CHILDRENS HOSPITAL CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL CORPORATION (EIN 04-2774441)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-15
IRS object ID: 201302279349301380
Schema version: 2011v1.5
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	2013-08-15T10:00:24-05:00	Timestamp
Tax Period End Date	2012-09-30	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	2011-10-01	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	2013-08-09	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

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	James Mandell MD	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	1697935270	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	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	11104	TotalNbrEmployees
Total Nbr Volunteers	1070	TotalNbrVolunteers
Total Gross UBI	140803	TotalGrossUBI
Net Unrelated Business Txbl Income	-91946	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	358360283	ContributionsGrantsPriorYear
Contributions Grants Current Year	331388600	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1038967616	ProgramServiceRevenuePriorYear
Program Service Revenue CY	989683001	ProgramServiceRevenueCY
Investment Income Prior Year	39333015	InvestmentIncomePriorYear
Investment Income Current Year	23068790	InvestmentIncomeCurrentYear
Other Revenue Prior Year	35857830	OtherRevenuePriorYear
Other Revenue Current Year	34327240	OtherRevenueCurrentYear
Total Revenue Prior Year	1472518744	TotalRevenuePriorYear
Total Revenue Current Year	1378467631	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	10009615	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2978643	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	680513528	SalariesEtcPriorYear
Salaries Etc Current Year	696945617	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	1352435	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	1424430	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	26923640	TotalFundrsngExpCurrentYear
Other Expense Prior Year	624309005	OtherExpensePriorYear
Other Expenses Current Year	609007538	OtherExpensesCurrentYear
Total Expenses Prior Year	1316184583	TotalExpensesPriorYear
Total Expenses Current Year	1310356228	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	156334161	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	68111403	RevenuesLessExpensesCY
Total Assets BOY	3369546205	TotalAssetsBOY
Total Assets EOY	3698015571	TotalAssetsEOY
Total Liabilities BOY	1239973224	TotalLiabilitiesBOY
Total Liabilities EOY	1284225947	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2129572981	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2413789624	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	806622457	Expense
Grants	2978643	Grants
Revenue	944576237	Revenue
Description	CLINICAL CARE:As one of the largest pediatric hospitals in the U.S. and the only freestanding pediatric hospital in Massachusetts, Children's provides access to safe, high quality healthcare services that meet the unique needs of children and their families, regardless of their ability to pay. The range of 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) - benefits from the high level of specialization of our experts, the collaboration with research scientists (many of whom are also physicians) affiliated with the hospital, and the significant investments in equipment, facilities and clinical and support staff. In addition, 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, Children's sees: 24,714 inpatient/observation cases at our hospital; 144,000 inpatients at satellites; 526,606 outpatients; 53,870 patients in our community health clinic; of the hospital's bedded volume, more than 20% (CMI > 2.00) can be qualified as clinically complex. Of these patients, approximately 35% (patients on Medicaid/Medicare) are considered low income.Children's is the safety net institution for very sick children throughout the region, backing up the entire healthcare system for the most complex pediatric cases. We receive referrals from community hospitals as well as from other academic medical centers throughout New England. Children's is the single largest provider of care to children enrolled in the Medicaid program, seeing approximately 30% of all pediatric Medicaid discharges statewide, including many of the sickest children. 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 2012 were approximately $50 million.Recognizing the difficulties community-based hospitals face in providing specialized pediatric care (which requires significant investments in staff, equipment and training), Children's has expanded its partnerships with community hospitals throughout Eastern Massachusetts. With more than 100 physicians based at 7 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. Children's also operates three outpatient facilities in Waltham, Lexington and Peabody that offer specialized care in cardiology, gastroenterology, neurology, respiratory diseases, diabetes, orthopedic surgery, urology and other specialties. Each year, Children's advances the quality of the clinical care it provides by recruiting talented new staff, investing in updated equipment and technology, undertaking safety/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: Children's Hospital Boston has established the Center of Excellence for Quality Measurement to improve how healthcare is delivered 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 provide measures that can significantly advance the quality of children's healthcare. The Center has been established in response to that requirement. Measuring and reporting quality of health care relying on pediatric specific metrics is a key tool to try to assure that all children receive excellent care.In 2012, Boston Children's and its primary care physicians and specialists are adopted the newest version of an Alternative Quality Contract (AQC) in its contract with a major Massachusetts insurer, to both assure quality outcomes and manage the growth in health care spending. The agreement maintains the standard AQC structure, which combines a per-patient global budget with significant performance incentives based on nationally endorsed quality measures tied to quality, health outcomes, and patient experience. However, the contract with Children's and its primary care physicians and specialists includes a first-in-the-nation set of measurements developed uniquely for a population entirely composed of children and adolescents and benchmarked with appropriate national comparators.Several of the new measures focus on important clinical outcomes for children. For example, the hospital, specialists and pediatricians will be measured on how well they help children with cystic fibrosis maintain good lung function, on preventing complications after appendectomies, and on preventing blood stream infections in patients in the cardiac, neonatal and medical/surgical intensive care units.Encourage Innovation: The Innovation Acceleration Program (IAP), which offers Innovestment Grant and the FIT Awards-supercharges innovation and entrepreneurial spirit among Children's employees, by providing resources and support to empower them in developing and testing their novel ideas. In the program's first year, it funded projects ranging from technology-enhanced toys to help children with severe emotional regulation disorders, to innovative new ways to close complex ventricular septal defects; from a remote monitoring program for kids on home ventilators, to elastic multi-electrode ECG strips. Fast track Innovation in Technology (FIT) Awards offer software development resources, including a team of experienced software developers, for innovative clinical software projects. Winners 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, to a Bidirectional Electronic Alert Patient-centered Provider Encounter Record (BEAPPER) iPhone application that notifies clinicians of a lab order's progress and provides text message capabilities about their patient's current status and needs.Expanding Access: Southcoast Health System and Boston Children's Hospital created a new collaboration to provide enhanced local access to high-quality pediatric care to children and families across the South Coast region. Beginning in late summer 2012, Boston Children's and its physicians began collaborating with local physicians to provide hospital-based pediatric services for Southcoast. The pediatric program is 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), a community-based asthma care model targeting low-income families, was shown to dramatically reduce hospitalization and emergency department visits for asthma -- improving patient outcomes and saving $1.46 per dollar spent through reduced hospital utilization. A study reporting these outcomes and cost savings appears in the March 2012 Pediatrics (published online February 20). The CAI program includes nurse case management and care coordination combined with home visits by a bilingual nurse or Community Health Worker to educate families about asthma, assess the home for asthma triggers, and provide materials and services to improve the home environment, such as encasements for bedding, HEPA vacuums and pest control. After 12 months in the program, the children had a 68 percent decrease from baseline in asthma-related ED visits and an 85 percent drop in hospitalizations. There was a 43 percent reduction in the percentage of children who had to limit physical activity on any day, a 41 percent reduction in reports of missed school days and a 50 percent reduction in parents having to miss work to care for their child. The percentage of children with an up-to-date asthma care plan rose from 53 percent at baseline to 82 percent at 12 months.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	306466000	Expense
Grants	0	Grants
Revenue	143554000	Revenue
Description	RESEARCH:Children's believes we enhance the well-being of the children and families by being the leading source of research and discovery on child health issues, seeking new approaches to the prevention, diagnosis and treatment of childhood and adult diseases.With over $242 million in annual funding and 800,000 square feet of space, Children's is home to the world's largest and most active research enterprise at a pediatric center. The research mission of Children's encompasses basic research, clinical research, community service programs and the postdoctoral training of new scientists. While the NIH is our largest sponsor, Children's has made a significant investment in supporting the research activities with more than $16 million invested to support research programs in 2012. 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 Children's work collaboratively with colleagues throughout the medical community to translate basic science research into applications for clinical care. These projects frequently have applications that go beyond the pediatrics to impact adult care as well. For example:New prosthetic heart valve for children. Surgeons at Boston Children's Hospital have successfully implanted a modified version of a expandable prosthetic heart valve in several children with mitral valve disease. Unlike traditional prosthetic valves that have a fixed diameter, the expandable valve can be enlarged as a child grows, thus potentially avoiding the repeat valve replacement surgeries that are commonly required in a growing child. The new paradigm of expandable mitral valve replacement has potential to revolutionize care for infants and children with complex mitral valve disease. The care of patients with disease of the mitral valve-which controls the flow of freshly oxygenated blood from the heart's left atrium to its left ventricle-can be very complicated. If a child needs a mitral valve replacement, there are only a limited number of options available, all of which have one limitation in common: they have a fixed diameter and cannot grow with a child. To provide a novel and more permanent option for children needing mitral valve replacement, Boston Children's physicians developed and surgically implanted a modified version of an expandable prosthetic valve available from Medtronic, Inc., called the Melody valve, in two infants with congenital heart disease. Spotting dyslexia before a child starts school: A study by Boston Children's physicians found that children at risk for dyslexia show differences in brain activity on MRI scans even before they begin learning to read. Since developmental dyslexia responds to early intervention, diagnosing children at risk before or during kindergarten could head off difficulties and frustration in school, the researchers say. Findings appeared in the online Early Edition of the Proceedings of the National Academy of Sciences.Identifying epilepsy-like brain activity: Children with developmental delay or autism may have unrecognized epilepsy-like brain activity during sleep. Researchers at Boston Children's found that these nighttime electrical spikes, detectable only on EEGs, occur even in some children without known epilepsy and appear to result from early strokes or other early life injuries to the developing brain. If nighttime spiking remains undiagnosed and untreated, it may interfere with learning and development. Based on their findings, the researchers suggest that sleep EEG monitoring should be considered more often in children not meeting developmental milestones, and that bedtime medications to suppress nighttime seizures may be beneficial if heightened brain electrical activity is found. In a preliminary treatment trial, such nighttime dosing before times of greatest spike or seizure activity has been found to be beneficial.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	31983934	Expense
Grants	0	Grants
Revenue	18019156	Revenue
Description	TEACHING:Over the course of the year, 134 residents, 292 clinical fellows, 545 research fellows and 900 rotating residents/fellows come to 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 44 percent go on to become leaders in academic medicine, including positions as deans, chairs and program heads across the country. Over a third of the chiefs of pediatric departments across the country trained at Children's. We train individuals at all parts of the care continuum, including: medical students, interns, residents, fellows, nursing students, community pediatricians and continuing professional education for all of our clinical staff.Children's offers the only training program in Massachusetts for: Adolescent Medicine; Neurodevelopmental Disabilities; Pediatric Cardiology; Pediatric Hematology/Oncology; Pediatric Nephrology; Pediatric Pathology; Pediatric Surgery; Pediatric Sports Medicine; Pediatric Urology All still correct; can also add Pediatric Orthopedics, Pediatric Transplant Hepatology and Congenital Cardiac SurgeryChildren's offers the only training program in New England for: Adolescent Medicine; Neurodevelopmental Disabilities; Pediatric Sports Medicine; Pediatric Urology; Pediatric Transplant Hepatology; and Congenital Cardiac SurgeryChildren's has the largest accredited training program in the country for: Child Neurology; Pediatric Anesthesiology; Pediatric Cardiology; and Pediatric EndocrinologyIn addition, Pediatric Sports Medicine is one of only 13 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 11 in the country, Pediatric Transplant Hepatology is one of 5 in the country, Medical Biochemical Genetics is one of 11 in country (2 in MA/New England).	Description

Activity Other ActivityOther (2 entries)

DescriptionDescription	ExpenseExpense	GrantsGrants	RevenueRevenue
Community:Nearly 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 health. Over 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 into innovative models that have proven to address health disparities and improve health outcomes for children not only in Boston but across the state and country.Today, the hospital concentrates its community programs in core areas where it has the expertise, resources and community partnerships to improve health outcomes and address significant health needs. 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 needsEverything Boston Children's Hospital does to fulfill its community mission is based on how it can best utilize its expertise and resources to address the health issues families experience today. Boston Children's uses both formal and informal methods to listen and learn from the community. This requires continued engagement, seeking input and having ongoing conversations with residents, community leaders and the hospital's key partners such as the City of Boston, the Boston Public Health Commission (BPHC), community health centers and the Boston Public Schools. Through the Office of Child Advocacy (OCA), the hospital regularly convenes providers and staff working on community health initiatives throughout the hospital. Internal staff members provide feedback on the current challenges and needs of families as well as input on how the hospital can best work with its partners. OCA also meets on a regular basis with leaders and staff at community health centers, community organizations and city agencies to better understand the impact of health issues and barriers to care. Through its 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 strategy.Guided by the CAB, Boston Children's conducts a comprehensive community assessment every three years to "takes the pulse" in Boston neighborhoods surrounding the hospital. Focus groups with residents, interviews with key stakeholders and an analysis of data and best practice literature provides detailed insight of not just concerns and needs, but also the strengths and the assets of the community. Boston Children's last formal report was completed in 2009 and the hospital is now working on its current assessment to be completed in 2013. In addition to the Boston Children's assessment, the hospital has also partnered with the Boston Public Health Commission to complete a first-of-its kind study on the needs of Boston children. For more details on the needs assessment process, visit bostonchildrens.org/community. A copy of the last assessment completed in 2009 can also be found on the web site.Serving as a safety netBoston Children's is the leading provider of health care to low-income and underinsured children in Massachusetts and it provides care unavailable elsewhere in the state and sometimes the nation. Boston Children's also treats pediatric patients from Massachusetts regardless of their ability to pay. Boston Children's is also a safety net provider for Boston children. More than half of all Boston children hospitalized come to Children's. 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 very limited capacity, such as mental health, dental and primary care.Being a community health leaderWhile the hospital has dozens of initiatives that address the health and even the non-health needs of children in the local community, Boston Children's has identified four priority health areas 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 has two aims: 1) addressing the most pressing health needs of children and families; and 2) providing services through program that can lead to improvements in health care. Boston Children's has developed a performance measurement system that guides our community health programs-tracking health outcomes and then reporting progress back to hospital leadership and the community. Programs in the "Portfolio to Achieve Health and Social Impact" include asthma (Community Asthma Initiative), obesity (Fitness in the City), child development (Advocating Success for Kids Program) and mental health (Children's Hospital Neighborhood Partnerships). These programs are measured to ensure that they address health needs, reduce health disparities and engage with our 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. CAI has proven to be a cost-effective solution for keeping children out of the hospital as well as helping them to stay in school and making sure their parents can go to work.-Fitness in the City (FIC) is a community-based approach to address obesity. FIC supports 11 Boston community health centers to provide almost 1,000 children annually with case-management support, as well as access to nutrition and physical activity programs. Almost 60% of children participating in FIC have reduced or maintained their Body Mass Index and have made behavioral changes such as reducing consumption of sugar sweetened beverages and increasing the amount of time being physically active. -The Advocating Success for Kids Program (ASK) provides access to intensive and critically needed services for hundreds of children experiencing school-functioning problems and learning delays through Boston Children's primary care clinic and in three Boston community health centers. ASK has successfully reduced the wait times for families seeking in-demand assessment and case management services. -Children's Hospital Neighborhood Partnerships Program (CHNP) is the hospital's 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 where they live and learn. CHNP has increased access to mental health services by helping students in participating schools receive therapy services in 7 days, compared to 42 days in outpatient settings.For details on the programs mentioned above and other efforts to improve child health in Boston, visit bostonchildrens.org/communityPartnering to address social determinants of health Boston Children's has relationships with more than 60 key partners who provide a voice for the families and neighborhoods they represent. Each partner helps to ensure that the hospital better understand the needs, uniqueness and strengths that lie within each community. Recognizing the link between social issues 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 such as poverty, sub-standard housing, family instability and unemployment. Based on community need and the hospital's expertise, Boston Children's focuses its efforts and partnerships in three areas:
Community (continued):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. 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. The hospital is also the BPS' main partner to help develop and implement a behavioral health model district wide that will better identify and address mental health needs for all students.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. Violence Prevention. Boston Children's plays a key role in helping Boston children and families cope with the impact of violence in their lives and working with communities to help prevent it, including the Jamaica Plain Violence Intervention and Prevention Collaborative, a partnership with 15 local organizations including the hospital's Martha Eliot Health Center in Jamaica Plain. Partnering to support the health care infrastructureBoston 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 Boston community health centers. Boston 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 Boston Children's-initiated, first-of-its-kind study to assess the health status of children in Boston; the study includes a 2,500 person phone survey, an analysis of Medicaid data to assess prevalence of disease and utilization of health services, and an in depth environmental scan of several Boston neighborhoods. The results will be publicly available in 2013.- Participation in the BPHC's Tobacco-Free Hospital Initiative and Sugar-sweetened Beverage Learning Network, in addition to the formation of an internal Healthy Hospital Workgroup to analyze and make recommendations for hospital policies promoting a healthy environment for patients, families, and staff. - Provision of financial support and expertise to the BPHC to support the City's NeighborCare initiative, an effort encouraging Boston residents to receive primary care at community health centers. Boston Children's supports 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 11 Boston community health centers: Bowdoin Street, Brookside, Dimock, Joseph Smith, Roxbury Comprehensive, South Cove, South End, Southern Jamaica Plain, Upham's Corner, Whittier Street and Mattapan as well as the hospital's own Martha Eliot. 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.Support also enables these health centers to augment current or provide new services that are in great demand, yet not always readily available. The health centers are able to reach over 1,000 children per year with case management support, nutrition and fitness education, psychiatric and developmental consultation through programs such as Owl on the Road, Fitness in the City, Advocating Success for Kids and the Children's Hospital Neighborhood Partnerships program. 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 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 also a forceful advocate on appropriate legislative and regulatory matters in Massachusetts, such as increasing access to quality pediatric mental health programs and promoting coverage for asthma education and services. As a founding member (1993) of a statewide Children's Health Access Coalition, the hospital played a key role in two expansions of health care coverage for Massachusetts children during the 1990s. Boston Children's also worked as a lead participant in the Affordable Care Today Coalition, the catalyst behind the passage of Massachusetts' 2006 health reform law, which has served as a model for the federal law. 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 2010, Boston Children's worked with national partners to help explain and leverage our experience in Massachusetts to the federal health reform law, the Affordable Care Act.In 2006, Boston Children's (including its Children's Hospital Neighborhood Partnerships Program - for details see above) and a coalition of community organizations launched the Children's Mental Health Campaign (CMHC). The CMHC has achieved remarkable success in securing the passage and enactment of Yolanda's Law which ensures access to appropriate and timely treatment, requires insurers pay for the treatment, and pushes the state to play a more active role in ensuring a comprehensive continuum of services in every community. Boston Children's and the Asthma Regional Council of New England partnered together to establish a business case for pediatric asthma management. This business case was instrumental in convincing state legislators of the benefits of such an approach and led them to provide $3 million in funding for a Medicaid demonstration project to provide case management services to children with asthma. The MassHealth program has recently released a request for proposals to allow MassHealth providers throughout the state to receive bundled payments for asthma care so that they can employ a similar asthma management program. In 2012, 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. The hospital's advocacy resulted in numerous considerations for children including developing 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 the hospitals urging.Boston Children's has established the 2,000 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 275 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.	7875373	0	0

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	7875373	TotalOfOtherProgramServiceExp
Total Program Service Expense	1152947764	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	770	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	11104	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	0	Form8282PropertyDisposedOf
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	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	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	6173556881	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 (49 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	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	X	0	0	0
Douglas Berthiaume
Trustee - Vice Chair	2.00	X	0	0	0
Allan Bufferd
Trustee	1.00	X	0	0	0
Steven Fishman MD
Trustee, ex officio (thru 6/30/12)	1.00	X	0	0	0
Gary Fleisher MD
Trustee, ex officio	1.00	X	0	0	0
William Harmon MD
Trustee	1.00	X	0	0	0
Winston Henderson
Trustee	1.00	X	0	0	0
Mira Irons MD
Trustee,ex officio	1.00	X	0	0	0
James Kasser MD
Trustee,ex officio	1.00	X	0	0	0
Harvey Lodish PhD
Trustee	1.00	X	0	0	0
Gary Loveman
Trustee	1.00	X	0	0	0
Ralph C Martin
Trustee	1.00	X	0	0	0
Thomas Melendez
Trustee	1.00	X	0	0	0
Robert A Smith
Trustee	1.00	X	0	0	0
Robert Smyth
Trustee	1.00	X	0	0	0
Eileen Sporing MSNRN
CNO/Noncomp Trustee	55.00	X	537365	0	49456
Alison Taunton-RigbyPhD
Trustee	1.00	X	0	0	0
Ann Thornburg
Trustee	1.00	X	0	0	0
Marc B Wolpow
Trustee	1.00	X	0	0	0
Gregory Young MD
Trustee	1.00	X	0	0	0
James Mandell MD
CEO/Noncomp Trustee,ex off	55.00	X	1443499	0	60386	X
Sandra Fenwick
President & COO, Noncomp Trste	55.00	X	989938	0	59083	X
David Kirshner
CFO & Treasurer (10/1/11-4/31/12)	55.00		643090	0	52795	X
Bruce Balter
Asst Treasurer/Dir Corp Fi	55.00		229582	0	50756	X
Stuart Novick Esq
General Counsel & Secretar	55.00		635237	0	53286	X
Dianne Hatfield
Asst Secretary/Exec Asst	55.00		95546	0	26667	X
Demosthenes Argys
SVP, & Chief Administrativ	55.00		531617	0	46810		X
Patricia BranowickiRN
VP, Medicine Patient Svc	55.00		278968	0	45512		X
Carleen Brunelli PhD
VP, Research Administratio	55.00		362496	0	43562		X
Janet Cady
President, CH Trust	55.00		507211	0	44034		X
M Laurie Cammisa
VP, Child Advocacy	55.00		340629	0	35496		X
Margaret Coughlin
SVP & Chief Marketing Officer	55.00		313121	0	19873		X
Patricia HickeyPhDMBA
VP, Crit. Care Pat. Svc	55.00		309398	0	41741		X
Daniel Nigrin MD
SVP & Chief Information Of	55.00		523437	0	44932		X
Scott Ogawa
Chief Technology Officer	55.00		320344	0	36768		X
Philip Rotner
Chief Investment Officer	55.00		931706	0	47952		X
Inez Stewart
VP, Human Resources	55.00		400835	0	46741		X
Lynn Susman
VP, Campaign & Major Gifts	55.00		379816	0	42525		X
Henry Tomasuolo
VP, Support Services	55.00		362309	0	45502		X
Wendy Warring
SVP, Network Development	55.00		548636	0	32437		X
Charles Weinstein
VP, RE Planning & Developm	55.00		458296	0	51619		X
Orah Platt MD
Chief, Lab Medicine	55.00		515447	0	37274		X
David Demaso MD
Chief, Psychiatry	55.00		344911	0	37414		X
Nader Rifai PhD
Director, Chemistry	55.00		612000	0	48927			X
Clifford Woolf MB BChPhD
Director, Neurology	55.00		401083	0	44674			X
Carlo Brugnara MD
Director, Hematology	55.00		440865	0	48589			X
Melvin Glimcher MD
Physician, Othopaedics	55.00		468794	0	31368			X
Francis Fynn-Thompson MD
Physician, Cardiac Surgery	55.00		396667	0	48705			X
Michelle Davis
Former VP, Public Affairs	55.00		440369	0	25684				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	14763212	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1300568	TotalOtherCompensation
Number Individuals GT100 K	1455	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
G Green Construction Co Inc
PO Box 160	Boston	MA	02134	Construction Services	24300362
Walsh Brothers Inc
210 Commercial Street	Boston	MA	02109	Construction Services	16078363
Harvard Vanguard Medical Associates
275 Grove Street	Newton	MA	02466	Healthcare Service	10887997
The Brigham and Women's Hospital
75 Francis Street	Boston	MA	02115	Healthcare/Research Services	10762824
William A Berry & Son Inc
99 Conifer Hill Drive	Danvers	MA	01923	Construction Services	8513219

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	204	NumberOfContractorsGT100K
Federated Campaigns	13751	FederatedCampaigns
Fundraising Events	3360236	FundraisingEvents
Government Grants	183366953	GovernmentGrants
All Other Contributions	144647660	AllOtherContributions
Noncash Contributions	7161374	NoncashContributions
Total Contributions	331388600	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	944500539	944500539
Prog Svc Grants	621110	22707414	22707414
Graduate Medical Educa	611710	18019156	18019156
Prof Svc Revenue	621110	4380194	4380194
Lab Revenue	621500	75698		75698

Field	Value	IRS element (for citing)
Total Program Service Revenue	989683001	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5957917	TotalRevenueColumn
Unrelated Business Revenue	65105	UnrelatedBusinessRevenue
Exclusion	$5,892,812	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1180880	TotalRevenueColumn
Exclusion	$1,180,880	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	14256600	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	14256600	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	14256600	TotalRevenueColumn
Exclusion	$14,256,600	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	335487438	Securities
Other	83504	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	318460069	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	17027369	Securities
Other	83504	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	17110873	TotalRevenueColumn
Exclusion	$17,110,873	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	593065	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	3360236	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	955023	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-361958	TotalRevenueColumn
Exclusion	-$361,958	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	437850	GrossIncomeGaming
Gaming Direct Expenses	52547	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	385303	TotalRevenueColumn
Exclusion	$385,303	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Other General Services	900099	8080532	$8,080,532
Parking Revenue	812930	5956677	$5,956,677
Cafeteria Sales	722210	4829206	$4,829,206

Field	Value	IRS element (for citing)
Total Other Revenue	18866415	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1378467631	TotalRevenueColumn
Related Or Exempt Function Income	989607303	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	140803	UnrelatedBusinessRevenue
Exclusion	$57,330,925	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1753130	Total
Program Services	1753130	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	1225513	Total
Program Services	1225513	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	13522109	Total
Program Services	559831	ProgramServices
Management And General	12275629	ManagementAndGeneral
Fundraising	686649	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	534771744	Total
Program Services	466491649	ProgramServices
Management And General	54571341	ManagementAndGeneral
Fundraising	13708754	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	36592303	Total
Program Services	32851606	ProgramServices
Management And General	2489355	ManagementAndGeneral
Fundraising	1251342	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	67031828	Total
Program Services	63572466	ProgramServices
Management And General	1545499	ManagementAndGeneral
Fundraising	1913863	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	45027633	Total
Program Services	43403211	ProgramServices
Fundraising	1624422	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	7807372	Total
Management And General	7807372	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1853229	Total
Management And General	1850970	ManagementAndGeneral
Fundraising	2259	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1105501	Total
Management And General	1105501	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	1424430	Total
Fundraising	1424430	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	152392770	Total
Program Services	133895863	ProgramServices
Management And General	18050767	ManagementAndGeneral
Fundraising	446140	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	7606818	Total
Program Services	7340508	ProgramServices
Management And General	246564	ManagementAndGeneral
Fundraising	19746	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	64176402	Total
Program Services	39400490	ProgramServices
Management And General	20853702	ManagementAndGeneral
Fundraising	3922210	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9238243	Total
Program Services	4060040	ProgramServices
Management And General	4826638	ManagementAndGeneral
Fundraising	351565	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	67456999	Total
Program Services	65108102	ProgramServices
Management And General	1608811	ManagementAndGeneral
Fundraising	740086	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	4680437	Total
Program Services	3989129	ProgramServices
Management And General	638488	ManagementAndGeneral
Fundraising	52820	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1437388	Total
Program Services	928089	ProgramServices
Management And General	459988	ManagementAndGeneral
Fundraising	49311	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	28542626	Total
Program Services	28542626	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	91348159	Total
Program Services	90618116	ProgramServices
Fundraising	730043	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	6160429	Total
Program Services	4006230	ProgramServices
Management And General	2154199	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Lab/Medical/Pharmacy	124877030	124877030
Uncollecible Accts	21027904	21027904
Free Care	10925540	10925540
Uncompensated Care	8314071	8314071

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1310356228	Total
Program Services	1152947764	ProgramServices
Management And General	130484824	ManagementAndGeneral
Fundraising	26923640	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

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

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1540955	BOY
EOY	2758182	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	96811013	BOY
EOY	141908377	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	155194338	BOY
EOY	147017285	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10798056	BOY
EOY	13600355	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5723050	BOY
EOY	7160623	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1949046424	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1113701990	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	787028506	BOY
EOY	835344434	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	382195882	BOY
EOY	418564746	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	430807838	BOY
EOY	532642336	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1499446567	BOY
EOY	1599019234	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3369546205	BOY
EOY	3698015571	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	228112635	BOY
EOY	218359878	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	49961483	BOY
EOY	59065613	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	466043562	BOY
EOY	466906527	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	295855544	BOY
EOY	339893929	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1239973224	BOY
EOY	1284225947	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1231281251	BOY
EOY	1367419032	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	358702226	BOY
EOY	453963015	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	539589504	BOY
EOY	592407577	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2129572981	BOY
EOY	2413789624	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3369546205	BOY
EOY	3698015571	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	68111403	ReconcilationRevenueExpenses
Reconcilation Other Changes	216105240	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$109,048	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$72,538	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$483,495	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	665081	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 2012, four 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 three outside consultants in Fiscal Year 2012 in both the Massachusetts General Court and 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 $231,769 Karen Darcy Registered Lobbyist Children's Hospital personnel $34,632 Maria Fernandes Registered Lobbyist Children's Hospital personnel $13,118 Amy DeLong Registered Lobbyist Children's Hospital personnel $47,884 James Mandell Registered Lobbyist Children's Hospital personnel $8,414 Sandra Fenwick Registered Lobbyist Children's Hospital personnel $7,227 Melissa Shannon Children's Hospital Corporation $83,831 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 = $483,495 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $109,048 Grant to Nat'l Assoc of Children's Hospitals for GME - Related Lobbying Expense = $72,538 TOTAL LOBBYING EXPENSES = $665,081 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	712896000	BeginningOfYearBalance
Contributions	54490000	Contributions
Investment Earnings Or Losses	87370000	InvestmentEarningsOrLosses
Other Expenditures	25795000	OtherExpenditures
End Of Year Balance	828961000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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	0.55420	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.16750	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.27830	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	1234917585	OtherCostOrOtherBasis
Depreciation	661618800	Depreciation
Book Value	573298785	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	580600044	OtherCostOrOtherBasis
Depreciation	446908418	Depreciation
Book Value	133691626	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	133129447	OtherCostOrOtherBasis
Depreciation	5174772	Depreciation
Book Value	127954675	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	835344434	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (46 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Knott Partners	345614	F
Pequot	605255	F
Wellington - Trust	13323779	F
Wellington - Energy	7119075	F
Brookside Capital	22513939	F
Lone Pine Capital	11694082	F
Lone Pinon	4294024	F
Standard Pacific	14801020	F
Highfields Capital	33603124	F
Sankaty	11699276	F
Davidson Kempner	37481338	F
King Street	48775049	F
Baupost	45071425	F
Fidelity International Stock	21900625	F
Fidelity Notes Payable	2149823	F
Bain IX Fund	8026158	F
Bain X Fund	3569665	F
Bain Arc	15284438	F
Old Lane	185050	F
SPUR Ventures	4376340	F
Lone Cascade	24429898	F
Wellington - Emerging Small Cap	15356405	F
Wellington - Real Asset	19361432	F
Wellington - Diversified Hedge	6535894	F
TT International	9692221	F
Walter Scott	19782719	F
Axiom	12264907	F
Sanford Bernstein	22506088	F
MIT Private Equity Fund	20972184	F
Energy Capital Partners	4608528	F
SDK Capital	3478395	F
Matrix China II	884008	F
Nalanda	6148143	F
Lone Dragon	6289500	F
Somerset	8098634	F
Sankaty COPS Fund V	246598	F
Matrix India II	219887	F
SequoiaUSGrowFUund V	360806	F
Abrams Capital	8605134	F
Bain Venture	33110	F
Golden Gate Capital	2854815	F
Crosslink Capital	2643394	F
Sequoia Capital Global Equities	4317658	F
Steadfast	8916370	F
Sequoia China Venture Fund IV	16509	F
Convexity	17200000	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	532642336	TotalOfBookValueSecurities

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
Unamortized Bond Issuance Fees	3944253
Interest in the Net Assets of Children's Medical Center	1564534748
Due from IRS	7078730
Expected Insur Recoveries for Prof Liability Claims	23441503
Other Assets - Miscellaneous	20000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1599019234	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue	$32,555,708
Estimated Insured Professional Liability Losses	$23,441,503
Salary & Other Benefits	$3,032,870
Funds Held for Others	$36,905,445
Reserve for Medical Malpractice	$5,689,042
Accrued Pension Cost	$59,961,529
Other Liabilities - Miscellaneous	$11,319,619
Lease Obligations	$11,407,502
Interest Rate Swap Liability	$155,580,711

Field	Value	IRS element (for citing)
Total Of Amounts	339893929	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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 $17,372,000, Contributions of $35,366,000 and endowments from the Immune Disease Institute merger of $1,752,000.
Description of Uncertain Tax Positions Under FIN 48:	Part X:	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	25933
East Asia & The Pacific	Program Services	Patient Care, Research & Education	197276
Europe	Program Services	Patient Care, Research & Education	359579
Middle East and North Africa -	Program Services	Patient Care, Research & Education	105961
North America	Program Services	Patient Care, Research & Education	115403
South America	Program Services	Patient Care, Research & Education	58532
South Asia	Program Services	Patient Care, Research & Education	29386
Sub-Saharan Africa	Program Services	Patient Care, Research & Education	135413
Central America & the Caribbean	Investment		23000
Central America & the Caribbean	Insurance		2929278
Russia & the Newly Independent States -	Program Service	Patient Care, Research & Education	1772

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	1027483	SubtotalAmountSpent
Cont Amount Spent	2954050	ContAmountSpent
Total Amount Spent	3981533	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	0	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
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 (5 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	1161239	1270797	-109558
Chartiy Dynamics
3420 Executive Center Drive	Austin	TX	78731	Donor Survey	0	0	78434	-78434
Cygnus Applied Research
444 North Michigan Ave	Chicago	IL	60611	Donor Survey	0	0	34173	-34173
Marts & Lundy
370 Lexington Avenue	New York	NY	10017	Fundraising Counsel	0	0	35526	-35526
(no name)
2441 Earl Street	Los Angeles	CA	90039	Fundraising Counsel	0	0	5500	-5500	Pamela Starr

Field	Value	IRS element (for citing)
Total Gross Receipts	1161239	TotalGrossReceipts
Total Retained By Contractors	1424430	TotalRetainedByContractors
Total Net To Organization	-263191	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	3511706	GrossReceiptsEvent1
Charitable Contributions Event1	2926611	CharitableContributionsEvent1
Gross Revenue Event1	585095	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	0	NonCashPrizesEvent1
Rent Facility Costs Event1	0	RentFacilityCostsEvent1
Food And Beverage Event1	190633	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	648364	OtherDirectExpensesEvent1
Name Of Event2	Dinner Gala	NameOfEvent2
Gross Receipts Event2	441595	GrossReceiptsEvent2
Charitable Contributions Event2	433625	CharitableContributionsEvent2
Gross Revenue Event2	7970	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	0	RentFacilityCostsEvent2
Food And Beverage Event2	61419	FoodAndBeverageEvent2
Entertainment Event2	7700	EntertainmentEvent2
Other Direct Expenses Event2	46907	OtherDirectExpensesEvent2
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Total	3953301	GrossReceiptsTotal
Charitable Contributions Total	3360236	CharitableContributionsTotal
Gross Revenue Total Events	593065	GrossRevenueTotalEvents
Food And Beverage Total Events	252052	FoodAndBeverageTotalEvents
Entertainment Total Events	7700	EntertainmentTotalEvents
Other Direct Expenses Total Events	695271	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	955023	DirectExpenseSummaryEvents
Net Income Summary	-361958	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Bingo	0	GrossRevenueBingo
Cash Prizes Bingo	0	CashPrizesBingo
Non Cash Prizes Bingo	0	NonCashPrizesBingo
Rent Facility Costs Bingo	0	RentFacilityCostsBingo
Other Direct Expenses Bingo	0	OtherDirectExpensesBingo
Volunteer Labor Bingo	0	VolunteerLaborBingo
Gross Revenue Pull Tabs	0	GrossRevenuePullTabs
Cash Prizes Pull Tabs	0	CashPrizesPullTabs
Non Cash Prizes Pull Tabs	0	NonCashPrizesPullTabs
Rent Facility Costs Pull Tabs	0	RentFacilityCostsPullTabs
Other Direct Expenses Pull Tabs	0	OtherDirectExpensesPullTabs
Volunteer Labor Pull Tabs	0	VolunteerLaborPullTabs
Gross Revenue Other Gaming	437850	GrossRevenueOtherGaming
Cash Prizes Other Gaming	0	CashPrizesOtherGaming
Non Cash Prizes Other Gaming	0	NonCashPrizesOtherGaming
Rent Facility Costs Other Gaming	0	RentFacilityCostsOtherGaming
Other Direct Expenses Other Gaming	52547	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	0.71000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	437850	GrossRevenueTotalGaming
Other Direct Expenses Total Gaming	52547	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	52547	DirectExpenseSummaryGaming
Net Gaming Income Summary	385303	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 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

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	14635196	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3849996	DirectOffsettingRevenue
Net Community Benefit Expense	10785200	NetCommunityBenefitExpense
Percent Of Total Expense	0.00840	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	237677926	TotalCommunityBenefitExpense
Direct Offsetting Revenue	178762704	DirectOffsettingRevenue
Net Community Benefit Expense	58915222	NetCommunityBenefitExpense
Percent Of Total Expense	0.04570	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	252313122	TotalCommunityBenefitExpense
Direct Offsetting Revenue	182612700	DirectOffsettingRevenue
Net Community Benefit Expense	69700422	NetCommunityBenefitExpense
Percent Of Total Expense	0.05410	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5915030	TotalCommunityBenefitExpense
Net Community Benefit Expense	5915030	NetCommunityBenefitExpense
Percent Of Total Expense	0.00460	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	31983934	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5770672	DirectOffsettingRevenue
Net Community Benefit Expense	26213262	NetCommunityBenefitExpense
Percent Of Total Expense	0.02030	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20149468	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15413323	DirectOffsettingRevenue
Net Community Benefit Expense	4736145	NetCommunityBenefitExpense
Percent Of Total Expense	0.00370	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	306466000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	143554000	DirectOffsettingRevenue
Net Community Benefit Expense	162912000	NetCommunityBenefitExpense
Percent Of Total Expense	0.12640	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1494800	TotalCommunityBenefitExpense
Net Community Benefit Expense	1494800	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	366009232	TotalCommunityBenefitExpense
Direct Offsetting Revenue	164737995	DirectOffsettingRevenue
Net Community Benefit Expense	201271237	NetCommunityBenefitExpense
Percent Of Total Expense	0.15620	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	618322354	TotalCommunityBenefitExpense
Direct Offsetting Revenue	347350695	DirectOffsettingRevenue
Net Community Benefit Expense	270971659	NetCommunityBenefitExpense
Percent Of Total Expense	0.21030	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	28	NumberOfActivitiesOrPrograms
Total Community Building Expense	1466599	TotalCommunityBuildingExpense
Net Community Building Expense	1466599	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Total Community Building Expense	493744	TotalCommunityBuildingExpense
Net Community Building Expense	493744	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	35	NumberOfActivitiesOrPrograms
Total Community Building Expense	1960343	TotalCommunityBuildingExpense
Net Community Building Expense	1960343	NetCommunityBuildingExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$6,494,132	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	8967414	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	8605014	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	362400	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
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
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 (19 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 $21,027,904 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 FY12, Children's reported two types of community building activities: $1,466,599 for 28 community support programs and $493,744 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 oncollection 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 9: 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 10: 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 13g: 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
Responses on Lines eight through twenty-one reflect policies and procedures in place during the fiscal year. Children's is currently revising the relevant policies to reflect changes required by the proposed Internal Revenue Code Section 501(r) regulations released by the Internal Revenue Service on June 22, 2012.	Revising Policies	Part V, Lines 8-21
Part VI, Line 2: Children's is committed to assessing the health needs of children and families living in the communities surrounding the hospital's main campus. Children's utilizes formal and informal mechanisms to listen and learn from residents as well as hospital staff, key stakeholders, community leaders and advocates. The hospital conducts a formal, comprehensive assessment every three years. Children's most recent formal assessment was completed in FY09 and the next will be completed in 2013, which will include a partnership with the Boston Public Health Commission to conduct a first-of-its-kind health study to gather data on Boston children and families. Informally, the hospital gathers information, encourages community participation and seeks input from families and partners on a regular basis. Based on the information gathered, the hospital develops a community benefit action plan for how it can best address those needs and effectively utilize its expertise and resources. A key component of the hospital's assessment is the input and guidance from the hospital's Community Advisory Board and Board Committee on Community Service. Children's also conducts ongoing yet less formal means of assessment to inform the hospital's community efforts. 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. All patients/guarantors who do not qualify for free care and thus 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.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: As one of the largest most comprehensive pediatric medical centers in the U.S., Children's is a regional, national and global referral center. Approximately 20% of inpatients come from out of state or out of the country because of the complex care Children's is able to provide. Children's is also considered the primary community hospital for the children of Boston and the largest provider of pediatric care to low-income families in the state. Approximately 30% of Children's patients are covered through Medicaid/CHIP including a significant number insured by out-of-state Medicaid programs. State-wide, it is estimated that Children's treats 90% of the sickest children in Massachusetts.Children's main campus is located in Boston, a racially and ethnically diverse city, which is home to nearly 620,000 people. A wide range of ethnic backgrounds and countries of origin can now be found in Boston's population and people of color make up the majority of the City's population. Approximately 115,000 children under the age of 18 live in Boston representing 20 percent of the population. Children mirror Boston's emergence of "majority minority" diversity; 37 % of Boston's children are Black, 24% are Hispanic, 7% are Asian/Pacific Islander, 4% are multi-racial and 3% are other. An estimated 26% of Boston's children live in poverty.
Part VI, Line 5: As the only free-standing children's hospital in the state, Children's treats 90% of the sickest kids in Massachusetts and offers a range of services that are unavailable elsewhere in the region, including pediatric transplants, critical care transport services, a level 1 Pediatric Trauma Unit and a level 3 Neonatal Intensive Care Unit. Children's also qualifies for DSH payments as the state's largest provider of pediatric care to low-income families. Approximately 30% of its patients are covered by Medicaid, including patients insured by out-of-state Medicaid programs. In addition, Children's has an open medical staff model. Children's is also a leader in education and training for healthcare professionals. It sponsors 38 Accreditation Council for Graduate Medical Education-accredited training programs, one American Dental Association accredited training program and 15 non-accredited subspecialty fellowships with 476 residents/clinical fellows enrolled in these programs. Children's partners with 27 schools of nursing throughout Massachusetts and New England to provide clinical experiences in pediatrics. Children's offers a variety of continuing education courses designed for health care professionals in pediatric practice. The courses are accredited by the Office of Continuing Education at Harvard Medical School and each hour of instruction is approved for Category 1 credits towards the AMA Physician's Recognition Award. Topics include autism, eating disorders, sports injuries, endometriosis, substance abuse, concussions, strabismus, Type II Diabetes and vascular anomalies. Children's also offers half-day programs titled Pediatric Health Care Summits that are held at local hospitals, such as Beverly Hospital, Lawrence General and South Shore Hospital (Weymouth). Additionally, Children's partners with area community hospitals such as Good Samaritan Medical Center, Holy Family, Lawrence General, South Shore, St. Anne's and St. Joseph's to sponsor Community Hospital Pediatrics Grand Rounds with monthly lectures provided by faculty in medical and surgical sub-specialties. Children's also operates "Career Opportunity Advancement Children's Hospital", a seven-week program for Boston youth to explore health care careers while having a safe and meaningful summer and the program "Student Career Opportunity Outreach Program", designed by Children's nurses to introduce young people to nursing career opportunities. Children's is home to the world's largest and most active research enterprise at a pediatric center. Children's research mission encompasses basic research, clinical research, community service programs and the postdoctoral training of new scientists.Children's has a twenty-one person voluntary Board of Trustees. Thirteen 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 (29 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 Community Centers Inc
1483 Tremont St	Boston	MA	02120	042602576	501(c)(3)	15000	FMV	Community Partnership - Boston Center for Youth & Families
Boston Public Health Commission
1010 Massachusetts Ave	Boston	MA	02118	043316655	115	155000	FMV	Community Partnership
Boston Public Schools
26 Court St 6th Fl	Boston	MA	02108	222514422	115	321800	FMV	Community Partnership
Bowdoin Street Health Center Inc
230 Bowdoin Street	Boston	MA	02122	042529788	501(c)(3)	100000	FMV	Support of Community Health Center
Brigham & Women's Hospital Inc
75 Francis Street	Boston	MA	02115	042312909	501(c)(3)	70000	FMV	Support of Brookside Community Health Center
The Dimock Center
55 Dimock Street	Roxbury	MA	02119	043487835	501(c)(3)	130000	FMV	Community Partnership
Fenway Community Development Corporation
73 Hemenway Street	Boston	MA	02115	042666507	501(c)(3)	42500	FMV	Community Partnership
Project RIGHT
320 A Blue Hill Avenue	Dorchester	MA	02121	043265420	501(c)(3)	50000	FMV	Advocacy Support
Joseph M Smith Community Health Center Inc
287 Western Avenue	Allston	MA	02134	237221597	501(c)(3)	60000	FMV	Support for the Community Health Canter
Community Service Care Inc
295 Center Street	Jamaica Plain	MA	02130	042754281	501(c)(3)	19050	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)	17050	FMV	Community Partnership - Roxbury YMCA
Family Nurturing Center of Massachusetts Inc
200 Bowdoin Street	Dorchester	MA	02122	311626186	501(c)(3)	50480	FMV	Support of City of Boston's Initiatives - Smart from the Start
Sociedad Latina Inc
1530 Tremont Street	Roxbury	MA	02120	042678255	501(c)(3)	36500	FMV	Community Partnership
South Cove Community Health Center Inc
145 South Street	Boston	MA	02111	042501818	501(c)(3)	87500	FMV	Support of the Community Health Center
South End Community Health Center Inc
1601 Washington Street	Boston	MA	02118	042456134	501(c)(3)	85000	FMV	Support of the Community Health Center
Brigham & Women's Hospital Inc
75 Francis Street	Boston	MA	02115	042312909	501(c)(3)	80000	FMV	Support of Southern Jamaica Plain Community Health Center
Upham's Corner Community Center Inc
500 Columbia Road	Dorchester	MA	02125	042708670	501(c)(3)	80000	FMV	Support of the Community Health Center
Whittier Street Health Center Committee Inc
1125 Tremont Street	Roxbury	MA	02120	042619517	501(c)(3)	72500	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)	6600	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
Massachusetts General Hospital
205 Portland Street 6th Floor	Boston	MA	02114	041564655	501(c)(3)	8000	FMV	Community Partnership
Bikes Not Bombs Inc
284 Armory Street	Jamaica Plain	MA	02130	043138753	501(c)(3)	5000	FMV	Community Partnership
Greater Boston Chamber of Commerce
265 Franklin Street	Boston	MA	02110	041103090	501(c)(6)	14050	FMV	Community Partnership
The Hyde Square Task Force Inc
375 Centre Street	Jamaica Plain	MA	02130	043118543	501(c)(3)	7500	FMV	Community Partnership
Mission Hill Health Movement
1534 Tremont Street	Mission Hill	MA	02120	042518620	501(c)(3)	5100	FMV	Community Partnership

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	27	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	5	10000	FMV
Nursing Education Scholarship Fund	19	87181	FMV
Joshua T. Shairs Cardiology Fund	5	5000	FMV
Frieze Social Work Fund	116	319540	FMV
Camp Fund	129	39672	FMV
Family Resource Center Fund	66	6720	FMV
Andre Sobel River of Life Foundation Fund	1	1000	FMV
Kent Street Operating Fund	3748		FMV	347937	Housing Assistance
Devon Nicole House Operating Fund	1694		FMV	130234	Housing Assistance
Pet Therapy Program Fund	180		Other	0	Theurapeutic dog visits made to inpatients
Brandano Parent Apartment Fund	940		FMV	40120	Supplies for patient and families
Matthew Puffer Parking Fund	18	3271	FMV
Sandra & Geoffrey Fenwick Family Income Fund	419		FMV	7191	Memorial services and grief conference; room fees & food
Extraordinary Needs Fund	75	217862	FMV
Judith Nelson Operating Fund For Families	266	9785	FMV

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. Camp Fund - support social service's summer camp program for patients. Family Resource Center Fund - support of the family resource center's activities. Andre Sobel River Of Life Foundation Fund - to support functionally single parents & provide broad support to needy children and their families during their illness/hospitalization at Children's Hospital by releiving financial burdens. Kent Street Operating Fund - support patient family housing at Kent Street. Devon Nicole House Operating Fund - support patient family housing at Devon Nicole House. Pet Therapy Program Fund - provide pet therapy for patients. Brandano Parent Apartment Fund - to provide housing for needy parents of children receiving treatment at Children's Hospital. Matthew Puffer Parking Fund - provide discounted parking for patient families whose children are being treated for chronic diseases. Sandra & Geoffrey Fenwick Family Income Fund - support for the Center for Families especially needy patients. Extraordinary Needs Fund - 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. 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 (29 entries)

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
395888	0	80600	0	60877	0	26950	0	22506	0	586821	0	20150	0
James Mandell MD
757427	0	269000	0	417072	0	26950	0	33436	0	1503885	0	67250	0
Sandra Fenwick
549006	0	197500	0	243432	0	24500	0	34583	0	1049021	0	49375	0
David Kirshner
489394	0	80000	0	73696	0	24500	0	28295	0	695885	0	20000	0
Bruce Balter
188774	0	14280	0	26528	0	28951	0	21805	0	280338	0	0	0
Stuart Novick Esq
421457	0	86000	0	127780	0	26950	0	26336	0	688523	0	21500	0
Demosthenes Argys
390479	0	72500	0	68638	0	19600	0	27210	0	578427	0	18125	0
Patricia BranowickiRN
221483	0	18826	0	38659	0	28500	0	17012	0	324480	0	0	0
Carleen Brunelli PhD
278518	0	39150	0	44828	0	22050	0	21512	0	406058	0	9788	0
Janet Cady
320252	0	140400	0	46559	0	24500	0	19534	0	551245	0	35100	0
M Laurie Cammisa
262347	0	39100	0	39182	0	24500	0	10996	0	376125	0	9775	0
Margaret Coughlin
263571	0	0	0	49550	0	0	0	19873	0	332994	0	0	0
Patricia HickeyPhDMBA
253220	0	19022	0	37156	0	31000	0	10741	0	351139	0	0	0
Daniel Nigrin MD
383147	0	78000	0	62290	0	22050	0	22882	0	568369	0	19500	0
Scott Ogawa
262839	0	19503	0	38002	0	26000	0	10768	0	357112	0	0	0
Philip Rotner
554746	0	290250	0	86710	0	14700	0	33252	0	979658	0	35063	0
Inez Stewart
308192	0	46700	0	45943	0	22050	0	24691	0	447576	0	11675	0
Lynn Susman
360193	0	0	0	19623	0	24500	0	18025	0	422341	0	0	0
Henry Tomasuolo
275256	0	43000	0	44053	0	19600	0	25902	0	407811	0	10750	0
Wendy Warring
390860	0	78600	0	79176	0	17150	0	15287	0	581073	0	19650	0
Charles Weinstein
345158	0	53400	0	59738	0	24500	0	27119	0	509915	0	13350	0
Orah Platt MD
474928	0	32990	0	7529	0	26950	0	10324	0	552721	0	0	0
David Demaso MD
336532	0	0	0	8379	0	26950	0	10464	0	382325	0	0	0
Nader Rifai PhD
413173	0	195070	0	3757	0	26950	0	21977	0	660927	0	0	0
Clifford Woolf MB BChPhD
410620	0	0	0	-9537	0	22914	0	21760	0	445757	0	0	0
Carlo Brugnara MD
413173	0	34196	0	-6504	0	26950	0	21639	0	489454	0	0	0
Melvin Glimcher MD
395429	0	0	0	73365	0	26950	0	4418	0	500162	0	0	0
Francis Fynn-Thompson MD
405275	0	0	0	-8608	0	26950	0	21755	0	445372	0	0	0
Michelle Davis
193601	0	16587	0	230181	0	13104	0	12580	0	466053	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 2011, a contribution of $383,214 Sandra Fenwick, received in 2011, a contribution of $212,205 David Kirshner, received in 2011, a contribution of $54,708 Stuart Novick, received in 2011, a contribution of $109,080 Eileen Sporing, received in 2011, a contribution of $40,606 Demosthenes Argys, received in 2011, a contribution of $40,368 Carleen Brunelli, received in 2011, a contribution of $23,100 Janet Cady, received in 2011, a contribution of $27,516 M. Laurie Camissa, received in 2011, a contribution of $21,538 Margaret Coughlin, received in 2011, a contribution of $16,000 Daniel Nigrin, received in 2011, a contribution of $42,300 Philip Rotner, received in 2011, a contribution of $64,680 Inez Stewart, received in 2011, a contribution of $26,272 Henry Tomasuolo, received in 2011, a contribution of $24,025 Wendy Warring, received in 2011, a contribution of $33,624 Charles Weinstein, received in 2011, a contribution of $32,586 During Calendar Year 2011, Michelle Davis (former Vice President, Public Affairs and Marketing) received severance payments totalling $92,149. Michelle Davis received additional severance payments during Calendar Year 2012.
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 2011 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)

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

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

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
124329713	1829713	122500000	2011	0	0	1	1
341590000	2025862			1	0	1	1	339925000	339564138

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

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	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	0.00000	0.00000	0.00000	1
0	0	0	0	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
0	0	0	0	0	1
Goldman Sachs
0	1	1	0	0	1	Mitsui Marine	30.000000000000	0	0

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Schedule K,Part IV,Line 1	Identifier
Return Reference	Form 8038-T	ReturnReference
Explanation	No 8038-T Filed because five years has not passed.	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	125896	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 $125,896 for equipment & supplies.	0
CRICO
Director	11873792	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	11873792	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 $11,873,792 to CRICO and RMF for professional, general, and directors and officers insurance coverage.	0
FedEx
Director	424548	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 $424,548 for shipping services.	0
Blue Cross Blue Shield of Massachusetts
Director	76436639	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 $76,436,639 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	9453378	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 $9,453,378 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	5490	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	49	NumberOfContributions
Noncash Contribs Rptd F990	6856937	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	12	NumberOfContributions
Noncash Contribs Rptd F990	17824	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	4	NumberOfContributions
Noncash Contribs Rptd F990	12273	NoncashContribsRptdF990
Method Of Determining Revenues	Mkt Value per Donor	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	Travel/Dining	11	49440	Mkt Value per Donor
X	Gift Cert	12	20245	Mkt Value per Donor
X	Archival Papers	22	0
X	Misc. Other	33	199165	Mkt Value per Donor

Field	Value	IRS element (for citing)
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 received contributions of Archival Papers that do not have a value outside of the Hospital. For this reason the Hospital did not recognize revenue as a result of these gifts. In addition to these contributions, 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 (9 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 (5/21/12-9/30/12) 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, 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: Chief Executive Officer President & 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, Child Advocacy 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 XI, line 5:	Net unrealized gains on investments: 73,528,509. Net Transfers/Support from Children's Medical Center 135,080,075. Pension Adjustment -14,415,091. Immune Disease Institute Merger Net Assets 13,241,504. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others 8,669,641. Other Adjustments 602. Total to Form 990, Part XI, Line 5: 216,105,240.	Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 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 (fka Children's Extended Care Center)
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
Immune Disease Institute Inc
3 Blackfan Circle	Boston	MA	02115	042158520	Health care, education & research in immunology & biomedical science	MA	501(c)(3)	7 - 170b1Avi	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	57495	ShareOfTotalIncome
Share Of EOY Assets	4780986	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner
Percentage Ownership	0.60420	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

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
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