CHILDRENS HOSPITAL CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL CORPORATION (EIN 04-2774441)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-15
IRS object ID: 201442279349300639
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-15T08:19:38-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	346565596	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ernst & Young LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 Clarendon Street	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	021165072	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	042774441	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital Corporation	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CHIL	NameControl
Phone	6173556881	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02115	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Douglas Vanderslice	Name
Title	Treasurer & CFO	Title
Phone	6173556881	Phone
Date Signed	2014-08-08	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Jeanne M Schuster	Name
PTIN	P00743154	PTIN
Phone	6172662000	Phone
Date Prepared	2014-08-04	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Sandra Fenwick	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02115	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1793772617	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.childrenshospital.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1982	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	Provider of pediatric healthcare, education, research & community service	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	11390	TotalNbrEmployees
Total Nbr Volunteers	1292	TotalNbrVolunteers
Total Gross UBI	124827	TotalGrossUBI
Net Unrelated Business Txbl Income	-200110	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	331388600	ContributionsGrantsPriorYear
Contributions Grants Current Year	336637071	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	989683001	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1007927735	ProgramServiceRevenueCY
Investment Income Prior Year	23068790	InvestmentIncomePriorYear
Investment Income Current Year	49054992	InvestmentIncomeCurrentYear
Other Revenue Prior Year	34327240	OtherRevenuePriorYear
Other Revenue Current Year	47492694	OtherRevenueCurrentYear
Total Revenue Prior Year	1378467631	TotalRevenuePriorYear
Total Revenue Current Year	1441112492	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2978643	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3091073	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	696945617	SalariesEtcPriorYear
Salaries Etc Current Year	728668108	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	1424430	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	1514933	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	25272368	TotalFundrsngExpCurrentYear
Other Expense Prior Year	609007538	OtherExpensePriorYear
Other Expenses Current Year	605887704	OtherExpensesCurrentYear
Total Expenses Prior Year	1310356228	TotalExpensesPriorYear
Total Expenses Current Year	1339161818	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	68111403	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	101950674	RevenuesLessExpensesCY
Total Assets BOY	3698015571	TotalAssetsBOY
Total Assets EOY	4026419766	TotalAssetsEOY
Total Liabilities BOY	1284225947	TotalLiabilitiesBOY
Total Liabilities EOY	1183972980	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2413789624	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2842446786	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Boston Children's Hospital (Children's) is the nation's premier pediatric hospital with a commitment to advancing the health of children worldwide. We serve as the community hospital for the children of Boston, provide specialty pediatric care throughout the region and offer children across the world facing challenging medical issues with access to innovative, life saving care. Children'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 high quality, compassionate and innovative clinical care to children, researching new cures and treatments for diseases, 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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	773537120	Expense
Grants	3091073	Grants
Revenue	957123547	Revenue
Description	CLINICAL CARE:As one of the largest pediatric hospitals in the U.S. and the only freestanding pediatric hospital in Massachusetts, Boston Children's provides access to safe, high quality health care services that meet the unique needs of our patients and their families, regardless of their ability to pay. The services we offer - from well child visits and treatment for typical child health issues (broken bones, tonsillitis, etc.) to chronic care (asthma, diabetes, obesity, etc.) and specialty services (oncology, cardiology, neurology) benefit from our clinicians' high level of specialization, our collaboration with research scientists (many of whom are also physicians) affiliated with the hospital, and our significant investments in equipment, facilities and clinical and support staff. Our team has a deep commitment to setting the bar for quality and safety and exceeding the expectations of our patients and their families for service, undertaking significant investments in each of these areas.On an annual basis, Boston Children's sees: 23,431 inpatients at our main campus; 1,327 inpatients at our satellites and 580,418 combined outpatients at main campus and satellites; 43,840 patients in our community health clinic. Of these patients, more than 20% (Case Mix Index > 2.00) can be qualified as clinically complex. Of these patients, approximately 32% (patients on Medicaid/Medicare) are considered low income.Boston Children's is the safety net institution for very sick children throughout the region, supporting the entire health care system for the most complex pediatric cases. We receive referrals from community hospitals as well as from other academic medical centers throughout New England. Boston Children's is the single largest provider of care to children enrolled in the Medicaid program, caring for approximately 30% of all pediatric Medicaid patients statewide, including many of the sickest children in the state. Boston Children's also provides clinical care for the largest number of uninsured children in the state; total free care and losses from Medicaid in FY 2013 were approximately $53 million.Recognizing the difficulties that community-based hospitals face in providing specialized pediatric care (which requires significant investments in staff, equipment and training), Boston Children's has formed partnerships with 8 community hospitals throughout eastern Massachusetts, including Beverly Hospital, Winchester Hospital and St. Elizabeth's Medical Center. With approximately 100 physicians serving those community hospitals, we enhance the community's-and the state's-ability to provide access to emergency, neonatal, inpatient and outpatient specialty services for children. Boston Children's also operates satellite facilities in Lexington, Peabody and Waltham where we offer specialized care in cardiology, gastroenterology, neurology, respiratory diseases, diabetes, orthopedic surgery, urology and other specialties. In addition, our physicians offer outpatient services at our Physician Office Locations in Brockton, Milford, Norwood, North Dartmouth and Weymouth.Each year, Boston Children's improves the quality of the clinical care it provides by recruiting talented staff, investing in cutting-edge equipment and technology, undertaking safety and quality initiatives, supporting community health programs and ensuring that our facilities make the care process easier and more comfortable for all the patients and families we serve. For example:Focus on Quality: Boston Children's Hospital has established the Center of Excellence for Quality Measurement to improve health care delivery to children in America. In 2009, the Child Health Insurance Program Reauthorization Act called for a national Pediatric Quality Measures Program to convene experts, solicit public input, and build infrastructure to advance the quality of children's health care. The Center was established in response to that requirement. Measuring and reporting the quality of health care based on pediatric-specific metrics is a key tool for ensuring that all children receive excellent care.In 2013, Boston Children's undertook a redesign of all hospital code carts, which are used when a Code Blue is called. The carts contain everything clinicians need to address most emergency situations including IV equipment, fluids and oxygen masks among other items. A cross-discipline team comprised of staff from Environmental Health and Safety, the Resuscitation Quality Program, Nursing and Supply Chain used an evidence-based approach with pre- and post-tests to redesign the packed carts. The redesigned carts have since been standardized throughout the hospital and have improved the code team's responsiveness.Boston Children's Program for Patient Safety and Quality launched the Center for Patient Safety and Quality Research to promote faculty research in quality improvement across and beyond the hospital. In addition to offering courses on safety and quality research, the center also offers grants to support that research. One of the first grant recipients has used the funds to create a registry to compare the long-term outcomes of surgically repairing broken collarbones versus using a splint and letting the bone heal itself. Surgical repairs are more common, more expensive and riskier and it's not yet known whether they're more effective. Answering that question has the potential to significantly improve outcomes and reduce costs..Encourage Innovation: The Innovation Acceleration Program (IAP), which offers "Innovestment" grants and Fast track Innovation in Technology (FIT) Project awards, promotes innovation at a grass-roots level among Boston Children's employees by empowering them to develop and test their ideas. In the program's first year, it funded projects ranging from technology-enhanced toys designed to help children with severe emotion regulation disorders, to new methods of closing complex ventricular septal defects; from a remote monitoring program for kids on home ventilators, to an elastic multi-electrode ECG strip. FIT Project awards offer software development resources, including the support of a team of experienced software developers, for innovative clinical software projects. Winning proposals have ranged from an "electronic white-board" that accurately reflects the patients on a given unit in real-time, providing essential clinical data and improved patient throughput (now in widespread use throughout Boston Children's), to an automated paging system built into Boston Children's Surginet system that reduces the total time a patient spends in an operating room by automatically notifying members of the surgical team when they are needed.Expand Access: Beginning in late summer 2012, Boston Children's and its physicians began working with Southcoast Health System physicians to provide hospital-based pediatric services for children and families across the South Coast region, centered at St. Luke's Hospital in New Bedford. Boston Children's pediatricians provide 24/7-onsite pediatric care working with local physicians in pediatrics, family medicine and emergency medicine. A Boston Children's onsite Medical Director is responsible for medical oversight, development and coordination of the Southcoast hospital-based pediatric care. Additionally, remote pediatric consultative services are available to the Emergency Departments at Charlton Memorial Hospital in Fall River and Tobey Hospital in Wareham.Improve Care in the Community: The Community Asthma Initiative (CAI) has helped to improve the health of nearly 1,000 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 asthma-related hospitalizations by 80%, emergency department visits by 51%, missed schools days by 41%, and missed work days for parents or caregivers by 42%.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	340818000	Expense
Grants	0	Grants
Revenue	154777000	Revenue
Description	RESEARCH:Boston Children's is dedicated to enhancing the wellbeing of children and families by leading research and innovation around child health issues, and by seeking new approaches to the prevention, diagnosis and treatment of childhood and adult diseases.With over $244 million in annual funding and 800,000 square feet of space, Boston Children's is home to the world's largest and most active research enterprise at a pediatric center. Boston Children's research mission encompasses basic research, clinical research, community service programs and the postdoctoral training of new scientists. While the National Institutes of Health is our largest sponsor, Boston Children's has made a significant investment of more than $23 million towards supporting its research activities in 2013. 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:New surgical glue for heart procedures: Congenital heart defects are difficult to treat because most current therapies are invasive and it is difficult to safely secure devices inside the heart; sutures can cause stress on already fragile heart tissue and available clinical adhesives are either toxic or wash out when exposed to blood. Researchers at Boston Children's teamed up with Brigham and Women's Hospital and the Massachusetts Institute of Technology to develop a non-toxic adhesive that can rapidly attach biodegradable patches inside a beating heart in the exact place where holes, like ventricular heart defects, form. Injectable oxygen that gives patients air and clinicians time: The brain is the most sensitive organ to low oxygen delivery. Even if a patient is revived, just a few minutes without sufficient oxygen delivery to the brain can cause irreparable damage. A physician in Boston Children's Cardiac Intensive Care Unit led a team that created tiny particles filled with oxygen gas which, when mixed with liquid, could be injected directly into the blood. In an emergency, the injectable oxygenated liquid developed at Boston Children's can buy clinicians the time they need to start life-saving therapies.Shrinking MEG (Magnetoencephalography) imaging technology to fit infant populations: Two Boston Children's physicians are the architects behind Baby MEG, the country's first whole-head MEG system designed for newborns and infants. Like MEG systems currently used for older patient populations, Baby MEG uses highly sensitive, helium-cooled magnetometers to record map the magnetic fields created by the brain's activities. Unlike other MEG systems however, Baby MEG will be able to produce imaging data with unprecedented spatial resolution because it is loaded with extra sensors; 375 compared with the 300 typically found on MEG systems. Software designed by Boston Children's and Massachusetts General Hospital's Martinos Center will also allow clinicians to view the data in real time. And because MEG systems are less hampered by soft tissue swelling, Baby MEG will advance research into a wide range of disorders in newborns including epilepsy and Cerebral Palsy.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	31979140	Expense
Grants	0	Grants
Revenue	18014365	Revenue
Description	TEACHING:Over the course of the year, 134 residents, 292 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 6 in the country, and Medical Biochemical Genetics is one of 12 in the country.	Description

Activity Other ActivityOther (3 entries)

DescriptionDescription	ExpenseExpense	GrantsGrants	RevenueRevenue
Community:Over 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, the hospital 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 what the community needs. 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 clearly impact health such as violence, employment and education. In all these endeavors, Boston Children's priorities are aligned with those of the City of Boston, the Boston Public Health Commission, the Boston Public Schools as well as other key partners and city agencies.Understanding community needsTo better understand current health needs in our community, Boston Children's conducts a comprehensive needs assessment every three years. The findings inform the direction of the hospital's community mission and the scope of its community health work. It also helps to ensure that Boston Children's is utilizing resources and leveraging community partnerships in the most effective way.Our most recent assessment was conducted during 2013. The assessment focused on Boston and specifically children an d families living in our four priority neighborhoods-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 and its Center for Collaborative Community Research (C-CORE). The study engaged over 2,100 parents from across Boston through a phone survey. It provided new perspectives from parents regarding their child's health.The heart of Boston Children's assessment is direct 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.The health needs and issues identified through our process are addressed through the hospital's clinical care, services and programs and in collaboration with community partners. For a copy of the Community Health and Benefits Plan, visit bostonchildrens.org/community.Ongoing assessmentA formal and comprehensive needs assessment is only one part of Boston Children's approach to understanding the complex health needs and vital resources within the community. Boston Children's is constantly listening and learning from patient families, community leaders and staff. The staff rely on ongoing conversations with the hospital's key partners-community health centers and community-based organizations, as well as the Boston Public Health Commission and the Boston Public Schools.Through the Community Advisory Board (CAB), which meets on a quarterly basis, the hospital has a direct link to expertise on Boston neighborhoods, community organizations and current health needs. The CAB is instrumental in providing feedback throughout the year and in the development and execution of Boston Children's formal assessment process. This feedback from experts, community leaders and partners as well as the CAB 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. Over 30% of patients are insured through Medicaid. Boston Children's is also 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 area-asthma, obesity, mental health and child development-and developed a programmatic response to each. Community programs are focused where the hospital has clinical expertise, resources and partnerships to make a difference. The hospital's strategy for improving community health aims to: 1) address the most pressing health needs of children and families; 2) provide services through program 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) has helped to improve the health of nearly 1,000 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 asthma-related hospitalizations by 80%, emergency department visits by 51%, missed schools days by 41%, and missed work days for parents or caregivers by 42%.- Children's Hospital Neighborhood Partnerships Program (CHNP) is our community mental health program. CHNP places clinicians in Boston schools and community health centers to provide a comprehensive array of mental health services, reaching more than 2,000 children and adolescents in school settings. CHNP has increased access to mental health services by helping students in participating schools receive therapy services in an average of 7 days, compared to 42 days in outpatient settings.- 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 63% 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 details on the programs mentioned above visit, bostonchildrens.org/community Supporting and working with community partnersBoston Children's has relationships with a wide 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 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 13 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 FY13, 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 22 schools in the district. Healthy Family Fun events engage families and children to learn more about healthful eating and physical activity. The plan is to reach over 5,600 participants during the 2013-2014 school year. Boston Public Health CommissionBoston Children's has been a longtime partner with the BPHC, working together on pressing health issues and supporting efforts to help children, adolescents and young adults, including:- A new 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 develop programs, services and research to improve health outcomes for children.- The second part of the study will be released later in 2014 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 resulted in the formation of an internal Healthy Hospital Workgroup.- This group has recommended and implemented changes to help improve the healthy environment at Boston Children's for patients, families and staff.Community Health CentersBoston Children's supports ten community health centers to: 1) build capacity to provide a full range of services in order to position them as part of providing an effective medical home 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 an estimated 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 how they can expand the range of services delivered, serving as part of the patient-centered medical home.After evaluating access to primary care services, Boston Children's decided to transform its Martha Eliot Health Center into a center focused solely on serving children and adolescents. This transition occurred during 2013 and adult patients were transferred to partners in the Boston area accepting new adult patients. Boston Children's continues to focus on addressing the care and social needs of children and families in the area. The hospital is also working to increase access to pediatric, adolescent and mental health services through Boston Children's at Martha Eliot. 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 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 provide community support and ensure a diverse workforce is the recruitment and retention of Boston residents as employees. The hospital's comprehensive workforce development efforts are in partnership with local organizations such as Sociedad Latina, Fenway Community Development Corporation and Jewish Vocational Services. Boston Children's also supports the pipeline of health care workers by exposing youth to careers in the health field. Programs include SCOOP for students interested in nursing careers and the COACH program, which provides opportunities for high school students to work at the hospital during the summer. - Partnering to support the health care infrastructure. 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. 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. Our 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' 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.
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 CHMC 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 CHMC 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 CHMC 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 over 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 issue 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.	7170845	0	0

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	7170845	TotalOfOtherProgramServiceExp
Total Program Service Expense	1153505105	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	1	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	859	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	11390	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	1	NonDeductibleContributions
Non Deductible Disclosure	1	NonDeductibleDisclosure
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	1	Form8282PropertyDisposedOf
Number Of8282 Filed	1	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Douglas Vanderslice	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6173557312	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02115	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (54 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Stephen Karp
Trustee - Chairman	5.00	5.00	X	0	0	0
Douglas Berthiaume
Trustee - Vice Chair	2.00	2.00	X	0	0	0
Allan Bufferd
Trustee	1.00	1.00	X	0	0	0
Kevin Churchwell MD
EVP & COO/Noncomp Trustee	55.00	5.00	X	0	0	0
Gary Fleisher MD
Trustee, ex officio	1.00	1.00	X	0	0	0
William Harmon MD
Trustee, ex officio	1.00	1.00	X	0	0	0
Winston Henderson
Trustee	1.00	1.00	X	0	0	0
Mira Irons MD
Trustee,ex officio (thru 9/1/13)	1.00	1.00	X	0	0	0
James Kasser MD
Trustee,ex officio	1.00	1.00	X	0	0	0
Harvey Lodish PhD
Trustee	1.00	1.00	X	0	0	0
Gary Loveman
Trustee	1.00	1.00	X	0	0	0
Ralph C Martin
Trustee	1.00	1.00	X	0	0	0
Thomas Melendez
Trustee	1.00	1.00	X	0	0	0
Robert A Smith
Trustee	1.00	1.00	X	0	0	0
Robert Smyth
Trustee	1.00	1.00	X	0	0	0
Eileen Sporing MSNRN
CNO/Noncomp Trustee (thru 5/1/13)	55.00	5.00	X	537722	0	50979
Alison Taunton-RigbyPhD
Trustee	1.00	1.00	X	0	0	0
Ann Thornburg
Trustee (thru 7/1/13)	1.00	1.00	X	0	0	0
Marc B Wolpow
Trustee	1.00	1.00	X	0	0	0
Laura J Wood DNP MS RN
CNO/Noncomp Trustee	55.00	5.00	X	0	0	0
Gregory Young MD
Trustee	1.00	1.00	X	0	0	0
James Mandell MD
CEO/Noncomp Trustee,ex officio	55.00	6.00	X	1408715	0	64818	X
Sandra Fenwick
President & COO, Noncomp Trustee	55.00	5.00	X	968767	0	54896	X
Bruce Balter
Acting Treasurer/Dir Corp Finance	55.00	5.00		227634	0	51615	X
Stuart Novick Esq
General Counsel & Secretary	55.00	8.00		639535	0	55214	X
Dianne Hatfield
Asst Secretary/Exec Asst	55.00	5.00		93501	0	27001	X
Douglas Vanderslice
CFO (from 1/28/13)	55.00	8.00		0	0	0	X
Demosthenes Argys
SVP, & Chief Administrative Officer	55.00	5.00		538962	0	48678		X
Patricia BranowickiRN
VP, Medicine Patient Svc	55.00	5.00		274203	0	45285		X
Carleen Brunelli PhD
VP, Research Administration	55.00	5.00		366524	0	44699		X
M Laurie Cammisa
VP, Child Advocacy	55.00	5.00		340327	0	36532		X
Margaret Coughlin
SVP & Chief Marketing Offi	55.00	5.00		443192	0	42664		X
Naomi Fried
Chief Innovation Officer	55.00	5.00		279334	0	25353		X
Joshua Greenberg
VP, Government Relations	55.00	5.00		309118	0	44737		X
Patricia HickeyPhDMBA
VP, Crit. Care Pat. Svc	55.00	5.00		313494	0	41487		X
Man Wai Ng DDS MPH
Chief, Dentistry	55.00	5.00		313330	0	49418		X
Daniel Nigrin MD
SVP & Chief Information Officer	55.00	5.00		523540	0	46755		X
Scott Ogawa
Chief Technology Officer	55.00	5.00		317415	0	36512		X
Philip Rotner
Chief Investment Officer	55.00	5.00		856745	0	51766		X
Susan Shaw MS RN
Dir., Clinical Operations	55.00	5.00		284235	0	49556		X
Inez Stewart
VP, Human Resources	55.00	5.00		438744	0	48603		X
Lynn Susman
President, Children's Hospital Trust	55.00	5.00		536471	0	55441		X
Henry Tomasuolo
VP, Support Services	55.00	5.00		361624	0	46908		X
Wendy Warring
SVP, Network Development	55.00	5.00		598613	0	32787		X
Charles Weinstein
VP, RE Planning & Developm	55.00	5.00		476171	0	53141		X
Orah Platt MD
Chief, Lab Medicine	55.00	5.00		469967	0	37829		X
David Demaso MD
Chief, Psychiatry	55.00	5.00		338226	0	38033		X
Nader Rifai PhD
Director, Chemistry	55.00	0.00		613585	0	50176			X
Carlo Brugnara MD
Director, Hematology	55.00	0.00		421999	0	49822			X
Clifford Woolf MB BChPhD
Director, Neurology	55.00	0.00		398495	0	49954			X
Robert D'Amato MD
Research Associate	55.00	0.00		331228	0	32326			X
John Baci
Director, Pathology	55.00	0.00		327477	0	48422			X
David Kirshner
Former Sr. VP & CFO	55.00	0.00		974681	0	22460				X
Michelle Davis
Former VP, Public Affairs	55.00	5.00		164760	0	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	15488334	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1433867	TotalOtherCompensation
Number Individuals GT100 K	1432	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Walsh Brothers Inc
210 Commercial Street	Boston	MA	02109	Construction Services	45946571
The Brigham and Women's Hospital
75 Francis Street	Boston	MA	02115	Healthcare/Research Services	9967240
Turner Construction Company
Two Seaport Lane	Boston	MA	02210	Construction Services	8579273
Harvard Vanguard Medical Associates
275 Grove Street	Newton	MA	02466	Healthcare Service	8280000
Wise Construction
21 East Street	Winchester	MA	01890	Construction Services	7516877

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	202	NumberOfContractorsGT100K
Federated Campaigns	13834	FederatedCampaigns
Fundraising Events	4110909	FundraisingEvents
Government Grants	198547108	GovernmentGrants
All Other Contributions	133965220	AllOtherContributions
Noncash Contributions	13722319	NoncashContributions
Total Contributions	336637071	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Svc Revenue	621110	957016999	957016999
Prog Svc Grants	621110	31362916	31362916
Graduate Medical Educa	611710	18014365	18014365
Prof Svc Revenue	621110	1426907	1426907
Lab Revenue	621500	106548		106548

Field	Value	IRS element (for citing)
Total Program Service Revenue	1007927735	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7082611	TotalRevenueColumn
Unrelated Business Revenue	18279	UnrelatedBusinessRevenue
Exclusion	$7,064,332	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1551955	TotalRevenueColumn
Exclusion	$1,551,955	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	14334833	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	14334833	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	14334833	TotalRevenueColumn
Exclusion	$14,334,833	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	392937361	Securities
Other	77786	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	351042766	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	41894595	Securities
Other	77786	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	41972381	TotalRevenueColumn
Exclusion	$41,972,381	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	1022060	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	4110909	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	1567947	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-545887	TotalRevenueColumn
Exclusion	-$545,887	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	334095	GrossIncomeGaming
Gaming Direct Expenses	49412	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	284683	TotalRevenueColumn
Exclusion	$284,683	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Other General Services	900099	21211809	$21,211,809
Parking Revenue	812930	6186098	$6,186,098
Cafeteria Sales	722210	4469203	$4,469,203

Field	Value	IRS element (for citing)
Total Other Revenue	31867110	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1441112492	TotalRevenueColumn
Related Or Exempt Function Income	1007821187	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	124827	UnrelatedBusinessRevenue
Exclusion	$96,529,407	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2032810	Total
Program Services	2032810	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	1058263	Total
Program Services	1058263	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	13436816	Total
Program Services	739566	ProgramServices
Management And General	11988205	ManagementAndGeneral
Fundraising	709045	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	569749824	Total
Program Services	502845214	ProgramServices
Management And General	54901016	ManagementAndGeneral
Fundraising	12003594	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	32239126	Total
Program Services	30985757	ProgramServices
Management And General	240828	ManagementAndGeneral
Fundraising	1012541	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	67480062	Total
Program Services	65341358	ProgramServices
Management And General	410941	ManagementAndGeneral
Fundraising	1727763	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	45762280	Total
Program Services	43983168	ProgramServices
Management And General	341847	ManagementAndGeneral
Fundraising	1437265	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	5361063	Total
Management And General	5361063	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2413695	Total
Management And General	2396940	ManagementAndGeneral
Fundraising	16755	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1074608	Total
Management And General	1074608	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	56620	Total
Program Services	56620	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	1514933	Total
Fundraising	1514933	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	134456075	Total
Program Services	106649230	ProgramServices
Management And General	27806845	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4260467	Total
Program Services	4036148	ProgramServices
Management And General	224319	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	29744174	Total
Program Services	15140842	ProgramServices
Management And General	10167049	ManagementAndGeneral
Fundraising	4436283	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	41279305	Total
Management And General	40805946	ManagementAndGeneral
Fundraising	473359	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	79469823	Total
Program Services	77537475	ProgramServices
Management And General	921211	ManagementAndGeneral
Fundraising	1011137	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	5547107	Total
Program Services	4607291	ProgramServices
Management And General	867399	ManagementAndGeneral
Fundraising	72417	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1733116	Total
Program Services	976394	ProgramServices
Management And General	691950	ManagementAndGeneral
Fundraising	64772	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	27721128	Total
Program Services	27721128	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	95588897	Total
Program Services	94796393	ProgramServices
Fundraising	792504	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4433021	Total
Program Services	2248843	ProgramServices
Management And General	2184178	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Lab/Medical/Pharmacy	129735877	129735877
Uncollecible Accts	20723421	20723421
Free Care	14394514	14394514
Uncompensated Care	7894793	7894793

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1339161818	Total
Program Services	1153505105	ProgramServices
Management And General	160384345	ManagementAndGeneral
Fundraising	25272368	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	-1	BOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2758182	BOY
EOY	626167	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	141908377	BOY
EOY	170056900	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	147017285	BOY
EOY	152885784	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13600355	BOY
EOY	13468461	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7160623	BOY
EOY	10028709	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2120972815	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1207394265	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	835344434	BOY
EOY	913578550	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	418564746	BOY
EOY	505545054	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	532642336	BOY
EOY	543117336	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1599019234	BOY
EOY	1717112805	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3698015571	BOY
EOY	4026419766	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	218359878	BOY
EOY	222700118	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	59065613	BOY
EOY	67973092	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	466906527	BOY
EOY	466102994	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	200000000	BOY
EOY	200000000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	339893929	BOY
EOY	227196776	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1284225947	BOY
EOY	1183972980	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1367419032	BOY
EOY	1685520185	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	453963015	BOY
EOY	535413501	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	592407577	BOY
EOY	621513100	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2413789624	BOY
EOY	2842446786	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3698015571	BOY
EOY	4026419766	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	101950674	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	92907041	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	-2234125	ReconcilationPriorAdjustment
Reconcilation Other Changes	236033572	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	1	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$98,305	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$98,120	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$478,575	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	675000	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part IV, Supplemental Information:	Identifier
Explanation	Children's Hospital is a section 501(c)(3) organization whose mission is fourfold - to provide the best possible pediatric health care, combining compassion with advanced technical capabilities; to be the leading source of research and discovery, seeking new approaches to the prevention, diagnosis, and treatment of childhood diseases; to educate the next generation of leadership in child health care; and to provide education and healthcare services to the community. In fulfillment of the above mission, the Hospital advocates on behalf of children and the providers who care for them at the State and Federal levels. Professional staff in the Hospital's Office of Government Relations direct these activities and coordinate the work of other Hospital staff who support the advocacy efforts on an intermittent basis. The Hospital has also sent correspondence to and met directly with 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 2013, five Office of Government Relations staff members registered with the State as lobbyists, dedicating a portion of their time to lobbying activities. In accordance with state lobbying laws, the Hospital also registered its CEO and its President as lobbyists, although their 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 2013 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 $35,727 Maria Fernandes Registered Lobbyist Children's Hospital personnel $19,901 Amy DeLong Registered Lobbyist Children's Hospital personnel $50,387 Sandra Fenwick Registered Lobbyist Children's Hospital personnel $7,545 Melissa Shannon Children's Hospital personnel $42,394 Kathryn Audette Children's Hospital personnel $19,618 Ann Langley Consultant Health Policy Strategies 728 Battery Place, Alexandria, VA 22314 $21,620 Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $35,000 Total Lobbyist/Consultant Expenses = $478,575 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $98,308 Grant to Nat'l Assoc of Children's Hospitals for GME - Related Lobbying Expense = $98,120 TOTAL LOBBYING EXPENSES = $675,000 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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	828961000	BeginningOfYearBalance
Contributions	23140000	Contributions
Investment Earnings Or Losses	75015000	InvestmentEarningsOrLosses
Other Expenditures	32132000	OtherExpenditures
End Of Year Balance	894984000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	712896000	BeginningOfYearBalance
Contributions	54490000	Contributions
Investment Earnings Or Losses	87370000	InvestmentEarningsOrLosses
Other Expenditures	25795000	OtherExpenditures
End Of Year Balance	828961000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	567567000	BeginningOfYearBalance
Contributions	192306000	Contributions
Investment Earnings Or Losses	-11529000	InvestmentEarningsOrLosses
Other Expenditures	35448000	OtherExpenditures
End Of Year Balance	712896000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	474444000	BeginningOfYearBalance
Contributions	63114000	Contributions
Investment Earnings Or Losses	48022000	InvestmentEarningsOrLosses
Other Expenditures	18013000	OtherExpenditures
End Of Year Balance	567567000	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	446887000	BeginningOfYearBalance
Contributions	22139000	Contributions
Investment Earnings Or Losses	25362000	InvestmentEarningsOrLosses
Other Expenditures	19944000	OtherExpenditures
End Of Year Balance	474444000	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.55140	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.27620	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.17240	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	399348	OtherCostOrOtherBasis
Book Value	399348	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1318625724	OtherCostOrOtherBasis
Depreciation	713192961	Depreciation
Book Value	605432763	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	620487554	OtherCostOrOtherBasis
Depreciation	488932205	Depreciation
Book Value	131555349	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	181460189	OtherCostOrOtherBasis
Depreciation	5269099	Depreciation
Book Value	176191090	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	913578550	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (47 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Wellington - Trust	15787323	F
Wellington - Energy	315065	F
Brookside Capital	3025112	F
Lone Pine Capital	10818705	F
Lone Pinon	3880296	F
Standard Pacific	458559	F
Highfields Capital	41534728	F
Sankaty	6352804	F
Davidson Kempner	41158825	F
King Street	54641996	F
Baupost	52302826	F
Fidelity International Stock	23828683	F
Fidelity Notes Payable	2143574	F
Bain IX Fund	6565596	F
Bain X Fund	4830625	F
Bain Arc	15649486	F
Old Lane	20387	F
SPUR Ventures	4949551	F
Lone Cascade	33412815	F
Wellington - Emerging Small Cap	19758981	F
Wellington - Real Asset	17458486	F
Wellington - Diversified Hedge	5963622	F
Walter Scott	22624790	F
MIT Private Equity Fund	22066003	F
Energy Capital Partners	8445995	F
SDK Capital	3554423	F
Matrix China II	1207325	F
Nalanda	5242293	F
Lone Dragon	6710736	F
Somerset	8485719	F
Sankaty COPS Fund V	1712494	F
Matrix India II	372006	F
SequoiaUSGrowFUund V	831582	F
Abrams Capital	15289675	F
Bain Venture	394237	F
Golden Gate Capital	3167317	F
Crosslink Capital	2954432	F
Sequoia Capital Global Equities	8780418	F
Steadfast	9793570	F
Sequoia China Venture Fund IV	138288	F
Convexity	30233348	F
Westbrook	444879	F
Lone Star Fund	182713	F
Riverstone	977974	F
Park West Investors Ltd	7096320	F
Deccan Value	14179021	F
Wellington EM Opportunities	3373733	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	543117336	TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
Unamortized Bond Issuance Fees	3605624
Interest in the Net Assets of Children's Medical Center	1692214624
Due from IRS	2742743
Expected Insur Recoveries for Prof Liability Claims	18529814
Other Assets - Miscellaneous	20000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1717112805	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue	$26,995,806
Estimated Insured Professional Liability Losses	$18,529,814
Salary & Other Benefits	$3,145,348
Funds Held for Others	$35,089,100
Reserve for Medical Malpractice	$4,512,734
Other Liabilities - Miscellaneous	$24,050,245
Lease Obligations	$14,807,246
Interest Rate Swap Liability	$100,066,483

Field	Value	IRS element (for citing)
Total Of Amounts	227196776	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	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 $3,323,000 and Contributions of $19,817,000.
Description of Uncertain Tax Positions Under FIN 48:	Part X, Line 2:	Part X, Line 2: There is no FIN 48 footnote in the organization's audited financial statements.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (11 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
Central America & the Caribbean	Program Services	Patient Care, Research & Education	24289
East Asia & The Pacific	Program Services	Patient Care, Research & Education	139762
Europe	Program Services	Patient Care, Research & Education	636612
Middle East and North Africa -	Program Services	Patient Care, Research & Education	181746
North America	Program Services	Patient Care, Research & Education	112963
South America	Program Services	Patient Care, Research & Education	81993
South Asia	Program Services	Patient Care, Research & Education	29063
Sub-Saharan Africa	Program Services	Patient Care, Research & Education	179617
Central America & the Caribbean	Investment		23000
Central America & the Caribbean	Insurance		1995981
Russia & the Newly Independent States -	Program Service	Patient Care, Research & Education	15743

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	1386045	SubtotalAmountSpent
Cont Amount Spent	2034724	ContAmountSpent
Total Amount Spent	3420769	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	1	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants Outside the U.S.:	Identifier
Explanation	Schedule F, Part I, Line 2: Children's Hospital's employees may travel outside the United States to support its missions in pediatric patient care, education, research, and community services. Business travel, on behalf of Children's Hospital, must follow the Hospital's Travel Policy. The traveler must complete a Travel Expense Report (TER) form, and provide original itemized receipts as supporting documentation. TER form approval is the responsibility of the Manager of the Department/Director/VP in which that activity is budgeted and expensed. In addition, the Department Manager/Principal Investigator/Director/VP is responsible for: - Ensuring that the travel policy and procedures are clearly communicated to all authorized travelers. - Ensuring compliance with all CHB 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.	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	1	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	ActivityActivity	Fundraiser Control Of FundsFundraiserControlOfFunds	Gross ReceiptsGrossReceipts	Amount Retained By ContractorAmountRetainedByContractor	Net To OrganizationNetToOrganization	Name Of IndividualNameOfIndividual
Advanced Marketing Direct
99 Thielman Drive	Buffalo	NY	14206	Direct mail creative & management	0	1053633	965281	88352
Chartiy Dynamics
3420 Executive Center Drive	Austin	TX	78731	Donor Survey	0	0	123796	-123796
Event 360
820 W Jackson Boulevard Ste 800	Chicago	IL	60607	Fundraising Counsel	0	0	50196	-50196
Marts & Lundy
370 Lexington Avenue	New York	NY	10017	Fundraising Counsel	0	0	191066	-191066
(no name)
14 Baskin Road	Lexington	MA	02421	Fundraising Counsel	0	0	106402	-106402	Eve K Nichols
Perrone Group
45 Braintree Hill Office Park Ste	Braintree	MA	02184	Direct mail creative & management	0	0	78192	-78192

Field	Value	IRS element (for citing)
Total Gross Receipts	1053633	TotalGrossReceipts
Total Retained By Contractors	1514933	TotalRetainedByContractors
Total Net To Organization	-461300	TotalNetToOrganization
Licensed States	CT	LicensedStates
Licensed States	RI	LicensedStates
Licensed States	NH	LicensedStates
Licensed States	VT	LicensedStates
Licensed States	ME	LicensedStates
Licensed States	FL	LicensedStates
Licensed States	NY	LicensedStates
Licensed States	NJ	LicensedStates
Licensed States	NV	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Dinner/Auction	NameOfEvent1
Gross Receipts Event1	3247196	GrossReceiptsEvent1
Charitable Contributions Event1	2334273	CharitableContributionsEvent1
Gross Revenue Event1	912923	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	0	NonCashPrizesEvent1
Rent Facility Costs Event1	0	RentFacilityCostsEvent1
Food And Beverage Event1	260741	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	697336	OtherDirectExpensesEvent1
Name Of Event2	Investment Conference	NameOfEvent2
Gross Receipts Event2	1216699	GrossReceiptsEvent2
Charitable Contributions Event2	1194649	CharitableContributionsEvent2
Gross Revenue Event2	22050	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	6560	RentFacilityCostsEvent2
Food And Beverage Event2	63939	FoodAndBeverageEvent2
Entertainment Event2	0	EntertainmentEvent2
Other Direct Expenses Event2	54294	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	669074	GrossReceiptsOtherEvents
Charitable Contrib Other Events	581987	CharitableContribOtherEvents
Gross Revenue Other Events	87087	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	0	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	33000	RentFacilityCostsOtherEvents
Food And Beverage Other Events	195122	FoodAndBeverageOtherEvents
Entertainment Other Events	9600	EntertainmentOtherEvents
Other Direct Expenses Other Events	247355	OtherDirectExpensesOtherEvents
Gross Receipts Total	5132969	GrossReceiptsTotal
Charitable Contributions Total	4110909	CharitableContributionsTotal
Gross Revenue Total Events	1022060	GrossRevenueTotalEvents
Rent Facility Costs Total Events	39560	RentFacilityCostsTotalEvents
Food And Beverage Total Events	519802	FoodAndBeverageTotalEvents
Entertainment Total Events	9600	EntertainmentTotalEvents
Other Direct Expenses Total Events	998985	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	1567947	DirectExpenseSummaryEvents
Net Income Summary	-545887	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	334095	GrossRevenueOtherGaming
Cash Prizes Other Gaming	0	CashPrizesOtherGaming
Non Cash Prizes Other Gaming	0	NonCashPrizesOtherGaming
Rent Facility Costs Other Gaming	500	RentFacilityCostsOtherGaming
Other Direct Expenses Other Gaming	48912	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	0.69000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	334095	GrossRevenueTotalGaming
Rent Facility Costs Total Gaming	500	RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming	48912	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	49412	DirectExpenseSummaryGaming
Net Gaming Income Summary	284683	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	MA	StatesWhereGamingConducted
Licensed	1	Licensed
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	0	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Own Facility	0.00000	PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility	1.00000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	Douglas Vanderslice Sr Vice Presi	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Ave	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02115	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	Ethridge King	GamingManagerNamePerson
Gaming Manager Compensation	0	GamingManagerCompensation
Gaming Manager Services Provided	Mr. King, Dir. of Devlopmnt Svc at Children's, was not compensated as a gaming manager. His job includes overseeing any fundraising gaming operations.	GamingManagerServicesProvided
Gaming Manager Is Employee	X	GamingManagerIsEmployee
Charitable Distrib Required	0	CharitableDistribRequired
Amount Distributed	0	AmountDistributed

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	0	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16554964	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3849996	DirectOffsettingRevenue
Net Community Benefit Expense	12704968	NetCommunityBenefitExpense
Percent Of Total Expense	0.00960	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	245541054	TotalCommunityBenefitExpense
Direct Offsetting Revenue	179040695	DirectOffsettingRevenue
Net Community Benefit Expense	66500359	NetCommunityBenefitExpense
Percent Of Total Expense	0.05040	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	262096018	TotalCommunityBenefitExpense
Direct Offsetting Revenue	182890691	DirectOffsettingRevenue
Net Community Benefit Expense	79205327	NetCommunityBenefitExpense
Percent Of Total Expense	0.06000	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5297407	TotalCommunityBenefitExpense
Net Community Benefit Expense	5297407	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	31979140	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5879122	DirectOffsettingRevenue
Net Community Benefit Expense	26100018	NetCommunityBenefitExpense
Percent Of Total Expense	0.01980	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20480429	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16966170	DirectOffsettingRevenue
Net Community Benefit Expense	3514259	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	340818000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	154777000	DirectOffsettingRevenue
Net Community Benefit Expense	186041000	NetCommunityBenefitExpense
Percent Of Total Expense	0.14110	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2048700	TotalCommunityBenefitExpense
Net Community Benefit Expense	2048700	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	400623676	TotalCommunityBenefitExpense
Direct Offsetting Revenue	177622292	DirectOffsettingRevenue
Net Community Benefit Expense	223001384	NetCommunityBenefitExpense
Percent Of Total Expense	0.16920	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	662719694	TotalCommunityBenefitExpense
Direct Offsetting Revenue	360512983	DirectOffsettingRevenue
Net Community Benefit Expense	302206711	NetCommunityBenefitExpense
Percent Of Total Expense	0.22920	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	36	NumberOfActivitiesOrPrograms
Total Community Building Expense	1355387	TotalCommunityBuildingExpense
Net Community Building Expense	1355387	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Total Community Building Expense	518051	TotalCommunityBuildingExpense
Net Community Building Expense	518051	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	48	NumberOfActivitiesOrPrograms
Total Community Building Expense	1873438	TotalCommunityBuildingExpense
Net Community Building Expense	1873438	NetCommunityBuildingExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$7,641,355	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	10294415	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	10181848	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	112567	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 None	BusinessNameLine1

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Boston Children's Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02115	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Childrens Hospital	X	ChildrensHospital
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Boston Children's Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	1	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	0	UsesFPGDiscounted
Explains Basis	1	ExplainsBasis
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	5	NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Children's Hospital Boston-At Waltham
9 Hope Ave	Waltham	MA	02453	Outpatient Satellite Facility
Children's Hospital at Lexington
482 Bedford Street	Lexington	MA	02173	Outpatient Satellite Facility
Martha Eliot Health Center
75 Bickford Street	Boston	MA	02130	Outpatient Community Health Center
Children's Hospital at Peabody
1 Essex Center Drive	Peabody	MA	01960	Outpatient Satellite Facility
Children's Clinics at 333 Longwood Ave
333 Longwood Avenue	Boston	MA	02115	Outpatient Pediatric Clinic

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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 accrssed 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, L7 Col(f): The total bad debt expense of $20,723,421 is included in Form 990, Part IX, line 25 column (A), but subtracted for purposes of calculating the percentage in this column.
Part II: In FY13, Children's reported two types of community building activities: $1,355,387 for 36 community support programs and $518,051 for community health improvement advocacy. Children's community building activities are designed specifically to address heath 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 www.childrenshospital.org/community.
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 changes 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 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 Hospital
Part V, Section B, Line 5c: 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 Hospital
Part 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 Hospital
Part 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 Hospital
Part 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 Hospital
Part 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 patient with applying for programs to cover medical expenses.	Boston Children's Hospital
Part 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.	Boston Children's Hospital
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/community.
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 level. 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 person voluntary Board of Trustees. Sixteen 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.
MA	Reports Filed With States	Part VI, Line 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (31 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant
Health Resources In Action
622 Washington Street	Dorchester	MA	02124	042229839	501(c)(3)	91000	FMV	Community Partnership
Boston Public Health Commission
1010 Massachusetts Ave	Boston	MA	02118	043316655	115	500000	FMV	Community Partnership
Boston Public Schools
26 Court St 6th Fl	Boston	MA	02108	222514422	115	105735	FMV	Community Partnership
Bowdoin Street Health Center Inc
230 Bowdoin Street	Boston	MA	02122	042529788	501(c)(3)	65000	FMV	Support of Community Health Center
Brigham & Women's Hospital Inc
75 Francis Street	Boston	MA	02115	042312909	501(c)(3)	150000	FMV	Support of Brookside Community Health Center
The Dimock Center
55 Dimock Street	Roxbury	MA	02119	043487835	501(c)(3)	110000	FMV	Community Partnership
Fenway Community Development Corporation
73 Hemenway Street	Boston	MA	02115	042666507	501(c)(3)	38000	FMV	Community Partnership
Project RIGHT
320 A Blue Hill Avenue	Dorchester	MA	02121	043265420	501(c)(3)	60000	FMV	Advocacy Support
Joseph M Smith Community Health Center Inc
287 Western Avenue	Allston	MA	02134	237221597	501(c)(3)	80000	FMV	Support for the Community Health Canter
Community Service Care Inc
295 Center Street	Jamaica Plain	MA	02130	042754281	501(c)(3)	64650	FMV	Community Partnership - JP Coalition
Mattapan Community Health Center
1425 Blue Hill Ave	Mattapan	MA	02426	042544151	501(c)(3)	42500	FMV	Support of the Community Health Center
Roxbury Comprehensive Community Health Center Inc
35 Warren Street	Roxbury	MA	02119	042501921	501(c)(3)	80000	FMV	Support of the Community Health Center
YMCA of Greater Boston inc
316 Huntington Avenue	Boston	MA	02115	042103551	501(c)(3)	58975	FMV	Community Partnership - Roxbury YMCA
Sociedad Latina Inc
1530 Tremont Street	Roxbury	MA	02120	042678255	501(c)(3)	35250	FMV	Community Partnership
South Cove Community Health Center Inc
145 South Street	Boston	MA	02111	042501818	501(c)(3)	83000	FMV	Support of the Community Health Center
South End Community Health Center Inc
1601 Washington Street	Boston	MA	02118	042456134	501(c)(3)	107500	FMV	Support of the Community Health Center
Upham's Corner Community Center Inc
500 Columbia Road	Dorchester	MA	02125	042708670	501(c)(3)	70000	FMV	Support of the Community Health Center
Whittier Street Health Center Committee Inc
1125 Tremont Street	Roxbury	MA	02120	042619517	501(c)(3)	82500	FMV	Support of the Community Health Center
Associated Early Care and Education Inc
95 Berkeley Street Suite 306	Boston	MA	02116	042105893	501(c)(3)	33400	FMV	Community Partnership
Massachusetts League of Community Health Centers
40 Court Street 10th Floor	Boston	MA	02108	042507409	501(c)(3)	5000	FMV	Community Partnership
Mission Hill Youth Collaborative
1481 Tremont Street	Boston	MA	02120	043103865	501(c)(3)	5000	FMV	Community Partnership
Greater Boston Chamber of Commerce
265 Franklin Street	Boston	MA	02110	041103090	501(c)(6)	15050	FMV	Community Partnership
The Hyde Square Task Force Inc
375 Centre Street	Jamaica Plain	MA	02130	043118543	501(c)(3)	15000	FMV	Community Partnership
Action for Boston Community Development
178 Tremont Street	Boston	MA	02111	042304133	501(c)(3)	5000	FMV	Community Partnership
Girl's LEAP
197A Centre Street	Dorchester	MA	02124	043454124	501(c)(3)	6000	FMV	Community Partnership
Jamaica Plain Neighborhood Development Corp
31 Germania Street	Jamaica Plain	MA	02130	042652919	501(c)(3)	10000	FMV	Community Partnership
Massachusetts Public Health Association
101 Tremont Street	Boston	MA	02108	042326503	501(c)(3)	7500	FMV	Community Partnership
Alternatives for Community & Environment Inc
2181 Washington Street	Roxbury	MA	02119	043228509	501(c)(3)	10000	FMV	Community Partnership
Smart from the Start Inc
68 Annunciation Road	Boston	MA	02120	454952663	501(c)(3)	51750	FMV	Community Partnership
Spontaneous Celebrations Inc
45 Danforth Street	Jamaica Plain	MA	02130	013253364	501(c)(3)	10000	FMV	Community Partnership
United Way of Massachusetts Bay & Merrimack Valley
51 Sleeper Street	Boston	MA	02210	042382233	501(c)(3)	35000	FMV	Community Partnership

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	29	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (15 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
Sibylla Orth Young Fund for Student Aid	17	34000	FMV
Nursing Education Scholarship Fund	13	93145	FMV
Joshua T. Shairs Cardiology Fund	3	3000	FMV
Frieze Social Work Fund	372	147456	FMV
Family Resource Center Fund	51	9957	FMV
Kent Street Operating Fund	1080		FMV	346434	Housing Assistance
Devon Nicole House Operating Fund	555		FMV	121408	Housing Assistance
Pet Therapy Program Fund	1087		Other	34653	Theurapeutic dog visits made to inpatients
Brandano Parent Apartment Fund	1385		FMV	56021	Supplies for patient and families
Matthew Puffer Parking Fund	28	2948	FMV
Sandra & Geoffrey Fenwick Family Income Fund	34		FMV	6682	Memorial services and grief conference; room fees & food
Extraordinary Needs Fund I & II	324	126866	FMV
Judith Nelson Operating Fund For Families	1312	7083	FMV
Amos's Endowment/Operating Fund	65		FMV	5540	Memorial services and grief conference; room fees & food
Patient Care Support Services Endowment/Income Fund	27		FMV	63070	Medical Equipment, Skilled Nursing Care, Ambulance Transportation.

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: Children's Hospital provides three types of grants and assistance: (1) Sponsorships, (2) Scholarships, and (3) Assistance Programs. SPONSORSHIPS: Children's supports external strategic partners that enhance Children's role and reputation as (1) a good neighbor; (2) community health partner; (3) civic leader; (4) and an employer of choice. The criteria for Children's funding decisions to the requesting organization are based on the following: 1. a non-profit that promotes careers in healthcare or health services and that Children's has collaborated, or is collaborating, with 2. a non-profit located in and serving Children's target neighborhoods (Fenway, Mission Hill, Jamaica Plain, Roxbury) that address social determinants of health and that Children's has collaborated, or is collaborating, with 3. one of Children's Hospital's affiliated community health centers 4. a citywide non-profit that is a strategic partner in one or more of the Children's primary community health focus areas (asthma, mental health, nutrition/fitness, violence prevention) and that Children's has collaborated, or is collaborating, with 5. a citywide non-profit that is a strategic partner in one or more of Children's secondary community health focus areas (early intervention, early childhood/elementary education,) that Children's has collaborated, or is collaborating, with 6. a business , civic, or advocacy strategic partner that senior management is actively engaged in 7. meets the IRS and the Massachusetts Attorney General's community support or community benefit criteria 8. meets the City of Boston eligibility as a "payment in lieu of taxes' investment Records and copies of sponsorship requests and the resulting grants are kept in paper form in the Office of Child Advocacy. All sponsorships requests are commonly for general operating support. All sponsorship is sent a letter that reiterates the stated use of the grant or assistance and with any Community Partnership Grants, representatives of Children's make site visits to many of the grantees and request end-of-year reports. SCHOLARSHIPS: Children's Hospital offers several scholarship programs to support the educational goals of its employees and/or their immediate families. The Sibylla Orth Young Scholarship is available to employees and their immediate families who have worked at least six months and meet income and grade point average guidelines as well as demonstration of sincere commitment to the healthcare profession. Priority will be given to those pursuing careers in healthcare positions experiencing labor shortages (e.g., radiographer, pharmacy technician, clinical lab technician, nursing). Sibylla Orth Young Scholarship applications are reviewed and maintained by the Office of Learning and Development selection committee. The Nursing Education Scholarship is available to deserving nurses to further his or her education in patient care and the Joshua T. Shairs Cardiology Fund is a scholarship for nurses in the field of cardiology. All nursing scholarship applicants must have worked at least three months, be enrolled in an academic program leading to a degree, demonstrate a commitment to the patient care and be in good standing, both professionally and academically. Scholarships 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 burdens related to financial and support services 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. 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. Amos's Endowment/Operating 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. Judith Nelson Operating Fund For Families - provide support for The CHB Center For Families. Patient Care Support Services Income Fund - cover immediate desperate needs of parents to include medical equipment, skilled nursing care and anmbulance transport. All financial assistance requests are assessed by a social worker. If there appears to be significant financial hardship, the social worker does a financial assessment based on the policies and guidelines for the use of these special funds. Typical requests include assistance with transportation, utilities (a child cannot be discharged without adequate heat, electricity, telephone contact in the home), etc. Each request is reviewed by the Director of the Fund. Checks are not payable to the family, rather a payment may be made directly to the company involved via an invoice from that company, e.g., National Grid. Assessment considerations for Special Fund requests are based on: * Duration of Need * Demographic * Family Status * Income Factors * Clinical Factors * Alternate Resources Available * Funding Limits	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (32 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Eileen Sporing MSNRN
CNO/Noncomp Trustee (thru 5/1/13)	391380	0	84200	0	62142	0	27500	0	23479	0	588701	0	0	0
James Mandell MD
CEO/Noncomp Trustee,ex officio	747225	0	269000	0	392490	0	27500	0	37318	0	1473533	0	0	0
Sandra Fenwick
President & COO, Noncomp Trustee	545176	0	197500	0	226091	0	25000	0	29896	0	1023663	0	0	0
Bruce Balter
Acting Treasurer/Dir Corp Finance	176100	0	14566	0	36968	0	29011	0	22604	0	279249	0	0	0
Stuart Novick Esq
General Counsel & Secretary	415714	0	95000	0	128821	0	27500	0	27714	0	694749	0	0	0
Demosthenes Argys
SVP, & Chief Administrative Officer	385944	0	84200	0	68818	0	20000	0	28678	0	587640	0	0	0
Patricia BranowickiRN
VP, Medicine Patient Svc	232583	0	19202	0	22418	0	28500	0	16785	0	319488	0	0	0
Carleen Brunelli PhD
VP, Research Administration	274798	0	47000	0	44726	0	22500	0	22199	0	411223	0	0	0
M Laurie Cammisa
VP, Child Advocacy	257700	0	44600	0	38027	0	25000	0	11532	0	376859	0	0	0
Margaret Coughlin
SVP & Chief Marketing Offi	315142	0	72000	0	56050	0	17500	0	25164	0	485856	0	0	0
Naomi Fried
Chief Innovation Officer	248374	0	19278	0	11682	0	20775	0	4578	0	304687	0	0	0
Joshua Greenberg
VP, Government Relations	234252	0	40800	0	34066	0	20000	0	24737	0	353855	0	0	0
Patricia HickeyPhDMBA
VP, Crit. Care Pat. Svc	257813	0	19402	0	36279	0	31000	0	10487	0	354981	0	0	0
Man Wai Ng DDS MPH
Chief, Dentistry	318365	0	0	0	-5035	0	27500	0	21918	0	362748	0	0	0
Daniel Nigrin MD
SVP & Chief Information Officer	377354	0	86000	0	60186	0	22500	0	24255	0	570295	0	0	0
Scott Ogawa
Chief Technology Officer	257209	0	19893	0	40313	0	26000	0	10512	0	353927	0	0	0
Philip Rotner
Chief Investment Officer	554606	0	212459	0	89680	0	17500	0	34266	0	908511	0	0	0
Susan Shaw MS RN
Dir., Clinical Operations	235997	0	19884	0	28354	0	31000	0	18556	0	333791	0	0	0
Inez Stewart
VP, Human Resources	333330	0	55500	0	49914	0	22500	0	26103	0	487347	0	0	0
Lynn Susman
President, Children's Hospital Trust	349547	0	134001	0	52923	0	25000	0	30441	0	591912	0	0	0
Henry Tomasuolo
VP, Support Services	272366	0	46285	0	42973	0	20000	0	26908	0	408532	0	0	0
Wendy Warring
SVP, Network Development	415935	0	93300	0	89378	0	17500	0	15287	0	631400	0	0	0
Charles Weinstein
VP, RE Planning & Developm	353869	0	61700	0	60602	0	25000	0	28141	0	529312	0	0	0
Orah Platt MD
Chief, Lab Medicine	429103	0	33575	0	7289	0	27500	0	10329	0	507796	0	0	0
David Demaso MD
Chief, Psychiatry	329930	0	0	0	8296	0	27500	0	10533	0	376259	0	0	0
Nader Rifai PhD
Director, Chemistry	401349	0	208125	0	4111	0	27500	0	22676	0	663761	0	0	0
Carlo Brugnara MD
Director, Hematology	401349	0	27440	0	-6790	0	27500	0	22322	0	471821	0	0	0
Clifford Woolf MB BChPhD
Director, Neurology	406478	0	0	0	-7983	0	27500	0	22454	0	448449	0	0	0
Robert D'Amato MD
Research Associate	333410	0	0	0	-2182	0	27500	0	4826	0	363554	0	0	0
John Baci
Director, Pathology	280458	0	6000	0	41019	0	26002	0	22420	0	375899	0	0	0
David Kirshner
Former Sr. VP & CFO	484849	0	0	0	489832	0	0	0	22460	0	997141	0	388421	0
Michelle Davis
Former VP, Public Affairs	129009	0	0	0	35751	0	0	0	0	0	164760	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Lines 4a-b	Children's Hospital made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contribution amounts are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for employee benefits and not for Children's Hospital Trustee or Officer of the Board services and/or responsibilities. James Mandell, received in 2012, a contribution of $357,994 Sandra Fenwick, received in 2012, a contribution of $193,405 Stuart Novick, received in 2012, a contribution of $109,420 Eileen Sporing, received in 2012, a contribution of $41,018 Demosthenes Argys, received in 2012, a contribution of $40,048 Carleen Brunelli, received in 2012, a contribution of $22,498 M. Laurie Camissa, received in 2012, a contribution of $19,802 Margaret Coughlin, received in 2012, a contribution of $22,000 Joshua Greenberg, received in 2012, a contribution of $12,629 Daniel Nigrin, received in 2012, a contribution of $39,160 Philip Rotner, received in 2012, a contribution of $67,150 Inez Stewart, received in 2012, a contribution of $29,744 Lynn Susman, received in 2012, a contribution of $27,400 Henry Tomasuolo, received in 2012, a contribution of $22,445 Wendy Warring, received in 2012, a contribution of $43,326 Charles Weinstein, received in 2012, a contribution of $32,950 During Calendar Year 2012, Michelle Davis (former Vice President, Public Affairs and Marketing) received severance payments totalling $129,009. During Calendar Year 2012, David Kirshner (former Senior Vice President of Finance & Chief Financial Officer) received severance payments totalling $333,333. David Kirshner received additional severance payments during Calendar Year 2013.
Part III	Part II: Compensation is for executive/employee services; 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 2012 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.	Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MHEFA Revenue Bonds Series M
A	042456011	57586EMT5	2009-11-19	124329713	Purchase of med off bldg, reno & leasehold impr	0	0	0
MHEFA Revenue Bonds Series N
B	042456011	57586EUJ8	2010-05-13	341590000	Refunded Series G, H, I, J & K	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired	Refunding EscrowRefundingEscrow
A	124329713	1829713	122500000	2011	0	0	1	1
B	341590000	2025862			1	0	1	1	339925000	339564138

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	1
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
A	0	1	0	0	0	0	0	0	0
Goldman Sachs
B	0	1	1	0	1	1	0	0	0	Mitsui Marine	30.000000000000	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Schedule K, Part IV, Line 7	Identifier
Return Reference	Arbitrage	ReturnReference
Explanation	Although written procedures did not exist during FY2013, the Hospital monitored and complied with the requirements of section 148. The Organization has since established written procedures.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Waters Corporation
Trustee	110106	Equipment 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 $110,106 for equipment & supplies.	0
CRICO
Director	10158925	InsuranceThe 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	10158925	InsuranceJames Mandell, MD, 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 $10,158,925 to CRICO and RMF for professional, general, and directors and officers insurance coverage.	0
FedEx
Director	416923	ShippingChildren'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 $416,923 for shipping services.	0
Blue Cross Blue Shield of Massachusetts
Director	75489242	InsuranceChildren'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 $75,489,242 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	9681177	Presc 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 $9,681,177 for employee prescription drug plan benefits.	0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	33482	NoncashContribsRptdF990
Method Of Determining Revenues	Mkt Value per Donor	MethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	59	NumberOfContributions
Noncash Contribs Rptd F990	13303355	NoncashContribsRptdF990
Method Of Determining Revenues	Mean Value on Gift Date	MethodOfDeterminingRevenues

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	16	NumberOfContributions
Noncash Contribs Rptd F990	1779	NoncashContribsRptdF990
Method Of Determining Revenues	Mkt Value per Donor	MethodOfDeterminingRevenues

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	14192	NoncashContribsRptdF990
Method Of Determining Revenues	Mkt Value per Donor	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	Travel/Dining	11	95882	Mkt Value per Donor
X	Gift Cert	8	9410	Mkt Value per Donor
X	Misc. Other	55	264219	Mkt Value per Donor

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	1	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Third Party Use:	Part I, Line 32b:	The Hospital uses an event management firm to assist in processing non-cash donations received for an event auction.
Non Reporting of Revenue:	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

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 3	The Organization contracted with Navigant Consulting, Inc. for an Interim Chief Financial Officer for a portion (10/1/12-1/27/13) of the fiscal year.
Form 990, Part VI, Section A, line 6	Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation.
Form 990, Part VI, Section A, line 7a	Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation. The Children's Medical Center Corporation elects the governing body of Children's Hospital Corporation because the Board of Trustees of Children's Hospital Corporation must consist of the persons who serve from time to time as the trustees of The Children's Medical Center Corporation.
Form 990, Part VI, Section A, line 7b	Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation ("the Hospital"). As stated in the Hospital's By Laws, Children's Medical Center Corporation has the powers and rights: - to approve proposed operating and capital budgets of the Hospital; - to approve the sale of all or substantially all of the Hospital's assets; - to approve the establishment of all long-range plans, goals and objectives of the Hospital; - to approve any incurrence of long-term indebtedness by the Hospital; - to set executive compensation.
Form 990, Part VI, Section B, line 11	The 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 12c	The Hospital's conflict of interest policy applies to all trustees, Trust Board members, members of the medical staff and employees of the Hospital. Trustees, chiefs of service and division chiefs, senior 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 15	The 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 19	Form 990, Part VI, Section C, Line 19: The Hospital posts its Code of Conduct (which incorporates the Conflict of Interest Policy) and its Compliance Manual (which includes a summary of the Conflict of Interest Policy) on its external website and these are also available from the Compliance Office or the Office of General Counsel. Governing documents are not posted publicly but are available from the Hospital upon request and are also filed with the Massachusetts Secretary of State, where they are available to the public. Audited financial statements are filed annually with the Massachusetts Office of the Attorney General as part of the Hospital's Form PC filing and are available from the organization upon request. Quarterly financial statements are filed with the Hospital's bond trustee and are available to the public through the Electronic Municipal Market Access (EMMA) website maintained by the Municipal Securities Rulemaking Board.
Form 990, Part IX, line 11g	Purchased Medical Services: Program service expenses 43,707,157. Management and general expenses 6,363,915. Fundraising expenses 0. Total expenses 50,071,072. Purchased Research Services: Program service expenses 30,444,614. Management and general expenses 0. Fundraising expenses 0. Total expenses 30,444,614. Consulting Services: Program service expenses 11,231,526. Management and general expenses 14,447,693. Fundraising expenses 0. Total expenses 25,679,219. Misc. Purchased Services: Program service expenses 12,789,385. Management and general expenses 5,143,323. Fundraising expenses 0. Total expenses 17,932,708. Nursing Agency Fees: Program service expenses 2,458,376. Management and general expenses 20,804. Fundraising expenses 0. Total expenses 2,479,180. Laundry Services: Program service expenses 1,604,822. Management and general expenses 152,524. Fundraising expenses 0. Total expenses 1,757,346. Security Services: Program service expenses 2,920,194. Management and general expenses 64,706. Fundraising expenses 0. Total expenses 2,984,900. Catering Fees: Program service expenses 499,233. Management and general expenses 79,892. Fundraising expenses 0. Total expenses 579,125. Collection Agency Fees: Program service expenses 172,005. Management and general expenses 1,162,240. Fundraising expenses 0. Total expenses 1,334,245. Temp Agency Fees: Program service expenses 276,857. Management and general expenses 194,833. Fundraising expenses 0. Total expenses 471,690. Ambulance Services: Program service expenses 130,821. Management and general expenses 0. Fundraising expenses 0. Total expenses 130,821. Environmental Services: Program service expenses 414,240. Management and general expenses 176,915. Fundraising expenses 0. Total expenses 591,155.	Other Fees
Form 990, Part XI, line 9:	Net Transfers/Support from Children's Medical Center 151,975,549. Pension Adjustment 67,095,115. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others 17,009,284. Other Adjustments -46,376.	Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Children's Medical Center Corporation
55 Shattuck Street	Boston	MA	02115	041174680	Holds & manages security, real estate investments for Children's Hospital	MA	501(c)(3)	11 - Type II	N/A	0
Longwood Research Institute Inc
300 Longwood Avenue	Boston	MA	02115	042781368	Medical & scientific research; holds real estate investments	MA	501(c)(3)	11 - Type II		0	Children's Medical Center Corporation
CHB Properties Inc
300 Longwood Avenue	Boston	MA	02115	043323330	Holds & manages satellite ambulatory centers; real estate investments	MA	501(c)(3)	9		0	Children's Medical Center Corporation
Longwood Coporation
55 Shattuck Street	Boston	MA	02115	042779882	Holds & manages real estate investments	MA	501(c)(2)			0	Children's Medical Center Corporation
Fenmore Realty Corporation
55 Shattuck Street	Boston	MA	02115	222478110	Holds & manages real estate investments	MA	501(c)(2)			0	Children's Medical Center Corporation
Physician's Organization at Children's Hospital Inc
300 Longwood Avenue	Boston	MA	02115	043266103	Coord & develop integrated childhlth care system w/ affil members	MA	501(c)(3)	11 - Type III	N/A	0
New England Congenital Cardiology Research Foundation
300 Longwood Avenue	Boston	MA	02115	800368043	Improve patient safety & quality for children w/ heart disease	MA	501(c)(3)	7 - 170b1Avi		1	Children's Hospital Corporation
Institute for Relevant Clinical Data Analytics Inc
300 Longwood Avenue	boston	MA	02115	383854536	Improve patient safety and quality of care	MA	501(c)(3)			1	Children's Hospital Corporation

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Marketplace LaGuardia LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	One Wells Avenue	AddressLine1
City	Newton	City
State	MA	State
ZIP Code	02459	ZIPCode

Field	Value	IRS element (for citing)
EIN	200417454	EIN
Primary Activity	Investment in Marketplace LaGuardia LP	PrimaryActivity
Legal Domicile State	MA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital Corporation	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	5% Investment	PredominantIncomeType
Share Of Total Income	47566	ShareOfTotalIncome
Share Of EOY Assets	4778034	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner
Percentage Ownership	0.65270	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Longwood Associates Inc	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	55 Shattuck Street	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02115	ZIPCode

Field	Value	IRS element (for citing)
EIN	042943755	EIN
Primary Activity	Property Management	PrimaryActivity
Legal Domicile State	MA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Medical Center Corporation	BusinessNameLine1

Field	Value	IRS element (for citing)
Type Of Entity	C	TypeOfEntity
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg