CHILDRENS HOSPITAL CORPORATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL CORPORATION (EIN 04-2774441)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201602289349300235
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

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Principal OfficerSandra FenwickPrincipalOfficerNm

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Gross Receipts$1,843,060,186GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
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Website Addresswww.childrenshospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
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Activity Or MissionProvider of pediatric healthcare, education, research & community serviceActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee11876TotalEmployeeCnt
Total Volunteers1247TotalVolunteersCnt
Total Gross UBI$262,601TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$30,622NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$330,383,668PYContributionsGrantsAmt
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MissionBoston Children's Hospital (BCH) is the nation's premier pediatric hospital. We serve as the community hospital for the children of Boston; provide specialty pediatric care throughout the region; and offer access to innovative, life saving care to children across the world facing challenging medical issues. BCH's vision is to advance pediatric care - both in our local neighborhoods and worldwide - through a commitment to innovation and science-based care. All of our activities are driven by four interwoven missions: providing access to safe, high quality, compassionate and innovative clinical care to children, especially to those with complex medical conditions and rare diseases; researching new cures and treatments for diseases and methods of care delivery; training the next generation of pediatric caregivers; and improving the health and well being of children, with a special emphasis on helping the children of Boston grow and learn in safe, healthy environments.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
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Expense$917,575,086ExpenseAmt
Grant$3,167,654GrantAmt
Revenue$1,142,995,145RevenueAmt
DescCLINICAL CARE: As one of the largest pediatric hospitals in the U.S. and the only freestanding pediatric hospital in Massachusetts, Boston Children's provides access to safe, high quality health care services that meet the unique needs of our patients and their families, regardless of their ability to pay. 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.On an annual basis, Boston Children's sees: 23,548 bedded cases at our main campus; 792 bedded cases at our satellites and 557,121 combined outpatients at main campus and satellites; 30,036 patients in our community health clinic. Of the bedded cases, more than 23.6% (CMI > 2.00) can be qualified as clinically complex. Of these patients, approximately 34.5% (patients on Medicaid/Medicare) are considered low income.Boston Children's 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. Boston Children's 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. Boston Children's also provides clinical care for the largest number of uninsured children in the state; total free care and losses from Medicaid in FY2015 were approximately $63.3 million.Recognizing the difficulties that community-based hospitals face in providing specialized pediatric care (which requires significant investments in staff, equipment and training), Boston Children's has formed partnerships with 5 community hospitals throughout eastern Massachusetts, including Beverly Hospital, Winchester Hospital and South Shore 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 and outpatient specialty services for children. Boston Children's also operates satellite facilities in Lexington, Peabody and Waltham where we offer specialized care in cardiology, gastroenterology, neurology, respiratory diseases, diabetes, orthopedic surgery, urology and other specialties. In addition, our physicians offer outpatient services at our Physician Office Locations in Brockton, Milford, Norwood and Weymouth. In 2015, Boston Children's Physician's Office in North Dartmouth became a dedicated satellite facility.Each year, Boston Children's improves the quality of the clinical care it provides by recruiting talented staff, investing in cutting-edge equipment and technology, undertaking safety and quality initiatives, supporting community health programs and ensuring that our facilities make the care process easier and more comfortable for all the patients and families we serve. For example:Focus on Quality: In 2015, Boston Children's Hospital's Center for Patient Safety and Quality Research (CPSQR) undertook several initiatives aimed at Quality Improvement across the hospital. In addition to awarding 15 research grants, totaling more than $220,000, CPSQR hosted two Service Excellence Teaching sessions, which promoted the use of service excellence to health care settings. Each session drew over 100 attendees. To coincide with Patient Safety Awareness Week, CPSQR hosted an annual forum in March where Principal Investigators (PIs) presented the results of their projects funded through the Program for Patient Safety and Quality (PPSQ) grants program. This event is traditionally attended by a large number of clinical and non-clinical staff from the hospital; in 2015, nearly 80 people attended. A PPSQ grant-funded research project has resulted in the development of new quality and safety measures for nursing care. 10 of those measures are now being tested across a national consortium and are prepared for NQF endorsement. In that same time, CPSQR has devoted resources to supporting trainees and scholars, including academic mentoring and scientific support for HMS/CRICO fellows in PSQ; 6 student interns and trainees; and 3 visiting scholars. CPSQR continued its support for the PSQ Scholars Program, initiated in 2014 to provide focused support resources for Boston Children's Hospital faculty with established success in the domains of the patient safety and quality. CPSQR supported Elliot Melendez, MD (Critical Care), Erinn Rhodes, MD, MPH (Endocrinology), and Michael Glotzbecker, MD (Orthopedics). In total, CPSQR staff supported 81 projects, produced 22 publications, and participated in 8 national presentations. One project, "Optimization of the Clinical Decision Support System for Major-Contraindicated Drug-Drug Interactions at Boston Children's Hospital" (PI Kate Humphrey, MD, MPH; CRICO-funded), received over 900 hours in Project Management and statistical support. Among the outcomes are 3 poster presentations, 2 submissions, and 2 manuscripts in preparation. CPSQR provided over 1,000 hours of project management support to the CHIPRA Demonstration grant (funded by the CMS). 4 measures of quality of care coordination of pediatric behavioral health services were tested through chart review; 1 manuscript is currently under review.A 2014 study supported by CPSQR on safe sleep practices in the Neonatal Intensive Care Unit (NICU) setting among preterm infants led to the development of safe sleep practices for infants. These practices, which can be put to use at home following a hospital discharge, have been shown to reduce the risk of sleep-related morbidity and mortality. In 2014, half of level III NICUs in Massachusetts adopted these practices. In 2015, that figure grew to 90%. Level II NICUs are currently in the process of adopting the same practices. In 2015, PPSQ continued to serve the needs of physicians claiming Maintenance of Certification (MOC) quality improvement credit through a revised, rigorous MOC process. Additionally, PPSQ took further steps towards the hospital's increased focus on transparency, both internally and externally. The new Quality and Patient Safety webpages were launched on the external website in early 2015, and additional pages, including the hospital's performance on Solutions for Patient Safety measures, were drafted to be published in mid-2016. Finally, the program created an internal Quality and Performance Improvement Dashboard to be launched hospital-wide in January 2016.Encourage Innovation: The Innovation Acceleration Program (IAP) at Boston Children's Hospital promotes innovation at the grassroots level by creating opportunities for hospital staff to develop, test, build and refine solutions that are unique and effectively address real pediatric clinical pain points. This has targeting specific groups within the hospital who historically have not thought of themselves as potential innovators, including nurses. The IAP offers "innovestment" grants of up to $15,000 and Fast Track Innovation in Technology (FIT) project awards, both of which are open to all hospital staff. Instead of funding, FIT project awards offer software development resources, including the support of a team of experienced software developers, for innovative clinical software projects. The FIT team rapidly creates "proof of concept" software that can be piloted inside Boston Children's Hospital. The software is refined and can then be adapted for use throughout the institution or distributed to external organizations for their use. In 2015, the IAP named four FIT project award recipients, including a tool that allows nurses to consult with each other on medication remotely. Before administering certain medications, nurses are required to have a second nurse verify, or double check, the medicine and dosage. If a free nurse is available, the process can be completed in a few minutes. More often than not however, it takes considerably longer, as the nurse administering the medication has to track down and possibly wait for another nurse to become available. Remote Nurse Witness Supporting Medication Administration, or RNSAFE, is a FIT-supported project that allows nurses to request a double check through a patient's EMR to a remote nurse. Once the request has been submitted, the remote nurse can use a video cDesc

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DescRESEARCH: 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.With over $238 million in annual funding and 800,000 square feet of space, Boston Children's is home to the world's largest and most active research enterprise at a pediatric center. Boston Children's research mission encompasses basic research, clinical research, community service programs and the postdoctoral training of new scientists. While the National Institutes of Health is our largest sponsor, Boston Children's has made a significant investment of more than $29 million towards supporting its research activities in 2015. 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. For example:Fixing holes in the heart without invasive surgery: Clinicians at Boston Children's Hospital have developed a device for repairing holes in the heart that doesn't require invasive surgery. Currently, when it comes to repairing holes or wounds inside the body, clinicians need to create a second large hole in order to access the affected areas for suturing. The new device eliminates the need for this process, and instead uses an ultraviolet-light-enabled catheter to patch holes with a biodegradable, light-activated adhesive.The catheter is snaked into the body through a vein and into the hole in the heart, where the catheter is used to deploy a patch to cover the opening. Two balloon-like chambers, positioned on either side of the opening, are then inflated to keep the patch. The clinician activates the catheter's UV light, which reflects off the balloon's interior and causes the patch to harden and form a tight seal with the surrounding body tissue. The entire procedure can be accomplished in minutes. And because the patch is biodegradable, it will dissolve as the tissue heals, leaving no foreign material in the body. In the future, the device may prove useful for repairing other problems including stomach ulcers and abdominal hernias.The device is the result of collaboration between Boston Children's Hospital, Brigham and Women's Hospital, Harvard University's School of Engineering and Applied Sciences and the Wyss Institute for Biologically Inspired Engineering.Repairing ACLs with sponges: There are more than 150,000 Anterior Cruciate Ligament (ACL) tears in the country every year. Long associated with adults, ACL tears are increasingly recognized as a major problem for young athletes, especially young girls. The conventional treatment for ACLs tears involves surgery to remove the torn ligament and replace it with a graft from a tendon. The graft is often taken from another part of the patient's leg, leaving patients to slowly recover from two injuries over the course of many months.Unlike other parts of the body, the ACL is unable to heal itself. Following 10 years of research, a Boston Children's Hospital surgeon discovered why; the same fluid that keeps the knee lubricated also prevents blood clots from forming, making it impossible for the body to create a bridge between the torn tissue. This insight led to the development of a new surgical procedure that involves inserting a sponge to serve as a bridge between the two ends of the torn ACL and flushing it with the patient's blood. The sponge gives blood clots something to cling to while holding the pieces of ligament together long enough for tissue to grow back. Because this method does not require a graft, the surgery is less invasive and the recovery time is considerably shorter.Making red blood cells: Research by a Boston Children's physician has discovered a way of producing red blood cells at greater volumes than current methods allow. The breakthrough involves performing genetic surgery on a specific gene inside blood stem cells that has been shown to inhibit red blood cell production. By targeting and shutting off this specific gene, the researcher was able to triple the amount of red blood cells produced compared to a control group of stem cells that were allowed to mature naturally. This breakthrough has a number of potential uses beyond generating more blood cells for medical care. It could pave the way for creating the same effect in other cell types including muscle and nerve cells destroyed by disease. The breakthrough might also provide a new way of delivering medications directly to cells. Using blood cells to deliver medication will allow patients to receive the intended effect without provoking the immune response other delivery systems do.Desc

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DescTEACHING:Over the course of the year, 187 residents, 287 clinical fellows, 247 research fellows and more than 900 rotating residents/fellows come to Boston Children's from around the world. More importantly, 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 about 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.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, Pediatric Endocrinology and Pediatric Otolaryngology. The hospital also has the largest accredited training program in Child Neurology in New England.In addition, 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 8 accredited neurodevelopmental disabilities programs in the country. Congenital Cardiac Surgery is one of 12 in the country, Pediatric Transplant Hepatology is one of 7 in the country, and Medical Biochemical Genetics is one of 12 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 16 in the country, and the only one in Massachusetts.Our Clinical Informatics training program is one of only 3 pediatrics-based Clinical Informatics training programs in the country, and is the only such program in New England.Desc

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Community:More than 20 years ago, Boston Children's Hospital 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 core mission-community. Through the years, Boston Children's 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 advance population health approaches, address health disparities and improve health outcomes for children.Boston Children'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 non-health 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 needs:To better understand current health needs in the community, Boston Children's conducts a comprehensive needs assessment every three years. The findings inform the direction of Boston Children's community mission and the scope of its community health work. It also helps to ensure that Boston Children's is utilizing resources and leveraging community partnerships in the most effective way.The last assessment was completed in 2013. The assessment focused on children and families living in four priority neighborhoods in Boston-Roxbury, Mission Hill, Fenway and Jamaica Plain. It had three goals: 1) evaluate the current health status of children and families; 2) identify current health priorities as well as emerging health concerns and 3) understand strengths, resources and gaps in health and health care services. Boston Children's reviewed current data on social, economic and health indicators in Boston. Data also was available through the Boston Child Health Study, a survey conducted by the Boston Public Health Commission with support from Boston Children's.The heart of Boston Children's assessment is direct internal and external feedback from community residents and stakeholders. Five focus groups with community residents were held and interviews were conducted with providers, elected officials and staff from community-based organizations and health centers. Key issues identified through the assessment process included obesity, asthma, mental and behavioral health, early childhood/child development and access to care concerns. These needs and issues are addressed through Boston Children's clinical care, services and programs and in collaboration with community partners. 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 Boston Children'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, Boston Children's 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 Boston Children's 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 Community Health and Benefits Plan.For more details on the needs assessment process and key findings, visit bostonchildrens.org/community. A copy of the Community Health and Benefits Plan with details on how Boston Children's is addressing the needs identified through the assessment is also available. Boston Children's is now conducting its community health needs assessment for 2016. This process will be completed by the end of the year and results will be shared on the website when available. Serving as a safety net:Boston 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 and underinsured 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.Being a community health leader:Boston Children's has identified four priority health areas-asthma, obesity, mental health and child development-and developed a programmatic response to each. Community programs are focused where Boston Children's has the clinical expertise, resources and partnerships to make a difference. Boston Children'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 a total of 1,632 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 80%, emergency department visits by 57%, missed schools days by 45% and missed work days for parents or caregivers by 53%.- Boston Children's Hospital Neighborhood Partnerships Program (CHNP) is the hospital's community-based mental health program. CHNP places clinicians in Boston schools and community health centers to provide a comprehensive array of mental health services to better meet the needs of children and adolescents. Last year, more than 1,270 students received school-based services and 130 children received care in community health centers. In addition, more than 390 school professionals in Massachusetts received training using a depression awareness curriculum. - Fitness in the City (FIC) is a community-based approach to addressing obesity. FIC supports 10 Boston community health centers to provide almost 1,000 children annually with case-management support, as well as access to nutrition and physical activity programs. Almost 60% of children participating in FIC have reduced or maintained their Body Mass Index and 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 hundreds of children experiencing school-functioning problems and learning delays through Boston Children's primary care clinic and in three Boston community health centers. Last year, 355 children were cared for by the ASK team, which also attended 74 school meetings to support families.For more details on the community programs mentioned above visit, bostonchildrens.org/community Supporting and working with community partners:Boston Children's has relationships with an array of community partners who provide a voice for the families and neighborhoods they represent. Boston Children's partners help to ensure that the hospital better understands the needs, uniqueness and strengths that lie within each community. In addition, Boston Children's has three strategic partners-the Boston Public Schools, Boston Public Health Commission and community health centers.Boston Public Schools:Boston Children's and the Boston Public Schools (BPS) have worked together on a range of initiatives over the past several years. Key highlights from our work in FY15 include:- Continued implementation of the district-wide Behavioral Health model jointly developed by Boston Children's and
Boston Children's provides financial and programmatic support to 10 Boston community health centers: Bowdoin Street, Brookside, Dimock, Charles River Community Health, South Cove, South End, Southern Jamaica Plain, Upham's Corner, Whittier Street and Mattapan. These health centers provide primary care and support, including medical, dental and mental health services, to more than 33,000 Boston children and their families. With support from Boston Children's, the health centers have been able to focus on not only the quality of care provided but how they can expand the range of services delivered, serving as part of a patient-centered medical home.For more details on Boston Children's community partnerships, visit bostonchildrens.org/community.Addressing social determinants of health:Recognizing the link between social and health issues, Boston Children's actively participates and collaborates with its key community partners to respond to social determinants of health, which are non-medical issues that have a significant impact on individual and community health. Boston Children's focuses on providing support at the individual, family and community levels. Based on community need and the hospital's expertise, Boston Children's focuses its efforts 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. See above on BPS. These programs include the Boston Children's Hospital Neighborhood Partnerships Program, the Advocating Success for Kids Program and various efforts in the area of child development. - 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. 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 10 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. Boston Children's provides support to several community based organizations to implement key family and social support programs that benefit the broader community and build community cohesion. These partnerships help ensure that Boston Children's better understands the needs, uniqueness and strengths that lie within each community. See above for more on BPHC and community health centers.Advocating for children and families:Influencing public policy to improve child health is an important aspect of Boston Children's commitment to community health. As the leading provider of medical and behavioral services to low-income children in Boston and Massachusetts as well as a critical safety net for children throughout New England, Boston Children's has been an organized force and an influential advocate for children for more than 20 years. Boston Children's is a forceful advocate on legislative and regulatory matters in Massachusetts that affect children's wellbeing, such as increasing access to quality pediatric mental health programs and promoting better treatment models for children with chronic conditions, such as asthma. 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 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. The hospital's advocacy resulted in numerous considerations for children, including developing pediatric standards for Accountable Care Organizations and studying the impact of the law on access to high quality care for children. The law also added language to improve retention in the MassHealth program, at Boston Children's urging. Nationally, Boston Children's is engaged in efforts to preserve the Children's Health Insurance Program, which serves as 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. Current efforts address mental health parity compliance (legislative and regulatory), access to care, substance abuse prevention, and comprehensive school based services, among others.Additionally, Boston Children's works in collaboration with a host of public health and injury prevention advocates to ensure public policies work to keep children safe and healthy. Of note, in recent years, Boston Children's engaged in efforts that led to the passage of laws prohibiting children under the age of fourteen from riding all-terrain vehicles (ATVs); requiring those involved with school athletics to be trained in the recognition and management of brain injuries; and establishing healthy standards for snacks and beverages sold in school vending machines, school stores and cafeterias. Boston Children's has established the over 4,000 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 more than 300 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. The CAN hosts monthly "Advocacy Lunch & Learns", which offer hospital staff and community partners a forum each month 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.$7,889,295$0$0
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$7,889,295TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,299,209,643TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1744IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee11876EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible ContributionsYes (1)NondeductibleContributionsInd
Nondeductible Contri DisclYes (1)NondeductibleContriDisclInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Doug VandersliceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6173557312PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AvenueAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02115ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Stephen Karp
Trustee - Chairman5.005.00Yes (X)$0$0$0
Douglas Berthiaume
Trustee - Vice Chair2.002.00Yes (X)$0$0$0
Allan Bufferd
Trustee1.001.00Yes (X)$0$0$0
Gary Fleisher MD
Trustee, ex officio1.001.00Yes (X)$0$0$0
Winston Henderson
Trustee1.001.00Yes (X)$0$0$0
James Kasser MD
Trustee,ex officio1.001.00Yes (X)$0$0$0
Steven Krichmar
Trustee1.001.00Yes (X)$0$0$0
Robert Langer
Trustee (from 5/2015)1.001.00Yes (X)$0$0$0
Harvey Lodish PhD
Trustee1.001.00Yes (X)$0$0$0
Gary Loveman
Trustee1.001.00Yes (X)$0$0$0
Ralph C Martin
Trustee1.001.00Yes (X)$0$0$0
Thomas Melendez
Trustee1.001.00Yes (X)$0$0$0
Mark Proctor MD
Trustee, ex officio1.001.00Yes (X)$0$0$0
Robert A Smith
Trustee1.001.00Yes (X)$0$0$0
Robert Smyth
Trustee1.001.00Yes (X)$0$0$0
Anne Stack MD
Trustee, ex officio1.001.00Yes (X)$0$0$0
Alison Taunton-RigbyPhD
Trustee1.001.00Yes (X)$0$0$0
Marc B Wolpow
Trustee1.001.00Yes (X)$0$0$0
Laura J Wood DNP MS RN
CNO/Noncomp Trustee55.005.00Yes (X)$505,760$0$52,401
Gregory Young MD
Trustee, ex officio1.001.00Yes (X)$0$0$0
Sandra Fenwick
President & CEO, Noncomp Trustee55.006.00Yes (X)$1,621,229$0$67,227Yes (X)
Kevin Churchwell MD
EVP & COO/Noncomp Trustee55.005.00Yes (X)$1,175,452$0$58,524Yes (X)
Douglas Vanderslice
SVP, Treasurer & CFO55.009.00$751,524$0$53,374Yes (X)
Bruce Balter
Asst Treasurer/Dir Corp Finance55.005.00$236,097$0$51,119Yes (X)
Michele Garvin Esq
General Counsel & Secretary55.008.00$193,511$0$8,021Yes (X)
Dianne Hatfield
Asst Secretary/Exec Asst55.005.00$106,964$0$27,265Yes (X)
Demosthenes Argys
SVP, & Chief Administrative Officer55.005.00$589,969$0$49,832Yes (X)
August Cervini
VP, Research Administration55.005.00$319,115$0$27,992Yes (X)
Margaret Coughlin
SVP & Chief Marketing Officer55.005.00$448,880$0$45,287Yes (X)
Michael Gillespie
VP, Clinical Services55.005.00$413,471$0$33,182Yes (X)
Patricia Hickey PhD MBA RN NEA-BC
VP, Cardiovascular Services55.005.00$349,268$0$42,207Yes (X)
Daniel Nigrin MD
SVP & Chief Information Officer55.005.00$527,754$0$46,410Yes (X)
Philip Rotner
Chief Investment Officer55.005.00$891,116$0$51,943Yes (X)
Wendy Warring
SVP, Network Development55.005.00$589,177$0$42,020Yes (X)
Charles Weinstein
VP, RE Planning & Development55.005.00$481,918$0$51,450Yes (X)
Nader Rifai PhD
Director, Chemistry55.000.00$641,513$0$51,297Yes (X)
Lynn Susman
President, Children's Hospital Trust55.000.00$627,185$0$57,287Yes (X)
Orah Platt MD
Chief, Lab Medicine55.000.00$501,313$0$39,294Yes (X)
Aditya Kaza MD
Surgeon55.000.00$498,959$0$50,956Yes (X)
Inez Stewart
VP, Human Resources55.000.00$469,710$0$49,339Yes (X)
Eileen Sporing
Former SVP & CNO55.005.00$257,507$0$0Yes (X)
James Mandell MD
Former President & CEO55.005.00$194,044$0$0Yes (X)
Stuart Novick Esq
Former General Counsel & Secretary55.005.00$1,228,011$0$47,601Yes (X)
Janet Cady
Former President CH Trust55.005.00$500,873$0$4,866Yes (X)
M Laurie Cammisa
Former VP, Child Advocacy55.005.00$204,035$0$6,900Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,324,355TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,015,794TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1703IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Turner Construction Company
Two Seaport LaneBostonMA02210Construction Services$27,410,326
The Brigham and Women's Hospital
75 Francis StreetBostonMA02115Healthcare/Research Services$11,893,123
Wise Construction
21 East StreetWinchesterMA01890Construction Services$8,130,786
G Greene Construction Company
240 Lincoln StreetBostonMA02134Construction Services$7,965,510
Dana Farber Cancer Institute
450 Brookline AvenueBostonMA02215Healthcare/Research Services$6,123,942
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K245CntrctRcvdGreaterThan100KCnt
Federated Campaigns$29,790FederatedCampaignsAmt
Fundraising$4,127,258FundraisingAmt
Government Grants$179,742,822GovernmentGrantsAmt
All Other Contributions$124,002,731AllOtherContributionsAmt
Noncash Contributions$24,527,130NoncashContributionsAmt
Total Contributions$307,902,601TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Svc Revenue621110$1,081,526,503$1,081,526,503
Prog Svc Grants621110$42,050,859$42,050,859
Prof Svc Revenue621110$19,298,837$19,298,837
Graduate Medical Educa611710$17,387,441$17,387,441
Lab Revenue621500$118,946$118,946
FieldValueIRS element (for citing)
Total Program Service Revenue$1,160,382,586TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,420,508TotalRevenueColumnAmt
Unrelated Business Revenue$143,655UnrelatedBusinessRevenueAmt
Exclusion$12,276,853ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,128,843TotalRevenueColumnAmt
Exclusion$4,128,843ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$16,525,446RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$16,525,446RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,525,446TotalRevenueColumnAmt
Exclusion$16,525,446ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$310,800,259SecuritiesAmt
Other$473,864OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$272,625,905SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$38,174,354SecuritiesAmt
Other$473,864OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,648,218TotalRevenueColumnAmt
Exclusion$38,648,218ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$2,198,423FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$4,127,258ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,370,802FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$827,621TotalRevenueColumnAmt
Exclusion$827,621ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Other General Services900099$16,465,693$16,465,693
Parking Revenue812930$7,057,500$7,057,500
Cafeteria Sales722210$4,704,463$4,704,463
FieldValueIRS element (for citing)
Other Revenue Total$28,227,656OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,569,063,479TotalRevenueColumnAmt
Related Or Exempt Func Income$1,160,263,640RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$262,601UnrelatedBusinessRevenueAmt
Exclusion$100,634,637ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,054,450TotalAmt
Program Services$2,054,450ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,113,204TotalAmt
Program Services$1,113,204ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,909,460TotalAmt
Management And General$9,909,460ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$605,997,006TotalAmt
Program Services$524,974,018ProgramServicesAmt
Management And General$68,067,165ManagementAndGeneralAmt
Fundraising$12,955,823FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$27,049,405TotalAmt
Program Services$26,362,665ProgramServicesAmt
Fundraising$686,740FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$65,559,583TotalAmt
Program Services$64,148,617ProgramServicesAmt
Fundraising$1,410,966FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$53,291,423TotalAmt
Program Services$51,938,440ProgramServicesAmt
Fundraising$1,352,983FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,815,164TotalAmt
Program Services$454,101ProgramServicesAmt
Management And General$5,361,063ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,801,308TotalAmt
Program Services$4,402,693ProgramServicesAmt
Management And General$2,396,940ManagementAndGeneralAmt
Fundraising$1,675FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,940,260TotalAmt
Program Services$865,652ProgramServicesAmt
Management And General$1,074,608ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$85,547TotalAmt
Program Services$85,547ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$763,376TotalAmt
Fundraising$763,376FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$152,479,896TotalAmt
Program Services$124,571,191ProgramServicesAmt
Management And General$26,429,146ManagementAndGeneralAmt
Fundraising$1,479,559FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,488,956TotalAmt
Program Services$4,043,071ProgramServicesAmt
Management And General$1,445,885ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$51,814,205TotalAmt
Program Services$45,546,710ProgramServicesAmt
Management And General$836,776ManagementAndGeneralAmt
Fundraising$5,430,719FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$32,559,032TotalAmt
Program Services$16,435,628ProgramServicesAmt
Management And General$15,627,217ManagementAndGeneralAmt
Fundraising$496,187FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$86,645,630TotalAmt
Program Services$85,518,004ProgramServicesAmt
Fundraising$1,127,626FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,401,702TotalAmt
Program Services$5,198,647ProgramServicesAmt
Management And General$1,122,093ManagementAndGeneralAmt
Fundraising$80,962FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,395,775TotalAmt
Program Services$1,803,144ProgramServicesAmt
Management And General$509,583ManagementAndGeneralAmt
Fundraising$83,048FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$34,228,036TotalAmt
Program Services$34,228,036ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$107,471,965TotalAmt
Program Services$106,853,161ProgramServicesAmt
Fundraising$618,804FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,073,151TotalAmt
Program Services$3,708,839ProgramServicesAmt
Management And General$2,364,312ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Lab/Medical/Pharmacy$149,488,769$149,045,185$443,584
Uncollecible Accts$26,989,035$26,989,035
Free Care$10,299,871$10,299,871
Uncompensated Care$8,569,734$8,569,734

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,461,285,943TotalAmt
Program Services$1,299,209,643ProgramServicesAmt
Management And General$135,587,832ManagementAndGeneralAmt
Fundraising$26,488,468FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$587,742BOYAmt
EOY$505,084EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$172,100,523BOYAmt
EOY$157,922,589EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$192,000,421BOYAmt
EOY$231,244,764EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,728,854BOYAmt
EOY$16,588,298EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,154,497BOYAmt
EOY$13,128,143EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,368,175,888LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,401,233,694LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$940,604,364BOYAmt
EOY$966,942,194EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$253,454,098BOYAmt
EOY$182,642,140EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$914,420,948BOYAmt
EOY$951,816,876EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,956,593,317BOYAmt
EOY$2,106,915,916EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,453,644,764BOYAmt
EOY$4,627,706,004EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$201,859,451BOYAmt
EOY$225,546,269EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$70,543,090BOYAmt
EOY$83,764,591EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$869,580,978BOYAmt
EOY$868,836,859EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$231,616,203BOYAmt
EOY$331,054,534EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,373,599,722BOYAmt
EOY$1,509,202,253EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,817,010,453BOYAmt
EOY$1,852,299,910EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$589,977,483BOYAmt
EOY$565,670,759EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$673,057,106BOYAmt
EOY$700,533,082EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,080,045,042BOYAmt
EOY$3,118,503,751EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,453,644,764BOYAmt
EOY$4,627,706,004EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$107,777,536ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$111,503,786NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$42,184,959OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$358,360,283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$331,388,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$336,637,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$330,383,668CurrentTaxYearMinus1YearAmt
Current Tax Year$307,902,601CurrentTaxYearAmt
Total$1,664,672,223TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$358,360,283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$331,388,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$336,637,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$330,383,668CurrentTaxYearMinus1YearAmt
Current Tax Year$307,902,601CurrentTaxYearAmt
Total$1,664,672,223TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$48,503,963SubstantialContributorsTotAmt
Public Support Total170$1,616,168,260PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,919,339CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,330,292CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,951,120CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,521,020CurrentTaxYearMinus1YearAmt
Current Tax Year$32,931,142CurrentTaxYearAmt
Total$124,652,913TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$5,269CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$65,105CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$124,827CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$262,601CurrentTaxYearMinus1YearAmt
Current Tax Year$264,130CurrentTaxYearAmt
Total$711,394TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,300,140CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,866,415CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,867,110CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,157,674CurrentTaxYearMinus1YearAmt
Current Tax Year$28,227,656CurrentTaxYearAmt
Total$124,418,995TotalAmt
FieldValueIRS element (for citing)
Total Support$1,914,455,525TotalSupportAmt
Gross Receipts Rltd Activities$5,304,482,701GrossReceiptsRltdActivitiesAmt
Public Support CY1700.84420PublicSupportCY170Pct
Public Support PY1700.87310PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Mailings Members$136,135MailingsMembersAmt
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$63,170GrantsOtherOrganizationsAmt
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$435,109DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$634,414TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1FormAndLineReferenceDesc
ExplanationChildren'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 2015, three 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 and President as a lobbyist, although her involvement in these efforts was minimal. Two 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 2015 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 $194,250 - Amy DeLong Registered Lobbyist Children's Hospital personnel $51,544 - Sandra Fenwick Registered Lobbyist Children's Hospital personnel $9,184 - Kathryn Audette Children's Hospital personnel $71,015 - Katherine Ginnis Children's Hospital personnel $23,569 - Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $35,000 - Nick Manetto Consultant Faegre BD 1050 K Street NW, Suite 400, Washington, DC 20001 $50,547 Total Lobbyist/Consultant Expenses = $435,109 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $136,135 Grant to Nat'l Assoc of Children's Hospitals for GME - Related Lobbying Expense = $63,170 TOTAL LOBBYING EXPENSES = $634,414 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.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$976,027,000BeginningYearBalanceAmt
Contributions$26,449,000ContributionsAmt
Investment Earnings Or Losses-$22,205,000InvestmentEarningsOrLossesAmt
Other Expenditures$40,492,000OtherExpendituresAmt
End Year Balance$939,779,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$894,984,000BeginningYearBalanceAmt
Contributions$47,069,000ContributionsAmt
Investment Earnings Or Losses$71,647,000InvestmentEarningsOrLossesAmt
Other Expenditures$37,673,000OtherExpendituresAmt
End Year Balance$976,027,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$828,961,000BeginningYearBalanceAmt
Contributions$23,140,000ContributionsAmt
Investment Earnings Or Losses$75,015,000InvestmentEarningsOrLossesAmt
Other Expenditures$32,132,000OtherExpendituresAmt
End Year Balance$894,984,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$712,896,000BeginningYearBalanceAmt
Contributions$54,490,000ContributionsAmt
Investment Earnings Or Losses$87,370,000InvestmentEarningsOrLossesAmt
Other Expenditures$25,795,000OtherExpendituresAmt
End Year Balance$828,961,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$567,567,000BeginningYearBalanceAmt
Contributions$192,306,000ContributionsAmt
Investment Earnings Or Losses-$11,529,000InvestmentEarningsOrLossesAmt
Other Expenditures$35,448,000OtherExpendituresAmt
End Year Balance$712,896,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.55910BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.19100PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.24990TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$399,348OtherCostOrOtherBasisAmt
Book Value$399,348BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,598,793,677OtherCostOrOtherBasisAmt
Depreciation$835,218,657DepreciationAmt
Book Value$763,575,020BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$713,006,104OtherCostOrOtherBasisAmt
Depreciation$560,546,172DepreciationAmt
Book Value$152,459,932BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,976,759OtherCostOrOtherBasisAmt
Depreciation$5,468,865DepreciationAmt
Book Value$50,507,894BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$966,942,194TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (74 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Wellington - Energy$5,730,615F
Brookside Capital$1,334,471F
Highfields Capital$41,033,509F
Sankaty Credit Opport Fund IV$2,887,579F
Davidson Kempner$47,932,226F
King Street$61,694,570F
Baupost$52,628,020F
Fidelity International Stock$31,997,779F
Fidelity Notes Payable$2,299,690F
Bain Capital Fund IX$2,379,007F
Bain Capital Fund X$3,474,165F
Bain Arc$12,934,573F
SPUR Ventures II$7,335,032F
Lone Cascade$45,619,768F
Wellington - Emerging Small Cap$11,992,052F
Wellington - Real Asset$13,711,820F
Wellington - Diversified Hedge$4,736,382F
Walter Scott$44,864,412F
MIT Private Equity Fund$23,413,171F
Energy Capital Partners$6,259,164F
Matrix China II$9,397,992F
Nalanda$12,641,129F
Somerset$10,457,754F
Sankaty COPS Fund V$5,564,407F
Matrix India II$3,715,597F
SequoiaUSGrowFund V$1,604,720F
Abrams Capital$17,078,190F
Bain Capital Venture Fund 2012$1,644,325F
Golden Gate Capital$4,322,334F
Crosslink Crossover Fund VI$4,100,441F
Sequoia Capital Global Equities$16,076,016F
Steadfast$15,368,861F
Sequoia China Venture Fund IV$689,347F
Convexity$29,700,706F
Westbrook$2,841,608F
Lone Star Fund VIII$2,800,231F
Riverstone$1,324,418F
Park West Investors Ltd$19,527,536F
Deccan Value$16,926,542F
Wellington EM Opportunities$21,791,843F
CMB Lone Cedar$12,365,283F
Lone Kauri$4,483,693F
Sequoia US Venture Fund XIV$1,360,348F
Wellington Spindrift$263,359F
Wellington Quissett$451,731F
Energy Capital Partners III$1,102,266F
Fine Points Capital II$16,536,151F
JMC Capital I-B$1,817,997F
Lone Savin$4,015,093F
Matrix China III$2,885,541F
Matrix Partners X$646,283F
Sequoia Capital India IV$2,107,942F
Sequoia China Growth III$1,748,752F
Sequoia China Venture Fund V$934,826F
SequoiaUSGrowFund VI$1,503,190F
JVL Energy$7,396,535F
Gaoling Feeder, Ltd.$11,729,251F
Loomis Senior Loan Bank Fund$15,098,979F
Standish Opportunistic Fund$22,543,027F
Standish Global Core Plus$16,733,722F
Wellington Ultra Short Duration$54,050,029F
AKO European Long-Only Fund$8,314,555F
Bain Capital Venture Fund 2014$1,796,930F
Crosslink Crossover Fund VII$318,053F
Dune Real Estate Fund III$1,662,431F
Flare Capital Partners I$322,944F
HMI Capital Partners$11,273,903F
Lone Star Fund IX$724,861F
Loomis Sayles Institutional High Income Fund$3,916,058F
Sequoia US Venture Fund XV$74,445F
Wellington Unconstrained Core Fixed Income$27,898,035F
Construction Fund$36,837,330F
3rd Pty External Administered Trusts$47,275,785F
Misc. Investments$9,795,546F
FieldValueIRS element (for citing)
Total Book Value Securities$951,816,876TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Unamortized Bond Issuance Fees$6,197,329
Interest in the Net Assets of Children's Medical Center$2,075,902,236
Expected Insur Recoveries for Prof Liability Claims$24,796,349
Other Assets - Miscellaneous$20,002
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,106,915,916TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue$15,624,918
Estimated Insured Professional Liability Losses$24,796,349
Salary & Other Benefits$2,815,990
Funds Held for Others$38,858,371
Reserve for Medical Malpractice$4,433,910
Other Liabilities - Miscellaneous$13,850,239
Lease Obligations$17,720,537
Interest Rate Swap Liability$146,313,857
Accrued Pension Cost$66,640,363
FieldValueIRS element (for citing)
Total Liability$331,054,534TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $755,000 and Contributions of $25,694,000.
Part X, Line 2:There is no FIN48/ASC740 footnote in the organization's audited financial statements.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (12 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America & the Caribbean00Program ServicesPatient Care, Research & Education$53,481
East Asia & The Pacific00Program ServicesPatient Care, Research & Education$109,401
Europe00Program ServicesPatient Care, Research & Education$517,483
Middle East and North Africa -00Program ServicesPatient Care, Research & Education$161,171
North America00Program ServicesPatient Care, Research & Education$134,581
South America00Program ServicesPatient Care, Research & Education$68,997
South Asia00Program ServicesPatient Care, Research & Education$85,690
Sub-Saharan Africa00Program ServicesPatient Care, Research & Education$163,744
Central America & the Caribbean00Investment$303,854,575
Sub-Saharan Africa00Investment$18,464,668
Central America & the Caribbean00Insurance$2,347,298
Russia & the Newly Independent States -00Program ServicePatient Care, Research & Education$19,568
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$1,294,548SubtotalSpentAmt
Continuation Spent$324,686,109ContinuationSpentAmt
Total Spent$325,980,657TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 complete a Travel Expense Report (TER) form, and provide original itemized receipts as supporting documentation. TER form 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 authorization signatures are documented on the TER form 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 presentation and authorization of a completed TER form with original 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.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCd
Chapman Cubine Adams & Hussey
2000 15th Street NorthArlingtonVA22201Direct Mail Counsel0$1,035,555$410,091$625,464
Bentz Whaley Flessner
7251 Ohms LaneMinneapolisMN55439Counsel/Reports0$0$200,943-$200,943
Artsmarketing Services Inc
Call Center Mrkt.0$0$77,045-$77,045260 King Street East Ste 500TorontoOntarioCA
Connelly Partners LLC
46 Waltham StreetBostonMA02118Fundraising Counsel0$0$57,297-$57,297
LKA Fundraising & Communication
PO Box 3257PortlandOR97208Fundraising Counsel0$0$18,000-$18,000
FieldValueIRS element (for citing)
Total Gross Receipts$1,035,555TotalGrossReceiptsAmt
Total Retained By Contractors$763,376TotalRetainedByContractorsAmt
Total Net To Organization$272,179TotalNetToOrganizationAmt
Licensed StatesCTLicensedStatesCd
Licensed StatesRILicensedStatesCd
Licensed StatesNHLicensedStatesCd
Licensed StatesVTLicensedStatesCd
Licensed StatesMELicensedStatesCd
Licensed StatesFLLicensedStatesCd
Licensed StatesNYLicensedStatesCd
Licensed StatesNJLicensedStatesCd
Licensed StatesNVLicensedStatesCd
Licensed StatesMALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Dinner/AuctionEvent1Nm
Gross Receipts Event1$3,218,182GrossReceiptsEvent1Amt
Charitable Contri Event1$2,635,327CharitableContriEvent1Amt
Gross Revenue Event1$582,855GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$0RentFacilityCostsEvent1Amt
Food And Beverage Event1$261,752FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$622,600OtherDirectExpensesEvent1Amt
Event2Investment ConferenceEvent2Nm
Gross Receipts Event2$2,558,576GrossReceiptsEvent2Amt
Charitable Contri Event2$1,056,190CharitableContriEvent2Amt
Gross Revenue Event2$1,502,386GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$400NonCashPrizesEvent2Amt
Rent Facility Costs Event2$8,460RentFacilityCostsEvent2Amt
Food And Beverage Event2$105,607FoodAndBeverageEvent2Amt
Entertainment Event2$0EntertainmentEvent2Amt
Other Direct Expenses Event2$121,277OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$548,923GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$435,741CharitableContriOtherEventsAmt
Gross Revenue Other Events$113,182GrossRevenueOtherEventsAmt
Cash Prizes Other Events$0CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$0NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$0RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$80,497FoodAndBeverageOtherEventsAmt
Entertainment Other Events$10,400EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$159,809OthDirectExpnssOtherEventsAmt
Gross Receipts Total$6,325,681GrossReceiptsTotalAmt
Charitable Contributions Tot$4,127,258CharitableContributionsTotAmt
Gross Revenue Total Events$2,198,423GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$400NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$8,460RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$447,856FoodAndBeverageTotalEventsAmt
Entertainment Total Events$10,400EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$903,686OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,370,802DirectExpenseSummaryEventsAmt
Net Income Summary$827,621NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,202,153TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,849,996DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,352,157NetCommunityBenefitExpnsAmt
Total Expense0.00720TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$287,186,232TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$218,414,642DirectOffsettingRevenueAmt
Net Community Benefit Expns$68,771,590NetCommunityBenefitExpnsAmt
Total Expense0.04790TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$301,388,385TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$222,264,638DirectOffsettingRevenueAmt
Net Community Benefit Expns$79,123,747NetCommunityBenefitExpnsAmt
Total Expense0.05510TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,272,877TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$490,023DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,782,854NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,904,262TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,681,761DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,222,501NetCommunityBenefitExpnsAmt
Total Expense0.01760TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,970,537TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,420,580DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,549,957NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$342,841,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$319,933,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,908,000NetCommunityBenefitExpnsAmt
Total Expense0.01600TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$937,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$937,500NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$402,926,176TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$344,525,364DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,400,812NetCommunityBenefitExpnsAmt
Total Expense0.04080TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$704,314,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$566,790,002DirectOffsettingRevenueAmt
Net Community Benefit Expns$137,524,559NetCommunityBenefitExpnsAmt
Total Expense0.09590TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs37ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,757,018TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,757,018NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Total Community Benefit Expns$859,400TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$859,400NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs44ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,616,418TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,616,418NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$10,321,806BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$12,688,342ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$10,973,483CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,714,859MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 NoneBusinessNameLine1Txt
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Boston Children's HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AvenueAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02115ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Boston Children's HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.childrenshospital.orgOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLchildrenshospital.org/about-us/community-mission/community-needs-assessmentStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Boston Children's HospitalPart V, Section B, Line 5: Boston Children's Hospital contracted Health Resources in Action (HRiA), a nonprofit public health organization in Boston to work with the hospital to conduct its community health assessment study. HRiA's consultants were selected because of their experience conducting health assessments and familiarity with the communities that Boston Children's serves. HRiA used a participatory process to engage stakeholders, community residents and the Boston Children's Community Advisory Board (CAB) to inform the process. This type of approach helps guide the research methods and questions as well as aids in building support and buy-in at the community level for both the assessment study and subsequent planning process. The CAB engaged in two formal meetings during the planning process, reviewed and recommended potential stakeholders for interviews, and provided feedback on the stakeholder and focus group guides. In addition to analyzing epidemiological data from Boston Children's priority neighborhoods, HRiA conducted qualitative research with community stakeholders and residents to gauge their perceptions of the community, their health concerns, what programming or services are most needed to address these concerns, and their perceptions of Boston Children's to accomplish this. To this end, HRiA conducted 27 interviews with community stakeholders, 6 focus groups with parents and 4 focus groups with youth during the data collection period, with a total of 120 individuals participating in the qualitative research.
Boston Children's HospitalPart V, Section B, Line 7d: An Executive Summary of the CHNA was emailed and mailed out to all of the stakeholders and focus group participants with information on how to access the full report either online or from the hospital. Boston Children's also distributed it widely to internal staff. A link was also sent out to advocates and supporters of Boston Children's. An overview of the findings and Boston Children's plans to address the identified needs will also be included in the Office of Community Health's annual report on the community mission.
Boston Children's HospitalPart V, Section B, Line 11: Boston Children's addressed all of the needs identified in the assessment that are health related. Below is a summary of how Boston Children's Hospital addresses the health needs and issues identified in our assessment process through its clinical care, services and programs and in collaboration with community partners. For our complete Community Health and Benefits Plan, visit bostonchildrens.org/community.Obesity - offering prevention and treatment efforts that help families to manage their child's weight- building community capacity to identify and address the issue of obesity- engaging families with information on healthful eating and how to access physical activities- supporting advocacy efforts to promote access to physical activities for childrenAsthma- 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 careMental and behavioral health- building community capacity to identify and address mental and behavioral health concerns, including integration of mental health into primary care- offering services where children and families live and learn- advocating for changes to improve health and education systems for children with mental and/or behavioral health needsViolence and trauma- utilizing clinical expertise to provide prevention, treatment and advocacy services to individuals at-risk and/ or who are victims of abuse- supporting mental health efforts to help children and families cope with the stress created by violence and traumaEarly childhood/child development- building community capacity to identify and address early childhood issues such as behavioral concerns and learning delays- 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 servicesAccess to care- providing health services that are in demand and/or in limited supply such as primary care, dental and psychiatry services- building community capacity to increase access and availability of services- expanding primary care and mental health services through Boston Children's at Martha Eliot Health CenterHealth education- 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 communityYouth engagement- continuing support for youth programming, including work force development efforts- enhancing the adolescent services program at Boston Children's at Martha Eliot Health CenterCollaborative, community driven approaches- utilizing hospital resources to recognize and support community driven programs- supporting efforts to better coordinate services in the Jamaica Plain/Bromley-Heath area
Boston Children's HospitalPart V, Section B, Line 15e: The Financial Assistance Policy provides as follows:Patients/Parents will be referred to a Hospital Financial counselor for determination of eligibility for public assistance or Charity Care programs. Under special circumstances, cases may be referred directly to the Director of Patient Financial Services. For patients not qualifying for public assistance, information collected will be provided to the Director, Patient Financial Services, for determination of eligibility in the Hospital Charity Care Program. Patients who potentially qualify for a Charity Care program will be approved by the Hospital Chief Financial Officer and/or Director, Patient Financial Services, with consultation and approval of the appropriate Foundation Chief or a designee.
Boston Children's HospitalPart V, Section B, Line 16i: Children's takes the following 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.
Schedule H, Part V, Section B, Line 4The Hospital conducted the Community Health Need Assesment during tax year 2012 but the Assessment was not approved until tax year 2013.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Boston Children's at Waltham
9 Hope AveWalthamMA02453Outpatient Satellite Facility
Boston Children's at Lexington
482 Bedford StreetLexingtonMA02173Outpatient Satellite Facility
Martha Eliot Health Center
75 Bickford StreetBostonMA02130Outpatient Community Health Center
Boston Children's at Peabody
1 Essex Center DrivePeabodyMA01960Outpatient Satellite Facility
Boston Children's at North Dartmouth
500 Faunce Corner RoadNorth DartmouthMA02747Outpatient Satellite Facility
Children's Clinics at 333 Longwood Ave
333 Longwood AvenueBostonMA02115Outpatient Pediatric Clinic

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 $26,989,035 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 FY15, Children's reported two types of community building activities: $1,757,018 for 37 community support programs and $859,400 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 4:Children's Medical Center and Subsidiaries' Audited Financial Statements contain the following bad debt footnote:"The provision for bad debt expense is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collectionindicators. Accounts receivable are reduced by an allowance for doubtful 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."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. 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 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 on Self-Pay Discounting and Charity Care and Self-Pay Collection Practices are also available to patients upon request.
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 476 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-two person voluntary Board of Trustees. Nineteen 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 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 StatesMA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (58 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Health Resources In Action
622 Washington StreetDorchesterMA02124042229839501(c)(3)$91,000Community Partnership
Boston Center for Youth and Families
1483 Tremont StreetBostonMA02120042602576501(c)(3)$5,000Community Partnership
Boston Public Health Commission
1010 Massachusetts AveBostonMA02118043316655115$150,000Community Partnership
Boston Public Schools
26 Court St 6th FlBostonMA02108222514422115$85,500Community Partnership
Bowdoin Street Health Center Inc
230 Bowdoin StreetBostonMA02122042529788501(c)(3)$62,000Support of Community Health Center
Brigham & Women's Hospital Inc
75 Francis StreetBostonMA02115042312909501(c)(3)$124,000Support of Community Health Centers
Community Catalyst Inc
30 Winter Street 10th FloorBostonMA02108043355127501(c)(3)$40,000Advocacy Support
The Dimock Center
55 Dimock StreetRoxburyMA02119043487835501(c)(3)$52,000Community Partnership
Fenway Community Development Corporation
73 Hemenway StreetBostonMA02115042666507501(c)(3)$52,500Community Partnership
Project RIGHT
320 A Blue Hill AvenueDorchesterMA02121043265420501(c)(3)$50,000Advocacy Support
Joseph M Smith Community Health Center Inc
287 Western AvenueAllstonMA02134237221597501(c)(3)$82,000Support for the Community Health Canter
Community Service Care Inc
295 Center StreetJamaica PlainMA02130042754281501(c)(3)$70,000Community Partnership - JP Coalition
Mattapan Community Health Center
1425 Blue Hill AveMattapanMA02426042544151501(c)(3)$42,500Support of the Community Health Center
YMCA of Greater Boston inc
316 Huntington AvenueBostonMA02115042103551501(c)(3)$40,000Community Partnership - Roxbury YMCA
Sociedad Latina Inc
1530 Tremont StreetRoxburyMA02120042678255501(c)(3)$36,250Community Partnership
South Cove Community Health Center Inc
145 South StreetBostonMA02111042501818501(c)(3)$56,000Support of the Community Health Center
South End Community Health Center Inc
1601 Washington StreetBostonMA02118042456134501(c)(3)$84,500Support of the Community Health Center
Upham's Corner Community Center Inc
500 Columbia RoadDorchesterMA02125042708670501(c)(3)$81,000Support of the Community Health Center
Whittier Street Health Center Committee Inc
1125 Tremont StreetRoxburyMA02120042619517501(c)(3)$89,500Support of the Community Health Center
Nurtury Inc
95 Berkeley Street Suite 306BostonMA02116042105893501(c)(3)$35,000Community Partnership
Massachusetts League of Community Health Centers
40 Court Street 10th FloorBostonMA02108042507409501(c)(3)$12,500Community Partnership
Mission Hill Youth Collaborative
1481 Tremont StreetBostonMA02120043103865501(c)(3)$5,600Community Partnership
The Hyde Square Task Force Inc
375 Centre StreetJamaica PlainMA02130043118543501(c)(3)$6,000Community Partnership
Action for Boston Community Development
178 Tremont StreetBostonMA02111042304133501(c)(3)$15,000Community Partnership
Massachusetts Public Health Association
101 Tremont StreetBostonMA02108042326503501(c)(3)$20,000Community Partnership
Smart from the Start Inc
68 Annunciation RoadBostonMA02120454952663501(c)(3)$84,000Community Partnership
United Way of Massachusetts Bay & Merrimack Valley
51 Sleeper StreetBostonMA02210042382233501(c)(3)$20,000Community Partnership
Health Law Advocates
30 Winter Street 10th FloorBostonMA02108043298116501(c)(3)$250,000Advocacy Support
Northeastern University
360 Huntington AvenueBostonMA02115041679980501(c)(3)$45,000Community Partnership
Massachusetts Law Reform Institute
99 Chauncy Street Ste 500BostonMA02111046004303501(c)(3)$20,000Advocacy Support
Third Sector New England
PO Box 201060RoxburyMA02120042261109501(c)(3)$500Community Partnership
Mass Society for the Prevention of Cruelty to Children
3815 Washington Street Ste 2BostonMA02130042103596501(c)(3)$35,000Advocacy Support
Greater Boston Chamber of Commerce
265 Franklin Street 12th FloorBostonMA02110041103090501(c)(3)$10,000Community Partnership
Massachusetts General Hospital
205 Portland Street 6th FloorBostonMA02114041564655501(c)(3)$5,000Community Partnership
The Home for Little Wanderers
10 Guest StreetBostonMA02135042104764501(c)(3)$50,000Community Partnership
YMCA of Metro North
259 Lynnfield StreetPeabodyMA01960042105883501(c)(3)$500Community Partnership
Family Services of Greater Boston
31 Heath StreetBostonMA02130042160528501(c)(3)$3,000Community Partnership
Bridge of Troubled Water Inc
47 West StreetBostonMA02111042472126501(c)(3)$10,000Community Partnership
Fund for Parks & Recreation in Boston
10 Massachusetts AvenueBostonMA02118042784811501(c)(3)$2,000Community Partnership
Massachusetts Communities Action Network
50 Mt Vernon StreetBostonMA02125042863903501(c)(3)$2,000Community Partnership
Center for Comm Health Education Research & Service Inc
320 Huntington AvenueBostonMA02115043286409501(c)(3)$1,500Community Partnership
Express Yourself Inc
6 Ellis StreetPeabodyMA01960043294365501(c)(3)$500Community Partnership
Breakthrough Greater Boston
PO Box 381486CambridgeMA02238043307783501(c)(3)$10,000Community Partnership
Boston Medical Center Corporation
255 River StreetMattapanMA02126043314093501(c)(3)$10,000Community Partnership - SPARK Center
Families First Parenting Programs Inc
99 Bishop Allen DriveCambridgeMA02139043413397501(c)(3)$10,000Community Partnership
Friends of Ramler Park
PO Box 231143 Astor StationBostonMA02123043484629501(c)(3)$100Community Partnership
NAACP Boston
30 Martin Luther King BoulevardRoxburyMA02119043574060501(c)(3)$2,500Massachusetts Voter Education
Boston Educational Development Foundation
26 Court St 6th FlBostonMA02108222514422501(c)(3)$52,500Community Partnership - Countdown to Kindergarten
Boston Municipal Research Bureau
333 Washington StreetBostonMA02108222673755501(c)(3)$200Community Partnership
Harbor Health Services Inc
1135 Morton StreetMattapanMA02126237100550501(c)(3)$2,550Community Partnership
La Alianza Hispana Inc
409 Dudley StreetRoxburyMA02119237121158501(c)(3)$10,000Community Partnership
Mission Hill Neighborhood Housing Services
1620 Tremont StreetMission HillMA02120237428011501(c)(3)$1,000Community Partnership
Louis D Brown Peace Institute
1452 Dorchester AvenueDorchesterMA02122263068254501(c)(3)$1,000Community Partnership
Friends of Mary Lyon
50 Beachcroft StreetBrightonMA02135270537167501(c)(3)$750Community Partnership
Doc Wayne Youth Services Inc
418 Commonwealth AvenueBostonMA02215274216064501(c)(3)$10,000Community Partnership
Asian Women for Health
83 Wallace StreetSomervilleMA02144320390494501(c)(3)$11,000Community Partnership
WriteBoston
2300 Washington StreetRoxburyMA02119461255108501(c)(3)$1,000Community Partnership
American Cancer Society
30 Speen StreetFraminghamMA01701050271570501(c)(3)$5,000Advocacy Support
FieldValueIRS element (for citing)
Total501c3 Org56Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (19 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceAmtNon Cash AssistanceNonCashAssistanceDesc
Nursing Education Scholarship Fund12$28,503FMV
Joshua T. Shairs Cardiology Fund5$5,000FMV
Alexander Mosse Baer Entertainment Fund4000FMV$3,129Craft Supplies
Family Resource Center Fund42FMV$18,162Educational Resources
Yawkey Family Inn Fund1108FMV$623,852Housing Assistance
Devon Nicole House Operating Fund677FMV$90,911Housing Assistance
Pet Therapy Program Fund1581Other$65,067Theurapeutic dog visits made to inpatients
Matthew Puffer Parking Fund37$3,752FMV
Sandra & Geoffrey Fenwick Family Income Fund230FMV$12,244Memorial services and grief conference
Extraordinary Needs Fund II248$108,881FMV
Volunteer Department Fund5000FMV$48,257Supplies, Catering and Entertainment for Patients and Patient's families.
Broadway Sam Fund1073FMV$14,112Tickets for Art and Entertainment Events
Family Services Fund1509$2,975FMVGreeting Cards and supplies for Adopt a Family Program & wellness supplies
Mannion Family FundFMV
Milagros Para las Family Fund555FMV$18,600Translation services and program support for spanish speaking families.
Amos's Endowment/Operating Fund21fMV$409Notary Services for Patients families
Judith Nelson Endowment/Income Fund458FMV$17,811Wellness Activities/Massage Therapy Expenses
Knez Family Fund for Patient Family Housing7FMV$50,295Housing Assistance
Patient Entertainment Fund1000FMV$1,244Patient Entertainment Supplies

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationChildren'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 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. Below is a listing of our various Assistance Program Funds: Frieze Social Work Fund - provide broad financial assistance to needy children and families during their illness or hospitalization at Children's Hospital. Family Resource Center Fund - support of the family resource center's activities. Yawkee Family Inn Fund/Kent Street Operating Fund - support patient family housing at Kent Street. Devon Nicole House Operating Fund - support patient family housing at Devon Nicole House. Pet Therapy Program Fund - provide pet therapy for patients. Knez Family Fund for Patient Family Housing - to provide housing for needy parents of children receiving treatment at Children's Hospital. Matthew Puffer Parking Fund - provide discounted parking for patient families whose children are being treated for chronic diseases. Sandra & Geoffrey Fenwick Family Income Fund - support for the Center for Families especially needy patients. Extraordinary Needs Fund II - cover immediate desperate needs of parents to include access to alternative therapeutic interventions. Alexander Moss Baer Entertainment Fund - provide patient and patient family entertainers (i.e. magicians, face-painters) and craft supplies. Volunteer Department Fund - to fund the Hospital's volunteer program. Broadway Sam Fund at BCH - provide tickets for art and entertainment events for patients and patient's families. Mannion Family Fund for the Center for Families - support the activities of the Center for Families. Milagros Para Las Familias Fund - to provide translation services and program support for the Hospital's Spanish speaking families. Amos's Endowment/Operating Fund - to support the Hale Family Center for Families. Family Services Fund - to support the Family Resource Center's activities. Judith Nelson Endowment/Operating Fund for Families - to support the Family Resource Center. Patient Entertainment Fund - Purchase equipment for the entertainment of patients and families. 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 LimitsExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Laura J Wood DNP MS RN
CNO/Noncomp Trustee$357,168$0$81,200$0$67,392$0$20,800$0$31,601$0$558,161$0$0$0
Sandra Fenwick
President & CEO, Noncomp Trustee$773,417$0$435,000$0$412,812$0$26,000$0$41,227$0$1,688,456$0$0$0
Kevin Churchwell MD
EVP & COO/Noncomp Trustee$636,556$0$300,000$0$238,896$0$18,200$0$40,324$0$1,233,976$0$0$0
Douglas Vanderslice
SVP, Treasurer & CFO$512,147$0$133,000$0$106,377$0$18,200$0$35,174$0$804,898$0$0$0
Bruce Balter
Asst Treasurer/Dir Corp Finance$193,388$0$16,228$0$26,481$0$29,864$0$21,255$0$287,216$0$0$0
Michele Garvin Esq
General Counsel & Secretary$157,666$0$0$0$35,845$0$0$0$8,021$0$201,532$0$0$0
Demosthenes Argys
SVP, & Chief Administrative Officer$396,019$0$96,600$0$97,350$0$23,400$0$26,432$0$639,801$0$0$0
August Cervini
VP, Research Administration$243,244$0$41,650$0$34,221$0$3,780$0$24,212$0$347,107$0$0$0
Margaret Coughlin
SVP & Chief Marketing Officer$311,602$0$72,600$0$64,678$0$20,800$0$24,487$0$494,167$0$0$0
Michael Gillespie
VP, Clinical Services$306,968$0$55,700$0$50,803$0$18,200$0$14,982$0$446,653$0$0$0
Patricia Hickey PhD MBA RN NEA-BC
VP, Cardiovascular Services$268,723$0$30,700$0$49,845$0$32,150$0$10,057$0$391,475$0$0$0
Daniel Nigrin MD
SVP & Chief Information Officer$373,994$0$88,550$0$65,210$0$23,400$0$23,010$0$574,164$0$0$0
Philip Rotner
Chief Investment Officer$597,208$0$190,700$0$103,208$0$18,200$0$33,743$0$943,059$0$0$0
Wendy Warring
SVP, Network Development$411,084$0$86,400$0$91,693$0$20,800$0$21,220$0$631,197$0$0$0
Charles Weinstein
VP, RE Planning & Development$354,110$0$65,100$0$62,708$0$26,000$0$25,450$0$533,368$0$0$0
Nader Rifai PhD
Director, Chemistry$430,429$0$208,551$0$2,533$0$29,600$0$21,697$0$692,810$0$0$0
Lynn Susman
President, Children's Hospital Trust$382,300$0$173,800$0$71,085$0$26,000$0$31,287$0$684,472$0$0$0
Orah Platt MD
Chief, Lab Medicine$459,991$0$33,156$0$8,166$0$29,600$0$9,694$0$540,607$0$0$0
Aditya Kaza MD
Surgeon$504,099$0$1,000$0-$6,140$0$29,600$0$21,356$0$549,915$0$0$0
Inez Stewart
VP, Human Resources$353,091$0$59,700$0$56,919$0$23,400$0$25,939$0$519,049$0$0$0
Eileen Sporing
Former SVP & CNO$0$0$0$0$257,507$0$0$0$0$0$257,507$0$0$0
James Mandell MD
Former President & CEO$0$0$0$0$194,044$0$0$0$0$0$194,044$0$0$0
Stuart Novick Esq
Former General Counsel & Secretary$267,215$0$100,000$0$860,796$0$28,600$0$19,001$0$1,275,612$0$554,825$0
Janet Cady
Former President CH Trust$11,769$0$0$0$489,104$0$3,550$0$1,316$0$505,739$0$0$0
M Laurie Cammisa
Former VP, Child Advocacy$63,552$0$0$0$140,483$0$0$0$6,900$0$210,935$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Lines 4a-bBoston 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 2014, a contribution of $48,080 August Cervini, received in 2014, a contribution of $13,250 Kevin Churchwell, received in 2014, a contribution of $60,500 Margaret Coughlin, received in 2014, a contribution of $30,128 Sandra Fenwick, received in 2014, a contribution of $377,700 Michele Garvin, received in 2014, a contribution of $1,900 Michael Gillespie, received in 2014, a contribution of $26,246 Daniel Nigrin, received in 2014, a contribution of $38,823 Stuart Novick, received in 2014, a contribution of $94,691 Philip Rotner, received in 2014, a contribution of $80,178 Inez Stewart, received in 2014, a contribution of $36,248 Lynn Susman, received in 2014, a contribution of $45,062 Doug Vanderslice, received in 2014, a contribution of $60,212 Wendy Warring, received in 2014, a contribution of $45,141 Charles Weinstein, received in 2014, a contribution of $34,556 Laura Wood, received in 2014, a contribution of $32,954 During Calendar Year 2014, M. Laurie Cammisa (former Vice President, Child Advocacy) received severance payments totaling $63,552. During Calendar Year 2014, the following individuals received supplemental executive retirement plan distributions: James Mandell, received in 2014, a distribution of $189,520 Stuart Novick, received in 2014, a distribution of $745,734 M. Laurie Cammisa, received in 2014, a distribution of $140,483 Eileen Sporing, received in 2014, a distribution of $257,507 Janet Cady, received in 2014, a distribution of $455,031
Part II, Column F(Compensation Reported in Prior Form 990):The compensation reported in Part II, column B, of this Schedule J (Form 990) is for the calendar year 2014 and a portion of it may have already been reported on a prior year Form 990 as deferred compensation. Compensation amounts in Column F reflects the compensation already reported in a prior return and needs to be taken into consideration to correct the overstatement of the cumulative compensation reported as paid to the individuals listed.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MHEFA Revenue Bonds Series M
A04245601157586EMT52009-11-19$126,110,000Purchase of med off bldg, reno & leasehold impr000
MHEFA Revenue Bonds Series N
B04245601157586EUJ82010-05-13$341,590,000Refunded Series G, H, I, J & K000
MDFA Revenue Bonds Series O
C043431814NoneAvail2013-12-11$200,640,000Refunded Series L000
MDFA Revenue Bonds Series P
D04343181457583UK312014-05-21$136,685,000New bldg construction, reno. & capital equip000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmtUnspentUnspentAmt
A$124,329,713$1,829,713$122,500,000201100Yes (1)Yes (1)
B$341,590,000$2,025,8622010Yes (1)0Yes (1)Yes (1)$339,564,138
C$200,640,000$640,0002013Yes (1)0Yes (1)Yes (1)$200,000,000
D$151,753,430$1,753,430$143,659,2002013000Yes (1)$6,340,800

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndBusiness Name Line2HedgeProviderName/BusinessNameLine2TxtTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
A000Yes (1)0000Yes (1)
Goldman Sachs
B000Yes (1)Yes (1)Yes (1)00Yes (1)Mitsui Marine30.00000000000000
Goldmn SachsBOA
C0Yes (1)00Yes (1)Yes (1)00Yes (1)30.00000000000000
(no name)
D0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: MHEFA, Revenue Bonds Series M Date the Rebate Computation was Performed: 09/30/2014 Issuer Name: MHEFA, Revenue Bonds Series N Date the Rebate Computation was Performed: 09/30/2014ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MDFA Revenue Bonds Series Q
A043431814NoneAvail2014-07-11$50,255,000New building construction & renovations000
MDFA Revenue Bonds Series R
B043431814NoneAvail2014-07-29$125,350,000Refunded a portion of Series N000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmtSubstantial CompletionSubstantialCompletionYr
A$50,255,000$255,000$9,591,873$40,408,127000Yes (1)
B$125,350,000$350,000Yes (1)0Yes (1)Yes (1)$125,000,0002014

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
A0Yes (1)00Yes (1)000Yes (1)
Goldman Sachs Mitsu
B0Yes (1)00Yes (1)Yes (1)00Yes (1)30.00000000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$10,795NoncashContributionsRptF990Amt
Method Of Determining RevenuesMkt Value per DonorMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution100ContributionCnt
Noncash Contributions Rpt F990$24,217,061NoncashContributionsRptF990Amt
Method Of Determining RevenuesMean Value on Gift DateMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution18ContributionCnt
Noncash Contributions Rpt F990$3,275NoncashContributionsRptF990Amt
Method Of Determining RevenuesMkt Value per DonorMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$6,123NoncashContributionsRptF990Amt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Travel/Dining5$243,576Mkt Value per Donor
Yes (X)Misc. Other10$46,300Mkt Value per Donor
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation.
Form 990, Part VI, Section A, line 7aChildren'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 7bChildren'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 11The Form 990 tax return was prepared by the organization's staff and reviewed by management (including the President & Chief Executive Officer, Executive Vice President of Health Affairs and Chief Operating Officer, Chief Financial Officer, Legal 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 12cThe 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 managers 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 best interests 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 dealings 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 15The Hospital has a board level compensation committee that annually reviews and approves the compensation for the following individuals: President & Chief Executive Officer Executive Vice President Health Affairs & Chief Operating Officer Senior Vice President & 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 Senior Vice President & Chief Marketing and Communications Officer Senior Vice President & Chief Information Officer Vice President, Human Resources Vice President, Support Services 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 19The 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 11gPurchased Medical Services: Program service expenses 47,774,742. Management and general expenses 7,829,903. Fundraising expenses 0. Total expenses 55,604,645. Purchased Research Services: Program service expenses 34,421,946. Management and general expenses 0. Fundraising expenses 0. Total expenses 34,421,946. Consulting Services: Program service expenses 14,658,024. Management and general expenses 11,469,979. Fundraising expenses 944,182. Total expenses 27,072,185. Misc. Purchased Services: Program service expenses 15,682,046. Management and general expenses 5,284,236. Fundraising expenses 87,857. Total expenses 21,054,139. Nursing Agency Fees: Program service expenses 4,245,409. Management and general expenses 121,336. Fundraising expenses 0. Total expenses 4,366,745. Laundry Services: Program service expenses 1,642,611. Management and general expenses 192,002. Fundraising expenses 0. Total expenses 1,834,613. Security Services: Program service expenses 3,376,543. Management and general expenses 58,680. Fundraising expenses 482. Total expenses 3,435,705. Catering Fees: Program service expenses 774,626. Management and general expenses 76,793. Fundraising expenses 17,126. Total expenses 868,545. Collection Agency Fees: Program service expenses 159,586. Management and general expenses 1,055,980. Fundraising expenses 0. Total expenses 1,215,566. Temp Agency Fees: Program service expenses 1,159,534. Management and general expenses 146,234. Fundraising expenses 429,912. Total expenses 1,735,680. Ambulance Services: Program service expenses 90,686. Management and general expenses 0. Fundraising expenses 0. Total expenses 90,686. Environmental Services: Program service expenses 585,438. Management and general expenses 194,003. Fundraising expenses 0. Total expenses 779,441.
Form 990, Part XI, line 9:Net Transfers/Support from Children's Medical Center 109,979,671. Pension Adjustment -62,783,840. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others -5,010,622. Other Adjustments -250.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Children's Medical Center Corporation
55 Shattuck StreetBostonMA02115041174680Holds & manages security, real estate investments for Children's HospitalMA501(c)(3)11 - Type IIN/A0
Longwood Research Institute Inc
300 Longwood AvenueBostonMA02115042781368Medical & scientific research; holds real estate investmentsMA501(c)(3)11 - Type II0Children's Medical Center Corporation
CHB Properties Inc
300 Longwood AvenueBostonMA02115043323330Holds & manages satellite ambulatory centers; real estate investmentsMA501(c)(3)90Children's Medical Center Corporation
Longwood Corporation
55 Shattuck StreetBostonMA02115042779882Holds & manages real estate investmentsMA501(c)(2)0Children's Medical Center Corporation
Fenmore Realty Corporation
55 Shattuck StreetBostonMA02115222478110Holds & manages real estate investmentsMA501(c)(2)0Children's Medical Center Corporation
Physician's Organization at Children's Hospital Inc
300 Longwood AvenueBostonMA02115043266103Coord & develop integrated childhlth care system w/ affil membersMA501(c)(3)11 - Type IIIN/A0
New England Congenital Cardiology Research Foundation
300 Longwood AvenueBostonMA02115800368043Improve patient safety & quality for children w/ heart diseaseMA501(c)(3)7 - 170b1AviYes (1)Children's Hospital Corporation
Children's Hospital League Corporation
300 Longwood AvenueBostonMA02115042780811FundraisingMA501(c)(3)7 - 170b1AviYes (1)Children's Hospital Corporation
Blood Research Institute Inc
CLSB 3rd Floor 3 Blackfan CircleBostonMA02115043136318Owning & Leasing Real EstateMA501(c)(3)Line 11c, III-FIN/A0
Beth Israel Hospital and Children's Hospital Medical Corporation
300 Longwood AvenueBostonMA02115043200113Pediatric Health Care, Education & ResearchMA501(c)(3)Line 11a, IN/A0
Dana-FarberChildren's Hospital Cancer Care Inc
450 Brookline Avenue BP418BostonMA02215043554536Joint program in pediatric oncologyMA501(c)(3)Line 11a, IN/A0
New England Life Flight Inc
Hangar 1727 Hanscom AFBBedfordMA01730222582060Critical Care TransportMA501(c)(3)Line 11a, I0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Marketplace LaGuardia LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Wells AvenueAddressLine1Txt
CityNewtonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02459ZIPCd
FieldValueIRS element (for citing)
EIN200417454EIN
Primary ActivitiesInvestment in Marketplace LaGuardia LPPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Children's Hospital CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income Type5% InvestmentPredominantIncomeTypeTxt
Share Of Total Income$1,155,312ShareOfTotalIncomeAmt
Share Of EOY Assets$4,336,322ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
UBI Code V-$125,504UBICodeVAmt
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.65680OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Longwood Associates IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 Shattuck StreetAddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02115ZIPCd
FieldValueIRS element (for citing)
EIN042943755EIN
Primary ActivitiesProperty ManagementPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Children's Medical Center CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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