FURP.ORG / PUBLIC DATA EXPLORER

CHILDRENS HOSPITAL CORPORATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL CORPORATION (EIN 04-2774441)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-17
IRS object ID
201532299349300508
Schema version
2013v4.0
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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Address Line1300 Longwood AvenueAddressLine1
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Gross Receipts$1,827,801,648GrossReceiptsAmt
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Formation1982FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionProvider of pediatric healthcare, education, research & community serviceActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee11683TotalEmployeeCnt
Total Volunteers1401TotalVolunteersCnt
Total Gross UBI$264,130TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$75,422NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$336,637,071PYContributionsGrantsAmt
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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
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Expense$844,122,346ExpenseAmt
Grant$4,021,598GrantAmt
Revenue$1,043,099,775RevenueAmt
DescCLINICAL CARE: As one of the largest pediatric hospitals in the US and the only freestanding pediatric hospital in Massachusetts, Boston Children's Hospital(BCH), 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 offerfrom 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.Annually, BCH sees: 23,172 inpatients at our main campus; 849 bedded cases at our satellites and 551,660 combined outpatients at main campus and satellites; 29,594 patients in our community health clinic. Of these patients, more than 22.8%(CMI > 2.00)can be qualified as clinically complex. Of these patients, approximately 33%(patients on Medicaid/Medicare)are considered low income.BCH is the safety net institution for very sick children throughout the region, supporting the entire health care system for the most complex pediatric cases. We receive referrals from community hospitals as well as from other academic medical centers throughout New England. BCH is the single largest provider of care to children enrolled in the Medicaid program, caring for approximately 30% of all pediatric Medicaid patients statewide, including more than 90% of the sickest children in the state. BCH also provides clinical care for the largest number of uninsured children in the state; total free care and losses from Medicaid in FY2014 were approximately $52.5 million.Recognizing the difficulties that community-based hospitals face in providing specialized pediatric care(which requires significant investments in staff, equipment and training), BCH has formed partnerships with 8 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. BCH 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, North Dartmouth and Weymouth.Each year, BCH improves the quality of the clinical care it provides by recruiting talented staff, investing in cutting-edge equipment and technology, undertaking safety 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 2014, BCH's Program for Patient Safety and Quality (PPSQ) awarded 139 research grants, totaling more than $1.5 million and launched a Quality Improvement Science course, which taught Quality Improvement (QI) fundamentals that help staff to better implement QI projects across departments. Through the Program, the Hospital also supports 20 quality and safety registries where data from other pediatric hospitals are used to benchmark performance.PPSQ grant-funded research led to the development of new quality and safety measures for nursing, 10 of which are being tested through a national consortium. PPSQ also established a more rigorous Maintenance of Certification(MOC)process to better assist physicians and physician leaders in maintaining their board certifications through the creation and execution of QI projects. In that same time, the hospital's Center for Patient Safety and Quality Research(CPSQR)awarded $400,000 across 4 grants. A CPSQR-funded national registry of clavicle fractures in adolescents expanded from 3 sites to 5 sites nationwide. Surgical repairs are more common for clavicle fractures, but also more expensive and riskier. The registry will help determine whether surgical treatments are more effective, which is likely to drive safer and higher quality orthopedic care for children with clavicle injuries.Additionally, CPSQR supported a study on safe sleep practices for preterm infants in the Neonatal Intensive Care Unit(NICU). The study led to the development of safe sleep practices for infants that have been shown to reduce the risk of sleep-related morbidity and mortality. Approximately half of level III NICUs in Massachusetts will adopt those practices. CPSQR also launched a pilot Scholars Program for academic faculty, which provides research support for hospital faculty for up to 2 years. The highly targeted support is intended to accelerate the academic careers of leading patient safety and quality researchers and includes dedicated project management support, analytic support for large database projects, and faculty mentoring. In 2014, CPSQR selected 3 researchers from a competitive pool of 13 nominations. Encourage Innovation: The Innovation Acceleration Program(IAP)at BCH promotes innovation at a grassroots level by creating opportunities for hospital staff to develop solutions that effectively address real clinical pain points. The IAP offers "innovestment" grants and Fast Track Innovation in Technology(FIT)project awards, which are both open to all hospital staff. Instead of funding, FIT project awards offer software development resources. The FIT team rapidly creates "proof of concept" software that can be piloted inside BCH. The software is refined and can then be adapted for the institution's use or distributed externally for other organizations. In 2014, the FIT team streamlined this process by creating a platform that already complies with the hospital's IT security framework, allowing the team to create software in less time. The IAP's innovestment grants support early stage innovations with up to $15,000. More than 1/2 of recipients have gone on to attract external partners as a result of their grant, including MIT Lincoln Labs and the Wyss Institute for Biologically Inspired Engineering. The IAP awarded 4 innovestment grants in 2014, one of which funded the creation of device that could cut healthcare spending nationwide by $2.34 billion.About 41,000 patients contract central line infections every year. Up to a 1/4 die from them and survivors can require 2-3 extra weeks of inpatient care. This adds as much as $55,000 to a patient's hospital stay, explaining why the US spends $2.34 billion treating central line infections.Central line infections start when the catheter's hub(the port where it enters the body)is exposed to bacteria. The academic literature concluded that 94 percent of hospitals do not meet existing guidelines from the Centers for Disease Control(CDC), that call for clinicians to scrub a hub for 30 seconds before leaving it to dry for another 30. The typical ICU cardiac patient needs 30-40 injections per day, adding up to 40 minutes of scrubbing and drying per day for each patient. BCH researchers used an innovestment grant to create a handheld device that easily cleans and dries central line hubs. Clinicians snap a hub onto the device, set a scrubbing time and press a button. The device scrubs faster and harder than a human can, eliminating the potential for human error.The IAP also strengthens BCH's culture of innovation by organizing events that connect hospital staff with resources they need to turn their ideas into a reality, including monthly Innovators' Forum events, where hospital innovators can share their work with their colleagues and staff from nearby institutions. The IAP also organizes panel discussions that bring external experts together to discuss issues relevant to innovators including licensing, vendor contracts and intellectual property rights.Improve Care in the Community: The Community Asthma Initiative(CAI)has helped improve the health of more than 1,360 Boston 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 43% and missed work days for parents or caregivers by 52%.Desc

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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 $300 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 and translational 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 $23 million towards supporting its research activities in 2014. 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:Skin cream for Peripheral Neuropathy: Peripheral Neuropathy causes weakness, numbness and pain, usually in hands and feet, as a result of damage to peripheral nerves. One form, called small-fiber neuropathy, is especially difficult to treat and causes pain, tingling and loss of sensation, usually starting at the feet. The loss of sensation can increase the chances of ulcers and infections that may lead to amputation. Current treatment options rely on painkillers to reduce pain, but those medications don't address the underlying cause of neuropathy. Researchers at Boston Children's Hospital developed a skin cream that may do just that. Small-fiber neuropathy is known to degenerate nerve endings of sensory neurons and diminish the body's supply of GNDF, a group of factors that stimulate nerve growth. Because GDNF is a large molecule, it was thought that the only way to get it into the nervous system was through invasive methods such as injections into the spinal cord. The skin cream bypasses this barrier by delivering a small-molecule compound (called XIB4035) known to enhance the GDNF's effects through the skin.3D printing gives clinicians a rehearsal for complex procedures: Boston Children's Hospital was one of the first hospitals in the country to develop a simulation program and last year it became one of the first to adapt 3D printing technology for clinical use. Boston Children's Hospital developed its own 3D printer, which it uses to produce replicas of patient anatomy with a resolution of between 16 and 32 microns per layer, meaning that each layer is about the width of a filament of cotton. The printer can print multiple resins or textures, allowing doctors to work on replicas that model different types of tissues such as brain matter and blood vessels. That technology is an especially useful tool for clinicians treating the complex, one-of-a-kind patients that are often referred to Boston Children's Hospitals. Because, those cases are incredibly rare, the clinicians and surgeons treating those complex patients rarely have opportunities to practice the equally complex surgeries these patients require. 3D printing allows them to create replicas of their patients' anatomy and perform a "dress rehearsal" before anyone enters the operating room. One neurosurgeon at Boston Children's recently used several different 3D models to perform brain surgery on a 15-year-old patient with an abnormal cluster of veins above his optical nerve. Because of the delicate work involved, even the smallest mistake could have left the patient blind. The neurosurgeon used a see-through replica of the patient's skull on a light box in the operating room as a reference, enabling him to not only finish the operation successfully, but also complete the operation in less than half the usual time for a similar operation. 3D printing technology is also used to help parents understand their children's surgeries before the operation as well as to educate medical students and residents.Adapting behavioral drugs to return the brain to "critical periods": A team of Boston Children's Hospital researchers has discovered that behavioral drugs can return the chemistry of the brain to what they describe as "critical periods" in its development. These periods typically occur during childhood when the brain is rapidly growing, and help explain why children younger than seven can learn new skills like language and music much faster than adults can. The ability to return the chemistry of the brain to that state has created new opportunities to treat conditions in older patients that would typically need to be treated at a much younger age.The research team was able to do just that with one 14-year-old patient suffering from amblyopia. The condition, commonly referred to as lazy eye, left her with extremely poor vision in one eye. Typically, the best chance for correcting amblyopia is before a child turns eight. Those who don't get treatment early enough, or for whom treatment does not work, usually end up living with their condition for the rest of their lives. The research team used Donepezil, which is typically prescribed to treat Alzheimer's disease, to return to a critical period, allowing her brain to properly learn how to process visual stimuli from the amblyopic eye and dramatically improving her vision.Desc

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DescTEACHING:Over the course of the year, 149 residents, 267 clinical fellows, 545 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 SurgeryBoston Children's has the largest accredited training programs in the country for Child Neurology, Pediatric Anesthesiology, Pediatric Cardiology, Pediatric Endocrinology and Pediatric Otolaryngology.In addition, Boston Children's Pediatric Sports Medicine is one of only 14 accredited pediatric sports medicine programs in the country and Neurodevelopmental Disabilities is one of only 9 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 11 in the country.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 living in Boston to innovative models that have proven to 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 the consequences of 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 most recent assessment was conducted during 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 study engaged over 2,100 parents from across Boston through a phone survey. It provided new perspectives from parents regarding their views on their child's health.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. In total, 115 residents and stakeholders were engaged for the assessment.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. For a copy of the Community Health and Benefits Plan with details on how Boston Children's is addressing the needs identified through the assessment process, visit bostonchildrens.org/community.Ongoing assessment: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 last assessment completed in 2013 as well as 2009 can also be found on the web site.Serving as a safety netBoston Children's remains committed to its local community, providing primary and preventative care, as well as inpatient care for complex illnesses. It is one of the leading providers of health care to low-income 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 leaderBoston 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, more than 1,360 children have benefitted from the program. 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 43% and missed work days for parents or caregivers by 52%.- Boston Children's Hospital Neighborhood Partnerships Program (CHNP) is a community 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. Nearly 1,500 students have received school-based services and over 300 children have received care in community health centers this year. In addition, 165 teachers and parents participated in 750 hours of consultation or training. - 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 62% 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. ASK has successfully reduced the wait times for families seeking in-demand assessment and case management services.For more details on the community programs mentioned above visit, bostonchildrens.org/community
Supporting and working with community partnersBoston 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-key entities that form the child health and wellness infrastructure in Boston-the Boston Public Schools, Boston Public Health Commission and community health centers.Boston Public SchoolsBoston 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 FY 14 include:- Continued implementation of the district-wide Behavioral Health model jointly developed by Boston Children's and the BPS. As a result of its partnership and experiences in the BPS, Children's Hospital Neighborhood Partnerships has been the main partner in the development and implementation of a new district-wide behavioral health model. The model enables schools to provide a comprehensive system of care that integrates appropriate levels of behavioral support for all students. In FY14, the model was piloted in 23 schools.- Implemented health and nutrition education programming for BPS students, parents and caregivers through the Kohl's Healthy Family Fun Program (KohlsHealthyFamilyFun.org). Working in collaboration with the BPS, Boston Children's is helping to implement Healthy Family Fun events in 25 schools in the district. Healthy Family Fun events engage families and children to learn more about healthful eating and physical activity. More than 5,600 were reached during the last year. Boston Public Health CommissionBoston Children's has been a longtime partner with the Boston Public Health Commission (BPHC) working together on pressing health issues and supporting efforts to help children, adolescents and young adults, including:- The report, The Health of Boston's Children: Parent and Caregiver Perspectives, is the result of a partnership between the BPHC and Boston Children's to survey 2,100 parents and caregivers about a variety of health-related issues for children from birth to age seventeen. The purpose of this study was to encourage public dialogue and to inform programs, services and research to improve health outcomes for children.- The second part of the study will be released later in 2015 and includes an assessment of the environmental factors that impact child health. The final piece is an analysis of health insurance claims data, which will provide a better understanding of health care utilization and the overall health of Boston children.- Participation in the BPHC's Tobacco-Free Hospital Initiative and Sugar-sweetened Beverage Learning Network, which aligned with the formation of an internal Healthy Hospital Workgroup.- This group has recommended and implemented changes to help improve the health environment at Boston Children's for patients, families and staff.Community Health CentersBoston Children's supports Boston community health centers to: 1) build capacity to provide a full range of services for children; 2) provide pediatric services that address the most pressing health issues affecting children; and 3) demonstrate their value through effective assessment and reporting of quality outcomes. Boston Children's provides financial and programmatic support to 10 Boston community health centers: Bowdoin Street, Brookside, Dimock, Joseph Smith, 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, particularly the uninsured and underinsured. With support from Boston Children's, the health centers have been able to focus on not only the quality of care provided but also 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 healthRecognizing 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 Sociedad Latina, Fenway Community Development Corporation, Year Up and Jewish Vocational Services. Boston Children's also supports the pipeline of health care workers by exposing youth to careers in the health field. Programs include SCOOP for students interested in nursing careers and the COACH program, which provides opportunities for high school students to work at the hospital during the summer. - Partnering to support the health and social infrastructure in place for families. Boston Children's is also committed to and directs resources to build capacity within the existing infrastructure of care for Boston children and families. This means supporting key partners-the Boston Public Health Commission (BPHC) and 10 Boston community health centers. Boston Children's also has relationships with a wide array of community based organizations who 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 familiesInfluencing 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. Current efforts address mental health parity compliance (legislative and regulatory), access to appropriate levels of care, 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.$7,408,722$0$0
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$7,408,722TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,232,028,209TotalProgramServiceExpensesAmt
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 ActivitiesYes (1)GamingActivitiesInd
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 EntYes (1)BusinessRlnWithOfficerEntInd
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 Document937IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee11683EmployeeCnt
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 OfYes (1)Form8282PropertyDisposedOfInd
Form8282 Filed1Form8282FiledCnt
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 Members21GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 Line1Douglas VandersliceBusinessNameLine1
FieldValueIRS element (for citing)
Phone6173557312PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AvenueAddressLine1
CityBostonCity
StateMAState
ZIP Code02115ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (44 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
Kevin Churchwell MD
EVP & COO/Noncomp Trustee55.005.00Yes (X)$432,447$0$13,727
Gary Fleisher MD
Trustee, ex officio1.001.00Yes (X)$0$0$0
William Harmon MD
Trustee, ex officio (thru 6/2014)1.001.00Yes (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
Trustee (from 9/2014)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 officio (from 7/2014)1.001.00Yes (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 officio (from 5/2014)1.001.00Yes (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)$364,164$0$21,566
Gregory Young MD
Trustee, ex officio1.001.00Yes (X)$0$0$0
Sandra Fenwick
President & CEO, Noncomp Trustee55.006.00Yes (X)$1,117,328$0$66,958Yes (X)
Douglas Vanderslice
SVP, Treasurer & CFO55.008.00$861,581$0$29,318Yes (X)
Bruce Balter
Asst Treasurer/Dir Corp Fin Svcs55.005.00$261,294$0$53,107Yes (X)
Stuart Novick Esq
General Counsel & Secretary55.008.00$657,552$0$55,205Yes (X)
Dianne Hatfield
Asst Secretary/Exec Asst55.005.00$104,193$0$27,626Yes (X)
Michael Anderegg
Exec Director, Heart Center55.005.00$312,353$0$20,794Yes (X)
Demosthenes Argys
SVP, & Chief Administrativ Officer55.005.00$570,257$0$50,755Yes (X)
Margaret Coughlin
SVP & Chief Marketing Officer55.005.00$430,232$0$45,173Yes (X)
Michael Gillespie
VP, Clinical Services55.005.00$371,801$0$31,656Yes (X)
Daniel Nigrin MD
SVP & Chief Information Officer55.005.00$504,698$0$46,268Yes (X)
Philip Rotner
Chief Investment Officer55.005.00$865,533$0$51,385Yes (X)
Wendy Warring
SVP, Network Development55.005.00$590,994$0$35,687Yes (X)
Charles Weinstein
VP, RE Planning & Development55.005.00$466,239$0$53,071Yes (X)
Nader Rifai PhD
Director, Chemistry55.000.00$630,952$0$50,997Yes (X)
Lynn Susman
President, Children's Hospital Trust55.000.00$496,062$0$54,734Yes (X)
Orah Platt MD
Chief, Lab Medicine55.000.00$489,882$0$39,070Yes (X)
Inez Stewart
VP, Human Resources55.000.00$445,661$0$48,921Yes (X)
Carlo Brugnara MD
Director, Hematology55.000.00$432,459$0$50,167Yes (X)
Eileen Sporing
Former SVP & CNO55.005.00$1,133,972$0$43,783Yes (X)
James Mandell MD
Former President & CEO55.005.00$2,309,399$0$43,457Yes (X)
David Kirshner
Former Sr. VP & CFO55.000.00$391,144$0$9,937Yes (X)
Carleen Brunelli PhD
Former VP, Research Admin55.005.00$263,057$0$4,641Yes (X)
M Laurie Cammisa
Former VP, Child Advocacy55.005.00$722,132$0$6,900Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,225,386TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$954,903TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1616IndivRcvdGreaterThan100KCnt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Walsh Brothers Inc
210 Commercial StreetBostonMA02109Construction Services$36,152,219
Turner Construction Company
Two Seaport LaneBostonMA02210Construction Services$22,273,701
Wise Construction
21 East StreetWinchesterMA01890Construction Services$15,289,830
The Brigham and Women's Hospital
75 Francis StreetBostonMA02115Healthcare/Research Services$11,559,331
G Greene Construction Company
240 Lincoln StreetBostonMA02134Construction Services$6,054,812
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K229CntrctRcvdGreaterThan100KCnt
Federated Campaigns$25,563FederatedCampaignsAmt
Fundraising$4,930,835FundraisingAmt
Government Grants$187,214,893GovernmentGrantsAmt
All Other Contributions$138,212,377AllOtherContributionsAmt
Noncash Contributions$6,580,817NoncashContributionsAmt
Total Contributions$330,383,668TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Svc Revenue621110$1,042,979,651$1,042,979,651
Prog Svc Grants621110$37,476,789$37,476,789
Graduate Medical Educa611710$17,799,283$17,799,283
Prof Svc Revenue621110$9,678,015$9,678,015
Lab Revenue621500$120,124$120,124
FieldValueIRS element (for citing)
Total Program Service Revenue$1,108,053,862TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,669,397TotalRevenueColumnAmt
Unrelated Business Revenue$144,006UnrelatedBusinessRevenueAmt
Exclusion$6,525,391ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,429,153TotalRevenueColumnAmt
Exclusion$4,429,153ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$14,566,476RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$14,566,476RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,566,476TotalRevenueColumnAmt
Exclusion$14,566,476ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$336,562,716SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$311,820,405SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$24,742,311SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,742,311TotalRevenueColumnAmt
Exclusion$24,742,311ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$660,902FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$4,930,835ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,400,714FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$739,812TotalRevenueColumnAmt
Exclusion-$739,812ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$317,800GamingGrossIncomeAmt
Gaming Direct Expenses$47,721GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$270,079TotalRevenueColumnAmt
Exclusion$270,079ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Other General Services900099$14,366,291$14,366,291
Parking Revenue812930$6,947,796$6,947,796
Cafeteria Sales722210$4,843,587$4,843,587
FieldValueIRS element (for citing)
Other Revenue Total$26,157,674OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,514,532,808TotalRevenueColumnAmt
Related Or Exempt Func Income$1,107,933,738RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$264,130UnrelatedBusinessRevenueAmt
Exclusion$75,951,272ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,719,616TotalAmt
Program Services$2,719,616ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,301,982TotalAmt
Program Services$1,301,982ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,512,962TotalAmt
Management And General$8,512,962ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$571,848,410TotalAmt
Program Services$497,991,792ProgramServicesAmt
Management And General$61,921,176ManagementAndGeneralAmt
Fundraising$11,935,442FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$27,235,178TotalAmt
Program Services$26,268,687ProgramServicesAmt
Management And General$237,825ManagementAndGeneralAmt
Fundraising$728,666FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$63,551,949TotalAmt
Program Services$61,674,187ProgramServicesAmt
Management And General$462,063ManagementAndGeneralAmt
Fundraising$1,415,699FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$49,511,681TotalAmt
Program Services$47,754,666ProgramServicesAmt
Management And General$432,351ManagementAndGeneralAmt
Fundraising$1,324,664FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,568,175TotalAmt
Program Services$207,112ProgramServicesAmt
Management And General$5,361,063ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,848,380TotalAmt
Program Services$1,451,440ProgramServicesAmt
Management And General$2,396,940ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,538,117TotalAmt
Program Services$463,509ProgramServicesAmt
Management And General$1,074,608ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$58,620TotalAmt
Program Services$58,620ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$1,144,084TotalAmt
Fundraising$1,144,084FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$183,872,983TotalAmt
Program Services$156,535,592ProgramServicesAmt
Management And General$27,235,729ManagementAndGeneralAmt
Fundraising$101,662FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,264,554TotalAmt
Program Services$3,899,151ProgramServicesAmt
Management And General$1,365,403ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,609,971TotalAmt
Program Services$1,997,289ProgramServicesAmt
Management And General$2,341,676ManagementAndGeneralAmt
Fundraising$5,271,006FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$41,087,014TotalAmt
Program Services$8,566,891ProgramServicesAmt
Management And General$31,879,567ManagementAndGeneralAmt
Fundraising$640,556FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$82,916,639TotalAmt
Program Services$81,860,363ProgramServicesAmt
Fundraising$1,056,276FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,257,846TotalAmt
Program Services$4,409,423ProgramServicesAmt
Management And General$781,296ManagementAndGeneralAmt
Fundraising$67,127FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,491,734TotalAmt
Program Services$914,933ProgramServicesAmt
Management And General$516,589ManagementAndGeneralAmt
Fundraising$60,212FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$29,567,899TotalAmt
Program Services$29,567,899ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$102,311,548TotalAmt
Program Services$101,585,859ProgramServicesAmt
Fundraising$725,689FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,251,667TotalAmt
Program Services$3,813,551ProgramServicesAmt
Management And General$2,438,116ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Lab/Medical/Pharmacy$158,333,916$158,333,916$0$0
Uncollecible Accts$23,110,929$23,110,929$0$0
Free Care$9,323,576$9,323,576$0$0
Uncompensated Care$8,217,226$8,217,226$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,403,456,656TotalAmt
Program Services$1,232,028,209ProgramServicesAmt
Management And General$146,957,364ManagementAndGeneralAmt
Fundraising$24,471,083FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$626,167BOYAmt
EOY$587,742EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$170,056,900BOYAmt
EOY$172,100,523EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$152,885,784BOYAmt
EOY$192,000,421EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,468,461BOYAmt
EOY$13,728,854EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,028,709BOYAmt
EOY$10,154,497EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,248,960,122LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,308,355,758LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$913,578,550BOYAmt
EOY$940,604,364EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$505,545,054BOYAmt
EOY$253,454,098EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$543,117,336BOYAmt
EOY$914,420,948EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,717,112,805BOYAmt
EOY$1,956,593,317EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,026,419,766BOYAmt
EOY$4,453,644,764EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$222,700,118BOYAmt
EOY$201,859,451EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$67,973,092BOYAmt
EOY$70,543,090EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$466,102,994BOYAmt
EOY$869,580,978EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$200,000,000BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$227,196,776BOYAmt
EOY$231,616,203EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,183,972,980BOYAmt
EOY$1,373,599,722EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,685,520,185BOYAmt
EOY$1,817,010,453EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$535,413,501BOYAmt
EOY$589,977,483EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$621,513,100BOYAmt
EOY$673,057,106EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,842,446,786BOYAmt
EOY$3,080,045,042EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,026,419,766BOYAmt
EOY$4,453,644,764EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$111,076,152ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$39,480,028NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$87,042,076OtherChangesInNetAssetsAmt
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$280,671,226CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$358,360,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$331,388,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$336,637,071CurrentTaxYearMinus1YearAmt
Current Tax Year$330,383,668CurrentTaxYearAmt
Total$1,637,440,848TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$280,671,226CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$358,360,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$331,388,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$336,637,071CurrentTaxYearMinus1YearAmt
Current Tax Year$330,383,668CurrentTaxYearAmt
Total$1,637,440,848TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$17,800,690SubstantialContributorsTotAmt
Public Support Total170$1,619,640,158PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,111,481CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,919,339CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,330,292CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,951,120CurrentTaxYearMinus1YearAmt
Current Tax Year$25,521,020CurrentTaxYearAmt
Total$114,833,252TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$63,794CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$5,269CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,105CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$124,827CurrentTaxYearMinus1YearAmt
Current Tax Year$264,130CurrentTaxYearAmt
Total$384,999TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,132,315CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,300,140CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,866,415CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,867,110CurrentTaxYearMinus1YearAmt
Current Tax Year$26,157,674CurrentTaxYearAmt
Total$102,323,654TotalAmt
FieldValueIRS element (for citing)
Total Support$1,854,982,753TotalSupportAmt
Gross Receipts Rltd Activities$1,074,194,836GrossReceiptsRltdActivitiesAmt
Public Support CY1700.87310PublicSupportCY170Pct
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$95,946MailingsMembersAmt
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$484,603DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$580,549TotalLobbyingExpendituresAmt
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 2014, four Office of Government Relations staff members registered with the State as lobbyists for some or all of the fiscal year, dedicating a portion of their time to lobbying activities. In accordance with state lobbying laws, the Hospital also registered its CEO 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 2014 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 $246,383 - Karen Darcy Registered Lobbyist Children's Hospital personnel $24,536 - Maria Fernandes Registered Lobbyist Children's Hospital personnel $12,749 - Amy DeLong Registered Lobbyist Children's Hospital personnel $64,558 - Sandra Fenwick Registered Lobbyist Children's Hospital personnel $6,602 - Kathryn Audette Children's Hospital personnel $71,155 - Ann Langley Consultant Health Policy Strategies 728 Battery Place, Alexandria, VA 22314 $23,620 - Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $35,000 Total Lobbyist/Consultant Expenses = $484,603 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $95,946 TOTAL LOBBYING EXPENSES = $580,549 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$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$474,444,000BeginningYearBalanceAmt
Contributions$63,114,000ContributionsAmt
Investment Earnings Or Losses$48,022,000InvestmentEarningsOrLossesAmt
Other Expenditures$18,013,000OtherExpendituresAmt
End Year Balance$567,567,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.55880BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.17340PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.26780TermEndowmentBalanceEOYPct
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$1,511,013,840OtherCostOrOtherBasisAmt
Depreciation$771,924,532DepreciationAmt
Book Value$739,089,308BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$678,762,838OtherCostOrOtherBasisAmt
Depreciation$531,064,095DepreciationAmt
Book Value$147,698,743BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,784,096OtherCostOrOtherBasisAmt
Depreciation$5,367,131DepreciationAmt
Book Value$53,416,965BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$940,604,364TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (62 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Wellington - Energy$10,087,309F
Brookside Capital$1,316,408F
Highfields Capital$42,202,111F
Sankaty$4,579,427F
Davidson Kempner$46,430,101F
King Street$62,004,361F
Baupost$51,207,022F
Fidelity International Stock$27,859,836F
Fidelity Notes Payable$2,233,748F
Bain IX Fund$4,175,604F
Bain X Fund$4,363,486F
Bain Arc$14,586,972F
SPUR Ventures$6,187,348F
Lone Cascade$51,829,567F
Wellington - Emerging Small Cap$25,395,423F
Wellington - Real Asset$21,536,314F
Wellington - Diversified Hedge$7,446,251F
Walter Scott$51,493,642F
MIT Private Equity Fund$24,754,192F
Energy Capital Partners$9,854,292F
Matrix China II$5,211,835F
Nalanda$14,056,581F
Somerset$14,696,388F
Sankaty COPS Fund V$4,569,021F
Matrix India II$865,094F
SequoiaUSGrowFUund V$1,986,473F
Abrams Capital$17,282,139F
Bain Venture$1,140,142F
Golden Gate Capital$3,632,423F
Crosslink Capital$3,588,898F
Sequoia Capital Global Equities$11,513,273F
Steadfast$14,319,232F
Sequoia China Venture Fund IV$429,534F
Convexity$31,589,695F
Westbrook$1,449,466F
Lone Star Fund$3,564,130F
Riverstone$1,463,585F
Park West Investors Ltd$12,121,561F
Deccan Value$18,534,873F
Wellington EM Opportunities$21,847,202F
Lone Cedar$11,451,552F
Lone Kauri$4,098,029F
Sequoia US Venture Fund XIV$644,899F
Wellington Spindrift$348,261F
Wellington Quissett$17,225,839F
Energy Capital Partners III$216,899F
Fine Points Capital II$17,476,559F
JMC Capital I-B$532,811F
Lone Savin$3,638,126F
Matrix China III$534,081F
Matrix Partners X$227,752F
Sequoia Capital India IV$326,209F
Sequoia China Growth III$655,589F
Sequoia China Venture Fund V$256,189F
SequoiaUSGrowFUund VI$587,151F
JVL Energy$10,312,467F
Gaoling Feeder, Ltd.$6,200,883F
Loomis Senior Loan Bank Fund$16,778,623F
Standish Opportunistic Fund$20,474,990F
Standish Global Core Plus$18,584,068F
Wellington Ultra Short Duration$74,447,161F
Private Real Estate$55,997,851F
FieldValueIRS element (for citing)
Total Book Value Securities$914,420,948TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Unamortized Bond Issuance Fees$6,472,966
Interest in the Net Assets of Children's Medical Center$1,930,151,147
Expected Insur Recoveries for Prof Liability Claims$19,942,885
Other Assets - Miscellaneous$26,319
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,956,593,317TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue$22,036,554
Estimated Insured Professional Liability Losses$19,942,885
Salary & Other Benefits$2,949,053
Funds Held for Others$34,742,373
Reserve for Medical Malpractice$4,523,118
Other Liabilities - Miscellaneous$15,099,030
Lease Obligations$16,520,345
Interest Rate Swap Liability$112,735,246
Accrued Pension Cost$3,067,599
FieldValueIRS element (for citing)
Total Liability$231,616,203TotalLiabilityAmt
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 $1,202,000 and Contributions of $45,867,000.
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$60,982
East Asia & The Pacific00Program ServicesPatient Care, Research & Education$189,540
Europe00Program ServicesPatient Care, Research & Education$457,629
Middle East and North Africa -00Program ServicesPatient Care, Research & Education$156,253
North America00Program ServicesPatient Care, Research & Education$204,765
South America00Program ServicesPatient Care, Research & Education$55,419
South Asia00Program ServicesPatient Care, Research & Education$33,367
Sub-Saharan Africa00Program ServicesPatient Care, Research & Education$184,733
Central America & the Caribbean00Investment$276,982,241
Sub-Saharan Africa00Investment$14,921,675
Central America & the Caribbean00Insurance$2,291,487
Russia & the Newly Independent States -00Program ServicePatient Care, Research & Education$8,851
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$1,342,688SubtotalSpentAmt
Continuation Spent$294,204,254ContinuationSpentAmt
Total Spent$295,546,942TotalSpentAmt
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

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationChildren'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.ExplanationTxt

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 (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmtAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityProvince Or StateForeignAddress/ProvinceOrStateCountryForeignAddress/Country
Advanced Marketing Direct
99 Thielman DriveBuffaloNY14206Direct mail creative & management0$120,811$465,946-$345,135
Bentz Whaley Flessner
7251 Ohms LaneMinneapolisMN55439Counsel/Reports0$0$207,869-$207,869
Artsmarketing Services Inc
Call Center Mrkt.0$0$77,750-$77,750260 King Street East Ste 500TorontoOntarioCA
Connelly Partners LLC
46 Waltham StreetBostonMA02118Fundraising Counsel0$0$50,000-$50,000
The Pursuant Group Inc
820 W Jackson Blvd Ste 800DallasTX75320Fundraising Counsel0$0$30,154-$30,154
Event 360
820 W Jackson Boulevard Ste 800ChicagoIL60607Fundraising Counsel0$0$26,197-$26,197
Perrone Group
45 Braintree Hill Office Park SteBraintreeMA02184Direct mail creative & management0$0$286,168-$286,168
FieldValueIRS element (for citing)
Total Gross Receipts$120,811TotalGrossReceiptsAmt
Total Retained By Contractors$1,144,084TotalRetainedByContractorsAmt
Total Net To Organization-$1,023,273TotalNetToOrganizationAmt
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)
Name Of Event1Dinner/AuctionNameOfEvent1Amt
Gross Receipts Event1$3,217,016GrossReceiptsEvent1Amt
Charitable Contri Event1$2,723,172CharitableContriEvent1Amt
Gross Revenue Event1$493,844GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$0RentFacilityCostsEvent1Amt
Food And Beverage Event1$260,741FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$653,947OtherDirectExpensesEvent1Amt
Name Of Event2Investment ConferenceNameOfEvent2Amt
Gross Receipts Event2$1,841,250GrossReceiptsEvent2Amt
Charitable Contri Event2$1,806,950CharitableContriEvent2Amt
Gross Revenue Event2$34,300GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$0NonCashPrizesEvent2Amt
Rent Facility Costs Event2$8,460RentFacilityCostsEvent2Amt
Food And Beverage Event2$40,040FoodAndBeverageEvent2Amt
Entertainment Event2$0EntertainmentEvent2Amt
Other Direct Expenses Event2$145,672OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$533,471GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$400,713CharitableContriOtherEventsAmt
Gross Revenue Other Events$132,758GrossRevenueOtherEventsAmt
Cash Prizes Other Events$0CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$0NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$0RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$139,617FoodAndBeverageOtherEventsAmt
Entertainment Other Events$10,500EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$141,737OthDirectExpnssOtherEventsAmt
Gross Receipts Total$5,591,737GrossReceiptsTotalAmt
Charitable Contributions Tot$4,930,835CharitableContributionsTotAmt
Gross Revenue Total Events$660,902GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$8,460RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$440,398FoodAndBeverageTotalEventsAmt
Entertainment Total Events$10,500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$941,356OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,400,714DirectExpenseSummaryEventsAmt
Net Income Summary-$739,812NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$317,800GrossRevenueOtherGamingAmt
Rent Fclty Costs Other Gaming$500RentFcltyCostsOtherGamingAmt
Oth Direct Expnss Other Gaming$47,221OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming0.71000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$317,800GrossRevenueTotalGamingAmt
Rent Fclty Costs Total Gaming$500RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming$47,221OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$47,721DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$270,079NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedMAStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With Nonmembers0GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Own Facility0.00000GamingOwnFacilityPct
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksDoug Vanderslice Sr Vice PresidenIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AveAddressLine1
CityBostonCity
StateMAState
ZIP Code02115ZIPCode
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonEthridge KingGamingManagerPersonNm
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Services ProvMr. King, Director of Development Services at Children's, was not compensated as a gaming manager. His job includes overseeing any fundraising gaming operations.GamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

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$13,824,040TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,849,996DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,974,044NetCommunityBenefitExpnsAmt
Total Expense0.00720TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$264,000,375TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$208,455,857DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,544,518NetCommunityBenefitExpnsAmt
Total Expense0.04020TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$277,824,415TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$212,305,853DirectOffsettingRevenueAmt
Net Community Benefit Expns$65,518,562NetCommunityBenefitExpnsAmt
Total Expense0.04740TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,849,467TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,849,467NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,841,350TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,795,599DirectOffsettingRevenueAmt
Net Community Benefit Expns$29,045,751NetCommunityBenefitExpnsAmt
Total Expense0.02100TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,919,833TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,134,336DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,785,497NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$345,655,791TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$322,296,477DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,359,314NetCommunityBenefitExpnsAmt
Total Expense0.01690TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,663,504TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,663,504NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$406,929,945TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$345,226,412DirectOffsettingRevenueAmt
Net Community Benefit Expns$61,703,533NetCommunityBenefitExpnsAmt
Total Expense0.04460TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$684,754,360TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$557,532,265DirectOffsettingRevenueAmt
Net Community Benefit Expns$127,222,095NetCommunityBenefitExpnsAmt
Total Expense0.09200TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs37ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,857,062TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,857,062NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Total Community Benefit Expns$702,193TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$702,193NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs47ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,559,255TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,559,255NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$8,061,167BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$10,761,239ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$10,733,442CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$27,797MedicareSurplusOrShortfallAmt

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 NoneBusinessNameLine1
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 HospitalBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Longwood AvenueAddressLine1
CityBostonCity
StateMAState
ZIP Code02115ZIPCode
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 HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
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 Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.childrenshospital.orgOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care0FPGUsedDetermEligDscntCareInd
Explained BasisYes (1)ExplainedBasisInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit LawsuitYes (X)PermitLawsuitInd
Permit Lien On ResidenceYes (X)PermitLienOnResidenceInd
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Boston Children's HospitalPart V, Section B, Line 3: 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 5d: 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 7: Boston Children's addressed all of the needs identified in the assessment that are health related: access to care, asthma, obesity, physical activity and nutrition, sexual health and teen pregnancy, mental health, alcohol, tobacco and other drugs, injury prevention, chronic diseases, oral health and early childhood developmental issues.
Boston Children's HospitalPart V, Section B, Line 10: 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.
Boston Children's HospitalPart V, Section B, Line 11: 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.
Boston Children's HospitalPart V, Section B, Line 14g: 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.
Boston Children's HospitalPart V, Section B, Line 18e: 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.
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
Children's Hospital Boston-At Waltham
9 Hope AveWalthamMA02453Outpatient Satellite Facility
Children's Hospital at Lexington
482 Bedford StreetLexingtonMA02173Outpatient Satellite Facility
Martha Eliot Health Center
75 Bickford StreetBostonMA02130Outpatient Community Health Center
Children's Hospital at Peabody
1 Essex Center DrivePeabodyMA01960Outpatient 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 $23,110,929 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 FY14, Children's reported two types of community building activities: $1,857,062 for 37 community support programs and $702,193 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 one person voluntary Board of Trustees. Eighteen 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 four outpatient facilities in Waltham, Lexington, Peabody, 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 (41 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Alliance for Inclusion & Prevention
105 Cummings HighwayRoslindaleMA02131043285237501(c)(3)$10,000Community Partnership
Health Resources In Action
622 Washington StreetDorchesterMA02124042229839501(c)(3)$108,000Community Partnership
BalletRox
PO Box 301134Jamaica PlainMA02130043140203501(c)(3)$10,000Community Partnership
Boston Center for Youth and Families
1483 Tremont StreetBostonMA02120042602576501(c)(3)$15,000Community Partnership
Boston Public Health Commission
1010 Massachusetts AveBostonMA02118043316655115$370,000Community Partnership
Boston Public Schools
26 Court St 6th FlBostonMA02108222514422115$444,155Community Partnership
Bowdoin Street Health Center Inc
230 Bowdoin StreetBostonMA02122042529788501(c)(3)$100,000Support of Community Health Center
Brigham & Women's Hospital Inc
75 Francis StreetBostonMA02115042312909501(c)(3)$150,000Support of Brookside Community Health Center
Community Catalyst Inc
30 Winter Street 10th FloorBostonMA02108043355127501(c)(3)$50,000Advocacy Support
The Dimock Center
55 Dimock StreetRoxburyMA02119043487835501(c)(3)$105,000Community Partnership
Family Nurturing Center of Massachusetts
200 Bowdoin StreetDorchesterMA02122311626186501(c)(3)$50,000Community 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)$160,000Support for the Community Health Canter
Community Service Care Inc
295 Center StreetJamaica PlainMA02130042754281501(c)(3)$95,457Community Partnership - JP Coalition
Mattapan Community Health Center
1425 Blue Hill AveMattapanMA02426042544151501(c)(3)$40,000Support of the Community Health Center
YMCA of Greater Boston inc
316 Huntington AvenueBostonMA02115042103551501(c)(3)$35,500Community Partnership - Roxbury YMCA
Sociedad Latina Inc
1530 Tremont StreetRoxburyMA02120042678255501(c)(3)$35,250Community Partnership
South Cove Community Health Center Inc
145 South StreetBostonMA02111042501818501(c)(3)$93,004Support of the Community Health Center
South End Community Health Center Inc
1601 Washington StreetBostonMA02118042456134501(c)(3)$85,000Support of the Community Health Center
Upham's Corner Community Center Inc
500 Columbia RoadDorchesterMA02125042708670501(c)(3)$80,000Support of the Community Health Center
Whittier Street Health Center Committee Inc
1125 Tremont StreetRoxburyMA02120042619517501(c)(3)$88,750Support of the Community Health Center
Nurtury Inc ( fka Associated Early Care and Education Inc)
95 Berkeley Street Suite 306BostonMA02116042105893501(c)(3)$44,000Community Partnership
Massachusetts League of Community Health Centers
40 Court Street 10th FloorBostonMA02108042507409501(c)(3)$7,500Community Partnership
Mission Hill Youth Collaborative
1481 Tremont StreetBostonMA02120043103865501(c)(3)$5,000Community Partnership
The Hyde Square Task Force Inc
375 Centre StreetJamaica PlainMA02130043118543501(c)(3)$12,500Community Partnership
Action for Boston Community Development
178 Tremont StreetBostonMA02111042304133501(c)(3)$30,000Community Partnership
Massachusetts Public Health Association
101 Tremont StreetBostonMA02108042326503501(c)(3)$15,000Community Partnership
Smart from the Start Inc
68 Annunciation RoadBostonMA02120454952663501(c)(3)$83,000Community Partnership
United Way of Massachusetts Bay & Merrimack Valley
51 Sleeper StreetBostonMA02210042382233501(c)(3)$25,000Community Partnership
Health Care For All
One Federal StreetBostonMA02110043071598501(c)(3)$10,000Advocacy Support
Health Law Advocates
30 Winter Street 10th FloorBostonMA02108043298116501(c)(3)$30,000Advocacy Support
Healthworks Community Fitness
450 Washington StreetDorchesterMA02124043431534501(c)(3)$10,000Community Partnership
Northeastern University
360 Huntington AvenueBostonMA02115041679980501(c)(3)$40,000Community Partnership
Massachusetts Budget and Policy Center
15 Court Square Ste 700BostonMA02108042967537501(c)(3)$45,000Advocacy Support
Massachusetts Health Quality Partners
42 Pleasant Street Ste 3WatertownMA02472043542817501(c)(3)$30,000Advocacy Support
Massachusetts Law Reform Institute
99 Chauncy Street Ste 500BostonMA02111046004303501(c)(3)$40,000Advocacy Support
Third Sector New England
PO Box 201060RoxburyMA02120042261109501(c)(3)$10,000Community Partnership
Mass Society for the Prevention of Cruelty to Children
3815 Washington Street Ste 2BostonMA02130042103596501(c)(3)$40,000Advocacy Support
New England Eye Institute Inc
930 Commonwealth AvenueBostonMA02215043575676501(c)(3)$10,000Community Partnership
American Cancer Society
30 Speen StreetFraminghamMA01701131788491501(c)(3)$5,000Advocacy Support
FieldValueIRS element (for citing)
Total501c3 Org39Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (20 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceAmtNon Cash AssistanceNonCashAssistanceDesc
Sibylla Orth Young Fund for Student Aid22$38,800FMV
Nursing Education Scholarship Fund24$52,994FMV
Joshua T. Shairs Cardiology Fund4$4,100FMV
Alexander Mosse Baer Entertainment Fund3070FMV$6,624Craft Supplies and Family Entertainers
Family Resource Center Fund27FMV$12,109Educational Resources
Yawkey Family Inn Fund1011FMV$705,333Housing Assistance
Devon Nicole House Operating Fund531FMV$90,791Housing Assistance
Pet Therapy Program Fund1218Other$49,682Theurapeutic dog visits made to inpatients
Brandano Parent Apartment Fund1371FMV$75,788Supplies for patient and families
Matthew Puffer Parking Fund42$5,908FMV
Sandra & Geoffrey Fenwick Family Income Fund221FMV$3,350Memorial services and grief conference; room fees & food
Extraordinary Needs Fund I & II210$100,009FMV
Patient Care Support Services Endowment/Income Fund2FMV$3,071Medical Equipment, Skilled Nursing Care, Ambulance Transportation.
Foster Grandparent Program Fund385FMV$11,985Discharge Buddy and Greeter program expenses.
Volunteer Department Fund3280FMV$45,440Supplies, Catering and Entertainment for Patients and Patient's families.
Broadway Sam Fund1125FMV$12,998Tickets for Art and Entertainment Events
Center for Families Extraordinary Needs Fund20FMV$56,849Family Advisory Council stipwnsa, food and parking
Family Services Fund193FMV$11,082Memorial services, Christmas Trees for Patients rooms, Pedometers
Mannion Family Fund340$1,240FMV
Milagros Para las Family Fund26FMV$13,829Translation services and program support for spanish speaking families.

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 Sibylla Orth Young Scholarship is available to employees and their immediate families who have worked at least six months and meet income and grade point average guidelines as well as demonstration of sincere commitment to the healthcare profession. Priority will be given to those pursuing careers in healthcare positions experiencing labor shortages (e.g., radiographer, pharmacy technician, clinical lab technician, nursing). Sibylla Orth Young Scholarship applications are reviewed and maintained by the Office of Learning and Development selection committee. The Nursing Education Scholarship is available to deserving nurses to further his or her education in patient care and the Joshua T. Shairs Cardiology Fund is a scholarship for nurses in the field of cardiology. All nursing scholarship applicants must have worked at least three months, be enrolled in an academic program leading to a degree, demonstrate a commitment to the patient care and be in good standing, both professionally and academically. Scholarship applications for the Nursing Education Scholarships and Joshua T. Shairs Cardiology Funds are reviewed and maintained by the Department of Nursing/Patient Services selection committee. All scholarship recipients are required to sign a Terms of Acceptance agreement affirming the funds will only be used for tuition, fees and/or class materials required for course instructions. ASSISTANCE PROGRAMS: Children's Hospital offers several financial assistance programs to provide funding to patients and their families burdened by the costs associated with long-term hospitalization, acute/chronic illness, disability or impairment. We recognize the significant financial and support services burdens that patients and families face when experiencing frequent ambulatory services or prolonged inpatient admissions at Children's Hospital Boston. 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. Brandano Parent Apartment Fund - 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 I & II - cover immediate desperate needs of parents to include access to alternative therapeutic interventions. Patient Care Support Services Income Fund - cover immediate desperate needs of parents to include medical equipment, skilled nursing care and anmbulance transport. Alexander Moss Baer Entertainment Fund - provide patient and patient family entertainers (i.e. magicians, face-painters) and craft supplies. Foster Grandparent Program Fund - provide resources towards the Hospital's Discharge Buddy and ASK ME Volunteer Greeter program. 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. Family Services Fund - support of the family resource center's activities. 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. 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)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
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 (24 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
Kevin Churchwell MD
EVP & COO/Noncomp Trustee$265,271$0$100,000$0$67,176$0$0$0$13,727$0$446,174$0$0$0
Laura J Wood DNP MS RN
CNO/Noncomp Trustee$222,405$0$83,000$0$58,759$0$0$0$21,566$0$385,730$0$0$0
Sandra Fenwick
President & CEO, Noncomp Trustee$580,834$0$285,000$0$251,494$0$25,500$0$41,458$0$1,184,286$0$0$0
Douglas Vanderslice
SVP, Treasurer & CFO$513,062$0$248,247$0$100,272$0$0$0$29,318$0$890,899$0$0$0
Bruce Balter
Asst Treasurer/Dir Corp Fin Svcs$191,263$0$15,857$0$54,174$0$31,600$0$21,507$0$314,401$0$0$0
Stuart Novick Esq
General Counsel & Secretary$402,007$0$130,000$0$125,545$0$28,050$0$27,155$0$712,757$0$0$0
Michael Anderegg
Exec Director, Heart Center$269,021$0$21,706$0$21,626$0$16,551$0$4,243$0$333,147$0$0$0
Demosthenes Argys
SVP, & Chief Administrativ Officer$376,804$0$104,500$0$88,953$0$22,950$0$27,805$0$621,012$0$0$0
Margaret Coughlin
SVP & Chief Marketing Officer$301,965$0$64,600$0$63,667$0$20,400$0$24,773$0$475,405$0$0$0
Michael Gillespie
VP, Clinical Services$279,544$0$46,800$0$45,457$0$16,722$0$14,934$0$403,457$0$0$0
Daniel Nigrin MD
SVP & Chief Information Officer$364,644$0$80,100$0$59,954$0$22,950$0$23,318$0$550,966$0$0$0
Philip Rotner
Chief Investment Officer$570,116$0$198,314$0$97,103$0$17,850$0$33,535$0$916,918$0$0$0
Wendy Warring
SVP, Network Development$402,488$0$98,700$0$89,806$0$20,400$0$15,287$0$626,681$0$0$0
Charles Weinstein
VP, RE Planning & Development$342,984$0$62,800$0$60,455$0$25,500$0$27,571$0$519,310$0$0$0
Nader Rifai PhD
Director, Chemistry$419,871$0$208,209$0$2,872$0$29,050$0$21,947$0$681,949$0$0$0
Lynn Susman
President, Children's Hospital Trust$337,465$0$97,000$0$61,597$0$25,500$0$29,234$0$550,796$0$0$0
Orah Platt MD
Chief, Lab Medicine$449,002$0$32,426$0$8,454$0$29,050$0$10,020$0$528,952$0$0$0
Inez Stewart
VP, Human Resources$336,762$0$56,900$0$51,999$0$22,950$0$25,971$0$494,582$0$0$0
Carlo Brugnara MD
Director, Hematology$419,872$0$20,107$0-$7,520$0$29,050$0$21,117$0$482,626$0$0$0
Eileen Sporing
Former SVP & CNO$243,621$0$0$0$890,351$0$28,050$0$15,733$0$1,177,755$0$594,795$0
James Mandell MD
Former President & CEO$497,207$0$750,000$0$1,062,192$0$28,050$0$15,407$0$2,352,856$0$585,578$0
David Kirshner
Former Sr. VP & CFO$312,500$0$0$0$78,644$0$0$0$9,937$0$401,081$0$0$0
Carleen Brunelli PhD
Former VP, Research Admin$50,027$0$0$0$213,030$0$0$0$4,641$0$267,698$0$180,460$0
M Laurie Cammisa
Former VP, Child Advocacy$238,671$0$0$0$483,461$0$0$0$6,900$0$729,032$0$335,506$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aThe Organization provided housing allowances to three listed individuals as a part of their relocation packages. All amounts were included as taxable income in the W-2 of the listed person.
Part I, Lines 4a-bChildren'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 Children's Hospital Trustee or Officer of the Board services and/or responsibilities. Demosthenes Argys, received in 2013, a contribution of $39,683 Kevin Churchwell, received in 2013, a contribution of $15,196 Margaret Coughlin, received in 2013, a contribution of $29,117 Sandra Fenwick, received in 2013, a contribution of $217,000 Michael Gillespie, received in 2013, a contribution of $20,900 James Mandell, received in 2013, a contribution of $322,912 Daniel Nigrin, received in 2013, a contribution of $38,392 Stuart Novick, received in 2013, a contribution of $105,420 Philip Rotner, received in 2013, a contribution of $74,073 Eileen Sporing, received in 2013, a contribution of $24,525 Inez Stewart, received in 2013, a contribution of $31,328 Lynn Susman, received in 2013, a contribution of $35,574 Doug Vanderslice, received in 2013, a contribution of $28,355 Wendy Warring, received in 2013, a contribution of $43,254 Charles Weinstein, received in 2013, a contribution of $32,303 Laura Wood, received in 2013, a contribution of $11,157 During Calendar Year 2013, M. Laurie Cammisa (former Vice President, Child Advocacy) received severance payments totaling $190,655. During Calendar Year 2013, David Kirshner (former Senior Vice President of Finance & Chief Financial Officer) received severance payments totaling $312,500. During Calendar Year 2013, the following individuals received supplemental executive retirement plan distributions: James Mandell, received in 2013, a distribution of $707,471 Carlene Brunelli, received in 2013, a distribution of $207,802 M. Laurie Cammisa, received in 2013, a distribution of $473,986 David Kirshner, received in 2013, a distribution of $77,000 Eileen Sporing, received in 2013, a distribution of $845,233
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 2013 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$124,329,713Purchase 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$151,753,430New 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/BusinessNameLine2Term Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
A0Yes (1)000000Yes (1)
Goldman Sachs
B00Yes (1)0Yes (1)Yes (1)00Yes (1)Mitsui Marine30.00000000000000
Goldmn SachsBOA
C00Yes (1)0Yes (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)

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
B00Yes (1)0Yes (1)Yes (1)00Yes (1)30.00000000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Waters Corporation
Director$101,982Equipment Children's Hospital Corporation received, at fair market value, equipment & supplies from Waters Corporation, where Douglas Berthiaume, a member of the hospital's Board of Trustees, is the Chief Executive Officer. All transactions above were at fair market value and negotiated at arms length in the ordinary course of business. Waters Corporation manufactures high end scientific equipment and supplies. During the year the hospital paid Waters Corporation $101,982 for equipment & supplies.0
CRICO
Director$11,128,524InsuranceThe Risk Management Foundation of the Harvard Medical Institutions, Inc (CRICO/RMF) is the patient safety and medical malpractice company serving the Harvard medical community. Insurance coverage is provided to its member institutions and their affiliates by Controlled Risk Insurance Company, Ltd (CRICO/Cayman) and Controlled Risk Insurance Company of Vermont, Inc (A Risk Retention Group) (CRICO/Vermont). Both CRICO/RMF and CRICO/Cayman are owned by their member Institutions. CRICO/Vermont is wholly owned by CRICO/RMF. All CRICO/RMF and CRICO/Cayman shareholders are entities exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. Members of CRICO/RMF and CRICO/Cayman are entitled to representation on the boards of these entities. Alan Bufferd, Trustee of Children's Hospital Corporation, sits on the Boards of CRICO/RMF, CRICO/Cayman and CRICO/Vermont. See next item for continuation.0
CRICO
Director$11,128,524InsuranceSandra Fenwick, Preisdent & Chief Executive Officer of Children's Hospital Corporation, sits on the Board of CRICO/RMF and CRICO/Cayman. Children's Hospital pays these entities for insurance for Children's Hospital and its affiliates for the period covered by this filing. Children's Hospital paid a total of $11,128,524 to CRICO and RMF for professional, general, and directors and officers insurance coverage.0
FedEx
Director$485,481ShippingChildren's Hospital Corporation received, at fair market value, shipping services from FedEx, where Gary Loveman, a member ofthe hospital's Board of Trustees, is on the Board of Directors. Alltransactions above were at fair market value and negotiated at armslength in the ordinary course of business. During the year the hospitalpaid FedEx $485,481 for shipping services.0
Blue Cross Blue Shield of Massachusetts
Director$70,065,948InsuranceChildren's Hospital Corporation received, at fair market value, employee health insurance claim administration services from Blue Cross Blue Shield of Massachusetts, where Ralph Martin, a member of the hospital's Board of Trustees, is on the Board of Directors. All transactions above were at fair market value and negotiated at arms length in the ordinary course of business. During the year the hospital paid Blue Cross Blue Shield of Massachusetts $70,065,948 for actual claims processed by Blue Cross Blue Shield of Massachusetts on behalf of the organization's employees and health claim administration fees.0
CVSCaremark
Spouse of Key Emp$11,330,984Prescription Drug ProgramChildren's Hospital Corporation received, at fair market value, employee prescription drug plan benefits from CVS/Caremark, where Wendy Warring's, a key employee of the hospital, spouse is an Officer. All transactions above were at fair market value and negotiated at arms length in the ordinary course of business. During the year the hospital paid CVS/Caremark $11,330,984 for employee prescription drug plan benefits.0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$8,888NoncashContributionsRptF990Amt
Method Of Determining RevenuesMkt Value per DonorMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution48ContributionCnt
Noncash Contributions Rpt F990$6,391,700NoncashContributionsRptF990Amt
Method Of Determining RevenuesMean Value on Gift DateMethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution12ContributionCnt
Noncash Contributions Rpt F990$5,345NoncashContributionsRptF990Amt
Method Of Determining RevenuesMkt Value per DonorMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Travel/Dining9$119,250Mkt Value per Donor
Yes (X)Misc. Other27$55,634Mkt Value per Donor
FieldValueIRS element (for citing)
Form8283 Received1Form8283ReceivedCnt
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 Operations Senior Vice President & Chief Administrative Officer Vice President, Research Administration President, Children's Hospital Trust Vice President, Government Affairs Vice President, Public Affairs & Marketing 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 Executive Director, Cardiovascular Program 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 81,571,191. Management and general expenses 7,411,189. Fundraising expenses 0. Total expenses 88,982,380. Purchased Research Services: Program service expenses 35,126,142. Management and general expenses 0. Fundraising expenses 0. Total expenses 35,126,142. Consulting Services: Program service expenses 13,454,654. Management and general expenses 12,203,255. Fundraising expenses 0. Total expenses 25,657,909. Misc. Purchased Services: Program service expenses 14,741,904. Management and general expenses 6,084,787. Fundraising expenses 101,662. Total expenses 20,928,353. Nursing Agency Fees: Program service expenses 4,205,023. Management and general expenses 52,856. Fundraising expenses 0. Total expenses 4,257,879. Laundry Services: Program service expenses 1,727,298. Management and general expenses 173,903. Fundraising expenses 0. Total expenses 1,901,201. Security Services: Program service expenses 2,968,599. Management and general expenses 75,662. Fundraising expenses 0. Total expenses 3,044,261. Catering Fees: Program service expenses 740,566. Management and general expenses 190,740. Fundraising expenses 0. Total expenses 931,306. Collection Agency Fees: Program service expenses 116,108. Management and general expenses 758,504. Fundraising expenses 0. Total expenses 874,612. Temp Agency Fees: Program service expenses 1,250,123. Management and general expenses 97,096. Fundraising expenses 0. Total expenses 1,347,219. Ambulance Services: Program service expenses 102,707. Management and general expenses 0. Fundraising expenses 0. Total expenses 102,707. Environmental Services: Program service expenses 531,277. Management and general expenses 187,737. Fundraising expenses 0. Total expenses 719,014.
Form 990, Part XI, line 9:Net Transfers/Support from Children's Medical Center 111,686,028. Pension Adjustment -31,731,817. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others 7,087,453. Other Adjustments 412.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
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 Coporation
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
Institute for Relevant Clinical Data Analytics Inc
300 Longwood AvenueBostonMA02115383854536Improve patient safety and quality of careMA501(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 LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Wells AvenueAddressLine1
CityNewtonCity
StateMAState
ZIP Code02459ZIPCode
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 CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income Type5% InvestmentPredominantIncomeTypeTxt
Share Of Total Income$44,139ShareOfTotalIncomeAmt
Share Of EOY Assets$4,748,348ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
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 IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 Shattuck StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02115ZIPCode
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 CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
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