2019-08-16T11:03:51-05:00 2018-09-30 BDO USA LLP ONE INTERNATIONAL PLACE BOSTON MA 02110 990 2017-10-01 042156082 Franciscan Hospital for Children Inc % THOMAS O'BRIEN FRAN 6172543800 30 Warren Street Brighton MA 02135 JOHN NASH CEO 6172543800 2019-08-15 true Brian Vigneault P00540650 6174220700 2019-08-15 4.14.180.58 04123920192275000121 2019-08-15 P 7B0E5CBC1A831C42FAF22B241F9305B16BD4DF7E 16B87FA20EABAC40F2C0CA702AD9D7E1E89EC205 2017 2019-02-21 02:37:17Z JOHN NASH 30 Warren Street Brighton MA 02135 62883573 false X http://www.franciscanhospital.org X 1945 MA Franciscan Hospital for Children, Inc. is a charitable organization delivering medical and educational services to children and adolescents with special needs. (Continued on Sch. O) 19 17 929 140 0 39784 2539556 2474417 55711990 58407796 35939 35875 1038990 1865118 59326475 62783206 0 0 0 0 37789852 38385902 0 0 1650281 21088669 22573101 58878521 60959003 447954 1824203 45635157 47600542 19822236 18848613 25812921 28751929 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 30110029 35079115 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 771 admissions and 23,627 patient days during FY18. 18733926 25264734 Outpatient Services - delivery of medical, mental health, educational and other services to a special needs pediatric population in eastern Massachusetts. Franciscan Children's Hospital had 34,820 clinical outpatient, rehabilitation, behavioral and surgical visits during FY18. 48843955 true true true 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 true true false false false true 72 0 true 929 true true true false false false false true true false false false false X 19 17 false false false false false false false true true false true true true true true true true true true true false MA X THOMAS O'BRIEN 6177791225 30 WARREN STREET Brighton MA 021353680 Dr James Mandell Chairman 1.25 0.0 X 0 0 0 Robert B Needham CFA Vice Chair 1.25 0.0 X 0 0 0 Douglas C Chamberlain CFA Clerk 1.25 0.0 X 0 0 0 Timothy J Fallon Director 1.25 0.0 X 0 0 0 Sr Aline Giroux FMM Director 1.25 0.0 X 0 0 0 Andy Hoar Director 1.25 0.0 X 0 0 0 Paul M Kane Esq Director 1.25 0.0 X 0 0 0 Wendoly Ortiz Langlois Director 1.25 0.0 X 0 0 0 John E Larsen Director 1.25 0.0 X 0 0 0 Jane L Lundquist Director 1.25 0.0 X 0 0 0 Ike Papadopoulos Director 1.25 0.0 X 0 0 0 Sr Lois Ann Pereira FMM Director 1.25 0.0 X 0 0 0 Jay Pieper Director 1.25 0.0 X 0 0 0 Joan E Stiff Esq Director 1.25 0.0 X 0 0 0 Richard J Sullivan Esq Director 1.25 0.0 X 0 0 0 Sr Anne Turbini FMM Director 1.25 0.0 X 0 0 0 Michael Yogman Director 1.25 0.0 X 0 0 0 John D Nash Chief Executive Officer 40.0 0.0 X X 599457 0 40419 David Leslie Director/President-Med/Dental 40.0 0.0 X X 274194 0 10500 Donna L Polselli COO 40.0 0.0 X 271737 0 4218 Thomas M O'Brien Acting Treasurer & CFO 40.0 0.0 X 164371 0 10209 Jane O'Brien Medical Director 40.0 0.0 X 300790 0 12789 Aimee Carew Lyons COO/CNO/Sr. VP Pt Care Svcs 40.0 0.0 X 257879 0 10895 Kimberley W Lubin VP FOR Development/Advancement 40.0 0.0 X 286695 0 8463 Paul L Geltman Medical Director for Amb. 40.0 0.0 X 218598 0 10810 Nancy Murphy VP Human Resource 40.0 0.0 X 188556 0 8045 Jennifer L Fexis VP Performance Improvement 40.0 0.0 X 190352 0 2595 Elizabeth M Smith Clinical Director 7 40.0 0.0 X 151891 0 2657 Charles Kendrick Anesthesiologist 40.0 0.0 X 273075 0 7783 Jeffrey Forman Physician 40.0 0.0 X 260794 0 8789 Catherine E Miller Anesthesiologist 40.0 0.0 X 310269 0 11175 Elisabeth G Schainker Associate Cheif Med. Officer 40.0 0.0 X 268496 0 360 Rebecca J Leong Anesthesiologist 40.0 0.0 X 182006 0 0 Alexander J DeNucci Former Treasurer & CFO 40.0 0.0 X 281637 0 8159 Scott T Kosowicz Former Key Employee 40.0 0.0 X 157575 0 97 4638372 0 157963 33 true true false McLean Hospital 25 Dolphin Rd NEWTON MA 02459 Management 3177060 Unidine Corporation 1000 Washington St 510 BOSTON MA 02118 Food Services 993612 Agility Health Inc 6625 WEST 78TH STREET SUITE 300 MINNEAPOLIS MN 55439 Biometric Maintenace 451380 AP Staffing Inc 133 FEDERAL STREET 7TH FLOOR BOSTON MA 02110 Staffing Agency 370787 KHJ Integrated Marketing Inc 155 Seaport Blvd BOSTON MA 02210 Consulting Services 274253 38 429710 2044707 2474417 NET PATIENT SERVICE REV 900099 52641021 52641021 DAY SCHOOL PROGRAM 900099 5572129 5572129 DAY CARE PROGRAM 900099 194646 194646 58407796 35875 35875 0 0 0 0 0 0 29432 429710 100367 -70935 -70935 0 0 0 0 0 0 MISCELLANEOUS 900099 1677718 1677718 CAFETERIA 900099 258335 258335 1936053 62783206 60343849 -35060 0 0 0 0 4638414 2882457 1755957 0 27598783 23054450 3704352 839981 0 6148705 4943015 1040617 165073 0 0 0 126000 126000 0 0 0 8640907 7020030 1502527 118350 0 3004388 2147720 504949 351719 0 0 0 62029 36183 24698 1148 0 0 127659 93290 33141 1228 0 1891404 1324838 560741 5825 0 PROFESSIONAL ACTIVITIES 100413 66366 34047 DUES & SUBSCRIPTIONS 239719 35019 177150 27550 EDUCATION SUPPLIES 11088 10577 511 DIETARY 300552 225705 41995 32852 8068942 7004305 958082 106555 60959003 48843955 10464767 1650281 7872916 5410249 0 0 0 0 8071767 10728841 0 0 0 0 932263 1064026 241082 249854 516781 448905 64107009 42596997 22666412 21510012 0 0 3960598 5529783 0 0 0 0 1373338 2658872 45635157 47600542 6356981 7266628 0 0 41745 45053 0 0 0 0 0 0 9925601 9675547 0 0 3497909 1861385 19822236 18848613 X 22411311 23632561 3320248 5034809 81362 84559 25812921 28751929 45635157 47600542 X 1824203 3078 1111727 X X false true X true false X 0 0 false false false false false false true 90000 false false 90000 false false Political Activities Part II-B, Line 1, Lobbying Activities: Contact with and representation before state agencies responsible for the hospital's payment rates and regulatory requirements. 445419 48440 5618 499477 471382 1514 27477 445419 239640 234578 -173 2663 471382 544171 -4134 300397 239640 573814 1012 30655 544171 0.83070 0.16930 0.00000 true false 517554 517554 12068206 6775276 5292930 27695217 16843925 10851292 23799435 18960508 4838927 26597 17288 9309 21510012 BOARD-DESIGNATED FUNDS 414918 F SPECIFIC PURPOSE 4459809 F INDENTURE AGREEMENT 570497 F HELD IN PERPETUITY 84559 F 5529783 DUE FROM RELATED CORPORATIONS 1391529 OTHER ASSETS 692343 RESTRICTED PLEDGES 575000 2658872 0 LONG-TERM PENSION LIABILITY 987280 DUE TO THIRD PARTY PAYERS 442246 LONG-TERM ASSET RETIREMENT OBL 431859 1861385 X PART V, LINE 4: USE OF THE ENDOWMENT FUNDS HAVE BEEN RESTRICTED BY DONOR TO A SPECIFIC PERIOD OF PURPOSE. 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 financial 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 exemptions in the jurisdictions 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, 2018 and 2017, there were no interest or penalties recorded or included in the consolidated statements of operations. The Organization is subject to routine audits by taxing authorities. As of September 30, 2018, the Organization was not subject to any examination by a taxing authority. X X X X X true BLUE SKY SPORTS ENTERTAINMENT 150 WASHINGTON STREET NORWELL MA 02061 WIFFLE BALL false 173465 10000 COVENTURES MANAGEMENT CO 740 BROADWAY SUITE 1102 NEW YORK NY 10003 5k walk/run false 98907 15000 272372 25000 MA Golf 172283 169950 2333 18367 12609 7558 Wiffle Ball 160554 104380 56174 23986 1 143739 94189 49550 10532 15743 28865 476576 368519 108057 28899 28352 60409 117660 -9603 true true X true X true X true false false 31303417 32550570 -1247153 31303417 32550570 -1247153 0.00000 1127268 1127688 0.00020 268431 268431 1395699 295249 1100870 0.00020 32699116 32845819 -146283 0.00020 11 470 264966 154966 110000 0.00020 1 50 600 500 100 2 1000 3500 3500 1 30 1200 1000 200 15 1550 270266 156466 113800 0.00020 true 245035 -184107 -993699 809592 X true true 1 1 Franciscan Hospital for Children Inc 30 Warren Street Brighton MA 02135 X X X Adolescent Psych Uni Franciscan Hospital for Children Inc 1 false false true X X X X X X X X X 17 true false false true X WWW.FRANCISCANCHILDRENS.ORG X https://franciscanchildrens.org/ X true 17 true https://franciscanchildrens.org/commitment-to false true X 200. 400. X X X X true true X X X true X true X true X X false X X false false PART V, SECTION B, LINE 11: A multidisciplinary team at Franciscan Childrens 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 involvement would have on this need; 3) the perceived feasibility of Franciscan Childrens involvement in addressing this need, including institutional expertise and resource allocation; and 4) the alignment with Franciscan Childrens 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 990 and located on Franciscans 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 Childrens did not make a priority due to a lower demonstrated need, less perceived impact and feasibility, and/or lack of alignment with Franciscan Childrens mission and institutional strategic priorities. PART V, SECTION B, LINE 18D: USE OF A COLLECTION AGENCY. PART V, SECTION B, LINE 19D: COLLECTION AGENCIES ATTEMPTED TO COLLECT OUTSTANDING BALANCES. Part III, Line 4: 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, thereby improving the quality and comparability of the financial statements. Franciscan Hospital recoreds includes the amount of charges for services and supplies furnished under its charity care policy. The cost of services and supplies are equivalent services statistics. Part III, Line 8: The costing methodology used to determine Medicare allowable cost was the cost to outpatient ancillary charge ratios and inpatient day per diem cost as reported on the Medicare 2552 Cost Report for FYE 09/30/2017. Part I, Line 7G: N/A Part I, Line 7, Column (F): N/A 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 external 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 services not covered by the patient's insurance company. There will be four statements for self and self-pay after insurance and five for self-payment. There is a different message 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% to 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 deductible. This will be determined by a sliding fee scale. 2. Any participant in the children's medical security plan whose family income is from 201% and 400% of the federal poverty income guidelines will be eligible for financial 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% and 400% of the federal poverty income 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 the federal 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 I, Line 7: A costing methodology was not used to calculate amounts on Part I, Line 7. The cost to charge ratio was derived from worksheet 2. Part VI, Line 2: Assess health care needs of the community by the following participation in a task force. The Allston Brighton Health Collaborative conducts the following. Demographics: identify data sources, review existing data, held community forum to solicit input from the community members, committee brainstorming. Part VI, Line 3: Inpatient: We review all potential patients' insurance policies before admission 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 the 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. Part II: Community Building Activities: The adaptive skating program introduces children with special needs to basic ice skating skills. Adaptive bike camp program goal vary by participant that includes learning how to steer and use the brakes, gettong on and off the bike, and riding without stopping. Children's wellness provides easily accessed school based behavioral health services that promote emotional and social wellness, family support group dinners and social events are organized to help foster community and expand access to family-to-family learning. 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 childless (do not have children under 18) nearly 80% of residents report renting rather than owning their primary residence. Allston-Brighton has a predominantly caucasion (white) population; it is also home to a large number of diverse groups including many 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. Childhood 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 and medical 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 council, behavioral parent advisory council and Kennedy Day School Advisory Group. Part VI, Line 6: The Hospital has maintained a relationship with Boston 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: List of states receiving community benefit report: MA X true true X X X X false false false false false false false false false Alexander J DeNucci Former Treasurer & CFO 247561 9000 25076 8159 289796 John D Nash Chief Executive Officer 423856 145524 30077 40419 639876 Donna L Polselli COO 244653 27084 4218 275955 Jane O'Brien Medical Director 265249 9000 26541 12789 313579 Charles Kendrick Anesthesiologist 262575 10500 7783 280858 Jeffrey Forman Physician 260794 8789 269583 David Leslie Director/President-Med/Dental 274194 10500 284694 Aimee Carew Lyons COO/CNO/Sr. VP Pt Care Svcs 248879 9000 10895 268774 Catherine E Miller Anesthesiologist 271269 39000 11175 321444 Kimberley W Lubin VP FOR Development/Advancement 261695 25000 8463 295158 Paul L Geltman Medical Director for Amb. 218598 10810 229408 Nancy Murphy VP Human Resource 188556 8045 196601 Jennifer L Fexis VP Performance Improvement 182852 7500 2595 192947 Thomas M O'Brien Acting Treasurer & CFO 156871 7500 10209 174580 Scott T Kosowicz Former Key Employee 157575 97 157672 Elizabeth M Smith Clinical Director 7 151891 2657 154548 Elisabeth G Schainker Associate Cheif Med. Officer 268496 360 268856 Rebecca J Leong Anesthesiologist 182006 182006 Part I, Line 4b: The organization's president John Nash participates in a 457(F) plan. A MA Development Finance Agency Series B 042456011 NONEAVAIL 2015-09-01 10500000 MA DEVELOPMENT FINANCE AGENCY SERI false false false A 0 0 10500000 568934 0 0 122805 0 0 0 9808261 0 2016 true false false true A false false false false 0 false false false false A false false false false true false 0 false 0 false false A false Douglas C Chamberlain CFA Board Member 25869 Investment Management false Schedule L, Part IV: (A) Name of Person: Cambridge Appleton Trust, N.A. (B) Relationship Between Interested Person and Organization: 49% owned by Appleton Partners, Inc. (Douglas Chamberlain owns 35% of API) (C) Amount of Transaction: $25,869 (D) Description of Transaction: Franciscan Hospital for Children uses Cambridge Appleton Trust N.A. as its investment company. (E) Sharing of ORganization Revenues? - NO. Form 990, Part I, Line I: Additionally, the organization offers pediatric services to the population in general. Form 990, Part III, Line 3: The Medical Day Care Program and the Franciscan Child Care (Day Care) Program both ceased operations during fiscal year 2018. Form 990, Part VI, Section B, Line 11B: THE ORGANIZATION PREPARES THE FORM 990 AND THE RELATED DISCLOSURES WITH ASSISTANCE AND GUIDANCE FROM ITS INDIVIDUAL TAX ADVISORS (CPA FIRM). THE FORM 990 IS REVIEWED BY THE MANAGEMENT TEAM AND THEN COPIES ARE MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR THEIR REVIEW. THE FORM 990 IS SIGNED BY THE PRESIDENT/CEO PRIOR TO SUBMISSION TO THE IRS. Form 990, Part VI, Section B, Line 12C: THE ORGANIZATION REQUIRES THAT ALL MEMBERS AND OFFICERS OF THE BOARD OF DIRECTORS AND ANY MEMBER OF ANY COMMITTEE DISCLOSE IN WRITING (AND UPDATE ANNUALLY) ALL BUSINESS AND OTHER RELATIONSHIPS WHICH MIGHT POTENTIALLY CREAT A CONFLICT OF INTEREST AS DEFINED BY THE POLICY. THE WRITTEN DISCLOSURE SHALL INCLUDE AN ITEMIZAION OF ANY SUBSTANTIVE CONFILCT 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, Part VI, Section B, Line 15: ALL COMPENSATION FOR THE CEO, TOP MANAGEMENT OFFICIALS AND OTHER OFFICERS AND KEY EMPLOYEES 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, Part VI, Section C, 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 THE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL. Form 990, Part XII, Line 2: 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. Form 990, Part XI, LINE 9 Min Pension Liability $1,046,753 Released From Restrictions $68,052 Other ($3,078) Total $1,111,727 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:7869241 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:771666 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:REPAIRS & MAINTENANCE TOTAL EXPENSES:2105775 PROGRAM SERVICES:1335199 MANAGEMENT AND GENERAL:720776 FUNDRAISING:49800 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:MEDICAL SUPPLIES TOTAL EXPENSES:3261498 PROGRAM SERVICES:3250445 MANAGEMENT AND GENERAL:11053 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:ALL OTHER EXPENSES TOTAL EXPENSES:2701669 PROGRAM SERVICES:2418661 MANAGEMENT AND GENERAL:226253 FUNDRAISING:56755 New england health systems inc 30 warren street Brighton MA 02135 043421002 management MA franciscan new england health staffing inc 30 warren street brighton MA 02135 043421001 staffing MA franciscan clinical resources of new england 30 warren street Brighton MA 02135 043421000 medical equip MA franciscan franciscan pediatrics Inc 30 warren st brighton MA 02135 043160358 physician gro MA Franciscan Corp 311581 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 1750491 cost franciscan Pediatrics Inc N 1929632 cost