR WHO MAY EXPERIENCED A LAPSE IN COVERAGE. A CHILD OR TEEN (AGE 18 OR UNDER) WHO HAS HAD DIABETES FOR LESS THAN TWO YEARS IS ELIGIBLE FOR THIS PROGRAM. ALSO ELIGIBLE ARE CHILDREN 18 OR UNDER WHO HAVE HAD DIABETES LONGER THAN TWO YEARS, BUT HAD NOT PREVIOUSLY RECEIVED CARE AT JOSLIN OR WHO HAVE FINANCIAL NEED. THIS PROGRAM IS ONLY AVAILABLE AT JOSLIN IN BOSTON. THE JUMPSTART PROGRAM INCLUDES: - CARE BY OUR PEDIATRIC ENDOCRINE SPECIALISTS - EDUCATION BY CERTIFIED DIABETES EDUCATORS - SERVICES OF A CARE AMBASSADOR TO HELP THE ENTIRE FAMILY WITH ANY DIABETES-RELATED ISSUES - ROUTINE LABORATORY WORK - ROUND-THE-CLOCK ACCESS TO THE HEALTHCARE TEAM - REGULAR COMMUNICATION WITH THE CHILD'S PRIMARY CARE PROVIDER - ACCESS TO OUR HEALTH SERVICES, INCLUDING EYE, KIDNEY AND MENTAL HEALTH SPECIALISTS - SPECIAL PROGRAMS, INCLUDING THE YOUNG CHILDREN AND THE SCHOOL AGE CHILDREN PROGRAMS AN OUTCOMES STUDY BY RESEARCHERS AT JOSLIN SHOWED THAT ADDING A CASE MANAGER--OR A "CARE AMBASSADOR"--TO KEEP IN TOUCH WITH THE CHILD AND THE FAMILY BETWEEN MEDICAL VISITS, TO HELP COORDINATE THE CHILD'S DIABETES CARE AND TO PROVIDE ADDITIONAL EDUCATIONAL SERVICES, CAN MAKE A SIGNIFICANT DIFFERENCE IN HELPING THE CHILD AND THE FAMILY CONTROL BLOOD GLUCOSE LEVELS. THOSE STUDIED ALSO CAME FOR MORE CLINIC APPOINTMENTS, HAD FEWER EPISODES OF SEVERE HYPOGLYCEMIA (LOW BLOOD GLUCOSE) AND FEWER EMERGENCY ROOM VISITS OR HOSPITALIZATIONS. THE CARE AMBASSADOR COORDINATES EFFORTS WITH THE JOSLIN HEALTHCARE TEAM-INCLUDING THE DOCTOR, NURSE, DIETITIAN AND MENTAL HEALTH PROFESSIONAL-TO MAKE SURE THE CHILD AND THE FAMILY ARE GETTING THE HELP AND SUPPORT THEY NEED. JOSLIN DIABETES EDUCATION PROGRAM FOR SCHOOL NURSES IN CONJUNCTION WITH THE AMERICAN DIABETES ASSOCIATION, JOSLIN DIABETES CENTER HAS DESIGNED A ONE-DAY PROGRAM TO UPDATE SCHOOL NURSES. SCHOOL NURSES WHO PARTICIPATE RECEIVE CONTINUING EDUCATION CREDIT. THE PROGRAM INCLUDES INFORMATION ON THE FOLLOWING: - ETIOLOGY AND PATHOPHYSIOLOGY OF TYPE 1 DIABETES AND TYPE 2 DIABETES. - CURRENT DIABETES TREATMENT PLANS, INCLUDING A DISCUSSION ABOUT INSULIN PUMP THERAPY AND THE LATEST TECHNOLOGIES IN BLOOD GLUCOSE MONITORING AND INSULIN DELIVERY. - SCHOOL PLANNING: DIABETES HEALTH CARE PLANS, 504 FORMS AND IEPS. - STUDENT MEAL PLANS, ALONG WITH A DISCUSSION ABOUT OBESITY, PHYSICAL ACTIVITY AND NUTRITION IN SCHOOLS. - THE ROLE OF SCHOOL NURSES IN HELPING FAMILIES LIVE WITH DIABETES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>COMMUNITY OUTREACH PROGRAM JOSLIN CLINIC HAS A ROBUST COMMUNITY OUTREACH PROGRAM THAT PROVIDES CULTURALLY APPROPRIATE AND BILINGUAL DIABETES EDUCATION AND SCREENING TO BOSTON'S DIVERSE ETHNIC COMMUNITIES THROUGH OUR LATINO DIABETES INITIATIVE AND THE ASIAN AMERICAN DIABETES INITIATIVE. THE CLINIC IS ALSO WORKING WITH THE MAYOR'S OFFICE TO DEVELOP PROGRAMS TO REDUCE AND PREVENT OBESITY IN THE CITY'S SCHOOLS. IN ADDITION, JOSLIN HAS BEGUN WORK WITH THE YMCA TO PROVIDE PROGRAMS IN THE COMMUNITY TO ADDRESS WEIGHT LOSS AND DIABETES MANAGEMENT. MULTI-CULTURAL HEALTH SERVICES AFRICAN AMERICANS, LATINOS, AND ASIAN AMERICANS DEVELOP DIABETES AT MUCH HIGHER RATES THAN THE GENERAL POPULATION. LEARNING TO MANAGE A DISEASE LIKE DIABETES IS HARD ENOUGH. BUT IF YOUR PRIMARY LANGUAGE IS NOT ENGLISH OR YOU COME FROM A DIFFERENT CULTURE, YOU FACE EVEN GREATER HURDLES TO GETTING GOOD CARE. JOSLIN HAS DEVELOPED THREE HIGHLY SUCCESSFUL INITIATIVES THAT PROVIDE SPECIALLY DESIGNED SERVICES FOR THESE POPULATIONS. LATINO DIABETES INITIATIVE LATINOS ARE THE FASTEST GROWING AND LARGEST MINORITY GROUP IN THE UNITED STATES. THEIR RISK OF DEVELOPING DIABETES IS ONE AND A HALF TIMES GREATER THAN NON-LATINO WHITE AMERICANS. THEY ALSO HAVE A GREATER CHANCE OF DEVELOPING COMPLICATIONS. JOSLIN'S LATINO DIABETES INITIATIVE IS DESIGNED TO IMPROVE HEALTH OUTCOMES IN ADULT LATINOS WITH DIABETES OR AT RISK FOR THE DISEASE THROUGH CULTURALLY AND LINGUISTICALLY APPROPRIATE CLINICAL AND EDUCATIONAL SERVICES. THE INITIATIVE CONSISTS OF FOUR MAIN COMPONENTS: 1) PATIENT CARE AND EDUCATION; 2) COMMUNITY OUTREACH; 3) PROVIDER EDUCATION; AND 4) CLINICAL RESEARCH. THROUGH JOSLIN'S LATINO CLINIC, A MULTI-DISCIPLINARY CLINICAL AND ADMINISTRATIVE TEAM OFFERS SERVICES IN SPANISH TO LATINO PATIENTS. WE PROVIDE ONE-ON-ONE APPOINTMENTS, GROUP EDUCATION CLASSES, SUPPORT GROUPS AND A DIABETES AND PREGNANCY CLINIC. ACTIVITIES INCLUDE ADAPTATION, TRANSLATION AND DEVELOPMENT OF PATIENT EDUCATION CURRICULA AND MATERIALS, THE IMPLEMENTATION OF GROUP CLASSES IN SPANISH, AS WELL AS A WEEKLY SUPPORT GROUP AND A LATINO DIABETES WEB SITE. THE INITIATIVE DEVELOPED A UNIQUE PATIENT TOOL SPECIFICALLY FOR LOW HEALTH LITERACY PATIENTS. ROSA'S STORY IS AN AUDIO-CD WITH AN ACCOMPANYING PATIENT HANDBOOK THAT PRESENTS THE STORY OF ROSA, A 53-YEAR-OLD LATINA WITH DIABETES. IN ADDITION TO TEACHING THE BASIC ASPECTS OF DIABETES CARE AND PREVENTION, ROSA'S STORY ALSO AIMS TO ADDRESS COMMON MYTHS AND PERCEPTIONS ABOUT DIABETES WITHIN THE LATINO POPULATION THAT MAY AFFECT DIABETES CARE. ASIAN AMERICAN DIABETES INITIATIVE DIABETES DISPROPORTIONATELY AFFECTS ASIAN AMERICANS WHO ARE TWO TIMES MORE LIKELY TO DEVELOP THE DISEASE THAN THE REST OF THE POPULATION. THE ASIAN AMERICAN DIABETES INITIATIVE WAS ESTABLISHED IN 2000 BY JOSLIN CHIEF SCIENTIFIC OFFICER GEORGE L. KING, M.D., AND FRIENDS OF JOSLIN DIABETES CENTER IN RECOGNITION OF THE GROWING CHALLENGE OF DIABETES IN ASIAN AMERICANS. THE INITIATIVE'S GOALS ARE: - TO STUDY DIABETES IN THE ASIAN AMERICAN POPULATION AND DISSEMINATE JOSLIN'S RESEARCH FINDINGS TO HEALTHCARE PROVIDERS AND ASIAN AMERICAN COMMUNITIES. - TO INCREASE DIABETES AWARENESS THROUGH INNOVATIVE AND CULTURALLY APPROPRIATE EDUCATIONAL MATERIALS. - TO DESIGN AND IMPLEMENT CLINICAL TREATMENT PROGRAMS FOR ASIAN AMERICANS. JOSLIN'S ASIAN CLINIC INTEGRATES JOSLIN CLINIC'S EXCEPTIONAL PATIENT CARE AND EDUCATION APPROACH WITH A FOCUS ON NUTRITION THERAPY. JOSLIN'S ASIAN CLINIC PROVIDES ONE-ON-ONE APPOINTMENTS WITH PHYSICIANS AND A DIETITIAN/DIABETES EDUCATOR WHO ARE CULTURALLY SENSITIVE TO THE ASIAN AMERICAN POPULATION. WE OFFER DIABETES CARE THROUGH A TEAM OF ENDOCRINOLOGISTS, AN OPHTHALMOLOGIST, AN OPTOMETRIST, A REGISTERED DIETITIAN, A CARE AMBASSADOR AND A MEDICAL ASSISTANT. THE CARE AMBASSADOR SERVES AS A COORDINATOR WHO MAKES PATIENT APPOINTMENTS, HANDLES PRESCRIPTIONS AND SERVES AS A LIAISON FOR PATIENTS WITH JOSLIN CLINIC. OUR CARE PROVIDERS AND COORDINATOR SPEAK CHINESE (CANTONESE AND MANDARIN), VIETNAMESE AND HINDI. BLACK DIABETES INITIATIVE THE RATE OF DIABETES AMOUNG NON-HISPANIC BLACKS IS 12.6%, A SIGNIFICANTLY HIGHER RATE THAN THE REST OF THE POPULATION IN MASSACHUSETTS. IN 2012, JOSLIN LAUNCHED THE BLACK DIABETES INITIATIVE WITH MATTAPAN COMMUNITY HEALTH CENTER AS OUR FIRST COMMUNITY PARTNER. THIS PAST YEAR, WITH GENEROUS SUPPORT FROM SEVERAL SOURCES, THE BDI HAS WORKED WITH THE HEALTH CENTER TO IMPLEMENT THE JOSLIN VISION NETWORK, ENABLING PATIENTS TO HAVE RETINAL SCREENING ON SITE TO IDENTIFY SIGHT-THREATENING EYE DISEASE. THE BDI ALSO PARTICIPATES IN THE ANNUAL COMMUNITY HEALTH REVIVAL IN MATTAPAN. LAST YEAR, 55 PEOPLE WERE SCREENED FOR DIABETES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>PURSUANT TO A SERVICES AGREEMENT, JOSLIN DIABETES CENTER, INC. IS SUPERVISING, DIRECTING AND CONTROLLING THE DAY-TO-DAY BUSINESS ACTIVITIES, MANAGEMENT, ADMINISTRATION, AND OPERATION OF JOSLIN CLINIC, INC.'S BUSINESS AND ASSETS. JOSLIN CLINIC, INC. IS A SUPPORTING ORGANIZATION OF JOSLIN DIABETES CENTER, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>JOSLIN CLINIC, INC. HAS ONE CORPORATE MEMBER, JOSLIN DIABETES CENTER, INC. ("THE CENTER").</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>JOSLIN CLINIC, INC. HAS ONE CORPORATE MEMBER, JOSLIN DIABETES CENTER, INC. ("THE CENTER").</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS REVIEWED BY MEMBERS OF THE FISCAL SERVICES DEPARTMENT FOR COMPLETENESS AND ACCURACY. A COPY OF THE FORM AS IT WILL BE FILED WITH THE INTERNAL REVENUE SERVICE WILL BE E-MAILED TO THE BOARD OF DIRECTORS PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE GENERAL COUNSEL'S OFFICE DISTRIBUTES AN ANNUAL DISCLOSURE FORM TO ALL OFFICERS, TRUSTEES AND EMPLOYEES ANNUALLY. THE INFORMATION DISCLOSED IS REVIEWED BY THE GENERAL COUNSEL AND, IF A POTENTIAL CONFLICT EXISTS, BY THE COMMITTEE AS DEFINED BELOW. THE DISCLOSURE FORMS OF THE VICE PRESIDENTS WILL BE REVIEWED BY THE GENERAL COUNSEL AND THE PRESIDENT, THE DISCLOSURE FORM OF THE PRESIDENT WILL BE BE REVIEWED BY THE GENERAL COUNSEL AND THE CHAIR OF THE BOARD. IF A POTENTIAL CONFLICT IS FOUND TO EXIST, THE INDIVIDUAL SHALL REFRAIN FROM ACTIVE PARTICIPATION IN ANY DECISION CONCERNING THE MATTER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE FORM 990 AND THE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW AT THE FISCAL SERVICES OFFICE AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. THEY ARE ALSO AVAILABLE IN AN ELECTRONIC FORMAT UPON REQUEST. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND THE WHISTLEBLOWER POLICY ARE AVAILABLE FOR REVIEW AT THE OFFICE OF THE GENERAL COUNSEL OR IN AN ELECTRONIC FORMAT UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B:</ReturnReference>
        <Explanation>JOSLIN CLINIC DOES NOT DIRECTLY COMPENSATE ITS CEO OR ANY OF ITS OTHER OFFICERS. COMPENSATION FOR THESE INDIVIDUALS IS SET BY THE JOSLIN DIABETES CENTER ("THE CENTER") FOLLOWING THE PROCEDURES OF THE CENTER AS OUTLINED BELOW: EXECUTIVE COMPENSATION INCLUDES THE CEO AND THE SENIOR LEADERSHIP TEAM. PAY FOR THE CEO IS DETERMINED BY THE BOARD. THE HUMAN RESOURCE DEPARTMENT PROVIDES SURVEY DATA AS REQUESTED. SENIOR LEADERSHIP TEAM PAY IS DETERMINED BY THE CEO WITH SURVEY DATA PROVIDED BY HR. EXECUTIVE COMPENSATION IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD. IN ALL CASES, COMPENSATION IS DETERMINED BY INDEPENDENT PERSONS. INDIVIDUALS ARE PROHIBITED FROM ACTIVE PARTICIPATION IN ANY DECISIONS REGARDING THEIR OWN COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>EXISTENCE OF POLICIES</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B:</ReturnReference>
        <Explanation>THE CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY AND DOCUMENT RETENTION POLICY FOR THE JOSLIN DIABETES CENTER ARE IN EFFECT FOR, AND GOVERN, THE JOSLIN CLINIC. REGULAR AND CONSISTENT MONITORING AND ENFORCEMENT OF COMPLIANCE WITH THESE POLICIES ARE MANAGED BY THE JOSLIN DIABETES CENTER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>SERVICE AGREEMENTS: PROGRAM SERVICE EXPENSES 20,354,259. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,354,259. SPACE LEASE COSTS: PROGRAM SERVICE EXPENSES 5,424,632. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,424,632.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9:</ReturnReference>
        <Explanation>TRANSFER OF NET ASSETS FROM RELATED PARTY 527,347.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JOSLIN DIABETES CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE JOSLIN PLACE</AddressLine1>
          <City>BOSTON</City>
          <State>MA</State>
          <ZIPCode>022155306</ZIPCode>
        </AddressUS>
        <EIN>042203836</EIN>
        <PrimaryActivities>DIABETES CLINIC</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JOSLIN TECHNOLOGIES LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE JOSLIN PLACE</AddressLine1>
          <City>BOSTON</City>
          <State>MA</State>
          <ZIPCode>022155306</ZIPCode>
        </AddressUS>
        <EIN>364695829</EIN>
        <PrimaryActivities>MEDICAL RESEARCH</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>JOSLIN DIABETES CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>