2020-08-11T15:25:21-05:00 2019-09-30 990 2018-10-01 042156082 FRANCISCAN HOSPITAL FOR CHILDREN FRAN 6172543800 30 WARREN STREET BRIGHTON MA 02135 BOB CROSBY CFO & TREASURER 6177791225 2020-08-11 64.115.154.242 2020-08-11 15:25:21 CD P 4265EC9E846A17B1BCC9EC254A4BC5CAB9C7368C 4265EC9E846A17B1BCC9EC254A4BC5CAB9C7368C 2018 2020-09-22 18:59:49Z JOHN NASH 30 WARREN STREET BRIGHTON MA 02135 64494380 false X FRANCISCANCHILDRENS.ORG X 1945 MA 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) 18 18 966 140 0 2474417 3406407 58407796 60444892 35875 99791 1865118 408580 62783206 64359670 0 0 38385902 43045388 29750 1217009 22573101 18684887 60959003 61760025 1824203 2599645 47600542 54019619 18848613 22571971 28751929 31447648 X 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. false true 32549416 38293431 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 778 ADMISSIONS AND 23,697 PATIENT DAYS DURING FY 2019. 16956609 22151461 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 39,786 CLINICAL OUTPATIENT,REHABILITATION, BEHAVIORAL AND SURGICAL VISITS DURING FY 2019. 49506025 true true false true false false false false false true true true false true true true false true false false false false false true true false true true false false true true false false false false false false false true false true false false false false false true false true false true X 58 0 true 966 true false false false false false false false false false false false false false false X 18 18 false false false false false false false true true false true true true true true true true true true true false MA X BOB CROSBY 6172543800 30 WARREN STREET BRIGHTON MA 02135 DR JAMES MANDELL CHAIRMAN 1.25 X 0 0 0 ROBERT B NEEDHAM CFA VICE CHAIR 1.25 X 0 0 0 DOUGLAS C CHAMBERLAIN CFA CLERK 1.25 X 0 0 0 TIMOTHY J FALLON DIRECTOR 1.25 X 0 0 0 SR ALINE GIROUX FMM DIRECTOR 1.25 X 0 0 0 ANDY HOAR DIRECTOR 1.25 X 0 0 0 PAUL M KANE ESQ DIRECTOR 1.25 X 0 0 0 WENDOLY ORTIZ LANGLOIS DIRECTOR 1.25 X 0 0 0 JOHN E LARSEN DIRECTOR 1.25 X 0 0 0 JANE L LUNDQUIST DIRECTOR 1.25 X 0 0 0 IKE PAPADOPOULOS DIRECTOR 1.25 X 0 0 0 SR LOIS ANN PEREIRA FMM DIRECTOR 1.25 X 0 0 0 JAY PIEPER DIRECTOR 1.25 X 0 0 0 JOAN E STIFF ESQ DIRECTOR 1.25 X 0 0 0 SR ANNE TURBINI FMM DIRECTOR 1.25 X 0 0 0 MICHAEL YOGMAN DIRECTOR 1.25 X 0 0 0 DOMINIQUE MORGAN-SOLOMON DIRECTOR 1.25 X 0 0 0 JOESPH MITCHELL MD DIRECTOR 1.25 X 0 0 0 JOHN NASH CEO 40.00 X 639595 0 17212 ALEXANDER J DENUCCI CFO 40.00 X 262499 0 16244 BOB CROSBY CFO & TREASU 40.00 X 0 0 0 JANE O'BRIEN CHIEF MEDICA 40.00 X 288629 0 16560 KIMBERLEY W LUBIN VP DEVELOPME 40.00 X 287141 0 15816 AIMEE CAREW LYONS COO/CNO/VP P 40.00 X 265948 0 17151 JENNIFER L FEXIS VP PERFORMAN 40.00 X 192653 0 16125 THOMAS M O'BRIEN CORPORATE CO 40.00 X 169800 0 17151 CATHERINE MILLER PHYSICIAN 40.00 X 291575 0 16600 ELISABETH G SCHAINKER ASSOCIATE CM 40.00 X 269376 0 0 CHARLES KENDRICK PHYSICIAN 40.00 X 264839 0 10461 JEFFREY L FORMAN PHYSICIAN 40.00 X 260194 0 15816 DAVID LESLIE PHYSICIAN 40.00 X 248538 0 16559 DONNA L POLSELLI COO 40.00 X 271737 0 4218 NANCY MURPHY VP HUMAN RES 40.00 X 188556 0 8045 SCOTT T KOSOWICZ SR DIR OF FI 40.00 X 157575 0 97 4058655 188055 32 true true false MCLEAN HOSPITAL 25 DOLPHIN ROAD NEWTON MA 02459 MANAGEMENT SERV 3024984 UNIDINE CORPORATION 1000 WASHINGTON ST 510 BOSTON MA 02118 FOOD SERVIES 940023 AGILITY HEALTH INC 6625 WEST 78TH STREET SUITE 300 MINNEAPOLIS MN 55439 BIOMETRIC MAINT 466661 INTEGRATED IT SOLUTIONS 150 OVERLAND ROAD WALTHAM MA 02451 HARDWARE MAINT 281845 NEW ENGLAND AIR INC 56 LEONARD STREET UNIT 3 FOXBORD MA 02035 HVAC 260214 22 385052 3021355 3406407 NET PATIENT SERVICE REVENUE 900099 54460415 54460415 DAY SCHOOL PROGRAM 900099 5984477 5984477 60444892 99791 99791 17920 385052 134710 -116790 -116790 CAFETERIA 900099 318176 318176 MISCELLANEOUS 900099 207194 207194 525370 64359670 60970262 -16999 X 2352717 452705 1614912 285100 34237080 29698287 4045881 492912 6455591 5164473 1153853 137265 36285 36285 126000 126000 29750 29750 7364478 5561610 1777423 25445 949122 418416 315956 214750 211342 105671 105671 37519 15782 20112 1625 345129 298316 45230 1583 2375447 1811066 560074 4307 397243 317794 79449 MEDICAL SUPPLIES 2026623 2022974 3649 REPAIRS AND MAINT. CONTRA 1566387 1366015 189441 10931 DRUGS 1170302 1170302 UTILITIES 987906 790325 197581 1091104 312289 765474 13341 61760025 49506025 11036991 1217009 5410249 4720175 10728841 11421821 1064026 1307430 249854 264848 448905 390194 67078895 44972444 21510012 22106451 5529783 10552411 2658872 3256289 47600542 54019619 7266628 7676588 45053 9675547 9277171 3719972 1861385 1898240 18848613 22571971 X 23632561 24982515 5034809 6382725 84559 82408 28751929 31447648 47600542 54019619 X 2599645 96074 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 90100 false false 90100 false SCHEDULE C, PART II-B, LINE 1 CONTACT WITH AND REPRESENTATION BEFORE STATE AGENCIES RESPONSIBLE FOR THE HOSPITAL'S PAYMENT RATES AND REGULATORY REQUIREMENTS. 499477 3432 1458794 1280523 681180 445419 48440 5618 499477 471382 1514 27477 445419 239640 234578 -173 2663 471382 544171 -4134 300397 239640 0.88000 0.12000 true false 517554 517554 12068206 6941753 5126453 29024443 18081539 10942904 25247668 19929204 5318464 221024 19948 201076 22106451 SPECIFIC PURPOSE 5687725 F INDENTURE AGREEMENT 4183506 F BOARD DESIGNATED FUNDS 598772 F HELD IN PERPETUITY 82408 F 10552411 DUE FROM RELATED CORPORATIONS 1683212 OTHER ASSETS 878077 RESTRICTED PLEDGES 695000 3256289 FHC ACCRUED PENSION LIABILITY 1416668 FHC ASSET RETIREMENT OBILIGATION 431859 OTHER LIABILITIES - THIRD PARTIES 49713 1898240 X 64359670 64359670 64359670 61760025 61760025 61760025 SCHEDULE D, PAGE 3, PART X 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 30,2019 AND 2018, 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, 2019, 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. X X X X X X X true COVENTURES MANAGEMENT CO CONVENTURES MANAGEMENT CO 740 BROADWAY SUITE 1102 740 BROADWAY SUITE 1102 NEW YORK NY 10003 5 K RACE false 104300 15000 89300 BLUE SKY SPORTS BLUE SKY SPORTS 150 WASHINGTON STREET 150 WASHINGTON STREET NORWELL MA 02061 WIFFLE BAL false 147189 14750 132439 251489 29750 221739 MA NY CT CA OH RI WIFFIE BALL 147189 147189 1556 4866 1550 19913 GOLF 137720 119800 17920 168 18780 14251 11988 1 118063 118063 8170 14741 38727 402972 385052 17920 168 28506 33858 1550 70628 134710 -116790 SCHEDULE G, PAGE 1, PART I, LINE 2B, COLUMN (V) COVENTURES MANAGEMENT CO CONVENTURES MANAGEMENT CO MANAGEMENT FEES BLUE SKY SPORTS BLUE SKY SPORTS MANAGEMENT FEES true true X true X true X true false true true 34434136 33409913 1024223 0.01660 34434136 33409913 1024223 0.01660 445642 324875 120767 0.00200 11375 11375 0.00020 457017 324875 132142 0.00220 34891153 33734788 1156365 0.01880 12 470 224230 20192 204038 0.00330 4 100 1545 1445 100 6 1200 7975 3500 4475 0.00010 1 50 1600 1000 600 23 1820 235350 26137 209213 0.00340 true 539133 487045 487109 -64 X true true 1 1 FRANCISCAN HOSPTIAL FOR CHILDREN 30 WARREN STREET BRIGHTON MA 02135 WWW.FRANCISCANCHILDRENS.ORG X X X ADOLESCENT PSYCH UNIT FRANCISCAN HOSPTIAL FOR CHILDREN 1 false false true X X X X X X X X X 17 true false false true X WWW.FRANCISCANCHILDRENS.ORG X true 17 true HTTPS://FRANCISCANCHILDRENS.ORG true false true X 200.000000000000 400.000000000000 X X X true true X X X X true X X true X true X X false X X false false FACILITY 1, FRANCISCAN HOSPTIAL FOR CHILDREN - PART V, LINE 5 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 HOSPTIAL FOR CHILDREN - PART V, LINE 18E USE OF A COLLECTION AGENCY FACILITY 1, FRANCISCAN HOSPTIAL FOR CHILDREN - PART V, LINE 19E COLLECTION AGENCIES ATTEMPTED TO COLLECT OUTSTANDING BALANCES. FACILITY 1, FRANCISCAN HOSPTIAL FOR CHILDREN - PART V, LINE 20E THE PATIENT ACCOUNTING SENDS THREE STATEMENTS TO PATIENTS BEFORE SENDING THE OUTSTANDING BALANCES TO COLLECTION AGENCY. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION A COSTING METHOLOLOGY WAS NOT USED TO CALCULATE AMOUNTS ON PART I, LINE 7. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. PART II - COMMUNITY BUILDING ACTIVITIES 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. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY 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. PART III, LINE 8 - MEDICARE EXPLANATION 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 9/30/2019. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION 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. PART VI, LINE 2 - NEEDS ASSESSMENT A MULTIDISCRIPLINARY TEAM AT FRANCISCAN CHILDREN'S EXAMINED THE FINDINGS OF THE 2019 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. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM 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. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MASSACHUSETTS ADDITIONAL INFORMATION 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. X X X X false true false false false false false false false JOHN NASH CEO 470261 145500 23834 17212 656807 ALEXANDER J DENUCCI CFO 239462 4000 19037 16244 278743 JANE O'BRIEN CHIEF MEDICAL OFFICE 259346 7500 21783 16560 305189 KIMBERLEY W LUBIN VP DEVELOPMENT 249145 19125 18871 15816 302957 AIMEE CAREW LYONS COO/CNO/VP PT CARE 239396 7500 19052 17151 283099 JENNIFER L FEXIS VP PERFORMANCE IMPRO 175534 7500 9619 16125 208778 THOMAS M O'BRIEN CORPORATE COUNSEL 159956 9844 17151 186951 CATHERINE MILLER PHYSICIAN 289729 1846 16600 308175 ELISABETH G SCHAINKER ASSOCIATE CMO 250516 18860 269376 CHARLES KENDRICK PHYSICIAN 261683 3156 10461 275300 JEFFREY L FORMAN PHYSICIAN 259059 1135 15816 276010 DAVID LESLIE PHYSICIAN 247764 774 16559 265097 DONNA L POLSELLI COO 244653 27084 4218 275955 NANCY MURPHY VP HUMAN RESOURCE 188556 8045 196601 SCOTT T KOSOWICZ SR DIR OF FINANCE 157575 97 157672 SCHEDULE J, PAGE 1, PART I, LINE 4 JOHN NASH 0 110,000 0 A MA DEVELOPMENT FINANCE AGENCY MA DEVELOPMENT FINANCE AGENCY 042456011 2015-09-01 10500000 false false false A 10500000 569931 122805 9808261 2016 true false false true A false false false false false false false A false false false false true false false false false A false SCHEDULE K - PURPOSE OF ISSUE DESCRIPTION MA DEVELOPMENT FINANCE AGENCY EXPANDED THE MENTAL HEALTH BUILDING CAMBRIDGE APPLETON TRUST NA CAMBRIDGE APPLETON TRUST NA BOARD MEMEBER 26437 INVESTMENT MANAGMT false SCHEDULE L, PART V 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: 26,437 DESCRIPTION OF TRANSACTION: FRANCISCAN HOSPITAL FOR CHILDREN USES CAMBRIDGE APPLETON TRUST N.A. AS ITS INVESTMENT COMPANY 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 2, PART III, LINE 3 THE PEDIATRIC SERVICES PROGRAM CEASED OPERATION DURING THE FY 2019. FORM 990, PAGE 5, PART V, LINE 3B THE ORGANIZATION HAS FILED AN AMENDED 2017 990 T RETURN AND 2018 990 T RETURN DUE TO THE TAXPAYER CERTAINTY AND DISASER TAX RELIEF ACT OF 2019 RETROACTIVELY REPEALED IRS SECTION 512(A)(7), WHICH INCREASED UNRELATED BUSINESS TAXABLE INCOME BY AMOUNTS PAID OR INCURRED FOR QUALIFIED TRANSPORTATION FRINGES. CONGRESS HAD PREVIOUSLY ENACTED THIS PROVSISION FOR AMOUNTS PAID OR INCURRED AFTER DECEMBER 31, 2017. AS A RESULT, THE ORGANIZATION WILL RECIEVE THE PAYMENTS BACK FROM IRS FOR 2017 AND 2018. 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 SENIOR MANAGEMENT TEAM AND THEN COPIES ARE MADE AVAILABLE TO THE BOARD OF DIRECORS FOR THEIR REVIEW. THE FORM 990 IS SIGNED BY THE CFO/SVP PRIOR TO SUBMISSION TO IRS. 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 IX, LINE 11G PHYSICIAN FEES 919,435 0 0 CONSULTING SERVICES 4,174,565 563,284 14,595 PURCHASE SERVICES 467,610 1,214,139 10,850 TOTAL 5,561,610 1,777,423 25,445 FORM 990, PART XI, LINE 9 NET ASSETS RELEASED FROM RESTRICTED FOR CAPITAL 804,110 ADJUSTMENT TO MINIMUM PENSION LABILITY -708,036 TOTAL 96,074 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. FRANCISCAN PEDIATRICS INC 30 WARREN STREET 30 WARREN STREET 30 WARREN STREET BRIGHTON MA 02135 043160358 PHYS GROUP MA N/A C CORP -260939 350434 1.00000 false false false false false false false false false false false false false false true false false false true false FRANCISCAN PEDIATRICS INC R 2042177 COST FRANCISCAN PEDIATRICS INC N 1586241 COST