2019-08-13T07:45:20-05:00 2018-09-30 346565596 Ernst & Young LLP 200 Clarendon Street Boston MA 021165072 990 2017-10-01 042774441 Children's Hospital Corporation CHIL 6173556000 300 Longwood Avenue Boston MA 02115 Doug Vanderslice EVP, CFO & Treasurer 6173556000 2019-08-08 1 Mike A Cincotta P01595811 6172662000 134.174.21.171 2019-08-09 09:12:29 ED P E62AE0E244772ECCE00F71027E18D5174EBA8BD1 E62AE0E244772ECCE00F71027E18D5174EBA8BD1 2017 2019-02-21 02:37:17Z Boston Children's Hospital Sandra Fenwick 300 Longwood Avenue Boston MA 02115 3096068154 0 X www.childrenshospital.org X 1982 MA Provider of pediatric healthcare, education, research & community service 24 21 13585 1369 -2548588 0 444270077 417494538 1340492453 1422617116 44232111 137401872 46038894 42141263 1875033535 2019654789 4952966 8578746 0 0 884315632 883472221 976945 1310640 35015283 856191863 908711285 1746437406 1802072892 128596129 217581897 5531469270 5982517057 1963620459 1922917072 3567848811 4059599985 X Boston Children's Hospital is the nation's premier pediatric hospital and research enterprise. We serve as the community hospital for the children of Boston; provide specialty pediatric care throughout the region; and offer access to innovative, lifesaving care to children across the world facing rare and complex conditions. Our four-part mission is to provide access to safe, high quality, compassionate and innovative clinical care to children; research new cures and treatments for diseases and methods of care delivery; train the next generation of pediatric caregivers; and improve the health and well-being of children, with a special emphasis on helping the children of Boston grow and learn in safe, healthy environments. As one of the largest pediatric hospitals in the US and the only freestanding pediatric hospital in Massachusetts, BCH provides access to safe, high quality health care services that meet the unique needs of our patients and their families. 0 0 1073908813 8578747 1400955195 CLINICAL CARE: The services we offer - from well child visits and treatment for typical child health issues (broken bones, tonsillitis, etc.) to chronic care (asthma, diabetes, obesity, etc.) and specialty services (oncology, cardiology, neurology) - benefit from our clinicians' high level of specialization, our collaboration with research scientists (many of whom are also physicians) affiliated with the hospital, and our significant investments in equipment, facilities and clinical and support staff. Our team has a deep commitment to setting the bar for quality and safety and exceeding the expectations of our patients and their families for service, undertaking significant investments in each of these areas.In FY2018, BCH saw more than 622,000 outpatient visits, 60,000 emergency department visits, 24,000 inpatient or observation stays, and 28,000 inpatient or day surgeries. Our inpatient case mix index was 2.13 and the average length of stay was 5.4 days. Of the bedded cases, more than 16.8% (CMI > 2.00) can be qualified as clinically complex. Of these patients, approximately 33% (patients on Medicaid/Medicare) are considered low income.BCH is the safety net institution for very sick children throughout the region, supporting the entire health care system for the most complex pediatric cases. We receive referrals from community hospitals as well as from other academic medical centers throughout New England. Approximately 25% of our inpatients are transferred from hospitals & medical centers across Massachusetts for care that no one else can provide. Additionally, in 2018 we became a referral source for 2nd.MD-which has 12 million members-so that our pediatric specialists can conduct virtual consults.BCH is the single largest provider of care to children enrolled in the Medicaid program, caring for approximately 30% of all pediatric Medicaid patients statewide, including many of the sickest children in the state. BCH also provides clinical care for the largest number of uninsured children in the state; total free care & losses from Medicaid in FY2018 were approximately $117 million.Increasingly, we have been able to care for and improve life and health outcomes for medically complex children, many with conditions such as congenital heart conditions, childhood cancers & complex neurological and neurosurgical conditions. Our capabilities are accelerating rapidly as we develop new clinical & surgical approaches including gene therapies, stem cell transplant procedures, fetal surgical interventions, and the like.BCH is at the absolute forefront nationally in these & many other areas. As a result, we have seen significant growth in the number of complex patients served-patients who stay longer, require more resources (such as intensive care unit-level care), use a broader range of interdisciplinary specialists, and frequently require substantial support for their whole family. Some of them travel great distances, but equally many are from here in Massachusetts.We've attempted to manage these trends by delivering care in lower cost settings including community hospitals that we help support, and by transitioning inpatient care to multi-specialty outpatient settings where possible. We've built care teams that work effectively across disciplines. We've strived to create a more welcoming and family-centered environment for children & families on the Longwood campus. We need to do more.Recognizing the difficulties that community-based hospitals face in providing specialized pediatric care (which requires significant investments in staff, equipment & training), BCH has formed partnerships with 5 community hospitals throughout eastern Massachusetts, including Beverly Hospital, Winchester Hospital & South Shore Hospital. Additionally, our physicians see patients at Massachusetts General Hospital. With approximately 100 physicians serving those community hospitals, we enhance the community's-and the state's-ability to provide access to emergency, neonatal, inpatient & outpatient specialty services for children. BCH also operates satellite facilities in Lexington, North Dartmouth, Peabody & Waltham where we offer specialized care in cardiology, gastroenterology, neurology, respiratory diseases, diabetes, orthopedic surgery, urology, behavioral health and other specialties, as well as Martha Eliot Health Center, our community health center in Jamaica Plain. In addition, our physicians offer outpatient services at our Physician Office Locations in Brockton, Milford, Norwood & Weymouth. In addition, our BCH Physicians partnership is a multi-specialty, pediatric practice with strong medical and academic roots, whose more than 276 physicians serve families in 57 locations throughout New York's Metropolitan Area, the Hudson Valley, Connecticut and New Jersey.Additionally, we recently entered into an agreement with Hasbro Children's Hospital to further collaborate on critical child and adolescent needs, including psychiatry and stem-cell transplantation.Each year, BCH improves the quality of the clinical care it provides by recruiting talented staff, investing in cutting-edge equipment and technology, undertaking safety & quality initiatives, supporting community health programs and ensuring that our facilities make the care process easier & more comfortable for all the patients & families we serve. For example:Focus on Quality and Safety: At BCH, a dedication to quality & patient safety is embedded in everything we do. We continuously measure & track our performance in order to improve the care we provide. We believe measurement is essential for providing world-class care. If we don't track how we're doing, we can't identify areas of care that need improvement. And we can't identify high-performing areas that could serve as a model throughout BCH & the health care industry as a whole. By closely watching our quality & safety outcomes, we push ourselves to get better every day & raise the standard of care everywhere. We are committed to transparency in our efforts to constantly improve quality & safety, and clinical departments at BCH publish information on both in their own sections of our website.We value the insights of parents, patients & families when it comes to quality and safety. Parents know their child best, and they often have excellent ideas about how care can be improved. Adult family members, and children who are old enough, are encouraged to voice their observations, opinions or concerns to members of the care team. Doctors, nurses, researchers & administrators throughout BCH are continually exploring new ways of improving the quality of care we provide. Whenever possible, we share our successes & breakthroughs with the wider world, so that other health care professionals can learn from our experience and join us in raising the standard of care for children everywhere.In addition, BCH is engaged in an ongoing enterprise-wide commitment, extending to all staff as well as patients and families, to be a High Reliability Organization, one where ZERO preventable harm will occur to any patient, family member or team member. In FY18, we took one of our most important steps-engaging our patients and their families in helping us make Boston Children's safer for everyone. We started by piloting High Reliability education through our in-room GetWell edutainment system, featuring patient families sharing their stories of how they spoke up for safety, and how they were heard. We've also created-with the input of patients and families-an error prevention toolkit focused on how they can help, and most importantly making it clear that we want and need that help. In the first 10 weeks of distribution we reached 1,124 families. While the toolkit was initially available just in English, we have since expanded to Spanish and Mandarin, with Arabic forthcomingFoster innovation: Through the creation of the Innovation and Digital Health Accelerator, BCH reinforces a commitment to, and investment in pediatric innovation. We are combining our data, clinical expertise, and health care technology development experience, with leading worldwide industry partners - including start-ups - to transform health care. Through the IDHA, we are making significant investments in the area of digital and technology-driven care. We know that the patient's journey is going to be not only more personalized as it comes to their care, but clearly more digital.We are working with GE to embed in their decision software expertise from our imaging experts at Boston Children's to allow for faster diagnosis and identification of brain disorders in children.We are also working with a number of voice recognition companies to embed both voice technology in both the hospital setting where we are piloting in our organ transplantation program the use of checklists that are voice enabled as well as with families. 395614086 0 0 RESEARCH: Boston Children's is dedicated to enhancing the wellbeing of children and families by leading research and innovation around child health issues, and by seeking new approaches to the prevention, diagnosis and treatment of childhood and adult diseases.We have the world's largest pediatric research program-more the 1 million square feet of dedicated research space-for many reasons. The most important reason is our focus on our patients. We are constantly evolving care, and caring for increasingly complex patients - patients with congenital heart conditions, childhood cancers, complex neurological and neurosurgical conditions, and more. Research occurs in every clinical department, and our advancement of basic research helps us to advance the understanding of disease, but also model the diseases we see in pediatrics. In FY2018, Boston Children's received a total of $388M in research funding-federal (NIH, etc.), non-federal direct and indirect. We are the 5th largest NIH funding recipient of all hospitals in the U.S. and received 15%+ more NIH funding secured than any other pediatric hospital. Our funding amount has a multiplier effect, serving as a magnet for medical education, research and corporate investments. Boston Children's research faculty and trainees in 2018 produced over 3,000 publications, 96 within in the top 25 scientific journals with the highest Eigenfactor* impact score. Recognized by the National Institutes of Health (NIH) and multiple studies, the Eigenfactor score is a validated metric by the Eigenfactor Project that evaluates and provides a predictable measurement of the influence of scholarly literature.Our investigators hold numerous prestigious honors and awards, including many "research firsts." In our laboratories and clinics, hundreds of scientists seek to identify the factors that contribute to both childhood and adult diseases and to develop effective treatments for them. Our investigators are Harvard Medical School faculty-basic scientists, clinical researchers and epidemiologists-who are accelerating the pace of medical discovery from brainstorm to bench to bedside. Our researchers were the first to develop 10 new disease-based stem cell lines by reprogramming adult stem cells that can be used to study treatments for diseases ranging from Parkinson's to Diabetes. Clinicians and researchers at Boston Children's work with colleagues throughout the medical community to translate basic science research into applications for clinical care. These projects frequently have applications that go beyond pediatrics to impact adult care as well. In FY2018 alone, we disclosed 130 inventions, received 119 patents, executed 34 licensing agreements and formed seven startup companies to help bring our innovations to the patient bedside. Additional highlights include: - We developed a gene therapy treatment for sickle-cell disease that boosts fetal hemoglobin.- Through single-cell RNA sequencing, we identified stem-like cells that fuel diffuse intrinsic pontine glioma (DIPG), also revealing a potential therapeutic strategy.- We brought two drugs to clinical trials in rapid time-one in cancer for melanoma and one in the improvement in production of red blood cells.- We used patients' own mitochondria, taken from skeletal muscle, to strengthen their failing hearts.- We co-developed a tissue-engineered heart ventricle for studying rhythm disorders and cardiomyopathy.- We developed a new surgical approach to identifying conduction tissue.- We explored why bariatric surgery also eases diabetes - revealing new ways to combat both conditions without surgery-and showed that pre-treated blood stem cells can reverse diabetes, an approach now being readied for clinical trial.- We have steadily identified extremely subtle epilepsy mutations found only in the brain, and only in certain cells.- Showed the potential for microglia and blood stem cells to deliver gene-therapy treatments to the brain.- We developed a one-time hydrocephalus operation that avoids the need for shunting. 39420709 0 21661921 TEACHING: As the primary pediatric teaching hospital for Harvard Medical School, Boston Children's is committed to educating the next generation of leaders in child health. We train more than 475 resident and clinical fellows annually and host approximately 100 medical students, offering more than 70 training programs (41 of which are accredited - more than any other freestanding children's hospital).These men and women are selected for their potential leadership in their respective fields and their commitment to advancing the frontiers of pediatric care. In fact, a 24-year analysis of residents who have graduated from our Department of Medicine found that roughly 40% go on to become leaders in academic medicine, filling positions such as deans, chairs and program heads across the country. Over a third of the chiefs of pediatric departments across the country trained at Boston Children's. We train individuals throughout all areas of the care continuum, including medical students, interns, residents, fellows, nursing students and community pediatricians. We provide continuing professional education for all of our clinical staff.Our Department of Continuing Medical Education enables clinicians around the world to tap into Boston Children's expertise. We are the first pediatric hospital to receive joint accreditation, with 20 online accredited courses as part of OPENPediatrics and 40 live courses overall, national and regional.Our Simulation Program is the first hospital-based simulator program at a teaching hospital in New England. Our goal is to make "practice prior to game time" part of healthcare routine, offering a fully integrated quality assurance and improvement resource, preparation and testing environment for hospitals. Our groundbreaking programs in simulation technology, 3D printing, advanced genomic testing, and other areas allow us to bring new techniques to medicine that are unique to our institution - many of them specialized for the care of the smallest babies.We are the only pediatric hospital to offer certification for physicians in use of robotic equipment, helping surgeons develop and perfect new robotic procedures and surgical techniques.Boston Children's offers the only training programs in Massachusetts for: Adolescent Medicine, Medical Biochemical Genetics, Neurodevelopmental Disabilities, Pediatric Cardiology, Pediatric Hematology/Oncology, Pediatric Nephrology, Pediatric Orthopedics, Pediatric Pathology, Pediatric Surgery, Pediatric Sports Medicine, Pediatric Urology, Pediatric Transplant Hepatology and Congenital Cardiac Surgery.Boston Children's offers the only training programs in New England for Adolescent Medicine, Medical Biochemical Genetics, Neurodevelopmental Disabilities, Pediatric Sports Medicine, Pediatric Urology, Pediatric Transplant Hepatology and Congenital Cardiac Surgery.Boston Children's has the largest accredited training programs in the country for Pediatric Anesthesiology, Pediatric Cardiology and Pediatric Otolaryngology. The hospital also has the largest accredited training program in Child Neurology in New England.Boston Children's Pediatric Sports Medicine is one of only 28 accredited pediatric sports medicine programs in the country and Neurodevelopmental Disabilities is one of only 13 accredited neurodevelopmental disabilities programs in the country. Congenital Cardiac Surgery is one of 11 in the country, Pediatric Transplant Hepatology is one of 7 in the country, and Medical Biochemical Genetics is one of 16 in the country.Boston Children's Hospital is also home to one of only 7 Pediatrics/Anesthesia Combined Residencies in the country - and the only one in New England. Our combined Pediatrics/Medical Genetics Combined Residencies is one of 19 in the country, and the only one in Massachusetts.Our Clinical Informatics training program is one of only 5 pediatrics-based Clinical Informatics training programs in the country, and is the only such program in New England. Community:Boston Children's Hospital (BCH) was among the first academic medical centers in the country to expand the traditional missions of patient care, teaching and research to embrace a fourth part of its mission-community. Through the years, BCH has strived to ensure that community health is more than just words in its mission statement. The efforts have evolved from targeted services for individual families to innovative models that have proven to reduce health disparities, improve child health outcomes and promote health equity.BCH's community mission is based on the needs of the community. It revolves around keeping children healthy through wellness and prevention efforts, ensuring that children have access to needed health care services and partnering with others to address the social determinants of health, those issues that have an impact on health such as an individual's exposure to violence or living in poverty. In all its endeavors, Boston Children's focuses on meeting community needs and implementing programs that are aligned with the priorities of the City of Boston, the Boston Public Health Commission, the Boston Public Schools as well as other key partners and city agencies.Understanding community needsTo better understand current health needs in our community, BCH conducts a Community Health Needs Assessment (CHNA) every three years. The findings inform the direction of the hospital's community mission and the scope of its community health work. It also helps to ensure that BCH is utilizing resources and leveraging community partnerships in the most effective way. BCH's last assessment was completed in 2016. An assessment for 2019 is currently underway.In 2016, BCH used a participatory, collaborative approach and examined health in its broadest context. As part of the CHNA, BCH sought input from its Community Advisory Board members and engaged youth to design, collect and analyze data on youth perceptions of needs and opportunities. The assessment process also included synthesizing existing data on social, economic and health indicators in Boston. Eight stakeholder interviews and two focus groups with community residents were conducted to explore perceptions of the community, health and social challenges for children and families as well as recommendations for how to address these concerns. Additionally, BCH collaborated with other hospitals through the Conference of Boston Teaching Hospitals to gather information on community needs via four focus groups hosted by community coalitions. BCH also gathered information on challenges faced by children with special needs and their families by attending a focus group listening session facilitated by Health Care for All. Lastly, the CHNA was informed by results from Boston Children's Determination of Need community engagement process. This process, which was guided by an Advisory Group that met in person six times, included conducting seven facilitated open community engagement sessions across the city of Boston. Four targeted small group discussions were also held with communities that were under-represented in the larger community sessions.Some of the key themes from the CHNA included the impact of poverty on child and community health, lack of stable and affordable housing, concerns about food access and insecurity and the importance of prevention and focus on early childhood. Health issues of concern include asthma, obesity and mental/behavioral health. More details on all the findings and our process can be found in the complete report and in the Community Health and Benefits Strategic Implementation Plan. The report and plan are available on the hospital's web site, Bostonchildrens.org/community. A formal and comprehensive needs assessment is only one part of BCH's approach to understanding the complex health needs and vital resources within the community. BCH is continually listening and learning from patient families, community leaders and staff. The staff rely on ongoing conversations with BCH's key partners-community health centers and community-based organizations, as well as the Boston Public Health Commission and the Boston Public Schools.Through the Community Advisory Board, which meets on a quarterly basis, BCH has a direct link to expertise on Boston neighborhoods, community organizations and current health needs. Members of the Community Advisory Board are instrumental in providing feedback throughout the year and play a key role in the BCH formal assessment process. This feedback from experts, community leaders and partners as well as the Community Advisory Board informs the hospital's community mission, facilitates and strengthens the development of partnerships and helps to shape the implementation of the hospital's Strategic Implementation Plan. Being a community health leaderBCH has identified priority health areas-asthma, obesity, mental/behavioral health and early childhood/child development-and has a programmatic response to each. Community programs are focused where BCH has the clinical expertise, resources and partnerships to make a difference. BCH's strategy for improving community health is to: 1) address the most pressing health needs of children and families; 2) provide services through programs that can lead to improvements in health; or 3) build community capacity to better meet the needs of children and families. Some of these programs are described briefly below.- The Community Asthma Initiative (CAI) helped to improve the health of Boston children with asthma. To date, CAI has served more than 2,132 children with asthma. CAI provides case-management services, offers home visits, educates caregivers and providers, distributes asthma control supplies and connects families to local resources. The program has reduced the percentage of patients with any asthma-related hospitalizations by 81% and emergency department visits by 57%.- Boston Children's Hospital Neighborhood Partnerships Program (BCHNP) is the hospital's community-based behavioral health program. BCHNP places clinicians in Boston schools and community health centers to provide a comprehensive array of services to better meet the needs of children and adolescents. Last year, more than 1,050 students received school-based services. The program also provided 1,500 hours of consultation to school staff and families and 40 workshops were held on social, emotional and behavioral health.- Fitness in the City (FIC) is a community-based approach to addressing obesity by offering prevention and intervention strategies to support children and youth who are overweight or obese, in making healthier choices and behavior changes. FIC supports 11 Boston community health centers to provide almost 1,100 children annually with case-management support, as well as access to nutrition and physical activity programs. Last year, 65% of children participating in FIC have reduced their Body Mass Index. Participants also have made behavioral changes such as reducing consumption of sugar sweetened beverages and increasing the amount of time being physically active.- The Advocating Success for Kids Program (ASK) provides access to intensive and critically needed services for children experiencing school-functioning problems and learning delays through Boston Children's primary care clinic and in two Boston community health centers. Last year, 777 children were cared for by the ASK team. Expanding community commitmentBCH has an opportunity to build on its history of partnering with the community to make a significant impact on the health of children and to address the social determinants that can affect an individual's health such as the environment that surrounds them, their housing conditions and consequences from exposure to violence or living in poverty. Boston Children's will distribute new funds as part of an agreement with the Massachusetts Department of Public Health's Determination of Need/Community Health Initiative program.These funds-Boston Children's Collaboration for Community Health-will be distributed to community organizations in addition to our ongoing commitments and support for programs and partners. The strategy to distribute funds followed a two-year community engagement process to inform how BCH could make a long-lasting impact. That process resulted in identifying several strategic funding areas to address the critical needs of children and families.BCH has released funding in the following strategic areas: Mental Health and Youth Support Systems, Community Trauma Response, Zero to Five Child Health and Development, Family Housing Stability and Economic Opportunity, Community Physical Activity, Recreation and Food Access and through the Children's Health Equity Collaborative. 10173885 0 0 Community (Continued):In August 2018, the hospital awarded more than $11 million to 31 funded partners and an additional $5 million to 14 funded partners was awarded in March 2019. This is a portion of the hospital's $53.4 million commitment. More details on the Collaboration and the funded partners can be found at BostonChildrens.org/fundingAddressing social determinants of healthBCH also responds to the social determinants of health by focusing on support and partnerships in three areas: - Education and schools. Boston Children's partners closely with the Boston Public Schools (BPS) to support and strengthen the system as well as to work directly in school settings to reach students and help families overcome barriers that may prevent their children from functioning well in school. FY18, BCHNP's Training and Access Project (TAP) provided support to 15 schools by providing training and consultation in building sustainable systems in schools to support student behavioral health needs.- Workforce Development. Boston Children's recognizes that one of the most significant ways to support the community and help to ensure a diverse workforce is the recruitment and retention of Boston residents as employees. Boston Children's comprehensive workforce development efforts are in partnership with local organizations such as the Fenway Community Development Corporation and Jewish Vocational Services. Boston Children's also supports the pipeline of health care workers by exposing youth to careers in the health field. Programs include SCOOP for students interested in nursing careers and the COACH program, which provides opportunities for high school students to work at the hospital during the summer. - Partnering to support the health and social infrastructure in place for families. Boston Children's is also committed to and directs resources to build capacity within the existing infrastructure of care for Boston children and families. This means supporting key partners-the Boston Public Health Commission (BPHC) and 11 Boston community health centers. Boston Children's also has relationships with a wide array of community based organizations, which provide a voice for the families and neighborhoods they represent. Serving as a safety netBoston Children's remains committed to its local community, providing primary and preventative care, as well as inpatient care for complex illnesses. It is one of the leading providers of health care to low-income children in Massachusetts and it provides care unavailable elsewhere in the state and sometimes the nation. Boston Children's also is a safety net provider for Boston children. This safety net is financial in that the hospital provides free care, subsidizes care for Medicaid patients, and incurs bad debt for patient families who cannot pay for the care they receive. It is programmatic in that Boston Children's offers vital, hospital-subsidized services that are either unavailable elsewhere or available only in a very limited capacity, such as mental health and dental care.Advocating for children and familiesAs the only freestanding children's hospital in Massachusetts, influencing public policy to improve child health is an important aspect of Boston Children's commitment to community health. The hospital is a leading provider of pediatric medical and behavioral services to low-income children across the Commonwealth and is s a critical component of the safety net for children throughout New England and the nation. Boston Children's has been an organized force and an influential advocate for health and wellbeing of children for more than 20 years. Boston Children's is an effective advocate on legislative and regulatory matters in Massachusetts that affect children's wellbeing, such as increasing access to quality pediatric mental health programs, promoting better treatment models for children with medical complexity and chronic conditions and advancing innovative public health policies. Boston Children's advocacy history is rooted in the promotion of better insurance coverage for children, including major child health expansions in the 1990s, strong involvement in Massachusetts' Affordable Care Today Coalition (the catalyst behind the passage of Massachusetts's 2006 health reform law), and significant national involvement in work to promote child health access through the Children's Health Insurance Program, Medicaid and the Affordable Care Act. As a result, Massachusetts has achieved near universal health access for children, with less than 1 percent of children uninsured-the lowest rate in the country. In recent years, Massachusetts has emphasized payment reform and cost containment policies within the health care system. Boston Children's played an active and vocal role in the development of the groundbreaking payment reform legislation that was signed into law in August 2012. Nationally, Boston Children's is engaged in efforts to preserve and improve Medicaid and the Children's Health Insurance Program, which serve as a safety net for children in all fifty states, ensuring their access to high-quality, effective coverage and facilitates important quality measurement and improvement initiatives.In 2006, Boston Children's (including its Boston Children's Hospital Neighborhood Partnerships Program - for details see above) and a coalition of community organizations launched the Children's Mental Health Campaign (CMHC). The CMHC has converted its credibility and influence into several major policy accomplishments which have redefined the landscape of the children's mental health system in Massachusetts. In 2008, the CMHC was instrumental in securing passage of two landmark state laws. An Act Relative to Children's Mental Health (Chapter 321) creates a structure for enhancing early identification, treating children in the most appropriate settings, enhancing coordination among state health care agencies and establishing mechanisms for oversight of and input into the state children's mental health system. Chapter 256 strengthened the state's mental health parity law by expanding the categories of disorders for which health insurance plans must provide mental health benefits. The CMHC is determined to hold key stakeholders accountable for implementing the new laws secured through its advocacy efforts. Since that time, the CMHC has had a number of legislative and budget successes that have increased access to appropriate care for children and adolescents with mental health disorders and their families. A significant success during this year was the inclusion in the Substance Use Treatment, Education, and Prevention Act of a requirement for schools to screen all youth for substance use at two different grade points during their middle to high school careers. Current efforts at the state level address: access to behavioral health services, diversion from juvenile justice programs, improving mental health in schools, and adolescent substance use prevention. In addition, the CMHC is working to address mental health parity compliance (legislative and regulatory) Additionally, Boston Children's works in collaboration with a host of public health and prevention advocates to ensure public policies work to keep children safe and healthy. This year, Boston Children's is working to ensure the protection of children and adolescents under the state's new legalized marijuana laws by advocating for appropriate child safety packaging regulation and funding for the Poison Control Center and adolescent substance prevention efforts . The hospital also lends expertise in the effort to raise the minimum purchase age for tobacco products 21, create a tiered tax on sugar sweetened beverages, and improve child passenger safety legislation. Boston Children's has established the over 5,000 member Children's Advocacy Network (CAN), a grassroots advocacy network that leverages the many voices of families, hospital staff, and community partners in support of child health. Since 2006, the hospital has trained hundreds of advocates through an annual in-depth, five-session training series that gives advocates a better understanding of the legislative process and the skills needed for effective advocacy. This year, the training model was updated to a one-day advocacy boot camp to reflect the feedback from the community. The CAN hosts monthly educational sessions, which offer hospital staff and community partners a monthly opportunity to learn about a current topic related to children's health policy and explore ways to advocate for children. Staff members from departments throughout the hospital regularly engage with the CAN in order to receive information about policy changes that may impact their patient population or schedule in-service presentations about current events in Washington and at the state level. 10173885 0 0 1519117493 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 1 0 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 1880 0 1 13585 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 X 24 21 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X Doug Vanderslice 6173556000 300 Longwood Avenue Boston MA 02115 Stephen Karp Trustee - Chairman 5.00 5.00 X 0 0 0 Douglas Berthiaume Trustee - Vice Chair 2.00 2.00 X 0 0 0 Allan Bufferd Trustee 1.00 1.00 X 0 0 0 Alex Dimitrief Trustee 1.00 1.00 X 0 0 0 Steve Fishman MD Trustee,ex officio 1.00 1.00 X 0 0 0 Gary Fleisher MD Trustee, ex officio 1.00 1.00 X 0 0 0 Winston Henderson Trustee 1.00 1.00 X 0 0 0 Paul Hickey MD Trustee,ex officio 1.00 1.00 X 0 0 0 James Kasser MD Trustee,ex officio 1.00 1.00 X 0 0 0 Steven Krichmar Trustee 1.00 1.00 X 0 0 0 Robert Langer Trustee 1.00 1.00 X 0 0 0 Harvey Lodish PhD Trustee 1.00 1.00 X 0 0 0 Gary Loveman Trustee 1.00 1.00 X 0 0 0 Sheila Marcelo Trustee 1.00 1.00 X 0 0 0 Ralph C Martin Trustee 1.00 1.00 X 0 0 0 Thomas Melendez Trustee 1.00 1.00 X 0 0 0 Kathleen Regan Trustee 1.00 1.00 X 0 0 0 Robert A Smith Trustee 1.00 1.00 X 0 0 0 Alison Taunton-RigbyPhD Trustee 1.00 1.00 X 0 0 0 Marc B Wolpow Trustee 1.00 1.00 X 0 0 0 Laura J Wood DNP MS RN CNO/Noncomp Trustee 55.00 5.00 X 600296 0 47107 Gregory Young MD Trustee, ex officio 1.00 1.00 X 0 0 0 Sandra Fenwick CEO, Noncomp Trustee 55.00 6.00 X X 2369896 0 76509 Kevin Churchwell MD President & COO/Noncomp Trustee 55.00 5.00 X X 1384919 0 59935 Doug Vanderslice EVP, Treasurer & CFO 55.00 8.00 X 1006730 0 56172 Bruce Balter Asst Treasurer/Dir Corp Fin Svc 55.00 5.00 X 260759 0 50306 Michele Garvin Esq General Counsel & Secretary 55.00 7.00 X 834510 0 43775 Dionne Mottley Asst Sec/Exec Asst 55.00 5.00 X 0 0 0 Demosthenes Argys SVP, & Chief Administrative Officer 55.00 5.00 X 699011 0 50990 August Cervini VP, Research Administration 55.00 5.00 X 368339 0 42705 Michael Gillespie VP, Clinical Services 55.00 5.00 X 475864 0 35749 Cynthia Haines SVP, International Services 55.00 5.00 X 577777 0 47755 Patricia Hickey PhD MBA RN NEA-BC VP, Cardiovascular Services 55.00 5.00 X 381307 0 39237 Lisa Hogarty SVP, RE Planning and Development 55.00 5.00 X 581363 0 40674 Daniel Nigrin MD SVP & Chief Information Officer 55.00 5.00 X 622460 0 46793 Philip Rotner Chief Investment Officer 55.00 5.00 X 1622124 0 51557 Wendy Warring SVP, Network Development 55.00 5.00 X 651873 0 41987 Nader Rifai PhD Director, Chemistry 55.00 0.00 X 672622 0 42827 Lynn Susman President, Children's Hospital Trust 55.00 0.00 X 710209 0 57510 Orah Platt MD Chief, Lab Medicine 55.00 0.00 X 571169 0 36354 Martin Kelly Director, Investments 55.00 0.00 X 772416 0 39752 Alison Svizzero Director, Investments 55.00 0.00 X 708415 0 20472 James Mandell MD Former CEO 0.00 0.00 X 106194 0 0 Margaret Coughlin Former SVP & Chief Marketing Officer 0.00 0.00 X 170352 0 0 16148605 0 928166 2175 1 1 0 Suffolk Construction 65 Allerton Street Boston MA 02119 Construction Services 63897607 The Brigham and Women's Hospital 75 Francis Street Boston MA 02115 Healthcare/Research Services 16267160 Shepley Bulfinch Two Seaport Lane Boston MA 02210 Architectural Services 14990828 G Greene Construction Company 240 Lincoln Street Boston MA 02134 Construction Services 8176887 VPNE Parking Solutions 343 Congress Street Boston MA 02210 Parking Serives 7324098 267 23928 3994294 221903817 191572499 23180326 417494538 Patient Svc Revenue 621110 1336008680 1336008680 Prog Svc Grants 621110 50648562 50648562 Graduate Medical Educa 611710 21661921 21661921 Prof Svc Revenue 621110 13838331 13838331 Lab Revenue 621500 459622 459622 1422617116 14411945 -91763 14503708 6144040 6144040 19932302 11787689 8144613 8144613 -3118833 11263446 1139038643 46268204 1059632281 2684639 79406362 43583565 122989927 43520649 79469278 3038967 3994294 2308756 730211 730211 Other General Services 900099 11233274 11233274 Parking Revenue 812930 7536260 7536260 Cafeteria Sales 722210 7432929 7432929 919936 202386 717550 27122399 2019654789 1465678143 -2548588 139030696 X 6781060 6781060 1797686 1797686 13168479 13168479 696135098 554679152 123839120 17616826 39350321 36790772 1291117 1268432 84974750 80076194 2470985 2427571 49843573 46601488 1635409 1606676 6973496 1612433 5361063 3659119 1262179 2396940 1757702 680917 1074608 2177 107621 107621 1310640 1310640 262073026 211750811 48794250 1527965 2687156 2570555 113269 3332 24659125 4832208 13683758 6143159 30563395 30080670 482725 103284154 101810798 1473356 6282193 5129259 1068981 83953 2100391 1266307 770886 63198 41938693 41938693 122497526 119301672 2190581 1005273 7707703 7707703 Lab/Medical/Pharmacy 240239464 240239464 0 0 Uncollectible Accts 31375695 31375695 0 0 Uncompensated Care 11484478 11484478 0 0 Free Care 9320348 9320348 0 0 1802072892 1519117493 247940116 35015283 555487 607592 249635384 269599895 274198901 297700414 25433859 27808866 28494947 27006801 2985146990 1787907608 1113275435 1197239382 188506751 264908943 1077697645 1070412496 2403230 2573670861 2824829438 5531469270 5982517057 251571179 315085352 109685487 122272940 861592970 872393932 384673044 347349157 356097779 265815691 1963620459 1922917072 X 2013295842 2381710816 780538938 879854728 774014031 798034441 3567848811 4059599985 5531469270 5982517057 X 217581897 24861860 249307417 X 0 1 X 1 1 1 X 330383668 307902601 342539011 444270077 417494538 1842589895 330383668 307902601 342539011 444270077 417494538 1842589895 53171139 1789418756 25521020 32931142 24495716 25976961 31911194 140836033 262601 264130 -270120 -4277019 -2548588 -6568996 26157674 28227656 27213103 30424665 26920013 138943111 2115800043 6319234649 0.84570 0.84810 X Schedule A, Part II, Line 10, Explanation of Other Income: Other General Services Parking Revenue Cafeteria Revenue 1 1 0 1 145179 0 1 89008 1 528871 0 0 763058 0 Part II-B, Line 1 Children's Hospital is a section 501(c)(3) organization whose mission is fourfold - to provide the best possible pediatric health care, combining compassion with advanced technical capabilities; to be the leading source of research and discovery, seeking new approaches to the prevention, diagnosis, and treatment of childhood diseases; to educate the next generation of leadership in child health care; and to provide education and healthcare services to the community. In fulfillment of the above mission, the Hospital advocates on behalf of children and the providers who care for them at the State and Federal levels. Professional staff in the Hospital's Office of Government Relations direct these activities and coordinate the work of other Hospital staff who support the advocacy efforts on an intermittent basis. The Hospital has also sent correspondence to and met directly with Federal, State and local legislators and officials. The Hospital has also utilized a grassroots network of employees and friends to advocate on behalf of children's health issues. In Fiscal Year 2018, four Office of Government Relations staff members registered with the State as lobbyists for some or all of the fiscal year, dedicating a portion of their time to lobbying activities. In accordance with state lobbying laws, the Hospital also registered its CEO as a lobbyist, although her involvement in these efforts was minimal. Three Office of Government Relations staff members registered as lobbyists at the Federal level. The Hospital utilized the services of two outside consultants in Fiscal Year 2018 in either the Massachusetts General Court or the U.S. Congress. These consultants, on behalf of the Hospital, prepared written materials which are distributed to officials and met with elected and appointed officials. The following is a detailed list of lobbying expenses incurred: Josh Greenberg Registered Lobbyist Children's Hospital personnel $196,875 - Amy DeLong Registered Lobbyist Children's Hospital personnel $56,946 - Sandra Fenwick Registered Lobbyist Children's Hospital personnel $5,119 - Kathryn Audette Children's Hospital personnel $77,508 - Katherine Ginnis Children's Hospital personnel $28,892 - Jamie Gaynes Children's Hospital personnel $55,910 - Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $40,000 - Nick Manetto Consultant Faegre BD 1050 K Street NW, Suite 400, Washington, DC 20001 $67,621 Total Lobbyist/Consultant Expenses = $528,871 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $145,179 Grant to Massachusetts Hospital Association for health care related lobbying - $89,008 TOTAL LOBBYING EXPENSES = $763,058 In addition to Children's Hospital Corporation's direct and listed lobbying expenses, Children's Hospital Corporation pays dues to certain membership organizations, a piece of which may be used by such organizations for lobbying activities on behalf of this institution and other similarly situated organizations. Total direct and indirect lobbying expenditures were minimal and not substantial based on revenues. 1134782000 -461000 32789000 4953000 1162157000 1007240000 11924000 152501000 36883000 1134782000 939779000 33474000 77339000 43352000 1007240000 976027000 26449000 -22205000 40492000 939779000 894984000 47069000 71647000 37673000 976027000 0.57670 0.18630 0.23700 0 0 12619348 12619348 1907241641 1089954345 817287296 823325497 692086697 131238800 241960504 5866566 236093938 1197239382 3rd Pty External Administered Trusts 53340187 F Abrams Capital 26749744 F AKO European Long-Only Fund 22385778 F Bain Cap Distr & Special Situations 6605760 F Bain Capital Fund IX 1335350 F Bain Capital Fund X 2417241 F Bain Capital Venture Fund 2012 1952158 F Bain Capital Venture Fund 2014 4742109 F Baupost 69240741 F Brookside Capital 588904 F Circulation, Inc. 54055 F Commure, Inc. 414999 F Convexity 17227379 F Costanoa Ventures III, LP 1036437 F Costanoa Ventures Opportunity Fund, L.P. 625757 F Crosslink Crossover Fund VI 2372218 F Crosslink Crossover Fund VII 2231891 F Crosslink Ventures VIII-B, L.P. 15115 F Davidson Kempner 64844677 F Deccan Value 30080778 F Deerfield Partners, LP 17225602 F Deerfield Private Design Fund IV 2809718 F Deerfield Special Situations Fund 3738782 F Dune Real Estate Fund III 4121341 F ECM Feeder Fund I 29456092 F Energy Capital Partners 3008093 F Energy Capital Partners III 6090429 F Fidelity Notes Payable 2593401 F Fine Points Capital II 21669168 F Flare Capital Partners I 2369482 F Gaoling Feeder, Ltd. 16706611 F Golden Gate Capital 16405668 F Highfields Capital 39542653 F Hillhouse Fund III 4088029 F Hillhouse Fund IV, L.P. 143355 F Himalaya Capital Investors, L.P. 16837578 F HMI Capital Partners 32781073 F Holdco.Opp. Fund II 4973809 F ICHIGO Japan Fund B 18895630 F Insignia Ventures Partners Fund I L.P. 1618827 F JMC Capital I-B 5883623 F JMC Platform Fund II-B 1821319 F JVL Energy 22625948 F King Street 78723383 F Lone Star Fund IX 2783416 F Lone Star Fund VIII 1645988 F Matrix China II 8061901 F Matrix China III 8719610 F Matrix China IV 5099521 F Matrix India II 4272836 F Matrix Partners China V, L.P. 643250 F Matrix Partners India III, LLC 194576 F Matrix Partners X 1966617 F Matrix Partners XI, L.P. 300875 F Maveron Equity Partners VI 1935111 F MIT Private Equity Fund 16451736 F Nalanda 19590474 F Morphic Holding, LLC 174656 F Park West Investors Ltd 36043703 F Riverstone 1819444 F Rivulet Capital Offshore Fund, Ltd. 31101011 F Sankaty Credit Opport Fund IV 1941512 F Sequoia Capital Global Equities 15102316 F Sequoia Capital Global Growth Fund II 6258107 F Sequoia Capital India IV 5241084 F Sequoia Capital India V 2976735 F Sequoia Capital India VI 242775 F Sequoia China Growth III 4662843 F Sequoia China Growth IV 4235160 F Sequoia China Venture Fund IV 1160209 F Sequoia China Venture Fund V 1630594 F Sequoia China Venture Fund VI 1146164 F Sequoia US Growth Fund VII 485548 F Sequoia US Venture Fund XIV 2110711 F Sequoia US Venture Fund XV 1007864 F SequoiaUSGrowFund V 1389765 F SequoiaUSGrowFund VI 2653002 F Sequoia US GrowFund VII 2305755 F Sequoia Capital China Growth Fund V, L.P. 1345359 F Sequoia Capital China Seed Fund I, L.P. 65363 F Sequoia Capital China Venture Fund VII, L.P. 324520 F Sequoia Capital U.S. Venture Fund XVI, L.P. 127820 F Somerset 17377892 F SPUR Ventures II 6789573 F Steadfast 22525363 F Taris Biomedical 4669 F Tenfore Holdings Fund II, L.P. 1230915 F Underscore VC Fund I, LP 2309787 F Underscore. VC Fund II, L.P. 332000 F Union Park Capital II L.P. 404483 F Wellington - Emerging Small Cap 13151105 F Wellington - Energy 11622037 F Wellington EM Opportunities 34046764 F Wellington Spindrift 575 F Wellington Ultra Short Duration 81401527 F Westbrook IX 1992000 F Westbrook X 1701500 F Whale Rock Flagship Fund, LTD. 15913483 F 1070412496 Interest in the Net Assets of Children's Medical Center 2718178610 Expected Insur Recoveries for Prof Liability Claims 38201922 Investment in Subsidiaries 34871189 CERNER Asset 16949161 Other Assets - Miscellaneous 16628556 2824829438 Estimated Final Settlement Due to Third Party Payors & Deferred Revenue 18457536 Estimated Insured Professional Liability Losses 38201922 Salary & Other Benefits 1994406 Funds Held for Others 32227378 Reserve for Medical Malpractice 4825661 Other Liabilities - Miscellaneous 10663975 Lease Obligations 21176436 Interest Rate Swap Liability 98407824 Accrued Pension Cost 23113947 Cerner Contra Asset 16746606 265815691 X Part V, Line 4: The Children's Hospital's investment and spending policies for endowment assets are intended to provide a predictable stream of funding to support Children's Hospital's missions in pediatric patient care, education, research, and community programs. Part V, Line 1b: The Contribution line is comprised of Net Assets Reclassifications of $90,000, Prior year Audited Financial Statement restatement adjustment of -7,733,000 and Contributions of $7,182,000. Part X, Line 2: There is no FIN48/ASC740 footnote in the organization's audited financial statements. Central America & the Caribbean 0 0 Program Services Patient Care, Research & Education 28940 East Asia & The Pacific 0 0 Program Services Patient Care, Research & Education 255371 Europe 0 0 Program Services Patient Care, Research & Education 541062 Middle East and North Africa - 0 0 Program Services Patient Care, Research & Education 56533 North America 0 0 Program Services Patient Care, Research & Education 97955 South America 0 0 Program Services Patient Care, Research & Education 49418 South Asia 0 0 Program Services Patient Care, Research & Education 105676 Sub-Saharan Africa 0 0 Program Services Patient Care, Research & Education 300808 Central America & the Caribbean 0 0 Investment 458208272 Sub-Saharan Africa 0 0 Investment 32518481 Russia & the Newly Independent States - 0 0 Program Service Patient Care, Research & Education 24113 0 0 0 0 0 0 1435763 490750866 492186629 1 0 1 1 1 1 Part I, Line 2: Children's Hospital's employees may travel outside the United States to support its missions in pediatric patient care, education, research, and community services. Business travel, on behalf of Children's Hospital, must follow the Hospital's Travel Policy. The traveler must submit a request for reimbursement, and provide itemized receipts as supporting documentation. Reimbursement approval is the responsibility of the Manager of the Department/Director/VP in which that activity is budgeted and expensed. In addition, the Department Manager/Principal Investigator/Director/VP is responsible for: - Ensuring that the travel policy and procedures are clearly communicated to all authorized travelers. - Ensuring compliance with all BCH travel policy and procedures, and applicable sponsor guidelines in the case of grant-sponsored activities; including timeliness and proper documentation requirements. - Maintaining supporting documentation of travel activity and expenses for proper record keeping and auditing purposes. - Assuring that proper authorizations are documented with the understanding that unauthorized expenses and/or personal expenses will not be reimbursed to the traveler. In general, the ordinary and necessary expenses incurred while traveling on hospital business are reimbursable upon submission and authorization of a completed reimbursement request with receipts as supporting documentation. Reimbursable expenses include transportation, hotel/lodging, meals and other reasonable expenses incidental to travel. Personal expenses are not reimbursable. Part I, line 3: Expenditures are accounted for and reported on an accrual basis. X X X X X X X 1 Chapman Cubine Adams & Hussey 2000 15th Street North Arlington VA 22201 Direct Mail Counsel 0 998494 431339 567155 Charity Dynamics LLC 4031 Guadalupe Street Austin TX 78751 Online Counsel 0 721575 258954 462621 Sarah Gardner 13 Smokey Hill Rd Wayland MA 01778 Fundraising Counsel 0 478087 68750 410337 Bentz Whaley Flessner 7251 Ohms Lane Minneapolis MN 55439 Counsel/Reports 0 0 144148 -144148 Connelly Partners LLC 46 Waltham Street Boston MA 02118 Fundraising Counsel 0 0 72847 -72847 Advizor Solutions Inc 1333 Butterfield Road Suite 400 Downers Grove IL 60515 Fundraising Counsel 0 0 49308 -49308 The Pursuant Group Inc 15660 Dallas Pkwy STE 1000 Dallas TX 75248 Fundraising Counsel 0 0 106007 -106007 Gift Strategies LLC 1539 Fall River Ave Suite 3 Seekonk MA 02771 Fundraising Counsel 0 0 70380 -70380 Copper Reef Enterprises 6965 El Camino Real Carlsbad CA 92009 Fundraising Counsel 0 0 58500 -58500 Market Street Research Inc 9 1/2 Market Street Northampton MA 01060 Fundraising Counsel 0 0 50407 -50407 2198156 1310640 888516 CT RI NH VT ME FL NY NJ NV MA Dinner/Auction 2579118 1943865 635253 0 0 0 259489 0 616350 Investment Conference 1838798 851574 987224 0 0 34186 101172 0 129973 4 2615345 1198855 1416490 0 0 67578 258198 8035 833775 7033261 3994294 3038967 101764 618859 8035 1580098 2308756 730211 Doug Vanderslice CFO Treasurer 300 Longwood Avenue Boston MA 02115 1 1 X 1 X 1 X 1 1 0 1 1 28854222 18451698 10402524 0.00590 382104795 264829371 117275424 0.06620 410959017 283281069 127677948 0.07210 6030073 219975 5810098 0.00330 39420709 7209593 32211116 0.01820 29310510 23703084 5607426 0.00320 395614086 383759188 11854898 0.00670 1712643 1712643 0.00100 472088021 414891840 57196181 0.03240 883047038 698172909 184874129 0.10450 27 1773903 1773903 0.00100 11 657266 657266 0.00040 38 2431169 2431169 0.00140 0 6294653 0 9678311 9816677 -138366 X 1 1 1 None 1 1 Boston Children's Hospital 300 Longwood Avenue Boston MA 02115 www.childrenshospital.org MA LICENSE #2139 X X X X X X Boston Children's Hospital 1 0 0 1 X X X X X X X 16 1 0 0 1 X www.childrenshospital.org X X 1 16 1 childrenshospital.org/about-us/community-mission/community-needs-assessment 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X X 1 X www.childrenshospital.org/financialassistance X www.childrenshospital.org/financialassistance X www.childrenshospital.org/financialassistance X X X X X X X 1 X 0 X X 1 X 0 0 Boston Children's Hospital Part V, Section B, Line 5: For the 2016 CHNA, Boston Children's Hospital used a participatory, collaborative approach and examined health in its broadest context. As part of the CHNA, Boston Children's sought input from its Community Advisory Board (CAB) members and engaged youth to design, collect and analyze data on youth perceptions of needs and opportunities. The assessment process also included synthesizing existing data on social, economic, and health indicators in Boston. Eight stakeholder interviews and two focus groups with community residents were also conducted to explore perceptions of the community, health and social challenges for children and families, and recommendations for how to address these concerns. Additionally, Boston Children's collaborated with other hospitals through the Conference of Boston Teaching Hospitals to gather information on community needs via four focus groups hosted by community coalitions. Boston Children's also gathered information on challenges faced by children with special needs and their families by attending a focus group listening session facilitated by Health Care for All. Lastly, the CHNA was informed by results from Boston Children's Determination of Need community engagement process. This process, which was guided by an Advisory Group that met in person six times, included conducting seven facilitated open community engagement sessions across the city of Boston. Four targeted small group discussions were also held with communities that were under-represented in the larger community sessions.A formal and comprehensive needs assessment is only one part of Boston Children's approach to understanding the complex health needs and vital resources within the community. Boston Children's is constantly listening and learning from patient families, community leaders and staff. The staff rely on ongoing conversations with the hospital's key partners-community health centers and community-based organizations, as well as the Boston Public Health Commission and the Boston Public Schools.Through the CAB, which meets on a quarterly basis, Boston Children's has a direct link to expertise on Boston neighborhoods, community organizations and current health needs. The CAB is instrumental in providing feedback throughout the year and in the development and execution of Boston Children's formal assessment process. Boston Children's Hospital Part V, Section B, Line 7d: A comprehensive report on Boston Children's CHNA is available on the hospital's website. In addition, a special report on the CHNA was created to share the process, top findings and Boston Children's plan to address community-identified concerns. The special report was distributed by mail and by email to key stakeholders and all external participants involved in the community process. Boston Children's also distributed the report widely to internal staff. The complete assessment and special report can be found on our website at Bostonchildrens.org/community Boston Children's Hospital Part V, Section B, Line 11: Boston Children's addresses the health and social needs identified in a comprehensive community health assessment process through our clinical care, services and programs and in collaboration with community partners. Below is a summary of the needs identified and Boston Children's efforts. For the complete Community Health and Benefits Plan, visit bostonchildrens.org/community. Behavioral health and issues related to substance abuse- Offering training and education for school and health center staff- Providing education and direct services in schools and community health locations for children and families- Advocating for changes to improve systems of careAsthma management, education and treatment- Improving health and quality of life outcomes for children with asthma through home visiting and case management services- Developing cost-effective program models that help families to better control asthma- Advocating for changes to improve asthma careObesity with a focus on healthy eating and access to physical fitness opportunities- Offering prevention and treatment efforts- Supporting children and families and connecting them to community resources.- Building capacity in community settings to help children improve nutrition and increase physical activityImpact of violence and trauma on children, families and communities- Utilizing clinical expertise to provide prevention, treatment and advocacy services- Supporting efforts to help children and families affected by violenceSupport for early childhood/child development- Building community capacity to identify and help children and families with behavioral health concerns- Supporting efforts to create integrated systems of care for families with children starting at birth- Partnering with community organizations that provide families with support and treatment servicesPrograms and opportunities for youth including workforce development efforts- Continuing support for programming related to youth-identified needs and interests- Working with partners to provide education support and recreation for youthHealth education for children and families- Building upon the health education opportunities currently provided through community programs and services- Coordinating these resources to better meet the need for health education in the communityOther issues that affect the health of children and families such as housing, jobs, food and safety- Supporting, funding and working closely with partners and coalitions working on these issues Boston Children's Hospital Part V, Section B, Line 15e: The Financial Assistance Policy provides as follows:Patient/Parent will be referred to a Hospital Financial counselor for determination of eligibility for public assistance or Hospital financial assistance programs. For patients not qualifying for public assistance, information collected will be provided to the Director, Financial Clearance and Financial Counseling, for determination of eligibility in the Hospital Financial Assistance Program. Patients who potentially qualify for financial assistance will be approved by the Hospital Chief Financial Officer, Sr. Director Patient Financial Services and/or Director, Financial Clearance and Financial Counseling, with consultation and approval of the appropriate Foundation Chief or a designee as appropriate. Boston Children's Hospital Part V, Section B, Line 16j: Children's takes the following additional steps to make patients aware of the availability of financial assitance:- Posting of signage in all patient care admission areas of the availability of financial assitance,- All billing correspondence includes language regarding the availability of financial assistance,- The Hospital web-site provides contact information for Hospital Financial Counselors who can help assist patients with applying for programs to cover medical expenses. 6 1 - Boston Children's at Waltham 9 Hope Ave Waltham MA 02453 Outpatient Satellite Facility 2 - Boston Children's at Lexington 482 Bedford Street Lexington MA 02173 Outpatient Satellite Facility 3 - Martha Eliot Health Center 75 Bickford Street Boston MA 02130 Outpatient Community Health Center 4 - Boston Children's at Peabody 1 Essex Center Drive Peabody MA 01960 Outpatient Satellite Facility 5 - Boston Children's at North Dartmouth 500 Faunce Corner Road North Dartmouth MA 02747 Outpatient Satellite Facility 6 - Boston Children's at 333 Longwood Ave 333 Longwood Avenue Boston MA 02115 Outpatient Pediatric Clinic Part I, Line 3c: Children's, based on its participation in the state of Massachusetts Health Safety Net, utilizes Federal Poverty Guidelines for determining eligibility for free care and discounted care to low income individuals. For purposes of discounted care, Children's offers discounts to individuals, regardless of income, who are uninsured and are ineligible for free care or other public programs. Part I, Line 6a: Children's files an annual community benefits report with the Attorney General's Office (AG) in Massachusetts. There are significant differences between the AG and IRS requirements for reporting community benefits expenditures. The IRS counts the following as community benefits while the AG does not: Medicaid shortfalls, indirect costs, health professions education, and research funded by tax-exempt and government sources. Children's AG Report is publicly available and can be accessed directly on the AG's web site, www.mass.gov/AG and Children's web site, www.childrenshospital.org. Part I, Line 7: Children's used an internal cost accounting system for purposes of reporting certain amounts on Part I, line 7. The system is designed to address all segments of patient care (inpatient, outpatient and emergency) and assigns costs to patients from all payer sources (Medicaid, Medicare, managed care, commercial, uninsured and self-pay). The cost of charity care was determined based on the overall relationship of hospital costs as a percentage of hospital charges, applied to charges that qualified as charity care.Children's provides charity care to all children in need who meet the hospital's charity care standards, which are in alignment with all state mandated regulations.Nearly 30% of children who receive their care at Children's are insured through Medicaid programs in a number of states including Massachusetts. In aggregate, Medicaid programs do not reimburse the hospital for the total costs of providing care to these children.Children's has a strong commitment to improving the health status of the children in our local community. Based on a tri-annual community needs assessment, Children's supports a variety of programs and partners both internal and external that are addressing the needs of Boston children. Children's has also identified four major health focus areas in which it concentrates its efforts. For children in Boston, asthma, mental health, obesity and child development are major concerns. Children's has community based programs in each of these issue areas. The hospital also has an Office of Child Advocacy that provides support to these programs. Children's is a leader in education and training for healthcare professionals. Children's subsidizes services that are either limited or unavailable in the broader community. Examples include psychiatry, primary care, and dental care. Children's is home to the world's largest and most active research enterprise at a pediatric center. Recognizing that Children's does not have the capacity to meet all the needs of the children of Boston, it supports (through financial contributions and in kind services) a large number of community based organizations who are providing these important services. Beneficiaries range from full service community health centers to Head Start programs for pre-school children.For more information, visit www.childrenshospital.org/community. Part I, Line 7g: Children's does not subsidize physician services; thus there are none reported in the dollar amount for subsidized health services. Part I, Ln 7 Col(f): The total bad debt expense of $31,375,695 is included in Form 990, Part IX, line 25 column (A), but subtracted for purposes of calculating the percentage in this column. Part II, Community Building Activities: In FY18, Children's reported two types of community building activities: $1,773,903 for 27 community support programs and $657,266 for community health improvement advocacy. Children's community building activities are designed specifically to address health disparities and improve the health of children, families and communities. According to public health literature (see Ambulatory Pediatrics and Health Affairs), initiatives that address disparities for children across four different levels: the individual, systemic, community and society can lead to meaningful improvements in health.As described in Form 990, Part III Program Service Accomplishments, Children's takes a multi-pronged approach to tackle the most pressing health issues facing Boston children. At the same time, Children's addresses non-health or social determinants of health issues such as violence, workforce development and education, which also impact a child's health. Therefore, Children's directs its community building activities in the following areas: - Children's public policy advocacy efforts help to improve access to health care for all individuals and ensure high-quality pediatric services.- As a major employer in Massachusetts and civic leader in Boston, Children's supports efforts to ensure a diverse and culturally competent health care workforce as well as promotes economic health in the surrounding communities. - To improve life in local neighborhoods, Children's has targeted support towards community based organizations that do not focus specifically on health, but rather on the vibrancy of the community. Contributions to groups such as the Fenway Community Development Corporation and Sociedad Latina are as important as partnerships with community health centers.For more information, visit http://www.childrenshospital.org/about-us/community-mission. Part III, Line 2: Bad debt expense reflects patient charges that have been deemed uncollectible, converted to cost based on the ratio of patient care cost to charges from Worksheet 2. Part III, Line 3: There is not any amount of bad debt reflected as charity care, because it can't be quantified accurately at this time. However, some bad debts would be charity care. Part III, Line 4: Children's Medical Center and Subsidiaries' Audited Financial Statements contain the following bad debt footnote:"The provision for uncollectible accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Accounts receivable are reduced by an allowance for uncollectible accounts. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Medical Center follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the Medical Center. Accounts receivable are written off after collection efforts have been followed in accordance with the Medical Center's policies." Part III, Line 8: Medicare allowable costs are obtained directly from the Medicare Cost Report and are determined in accordance with Medicare principles of reimbursement. Part III, Line 9b: Children's makes reasonable and diligent efforts to collect each patient's insurance and other information and to verify coverage for health care services. Children's applies collection actions to all patients in the same manner, irrespective of their insurance status. Children's does not (and does not permit its agents to) engage in collection action of any kind, including billing, with respect to patients/guarantors that are exempt from collection action under Children's Credit and Collection Policy and under Massachusetts regulations governing the Health Safety Net program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. Children's does not (and does not permit its agents to) engage in legal action against patients/guarantors, including liens, wage garnishments, or lawsuits, or report patients/guarantors to credit bureaus or credit agencies without specific, case-by-case authorization by Children's Board of Trustees. No legal action occurred during the year. Children's Credit and Collection Policy is filed with the Massachusetts Division of Health Care Finance and Policy. That policy and related policies are also available to patients upon request and on the Hospital's website. Part VI, Line 2: Boston Children's assesses the community needs on an ongoing basis through continuous dialogue with the community, participation on committees, working groups, and task forces, as well as input from Community Advisory Board and partners. For more information, visit www.childrenshospital.org/about-us/community-mission/community-needs-assessment. Part VI, Line 3: Children's provides patients with information about financial assistance programs that are available through the Commonwealth of Massachusetts or through the hospital's own financial assistance program.For those patients that request financial assistance, Children's assists patients by screening them for eligibility in an available public program and assisting them in applying for the program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. The screening and application process for a financial assistance programs is done through either the Virtual Gateway (which is an internet portal designed by the Massachusetts Executive Office of Health and Human Services to provide an online application for the programs offered by the state) or through a standard paper application. All Virtual Gateway and paper applications are reviewed and processed by the Massachusetts Office of Medicaid. Hospitals have no role in the determination of program eligibility made by the state, but at the patient's request may take a direct role in appealing or seeking information related to the coverage decisions. Part VI, Line 4: Boston Children's conducted a community health needs assessment to ensure that it was addressing the most pressing health concerns across Boston and its four priority neighborhoods- Roxbury, Mission Hill, Fenway and Jamaica Plain. FINDINGS:The residents of Boston Children's priority neighborhoods are ethnically and linguistically diverse, with wide variations in socioeconomic levels. Minority and low-income residents are disproportionately affected by the social and economic context in which they live.Demographic Characteristics: Residents and stakeholders commented on the variety of cultures represented in the communities served by Boston Children's. Quantitative data illustrate that racial and ethnic diversity varies across Boston Children's priority neighborhoods and citywide. While the majority of residents in Roxbury/Mission Hill self-identify as Black (60.9%), Fenway and Jamaica Plain have a larger proportion of White residents (70.2% and 62.0%, respectively) compared to the city (53.9%).Poverty, Income, and Employment: Economic data demonstrate that among the priority neighborhoods, a greater proportion of families in Roxbury/Mission Hill (31.0%) were living in poverty compared to families citywide (16.0%). Additionally, nearly half of female headed households with children under five years of age in Boston were living in poverty (46.7%). Education: Quantitative data show that educational attainment across the priority neighborhoods ranges from 71.0% of Fenway residents with a bachelor's degree or higher to 25.0% of Roxbury/Mission Hill adults. Additionally, Black and Hispanic students graduate at lower rates than their White and Asian counterparts.Housing: Housing concerns disproportionately affect renters, who represent the majority in Boston; 42.4% of renters in Boston contribute 35% or more of their income to housing costs.Neighborhood Crime and Perceptions of Safety: Quantitative data validate residents' concerns; between January and June 2013, Boston Children's priority neighborhoods collectively accounted for approximately 40% of the total crimes reported citywide during this time period, the majority of which were classified as larceny or attempted larceny. Furthermore, over half of all homicides occurred in Roxbury/Mission Hill.There are 4 hospitals and 7 community health centers serving our priority neighborhoods.There are 22 Census Tracks that fall under 2 different MUA/P areas that are within the Boston Children's Hospital priority areas.Massachusetts has a low rate of uninsured children. 0-5 years 1.1% uninsured - 35.9% on Medicaid6-18 years 1.5% uninsured - 30.6% on Medicaid19-25 yrs-7% uninsured - 18.9% on Medicaid Part VI, Line 5: As the only free-standing children's hospital in the state, Children's treats 90% of the sickest kids in Massachusetts and offers a range of services that are unavailable elsewhere in the region, including pediatric transplants, critical care transport services, a level 1 Pediatric Trauma Unit and a level 3 Neonatal Intensive Care Unit. Children's also qualifies for DSH payments as the state's largest provider of pediatric care to low-income families. Approximately 30% of its patients are covered by Medicaid, including patients insured by out-of-state Medicaid programs. In addition, Children's has an open medical staff model. Children's is also a leader in education and training for healthcare professionals. It sponsors 38 Accreditation Council for Graduate Medical Education-accredited training programs, one American Dental Association accredited training program and 15 non-accredited subspecialty fellowships with 512 residents/clinical fellows enrolled in these programs. Children's partners with 27 schools of nursing throughout Massachusetts and New England to provide clinical experiences in pediatrics. Children's offers a variety of continuing education courses designed for health care professionals in pediatric practice. The courses are accredited by the Office of Continuing Education at Harvard Medical School and each hour of instruction is approved for Category 1 credits towards the AMA Physician's Recognition Award. Topics include autism, eating disorders, sports injuries, endometriosis, substance abuse, concussions, strabismus, Type II Diabetes and vascular anomalies. Children's also offers half-day programs titled Pediatric Health Care Summits that are held at local hospitals, such as Beverly Hospital, Lawrence General and South Shore Hospital (Weymouth). Additionally, Children's partners with area community hospitals such as Good Samaritan Medical Center, Holy Family, Lawrence General, South Shore, St. Anne's and St. Joseph's to sponsor Community Hospital Pediatrics Grand Rounds with monthly lectures provided by faculty in medical and surgical sub-specialties. Children's also operates "Career Opportunity Advancement Children's Hospital", a seven-week program for Boston youth to explore health care careers while having a safe and meaningful summer and the program "Student Career Opportunity Outreach Program", designed by Children's nurses to introduce young people to nursing career opportunities. Children's is home to the world's largest and most active research enterprise at a pediatric center. Children's research mission encompasses basic research, clinical research, community service programs and the postdoctoral training of new scientists.Children's has a twenty-four person voluntary Board of Trustees. Twenty-one of the Board members are not direct employees of the hospital and all of them live in the hospital's service area. The Board oversees the hospital's endowment and follows a 4.5% spending rule in keeping with the industry standard of the responsible management of assets. Reserves are invested back into patient care, teaching, research, patient safety and quality initiatives, equipment, facilities, community benefits and to subsidize vital services that run a deficit. Part VI, Line 6: Although Children's does not have true affiliates as defined by the IRS, it does have other affiliations. As the largest pediatric referral center in the region, Children's maintains a variety of relationships with community hospitals and other smaller pediatric programs throughout New England. These relationships include seven community hospitals in eastern Massachusetts where Children's physicians have formal arrangements to provide on-site emergency medicine, inpatient, neonatal and/or outpatient pediatric specialty services. Children's also owns and operates five outpatient facilities in Waltham, Lexington, Peabody, North Dartmouth and Jamaica Plain that offer access to pediatric specialty care in a wide array of subspecialties. Children's provides assistance to other pediatric facilities (Hasbro, RI, Dartmouth Hitchcock, NH, and Boston Medical Center) in the region through training, recruitment, consultations, on-site care and referrals for care that is not otherwise available.In addition, the Pediatric Physicians Organization at Children's brings together pediatricians, pediatric medical groups and pediatric specialists at Children's. Part VI, Line 7, Reports Filed With States MA 1 Health Resources In Action 622 Washington Street Dorchester MA 02124 042229839 501(c)(3) 14501 Community Partnership Boston Public Health Commission 1010 Massachusetts Ave Boston MA 02118 043316655 115 295686 Community Partnership Bowdoin Street Health Center Inc 230 Bowdoin Street Boston MA 02122 042529788 501(c)(3) 95000 Support of Community Health Center Community Catalyst Inc 30 Winter Street 10th Floor Boston MA 02108 043355127 501(c)(3) 50000 Advocacy Support The Dimock Center 55 Dimock Street Roxbury MA 02119 043487835 501(c)(3) 111000 Community Partnership Fenway Community Development Corporation 73 Hemenway Street Boston MA 02115 042666507 501(c)(3) 17500 Community Partnership Project RIGHT 320 A Blue Hill Avenue Dorchester MA 02121 043265420 501(c)(3) 10000 Advocacy Support Community Service Care Inc 295 Center Street Jamaica Plain MA 02130 042754281 501(c)(3) 20000 Community Partnership - JP Coalition Mattapan Community Health Center 1425 Blue Hill Ave Mattapan MA 02426 042544151 501(c)(3) 87500 Support of the Community Health Center Sociedad Latina Inc 1530 Tremont Street Roxbury MA 02120 042678255 501(c)(3) 51000 Community Partnership South Cove Community Health Center Inc 145 South Street Boston MA 02111 042501818 501(c)(3) 95000 Support of the Community Health Center South End Community Health Center Inc 1601 Washington Street Boston MA 02118 042456134 501(c)(3) 157500 Support of the Community Health Center Upham's Corner Community Center Inc 500 Columbia Road Dorchester MA 02125 042708670 501(c)(3) 70000 Support of the Community Health Center Whittier Street Health Center Committee Inc 1125 Tremont Street Roxbury MA 02120 042619517 501(c)(3) 83500 Support of the Community Health Center Nurtury Inc 95 Berkeley Street Suite 306 Boston MA 02116 042105893 501(c)(3) 10000 Community Partnership Massachusetts League of Community Health Centers 40 Court Street 10th Floor Boston MA 02108 042507409 501(c)(3) 5000 Community Partnership The Hyde Square Task Force Inc 375 Centre Street Jamaica Plain MA 02130 043118543 501(c)(3) 12500 Community Partnership Action for Boston Community Development 178 Tremont Street Boston MA 02111 042304133 501(c)(3) 55000 Community Partnership Massachusetts Public Health Association 101 Tremont Street Boston MA 02108 042326503 501(c)(3) 221494 Community Partnership Smart from the Start Inc 68 Annunciation Road Boston MA 02120 454952663 501(c)(3) 19000 Community Partnership Health Law Advocates 30 Winter Street 10th Floor Boston MA 02108 043298116 501(c)(3) 15000 Advocacy Support Mass Society for the Prevention of Cruelty to Children 3815 Washington Street Ste 2 Boston MA 02130 042103596 501(c)(3) 183532 Advocacy Support Greater Boston Chamber of Commerce 265 Franklin Street 12th Floor Boston MA 02110 041103090 501(c)(3) 10000 Community Partnership Massachusetts Communities Action Network 50 Mt Vernon Street Boston MA 02125 042863903 501(c)(3) 2500 Community Partnership Center for Comm Health Education Research & Service Inc 320 Huntington Avenue Boston MA 02115 043286409 501(c)(3) 2500 Community Partnership Express Yourself Inc 6 Ellis Street Peabody MA 01960 043294365 501(c)(3) 2000 Community Partnership Breakthrough Greater Boston PO Box 381486 Cambridge MA 02238 043307783 501(c)(3) 2500 Community Partnership NAACP Boston 30 Martin Luther King Boulevard Roxbury MA 02119 043574060 501(c)(3) 2000 Massachusetts Voter Education Boston Municipal Research Bureau 333 Washington Street Boston MA 02108 222673755 501(c)(3) 7500 Community Partnership Mission Hill Neighborhood Housing Services 1620 Tremont Street Mission Hill MA 02120 237428011 501(c)(3) 1000 Community Partnership WriteBoston 2300 Washington Street Roxbury MA 02119 461255108 501(c)(3) 2500 Community Partnership Black Ministerial Alliance of Greater Boston 2010 Columbus Avenue Boston MA 02119 043499852 501(c)(3) 2500 Community Partnership Brigham and Women's Hospital Inc 3297 Washington Street Jamaica Plain MA 02130 042312909 501(c)(3) 160000 Support of Community Health Center City of Boston City Hall Plaza Boston MA 02201 046001380 115 1451473 Community Partnership Charles River Community Health Inc 287 Western Avenue Allston MA 02134 237221597 501(c)(3) 80000 Support of Community Health Center Massachusetts Budget and Policy Center 15 Court Square Suite 700 Boston MA 02108 042967537 501(c)(3) 25000 Advocacy Support Metropolitan Boston Housing Project 125 Lincoln Street 3rd Floor Boston MA 02111 042775991 501(c)(3) 5000 Community Partnership Urban Edge 1542 Columbus Avenue Suite 2 Roxbury MA 02119 222483475 501(c)(3) 1000 Community Partnership Massachusetts Associtation for Mental Health 50 Federal Street 6th Floor Boston MA 02110 042104711 501(c)(3) 15000 Advocacy Support Massachusetts Health Council 200 Reservoir Road Suite 101 Needham MA 02494 042296739 501(c)(3) 5000 Community Partnership Boston Center for Youth and Families 75 Newbury Street 3rd Flooe Boston MA 02116 042602576 501(c)(3) 139360 Community Partnership City LifeVida Urbana PO Box 300107 Boston MA 02130 042660311 501(c)(3) 150000 Community Partnership National Alliance on Mental Illness 529 Main Street Suite 1M17 Boston MA 02129 042777012 501(c)(3) 5000 Advocacy Support Mission Hill Little League PO Box 02120 Roxbury MA 02120 043415069 501(c)(3) 2000 Community Partnership Family Nurturing Center of Massachusetts 200 Bowdoin Street Dorchester MA 02122 311626186 501(c)(3) 238048 Community Partnership Family Independence Initiative 1201 Martin Luther King Jr Way Suite 100 Oakland CA 94612 020784790 501(c)(3) 91000 Community Partnership Friends of the Children 555 Armory Street Boston MA 02130 201581289 501(c)(3) 12500 Community Partnership Associated Industries of Massachusetts One Beacon Street 16th Floor Boston MA 02108 041045830 501(c)(3) 3000 Advocacy Support Waltham Boys & Girls Club 20 Exchange Street Waltham MA 02451 042103927 501(c)(3) 50000 Community Partnership Boston Children's Museum 308 Congress Street Boston MA 02210 042103993 501(c)(3) 104005 Community Partnership Third Sector New England Inc 89 South Street Suite 700 Boston MA 02110 042261109 501(c)(3) 319277 Community Partnership The Community Builders Inc 185 Dartmouth Street Boston MA 02116 042324773 501(c)(3) 108699 Community Partnership United Way of Massachusetts Bay Inc 51 Sleeper Street Boston MA 02210 042382233 501(c)(3) 99706 Community Partnership Haley House Inc 23 Dartmouth Street Boston MA 02116 042437845 501(c)(3) 100000 Community Partnership Massachusetts Housing Finance Agency One Beacon Street Boston MA 02108 042443980 115 75000 Community Partnership Youth Enrichment Services Inc 412 Massachusetts Avenue Boston MA 02118 042509466 501(c)(3) 50000 Community Partnership Chinatown People Progressive Association Inc 28 Ash Street Boston MA 02111 042631569 501(c)(3) 150000 Community Partnership Jamaica Plain Neighborhood Development Corporation 31 Germania Street Jamaica Plain MA 02130 042652919 501(c)(3) 225000 Community Partnership Codman Square Health Center Inc 637 Washington Street Dorchester MA 02124 042678774 501(c)(3) 10000 Community Partnership Massachusetts Association of Community Development Corporations 15 Court Square Suite 600 Boston MA 02108 042759909 501(c)(3) 10000 Community Partnership Health Care for All Inc One Federal Street 5th Floor Boston MA 02110 043071598 501(c)(3) 120000 Community Partnership & Advocacy Support Asian Women for Health 83 Wallace Street Somerville MA 02144 320390494 501(c)(3) 1000 Community Partnership The Food Project 10 Lewis Street Lincoln MA 01773 043262532 501(c)(3) 10000 Community Partnership Urban College of Boston 2 Boylston Street 2nd Floor Boston MA 02116 043403049 501(c)(3) 150000 Community Partnership Boston Housing Authority (Homestart) 52 Chauncy Street 7th Floor boston MA 02111 046001907 115 150000 Community Partnership National Association of Social Workers Inc 14 Beacon Street Suite 409 Boston MA 02108 135643515 501(c)(3) 2375 Community Partnership & Advocacy Support Boston Educational Development Foundation Inc 7 Palmer Street 2nd Floor Roxbury MA 02119 222514422 501(c)(3) 153511 Community Partnership Massachusetts Affordable Housing Alliance Inc 1803 Dorchester Avenue Dorchester MA 02124 223042637 501(c)(3) 134183 Community Partnership Walk Boston Inc 45 School Street Boston MA 02108 223061699 501(c)(3) 8605 Community Partnership Boston Chinatown Neighborhood Center Inc 885 Washington Street Boston MA 02111 237209691 501(c)(3) 127952 Community Partnership Conference of Boston Teaching Hospitals 11 Beacon Street Suite 710 Boston MA 02108 263583138 501(c)(3) 37500 Community Health Needs Assessment Youth and Family Enrichment Services 1613 Blue Hill Avenue Suite 303 Mattapan MA 02126 050588064 501(c)(3) 45623 Community Partnership Boston's Higher Ground 384 Warren Street Roxbury MA 02119 273660369 501(c)(3) 150000 Community Partnership Mothers for Justice and Equality Inc 2201 Washington Street Roxbury MA 02119 453741482 501(c)(3) 10000 Community Partnership Commonwheels Inc 59 Aldie Street 1 Allston MA 02134 454645136 501(c)(3) 49530 Community Partnership Father's Uplift Inc 12 Southern Avenue Boston MA 02124 461407932 501(c)(3) 10000 Community Partnership Fresh Truck Inc 69 Shirley Street Boston MA 02119 462848535 501(c)(3) 1000 Community Partnership Boston Debate League 566 Columbus Avenue Boston MA 02118 593789722 501(c)(3) 10000 Community Partnership Raising a Reader Massachusetts 3 School Street 3rd Floor Boston MA 02108 800297898 501(c)(3) 145000 Community Partnership The Family Exchange Inc 964 Parker Street 274 Jamaica Plain MA 02130 814003528 501(c)(3) 5000 Community Partnership Playworks Education Energized 380 Washington Sreet Oakland CA 94607 943251867 501(c)(3) 50000 Community Partnership Massachusetts Law Reform Institute Inc 99 Chauncy Street Suite 500 Boston MA 02111 046004303 501(c)(3) 10000 Advocacy Support 78 4 Sibylla Orth Young Fund for Student Aid 18 34000 0 FMV Nursing Education Scholarship Fund 10 40103 0 FMV Joshua T. Shairs Cardiology Fund 2 2000 0 FMV Family Resource Center Fund 143 0 85622 FMV Educational Resources Yawkey Family Inn Fund 2279 0 607344 FMV Housing Assistance Devon Nicole House Operating Fund 1381 0 135752 FMV Housing Assistance Pet Therapy Program Fund 3338 0 104000 Other Theurapeutic dog visits made to inpatients Sandra & Geoffrey Fenwick Family Income Fund 339 0 3068 FMV Bereavement programs for families Extraordinary Needs Fund II 587 231862 0 FMV Volunteer Department Fund 5000 0 28710 FMV Supplies, Catering and Entertainment for Patients and Patient's families. Broadway Sam Fund 1286 0 30136 FMV Tickets for Art and Entertainment Events Family Services Fund 3789 0 175524 FMV Greeting Cards and supplies for Adopt a Family Program & wellness supplies and services Milagros Para las Family Fund 500 0 62247 FMV Translation services and program support for spanish speaking families. Knez Family Fund for Patient Family Housing 104 0 123297 FMV Housing Assistance Barber Family Endowment Fund 15 0 32838 FMV Teen Advisory Committee expenses Live4Evan Fund for Patient Family Housing 18 0 23384 FMV Housing Assistance Hale Center for Families Endowment Operating Fund 528 0 65954 FMV Child Life Specialist and art supplies. Matthew Puffer Parking Fund 25 2000 0 FMV Jennings Family Fund 3782 0 9845 FMV Gift cards for food, toiletries, and craft supplies for patient families during communal program/events. Part I, Line 2: Children's Hospital provides three types of grants and assistance: (1) Sponsorships, (2) Scholarships, and (3) Assistance Programs. SPONSORSHIPS: Children's supports external strategic partners that enhance Children's role and reputation as (1) a good neighbor; (2) community health partner; (3) civic leader; (4) and an employer of choice. The criteria for Children's funding decisions to the requesting organization are based on the following: 1. a non-profit that promotes careers in healthcare or health services and that Children's has collaborated, or is collaborating, with 2. a non-profit located in and serving Children's target neighborhoods (Fenway, Mission Hill, Jamaica Plain, Roxbury) that address social determinants of health and that Children's has collaborated, or is collaborating, with 3. one of Children's Hospital's affiliated community health centers 4. a citywide non-profit that is a strategic partner in one or more of the Children's primary community health focus areas (asthma, mental health, nutrition/fitness, violence prevention) and that Children's has collaborated, or is collaborating, with 5. a citywide non-profit that is a strategic partner in one or more of Children's secondary community health focus areas (early intervention, early childhood/elementary education,) that Children's has collaborated, or is collaborating, with 6. a business , civic, or advocacy strategic partner that senior management is actively engaged in 7. meets the IRS and the Massachusetts Attorney General's community support or community benefit criteria 8. meets the City of Boston eligibility as a "payment in lieu of taxes' investment Records and copies of sponsorship requests and the resulting grants are kept in paper form in the Office of Child Advocacy. All sponsorships requests are commonly for general operating support. All sponsorship is sent a letter that reiterates the stated use of the grant or assistance and with any Community Partnership Grants, representatives of Children's make site visits to many of the grantees and request end-of-year reports. SCHOLARSHIPS: Children's Hospital offers several scholarship programs to support the educational goals of its employees and/or their immediate families. The Sibylla Orth Young Scholarship is available to employees and their immediate families who have worked at least six months and meet income and grade point average guidelines as well as demonstration of sincere commitment to the healthcare profession. Priority will be given to those pursuing careers in healthcare positions experiencing labor shortages (e.g., radiographer, pharmacy technician, clinical lab technician, nursing). Sibylla Orth Young Scholarship applications are reviewed and maintained by the Office of Learning and Development selection committee. The Nursing Education Scholarship is available to deserving nurses to further his or her education in patient care and the Joshua T. Shairs Cardiology Fund is a scholarship for nurses in the field of cardiology. All nursing scholarship applicants must have worked at least three months, be enrolled in an academic program leading to a degree, demonstrate a commitment to the patient care and be in good standing, both professionally and academically. Scholarship applications for the Nursing Education Scholarships and Joshua T. Shairs Cardiology Funds are reviewed and maintained by the Department of Nursing/Patient Services selection committee. All scholarship recipients are required to sign a Terms of Acceptance agreement affirming the funds will only be used for tuition, fees and/or class materials required for course instructions. ASSISTANCE PROGRAMS: Children's Hospital offers several financial assistance programs to provide funding to patients and their families burdened by the costs associated with long-term hospitalization, acute/chronic illness, disability or impairment. We recognize the significant financial and support services burdens that patients and families face when experiencing frequent ambulatory services or prolonged inpatient admissions at Boston Children's Hospital. These funds are primarily intended for use in emergent situations, and as a stop-gap intervention only. They are not intended to provide permanent or long term solutions to financial need. Essentially, these are funds of "last resort" when alternative options do not exist. All financial assistance requests are assessed by a social worker. If there appears to be significant financial hardship, the social worker does a financial assessment based on the policies and guidelines for the use of these special funds. Typical requests include assistance with transportation, utilities (a child cannot be discharged without adequate heat, electricity, telephone contact in the home), etc. Each request is reviewed by the Director of the Fund. Checks are not payable to the family, rather a payment may be made directly to the company involved via an invoice from that company, e.g., National Grid. Assessment considerations for Special Fund requests are based on: * Duration of Need * Demographic * Family Status * Income Factors * Clinical Factors * Alternate Resources Available * Funding Limits X X X X X X 1 1 0 0 0 0 0 0 0 Laura J Wood DNP MS RN CNO/Noncomp Trustee 426563 0 92987 0 80746 0 21600 0 25507 0 647403 0 0 0 Sandra Fenwick CEO, Noncomp Trustee 1092965 0 775000 0 501931 0 27000 0 49509 0 2446405 0 0 0 Kevin Churchwell MD President & COO/Noncomp Trustee 737013 0 350000 0 297906 0 18900 0 41035 0 1444854 0 0 0 Doug Vanderslice EVP, Treasurer & CFO 671078 0 205251 0 130401 0 21600 0 34572 0 1062902 0 0 0 Bruce Balter Asst Treasurer/Dir Corp Fin Svc 230361 0 14392 0 16006 0 31925 0 18381 0 311065 0 0 0 Michele Garvin Esq General Counsel & Secretary 541028 0 188471 0 105011 0 21600 0 22175 0 878285 0 0 0 Demosthenes Argys SVP, & Chief Administrative Officer 474457 0 120488 0 104066 0 24300 0 26690 0 750001 0 0 0 August Cervini VP, Research Administration 273707 0 48787 0 45845 0 18900 0 23805 0 411044 0 0 0 Michael Gillespie VP, Clinical Services 346677 0 70984 0 58203 0 21600 0 14149 0 511613 0 0 0 Cynthia Haines SVP, International Services 410921 0 91563 0 75293 0 21600 0 26155 0 625532 0 0 0 Patricia Hickey PhD MBA RN NEA-BC VP, Cardiovascular Services 325282 0 28271 0 27754 0 32400 0 6837 0 420544 0 0 0 Lisa Hogarty SVP, RE Planning and Development 416121 0 91673 0 73569 0 14041 0 26633 0 622037 0 0 0 Daniel Nigrin MD SVP & Chief Information Officer 442997 0 98010 0 81453 0 24300 0 22493 0 669253 0 0 0 Philip Rotner Chief Investment Officer 642026 0 854937 0 125161 0 21600 0 29957 0 1673681 0 0 0 Wendy Warring SVP, Network Development 472798 0 98271 0 80804 0 21600 0 20387 0 693860 0 0 0 Nader Rifai PhD Director, Chemistry 459732 0 209679 0 3211 0 29700 0 13127 0 715449 0 0 0 Lynn Susman President, Children's Hospital Trust 430910 0 202895 0 76404 0 27000 0 30510 0 767719 0 0 0 Orah Platt MD Chief, Lab Medicine 481946 0 82737 0 6486 0 29700 0 6654 0 607523 0 0 0 Martin Kelly Director, Investments 340520 0 431064 0 832 0 21600 0 18152 0 812168 0 0 0 Alison Svizzero Director, Investments 316247 0 391877 0 291 0 18900 0 1572 0 728887 0 0 0 James Mandell MD Former CEO 0 0 0 0 106194 0 0 0 0 0 106194 0 0 0 Margaret Coughlin Former SVP & Chief Marketing Officer 85152 0 85200 0 0 0 0 0 0 0 170352 0 0 0 Part I, Lines 4a-b Boston Children's Hospital made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contribution amounts are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for employee benefits and not for Boston Children's Hospital Trustee or Officer of the Board services and/or responsibilities. Demosthenes Argys, received in 2017, a contribution of $54,296 August Cervini, received in 2017, a contribution of $24,374 Kevin Churchwell, received in 2017, a contribution of $119,010 Sandra Fenwick, received in 2017, a contribution of $460,300 Michele Garvin, received in 2017, a contribution of $70,566 Michael Gillespie, received in 2017, a contribution of $32,946 Cynthia Haines, received in 2017, a contribution of $45,991 Lisa Hogarty, received in 2017, a contribution of $34,275 Daniel Nigrin, received in 2017, a contribution of $57,150 Philip Rotner, received in 2017, a contribution of $101,431 Lynn Susman, received in 2017, a contribution of $49,881 Doug Vanderslice, received in 2017, a contribution of $83,736 Wendy Warring, received in 2017, a contribution of $53,552 Laura Wood, received in 2017, a contribution of $51,067 During Calendar Year 2017, the following individuals received supplemental executive retirement plan distributions: James Mandell, received in 2017, a distribution of $106,194 Charles Weinstein, received in 2017, a distribution of $316,119 During Calendar Year 2017, the following individual received severance payments: Margaret Coughlin, received in 2017, severance payments of $85,152 A MHEFA Revenue Bonds Series N 042456011 57586EUJ8 2010-05-13 341590000 Refunded Series G, H, I, J & K 0 0 0 B MDFA Revenue Bonds Series O 043431814 NoneAvail 2013-12-11 200640000 Refunded Series L 0 0 0 C MDFA Revenue Bonds Series P 043431814 57583UK31 2014-05-21 136685000 New bldg construction, reno. & capital equip 0 0 0 D MDFA Revenue Bonds Series Q 043431814 NoneAvail 2014-07-11 50255000 New building construction & renovations 0 0 0 A 341590000 339564138 2025862 2010 1 0 1 1 B 200640000 200000000 640000 2013 1 0 1 1 C 151753430 1753430 150000000 2013 0 0 1 1 D 50255000 255000 50000000 2016 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 Goldman Sachs Mitsui Marine 30.000000000000 0 0 0 0 1 B 0 0 0 1 1 1 Goldmn SachsBOA 30.000000000000 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: MHEFA, Revenue Bonds Series N Date the Rebate Computation was Performed: 09/30/2014 Issuer Name: MDFA, Revenue Bonds Series O Date the Rebate Computation was Performed: 12/11/2018 Issuer Name: MDFA, Revenue Bonds Series P Date the Rebate Computation was Performed: 09/30/2018 Issuer Name: MDFA, Revenue Bonds Series Q Date the Rebate Computation was Performed: 09/30/2018 Issuer Name: MDFA, Revenue Bonds Series R Date the Rebate Computation was Performed: 09/30/2018 A MDFA Revenue Bonds Series R 043431814 NoneAvail 2014-07-29 125350000 Refunded a portion of Series N 0 0 0 B MDFA Revenue Bonds Series S 043431814 NoneAvail 2017-12-19 135215000 Refunded Series M 0 0 0 A 125350000 125000000 350000 2014 1 0 1 1 B 134703799 511201 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 1 Goldman Sachs Mitsu 30.000000000000 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 X 9134 Mkt Value per Donor X 104 23043987 Mean Value on Gift Date X 18 3910 Mkt Value per Donor X Misc. Other 47 105063 Mkt Value per Donor X Travel/Dining 3 18232 Mkt Value per Donor 0 1 1 Part I, Line 32b: The Hospital uses an event management firm to assist in processing non-cash donations received for an event auction. Part I, Line 33: The Hospital may receive items such as books, stuffed animals and video games that are donated to the units - these items are de minimus and values are not available so they are not reported in revenues. Form 990, Part VI, Section A, line 6 Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation. Form 990, Part VI, Section A, line 7a Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation. The Children's Medical Center Corporation elects the governing body of Children's Hospital Corporation because the Board of Trustees of Children's Hospital Corporation must consist of the persons who serve from time to time as the trustees of The Children's Medical Center Corporation. Form 990, Part VI, Section A, line 7b Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation ("the Hospital"). As stated in the Hospital's By Laws, Children's Medical Center Corporation has the powers and rights: - to approve proposed operating and capital budgets of the Hospital; - to approve the sale of all or substantially all of the Hospital's assets; - to approve the establishment of all long-range plans, goals and objectives of the Hospital; - to approve any incurrence of long-term indebtedness by the Hospital; - to set executive compensation. Form 990, Part VI, Section B, line 11b The Form 990 tax return was prepared by the organization's staff and reviewed by management (including the Chief Executive Officer, President & Chief Operating Officer, Chief Financial Officer, General Counsel and other relevant departments of the organization), along with the outside accounting firm of Ernst & Young. The Form 990 tax return was then presented to the Children's Medical Center and affiliates' Audit & Compliance Committee. Also, a copy was made available to the Board before filing. Form 990, Part VI, Section B, line 12c The Hospital's conflict of interest policy applies to all trustees, Trust Board members, members of the medical staff and employees of the Hospital. Trustees, chiefs of service and division chiefs, senior directors and others who exercise influence over important strategic, business and purchasing decisions of the Hospital are required to complete an annual conflict of interest disclosure questionnaire about their financial interests and outside activities. If an expected questionnaire is not returned, the Compliance Officer notifies the individual's supervisor or the CEO or COO, and repeated requests for the completed questionnaire are made until the questionnaire is completed. Responses are reviewed by the Compliance Officer and any potential conflicts are discussed with the Office of General Counsel and/or the individual's supervisor; any actual or potential conflicts are managed by termination of the conflict, management of the conflict, recusal, disclosure, review, or a combination thereof. Outside interests and outside activities may be permitted as long as the Hospital, Medical Center or Trust determines that such interests and activities are consistent with the policies of the Hospital, Medical Center or Trust and the Hospital, Medical Center or Trust Board member, medical staff member or employee involved does the following: 1. discloses the fact that he has a financial interest or a consultative role in or with a person or company with which the Hospital, Medical Center or Trust is doing or is thinking of doing business; and 2. refrains from voting or exercising any personal influence whatsoever in the selection of a person or company to do business with the Hospital, Medical Center or Trust with whom or in which he has a financial interest or a consultative role; and 3. avoids any active participation in any financial negotiations between the Hospital, Medical Center or Trust and the person or company with whom or in which he has a financial interest or consultative role; and 4. does not permit such outside interests or activities to absorb such amounts of his time and effort as to make it impractical for him to fulfill his assigned responsibilities at the Hospital, Medical Center or Trust; and 5. does not permit such outside interests or activities to compromise or appear to compromise the name or reputation of the Hospital, Medical Center or Trust. Form 990, Part VI, Section B, line 15 The Hospital has a board level compensation committee that annually reviews and approves the compensation for the following individuals: Chief Executive Officer President & Chief Operating Officer Executive Vice President of Finance, IS & RE & Chief Financial Officer Senior Vice President & General Counsel Senior Vice President, Patient Care Services & Chief Nursing Officer Senior Vice President & Chief Administrative Officer Vice President, Research Administration President, Children's Hospital Trust Vice President, Government Relations Vice President & Chief Marketing Officer Senior Vice President & Chief Information Officer Vice President, Human Resources Vice President, Support Services Senior Vice President, Real Estate Planning & Development Chief Investment Officer Senior Vice President, Network Development & Strategic Partnerships Vice President, Clinical Services Senior Vice President, International Services The committee is comprised of members of the board who are not employed by the organization, and no member may participate in the review and approval of compensation if the member has a conflict of interest with respect to that compensation arrangement. The committee relies on data, provided by an independent compensation consultant, which includes comparable compensation for similarly qualified persons, in functionally comparable positions, at similarly situated organizations. The deliberations and decisions of the committee are documented in minutes of the meeting. Form 990, Part VI, Section C, line 19 The Hospital posts its Code of Conduct (which incorporates the Conflict of Interest Policy) and its Compliance Manual (which includes a summary of the Conflict of Interest Policy) on its external website and these are also available from the Compliance Office or the Office of General Counsel. Governing documents are not posted publicly but are available from the Hospital upon request and are also filed with the Massachusetts Secretary of State, where they are available to the public. Audited financial statements are filed annually with the Massachusetts Office of the Attorney General as part of the Hospital's Form PC filing and are available from the organization upon request. Quarterly financial statements are filed with the Hospital's bond trustee and are available to the public through the Electronic Municipal Market Access (EMMA) website maintained by the Municipal Securities Rulemaking Board. Form 990, Part IX, line 11g Purchased Medical Services: Program service expenses 107,770,800. Management and general expenses 15,156,246. Fundraising expenses 0. Total expenses 122,927,046. Purchased Research Services: Program service expenses 45,168,125. Management and general expenses 0. Fundraising expenses 0. Total expenses 45,168,125. Consulting Services: Program service expenses 13,652,401. Management and general expenses 17,852,330. Fundraising expenses 514,145. Total expenses 32,018,876. Misc. Purchased Services: Program service expenses 20,571,417. Management and general expenses 10,298,922. Fundraising expenses 648,089. Total expenses 31,518,428. Nursing Agency Fees: Program service expenses 11,065,612. Management and general expenses 153,645. Fundraising expenses 0. Total expenses 11,219,257. Laundry Services: Program service expenses 2,300,794. Management and general expenses 72,091. Fundraising expenses 0. Total expenses 2,372,885. Security Services: Program service expenses 5,993,700. Management and general expenses 110,208. Fundraising expenses 0. Total expenses 6,103,908. Catering Fees: Program service expenses 927,073. Management and general expenses 232,183. Fundraising expenses 21,682. Total expenses 1,180,938. Collection Agency Fees: Program service expenses 0. Management and general expenses 1,903,966. Fundraising expenses 0. Total expenses 1,903,966. Temp Agency Fees: Program service expenses 2,387,401. Management and general expenses 2,050,035. Fundraising expenses 344,049. Total expenses 4,781,485. Ambulance Services: Program service expenses 82,557. Management and general expenses 0. Fundraising expenses 0. Total expenses 82,557. Environmental Services: Program service expenses 691,742. Management and general expenses 286,646. Fundraising expenses 0. Total expenses 978,388. Waste Disposal Services: Program service expenses 1,139,189. Management and general expenses 677,978. Fundraising expenses 0. Total expenses 1,817,167. Form 990, Part XI, line 9: Net Transfers/Support from Children's Medical Center 175,343,553. Pension Adjustment 35,136,289. Other Adjustments 38,497,683. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others 329,892. CarePlex LLC 300 Longwood Avenue Boston MA 02115 472258145 Inactive MA 0 0 Children's Medical Center Corp Children's One Brookline Place LLC 300 Longwood Avenue Boston MA 02115 205850015 Real Estate Holdings MA 0 0 Children's Hospital Corporation Children's Brookline Place LLC 300 Longwood Avenue Boston MA 02115 261523020 Real Estate Holdings MA 0 0 Children's Hospital Corporation Children's Five Brookline Place LLC 300 Longwood Avenue Boston MA 02115 205850117 Real Estate Holdings MA 0 0 Children's Hospital Corporation BCH Washington Street LLC 300 Longwood Avenue Boston MA 02115 814382691 Real Estate Holdings MA -3236135 45523344 Children's Hospital Corporation BCH Pearl Street LLC 300 Longwood Avenue Boston MA 02115 817393086 Real Estate Holdings MA 0 9913172 Children's Hospital Corporation BCH Brookline Ave LLC 300 Longwood Avenue Boston MA 02115 814457294 Real Estate Holdings MA 40449 4090087 Children's Hospital Corporation Boston Children's Health International LLC 300 Longwood Avenue Boston MA 02115 814377341 Inactive MA 0 0 Children's Medical Center Corp Children's Westland LLC 300 Longwood Avenue Boston MA 02115 262904847 Inactive MA 0 0 Longwood Research Institute BCH 819 Beacon Street LLC 300 Longwood Avenue Boston MA 02115 814382691 Real Estate Holdings MA 1060101 9488108 Longwood Research Institute Children's Waltham Medical Center LLC 300 Longwood Avenue Boston MA 02115 202076874 Real Estate Holdings MA 0 0 Children's Medical Center Corp Boston Children's Health Accountable Care LLC 300 Longwood Avenue Boston MA 02115 300991601 Accountable Care MA 0 0 Children's Hospital Corporation BCD Hospital Energy Collaborative LLC 300 Longwood Avenue Boston MA 02115 821711826 Hospital Energy MA 43520649 43322238 Children's Hospital Corporation Boston Children's Health Physicians LLP 300 Longwood Avenue Boston MA 02115 133956599 Healthcare NY 153164220 53090391 Children's Medical Center Corp Children's Medical Center Corporation 55 Shattuck Street Boston MA 02115 041174680 Holds & manages security, real estate investments for Children's Hospital MA 501(c)(3) Line 12c, III-FI N/A 0 Longwood Research Institute Inc 300 Longwood Avenue Boston MA 02115 042781368 Medical & scientific research; holds real estate investments MA 501(c)(3) Line 12c, III-FI Children's Medical Center Corporation 0 CHB Properties Inc 300 Longwood Avenue Boston MA 02115 043323330 Holds & manages satellite ambulatory centers; real estate investments MA 501(c)(3) Line 10 Children's Medical Center Corporation 0 Longwood Corporation 55 Shattuck Street Boston MA 02115 042779882 Holds & manages real estate investments MA 501(c)(2) Children's Medical Center Corporation 0 Physician's Organization at Children's Hospital Inc 300 Longwood Avenue Boston MA 02115 043266103 Coord & develop integrated childhlth care system w/ affil members MA 501(c)(3) Line 12d, III-O N/A 0 New England Congenital Cardiology Research Foundation 300 Longwood Avenue Boston MA 02115 800368043 Improve patient safety & quality for children w/ heart disease MA 501(c)(3) Line 7 Children's Hospital Corporation 1 Children's Hospital League Corporation 300 Longwood Avenue Boston MA 02115 042780811 Fundraising MA 501(c)(3) Line 7 Children's Hospital Corporation 1 Blood Research Institute Inc 300 Longwood Avenue Boston MA 02115 043136318 Owning & Leasing Real Estate MA 501(c)(3) Line 12c, III-FI Children's Medical Center Corporation 0 Beth Israel Hospital and Children's Hospital Medical Corporation 300 Longwood Avenue Boston MA 02115 043200113 Pediatric Health Care, Education & Research MA 501(c)(3) Line 12b, II N/A 0 Dana-FarberChildren's Hospital Cancer Care Inc 450 Brookline Avenue BP418 Boston MA 02215 043554536 Joint program in pediatric oncology MA 501(c)(3) Line 12b, II N/A 0 New England Life Flight Inc Hangar 1727 Hanscom AFB Bedford MA 01730 222582060 Critical Care Transport MA 501(c)(3) Line 12b, II N/A 0 Longwood Medical Energy Collaborative Inc 160 Longwood Avenue Boston MA 02115 043476764 Energy Related Initiatives MA 501(c)(3) Line 12a, I N/A 0 Marketplace LaGuardia LLC One Wells Avenue Newton MA 02459 200417454 Investment in Marketplace LaGuardia LP MA Children's Hospital Corporation 5% Investment -588 0 0 Longwood Associates Inc 55 Shattuck Street Boston MA 02115 042943755 Property Management MA Children's Medical Center Corporation C 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1