2018-08-15T15:12:38-05:00 2017-09-30 BDO USA LLP ONE INTERNATIONAL PLACE BOSTON MA 02110 990 2016-10-01 042156082 Franciscan Hospital for Children Inc % ALEX DENUCCI FRAN 6172543800 30 Warren Street Brighton MA 02135 JOHN NASH CEO 6172543800 2018-08-15 true Brian Vigneault P00540650 6174220700 2016 2022-09-23 18:48:47Z JOHN NASH 30 Warren Street Brighton MA 02135 59621790 false X http://www.franciscanhospital.org X 1945 MA Franciscan Hospital for Children, Inc. is a charitable organization delivering medical and educational services to children and adolescents with special needs. (Continued on Sch. O) 15 15 882 75 0 1630528 2539556 55078963 55711990 26648 35939 560102 1038990 57296241 59326475 0 0 0 0 37666073 37789852 0 0 1692561 17177888 21088669 54843961 58878521 2452280 447954 43877776 45635157 21934419 19822236 21943357 25812921 X To provide compassionate care and education to children with special health care needs to help them reach their full potential. To create a pediatric center for children with special needs, that is a nationally and internationally recognized model, leader and advocate of care. false false 33336983 36371900 Inpatient Services - Delivery of medical, educational and other services to a special needs pediatric population in eastern Massachusetts. Franciscan Hospital for children had 22,363 admissions and 821 patient days during FY17. 14144465 20537004 Outpatient Services - Delivery of medical, educational and other services to a special needs pediatric population in eastern Massachusetts. Fransican Hospital for Children had 36,366 outpatient procedures during FY17. 47481448 true true false true false false false false false true true true false false true true false true false false false false false true true false true true false false true true false false false false false false false true true true false false false false true true false false false true 209 0 true 882 true false false false false false true true false false false false X 15 15 false false false false false false false true true false true true true true true true true true true true false MA X ALEX DENUCCI 6177791225 30 WARREN STREET Brighton MA 021353680 Dr James Mandell Chairman 1.25 0.0 X 0 0 0 Robert B Needham CFA Vice Chair 1.25 0.0 X 0 0 0 Douglas C Chamberlain CFA Clerk 1.25 0.0 X 0 0 0 Timothy J Fallon Director 1.25 0.0 X 0 0 0 Sr Aline Giroux FMM Director 1.25 0.0 X 0 0 0 Andy Hoar Director 1.25 0.0 X 0 0 0 Paul M Kane Esq Director 1.25 0.0 X 0 0 0 Wendoly Ortiz Langlois Director 1.25 0.0 X 0 0 0 John E Larsen Director 1.25 0.0 X 0 0 0 Jane L Lundquist Director 1.25 0.0 X 0 0 0 Ike Papadopoulos Director 1.25 0.0 X 0 0 0 Sr Lois Ann Pereira Director 1.25 0.0 X 0 0 0 Jay Pieper Director 1.25 0.0 X 0 0 0 Joan E Stiff Esq Director 1.25 0.0 X 0 0 0 Richard J Sullivan Esq Director 1.25 0.0 X 0 0 0 Sr Anne Turbini FMM Director 1.25 0.0 X 0 0 0 Michael Yogman Director 1.25 0.0 X 0 0 0 John D Nash President & CEO 40.0 0.0 X X 510080 0 22267 Alexander J DeNucci Treasurer & CFO 40.0 0.0 X 247460 0 14704 Donna Polselli COO 40.0 0.0 X 271859 0 7243 Jane O'Brien Medical Director 36.0 0.0 X 265577 0 19553 Charles Kendrick Anesthesiologist 40.0 0.0 X 267582 0 11136 Jeffrey Forman Physician 40.0 0.0 X 259717 0 15498 David Leslie President of Med/Dental Staff 40.0 0.0 X 328288 0 17374 Aimee Carew Lyons COO/CNO/Sr. VP Pt Care Svcs 40.0 0.0 X 238010 0 16807 Catherine E Miller Anesthesiologist 40.0 0.0 X 289464 0 15632 2678037 0 140214 46 false true false McLean Hospital 115 Mill St BELMONT MA 02478 Management 2293376 Unidine Corporation 1000 Washington St 510 BOSTON MA 02118 Food Services 704837 Integrated IT Solutions 159 Overland Rd WALTHAM MA 02451 IT Support & Service 336400 Universal Hospital Services Inc 21 Alpha Rd CHELMSFORD MA 01824 Engineering Services 391105 KHJ Integrated Marketing Inc 155 Seaport Blvd BOSTON MA 02210 Consulting Services 385904 21 749600 1789956 2539556 NET PATIENT SERVICE REV 900099 50077583 50077583 DAY SCHOOL PROGRAM 900099 5157747 5157747 DAY CARE PROGRAM 900099 476660 476660 55711990 35939 35939 0 0 0 0 0 0 137391 749600 295315 -157924 -157924 0 0 0 0 0 0 MISCELLANEOUS 900099 924326 924326 CAFETERIA 900099 272588 272588 1196914 59326475 56908904 -121985 0 0 0 0 1095125 1095125 0 29639271 24936579 4041785 660907 0 7055456 5958719 971717 125020 0 0 37900 37900 80000 80000 0 0 0 7524552 5043643 2043986 436923 0 2785512 2172070 363922 249520 0 0 0 75120 14540 59382 1198 0 0 116127 82953 31916 1258 0 1948214 1332700 608280 7234 0 PROFESSIONAL ACTIVITIES 156940 353 155621 966 DUES & SUBSCRIPTIONS 206661 31981 167902 6778 ED SUPPLIES 15910 15649 261 DIETARY 490185 344108 86160 59917 7651548 7548153 -39445 142840 58878521 47481448 9704512 1692561 7997326 7872916 0 0 0 0 6623481 8071767 0 0 0 0 1066150 932263 220181 241082 695672 516781 62784462 40118050 23136000 22666412 0 0 3070956 3960598 0 0 0 0 1068010 1373338 43877776 45635157 5610956 6356981 0 0 36729 41745 0 0 0 0 0 0 10388132 9925601 0 0 5898602 3497909 21934419 19822236 X 19832599 22411311 2030614 3320248 80144 81362 21943357 25812921 43877776 45635157 X 447954 3421610 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 90000 90000 Political Activities Part II-B, Line 1, Lobbying Activities: Contact with and representation before state agencies responsible for the hospital's payment rates and regulatory requirements. 471382 1514 27477 445419 239640 234578 -173 2663 471382 544171 -4134 300397 239640 573814 1012 30655 544171 431009 134863 7942 573814 0.83000 0.17000 0.00000 true false 517554 517554 12068206 6608798 5459408 27359617 15554602 11805015 22812488 17940022 4872466 26597 14628 11969 22666412 BOARD-DESIGNATED FUNDS 364057 F SPECIFIC PURPOSE 2945248 F INDENTURE AGREEMENT 569931 F HELD IN PERPETUITY 81362 F 3960598 0 LONG-TERM PENSION LIABILITY 1845083 DUE TO THIRD PARTY PAYERS 1221557 LONG-TERM ASSET RETIREMENT OBL 431269 3497909 X PART V, LINE 4: USE OF THE ENDOWMENT FUNDS HAVE BEEN RESTRICTED BY DONOR TO A SPECIFIC PERIOD OF PURPOSE. PART X, LINE 2: IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, THE HOSPITAL ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. X X X X X true BLUE SKY SPORTS ENTERTAINMENT 150 WASHINGTON ST NORWELL MA 02061 WIFFLE BALL false 119427 37916 LIZ NOVAK EVENTS 61 ALBAN ROAD WABAN MA 02468 CLAD false 511805 12500 COVENTURES MANAGEMENT CO 740 BROADWAY SUITE 1102 NEW YORK NY 10003 5k walk/run false 77706 20304 708938 70720 MA CLAD 511805 403497 108308 4826 71165 6500 101979 CONROY 178053 152470 25583 1910 19074 4815 6684 2 197133 193633 3500 399 15184 62779 886991 749600 137391 2309 39084 75980 6500 171442 295315 -157924 true true true X true X true false false 28311928 29100279 -788351 0.00010 28311928 29100279 -788351 0.00010 190860 190860 190860 229791 -38931 28502788 29330070 -827282 0.00010 10 1205 284125 162000 122125 0.00480 1 30 435 435 1 215 215 12 1235 284775 162000 122775 0.00480 true 250410 867842 886434 -18592 X true true 1 1 Franciscan Hospital for Children Inc 30 Warren Street Brighton MA 02135 X X X Adolescent psych uni Franciscan Hospital for Children Inc 1 false false true X X X X X X X X X 16 true false false true X WWW.FRANCISCANCHILDRENS.ORG X https://franciscanchildrens.org/ X true 16 true https://franciscanchildrens.org/commitment-to false true X 200. 400. X X X X true true X X X true X true X true X X false X X false false PART V, SECTION B, LINE 11: A multidisciplinary team at Franciscan Childrens examined the findings of the 2018 CHNA and worked to prioritize areas where the institution could successfully engage and intervene. The prioritization of each item identified by the community stemmed from: 1) demonstrated need in the community as evidenced by CHNA findings; 2) the perceived impact that Franciscan Childrens involvement would have on this need; 3) the perceived feasibility of Franciscan Childrens involvement in addressing this need, including institutional expertise and resource allocation; and 4) the alignment with Franciscan Childrens mission and institutional strategic priorities. Based upon this process and these criteria, the multidisciplinary team identified the following areas as priorities: Mental health for children and adolescents Primary care for children and adolescents Child wellness (e.g., nutrition, child development, physical activity) Community engagement with Allston/Brighton organizations Strategies to address these needs are outlined in the implementation plan attached to the 990 and located on Franciscans website. The other areas identified in the 2018 CHNA income, education, employment, housing, domestic violence, substance use, and a centralized source of information are areas that Franciscan Childrens did not make a priority due to a lower demonstrated need, less perceived impact and feasibility, and/or lack of alignment with Franciscan Childrens mission and institutional strategic priorities. and institutional strategic priorities. PART V, SECTION B, LINE 18D: USE OF A COLLECTION AGENCY. PART V, SECTION B, LINE 19D: COLLECTION AGENCIES ATTEMPTED TO COLLECT OUTSTANDING BALANCES. Part III, Line 4: Bad Debt Expense is recorded to report accounts receivable at their net realizable value. Showing the Bad Debt as a deduction from revenue more clearly represents the amount of revenue that the Franciscan Hospital actually expects to collect, thereby improving the quality and comparability of the financial statements. Franciscan Hospital recoreds includes the amount of charges for services and supplies furnished under its charity care policy. The cost of services and supplies are equivalent services statistics. Part III, Line 8: The costing methodology used to determine Medicare allowable cost was the cost to outpatient ancillary charge ratios and inpatient day per diem cost as reported on the Medicare 2552 Cost Report for FYE 09/30/2017. Part I, Line 7G: N/A Part I, Line 7, Column (F): N/A Part III, Line 9B: The collection process encompasses billing the patient's health insurance(s), filing appeals for non-payment and billing the patient. The statement/data mailers are processed by the hospital and an external company. They are sent once a month, one business day after the month-end close. Statements/data mailers are sent to the patient's responsible party each month for services not covered by the patient's insurance company. There will be four statements for self and self-pay after insurance and five for self-payment. There is a different message on each statement indicating status of account contact. Low income families who meet the following criteria are eligible for partial free care: 1. Massachusetts residents whose family income is from 201% to 400% of the federal poverty income guidelines will be eligible for financial assistance for that portion of the bill which exceed their family's annual deductible. This will be determined by a sliding fee scale. 2. Any participant in the children's medical security plan whose family income is from 201% and 400% of the federal poverty income guidelines will be eligible for financial assistance for that portion of the bill which exceeds their family annual deductible. 3. Any participant in health start whose family income is from 201% and 400% of the federal poverty income guidelines will be eligible for that portion of the bill which exceeds their family annual deductible. Note: The annual deductible for partial free care equals 40% of the difference between the applicant's family income and 200% of the federal poverty income guidelines. The patient is responsible for payment for all services provided up to this deductible amount. There is only one deductible per approved period. Therefore, it is the responsibility of the patient to provide documentation that their obligation has been met. Part I, Line 7: A costing methodology was not used to calculate amounts on Part I, Line 7. The cost to charge ratio was derived from worksheet 2. Part VI, Line 2: Assess health care needs of the community by the following participation in a task force. The Allston Brighton Health Collaborative conducts the following. Demographics: identify data sources, review existing data, held community forum to solicit input from the community members, committee brainstorming. Part VI, Line 3: Inpatient: We review all potential patients' insurance policies before admission for length of stay and coverage guidelines and limitations. Most patients who have private insurance exhaust their rehab benefits while here. We meet with parents/guardians to educate them on their options and if necessary assist them with applying for government assistance. For those who do not apply or do not qualify for government assistance, the hospital provides medical and financial hardship assistance based on the federal and state poverty guidelines. Outpatient: We review eligibility for each visit. We contact parent/guardian if there is an issue. We also assist patients with the Masshealth application, for those who do not apply or do not qualify for government assistance. The hospital provides medical and financial hardship assistance based on the federal and state poverty guidelines. Part II: Community Building Activities: The adaptive skating program introduces children with special needs to basic ice skating skills. Adaptive bike camp program goal vary by participant that includes learning how to steer and use the brakes, gettong on and off the bike, and riding without stopping. Children's wellness provides easily accessed school based behavioral health services that promote emotional and social wellness, family support group dinners and social events are organized to help foster community and expand access to family-to-family learning. Part I, Line 4: Target population - Allston/Brighton neighborhood but also from Metro Boston and beyond. 50% of residents are between the ages of 20-29. Nearly 90% of households are childless (do not have children under 18) nearly 80% of residents report renting rather than owning their primary residence. Allston-Brighton has a predominantly caucasion (white) population; it is also home to a large number of diverse groups including many recent immigrants from spanish-speaking countries, Brazil, China and Russia. The median income of Allston-Brighton residents is $38,274. The unemployment rate in Allston-Brighton was half that of Boston, MA. Part VI, Line 5: Family Support Groups - family dinners and social events are organized to help foster community and expand access to family-to-family learning. Provide skilled, reliable interpreter services to increase access to care for families whose primary language is not English. Childhood safety advocacy - host press conferences to inform caregivers about pool safety and hazards to avoid. Education support of higher education - we serve as a site where nursing, psychology and medical residents do their clinical rotation. Participate in the Allston-Brighton substance abuse task force that received funding to conduct a community assessment. Community benefit happens via several committees that are multi-disciplinary - medical parent advisory council, behavioral parent advisory council and Kennedy Day School Advisory Group. Part VI, Line 6: The Hospital has maintained a relationship with Boston University school of dental medicine's outpatient pediatric dental program. Residents of that program complete a rotation in the dental clinic at the hospital. Part VI, Line 7: List of states receiving community benefit report: MA X true true X X X X false false false false false false false false false Alexander J DeNucci Treasurer & CFO 201460 10000 36000 14704 262164 John D Nash President & CEO 388080 80000 42000 22267 532347 Donna Polselli COO 243859 10000 18000 7243 279102 Jane O'Brien Medical Director 219577 10000 36000 19553 285130 Charles Kendrick Anesthesiologist 243582 24000 11136 278718 Jeffrey Forman Physician 245886 13831 15498 275215 David Leslie President of Med/Dental Staff 328288 17374 345662 Aimee Carew Lyons COO/CNO/Sr. VP Pt Care Svcs 187516 15000 35494 16807 254817 Catherine E Miller Anesthesiologist 265464 24000 15632 305096 Part I, Line 4b: The organization's president John Nash participates in a 457(F) plan. A MA Development Finance Agency Series B 042456011 noneavail 2015-09-01 10500000 Refinancing Series A Bond false false false A 0 0 10500000 568934 0 0 122805 0 0 0 9808261 0 2016 true false false true A false false false false 0.00000 0.00000 0.00000 false false false false A false false false false true false 0 false 0 false false A false Douglas C Chamberlain CFA Board Member 24438 Investment Management false Schedule L, Part IV: (A) Name of Person: Cambridge Appleton Trust, N.A. (B) Relationship Between Interested Person and Organization: 49% owned by Appleton Partners, Inc. (Douglas Chamberlain owns 35% of API) (C) Amount of Transaction: $24,438 (D) Description of Transaction: Franciscan Hospital for Children uses Cambridge Appleton Trust N.A. as its investment company. (E) Sharing of ORganization Revenues? - NO. Form 990, Part I, Line I: Additionally, the organization offers pediatric services to the population in general. Form 990, Part XI, Line 9: Adjustment to Minimum Pension Liability $3,421,610 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:922353 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE SERVICES TOTAL FEES:6602199 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:MEDICAL SUPPLIES TOTAL EXPENSES:3032743 PROGRAM SERVICES:3022377 MANAGEMENT AND GENERAL:10365 FUNDRAISING:1 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:REPAIRS & MAINTENANCE TOTAL EXPENSES:2053885 PROGRAM SERVICES:1297060 MANAGEMENT AND GENERAL:710444 FUNDRAISING:46381 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:ADMINISTRATION TOTAL EXPENSES:771762 PROGRAM SERVICES:1435558 MANAGEMENT AND GENERAL:-760254 FUNDRAISING:96458 FORM 990 PART IX LINE 24 - OTHER EXPENSES DESCRIPTION:PENSION LIABILITY TOTAL EXPENSES:1793158 PROGRAM SERVICES:1793158 New england health systems inc 30 warren street Brighton MA 02135 043421002 management MA franciscan new england health staffing inc 30 warren street brighton MA 02135 043421001 staffing MA franciscan clinical resources of new england 30 warren street Brighton MA 02135 043421000 medical equip MA franciscan franciscan pediatrics Inc 30 warren st brighton MA 02135 043160358 physician group MA Franciscan Corp 176575 1.00000 false false false false false false false false false false false false false false true false false false true false Franciscan pediatrics inc R 824076 cost franciscan pediatrics inc N 2087989 cost