FRANCISCAN CHILDREN HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- FRANCISCAN CHILDREN HOSPITAL (EIN 04-2156082)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-07-30
- IRS object ID
- 202142119349300619
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
- Reasonable Cause Explanation
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-07-30T15:27:16-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042156082 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANCISCAN HOSPITAL FOR CHILDREN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FRAN | BusinessNameControlTxt |
| Phone | 6172543800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 WARREN STREET | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02135 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BOB CROSBY | PersonNm |
| Person Title | CFO & TREASURER | PersonTitleTxt |
| Phone | 6177791225 | PhoneNum |
| Signature | 2021-07-30 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN NASH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 WARREN STREET | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02135 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $67,625,079 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | FRANCISCANCHILDRENS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | FRANCISCAN HOSPITAL FOR CHILDREN, INC. IS A CHARITABLE ORGANIZATION DELIVERING MEDICAL AND EDCATIONAL SERVICES TO CHILDREN AND ADOLESCENTS WITH SPECIAL NEEDS. (CONTINUED ON SCH O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 922 | TotalEmployeeCnt |
| Total Volunteers | 70 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,406,407 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,414,614 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $60,444,892 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,725,132 | CYProgramServiceRevenueAmt |
| PY Investment Income | $99,791 | PYInvestmentIncomeAmt |
| CY Investment Income | $110,127 | CYInvestmentIncomeAmt |
| PY Other Revenue | $408,580 | PYOtherRevenueAmt |
| CY Other Revenue | $195,343 | CYOtherRevenueAmt |
| PY Total Revenue | $64,359,670 | PYTotalRevenueAmt |
| CY Total Revenue | $67,445,216 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,692,671 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,655,720 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $29,750 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,304,847 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,684,887 | PYOtherExpensesAmt |
| CY Other Expenses | $19,488,560 | CYOtherExpensesAmt |
| PY Total Expenses | $59,407,308 | PYTotalExpensesAmt |
| CY Total Expenses | $64,144,280 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,952,362 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,300,936 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $54,019,619 | TotalAssetsBOYAmt |
| Total Assets EOY | $76,034,183 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,571,971 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $39,950,486 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,447,648 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $36,083,697 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE A COMPASSIONATE AND POSITIVE ENVIRONMENT WHERE CHILDREN WITH MEDICAL, MENTAL HEALTH AND EDUCATIONAL NEEDS RECEIVE SPECIALIZED CARE FROM PEOPLE WHO ARE COMMITTED TO EXCELLENCE, INNOVATION AND FAMILY SUPPORT. SO THAT CHILDREN CAN REACH THEIR FULLEST POTENTIAL AND LIVE THEIR BEST LIFE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $32,336,646 | ExpenseAmt |
| Revenue | $38,885,286 | RevenueAmt |
| Desc | INPATIENT SERVICES: DELIVERY OF MEDICAL, MENTAL HEALTH, EDUCATIONAL AND OTHER SERVICES TO A SPECIAL NEEDS PEDIATRIC POPULATION IN EASTERN MASSACHUSETTS. FRANCISCAN CHILDREN'S HOSPITAL HAD 984 ADMISSIONS AND 27,777 PATIENT DAYS DURING FY 2020. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,561,787 | ExpenseAmt |
| Revenue | $18,839,846 | RevenueAmt |
| Desc | OUTPAIENT SERVICES: DELIVERY OF MEDICAL, MENTAL HEALTH, EDUCATIONAL AND OTHER SERVICES TO A SPECIAL NEEDS PEDIATRIC POPULATION IN EASTERN MASSACHUSETTS. FRANCISCAN CHILDREN'S HOSPITAL HAD 26,989 CLINICAL OUTPATIENT,REHABILITATION, BEHAVIORAL AND SURGICAL VISITS DURING FY 2020. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $49,898,433 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 58 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 922 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BOB CROSBY | PersonNm |
| Phone | 6172543800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 WARREN STREET | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02135 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN NASH | |||||||||
| CEO | 40.00 | Yes (X) | $592,763 | $0 | $15,338 | ||||
| JANE O'BRIEN | |||||||||
| CHIEF MEDICA | 40.00 | $328,675 | $0 | $17,121 | Yes (X) | ||||
| CATHERINE MILLER | |||||||||
| PHYSICIAN | 40.00 | $317,257 | $0 | $16,571 | Yes (X) | ||||
| KIMBERLEY W LUBIN | |||||||||
| VP DEVELOPME | 40.00 | $299,176 | $0 | $17,121 | Yes (X) | ||||
| DAVID LESLIE | |||||||||
| PHYSICIAN | 40.00 | $290,241 | $0 | $17,121 | Yes (X) | ||||
| CHARLES KENDRICK | |||||||||
| PHYSICIAN | 40.00 | $283,733 | $0 | $11,325 | Yes (X) | ||||
| AIMEE CAREW LYONS | |||||||||
| COO/CNO/VP P | 40.00 | $276,934 | $0 | $17,121 | Yes (X) | ||||
| ELISABETH G SCHAINKER | |||||||||
| ASSOCIATE CM | 40.00 | $270,790 | $0 | $0 | Yes (X) | ||||
| CLIFFORD BIERMAN | |||||||||
| PHYSICIAN | 40.00 | $250,897 | $0 | $16,571 | Yes (X) | ||||
| JENNIFER L FEXIS | |||||||||
| VP PERFORMAN | 40.00 | $206,888 | $0 | $17,431 | Yes (X) | ||||
| THOMAS M O'BRIEN | |||||||||
| CORPORATE CO | 40.00 | $195,391 | $0 | $17,121 | Yes (X) | ||||
| JEFFREY FORMAN | |||||||||
| PHYSICIAN | $155,072 | $0 | $10,536 | Yes (X) | |||||
| BOB CROSBY | |||||||||
| CFO & TREASU | 40.00 | Yes (X) | $116,793 | $0 | $4,791 | ||||
| DOUGLAS C CHAMBERLAIN CFA | |||||||||
| CLERK | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| ROBERT B NEEDHAM CFA | |||||||||
| VICE CHAIR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| JONATHAN DESIMONE | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| JOAN E STIFF ESQ | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| PAUL M KANE ESQ | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| SR ALINE GIROUX FMM | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| SR ANNE TURBINI FMM | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| SR LOIS ANN PEREIRA FMM | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| TIMOTHY J FALLON | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| ANDY HOAR | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| WENDOLY ORTIZ LANGLOIS | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| JOHN E LARSEN | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| JANE L LUNDQUIST | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| JOESPH MITCHELL MD | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| DR JAMES MANDELL | |||||||||
| CHAIRMAN | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| DOMINIQUE MORGAN-SOLOMON | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| IKE PAPADOPOULOS | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| JAY PIEPER | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| MICHAEL YOGMAN | |||||||||
| DIRECTOR | 1.25 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,584,610 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $178,168 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 51 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCLEAN HOSPITAL | |||||
| 25 DOLPHIN ROAD | NEWTON | MA | 02459 | MANAGEMENT SERV | $3,182,207 |
| PARK LANDSCAPE | |||||
| 24 ELMIRA ST | BOSTON | MA | 02135 | LANDSCAPE & CON | $715,698 |
| NTT DATA SERVICES | |||||
| 7950 LEGACY DRIVE SUITE 900 | PLANO | TX | 75024 | DATA MANAGMENT | $361,122 |
| AGILITY HEALTH INC | |||||
| 6625 WEST 78TH STREET SUITE 300 | MINNEAPOLIS | MN | 55439 | BIOMETRIC MAINT | $327,295 |
| CHILD NEUROLOGY ASSOCIATES | |||||
| 6 TRINITY COURT | WELLESLEY | MA | 02481 | PHYSICIAN SERV | $286,079 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 49 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $397,941 | FundraisingAmt |
| Government Grants | $6,627,753 | GovernmentGrantsAmt |
| All Other Contributions | $2,388,920 | AllOtherContributionsAmt |
| Total Contributions | $9,414,614 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $51,605,426 | $51,605,426 |
| DAY SCHOOL PROGRAM | 900099 | $6,119,706 | $6,119,706 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,725,132 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $110,127 | TotalRevenueColumnAmt |
| Exclusion | $110,127 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $16,800 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $397,941 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $179,863 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$163,063 | TotalRevenueColumnAmt |
| Exclusion | -$163,063 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA | 900099 | $228,408 | $228,408 |
| MISCELLANEOUS | 900099 | $129,998 | $129,998 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $358,406 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,445,216 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,083,538 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$52,936 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,324,045 | TotalAmt |
| Program Services | $467,413 | ProgramServicesAmt |
| Management And General | $1,567,451 | ManagementAndGeneralAmt |
| Fundraising | $289,181 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,468,737 | TotalAmt |
| Program Services | $28,756,078 | ProgramServicesAmt |
| Management And General | $6,196,684 | ManagementAndGeneralAmt |
| Fundraising | $515,975 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,862,938 | TotalAmt |
| Program Services | $5,490,350 | ProgramServicesAmt |
| Management And General | $1,233,360 | ManagementAndGeneralAmt |
| Fundraising | $139,228 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,312,568 | TotalAmt |
| Program Services | $3,239,359 | ProgramServicesAmt |
| Management And General | $73,209 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,242 | TotalAmt |
| Program Services | $5,957 | ProgramServicesAmt |
| Management And General | $36,285 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,004 | TotalAmt |
| Management And General | $116,004 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,766 | TotalAmt |
| Program Services | $48,383 | ProgramServicesAmt |
| Management And General | $48,383 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,549,821 | TotalAmt |
| Program Services | $1,715,329 | ProgramServicesAmt |
| Management And General | $820,571 | ManagementAndGeneralAmt |
| Fundraising | $13,921 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,118,923 | TotalAmt |
| Program Services | $649,674 | ProgramServicesAmt |
| Management And General | $129,315 | ManagementAndGeneralAmt |
| Fundraising | $339,934 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,631,540 | TotalAmt |
| Program Services | $1,305,232 | ProgramServicesAmt |
| Management And General | $326,308 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,078 | TotalAmt |
| Program Services | $11,047 | ProgramServicesAmt |
| Management And General | $13,627 | ManagementAndGeneralAmt |
| Fundraising | $404 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,976 | TotalAmt |
| Program Services | $345,724 | ProgramServicesAmt |
| Management And General | $52,418 | ManagementAndGeneralAmt |
| Fundraising | $1,834 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,410,145 | TotalAmt |
| Program Services | $1,837,520 | ProgramServicesAmt |
| Management And General | $568,255 | ManagementAndGeneralAmt |
| Fundraising | $4,370 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $388,477 | TotalAmt |
| Program Services | $310,782 | ProgramServicesAmt |
| Management And General | $77,695 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,782,165 | $1,749,401 | $32,764 |
| REPAIRS AND MAINT. CONTRA | $1,699,573 | $1,365,016 | $334,557 |
| DRUGS | $1,064,926 | $1,064,926 | |
| UTILITIES | $822,541 | $658,033 | $164,508 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,027,815 | TotalAmt |
| Program Services | $878,209 | ProgramServicesAmt |
| Management And General | $1,149,606 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,144,280 | TotalAmt |
| Program Services | $49,898,433 | ProgramServicesAmt |
| Management And General | $12,941,000 | ManagementAndGeneralAmt |
| Fundraising | $1,304,847 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,720,175 | BOYAmt |
| EOY | $28,032,490 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,421,821 | BOYAmt |
| EOY | $10,674,947 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,307,430 | BOYAmt |
| EOY | $1,817,096 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,848 | BOYAmt |
| EOY | $283,197 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $390,194 | BOYAmt |
| EOY | $399,177 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $72,012,665 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $47,382,587 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,106,451 | BOYAmt |
| EOY | $24,630,078 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,552,411 | BOYAmt |
| EOY | $6,907,162 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,256,289 | BOYAmt |
| EOY | $3,290,036 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,019,619 | BOYAmt |
| EOY | $76,034,183 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,676,588 | BOYAmt |
| EOY | $8,801,736 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $15,636,603 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,277,171 | BOYAmt |
| EOY | $12,773,045 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,719,972 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,898,240 | BOYAmt |
| EOY | $2,739,102 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,571,971 | BOYAmt |
| EOY | $39,950,486 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,982,515 | BOYAmt |
| EOY | $28,887,918 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,465,133 | BOYAmt |
| EOY | $7,195,779 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,447,648 | BOYAmt |
| EOY | $36,083,697 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,019,619 | BOYAmt |
| EOY | $76,034,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,300,936 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1,335,113 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $96,766 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $96,766 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | CONTACT WITH AND REPRESENTATION BEFORE STATE AGENCIES RESPONSIBLE FOR THE HOSPITAL'S PAYMENT RATES AND REGULATORY REQUIREMENTS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $681,180 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,444 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $240,240 | OtherExpendituresAmt |
| End Year Balance | $444,383 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $499,477 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,432 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,458,794 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,280,523 | OtherExpendituresAmt |
| End Year Balance | $681,180 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $445,419 | BeginningYearBalanceAmt |
| Contributions | $48,440 | ContributionsAmt |
| Investment Earnings Or Losses | $5,618 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $499,477 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $471,382 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,514 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $27,477 | GrantsOrScholarshipsAmt |
| End Year Balance | $445,419 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $239,640 | BeginningYearBalanceAmt |
| Contributions | $234,578 | ContributionsAmt |
| Investment Earnings Or Losses | -$173 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,663 | GrantsOrScholarshipsAmt |
| End Year Balance | $471,382 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.82000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.18000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $517,554 | OtherCostOrOtherBasisAmt |
| Book Value | $517,554 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,068,206 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,108,230 | DepreciationAmt |
| Book Value | $4,959,976 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,936,945 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,307,655 | DepreciationAmt |
| Book Value | $11,629,290 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,849,372 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,944,095 | DepreciationAmt |
| Book Value | $6,905,277 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $640,588 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,607 | DepreciationAmt |
| Book Value | $617,981 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $24,630,078 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| SPECIFIC PURPOSE | $6,462,757 | F |
| BOARD DESIGNATED FUNDS | $362,454 | F |
| HELD IN PERPETUITY | $81,929 | F |
| INDENTURE AGREEMENT | $22 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $6,907,162 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES - THIRD PARTIES | $1,500,000 |
| FHC ACCRUED PENSION LIABILITY | $868,016 |
| FHC ASSET RETIREMENT OBILIGATION | $371,086 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,739,102 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $67,445,216 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $67,445,216 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $67,445,216 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $64,144,280 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $64,144,280 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $64,144,280 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | PART X - FIN 48 FOOTNOTES PART X, LINE 2: IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE HOSPITAL ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. UNDER ASC 740, AN ORGANIZATION MUST RECOGNIZE THE FINANICAL STATEMENT EFFECTS OF A TAX POSITION TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE ORGANIZATION DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS, AND ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTION IN THE JURISDICATIONS WHERE IT IS REQUIRED TO DO SO. ADDITIONALLY, THE ORGANIZATION HAS FILED IRS FORM 990 INFORMATION RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHERE SO REQUIRED. FOR THE YEARS ENDED SEPTEMBER 30,2020 AND 2019, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED STATEMNETS OF OPERATIONS. THE ORGANIZATION IS SUBJECT TO ROUTINE ADUITS BY TAXING AUTHORITIES. AS OF SEPTEMBER 30, 2020, THE ORGANIZATION WAS NOT SUBJECT TO ANY EXAMINATION BY A TAXING AUTHORITY. |
| SCHEDULE D, PAGE 4, PART XIII | PART V, LINE 4: USE OF THE ENDOWMENT FUNDS HAVE BEEN RESTRICTED BY DONOR TO A SPECIFIC PERIOD OF PURPOSE. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF | Event1Nm |
| Gross Receipts Event1 | $134,856 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $118,056 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $16,800 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $4,000 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $25 | OtherDirectExpensesEvent1Amt |
| Event2 | ROAD RACE | Event2Nm |
| Gross Receipts Event2 | $117,934 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $117,934 | CharitableContriEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $161,951 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $161,951 | CharitableContriOtherEventsAmt |
| Rent Fclty Costs Other Events | $11,885 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $13,380 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $150,573 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $414,741 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $397,941 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $16,800 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $15,885 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $13,380 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $150,598 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $179,863 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$163,063 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,132,947 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,116,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,016,739 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07820 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,132,947 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,116,208 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,016,739 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07820 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $602,120 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $254,908 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $347,212 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,510 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,510 | NetCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $605,630 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $254,908 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $350,722 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,738,577 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,371,116 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,367,461 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08360 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 18 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $8,465 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,465 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $99,900 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $99,900 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $108,365 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108,365 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $682,912 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $172,259 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $194,317 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$22,058 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANCISCAN HOSPTIAL FOR CHILDREN | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 WARREN STREET | AddressLine1Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02135 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.FRANCISCANCHILDRENS.ORG | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Other | ADOLESCENT PSYCH UNIT | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANCISCAN HOSPTIAL FOR CHILDREN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 17 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.FRANCISCANCHILDRENS.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://FRANCISCANCHILDRENS.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | false | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FACILITY 1, FRANCISCAN HOSPTIAL FOR CHILDREN - PART V, LINE 5 | FormAndLineReferenceDesc |
| Explanation | PART V, SECTION B, LINE 11: A MULTIDISCIPLINARY TEAM AT FRANCISCAN CHILDREN'S EXAMINED THE FINDINGS OF THE 2018 CHNA AND WORKED TO PRIORITIZE AREAS WHERE THE INSTITUTION COULD SUCCESSFULLY ENGAGE AND INTERVENE. THE PRIORITIZATION OF EACH ITEM IDENTIFIED BY THE COMMUNITY STEMMED FROM: 1) DEMONSTRATED NEED IN THE COMMUNITY AS EVIDENCED BY CHNA FINDING; 2) THE PERCEIVED IMPACT THAT FRANCISCAN CHILDREN'S INVOLVEMENT WOULD HAVE ON THIS NEED; 3) THE PERCEIVED FEASIBILITY OF FRANCISCAN CHILDREN'S INVOLVEMENT IN ADDRESSING THIS NEED, INCLUDING INSTITUTIONAL EXPERTISE AND RESOURCE ALLOCATION; AND 4) THE ALIGNMENT WITH FRANCISCAN CHILDREN'S MISSION AND INSTITUTIONAL STRATEGIC PRIORITIES. BASED UPON THIS PROCESS AND THESE CRITERIA, THE MULTIDISCIPLINARY TEAM IDENTIFIED THE FOLLOWING AREAS AS PRIORITIES. MENTAL HEALTH FOR CHILDREN AND ADOLESCENTS PRIMARY CARE FOR CHILDREN AND ADOLESCENTS CHILD WELLNESS (E.G. NUTRITION, CHILD DEVELOPMENT, PHYSICAL ACTIVITY) COMMUNITY ENGAGEMENT WITH ALLSTON/BRIGHTON/ORGANIZATIONS STRATEGIES TO ADDRESS THESE NEEDS ARE OUTLINED IN THE IMPLEMENTATION PLAN ATTACHED TO THE PREVIOUS 990 AND LOCATED ON FRANCISCAN'S WEBSITE. THE OTHER AREAS IDENTIFIED IN THE 2018 CHNA - INCOME, EDUCATION, EMPLOYMENT , HOUSING, DOMESTIC VIOLENCE, SUBSTANCE USE, AND A CENTRALIZED SOURCE OF INFORMATION - ARE AREAS THAT FRANCISCAN CHILDREN'S DID NOT MAKE A PRIORITY DUE TO A LOWER DEMONSTRATED NEED, LESS PERCEIVED IMPACT AND FEASIBILITY, AND/OR LACK OF ALIGNMENT WITH FRANCISCAN CHILDREN'S MISSION AND INSTITUTIONAL STRATEGIC PRIORITIES. FACILITY 1, FRANCISCAN HOSPITAL FOR CHILDREN - PART V, LINE 18E USE OF A COLLECTION AGENCY FACILITY 1, FRANCISCAN HOSPITAL FOR CHILDREN - PART V, LINE 29E COLLECTION AGENCIES ATTEMPTED TO COLLECT OUTSTANDING BALANCES. FACILITY 1, FRANCISCAN HOSPITAL FOR CHILDREN - PART V, LINE 20E THE PATIENT ACCOUNTING DEPARTMENT SENDS THREE STATEMENTS TO PATIENTS BEFORE SENDING THE OUTSTANDING BALANCES TO COLLECTION AGENCY. | ExplanationTxt |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | A COSTING METHOLOLOGY WAS NOT USED TO CALCULATE AMOUNTS ON PART I, LINE 7. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. |
| SCHEDULE H, PART II | ALLSTON/BRIGHTON COMMUNITY EVENT FOR FRANCISCAN CHILDREN'S ADAPTIVE PLAYGROUND FRANCISCAN CHILDREN'S OPENED ITS ADAPTIVE PLAYGROUND FOR THE ALLSTON/BRIGHTON COMMUNITY TO ACCESS AT AN EVENT HELD IN SEPTEMBER 2019. THE PLAYGROUND WAS DESIGNED FOR ALL AGES AND HAS WHEELCHAIR ACCESSIBLE EQUIPMENT, ENSURING ALL CHILDREN HAVE THE OPPORTUNITY TO PLAY.THE DESIRE FOR ADDITIONAL COMMUNITY SPACES FOR CHILDREN WAS IDENTIFIED IN FRANCISCAN'S 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) WALKS FRANCISCAN CHILDREN'S PROVIDED INFORMATION ON THE PREVALENCE OF MENTAL HEALTH AND THE ORGANIZATION'S MENTAL HEALTH PROGRAMMING BY EXHBITING AND PARTICIPATING IN AN ANNUAL WALK DEDICATED TO RAISING AWARENESS AND FUNDS FOR THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI). PEDIATRIC MENTAL HEALTH WAS IDENTIFIED AS AN ISSUE IN OUR 2018 COMMUNITY HEALTH NEEDS ASSESSMENT. EVENT DONATION TO ALLSTON BRIGHTON SUBSTANCE ABUSE TASKORCE THE ALLSTON BRIGHTON SUBSTANCE ABUSE TASK FORCE LEADS SUBSTANCE USE AND MISUSE PREVENTION AMONG YOUTH AND ADULTS, AS WELL AS SUPPORT FOR THE RECOVERY COMMUNITY. FRANCISCAN'S DONATION WILL HELP SUSTAIN AND EXPAND THIS IMPORTANT WORK SO THAT THE ALLSTON BRIGHTON SUBSTANCE ABUSE TASKFORCE CAN CONTINUE TO PROVIDE RESOURCES AND SERVICES TO EVEN MORE INDIVIDUALS IN NEED. MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES WERE IDENTIFIED AS NEEDS THROUGH FRANCISCAN'S COMMUNITY HEALTH NEEDS ASSESSMENT. |
| SCHEDULE H, PART III, LINE 2 | PART III, LINE 3: BAD DEBT EXPENSE IS RECORDED TO REPORT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. SHOWING THE BAD DEBT AS A DEDUCTION FROM REVENUE MORE CLEARLY REPRESENTS THE AMOUNT OF REVENUE THAT THE FRANCISCAN HOSPITAL ACTUALLY EXPECTS TO COLLECT, THERBY IMPROVING THE QUALITY AND COMPARABILITY OF THE FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, LINE 8 | PART III, LINE 8: THE COSTING METHOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COST WAS THE COST TO OUTPATIENT ANCILLARY CHARGE RATIOS AS REPORTED ON THE MEDICARE 2552 COST REPORT FOR FYE 9/30/2020. |
| SCHEDULE H, PART III, LINE 9B | PART III, LINE 9B: THE COLLECTION PROCESS ENCOMPASSES BILLING THE PATIENT'S HEALTH INSURANCE(S), FILING APPEALS FOR NON-PAYMENT AND BILLING THE PATIENT. THE STATEMENT/DATA MAILERS ARE PROCESSED BY THE HOSPITAL AND AN OUTSIDE COMPANY. THEY ARE SENT ONCE A MONTH, ONE BUSINESS DAY AFTER THE MONTH-END CLOSE. STATEMENTS/DATA MAILERS ARE SENT TO THE PATIENT'S RESPONSIBLE PARTY EACH MONTH FOR SERVICE NOT COVERED BY THE PATIENT'S INSURANCE COMPANY. THERE WILL BE THREE STATEMENTS FOR SELF AND SELF-PAY AFTER INSURANCE AND FIVE FOR SELF PAYMENT. THERE IS A DIFFERENT MASSAGE ON EACH STATEMENT INDICATING STATUS OF ACCOUNT CONTACT. LOW INCOME FAMILIES WHO MEET THE FOLLOWING CRITERIA ARE ELIGIBLE FOR PARTIAL FREE CARE: 1. MASSACHUSETTS RESIDENTS WHOSE FAMILY INCOME IS FROM 201% - 400% OF THE FEDERAL POVERTY INCOME GUIDELINES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR THAT PORTION OF THE BILL WHICH EXCEED THEIR FAMILY'S ANNUAL DEDUCTIABLE. THIS WILL BE DETERMINED BY A SLIDING FEE SCALE. 2. ANY PARTICIPANT IN THE CHILDREN'S MEDICAL SECURITY PLAN WHOSE FAMILY INOCME IS FROM 201% - 400% OF THE FEDERAL POVERTY INCOME GUIDELINES WILL BE ELIGIBLE FOR FINANICAL ASSISTANCE FOR THAT PORTION OF THE BILL WHICH EXCEEDS THEIR FAMILY ANNUAL DEDUCTIBLE. 3. ANY PARTICIPANT IN HEALTH START WHOSE FAMILY INCOME IS FROM 201% - 400% OF THE FEDERAL POVERTY INOCME GUIDELINES WILL BE ELIGIBLE FOR THAT PORTION OF THE BILL WHICH EXCEEDS THEIR FAMILY ANNUAL DEDUCTIBLE. NOTE: THE ANNUAL DEDUCTIBLE FOR PARTIAL FREE CARE EQUALS 40% OF THE DIFFERENCE BETWEEN THE APPLICANT'S FAMILY INCOME AND 200% OF POVERTY INCOME GUIDELINES. THE PATIENT IS RESPONSIBLE FOR PAYMENT FOR ALL SERVICES PROVIDED UP TO THIS DEDUCTIBLE AMOUNT. THERE IS ONLY ONE DEDUCTIBLE PER APPROVED PERIOD. THEREFORE, IT IS THE RESPONSIBILITY OF THE PATIENT TO PROVIDE DOCUMENTATION THAT THEIR OBLIGATION HAS BEEN MET. |
| SCHEDULE H, PART VI, LINE 2 | A MULTIDISCRIPLINARY TEAM AT FRANCISCAN CHILDREN'S EXAMINED THE FINDINGS OF THE 2018 CHNA AND WORKED TO PRIORITIZE AREAS WHERE THE INSTITUTION COULD SUCCESSFULLY ENGAGE AND INTERVENE. THE PRIORITIZATION OF EACH ITEM IDENTIFIED BY THE COMMUNITY STEMMED FROM: 1) DEMONSTRATED NEED IN THE COMMUNITY AS EVIDENCED BY CHNA FINDINGS; 2) THE PERCEIVED IMPACT THAT FRANCISCAN CHILDRENS'S INVOLVEMNET WOULD HAVE ON THIS NEED; 3) THE PERCEIVED FEASIBILITY OF FRANCISCAN CHILDREN'S INVOLVEMENT IN ADDRESSING THIS NEED, INCLUDING INSTITUTIONAL EXPERTISE AND RESOURCE ALLOCATION; AND 4) THE ALIGNMENT WITH FRANCISCAN CHIDLREN'S MISSION AND INSTITUTIONAL STRATEGIC PRIORITIES. BASED UPON THIS PROCESS AND THESE CRITERIA, THE MULTIDISCIPLINARY TEAM IDENTIFIED THE FOLLOWING AREAS AS PRIORITIES: MENTAL HEALTH FOR CHILDREN AND ADOLESCENTS CHILD WELLNESS (E.G. NUTRITION, CHILD DEVELOPMENT, PHYSICAL ACTIVITY) COMMUNITY ENGAGEMNET WITH ALLSTON/BRIGHTON ORGANIZATIONS STRATEGIES TO ADDRESS THESE NEEDS ARE OUTLINED IN THE IMPLEMENTATION PLAN ATTACHED TO THE 990 AND LOCATED ON FRANCISCAN'S WEBSITE. THE OTHER AREAS IDENTIFIED IN THE 2018 CHNA - INCOME, EDUCATION, EMPLOYMENT, HOUSING, DOMESTIC VIOLENCE, SUBSTANCE USE, AND A CENTRALIZED SOURCE OF INFORMATION - ARE AREAS THAT FRNACISCAN CHILDREN'S DID NOT ADDRESS DURING THE YEAR DUE TO A LOWER DEOMONSTRATED NEED, LESS PERCEIVED IMPACT AND FEASIBILITY, AND/OR LACK OF ALIGNMENT WITH FRANCISCAN CHIDLREN'S MISSION AND INSTITUTIONAL STRATEGIC PRIORITIES. |
| SCHEDULE H, PART VI, LINE 6 | THE HOSPITAL HAS MAINTAINED A RELATIONSHIP WITH BOSOTN UNIVERSITY SCHOOL OF DENTAL MEDICINE'S OUTPATIENT PEDIATRIC DENTAL PROGRAM. RESIDENTS OF THAT PROGRAM COMPLETE A ROTATION IN THE DENTAL CLINIC AT THE HOSPITAL. |
| SCHEDULE H, PART VI, LINE 7 | MASSACHUSETTS |
| SCHEDULE H, PART VI | PART I, LINE 4: TARGET POPULATION - ALLSTON/BRIGHTON NEIGHBORHOOD BUT ALSO FROM METRO BOSTON AND BEYOND. 50% OF RESIDENTS ARE BETWEEN THE AGES OF 20 -29. NEARLY 90% OF HOUSEHOLDS ARE CHILDRENLESS (DO NOT HAVE CHILDREN UNDER 18) NEARLY 80% OF RESIDENTS REPORT RENTING RATHER THAN OWNING THEIR PRIMARY RESIDENCE. PART VI, LINE 3: INPATIENT: WE REVIEW ALL POTENTIAL PATIENTS' INSURANCE POLICIES BEFORE ADDMISSION FOR LENGTH OF STAY AND COVERAGE GUIDELINES AND LIMITATIONS. MOST PATIENTS WHO HAVE PRIVATE INSURANCE EXHAUST THEIR REHAB BENEFITS WHILE HERE. WE MEET WITH PARENTS/GUARDIANS TO EDUCATE THEM ON THEIR OPTIONS AND IF NECESSARY ASSIST THEM WITH APPLYING FOR GOVERNMENT ASSISTANCE. FOR THOSE WHO DO NOT APPLY OR DO NOT QUALIFY FOR GOVERNMENT ASSISTANCE, THE HOSPITAL PROVIDES MEDICAL AND FINANCIAL HARDSHIP ASSISTANCE BASED ON THE FEDERAL AND STATE POVERTY GUIDELINES. OUTPATIENT: WE REVIEW ELIGIBILITY FOR EACH VISIT. WE CONTACT PARENT GUARDIAN IF THERE IS AN ISSUE. WE ALSO ASSIST PATIENTS WITH MASSHEALTH APPLICATION, FOR THOSE WHO DO NOT APPLY OR DO NOT QUALIFY FOR GOVERNMENT ASSISTANCE. THE HOSPITAL PROVIDES MEDICAL AND FINANCIAL HARDSHIP ASSISTANCE BASED ON THE FEDERAL AND STATE POVERTY GUIDELINES. ALLSTON-BRIGHTON HAS A PREDOMINANTLY CAUCASION(WHITE) POPULATION; IT IS ALSO HOME TO A LARGE NUMBER OF DIVERSE GROUPS INCLUDING MANAY RECENT IMMIGRANTS FROM SPANISH-SPEAKING COUNTRIES, BRAZIL, CHINA, AND RUSSIA. THE MEDIAN INCOME OF ALLSTON-BRIGHTON RESIDENTS IS 38,274. THE UNEMPLOYMENT RATE IN ALLSTON-BRIGHTON WAS HALF THAT OF BOSTON, MA. PART VI, LINE 5: FAMILY SUPPORT GROUPS - FAMILY DINNERS AND SOCIAL EVENTS ARE ORGANIZED TO HELP FOSTER COMMUNITY AND EXPAND ACCESS TO FAMILY-TO-FAMILY LEARNING. PROVIDE SKILLED, RELIABLE INTERPRETER SERVICES TO INCREASE ACCESS TO CARE FOR FAMILIES WHOSE PRIMARY LANGUAGE IS NOT ENGLISH. CHILDREN SAFETY ADVOCACY - HOST PRESS CONFERENCES TO INFORM CAREGIVERS ABOUT POOL SAFETY AND HAZARDS TO AVOID. EDUCATION SUPPORT OF HIGHER EDUCATION - WE SERVE AS A SITE WHERE NURSING, PSYCHOLOGY AN DMEDICAL RESIDENTS DO THEIR CLINICAL ROTATION. PARTICIPATE IN THE ALLSTON-BRIGHTON SUBSTANCE ABUSE TASK FORCE THAT RECEIVED FUNDING TO CONDUCT A COMMUNITY ASSESSMENT. COMMUNITY BENEFIT HAPPENS VIA SEVERAL COMMITTEES THAT ARE MULTI-DISCIPLINARY - MEDICAL PARENT ADVISORY CONUCIL, BEHAVIORAL PARENT ADVISORY COUNCIL AND KENNEDY DAY SCHOOL ADVISORY GROUP. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| JOHN NASH | |||||
| CEO | $472,906 | $95,000 | $24,857 | $15,338 | $608,101 |
| JANE O'BRIEN | |||||
| CHIEF MEDICAL OFFICE | $295,789 | $10,000 | $22,886 | $17,121 | $345,796 |
| CATHERINE MILLER | |||||
| PHYSICIAN | $315,359 | $1,898 | $16,571 | $333,828 | |
| KIMBERLEY W LUBIN | |||||
| VP DEVELOPMENT | $254,796 | $25,000 | $19,380 | $17,121 | $316,297 |
| DAVID LESLIE | |||||
| PHYSICIAN | $289,426 | $815 | $17,121 | $307,362 | |
| CHARLES KENDRICK | |||||
| PHYSICIAN | $280,476 | $3,257 | $11,325 | $295,058 | |
| AIMEE CAREW LYONS | |||||
| COO/CNO/VP PT CARE | $246,876 | $10,000 | $20,058 | $17,121 | $294,055 |
| ELISABETH G SCHAINKER | |||||
| ASSOCIATE CMO | $251,430 | $19,360 | $270,790 | ||
| CLIFFORD BIERMAN | |||||
| PHYSICIAN | $249,367 | $1,530 | $16,571 | $267,468 | |
| JENNIFER L FEXIS | |||||
| VP PERFORMANCE IMPRO | $189,489 | $7,500 | $9,899 | $17,431 | $224,319 |
| THOMAS M O'BRIEN | |||||
| CORPORATE COUNSEL | $185,143 | $10,248 | $17,121 | $212,512 | |
| JEFFREY FORMAN | |||||
| PHYSICIAN | $155,072 | $10,536 | $165,608 | ||
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEOPLE UNITED BANK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 061213065 | BondIssuerEIN |
| Bond Issued | 2020-03-24 | BondIssuedDt |
| Issue Price | $13,074,915 | IssuePriceAmt |
| Purpose | THE NEW TAX-EXEMPT BOND WAS TO CONSOLIDATE THE OUTSTANDING SERIES 2015 BOONDS, THE PROCEEDS OF WHICH | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $13,074,915 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $161,970 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $13,074,915 | CapitalExpendituresAmt |
| Substantial Completion | 2020 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PURPOSE OF ISSUE DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | PEOPLE UNITED BANK THE NEW TAX-EXEMPT BOND WAS TO CONSOLIDATE THE OUTSTANDING SERIES 2015 BOONDS, THE PROCEEDS OF WHICH WERE USED TO FINANCE PRELIMINARY CAPITAL COSTS WITH REPECT TO THE CONSTRUCTION OF APPROXIMATELY 75,000 SQUARE-FOOT ADDITON TO THE FACILITY AT 30 WARREN STEET, BRIGHTON, MASSACHUSETTS AND TO REINANCE THE OUTSTANDING MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS,FRANCISCAN HOSPITAL FOR CHILDREN ISSUE, SERIES A (2010), THE PROCEEDS OF WHICH WERE USED TO: (A) FINANCE THE CONSTRUCTION, FURNISHING AND EQUIPPING OF AN APPROXIMATELY 20,000 SQUARE-FOOT ADDITION TO THE KENNEDY DAY SCHOOL AND USED FOR EDUCATIONAL FACILITIES FOR SPECIAL NEEDS CHILDREN; AND (B) FINANCE VARIOUS RENOVATIONS SUCH AS ADDING FOUR INPATIENT MEDICAL BEDS, EQUIPMENT ACQUISITIONS, AND MISCELLANEOUS CAPITAL IMPROVEMNETS AT THE HOSPITAL. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMBRIDGE APPLETON TRUST NA | BusinessNameLine1Txt |
| Business Name Line2 | CAMBRIDGE APPLETON TRUST NA | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | BOARD MEMEBER | RelationshipDescriptionTxt |
| Transaction | $28,608 | TransactionAmt |
| Transaction | INVESTMENT MANAGMT | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | NAME OF PERSON/COMPANY: CAMBRIDGE APPLETON TRUST, N.A. RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: 49% OWNED BY APPLETON PARTNERS, INC. (DOUGLAS CHAMBERLAIN OWNS 35% OF API) MANAGEMENT FEES: 28,608 DESCRIPTION OF TRANSACTION: FRANCISCAN HOSPITAL FOR CHILDREN USES CAMBRIDGE APPLETON TRUST N.A. AS ITS INVESTMENT COMPANY | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO PROVIDE A COMPASSIONATE AND POSITIVE ENVIRONMENT WHERE CHILDREN WITH MEDICAL, MENTAL HEALTH AND EDUCATIONAL NEEDS RECEIVE SPECIALIZED CARE FROM PEOPLE WHO ARE COMMITTED TO EXCELLENCE, INNOVATION AND FAMILY SUPPORT. SO THAT CHILDREN CAN REACH THEIR FULLEST POTENTIAL AND LIVE THEIR BEST LIFE. |
| FORM 990, PAGE 5, PART V, LINE 3B | DURING THE REPORTING TAX YEAR,THERE IS NO UNRELATED BUSINESS INCOME GENERATED FROM AN ONGOING TRADE OR BUSINESS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 AND THE RELATED DISCLOSURES ARE PREPARED BY THE SENIOR DIRETOR OF FINANCE AND REVIEWED BY THE CFO AND THEN COPIES ARE MADE AVAILABLE TO THE BOARD OF DIRECORS FOR THEIR REVIEW. IN ADDITION, CFO REVIEWS KEY SCHEDULES AT FINANCE COMMITTEE. THE FORM 990 IS SIGNED BY THE CFO/SVP PRIOR TO SUBMISSION TO IRS ELECTRONICALLY. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION REQUIRES THAT ALL MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS AND ANY MEMBER OF ANY BOARD COMMITTEES DISCLOSE IN WRITING (AND UPDATE ANNUALLY) ALL BUSINESS AND OTHER RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTERST AS DEFINED BY THE POLICY. THE WRITTEN DISCLOSURE SHALL INCLUDE AN ITEMIZATION OF ANY SUBSTANTIVE CONFLICT OF INTEREST FOR SUCH INDIVIDUAL BY VIRTURE OF HIS OR HER ACTIVITIES. THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE LEGAL DEPARTMENT TO ENSURE INDIVIDUALS WITH OUTSIDE RELATIONSHIPS DO NOT INAPPROPRIATELY PARTICIPATE IN BUSINESS DECISIONS OF THE ORGANIZATION IN WHICH THEY ARE NOT INDEPENDENT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | ALL COMPENSATION FOR THE CEO, AND SENIOR MANAGEMENT ARE DETERMINED AND REVIEWED BY THE BOARD OF DIRECTORS. THE BOARD ESTABLISHED A COMPENSATION COMMITTEE, MADE UP OF DISINTERESTED TRUSTEES, WHO ARE GIVEN THE AUTHORITY TO ESTABLISH COMPENSATION FOR ALL PERSONS LISTED ABOVE. THE COMPENSATION COMMITTEE PERFORMS ANNUAL REVIEWS AND APPROVES EXECUTIVE COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SAME PROCESS AS DESCRIBE UNDER "COMPENSATION PROCESS FOR TOP OFFICIAL". |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON HTE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL. |
| FORM 990, PART XI, LINE 9 | NET ASSETS RELEASED FROM RESTRICTED FOR CAPITAL 871,157 ADJ TO MINIMUM PENSION LIABILITY 463,956 TOTAL 1,335,113 |
| FORM 990, PART XII | THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM ON A CONSOLIDATED BASIS. THE ORGANIZATION HAS AN AUDIT COMMITTEE RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AS WELL AS THE SELECTION OF AN INDEPENDENT ACCOUNTING FIRM. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANCISCAN PEDIATRICS INC | BusinessNameLine1Txt |
| Business Name Line2 | 30 WARREN STREET | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 WARREN STREET | AddressLine1Txt |
| Address Line2 | 30 WARREN STREET | AddressLine2Txt |
| City | BRIGHTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02135 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043160358 | EIN |
| Primary Activities | PHYS GROUP | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C CORP | EntityTypeTxt |
| Share Of Total Income | -$545,548 | ShareOfTotalIncomeAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FRANCISCAN PEDIATRICS INC | ||
| R | $2,258,604 | COST |
| FRANCISCAN PEDIATRICS INC | ||
| N | $1,072,193 | COST |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | FORM 8868, APPLICATION FOR EXTENSION OF TIME TO FILE AN EXEMPT ORGANIZATION RETURN HAS BEEN APPROVED BY DEPARTMENT OF THE TREASURY WITH THE NOTICE NUMBER CP211A. THE NEW DUE DATE IS AUGUST15, 2021 PER IRS LETTER. | ExplanationTxt |
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