CHILDRENS HOSPITAL CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL CORPORATION (EIN 04-2774441)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-13
IRS object ID: 201212269349302171
Schema version: 2010v3.4
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	2012-08-13T14:28:13-05:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2010-10-01	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	Sandra Fenwick	Name
Title	President & COO	Title
Phone	6173556881	Phone
Date Signed	2012-08-08	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6172662000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	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	1703193691	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.childrenshospital.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1982	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	Provider of pediatric healthcare, education, research & community service	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	10713	TotalNbrEmployees
Total Nbr Volunteers	969	TotalNbrVolunteers
Total Gross UBI	105514	TotalGrossUBI
Net Unrelated Business Txbl Income	-140416	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	280671226	ContributionsGrantsPriorYear
Contributions Grants Current Year	358360283	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1073347471	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1038967616	ProgramServiceRevenueCY
Investment Income Prior Year	20620310	InvestmentIncomePriorYear
Investment Income Current Year	39333015	InvestmentIncomeCurrentYear
Other Revenue Prior Year	20743483	OtherRevenuePriorYear
Other Revenue Current Year	35857830	OtherRevenueCurrentYear
Total Revenue Prior Year	1395382490	TotalRevenuePriorYear
Total Revenue Current Year	1472518744	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	9752792	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	10009615	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	670316176	SalariesEtcPriorYear
Salaries Etc Current Year	680513528	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	1413857	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	1352435	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	22401982	TotalFundrsngExpCurrentYear
Other Expense Prior Year	608092799	OtherExpensePriorYear
Other Expenses Current Year	624309005	OtherExpensesCurrentYear
Total Expenses Prior Year	1289575624	TotalExpensesPriorYear
Total Expenses Current Year	1316184583	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	105806866	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	156334161	RevenuesLessExpensesCY
Total Assets BOY	3065308985	TotalAssetsBOY
Total Assets EOY	3369546205	TotalAssetsEOY
Total Liabilities BOY	1212579878	TotalLiabilitiesBOY
Total Liabilities EOY	1239973224	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1852729107	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2129572981	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	808948734	Expense
Grants	10009615	Grants
Revenue	1000548090	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: 23,998 inpatients at our hospital; 943 inpatients at satellites; 557,620 outpatients; 53,841 patients in our community health clinic; of these patients, more than 20% (CMI > 2.00) can be qualified as clinically complex. Of these patients, more than 38% (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. 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 2011 were approximately $45 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 60 physicians based at 6 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.Expanding Access: As part of our ongoing collaboration with South Shore Hospital (SSH), Children's helped SSH expand its Pediatric Emergency Service operating hours. Since July 2011, a staff of 13 pediatricians and a core group of nurses, child life specialists and five pediatric emergency medicine physicians provide 24/7 coverage for SSH's surrounding communities. Additional Children's physicians provide coverage on a rotating basis. Also in 2011, Children's Hospital Boston entered into a new collaboration with Children's Hospital at Dartmouth-Hitchcock (CHaD) to enhance the specialty pediatric care available at CHaD's practice in Manchester, NH. In July, Children's gastroenterologists and nephrologists began providing outpatient care and endoscopy services. CHaD and Children's also jointly recruited a cardiologist who will split his time between the two sites.Improved approach to Gastrointestinal Endoscopy: Endoscopic exams for gastrointestinal ailments have historically been done under general anesthesia, which means they need to be done in an operating room. By performing exams of low risk children under sedation in a dedicated procedure unit - a service that is also offered in our Lexington and Waltham facilities - the Gastroenterology & Nutrition Program has avoided nearly $930,000 in estimated payments since 2006. In that time, patients and families have reported increased satisfaction, particularly among adolescents who receive repeated endoscopies, and also reduced waiting times and increased convenience. Headache Collaborative uses medical home model to improve response: The foundation of the Headache Collaborative lies in engaging primary care physicians and families as partners in the care of children with chronic headaches, shifting care out of the hospital and embracing a "medical home" model of care. A full 95 percent of primary care physicians who work with the project report that they feel more confident in their ability to provide effective headache care, reducing the need to rely on specialists for long-term headache care. Based on reduced utilization of hospital resources, the Collaborative could eliminate $384,000 in estimated payments every year.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	295664000	Expense
Grants	0	Grants
Revenue	122729000	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 $239 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 $17 million invested to support research programs in 2011. 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:MRIs may be used to drive surgical robots in the future. Engineers at Children's have demonstrated the ability to program the magnetic field generated by a clinical MRI scanner to motorize and control a robotic instrument - in this case, a surgical biopsy needle. Researchers demonstrated that MRI, in addition to providing terrific images of soft tissue, can also produce sufficient force to drive a robotic device. The ultimate goal is to create magnetically powered robots that can either travel through the body to perform highly targeted therapies or reside inside the body as adjustable prosthetic devices. Possible uses could include: tiny ball-bearing-sized robots that could be steered through the cerebrospinal fluid or the urinary system to deliver drugs or stem cells, and implantable devices that could be adjusted to regulate blood flow in the heart, or gradually enlarged to prevent the need for new, larger implants as a child grows.School obesity-prevention curriculum can reduce medical costs: Teaching middle-school children about nutrition and exercise and encouraging them to watch less TV can save the health care system a substantial amount of money, suggests an economic analysis from Children's and the Centers for Disease Control and Prevention. Using data from a randomized, controlled study conducted at 10 Massachusetts middle schools, five of which adopted the obesity prevention curriculum Planet Health, the researchers created a model projecting a net savings of $14,000 for the 254 girls receiving the curriculum, by averting the costs of treating obesity and eating disorders. They project that expanding the program to even just 100 schools could save the health care system $680,000.New approaches open up in spinal muscular atrophy: Spinal muscular atrophy (SMA) is the leading genetic cause of death in children under 2, with no treatment other than supportive care. Researchers at Children's showed how loss or mutation of the SMA gene causes progressive muscle degeneration and weakness, and suggest a promising approach to treating the condition, sometimes referred to as a "Lou Gehrig's disease of babies".Spinal muscular atrophy, or SMA, affects one in every 1 in 6,000-10,000 infants, but an estimated 1 in 35-40 people are carriers, according to the SMA Foundation. Infants with SMA are born with low muscle tone, and in many cases are too weak to breathe and swallow on their own; they usually die from respiratory failure. The new findings reveal that loss of the SMA gene - and resulting depletion of a protein called SMN - makes nerve fibers from the spinal cord unable to navigate toward and form synapses (connections) with the muscles they're meant to control. But they also demonstrate that this problem could be reversed in a zebrafish model of the disease.Dialing up fetal hemoglobin dials down sickle cell disease: Flipping a single molecular switch can reverse illness in a model of sickle cell disease, according to a study by researchers at Children's and Dana-Farber Cancer Institute. When turned off, the switch, a protein called BCL11A, allows the body to manufacture red blood cells with an alternate form of hemoglobin unaffected by the mutation that causes the disease. The findings provide strong evidence that BCL11A could be a powerful treatment target for a significant global health problem, one that affects between 75,000 and 100,000 people in the United States alone.First described over 100 years ago, sickle cell disease (or sickle cell anemia) is an inherited blood disease caused by a single mutation in one of the components of hemoglobin, the oxygen-carrying protein in red blood cells. The mutation reduces the protein's ability to carry oxygen, and forces the cells to curve into a distinctive crescent or sickle shape, causing them to painfully accumulate and break apart in small blood vessels.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	33963428	Expense
Grants	0	Grants
Revenue	17706486	Revenue
Description	TEACHING:Over the course of the year, 172 residents, 267 clinical fellows, 550 research fellows and 875 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 (3 entries)

ExpenseExpense	GrantsGrants	RevenueRevenue	DescriptionDescription
8168684	0	0	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, Children's approach to improving the health and well-being of children and families in our local community and beyond has evolved and matured. 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. 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, Children's priorities are aligned with those of the City of Boston, the Boston Public Health Commission, the Boston Public Schools and other key partners and city agencies.Community needs are addressed through three focus areas within the community mission: 1) improving access to care and serving as a safety net hospital; 2) supporting programs to achieve systemic change in core health issues-asthma, obesity, mental health and child development; and 3) working with partners to address the social determinants of health that affect the entire community (education, violence and workforce development). These are also areas in which Children's has significant clinical expertise, strong partnerships and the resources to make an impact.* Understanding community needs Everything Children's Hospital Boston 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. 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 including 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. This internal Community Health Team provides feedback on the current challenges and needs of families as well as offers 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 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 partnership and helps to shape the implementation of the hospital's community strategy.Guided by the CAB, 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. Children's last formal report was completed in 2009 and the hospital is now preparing for its next assessment to be completed in 2013. The data collection process is underway as the hospital embarks on a first-of-its-kind study of Boston children, the Boston Child Health Study, in partnership with the BPHC. For more details on the needs assessment process, visit childrenshospital.org/community. A copy of the last assessment completed in 2009 can also be found on the web site. Serving as a Safety Net *Children's is the leading provider of health care to low-income and underinsured children in Massachusetts. And provides care unavailable elsewhere in the state and sometimes the nation. Children's also treats pediatric patients from Massachusetts regardless of their ability to pay. 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 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.
			* A Community Health Leader *Based on community needs assessment, Children's has identified and prioritized core areas (asthma, mental health, child development and obesity) and has developed and implemented programs to address these health needs. The programs are viewed collectively as part of a portfolio that utilizes uniform standards and a performance measurement system to measure social impact. Each program in the portfolio must address specific health needs identified by the community; engage the community in the development and implementation of programs; and provide services to address health disparities. As a result, Children's has been able to show social impact by demonstrating how the programs achieve systemic change; improve health and/or quality outcomes; improve wellness and quality of life; prove that community-based models are cost-effective and build community capacity to ensure sustainability. Below are brief descriptions of these programs. More details can be found on our web site at childrenshospital.org/communityChildren's Community Asthma Initiative (CAI) has helped to improve the health and lives of 800 Boston children with asthma since 2005. The goal is to educate parents and children about how to manage asthma so the child can lead a healthy and active life. The CAI model offers: case-management to help educate families on medication usage, provide them with asthma control supplies and connect them with community resources; home visits to identify and reduce environmental triggers; training and support for parents and caregivers; and advocacy efforts to ensure families can access needed care, support and education. In FY11, CAI was able to show that the program reduced the percentage of patients who have had any asthma-related emergency department visits by 81% and any emergency department visits by 62%. In addition, the program was able to show a 41% decrease in the percentage of children who have had any missed school days and 46% decrease in the percentage of parents/caregivers who have had any missed work days.\Children's is also increasing access to mental health care through the Children's Hospital Neighborhood Partnerships (CHNP) program. In partnership with 15 Boston schools and five community health centers, CHNP provides intervention services such as individual supportive psychotherapy, psychopharmacology, case management and crisis response; social and emotional prevention programs for small groups and whole classrooms; and capacity building through consultation services. By increasing access to an array of high quality mental health services, CHNP has shown that the program can effectively decrease wait times for crisis (immediate intervention by the school-based CHNP team versus approximately 90 minutes of wait time for outside clinicians) and routine clinical services (10 days compared with 42 days in outpatient setting), and increased length of treatment among children, as well as the availability of child psychiatry services for children with serious psychiatric disorders in partner health centers. Nearly 1,800 students in partner schools were provided with prevention and early intervention services that they would not otherwise have received, as these services are not reimbursed through the mental health services insurance structures. CHNP was successful in promoting children's social-emotional developments and the model has been shown to improve social-emotional competencies and coping strategies in children and reduce symptom severity and improve functioning in students participating in prevention activities. Additionally, 90 percent of teachers feel that CHNP services contribute to their students' ability to do well in the classroom. Through Fitness in the City (FIC), Children's aims to build community capacity to help overweight and obese children to eat more nutritiously and be more physically active as well as to identify best practices for obesity prevention. The hospital provides technical and financial assistance to support existing obesity prevention and management programs at 11 Boston community health centers including Martha Eliot Health Center. Services include case-management support and access to culturally appropriate nutrition education and physical activities. Case managers help patients to meet their goals. More than 800 Boston children participate in the program annually. FIC has proven effective in helping patients make lifestyle changes to become more active and healthy. Children participating report spending less time watching TV on weekends and decreasing their soda/juice intake after 12 weeks in the program. The majority of children (57%) participating have been able to decrease their Body Mass Index after one year in the program. The Advocating Success for Kids Program (ASK) provides developmental and behavioral screening and case management services to low-income, at-risk children with learning, developmental or behavioral disorders. Services are provided through Children's primary care clinic and three community health centers. Families often experience challenges in accessing the consultations and evaluations needed to identify the problems which can impact learning. In addition to providing screenings and assessments, the ASK team partners with families and provides case-management to help them obtain school-based services and provide them with the information needed to become advocates for their children. Last year, 356 children were served by the ASK Program which has been able to ensure that 87% of referred patients completed their scheduled appointments at community health centers.For details on the programs mentioned above and other efforts to improve child health in Boston, visit childrenshospital.org/community.
			* Community Partnership * Recognizing the link between social issues and health issues, Children's collaborates with community partners to respond to three of the most pressing social determinants of health facing Boston residents: education level, income, and violence.- Education and schools. Children's recognizes that access to a safe and supportive educational environment is vital to a child's academic success and to ensuring future economic mobility and opportunity. Children's partners closely with the Boston Public Schools to support and strengthen the system as whole 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. Children's supports programs such as Thrive in 5, Smart from the Start and Countdown to Kindergarten. In addition, the hospital provides direct services through initiatives such as the Children's Hospital Neighborhood Partnerships Program and the Advocacy Success for Kids Program. - Workforce Development. Children's recognizes that one of the most significant ways to address poverty in our local neighborhoods is to provide employment and career development opportunities to local Boston residents. This approach has the double advantage of ensuring a diverse and culturally competent workforce. The hospital addresses workforce development through a network of strong community partnerships, spanning across a continuum of activities. Partners include Sociedad Latina, the Fenway Community Development and Jewish Vocational Services. - Violence and Violence Prevention. Exposure to violence, both directly and indirectly, has a profound impact on the physical and emotional health of those affected - the effects of which can negatively influence other aspects of their lives, including work and school. 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 (JPVIP), a partnership with 15 local organizations including the hospital's own Martha Eliot Health Center in Jamaica Plain. Additionally, the JPVIP model will be replicated by the Boston Public Health Commission (BPHC), with Children's support, at two additional community health centers. 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 partnering with and supporting two key community groups - the Boston Public Health Commission and Boston community health centers.Boston Public Health Commission (BPHC). 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 Children's-initiated, first-of-its-kind study to assess the needs of young children in Boston; the study will include phone interviews, a review of public health data on children's issues and literature review of program best practices.- Participation in the BPHC's Tobacco-Free Hospital Initiative and Sugar-sweetened Beverage Learning Network, in addition to the formation of an internal Health Hospital Workgroup to analyze and make recommendations for hospital policies promoting a health 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.Community Health Centers. Community health centers are key partners in Children's efforts to: 1) build community capacity to deliver high quality pediatric care and services; 2) address critical health needs for children, youth and families; 3) improve quality initiatives within community health centers to track areas such as asthma care, immunization rates, obesity and child development; and 4) improve access and coordination of care through advocacy efforts.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 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. Children's support enables these health centers to augment current services or provide new services that are in great demand, yet not always readily available. The health centers are able to nearly 1,500 children per year with case management support, nutrition and fitness education, psychiatric and developmental consultation and other services. With assistance from Children's, health centers have been able to focus on quality and improvement initiatives as well as develop and share best practices to assess, report and monitor pediatric data. Children's affiliated health centers now have three years of data collected to track their progress in asthma care, immunization rates, obesity and child development. Child Advocacy. Influencing public policy to improve child health is an important aspect of 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, Children's has been an organized force and an influential advocate for children for more than 20 years. 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. 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 2006, 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. Children's also partnered with the Asthma Regional Council of New England to make the business case for its approach to pediatric asthma management (see above for details on the Community Asthma Initiative). 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.In addition, the hospital has established the 2,000 member Children's Advocacy Network, 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.

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	8168684	TotalOfOtherProgramServiceExp
Total Program Service Expense	1146744846	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
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	1	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	704	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	10713	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	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	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	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
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	Tom Honan-Chief Financial Officer	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 (43 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
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
William L Boyan
Trustee (10/1/10-12/31/10)	1.00	X	0	0	0
Steven Fishman MD
Trustee, ex officio	1.00	X	0	0	0
Gary Fleisher MD
Trustee, ex officio	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
Robert A Smith
Trustee	1.00	X	0	0	0
Robert Smyth
Trustee	1.00	X	0	0	0
Eileen Sporing MSNRN
Chief Nursing Officer/Noncomp Trste	55.00	X	596700	0	70959
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 offici	55.00	X	1861684	0	129768	X
Sandra Fenwick
President & COO, Noncomp Trste,ex offico	55.00	X	1294843	0	109407	X
David Kirshner
CFO & Treasurer	55.00		716011	0	72691	X
Bruce Balter
Asst Treasurer/Dir Corp Financial Svc	55.00		245607	0	48007	X
Stuart Novick Esq
General Counsel & Secretary	55.00		668306	0	75269	X
Dianne Hatfield
Asst Secretary/Exec Asst	55.00		96483	0	23188	X
Demosthenes Argys
SVP, & Chief Administrative Officer	55.00		572381	0	65561		X
Carleen Brunelli PhD
VP, Research Administration	55.00		381898	0	54868		X
Janet Cady
President, CH Trust	55.00		609273	0	82358		X
M Laurie Cammisa
VP, Child Advocacy	55.00		379104	0	47061		X
Daniel Nigrin MD
SVP & Chief Information Officer	55.00		576057	0	64937		X
Philip Rotner
Chief Investment Officer	55.00		624602	0	53065		X
Inez Stewart
VP, Human Resources	55.00		431406	0	59530		X
Henry Tomasuolo
VP, Support Services	55.00		405579	0	57338		X
Charles Weinstein
VP, RE Planning & Development	55.00		456364	0	70349		X
Orah Platt MD
Chief, Lab Medicine	55.00		439385	0	35128		X
Scott Ogawa
Chief Technology Officer &	55.00		341113	0	32810		X
Patricia Hickey PhD MBA
VP, Critical Care Pat Svc	55.00		335478	0	37639		X
David Demaso MD
Chief, Psychiatry	55.00		337307	0	35265		X
Nader Rifai PhD
Director, Chemistry	55.00		513603	0	45883			X
Clifford Woolf MB BChPhD
Director, Neurology	55.00		462343	0	17160			X
Carlo Brugnara MD
Director, Hematology	55.00		421122	0	45558			X
Melvin Glimcher MD
Physician, Othopaedics	55.00		405230	0	29692			X
Sitaram Emani MD
Physician, Cardiac Surgery	55.00		359181	0	38026			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	13531060	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1401517	TotalOtherCompensation
Number Individuals GT100 K	1364	NumberIndividualsGT100K
Formers Listed	0	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	27183133
William A Berry & Son Inc
99 Conifer Hill Drive	Danvers	MA	01923	Construction Services	13720423
The Brigham and Women's Hospital
75 Francis Street	Boston	MA	02115	Healthcare/Research Services	8644674
Beth Israel Deaconess Medica Center
330 Brookline Avenue	Boston	MA	02115	Healthcare/Research Services	5007852
Harvard Vanguard Medical Associates
275 Grove Street	Newton	MA	02466	Healthcare Service	4240314

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	188	NumberOfContractorsGT100K
Federated Campaigns	4554	FederatedCampaigns
Fundraising Events	3017869	FundraisingEvents
Government Grants	179141072	GovernmentGrants
All Other Contributions	176196788	AllOtherContributions
Noncash Contributions	5362977	NoncashContributions
Total Contributions	358360283	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	1000437307	1000437307
Graduate Medical Educa	611710	17706486	17706486
Prog Svc Grants	621110	12274101	12274101
Prof Svc Revenue	621110	8438939	8438939
Lab Revenue	621500	110783		110783

Field	Value	IRS element (for citing)
Total Program Service Revenue	1038967616	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5544197	TotalRevenueColumn
Unrelated Business Revenue	-5269	UnrelatedBusinessRevenue
Exclusion	$5,549,466	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1990718	TotalRevenueColumn
Exclusion	$1,990,718	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	14379155	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	14379155	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	14379155	TotalRevenueColumn
Exclusion	$14,379,155	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	262461985	Securities
Other	609397	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	228466269	Securities
Other	816295	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	33995716	Securities
Other	-206898	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	33788818	TotalRevenueColumn
Exclusion	$33,788,818	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	1124800	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	3017869	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	1341111	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-216311	TotalRevenueColumn
Exclusion	-$216,311	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	455400	GrossIncomeGaming
Gaming Direct Expenses	51272	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	404128	TotalRevenueColumn
Exclusion	$404,128	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Other General Services	900099	8511865	$8,511,865
Parking Revenue	812930	5963590	$5,963,590
Cafeteria Sales	722210	4824685	$4,824,685

Field	Value	IRS element (for citing)
Total Other Revenue	19300140	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1472518744	TotalRevenueColumn
Related Or Exempt Function Income	1038856833	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	105514	UnrelatedBusinessRevenue
Exclusion	$75,196,114	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	8436957	Total
Program Services	8436957	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	1572658	Total
Program Services	1572658	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	12594779	Total
Program Services	658166	ProgramServices
Management And General	11054181	ManagementAndGeneral
Fundraising	882432	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	528253233	Total
Program Services	455971278	ProgramServices
Management And General	61923220	ManagementAndGeneral
Fundraising	10358735	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	32102866	Total
Program Services	29922637	ProgramServices
Management And General	1133133	ManagementAndGeneral
Fundraising	1047096	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	66689408	Total
Program Services	65253478	ProgramServices
Management And General	286245	ManagementAndGeneral
Fundraising	1149685	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	40873242	Total
Program Services	39540083	ProgramServices
Fundraising	1333159	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	6902559	Total
Management And General	6902559	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1809841	Total
Management And General	1805074	ManagementAndGeneral
Fundraising	4767	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1101400	Total
Management And General	1101400	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	61600	Total
Program Services	61600	ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	1352435	Total
Fundraising	1352435	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	150956335	Total
Program Services	139020208	ProgramServices
Management And General	11459962	ManagementAndGeneral
Fundraising	476165	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	930116	Total
Program Services	850051	ProgramServices
Management And General	58482	ManagementAndGeneral
Fundraising	21583	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	78102225	Total
Program Services	39665098	ProgramServices
Management And General	34753690	ManagementAndGeneral
Fundraising	3683437	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	17548696	Total
Program Services	3798390	ProgramServices
Management And General	13315632	ManagementAndGeneral
Fundraising	434674	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	67972904	Total
Program Services	67114196	ProgramServices
Management And General	14124	ManagementAndGeneral
Fundraising	844584	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	4277477	Total
Program Services	3667478	ProgramServices
Management And General	534550	ManagementAndGeneral
Fundraising	75449	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1240438	Total
Program Services	754178	ProgramServices
Management And General	422859	ManagementAndGeneral
Fundraising	63401	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	29624891	Total
Program Services	29624891	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	89197026	Total
Program Services	88522646	ProgramServices
Fundraising	674380	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7494576	Total
Program Services	5221932	ProgramServices
Management And General	2272644	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
Lab/Medical/Pharmacy	121156878	121156878
Uncollectible Accts	24093782	24093782
Free Care	12913480	12913480
Uncompensated Care	8924781	8924781

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1316184583	Total
Program Services	1146744846	ProgramServices
Management And General	147037755	ManagementAndGeneral
Fundraising	22401982	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	515336	BOY
EOY	1540955	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	28876609	BOY
EOY	96811013	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	148156277	BOY
EOY	155194338	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9731029	BOY
EOY	10798056	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3973904	BOY
EOY	5723050	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1796863453	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1009834947	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	748839324	BOY
EOY	787028506	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	263561140	BOY
EOY	382195882	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	340336423	BOY
EOY	430807838	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1521318943	BOY
EOY	1499446567	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3065308985	BOY
EOY	3369546205	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	234505853	BOY
EOY	228112635	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	41468340	BOY
EOY	49961483	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	465977214	BOY
EOY	466043562	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	270628471	BOY
EOY	295855544	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1212579878	BOY
EOY	1239973224	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1123123234	BOY
EOY	1231281251	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	377607758	BOY
EOY	358702226	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	351998115	BOY
EOY	539589504	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1852729107	BOY
EOY	2129572981	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3065308985	BOY
EOY	3369546205	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	156334161	ReconcilationRevenueExpenses
Reconcilation Other Changes	120509713	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
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	$111,050	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$143,341	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$434,630	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	689021	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 2011, 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 2011 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 $25,464 Melissa Shannon (3/2011-9/2011) Registered Lobbyist Children's Hospital personnel $49,313 Maria Fernandes Registered Lobbyist Children's Hospital personnel $12,860 Amy DeLong Registered Lobbyist Children's Hospital personnel $47,884 James Mandell Registered Lobbyist Children's Hospital personnel $3,810 Sandra Fenwick Registered Lobbyist Children's Hospital personnel $4,430 Ann Langley Consultant Health Policy Strategies 728 Battery Place, Alexandria, VA 22314 $21,600 Michael Spivey Consultant Spivey Harris Health Policy Group 1767 P Street Northwest, Washington, D.C. 20036 $2,500 Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $35,000 Total Lobbyist/Consultant Expenses = $434,630 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $111,050 Grant to Nat'l Assoc of Children's Hospitals for GME - Related Lobbying Expense = $143,341 TOTAL LOBBYING EXPENSES = $689,021 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	567567000	BeginningOfYearBalance
Contributions	192306000	Contributions
Investment Earnings Or Losses	-11529000	InvestmentEarningsOrLosses
Other Expenditures	35448000	OtherExpenditures
End Of Year Balance	712896000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	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	1142118339	OtherCostOrOtherBasis
Depreciation	599208155	Depreciation
Book Value	542910184	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	535939899	OtherCostOrOtherBasis
Depreciation	405542960	Depreciation
Book Value	130396939	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	118405867	OtherCostOrOtherBasis
Depreciation	5083832	Depreciation
Book Value	113322035	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	787028506	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (36 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Knott Partners	6701708	F
Pequot	1526198	F
Wellington - Trust	12043138	F
Wellington - Energy	5949341	F
Brookside Capital	26081060	F
Lone Pine Capital	8678175	F
Lone Pinon	3089096	F
Standard Pacific	15612020	F
Highfields Capital	28762342	F
Sankaty	12537183	F
Davidson Kempner	33653510	F
King Street	43005256	F
Baupost	37111257	F
Fidelity International Stock	20910008	F
Fidelity Notes Payable	2081079	F
Bain IX Fund	7889567	F
Bain X Fund	2943077	F
Bain Arc	7476994	F
Old Lane	339091	F
SPUR Ventures	3733675	F
Lone Cascade	17183368	F
Wellington - Emerging Small Cap	11871713	F
Wellington - Real Asset	16985920	F
Wellington - Diversified Hedge	5672797	F
TT International	8471338	F
Walter Scott	16579632	F
Axiom	10910214	F
Sanford Bernstein	19641074	F
MIT Private Equity Fund	17376354	F
Energy Capital Partners	2959024	F
Tourmalet Advisors	6069627	F
SDK Capital	3244546	F
Matrix China II	457801	F
Nalanda	1650236	F
Lone Dragon	4992398	F
Somerset	6618021	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	430807838	TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Unamortized Bond Issuance Fees	4051390
Interest in the Net Assets of Children's Medical Center	1488296447
Due from IRS	7078730
Other Assets - Miscellaneous	20000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1499446567	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue	$36,942,780
Salary & Other Benefits	$2,814,511
Funds Held for Others	$37,894,885
Reserve for Medical Malpractice	$5,457,149
Accrued Pension Cost	$46,412,293
Other Liabilities - Miscellaneous	$7,013,791
Lease Obligations	$9,835,670
Interest Rate Swap Liability	$149,484,465

Field	Value	IRS element (for citing)
Total Of Amounts	295855544	TotalOfAmounts
Total Revenue	1472518744	TotalRevenue
Total Expenses	1316184583	TotalExpenses
Excess Or Deficit For Year	156334161	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-77994036	NetUnrealizedGLOnInvestments
Other	$198,503,749	OtherAmount
Total Adjustments	120509713	TotalAdjustments
Excess Or Deficit Per FS	276843874	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1543483873	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-77994036	NetUnrealizedGainsInvestments
Other Revenues	201400715	OtherRevenues
Revenue Not Rptd F990	123406679	RevenueNotRptdF990
Revenue Subtotal	1420077194	RevenueSubtotal
Other Revenues Not Included	52441550	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	52441550	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1472518744	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1266639999	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	1266639999	ExpensesSubtotal
Other Expenses Not Included	49544583	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	49544583	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1316184582	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 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 $85,640,000 and Contributions of $106,666,000. Part V, Line 1e: Other Expenditures includes an adjustment of $(15,295,000) as the result of a prior period Audited Financial Statement adujustment.
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.
Part XI, Line 8 - Other Adjustments:		Net Transfers/Support from Children's Medical Center 201,400,715. Pension Adjustment -8,610,999. Other Adjustments -76,149. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others 5,790,182.
Part XII, Line 2d - Other Adjustments:		Net Transfer/Support from Parent 201,400,715.
Part XII, Line 4b - Other Adjustments:		Free Care (Reclass From Net Patient Services Revenue on Audited Fin Stmt) 12,913,480. Expense Netting on Contributions - Reclass 22,401,983. Professional Service Fund Revenue 8,438,939. Pension Adjustment 8,610,999. Miscellaneous Other 76,149.
Part XIII, Line 4b - Other Adjustments:		Free care (Reclass from Net Patient Services Revenue on Audited Fin Stmt) 12,913,480. Professional Service Fund Expenses 14,229,121. Expense Netting on Net Philanthropy - Contribution Reclass 22,401,983. Rounding -1.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (10 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
Central America & the Caribbean	Program Services	Patient Care, Research & Education	44736
East Asia & The Pacific	Program Services	Patient Care, Research & Education	136548
Europe	Program Services	Patient Care, Research & Education	377755
Middle East and North Africa	Program Services	Patient Care, Research & Education	55044
North America	Program Services	Patient Care, Research & Education	125453
South America	Program Services	Patient Care, Research & Education	23552
South Asia	Program Services	Patient Care, Research & Education	36895
Sub-Saharan Africa	Program Services	Patient Care, Research & Education	123932
Central America & the Caribbean	Insurance		2965524
Russia & the Newly Independent States -	Program Service	Patient Care, Research & Education	10699

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	923915	SubtotalAmountSpent
Cont Amount Spent	2976223	ContAmountSpent
Total Amount Spent	3900138	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 (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	ActivityActivity	Fundraiser Control Of FundsFundraiserControlOfFunds	Gross ReceiptsGrossReceipts	Amount Retained By ContractorAmountRetainedByContractor	Net To OrganizationNetToOrganization	Name Of IndividualNameOfIndividual
Advanced Marketing Direct
99 Thielman Drive	Buffalo	NY	14206	Direct mail creative & management	0	1156278	1091224	65054
BlueGreen Ventures
One Broadway	Cambridge	MA	02142	Website Support	0	384281	66800	317481
(no name)
115 Theodore Parker Road	West Roxbury	MA	02132	Manage and produce Gen C Project	0	12063	59873	-47810	Alexander Chisholm
Bentz Whaley Flessnner & Assoc
7251 Ohms Lane	Minneapolis	MN	55439	Fundraising counsel	0	0	50007	-50007
Jaime Jaffee Enterprises
18 Storey Drive	Lincoln	MA	01773	Long range planning	0	0	70000	-70000
Chartiy Dynamics
3420 Executive Center Drive	Austin	TX	78731	Donor Survey	0	0	14531	-14531

Field	Value	IRS element (for citing)
Total Gross Receipts	1552622	TotalGrossReceipts
Total Retained By Contractors	1352435	TotalRetainedByContractors
Total Net To Organization	200187	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	2887243	GrossReceiptsEvent1
Charitable Contributions Event1	2480940	CharitableContributionsEvent1
Gross Revenue Event1	406303	GrossRevenueEvent1
Food And Beverage Event1	198060	FoodAndBeverageEvent1
Other Direct Expenses Event1	730040	OtherDirectExpensesEvent1
Name Of Event2	Dinner/Auction	NameOfEvent2
Gross Receipts Event2	836568	GrossReceiptsEvent2
Charitable Contributions Event2	224368	CharitableContributionsEvent2
Gross Revenue Event2	612200	GrossRevenueEvent2
Food And Beverage Event2	28136	FoodAndBeverageEvent2
Other Direct Expenses Event2	183164	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	418858	GrossReceiptsOtherEvents
Charitable Contrib Other Events	312561	CharitableContribOtherEvents
Gross Revenue Other Events	106297	GrossRevenueOtherEvents
Food And Beverage Other Events	86540	FoodAndBeverageOtherEvents
Entertainment Other Events	9904	EntertainmentOtherEvents
Other Direct Expenses Other Events	105267	OtherDirectExpensesOtherEvents
Gross Receipts Total	4142669	GrossReceiptsTotal
Charitable Contributions Total	3017869	CharitableContributionsTotal
Gross Revenue Total Events	1124800	GrossRevenueTotalEvents
Food And Beverage Total Events	312736	FoodAndBeverageTotalEvents
Entertainment Total Events	9904	EntertainmentTotalEvents
Other Direct Expenses Total Events	1018471	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	1341111	DirectExpenseSummaryEvents
Net Income Summary	-216311	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	455400	GrossRevenueOtherGaming
Other Direct Expenses Other Gaming	51272	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	1	VolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming	0.64000	VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming	455400	GrossRevenueTotalGaming
Other Direct Expenses Total Gaming	51272	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	51272	DirectExpenseSummaryGaming
Net Gaming Income Summary	404128	NetGamingIncomeSummary

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

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	Childrens Hospital 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

Form990 Schedule G Part IV Form990ScheduleGPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Fundraising Payments	Identifier
Return Reference	Schedule G, Part I, Line 2b, Column (v)	ReturnReference
Explanation	Bentz, Whaley, Flessner & Associates provided fundraising counsel for campaigns or programs that have not yet implemented; thus $0 receipts. Alexander Chisholm manages school outreach and oversees relationship with Simon & Schuster for the Generation Cures project; thus $0 receipts. Jaime Jaffee Enterprises provided fundraising counsel for long range campaigns; thus $0 receipts.	Explanation

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	0	AmountsBudgetedForCharityCare
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	16464434	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3871834	DirectOffsettingRevenue
Net Community Benefit Expense	12592600	NetCommunityBenefitExpense
Percent Of Total Expense	0.00970	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	232404780	TotalCommunityBenefitExpense
Direct Offsetting Revenue	200191934	DirectOffsettingRevenue
Net Community Benefit Expense	32212846	NetCommunityBenefitExpense
Percent Of Total Expense	0.02490	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	248869214	TotalCommunityBenefitExpense
Direct Offsetting Revenue	204063768	DirectOffsettingRevenue
Net Community Benefit Expense	44805446	NetCommunityBenefitExpense
Percent Of Total Expense	0.03460	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6037370	TotalCommunityBenefitExpense
Net Community Benefit Expense	6037370	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	33963428	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5981335	DirectOffsettingRevenue
Net Community Benefit Expense	27982093	NetCommunityBenefitExpense
Percent Of Total Expense	0.02170	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18914109	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15291515	DirectOffsettingRevenue
Net Community Benefit Expense	3622594	NetCommunityBenefitExpense
Percent Of Total Expense	0.00280	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	295664000	TotalCommunityBenefitExpense
Direct Offsetting Revenue	122729000	DirectOffsettingRevenue
Net Community Benefit Expense	172935000	NetCommunityBenefitExpense
Percent Of Total Expense	0.13380	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1665200	TotalCommunityBenefitExpense
Net Community Benefit Expense	1665200	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	356244107	TotalCommunityBenefitExpense
Direct Offsetting Revenue	144001850	DirectOffsettingRevenue
Net Community Benefit Expense	212242257	NetCommunityBenefitExpense
Percent Of Total Expense	0.16430	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	605113321	TotalCommunityBenefitExpense
Direct Offsetting Revenue	348065618	DirectOffsettingRevenue
Net Community Benefit Expense	257047703	NetCommunityBenefitExpense
Percent Of Total Expense	0.19890	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	36	NumberOfActivitiesOrPrograms
Total Community Building Expense	1598429	TotalCommunityBuildingExpense
Net Community Building Expense	1598429	NetCommunityBuildingExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Total Community Building Expense	532885	TotalCommunityBuildingExpense
Net Community Building Expense	532885	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	46	NumberOfActivitiesOrPrograms
Total Community Building Expense	2131314	TotalCommunityBuildingExpense
Net Community Building Expense	2131314	NetCommunityBuildingExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$8,921,399	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	9063657	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	9350895	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-287238	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	Children's Hospital Boston	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	Children's Hospital Boston	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

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 (15 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 $24,093,782 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 FY11, Children's reported two types of community building activities: $1,598,429 for 36 community support programs and $532,885 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 Audited Financial Statements do not contain a bad debt footnote.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. The Hospital is currently working on a methodology for determining bad debt expense attributable to patients eligible under the organization's financial assistance policy for fiscal year 2012 Form 990 reporting.
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.Caring for Medicare patients fulfills a community need and relieves a government burden as these patients typically have low and/or fixed incomes. Medicare does not provide sufficient reimbursement to cover the cost of providing care for these patients and that shortfall of $287,238 should be counted as community benefit.
Part III, Line 9b: Children's makes reasonable and diligent efforts to collect each patient's insurance and other information and to verify coverage for health care services. Children's applies collection actions to all patients in the same manner, irrespective of their insurance status. Children's does not (and does not permit its agents to) engage in collection action of any kind, including billing, with respect to patients/guarantors that are exempt from collection action under Children's Credit and Collection Policy and under Massachusetts regulations governing the Health Safety Net program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. Children's does not (and does not permit its agents to) engage in legal action against patients/guarantors, including liens, wage garnishments, or lawsuits, or report patients/guarantors to credit bureaus or credit agencies without specific, case-by-case authorization by Children's Board of Trustees. No legal action occurred during the year. Children's Credit and Collection Policy is filed with the Massachusetts Division of Health Care Finance and Policy. That policy and related policies on Self-Pay Discounting and Charity Care and Self-Pay Collection Practices are also available to patients upon request.
Part VI, Line 2: 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 6: As the only free-standing children's hospital in the state, Children's treats 90% of the sickest kids in Massachusetts and offers a range of services that are unavailable elsewhere in the region, including pediatric transplants, critical care transport services, a level 1 Pediatric Trauma Unit and a level 3 Neonatal Intensive Care Unit. Children's also qualifies for DSH payments as the state's largest provider of pediatric care to low-income families. Approximately 30% of its patients are covered by Medicaid, including patients insured by out-of-state Medicaid programs. In addition, Children's has an open medical staff model. Children's is also a leader in education and training for healthcare professionals. It sponsors 38 Accreditation Council for Graduate Medical Education-accredited training programs, one American Dental Association accredited training program and 15 non-accredited subspecialty fellowships with 476 residents/clinical fellows enrolled in these programs. Children's partners with 27 schools of nursing throughout Massachusetts and New England to provide clinical experiences in pediatrics. Children's offers a variety of continuing education courses designed for health care professionals in pediatric practice. The courses are accredited by the Office of Continuing Education at Harvard Medical School and each hour of instruction is approved for Category 1 credits towards the AMA Physician's Recognition Award. Topics include autism, eating disorders, sports injuries, endometriosis, substance abuse, concussions, strabismus, Type II Diabetes and vascular anomalies. Children's also offers half-day programs titled Pediatric Health Care Summits that are held at local hospitals, such as Beverly Hospital, Lawrence General and South Shore Hospital (Weymouth). Additionally, Children's partners with area community hospitals such as Good Samaritan Medical Center, Holy Family, Lawrence General, South Shore, St. Anne's and St. Joseph's to sponsor Community Hospital Pediatrics Grand Rounds with monthly lectures provided by faculty in medical and surgical sub-specialties. Children's also operates "Career Opportunity Advancement Children's Hospital", a seven-week program for Boston youth to explore health care careers while having a safe and meaningful summer and the program "Student Career Opportunity Outreach Program", designed by Children's nurses to introduce young people to nursing career opportunities. Children's is home to the world's largest and most active research enterprise at a pediatric center. Children's research mission encompasses basic research, clinical research, community service programs and the postdoctoral training of new scientists.Children's has a twenty person voluntary Board of Trustees. Twelve 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 7: 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 (40 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	Address Line2AddressUS/AddressLine2
Action for Boston Community Development Inc
178 Tremont Street	Boston	MA	02111	042304133	501(c)(3)	6000	FMV	Community Partnership
America Scores New England
150 Mt Vernon Street Suite 2	Dorchester	MA	02125	043482756	501(c)(3)	5000	FMV	Community Partnership
Health Resources In Action
622 Washington Street	Dorchester	MA	02124	042229839	501(c)(3)	60970	fMV	Community Partnership
Boston Community Centers Inc
1483 Tremont St	Boston	MA	02120	042602576	501(c)(3)	25000	FMV	Community Partnership - Boston Center for Youth & Families
Boston Public Health Commission
1010 Massachusetts Ave	Boston	MA	02118	043316655	115	100500	FMV	Community Partnership
Boston Public Schools
26 Court St 6th Fl	Boston	MA	02108	222514422	115	238700	FMV	Community Partnership
Bowdoin Street Health Center Inc
230 Bowdoin Street	Boston	MA	02122	042529788	501(c)(3)	175000	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
Boston Educational Development Foundation Inc
26 Court St 6th Fl	Boston	MA	02108	222514422	501(c)(3)	52000	FMV	Support of City of Boston's Initiatives - Countdwon to Kindergarten
Community Catalyst Inc
30 Winter Street Suite 1004	Boston	MA	02108	043355127	501(c)(3)	50000	fMV	Advocacy Support
Fenway Community Development Corporation
73 Hemenway Street	Boston	MA	02115	042666507	501(c)(3)	28450	FMV	Community Partnership
Project RIGHT
320 A Blue Hill Avenue	Dorchester	MA	02121	043265420	501(c)(3)	33500	FMV	Advocacy Support
PRESIDENT AND FELLOWS OF HARVARD COLLEGE
124 Mount Auburn Street	Cambridge	MA	02138	042103580	501(c)(3)	6466587	FMV	Harvard Medical School Professorships
Joseph M Smith Community Health Center Inc
287 Western Avenue	Allston	MA	02134	237221597	501(c)(3)	70000	FMV	Support for the Community Health Canter
Community Service Care Inc
295 Center Street	Jamaica Plain	MA	02130	042754281	501(c)(3)	23450	FMV	Community Partnership - JP Coalition
Massachusetts Public Health Association
434 Jamaica Way	Jamaica Plain	MA	02130	042326503	501(c)(3)	5000	FMV	Community Partnership
Massachusetts Society for the Prevention of Cruelty to Children
99 Summer Street	Boston	MA	02110	042103596	501(c)(3)	25000	FMV	Advocacy Support
Mattapan Community Health Center
1425 Blue Hill Ave	Mattapan	MA	02426	042544151	501(c)(3)	41000	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)	23450	FMV	Community Partnership - Roxbury YMCA
Family Nurturing Center of Massachusetts Inc
200 Bowdoin Street	Dorchester	MA	02122	311626186	501(c)(3)	68500	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)	23450	FMV	Community Partnership
South Cove Community Health Center Inc
145 South Street	Boston	MA	02111	042501818	501(c)(3)	88000	FMV	Support of the Community Health Center
South End Community Health Center Inc
1601 Washington Street	Boston	MA	02118	042456134	501(c)(3)	77500	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
Dimock Community Health Center Inc
55 Dimock Street	Roxbury	MA	02119	043487835	501(c)(3)	90000	FMV	Support of the Community Health Center
United Way of Massachusetts Bay Inc
51 Sleeper Street	Boston	MA	02120	042382233	501(c)(3)	207000	FMV	Support of City of Boston's Initiatives - Thrive in Five
Upham's Corner Community Center Inc
500 Columbia Road	Dorchester	MA	02125	042708670	501(c)(3)	70000	FMV	Support of the Community Health Center
Whittier Street Health Center Committee Inc
1125 Tremont Street	Roxbury	MA	02120	042619517	501(c)(3)	75000	FMV	Support of the Community Health Center
Family Services Association of Greater Boston
31 Heath Street	Jamaica Plain	MA	02130	042160528	501(c)(3)	1000	FMV	Community Partnership
Health Law Advocates
30 Winter Street Suite 1004	Boston	MA	02108	043298116	501(c)(3)	25000	FMV	Advocacy Support
Associated Early Care and Education Inc
95 Berkeley Street Suite 306	Boston	MA	02116	042105893	501(c)(3)	13400	FMV	Community Partnership
Jewish Vocational Services
29 Winter Street	Boston	MA	02108	042104357	501(c)(3)	5000	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
Massachusetts Taxpayers Foundation Inc
333 Washington Street Suite 853	Boston	MA	02108	041590310	501(c)(3)	7500	FMV	Community Partnership
Massachusetts Law Reform Institute
99 Chauncy Street 500	Boston	MA	02111	046004303	501(c)(3)	5000	FMV	Advocacy Support
Mission Hill Neighborhood Housing Service
One Brigham Circle 1620 Tremont	Boston	MA	02120	237428011	501(c)(3)	1000	FMV	Community Partnership	Street
Mission Hill Youth Collaborative
1481 Tremont Street	Boston	MA	02120	043103865	501(c)(3)	5000	FMV	Community Partnership
Parent Professional Advocacy League
45 Bromfield Street	Boston	MA	02108	043573317	501(c)(3)	5000	FMV	Advocacy Support
Massachusetts General Hospital
205 Portland Street 6th Floor	Boston	MA	02114	041564655	501(c)(3)	5000	FMV	Community Partnership

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	38	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (23 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	18	35000	FMV
Nursing Education Scholarship Fund	20	82008	FMV
Joshua T. Shairs Cardiology Fund	2	2000	FMV
Car Seat Program	401		FMV	16986	Car seats
Frieze Social Work Fund	4026	273144	FMV
Hellenic Cardiac Fund for Children	15		FMV	270926	Medical and housing assistance
Hall Social Work Fund	804	57269	FMV
Camp Fund	126	45856	FMV
Social Work Discretionary Fund	590	41986	FMV
Andre Sobel River of Life Foundation Fund	18	27412	FMV
Kent Street Operating Fund	4029		FMV	282084	Housing Assistance
Devon Nicole House Operating Fund	2172		FMV	123643	Housing Assistance
Walsh CF Social Work Fund	110	8134	FMV
Pet Therapy Program Fund	827		Other		Theurapeutic dog visits made to inpatients
Brandano Parent Apartment Fund	2925		FMV	32568	Supplies for patient and families
Matthew Puffer Parking Fund	18	2241	FMV
Green Orthopaedic Equipment Fund	22	14115	FMV
Sandra & Geoffrey Fenwick Family Income Fund	237		FMV	11401	Memorial services and grief conference; room fees & food
Patient Care Support Services Income Fund	10	8381	FMV
A. Shuman Clothing Fund	50		FMV	577	Clothing
Extraordinary Needs Fund	1382	225936	FMV
Judith Nelson Operating Fund For Families	30	9527	FMV
Mannheim Family Endowment Operating Fund	6201		fMV	1464	Housing Supplies

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: Car Seat Program - assist families with their car seat needs, education and installations. Frieze Social Work Fund - provide broad financial assistance to needy children and families during their illness or hospitalization at Children's Hospital. Hellenic Cardiac Fund For Children - provide financial assistance pertaining to the treatment and care of cardiac patients of Greek descendent and their parents (expenses may include room and board etc). Hall Social Work Fund - provide meals to needy patients and their families. Camp Fund - support social service's summer camp program for patients. Social Work Discretionary Fund - support of the social service department'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. Walsh CF Social Work Fund - provide for the unmet financial needs of Cystic Fibrosis patients and their families. 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. Green Orthopaedic Equipment Fund - provide orthopaedic equipment for needy children. Sandra & Geoffrey Fenwick Family Income Fund - support for the Center for Families especially needy patients. Patient Care Support Services Income Fund - patient care support services for needy patients and their families. A. Shuman Clothing Fund - provide financial support for the purchase of clothing for 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. Mannheim Family Endowment Operating Fund - to support housing at Kent Street. 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	0	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 (24 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
389115	0	146918	0	60667	0	49550	0	21409	0	667659	0	73689	0
James Mandell MD
746747	0	725000	0	389937	0	96650	0	33118	0	1991452	0	306250	0
Sandra Fenwick
539914	0	532000	0	222929	0	76325	0	33082	0	1404250	0	224000	0
David Kirshner
462162	0	181116	0	72733	0	46950	0	25741	0	788702	0	89137	0
Bruce Balter
188484	0	14350	0	42773	0	29400	0	18607	0	293614	0	0	0
Stuart Novick Esq
394294	0	152782	0	121230	0	50900	0	24369	0	743575	0	75087	0
Demosthenes Argys
385996	0	122667	0	63718	0	40175	0	25386	0	637942	0	47750	0
Carleen Brunelli PhD
260163	0	77238	0	44497	0	34288	0	20580	0	436766	0	37929	0
Janet Cady
341734	0	213965	0	53574	0	62050	0	20308	0	691631	0	91474	0
M Laurie Cammisa
257414	0	84313	0	37377	0	36725	0	10336	0	426165	0	38535	0
Daniel Nigrin MD
353060	0	165189	0	57808	0	44000	0	20937	0	640994	0	73892	0
Philip Rotner
358692	0	215500	0	50410	0	35063	0	18002	0	677667	0	0	0
Inez Stewart
304999	0	80200	0	46207	0	36175	0	23355	0	490936	0	40650	0
Henry Tomasuolo
271498	0	91525	0	42556	0	32800	0	24538	0	462917	0	42644	0
Charles Weinstein
312499	0	90631	0	53234	0	40300	0	30049	0	526713	0	44873	0
Orah Platt MD
415815	0	16100	0	7470	0	26950	0	8178	0	474513	0	0	0
Scott Ogawa
257738	0	26870	0	56505	0	24500	0	8310	0	373923	0	0	0
Patricia Hickey PhD MBA
258460	0	18999	0	58019	0	29400	0	8239	0	373117	0	0	0
David Demaso MD
329928	0	0	0	7379	0	26950	0	8315	0	372572	0	0	0
Nader Rifai PhD
406317	0	104700	0	2586	0	26950	0	18933	0	559486	0	0	0
Clifford Woolf MB BChPhD
369747	0	100350	0	-7754	0	0	0	17160	0	479503	0	0	0
Carlo Brugnara MD
406317	0	19700	0	-4895	0	26950	0	18608	0	466680	0	0	0
Melvin Glimcher MD
395429	0	350	0	9451	0	26950	0	2742	0	434922	0	0	0
Sitaram Emani MD
328900	0	350	0	29931	0	19160	0	18866	0	397207	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 4b	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 2010, a contribution of $356,214 Sandra Fenwick, received in 2010, a contribution of $192,045 David Kirshner, received in 2010, a contribution of $54,026 Stuart Novick, received in 2010, a contribution of $102,720 Eileen Sporing, received in 2010, a contribution of $40,717 Demosthenes Argys, received in 2010, a contribution of $35,448 Carleen Brunelli, received in 2010, a contribution of $22,769 Janet Cady, received in 2010, a contribution of $34,744 M. Laurie Cammisa, received in 2010, a contribution of $19,800 Daniel Nigrin, received in 2010, a contribution of $38,123 Philip Rotner, received in 2010, a contribution of $28,380 Inez Stewart, received in 2010, a contribution of $26,536 Henry Tomasuolo, received in 2010, a contribution of $22,528 Charles Weinstein, received in 2010, a contribution of $27,516
Part III	Part II: Compensation is for executive/employee services; Part II, Column B(ii) (Bonus & Incentive Compensation): For many years it was common practice for Children's to pay the incentive awards earned during the fiscal year in January of the following year. In December 2010, Children's made the decision to pay incentive awards in the same calendar year that they are awarded. The bonus and incentive compensation reported in Part II, column B (ii), of this Schedule J (Form 990) may include incentive awards for fiscal year 2009 and fiscal year 2010 paid in the reporting calendar year 2010. 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 2010 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	339325000	339564138

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	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	0.00000	0.00000	0.00000	1
0	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

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Identifier	Schedule K, Part IV, Line	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 (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Waters Corporation
Trustee	336667	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 $336,667 for equipment & supplies.	0
CRICO
Director	11524767	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	11524767	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 $11,524,767 to CRICO and RMF for professional, general, and directors and officers insurance coverage.	0
FedEx
Director	410935	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 $410,935 for shipping services.	0
Blue Cross Blue Shield of Massachusetts
Director	66895269	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 $66,895,269 for actual claims processed by Blue Cross Blue Shield of Massachusetts on behalf of the organization's employees and health claim administration fees.	0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	8616	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	4783449	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	28	NumberOfContributions
Noncash Contribs Rptd F990	11813	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	3	NumberOfContributions
Noncash Contribs Rptd F990	3298	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	77	312949	Mkt Value per Donor
X	Gift Cert	26	18075	Mkt Value per Donor
X	Sport/Event Tickets	30	187333	Mkt Value per Donor
X	Misc. Other	13	37445	Mkt Value per Donor

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

Form990 Schedule M Part II Form990ScheduleMPartII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Method for Determining Number of Contributors:	Part I, Column (b):	For publicly traded securities, the Hospital records any shares gifted from a single donor on the same date as a single contribution transactions (e.g. one gift receipt issued for multiple stock lots). For all other categories, the Hospital records any items gifted from a single donor on the same date as a single contribution transaction (e.g. one gift receipt issued for multiple stock lots).
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:	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 (8 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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.
	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 12c
	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 Chief Administrative Officer, Children's Waltham Vice President, Ambulatory Care & Network Services Senior Vice President & Chief Information Officer Vice President, Human Resources Vice President, Support Services Vice President, Real Estate Planning & Development Chief Investment Officer 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 B, line 15
	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 VI, Section C, line 19
Changes in Net Assets or Fund Balances:	Net unrealized losses on investments: -77,994,036. Net Transfers/Support from Children's Medical Center 201,400,715. Pension Adjustment -8,610,999. Other Adjustments -76,149. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others 5,790,182. Total to Form 990, Part XI, Line 5: 120,509,713.	Form 990, Part XI, line 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Children's Medical Center Corporation
55 Shattuck Street	Boston	MA	02115	041174680	Holds & manages security, real estate investments for Children's Hospital	MA	501(c)(3)	11 - Type II	N/A	0
Longwood Research Institute Inc
300 Longwood Avenue	Boston	MA	02115	042781368	Medical & scientific research; holds real estate investments	MA	501(c)(3)	11 - Type II		0	Children's Medical Center Corporation
CHB Properties Inc (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	Coordinates & develop integrated childhlth care system w/ affiliated 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

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	56290	ShareOfTotalIncome
Share Of EOY Assets	4806683	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner
Percentage Ownership	0.57040	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