CHILDRENS HOSPITAL CORPORATION: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL CORPORATION (EIN 04-2774441)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-15
IRS object ID: 202632279349300908
Schema version: 2024v5.5
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-15T10:41:29-05:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Ernst & Young LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1 Manhattan West	AddressLine1Txt
City	New York	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10001	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	042774441	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital Corporation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIL	BusinessNameControlTxt
Phone	6173556000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02115	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Doug Vanderslice	PersonNm
Person Title	EVP, CFO & Treasurer	PersonTitleTxt
Phone	6173556000	PhoneNum
Signature	2026-08-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Nicole Sokolowski	PreparerPersonNm
PTIN	P01683199	PTIN
Phone	2127733000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Boston Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Kevin B Churchwell MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02115	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,885,726,857	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.childrenshospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1982	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	Provider of pediatric healthcare, education, research & community service	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	18275	TotalEmployeeCnt
Total Volunteers	421	TotalVolunteersCnt
Total Gross UBI	$2,977,000	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$646,395,665	PYContributionsGrantsAmt
CY Contributions Grants	$598,845,413	CYContributionsGrantsAmt
PY Program Service Revenue	$2,291,646,600	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,754,847,975	CYProgramServiceRevenueAmt
PY Investment Income	$104,288,131	PYInvestmentIncomeAmt
CY Investment Income	$81,959,512	CYInvestmentIncomeAmt
PY Other Revenue	$122,884,435	PYOtherRevenueAmt
CY Other Revenue	$152,935,924	CYOtherRevenueAmt
PY Total Revenue	$3,165,214,831	PYTotalRevenueAmt
CY Total Revenue	$3,588,588,824	CYTotalRevenueAmt
PY Grants And Similar Paid	$15,211,936	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$16,371,788	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,399,102,430	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,532,400,971	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$1,744,238	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$2,443,533	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$48,573,279	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,734,478,431	PYOtherExpensesAmt
CY Other Expenses	$1,975,873,567	CYOtherExpensesAmt
PY Total Expenses	$3,150,537,035	PYTotalExpensesAmt
CY Total Expenses	$3,527,089,859	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,677,796	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$61,498,965	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,899,360,805	TotalAssetsBOYAmt
Total Assets EOY	$9,124,927,004	TotalAssetsEOYAmt
Total Liabilities BOY	$3,535,034,881	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,492,539,389	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,364,325,924	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,632,387,615	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,415,976,666	ExpenseAmt
Grant	$16,371,788	GrantAmt
Revenue	$2,840,728,137	RevenueAmt
Desc	CLINICAL CARE: The services we offer from well child visits and treatment for typical child health issues (broken bones, tonsillitis, etc.) to chronic care (asthma, diabetes, obesity, etc.) and specialty services (oncology, cardiology, neurology) benefit from our clinicians' high level of specialization, our collaboration with research scientists (many of whom are also physicians) affiliated with the hospital, and our significant investments in equipment, facilities and clinical and support staff. Boston Children's is the safety net institution for very sick children throughout the region, supporting the entire health care system for the most complex pediatric cases. We receive referrals from community hospitals as well as from other academic medical centers throughout New England. Approximately 25% of our inpatients are transferred from hospitals & medical centers across Massachusetts for care that no one else can provide. In FY25, Boston Children's saw approximately 839,000 outpatient visits, 67,000 emergency department visits, 26,700 inpatient or observation stays, and 37,000 surgical cases. Our inpatient case mix index was 2.12 (MA only) and the average length of stay was 5.6 days. Of these patients, approximately 35% (patients on Medicaid/Medicare) are considered low income.We also offer the only pediatrics Department of Addiction Medicine in the U.S., as well as the only Orthopedic Sports Medicine program located at a children's hospital. We also offer the largest programs in Pediatric Anesthesiology, Pediatric Cardiology, and Pediatric Critical Care, in the nation. Our Medicaid ACO provides primary care to 20% of the children covered by Medicaid in the state. The ability to support the health-related social needs of patients and families via the ACO complements the work that we are doing in communities to address the more systemic social determinants of health. We can address "downstream" immediate needs of children and families, but also to work with communities and partners to affect the "upstream" factors that drive poorer health outcomes for so many. This includes a focus on policy that can impact the health.Increasingly, we have been able to care for and improve life and health outcomes for medically complex children, many with conditions such as congenital heart conditions, childhood cancers & complex neurological and neurosurgical conditions. Our capabilities are accelerating rapidly as we develop new clinical & surgical approaches including gene therapies, stem cell transplant procedures, fetal surgical interventions, and the like.Boston Children's is at the absolute forefront nationally in these & many other areas. As a result, we have seen significant growth in the number of complex patients served patients who stay longer, require more resources (such as intensive care unit-level care), use a broader range of interdisciplinary specialists, and frequently require substantial support for their whole family. Some of them travel great distances, but equally many are from here in Massachusetts.Boston Children's MA/Regional network consists of our satellite/physician office locations, formal primary care relationships with groups such as the PPOC and Atrius, community health center relationships and a broad array of relationships with other hospitals in MA and NE including community hospitals, academic medical centers and specialty hospitals. We maintain relationships of varying structures, shapes and sizes with nearly all of the major academic medical centers and specialty hospitals in MA and New England, from a single service agreement such as providing remote EEG interpretations to Elliot Hospital to staffing community hospitals 24/7 365 per year to our multi-faceted Brigham relationship and joint cancer program with Dana Farber. Our satellite/physician office locations and our community hospital relationships in eastern MA have been central to our commitment to increasing access to high quality pediatric services. Over the past 20+ years we have gradually grown our network of satellites/physician office locations and community hospital relationships providing a mix of neonatal, ED and inpatient services. Today, more than 30% of our outpatient specialty visits and surgical cases take place in a Boson Children's satellite or physician office location. Our affiliated community hospitals account for nearly half of our MA community hospital transfers and 30% (~ 1,000) of all intra-hospital transfers. These community hospital relationships also generate important downstream referrals to our specialists including important neonatal referrals from the obstetrical programs at these community hospitals. As fewer community hospitals provide inpatient pediatric care, these hospitals are increasingly serving as regional pediatric hubs to help stem the tide of patients who have to be referred to Boston for community level care.Some of the most exciting and important work ahead of us is in behavioral health. Mental health challenges don't begin in adulthood 75% of mental illness occurs before age 24, and 50% before age 14. And yet by the time an adolescent comes to us for care, it has often already been years since they first encountered those challenges. Our current system makes kids wait an average of three years for necessary treatment, leaving one in five children in Massachusetts and nationally without the behavioral health care they need. Care delayed is as detrimental as care denied, and the consequences are life-changing: for patients and families, for our communities, and for the economy. Left unchecked, that delay stands to cost Massachusetts alone $37 billion.Our strategic affiliation with Franciscan Children's was a direct response to this crisis, and together we are working to build a new, more effective system of integrated behavioral health care. That means investing in outpatient and early childhood programs including pediatric primary care integration, community-based partnerships, and our early childhood clinic to reach children and families as early as possible. It means developing a Behavioral Health Workforce Academy to provide mentoring, financial support, and employment pathways, growing a diverse pipeline of psychiatrists, psychologists, nurses, and social workers. It means ensuring families can access the right level of care at the right time through a dedicated triage and bridge program. And it means programs like our Behavioral Health Transport initiative, which uses non-ambulance vehicles tailored to behavioral health needs to reduce stress, minimize delays, and safely move patients between Boston Children's and Franciscan Children's.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$510,257,684	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	RESEARCH: Our Research Mission is to be the leading source of research and discovery. We are the leader in discovery and innovation that is dramatically advancing not only pediatric care but adult care as well. We have the world's largest pediatric research program for many reasons. The most important reason is our focus on our patients. We are constantly evolving care and caring for increasingly complex patients. Every child who walks through our doors teaches us something. More than 3,000 basic, clinical, and translational research employees work in our dedicated facilities, which total some 1 million square feet of space.Our more than 1,100 investigators include 16 members of the National Academy of Sciences, 32 members of the National Academy of Medicine, 27 Fellows of the American Academy of Arts and Sciences, 13 Fellows of the American Academy for the Advancement of Sciences, 12 current members and 13 alumni of the Howard Hughes Medical Institute. Twenty-seven faculty are members of the American Association of Physicians and 47 are members of the American Society of Clinical Investigation. Over the years, four Boston Children's investigators have won the Nobel Prize and six have won the nearly equally prestigious Lasker Award.Our investigators are Harvard Medical School faculty basic scientists, clinical researchers and epidemiologistswho are accelerating the pace of medical discovery from brainstorm to bench to bedside. In the past year, our researchers have made significant strides in areas as diverse as:-using computational fluid dynamics software to model blood flow in pediatric heart surgery patients-demonstrating rapid genomic sequencing interpretation achievable in matter of hours-accelerating our work in rare and ultra-rare brain disordersOur 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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$62,710,211	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$23,373,408	RevenueAmt
Desc	TEACHING: Boston Children's is committed to providing high quality continuing education for pediatric providers and specialists throughout the world. As the primary pediatric teaching affiliate of Harvard Medical School, our more than 2,000 attending physicians and researchers are on the clinical frontier of effectively understanding and treating many pediatric diseases and disorders.We are proud to be the primary teaching hospital of Harvard Medical School, and our Nursing Department partners with 27 schools of nursing throughout Massachusetts and New England. We are home to the largest and most competitive training program in pediatrics, seeding the word with the next generations of scientists, innovators and caregivers.We delivered over 900 accredited Continuing Education courses (more than any other freestanding children's hospital). We host over 500 Boston Children's-based residents and clinical fellows annually, selected for their potential leadership in their respective fields and their commitment to advancing the frontiers of pediatric care. A 24-year analysis of residents who have graduated from our Department of Medicine found that roughly 40% go on to become leaders in academic medicine, filling positions such as deans, chairs and program heads across the country. More than one third of the chiefs of pediatric departments across the country trained at Boston Children's.Our simulation program, Immersive Design Systems, is the first hospital-based simulator program at a teaching hospital in New England. Our goal is to make "practice prior to game time" part of healthcare routine, offering a fully integrated quality assurance and improvement resource, preparation and testing environment for hospitals. Boston Children's offers the only training programs in New England for Adolescent Medicine, Congenital Cardiac Surgery, and Neurodevelopmental Disabilities; and the only training programs in Massachusetts for Adolescent Medicine, Congenital Cardiac Surgery, Neurodevelopmental Disabilities, Pediatric Cardiology, Pediatric Hematology/Oncology, Pediatric Nephrology, Pediatric Orthopedics, Pediatric Pathology, and Pediatric Surgery.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$0	$0	$0	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 part of its mission - community. Through the years, Boston Children's has strived to ensure that community health is more than just words in its mission statement. The efforts have evolved from targeted services for individual families to innovative models that have proven to reduce health disparities, improve child health outcomes, and promote health equity.Boston Children's community mission is based on the needs of the community. It revolves around keeping children healthy through wellness and prevention efforts, ensuring that children have access to needed health care services, and partnering with others in the community to address the social drivers of health. These are issues that can have a significant impact on an individual's health such as exposure to violence, experiencing food insecurity, living in poverty, or having unstable housing. In all its endeavors, Boston Children's focuses on meeting community needs and implementing programs that are aligned with the priorities of the City of Boston, the Boston Public Health Commission, the Boston Public Schools, as well as other key partners and city agencies.Understanding community needsBoston Children's conducts a comprehensive community health needs assessment every three years as required by the Internal Revenue Service. The findings inform the direction of Boston Children's Community Health Improvement Plan, which outlines how the hospital will use its resources and partner with others to address those themes and improve community health. This process also ensures that the hospital is utilizing its resources and leveraging community partnerships in the most effective way. The latest assessment was approved by the Boston Children's Board of Trustees in the fall of 2025. The 2025 needs assessment was focused on identifying the health-related needs, strengths, and resources available to children, youth, families and residents in Boston with special emphasis on the neighborhoods of Dorchester, Jamaica Plain, Mattapan, Mission Hill, and Roxbury. The assessment also looked at children living in the communities served by Boston Children's locations outside of Boston, which include Brockton, Brookline, Framingham, Lexington, North Dartmouth, Peabody, Quincy, Randolph, Waltham, and Weymouth.The assessment showed that many families are struggling with rising housing costs, food insecurity, and limited access to health care, especially mental health services. Youth mental health concerns are widespread, with high rates of anxiety and depression, particularly among LGBTQ+ and immigrant youth. Chronic conditions like asthma and obesity remain prevalent, disproportionately affecting communities of color. Environmental health issues, including air pollution and climate change, are emerging threats to child development and well-being. Safety concerns in schools and neighborhoods also impact youth, contributing to stress and missed school days. Despite these challenges, the assessment underscores the resilience of Boston's communities and their commitment to creating healthier, more equitable environments for children to grow and thrive. Boston Children's 2025 assessment also included data from the Boston Community Health Collaborative. This assessment included a wide range of Boston stakeholders community organizations, community development corporations, health centers, hospitals, and the Boston Public Health Commission. While community health assessment and planning work are often conducted by individual organizations, the Boston Collaborative aligns and coordinates resources between multi-sector stakeholders across the city. Boston Children's is a founding member, and staff participate in the steering committee and work groups.A formal and comprehensive needs assessment is only one part of Boston Children's approach to understanding the health needs and vital resources within the community. Boston Children's is continually listening and learning from patient families, community leaders, and staff. The staff rely on ongoing conversations with Boston Children's key partners, community health centers and community-based organizations, as well as the Boston Public Health Commission, and the Boston Public Schools.Through the Community Advisory Board, which meets on a quarterly basis, Boston Children's has a direct link to expertise on Boston neighborhoods, community organizations, and current health needs. Members of the Community Advisory Board are instrumental in providing feedback throughout the year and play a key role in the Boston Children's formal assessment process. Being a community health leaderBoston Children's has identified priority health areas through the needs assessment process - asthma, obesity, mental and behavioral health, and early childhood development - and has a programmatic response to each. Community programs are focused where Boston Children's has the clinical expertise, resources, and partnerships to make a difference. Boston Children's strategy for improving community health is to: 1) address the most pressing health needs of children and families; 2) provide services through programs that can lead to improvements in health; or 3) build community capacity to better meet the needs of children and families. Some of these programs are described briefly below.-Since 2005, the Community Asthma Initiative (CAI) has helped to improve the health and lives of 2,875 Boston children with asthma. Through a comprehensive asthma home visiting program, CAI provides case management, home visits, offers education to caregivers and patients, distributes asthma control supplies, and connects families to resources and increases access through advocacy. In FY25, CAI surpassed its quality goal, reducing the percent of patients with any hospitalizations by 82% and any emergency department visits by 54% after one year in the program. CAI also cared for 144 new patients with 95 completing at least one home visit.-Boston Children's Hospital Neighborhood Partnerships Program (BCHNP) is the Department of Psychiatry's community-based behavioral health program. BCHNP places clinicians in schools to provide a comprehensive array of services to better meet the needs of children and adolescents. In FY25, across targeted school-based programs in Boston Public, Agawam Public and Somerville Public Schools, BCHNP provided 517 hours of consultation to school staff, with behavioral health providers and teachers being the most frequent recipients of consultation. Additionally, BCHNP clinicians provided 26 workshops with 780 participants focused on social, emotional, and behavioral health with partnering school communities.-The Healthy in the City (HIC) program is a community-based approach to addressing childhood obesity by offering prevention and intervention strategies to support children and youth who are overweight or at-risk for obesity, in making healthier choices and behavior changes. HIC supports 10 Boston community health centers to provide 1,000 children annually with case-management support, as well as access to nutrition and physical activity programs and food insecurity resources. In FY25, 50% of children decreased and 4% maintained their BMI over the year. Children also reported consuming less fast food and sugar-sweetened beverages, consuming more fruits and vegetables, watching less TV, and increasing their amount of exercise after 12 weeks in the program. -Family Food Connections is a food pantry owned and operated by Boston Children's in the Mildred C. Hailey Apartments of the Boston Housing Authority. It opened for visitors in January 2022. This food pantry provides fresh fruits, vegetables, milk, eggs, bread, and staple items to families. The pantry is open to residents of Mildred C. Hailey Apartments, as well as the surrounding neighborhoods of Jamaica Plain and Roxbury. In FY25, the site had almost 66,000 visits to the pantry.
			Serving as an anchor for the communitySince 2018, Boston Children's has been a committed and proud member of the Healthcare Anchor Network, a national network of more than 70 hospitals and health care systems working to build more inclusive and sustainable local economies.The Boston Children's anchor strategy supports business practices that promote local economic engagement and aims to help improve community conditions that contribute to poor health. There are four pillars in Boston Children's strategy:1. Hiring and Workforce Development. Boston Children's partners with community organizations to recruit, hire, and train individuals from neighboring communities to ensure that employees are reflective of the communities we serve.2. Purchasing. Boston Children's supports community businesses by buying locally whenever possible, with a focus on increasing the participation of minority-owned, women-owned, and veteran-owned businesses.3. Investment. Boston Children's is investing in local projects that can produce significant health and social returns for our community. This includes projects that address affordable housing, early childhood education, youth engagement, and mental health efforts.4. Sustainability. Boston Children's is implementing approaches to advance reductions in hospital-generated greenhouse gas emissions and contribute to local climate resilience.In FY25, Boston Children's leveraged its community mission through the hospital's Anchor Strategy. The Office of Community Health oversees Impact Investments. Last year, the hospital committed $1M in funds to the Boston Acquisition Fund in support of affordable housing.Boston Children's low interest loan to the Elmont Norwell project led to new construction of 15 affordable housing units. Units were completed and sold throughout 2025. Also, a low interest loan to Northstar enabled completion of construction at an early learning center. The new facility has 41 employees, and 88 children are currently enrolled with capacity for 200. The Office of Community Health also continued to convene quarterly meetings of the Community Investment Advisory Committee and monthly internal Anchor Team meetings to coordinate efforts across the four core pillars. Related to Sustainability, the Anchor Team staff participated in a National Steering Committee to help develop plans for a new Place-Based Initiative led by Healthcare Without Harm. Boston Children's Community Health InitiativesBoston Children's is committed to improving the health and well-being of children and families. A key driver of these efforts is the Determination of Need (DoN) program, administered by the Massachusetts Department of Public Health. Boston Children's currently has three active DoN Community Health Initiatives. The Collaboration for Community Health launched in 2018. It is Boston Children's largest community health initiative providing $53.4 M, over seven to 10 years, to community organizations, agencies, and coalitions. The Collaboration focuses on building community capacity and advancing child-centered strategies to address systemic inequities. Since its inception, the Collaboration has committed funds across eight strategic initiatives, reaching almost 35,000 people in Boston's highest-poverty neighborhoods. Recent achievements include over 8,000 children being screened for developmental concerns, housing support for hundreds of families, and training nearly 920 clinical students and community members in culturally responsive mental health care. Youth programs have engaged over 7,400 young people, while health equity collaboratives have expanded access to resources in Dorchester, Roxbury, and Jamaica Plain. Boston Children's received approval in December 2022 for three capital projects in Needham, Waltham, and Weymouth. The Metro South West Community Health Initiative supports underserved families in Brockton, Framingham, Needham, Quincy, Randolph, Waltham, and Weymouth. A total of $15.1 M is being distributed over seven years to organizations in these communities. An initial $7.7 M has been released for organizations to use over the next three to four years in two areas: Mental Health and Well-being and Flourishing Families. A total of $3 M has been awarded to be used over five years as part of the Healthy Communities Initiative. This funding supports three community-based collaborative groups in Brockton, Randolph, and Waltham. Boston Children's continues to leverage its resources and partnerships through Community Health Initiatives to create meaningful, lasting improvements in child and community health.The Franciscan Children's Community Health Initiative was created following Boston Children's affiliation with Franciscan Children's in 2023. The Franciscan Children's Community Health Initiative, also a part of Boston Children's Collaboration for Community Health, aims to improve the health and well-being of children, youth, and families by supporting organizations in Boston. The funding focuses on expanding the mental health workforce, promoting youth engagement, and improving food access, and housing initiatives (in the months ahead). Within the areas of mental health workforce, youth engagement, and food access, an initial total of $5.2 M has been awarded to 24 organizations for use over the next three to four years. Boston Children's continues to leverage its resources and partnerships through Community Health Initiatives to create meaningful, lasting improvements in child and community health.Addressing social determinants of healthBoston Children's also responds to the social determinants of health by focusing on support and partnerships in three areas: -Education and schools. Boston Children's partners with the Boston Public Schools (BPS) to support and strengthen the system as well as to work directly in school settings to reach students and help families.In FY25, BCHNP's Training and Access Project (TAP) continued to provide professional development and consultation services focused on social, emotional, and behavioral health. Last year, TAP provided a webinar training series that reached 1,065 clinicians (school social workers, school psychologists, school nurses, and school counselors). The series included 8 interactive workshops. TAP trainings can be accessed at www.childrenshospital.org/TAPOnline.-Workforce Development. Boston Children's strives to bridge community and incumbent talent to build diverse teams that provide the best service and care for patient families. The hospital partners with numerous community-based organizations to recruit community talent to job, internship, and career exploration opportunities. Once a community member joins Boston Children's as an employee, there are extensive offerings available as individuals build their career within the enterprise.Boston Children's also supports the pipeline of health care workers by exposing youth to careers in the health field. Programs include SCOOP for students interested in nursing careers and the COACH program, which provides opportunities for high school students to work at the hospital during the summer. Last year, the COACH program had 45 high school students participating.
$26,729,261			-Partnering to support the health and social infrastructure in place for families. Boston Children's is also committed to and directs resources to build capacity within the existing infrastructure of care for Boston children and families. This means supporting key partners such as Boston community health centers. The hospital has relationships and strong partnerships with 10 Boston community health centers. Through these partnerships, Boston Children's improves access to care for underserved populations, helps efforts to better manage chronic diseases, and supports prevention and treatment services that improve the health of Boston children, youth, and families. Health center partners receive funding, training, and technical assistance. Due to the on-going mental and behavioral health crisis for children and youth, Boston Children's has made a substantial investment to develop internal resources to assist patients with mental health/behavioral health conditions and their families (in coordination with state and community-based agencies) with crisis stabilization and care delivery transformation. Leveraging community partnerships and community-based providers, the focus is on providing enhanced services to enable a safe transition to an appropriate level of care. Investments include but are not limited to enhanced behavioral response, state agency coordination, Emergency Department diversion programming, secure transportation, room-modifications, and more. Boston Children's also has relationships with a wide array of community organizations, which provide services as well as a voice for the families and neighborhoods they represent. Serving as a safety netBoston Children's remains committed to its local community, providing primary and preventative care, as well as inpatient care for complex illnesses. It is one of the leading providers of health care to low-income children in Massachusetts and it provides care unavailable elsewhere in the state and sometimes the nation. Boston Children's also is a safety net provider for Boston children. This safety net is financial in that the hospital provides free care, subsidizes care for Medicaid patients, and incurs bad debt for patient families who cannot pay for the care they receive. It is programmatic in that Boston Children's offers vital, hospital-subsidized services that are either unavailable elsewhere or available only in a limited capacity, such as mental health and dental care.Advocating for children and familiesAs the only freestanding children's hospital in Massachusetts, influencing public policy to improve child health is an important aspect of Boston Children's commitment to community health. The hospital is a leading provider of pediatric medical and behavioral health services to low-income children across the Commonwealth and is a critical component of the safety net for children throughout New England and the nation. Boston Children's has been an organized force and an influential advocate for health and well-being of children for more than 20 years.Boston Children's is an effective advocate on legislative and regulatory matters, both at state and federal levels, that affect children's wellbeing such as increasing access to quality pediatric mental health programs, promoting better treatment and access to services for children with medical complexity and chronic conditions, improving the landscape for pediatric medical research and advancing innovative public health policies grounded in racial equity. Boston Children's advocacy history is rooted in the promotion of better insurance coverage for children, including major child health expansions in the 1990s, the passage of Massachusetts's 2006 health reform law, and significant national involvement in work to promote child health access through the Children's Health Insurance Program, Medicaid, and the Affordable Care Act. As a result, Massachusetts has achieved near universal health access for children, with only 1.5 percent of children uninsured, the lowest rate in the country. Massachusetts has emphasized payment reform and cost containment policies within the health care system. Boston Children's played an active and vocal role in the development of the groundbreaking statewide payment reform legislation that was signed into law in August 2012. Nationally, Boston Children's engaged in efforts to preserve and improve Medicaid and the Children's Health Insurance Program, which serve as a safety net for children in all fifty states, ensuring their access to high-quality, effective coverage, and facilitates important quality measurement and improvement initiatives. We have also worked to ease the burdens on families in the Medicaid program who find it necessary to cross state lines for care. In 2006, Boston Children's (including its Boston Children's Hospital Neighborhood Partnerships Program for details see above) and a coalition of community organizations launched the Children's Mental Health Campaign (CMHC). The CMHC has converted its credibility and influence into several major policy accomplishments which have redefined the landscape of the children's mental health system in Massachusetts, including comprehensive 2022 legislation to improve access to behavioral health care for kids and other vulnerable populations Current efforts at the state level address: access to behavioral health services, addressing the emergency room boarding crisis, improving mental health in schools, and creating a behavioral health urgent care system. At the federal level, Boston Children's is working with our peers to bolster the pediatric mental health workforce and ensure the availability of a full continuum of care for kids. Additionally, Boston Children's works in collaboration with a host of public health and prevention advocates to ensure public policies work to keep children safe and healthy. Our priorities include addressing issues in the housing market, promoting environmental health, improving access to healthy, locally grown fruits and vegetables, eliminating the racial wealth gap and building pathways for economic mobility. The hospital also lends expertise in efforts to improve the pediatric and behavioral health workforce, reducing administrative burden, and improving health equity for all members of the Commonwealth. Boston Children's has established the over 4,000 member Children's Advocacy Network (CAN), a grassroots advocacy network that leverages the many voices of families, hospital staff, and community partners in support of child health. Since 2006, the hospital has trained hundreds of advocates through an in-depth training series that gives advocates a better understanding of the legislative process and the skills needed for effective advocacy. The CAN hosts educational training and workshops, which offer hospital staff, community partners, and patients and families an opportunity to learn about a current topic related to children's health policy and explore ways to advocate for children at the federal and state levels. Staff members from departments throughout the hospital regularly engage with the CAN to receive information about policy changes that may impact their patient population or schedule in-service presentations about current events in Washington and at the state level. During the COVID pandemic, the CAN found creative solutions to keep advocates engaged including virtual advocacy briefings, webinars and trainings, as well as online event partnerships with the Office of Health Equity and Office of Community Health.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$26,729,261	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$3,015,673,822	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (1)	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1915	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	18275	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	Yes (1)	NondeductibleContributionsInd
Nondeductible Contri Discl	Yes (1)	NondeductibleContriDisclInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Doug Vanderslice - Treasurer & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6173556000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02115	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (50 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Kevin Churchwell MD
Chief Executive Officer	55.00	6.00	Yes (X)	Yes (X)	$3,311,889	$0	$178,434
Ryan Nagy MD BEGIN TERM 22625
President & System COO	55.00	6.00	Yes (X)	Yes (X)	$0	$0	$0
Douglas Berthiaume
Director - Chairperson	5.00	5.00	Yes (X)	Yes (X)	$0	$0	$0
Allan Bufferd
Director	1.00	1.00	Yes (X)		$0	$0	$0
Eugene Flood PhD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Winston Henderson
Director	1.00	1.00	Yes (X)		$0	$0	$0
Ivor Horn MD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Stephen Karp
Director	1.00	1.00	Yes (X)		$0	$0	$0
Steven Krichmar
Director	1.00	1.00	Yes (X)		$0	$0	$0
Samarth Kulkarni PhD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Robert Langer ScD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Vivian Lee MD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Harvey Lodish PhD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Gary Loveman MD
Director	1.00	1.00	Yes (X)		$0	$0	$0
James Mandell MD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Ralph C Martin
Director	1.00	1.00	Yes (X)		$0	$0	$0
Thomas Melendez
Director	1.00	1.00	Yes (X)		$0	$0	$0
Ted Pappendick
Director	1.00	1.00	Yes (X)		$0	$0	$0
Kathleen Regan
Director	1.00	1.00	Yes (X)		$0	$0	$0
Anthony Ryan
Director	1.00	1.00	Yes (X)		$0	$0	$0
Robert A Smith
Director - Vice Chairman	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
Alison Taunton-Rigby PhD
Director	1.00	1.00	Yes (X)		$0	$0	$0
Lisa Wieland
Director	1.00	1.00	Yes (X)		$0	$0	$0
Doug Vanderslice
Treasurer & EVP, System CFO	55.00	6.00		Yes (X)	$1,859,177	$0	$94,499
Christopher Viney JD
Secretary & EVP, System General Counsel	55.00	6.00		Yes (X)	$1,034,936	$0	$70,530
Bruce Balter
Asst Treasurer/Dr Corp Fin Svcs	55.00	5.00		Yes (X)	$361,570	$0	$57,077
Rob Graham END TERM 31625
Asst Secretary/Sr Dr Enterprise Comm	55.00	5.00		Yes (X)	$147,144	$0	$392
Shea Asfaw BEGIN TERM 31725
Asst Secretary/Exec Director	55.00	5.00		Yes (X)	$0	$0	$0
Philip Rotner
Chief Investment Officer	55.00	5.00			$1,882,678	$0	$78,326	Yes (X)
Lisa Abbott
EVP, Chief Human Resource Officer	55.00	5.00			$1,080,979	$0	$63,884	Yes (X)
Nancy Andrews
EVP, Chief Scientific Officer	55.00	5.00			$1,226,044	$0	$83,379	Yes (X)
Demosthenes Argys
EVP, Hospital Chief Operating	55.00	5.00			$1,301,539	$0	$71,714	Yes (X)
Joseph A Mitchell MD END 425
EVP & President, Franciscan Children's Hospital	5.00	55.00			$0	$939,919	$1,000	Yes (X)
Michele Garvin Esq
EVP, Chief of Staff	55.00	5.00			$979,529	$0	$75,021	Yes (X)
Peter Laussen MD
EVP, Health Affairs	55.00	5.00			$1,448,138	$0	$109,811	Yes (X)
Lynn Susman
EVP, Chief Development Officer	55.00	5.00			$919,503	$0	$79,945	Yes (X)
Laura J Wood DNP MS RN
EVP, Chief Nursing Officer	55.00	5.00			$1,307,311	$0	$104,584	Yes (X)
Heather Nelson
SVP, Chief Information Officer	55.00	5.00			$920,099	$0	$65,421	Yes (X)
Lisa Hogarty
SVP, RE Planning and Development	55.00	5.00			$1,105,116	$0	$72,491	Yes (X)
Patricia Hickey PhD MBA RN NEA-BC
SVP, Nursing/Patient Care	55.00	5.00			$775,035	$0	$49,717	Yes (X)
Michael Gillespie
SVP, Clinical Services	55.00	5.00			$674,985	$0	$64,588	Yes (X)
Steven Luber
SVP, Finance	55.00	5.00			$697,388	$0	$33,089	Yes (X)
August Cervini
SVP, Research Administration	55.00	5.00			$583,617	$0	$55,416	Yes (X)
Alexander McAdam
Department Chief, Lab Medicine	55.00	0.00			$959,398	$0	$61,144		Yes (X)
Cynthia Haines
SVP, National & International	55.00	5.00			$842,657	$0	$71,836		Yes (X)
Stacy Drury
Department Chief, Psychiatry	55.00	5.00			$744,251	$0	$46,179		Yes (X)
Martin Kelly
Director of Investments	55.00	5.00			$807,559	$0	$46,759		Yes (X)
Nirav Desai
Director of Investments	55.00	5.00			$794,227	$0	$47,319		Yes (X)
Sandra Fenwick
Former President & CEO	0.00	0.00			$437,833	$0	$0			Yes (X)
Christine Grenache
Former Asst. Secretary	0.00	0.00			$172,269	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$26,374,871	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$939,919	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,682,555	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4893	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Turner Construction Company
2 Seaport Lane Suite 200	Boston	MA	02210	Construction services	$128,711,318
Wise Construction
21 East Street	Winchester	MA	01890	Construction services	$68,542,635
Suffolk Construction
65 Allerton Street	Boston	MA	02119	Construction services	$59,654,634
Impact Advisors LLC
400 E Diehl Road Suite 190	Naperville	IL	60563	Consulting services	$56,618,513
Skanska USA Building Inc
350 Fifth Avenue 32nd Floor	New York	NY	10118	Construction services	$40,021,275

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1013	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$11,031	FederatedCampaignsAmt
Fundraising	$7,923,272	FundraisingAmt
Government Grants	$343,196,319	GovernmentGrantsAmt
All Other Contributions	$247,714,791	AllOtherContributionsAmt
Noncash Contributions	$15,849,407	NoncashContributionsAmt
Total Contributions	$598,845,413	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenu	621110	$2,635,384,392	$2,635,384,392
Program Service Grants	621110	$77,530,101	$77,530,101
Graduate Medical Educa	611710	$23,373,408	$23,373,408
Professional Service R	621110	$18,560,074	$18,560,074

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,754,847,975	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,865,125	TotalRevenueColumnAmt
Exclusion	$18,865,125	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$38,688,043	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$11,531,161	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$27,156,882	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,156,882	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,405,277	UnrelatedBusinessRevenueAmt
Exclusion	$24,751,605	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$346,356,722	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$283,262,335	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$63,094,387	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$63,094,387	TotalRevenueColumnAmt
Exclusion	$63,094,387	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$992,037	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$7,923,272	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$2,344,537	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,352,500	TotalRevenueColumnAmt
Exclusion	-$1,352,500	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Other General Services	900099	$54,322,396	$54,322,396
ACO Revenue	621110	$30,866,632	$30,866,632
Shared Service Revenue	900099	$24,064,542	$24,064,542

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,877,972	TotalRevenueColumnAmt
Unrelated Business Revenue	$571,723	UnrelatedBusinessRevenueAmt
Exclusion	$17,306,249	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$127,131,542	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,588,588,824	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,864,101,545	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,977,000	UnrelatedBusinessRevenueAmt
Exclusion	$122,664,866	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$14,589,858	TotalAmt
Program Services	$14,589,858	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,781,930	TotalAmt
Program Services	$1,781,930	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$22,993,943	TotalAmt
Management And General	$21,994,494	ManagementAndGeneralAmt
Fundraising	$999,449	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,183,296,665	TotalAmt
Program Services	$976,232,174	ProgramServicesAmt
Management And General	$181,180,481	ManagementAndGeneralAmt
Fundraising	$25,884,010	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$72,009,708	TotalAmt
Program Services	$70,209,414	ProgramServicesAmt
Fundraising	$1,800,294	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$145,316,626	TotalAmt
Program Services	$141,378,439	ProgramServicesAmt
Management And General	$416,255	ManagementAndGeneralAmt
Fundraising	$3,521,932	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$108,784,029	TotalAmt
Program Services	$105,742,914	ProgramServicesAmt
Management And General	$321,437	ManagementAndGeneralAmt
Fundraising	$2,719,678	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$11,970,595	TotalAmt
Management And General	$11,970,595	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$10,069,789	TotalAmt
Management And General	$10,058,045	ManagementAndGeneralAmt
Fundraising	$11,744	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,976,966	TotalAmt
Management And General	$3,976,966	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$107,293	TotalAmt
Program Services	$107,293	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$2,443,533	TotalAmt
Fundraising	$2,443,533	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$511,400,681	TotalAmt
Program Services	$403,079,631	ProgramServicesAmt
Management And General	$106,287,365	ManagementAndGeneralAmt
Fundraising	$2,033,685	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,613,498	TotalAmt
Program Services	$5,056,293	ProgramServicesAmt
Management And General	$1,079,479	ManagementAndGeneralAmt
Fundraising	$477,726	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$259,044,645	TotalAmt
Program Services	$176,760,514	ProgramServicesAmt
Management And General	$76,270,309	ManagementAndGeneralAmt
Fundraising	$6,013,822	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$53,648,304	TotalAmt
Program Services	$16,637,109	ProgramServicesAmt
Management And General	$36,116,396	ManagementAndGeneralAmt
Fundraising	$894,799	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$154,509,284	TotalAmt
Program Services	$150,318,530	ProgramServicesAmt
Management And General	$2,813,880	ManagementAndGeneralAmt
Fundraising	$1,376,874	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,219,778	TotalAmt
Program Services	$6,809,834	ProgramServicesAmt
Management And General	$2,272,813	ManagementAndGeneralAmt
Fundraising	$137,131	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,427,558	TotalAmt
Program Services	$1,099,260	ProgramServicesAmt
Management And General	$237,686	ManagementAndGeneralAmt
Fundraising	$90,612	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$50,283,586	TotalAmt
Program Services	$50,283,586	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$206,149,879	TotalAmt
Program Services	$205,981,889	ProgramServicesAmt
Fundraising	$167,990	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$14,746,224	TotalAmt
Program Services	$9,869,999	ProgramServicesAmt
Management And General	$4,876,225	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Lab/Medical/Pharmacy	$517,503,452	$514,533,120	$2,970,332
Uncompensated Care	$72,548,135	$72,548,135
Uncollectible Accounts	$67,725,294	$67,725,294
Free Care	$24,928,606	$24,928,606

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,527,089,859	TotalAmt
Program Services	$3,015,673,822	ProgramServicesAmt
Management And General	$462,842,758	ManagementAndGeneralAmt
Fundraising	$48,573,279	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,045,407	BOYAmt
EOY	$5,859,207	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$187,827,049	BOYAmt
EOY	$210,923,216	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$574,615,073	BOYAmt
EOY	$592,864,486	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$35,000	BOYAmt
EOY	$750,205	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$47,834,417	BOYAmt
EOY	$47,601,500	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$40,144,914	BOYAmt
EOY	$40,703,437	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,855,253,624	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,900,698,979	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,750,531,782	BOYAmt
EOY	$2,954,554,645	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$982,261,447	BOYAmt
EOY	$752,034,960	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,023,208,771	BOYAmt
EOY	$1,358,005,566	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,662,644	BOYAmt
EOY	$1,539,477	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,286,194,301	BOYAmt
EOY	$3,160,090,305	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,899,360,805	BOYAmt
EOY	$9,124,927,004	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$423,991,336	BOYAmt
EOY	$438,503,021	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$199,607,367	BOYAmt
EOY	$186,145,438	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,242,608,943	BOYAmt
EOY	$1,237,379,095	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$822,784,286	BOYAmt
EOY	$822,784,286	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$846,042,949	BOYAmt
EOY	$807,727,549	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,535,034,881	BOYAmt
EOY	$3,492,539,389	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,107,995,016	BOYAmt
EOY	$3,194,504,647	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,256,330,908	BOYAmt
EOY	$2,437,882,968	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,364,325,924	BOYAmt
EOY	$5,632,387,615	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,899,360,805	BOYAmt
EOY	$9,124,927,004	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$61,498,965	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$132,917,718	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$73,645,008	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$544,299,928	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$620,211,449	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$542,541,293	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$646,395,665	CurrentTaxYearMinus1YearAmt
Current Tax Year	$598,845,413	CurrentTaxYearAmt
Total	$2,952,293,748	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$544,299,928	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$620,211,449	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$542,541,293	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$646,395,665	CurrentTaxYearMinus1YearAmt
Current Tax Year	$598,845,413	CurrentTaxYearAmt
Total	$2,952,293,748	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$61,093,650	SubstantialContributorsTotAmt
Public Support Total170	$2,891,200,098	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$28,655,925	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$32,927,683	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$41,217,378	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$46,333,207	CurrentTaxYearMinus1YearAmt
Current Tax Year	$44,758,708	CurrentTaxYearAmt
Total	$193,892,901	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$813,623	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,589,479	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,736,127	CurrentTaxYearAmt
Total	$5,139,229	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$47,431,442	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$37,344,165	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$58,554,300	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$75,959,863	CurrentTaxYearMinus1YearAmt
Current Tax Year	$17,306,249	CurrentTaxYearAmt
Total	$236,596,019	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$3,387,921,897	TotalSupportAmt
Gross Receipts Rltd Activities	$10,627,195,230	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.85340	PublicSupportCY170Pct
Public Support PY170	0.84000	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part II, Line 10, Explanation of Other Income:	FormAndLineReferenceDesc
Explanation	Other General Services Parking Revenue Cafeteria Revenue	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (1)	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Mailings Members	$207,995	MailingsMembersAmt
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$578,547	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$786,542	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	Children's Hospital Corporation (Hospital) is a section 501(c)(3) organization whose mission is fourfold - to provide the best possible pediatric health care, combining compassion with advanced technical capabilities; to be the leading source of research and discovery, seeking new approaches to the prevention, diagnosis, and treatment of childhood diseases; to educate the next generation of leadership in child health care; and to provide education and healthcare services to the community. In fulfillment of the above mission, the Hospital advocates on behalf of children and the providers who care for them at the State and Federal levels. Professional staff in the Hospital's Office of Government Relations direct these activities and coordinate the work of other Hospital staff who support the advocacy efforts on an intermittent basis. The Hospital has also sent correspondence to and met directly with Federal, State and local legislators and officials. The Hospital has also utilized a grassroots network of employees and friends to advocate on behalf of children's health issues. In Fiscal Year 2025, four Office of Government Relations staff members registered with the State as lobbyists for some or all of the fiscal year, dedicating a portion of their time to lobbying activities. Four Office of Government Relations staff members registered as lobbyists at the Federal level. The Hospital utilized the services of two outside consultants in Fiscal Year 2025 in either the Massachusetts General Court or the U.S. Congress. These consultants, on behalf of the Hospital, prepared written materials which are distributed to officials and met with elected and appointed officials. The following is a detailed list of lobbying expenses incurred: Josh Greenberg Registered Lobbyist Children's Hospital personnel $195,000 - Amy DeLong Registered Lobbyist Children's Hospital personnel $80,344 - Alyce Norcross Registered Lobbyist Children's Hospital personnel $9,868 - Kailey Sultaire Registered Lobbyist Children's Hospital personnel $52,053 - Ben Thomas Registered Lobbyist Children's Hospital personnel $91,000 - Shantel Gooden Registered Lobbyist Children's Hospital personnel $38,439 - Julia Papasadoro Registered Lobbyist Children's Hospital personnel $4,550 - Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1701, Boston, MA 02108 $40,000 - Nick Manetto Consultant Faegre Drinker 1500 K Street NW, Suite 1100, Washington, DC 20005 $67,293 - Total Lobbyist/Consultant expenses = $578,547 Expenses incurred by the Office of Government Relations for lobbying activities = $207,995 TOTAL LOBBYING EXPENSES = $786,542 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. Boston Children's Hospital maintains a grassroots network, the Children's Advocacy Network (CAN) comprised of volunteers including employees, patient families, and community supporters. These volunteers advocate for legislation at both federal and state levels. Issues supported are generally related to child wellbeing including healthcare access, mental health, housing affordability and similar items. We also use the CAN to educate the community about broader issues, e.g. by providing information about upcoming trainings or educational sessions, or to report on Congressional or Legislative updates. The CAN is managed by Government Relations staff. Information about the CAN and our current legislative priorities are available on the hospital's external website at https://www.childrenshospital.org/about-us/get-connected/government-relatio ns/childrens-advocacy-network.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,284,361,000	BeginningYearBalanceAmt
Contributions	$10,885,000	ContributionsAmt
Investment Earnings Or Losses	$36,175,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$84,350,000	OtherExpendituresAmt
End Year Balance	$1,247,071,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,269,126,000	BeginningYearBalanceAmt
Contributions	$13,454,000	ContributionsAmt
Investment Earnings Or Losses	$65,945,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$64,164,000	OtherExpendituresAmt
End Year Balance	$1,284,361,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,209,728,000	BeginningYearBalanceAmt
Contributions	$34,355,000	ContributionsAmt
Investment Earnings Or Losses	$87,576,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$62,533,000	OtherExpendituresAmt
End Year Balance	$1,269,126,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,281,297,000	BeginningYearBalanceAmt
Contributions	$42,734,000	ContributionsAmt
Investment Earnings Or Losses	-$77,210,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$37,093,000	OtherExpendituresAmt
End Year Balance	$1,209,728,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,222,213,000	BeginningYearBalanceAmt
Contributions	$13,623,000	ContributionsAmt
Investment Earnings Or Losses	$158,528,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$113,067,000	OtherExpendituresAmt
End Year Balance	$1,281,297,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.52150	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.29470	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.18380	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,481,368	OtherCostOrOtherBasisAmt
Book Value	$38,481,368	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,806,538,443	OtherCostOrOtherBasisAmt
Depreciation	$1,897,240,675	DepreciationAmt
Book Value	$1,909,297,768	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,244,710,002	OtherCostOrOtherBasisAmt
Depreciation	$996,384,140	DepreciationAmt
Book Value	$248,325,862	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$765,523,811	OtherCostOrOtherBasisAmt
Depreciation	$7,074,164	DepreciationAmt
Book Value	$758,449,647	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,954,554,645	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
3rd Pty External Administered Trusts	$45,174,154	F
Alternative Investments	$1,312,831,412	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$1,358,005,566	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Interest in the Net Assets of Children's Medical Center	$2,502,026,916
Expected Insur Recoveries for Prof Liability Claims	$53,997,834
Investment in Subsidiaries	$20,780,423
Other Assets - Miscellaneous	$14,129,779
Right of Use Assets	$463,050,619
Deferred Implementation Costs	$96,689,210
Unamortized Bond Fees	$9,415,524

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,160,090,305	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue	$80,675,688
Funds Held for Others	$24,332,590
Reserve for Medical Malpractice	$11,879,314
Interest Rate Swap Liability	$37,423,068
Operating Lease Liability	$524,417,914
Malpractice Unpaid Loss	$53,997,834
Other Liabilities - Miscellaneous	$14,496,651
Accrued Pension Cost	$36,830,144
Deferred Compensation Plans	$23,674,346

Field	Value	IRS element (for citing)
Total Liability	$807,727,549	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 X, Line 2:	There is no FIN48/ASC740 footnote in the organization's audited financial statements.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (12 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America & the Caribbean	Investments	$509,341,323
Sub-Saharan Africa	Investments	$64,355,948
Europe	Investments	$52,306,325
Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,	Program services	$36,686	Patient care, research & education
East Asia and the Pacific - Australia, Brunei, Burma, Cambodia,	Program services	$105,699	Patient care, research & education
Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium	Program services	$364,978	Patient care, research & education
Middle East and North Africa - Algeria, Bahrain, Djibouti, Egypt,	Program services	$215,894	Patient care, research & education
North America - Canada and Mexico, but not the United States	Program services	$86,746	Patient care, research & education
Russia and Neighboring States - Armenia, Azerbijan, Belarus,	Program services	$1,075	Patient care, research & education
South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador,	Program services	$37,618	Patient care, research & education
South Asia - Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal,	Program services	$38,848	Patient care, research & education
Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso,	Program services	$74,528	Patient care, research & education

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$626,813,599	SubtotalSpentAmt
Continuation Spent	$152,069	ContinuationSpentAmt
Total Spent	$626,965,668	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
Interactive Strategies LLC
1133 Connecticut Ave NW Ste 600	Washington	DC	20036	Fundraising Counsel	0	$2,509,460	$109,080	$2,400,380
NNE Marketing LLC
1666 Massachusetts Ave Ste 14	Lexington	MA	02420	Direct Mail Counsel	0	$2,092,202	$334,752	$1,757,450
Green Planet Sales Company Inc
407 College Ave Ste 349	Ithaca	NY	14850	Fundraising Solicitation	0	$1,632,152	$1,374,520	$257,632
The Stelter Company
10425 New York Ave	Des Moines	IA	50322	Fundraising Counsel	0	$0	$210,902	-$210,902
Marts & Lundy
15 Olde Lyme Rd	Winchester	MA	01890	Fundraising Counsel	0	$0	$183,485	-$183,485
Doing Good Digital LLC
668 N Coast Highway	Laguna Beach	CA	92651	Fundraising Counsel	0	$0	$115,500	-$115,500
Anthony John Cotrupi
33 Park St	Charlestown	MA	02129	Fundraising Counsel	0	$0	$50,000	-$50,000
Barker and Scott Consulting LLC
2202 18th St NW Ste 372	Washington	DC	20009	Fundraising Counsel	0	$0	$7,795	-$7,795
Rue Clair Digital LLC
6280 Arapahoe Dr	Evergreen	CO	80439	Fundraising Counsel	0	$0	$14,800	-$14,800
Downtown Ecommerce Partners LLC
157 Little Conestoga Rd Ste 1	Chester Springs	PA	19425	Fundraising Counsel	0	$0	$42,699	-$42,699

Field	Value	IRS element (for citing)
Total Gross Receipts	$6,233,814	TotalGrossReceiptsAmt
Total Retained By Contractors	$2,443,533	TotalRetainedByContractorsAmt
Total Net To Organization	$3,790,281	TotalNetToOrganizationAmt
Licensed States	AL	LicensedStatesCd
Licensed States	AK	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd
Licensed States	VT	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Champions Dinner/Auction	Event1Nm
Gross Receipts Event1	$5,285,371	GrossReceiptsEvent1Amt
Charitable Contri Event1	$4,661,929	CharitableContriEvent1Amt
Gross Revenue Event1	$623,442	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$66,632	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$387,238	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$749,123	OtherDirectExpensesEvent1Amt
Event2	BIC Dinner/Auction	Event2Nm
Gross Receipts Event2	$1,306,110	GrossReceiptsEvent2Amt
Charitable Contri Event2	$1,279,205	CharitableContriEvent2Amt
Gross Revenue Event2	$26,905	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$243,765	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$16,961	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$34,648	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$2,323,828	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,982,138	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$341,690	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$334,065	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$136,765	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$16,893	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$358,447	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$8,915,309	GrossReceiptsTotalAmt
Charitable Contributions Tot	$7,923,272	CharitableContributionsTotAmt
Gross Revenue Total Events	$992,037	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$644,462	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$540,964	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$16,893	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$1,142,218	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$2,344,537	DirectExpenseSummaryEventsAmt
Net Income Summary	-$1,352,500	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,892,296	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,849,996	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,042,300	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$876,088,749	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$618,553,997	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$257,534,752	NetCommunityBenefitExpnsAmt
Total Expense	0.07440	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$896,981,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$622,403,993	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$274,577,052	NetCommunityBenefitExpnsAmt
Total Expense	0.07930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,218,426	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,634,057	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,584,369	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,710,211	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,351,405	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,358,806	NetCommunityBenefitExpnsAmt
Total Expense	0.01600	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,303,862	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,386,087	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,917,775	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$645,897,470	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$596,051,031	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,846,439	NetCommunityBenefitExpnsAmt
Total Expense	0.01440	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,433,253	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,413,253	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$790,563,222	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$643,442,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$147,120,642	NetCommunityBenefitExpnsAmt
Total Expense	0.04250	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,687,544,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,265,846,573	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$421,697,694	NetCommunityBenefitExpnsAmt
Total Expense	0.12180	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$2,536,168	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,536,168	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$541,413	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$541,413	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	35	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$3,077,581	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,077,581	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$5,170,388	BadDebtExpenseAmt
Reimbursed By Medicare	$14,606,472	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$10,962,447	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,644,025	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Boston Children's Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02115	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.childrenshospital.org	WebsiteAddressTxt
State License	MA LICENSE #2139	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Boston Children's Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.childrenshospital.org/about-us/community-health/needs	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.childrenshospital.org/about-us/community-health/needs	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.childrenshospital.org/patients-families/about-boston-childrens/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.childrenshospital.org/patients-families/about-boston-childrens/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.childrenshospital.org/patients-families/about-boston-childrens/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Boston Children's Hospital	Part V, Section B, Line 5: Boston Children's Hospital considered input from persons representing the broad interests of the community served in conducting its 2025 Community Health Needs Assessment (CHNA). Input was obtained during 2024-2025 through a combination of surveys, focus groups, interviews, and advisory board engagement.Community input methods included:-A multilingual community survey with approximately 1,866 respondents-Focus groups with youth, parents/caregivers, and community members-Key informant interviews with community leaders and service providers-Guidance from the Hospital's Community Advisory BoardThe Hospital conducted the CHNA in coordination with the Boston Community Health Collaborative, which includes participation from the Boston Public Health Commission and other public health partners, thereby incorporating input from governmental public health entities. Input was also obtained from organizations representing medically underserved, low-income, and minority populations, including:-Community-based organizations-Social service agencies-Healthcare and behavioral health providers-Advocacy and youth-serving organizationsThese entities represent populations including racial and ethnic minorities, low-income families, immigrant communities, and youth disproportionately affected by health disparities, including youth of color and LGBTQ+ youth. The Hospital also considered feedback from prior CHNA activities and implementation efforts through its ongoing community engagement processes.
Boston Children's Hospital	Part V, Section B, Line 7d: The complete Boston Children's Community Health Needs Assessment report is available on the hospital's website at www.childrenshospital.org/about-us/community-health/needs. In addition to the report, there is also an executive summary, data and slides on the findings, and the hospital's Community Health Improvement Plan. A recorded session is also available with a Boston Children's staff member providing an overview of the process and sharing the key findings. Boston Children's distributed the report to internal staff and to a list of key external community contacts by email.
Boston Children's Hospital	Part V, Section B, Line 11: Boston Children's Hospital addresses the significant needs identified in its 2025 Community Health Needs Assessment (CHNA) through its 2025-2028 Community Health Implementation Plan (CHIP), which outlines priority areas and strategies to improve community health. The Hospital's implementation efforts focus on the following priority areas:-Behavioral health - promote mental health and emotional wellness by nurturing resilient communities and building equitable, accessible, and supportive systems of care -Housing stability - support safe, stable, healthy, equitable, affordable housing for children and families -Food access - increase access to affordable and nutritious food for children and families-Chronic conditions - improve the health of children and families managing asthma and obesity -Youth development - promote healthy youth development through youth-centered programming and career pathways-Early childhood supports - improve early childhood education, health, and developmental supports These activities are carried out in collaboration with community partners and are aligned with broader public health initiatives in Boston.The Hospital does not directly address all needs identified in the CHNA. Certain needs are outside the Hospital's expertise, resources, or strategic focus, or are more appropriately addressed by community organizations or public agencies. In such cases, the Hospital supports these needs through partnerships, referrals, and participation in collaborative community initiatives.
Boston Children's Hospital	Part V, Section B, Line 15e: The Financial Assistance Policy provides as follows:1. A Patient/Guarantor who is uninsured or who seeks financial assistance will be referred to a Hospital Financial Counselor for determination of availability of/eligibility for Private Health Plan coverage; for Public Health Care Assistance Programs; or for Hospital financial assistance programs. 2. Patients who do not qualify for Public Health Care Assistance Programs or Private Health Plan coverage, may apply for financial assistance by completing the Hospital's Financial Assistance Application and providing all information, documentation, and verification described in the Financial Assistance Application. The Financial Assistance Application is available for download on the Hospital's website and is also available by mail or in person. Details on how to access a copy of the Financial Assistance Application are found in the section of this Financial Assistance Policy entitled "Publication/Availability of the Financial Assistance Policy, the Uninsured Patient Discount Policy, the Credit and Collection Policy, and Amounts Generally Billed Calculation." The Financial Assistance Application includes accompanying instructions for completion.3. Under certain circumstances, the Hospital may deem a patient's enrollment in a means tested Public Health Care Assistance Program to presumptively confirm the patient's eligibility for financial assistance for any services for which financial assistance may be available under this Financial Assistance Policy.4. Information collected will be provided to a designated Director in Patient Financial Services for determination of availability of/eligibility for financial assistance under the terms of this Financial Assistance Policy.5. Patients/Guarantors who are approved to receive financial assistance will be notified in writing by Patient Financial Services staff.6. Eligibility determinations will remain in effect for a period of 12 months following the date of the determination, and will apply to all additional services for which financial assistance may be available under this Financial Assistance Policy, unless the Hospital determines that the patient has become enrolled in/qualified for Private Health Plan or coverage, or for a Public Health Care Assistance Program.7. Accounts will be adjusted with the financial assistance discount for both the applicable Foundation and Hospital. The discount will be applied against gross charges. 8. Patients/Guarantors can receive help with understanding the Financial Assistance Policy and completing the Financial Assistance Application by calling the Financial Counselors at (617) 355-7201 and/or by asking for help in person or by mail through the Financial Counseling Division of the Patient Financial Services Department at Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, Farley Building rooms 160.
Boston Children's Hospital	Part V, Section B, Line 16j: Children's takes the following additional steps to make patients aware of the availability of financial assistance:-Posting of signage in all patient care admission areas of the availability of financial assistance,-All billing correspondence includes language regarding the availability of financial assistance,-The Hospital website provides contact information for Hospital Financial Counselors who can help assist patients with applying for programs to cover medical expenses.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Boston Children's at 333 Longwood Ave
333 Longwood Avenue	Boston	MA	02115	Outpatient Pediatric Clinic
2 - Boston Children's at Waltham
9 Hope Ave	Waltham	MA	02453	Outpatient Satellite Facility
3 - Boston Children's at Lexington
482 Bedford Street	Lexington	MA	02173	Outpatient Satellite Facility
4 - Boston Children's at Weymouth
200 Libbey Parkway	Weymouth	MA	02189	Outpatient Satellite Facility
5 - Boston Children's at Brookline Place
2 Brookline Place	Brookline	MA	02445	Outpatient Satellite Facility
6 - Boston Children's at Peabody
1 Essex Center Drive	Peabody	MA	01960	Outpatient Satellite Facility
7 - Martha Eliot Health Center
75 Bickford Street	Boston	MA	02130	Outpatient Community Health Center
8 - Boston Children's at North Dartmouth
500 Faunce Corner Road	North Dartmouth	MA	02747	Outpatient Satellite Facility

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 and discounted 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 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 six major health focus areas in which it concentrates its efforts. For children in Boston, behavioral health, housing stability, food access, chronic conditions, youth development, and early childhood support are major concerns. Boston Children's has community based programs in each of these issue areas.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.Recognizing that Children's does not have the capacity to meet all the needs of the children of Boston, it supports through financial contributions and in kind services) a large number of community based organizations who are providing these important services. Beneficiaries range from full service community health centers to Head Start programs for pre-school children.For more information, visit www.childrenshospital.org/community.
Part I, Line 7g:	Children's does not subsidize physician services; thus there are none reported in the dollar amount for subsidized health services.
Part I, Ln 7 Col(f):	The total bad debt expense of $67,725,295 is included in Form 990, Part IX, line 25 column (A), but subtracted for purposes of calculating the percentage in this column.
Part I, Line 6a	Boston 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 benefit 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. Boston Children's AG report is publicly available and can be accessed directly on the AG's website, www.mass.gov/AG and Boston Children's website, www.childrenshospital.org.
Part II, Community Building Activities:	In FY25, Children's reported two types of community building activities: $2,536,168 for 22 community support programs and $541,413 for 13 community health improvement advocacy programs. Children's community building activities are designed specifically to address health disparities and improve the health of children, families and communities. According to public health literature (see Ambulatory Pediatrics and Health Affairs), initiatives that address disparities for children across four different levels: the individual, systemic, community and society can lead to meaningful improvements in health.As described in Form 990, Part III Program Service Accomplishments, Children's takes a multi-pronged approach to tackle the most pressing health issues facing Boston children. At the same time, Boston Children's addresses non-health or social determinants of health issues such as exposure to violence, workforce development and education, which also impact a child's health. Therefore, Boston Children's directs its community building activities in the following areas:-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, Boston Children's supports efforts to ensure a welcoming and culturally competent health care workforce as well as promotes economic health in the surrounding communities. -To improve life in local neighborhoods, Boston 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 https://www.childrenshospital.org/community-health.
Part III, Line 2:	Bad debt expense reflects patient charges that have been deemed uncollectible, converted to cost based on the ratio of patient care cost to charges from Worksheet 2.
Part III, Line 3:	There is not any amount of bad debt reflected as charity care, because it can't be quantified accurately at this time. However, some bad debts would be charity care.
Part III, Line 4:	Children's Medical Center and Subsidiaries' Audited Financial Statements does not contain any footnotes describing bad debt.
Part III, Line 8:	Medicare allowable costs are obtained directly from the Medicare Cost Report and are determined in accordance with Medicare principles of reimbursement.
Part III, Line 9b:	Children's makes reasonable and diligent efforts to collect each patient's insurance and other information and to verify coverage for health care services. Children's applies collection actions to all patients in the same manner, irrespective of their insurance status. Children's does not (and does not permit its agents to) engage in collection action of any kind, including billing, with respect to patients/guarantors that are exempt from collection action under Children's Credit and Collection Policy and under Massachusetts regulations governing the Health Safety Net program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. Children's does not (and does not permit its agents to) engage in legal action against patients/guarantors, including liens, wage garnishments, or lawsuits, or report patients/guarantors to credit bureaus or credit agencies without specific, case-by-case authorization by Children's Board of Directors. 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 are also available to patients upon request and on the Hospital's website.
Part VI, Line 2:	Boston Children's assesses the community needs on an ongoing basis through continuous dialogue with the community, participation on committees, working groups, and task forces, as well as input from Community Advisory Board and partners.For more information, visit www.childrenshospital.org/community-health/needs
Part VI, Line 3:	Children's provides patients with information about financial assistance programs that are available through the Commonwealth of Massachusetts or through the hospital's own financial assistance program.For those patients that request financial assistance, Children's assists patients by screening them for eligibility in an available public program and assisting them in applying for the program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. The screening and application process for a financial assistance programs is done through either the Virtual Gateway (which is an internet portal designed by the Massachusetts Executive Office of Health and Human Services to provide an online application for the programs offered by the state) or through a standard paper application. All Virtual Gateway and paper applications are reviewed and processed by the Massachusetts Office of Medicaid. Hospitals have no role in the determination of program eligibility made by the state, but at the patient's request may take a direct role in appealing or seeking information related to the coverage decisions.
Part VI, Line 4:	Boston Children's Hospital serves a primarily urban population of children and families centered in the City of Boston, together with surrounding suburban communities across Massachusetts through its satellite locations and referral network. While the Hospital provides specialized pediatric care to patients from a broader regional, national, and international referral base, its community for purposes of community benefit activities and its 2025 Community Health Needs Assessment (CHNA) is defined as children and families residing in Boston priority neighborhoods and selected surrounding communities.The City of Boston has a population of approximately 670,000 residents and reflects significant racial, ethnic, and linguistic diversity. The community includes areas with elevated economic need, with approximately 16.5% of residents living below the federal poverty level, including higher rates among children.Boston Children's Hospital serves a patient population that includes low-income individuals, Medicaid (MassHealth) beneficiaries, and individuals who face barriers to accessing care; a significant proportion of patients are covered by Medicaid. While overall insurance coverage levels in Massachusetts are high, including a relatively low uninsured rate among children, uninsured rates may be higher among certain subpopulations within the Hospital's service area.The Hospital operates in a densely resourced healthcare environment, including approximately 25 hospitals within the City of Boston, as well as additional hospitals and community health centers serving the broader metropolitan area.The Hospital's service area includes federally designated medically underserved areas and populations, as well as communities identified in the CHNA as experiencing higher levels of poverty and other adverse social determinants of health, including housing instability, food insecurity, and barriers to accessing care. These community conditions are reflected in the findings of the CHNA and the priorities established in the Hospital's Community Health Implementation Plan.
Part VI, Line 5:	As the only free-standing children's hospital in the state, Children's treats 90% of the sickest kids in Massachusetts and offers a range of services that are unavailable elsewhere in the region, including pediatric transplants, critical care transport services, a level 1 Pediatric Trauma Unit and a level 3 Neonatal Intensive Care Unit. Children's also qualifies for DSH payments as the state's largest provider of pediatric care to low-income families. Approximately 30% of its patients are covered by Medicaid, including patients insured by out-of-state Medicaid programs. In addition, Children's has an open medical staff model.Children's is also a leader in education and training for healthcare professionals. Boston Children's Hospital has 41 accredited programs and 35 non-accredited programs. We have over 500 residents and fellows based at BCH, along with more than 900 residents and fellows rotating here each year from other institutions.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. 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-nine person voluntary Board of Directors. Twenty-one of the Board members are not direct employees of the hospital. The Board oversees the Hospital's endowment and follows a 4.5% spending rule in keeping with the industry standard of the responsible management of assets. Reserves are invested back into patient care, teaching, research, patient safety and quality initiatives, equipment, facilities, community benefits and to subsidize vital services that run a deficit.
Part VI, Line 6:	As sister organizations, Boston Children's Hospital (BCH) and Franciscan Children's (FC) are able to offer a fully integrated care system providing children with care where and when they need it, all with one point of contact for families.The organizations are affiliated as sister hospitals to more effectively confront an acute children's mental health crisis in Massachusetts and across the country, and advance equitable access to care and eliminate disparities. By joining together, the two organizations work to improve the lives of children and families by:-Improving care by modernizing programs and facilities. This affiliation will modernize the FC campus, which dates back to the 1940s. This will include a new, state-of-the-art, net carbon-neutral building that houses the full continuum of care programs for medical rehabilitation and mental health services.-Offering the full range of integrated care that children need. BCH and FC offer a fully integrated continuum of care across inpatient, outpatient, primary care, and school-based settings.-Building a new generation of caregivers. By 2030, the organizations intend to hire 150-200 new full-time employees related to care for children, and invest in programs to build an employee pipeline from high school through medical school. They will also increase training programs for students and staff.-Increasing the number of beds available. BCH and FC will increase the number of available beds for inpatient services from 98 to 127, and nearly double the behavioral health bed capacity. This will reduce the number of kids forced to board in emergency rooms for medical and mental health needs.-Expanding services. They are creating and expanding intensive outpatient therapy and partial hospitalization programs that reduce the likelihood that mental health patients reach crisis levels.-Increasing sustained investments in research. Research is the future of children's mental health because the underlying causes are still poorly understood. The organizations continue to make sustained investments in research, better integrate research and clinical faculty, and hire 3-4 new clinician scientists.-Expanding community and school-based prevention programs. BCH and FC plan to expand their community, early education and school-based programs.Please see the Schedule H included as part of the Franciscan Hospital for Children, Inc. Form 990 filed for the fiscal year ended September 30, 2025 for additional information regarding community benefits provided by FCH.In addition, 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 seven outpatient facilities in Waltham, Lexington, Peabody, North Dartmouth, Jamaica Plain, Brookline and Weymouth 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.Additionally, the Pediatric Physicians Organization at Children's brings together pediatricians, pediatric medical groups and pediatric specialists at Children's.
Part VI, Line 7, Reports Filed With States	MA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (113 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
Action for Boston Community Development
178 Tremont Street	Boston	MA	02111	042304133	501(C)(3)	$31,724	$0	Community Partnership
Africano Waltham (African Cultural Services Inc)
PO Box 540325	Waltham	MA	02451	273145250	501(C)(3)	$60,000	$0	Community Partnership
Allston Brighton Community Development Corporation
18R Shepard Street Suite 100	Brighton	MA	02135	042716278	501(C)(3)	$51,000	$0	Community Partnership
Alternatives for Community and Environment Inc
2201 Washington Street Suite 302	Boston	MA	02119	043228509	501(C)(3)	$11,000	$0	Community Partnership
Autism Insurance Resource Center
55 Lake Avenue North S3-301	Worcester	MA	01655	043108190	GOVT	$15,000	$0	Advocacy Support
BOLD Teens
81 Brent Street	Boston	MA	02124	853198745	501(C)(3)	$50,000	$0	Community Partnership
Boston Alliance of Gay Lesbian Bisexual and Transgender Youth
28 Court Square	Boston	MA	02108	042785336	501(C)(3)	$100,000	$0	Community Partnership
Boston Basics
89 South Street Suite 700	Boston	MA	02111	042261109	501(C)(3)	$100,000	$0	Community Partnership
Boston Chinatown Neighborhood Center
38 Ash Street	Boston	MA	02111	237209691	501(C)(3)	$325,606	$0	Community Partnership
Boston Community Pediatrics
527 Albany Street Suite 200	Boston	MA	02118	843091463	501(C)(3)	$65,000	$0	Community Partnership
Boston Food Forest Coalition
1452 Dorchester Avenue	Boston	MA	02122	465327936	501(C)(3)	$50,000	$0	Community Partnership
Boston Green Academy
20 Warren Street	Brighton	MA	02135	464779019	501(C)(3)	$50,000	$0	Community Partnership
Boston Housing Authority
52 Chauncy Street 10th Floor	Boston	MA	02111	046001907	GOVT	$185,000	$0	PILOT
Boston Opportunity Agenda
75 Arlington Street 3rd Floor	Boston	MA	02116	042104021	501(C)(3)	$200,000	$0	Community Partnership
Boston Public Health Commission
1010 Massachusetts Avenue 2nd Floor	Boston	MA	02118	043316655	GOVT	$290,000	$0	PILOT
Boston Public Schools
26 Court Street	Boston	MA	02108	046001380	GOVT	$1,210,230	$0	PILOT
Boston Raiders Youth Football & Cheer
PO Box 240779	Dorchester	MA	02124	811281063	501(C)(3)	$6,500	$0	Community Partnership
Boston's Higher Ground
384 Warren Street	Roxbury	MA	02119	273660369	501(C)(3)	$333,000	$0	Community Partnership
Bowdoin Street Community Health Center
230 Bowdoin Street	Dorchester	MA	02122	042529788	501(C)(3)	$92,500	$0	Support of Community Health Center
Boys & Girls Clubs of Boston Inc
200 High Street 3rd Floor	Boston	MA	02110	042103922	501(C)(3)	$100,000	$0	Community Partnership
Boys and Girls Clubs of Metro South
19 Court Street 2nd Floor	Taunton	MA	02780	222963214	501(C)(3)	$333,838	$0	Community Partnership
Bridge Over Troubled Waters Inc
47 West Street	Boston	MA	02111	042472126	501(C)(3)	$100,000	$0	Community Partnership
Brighton High School
6 Roxbury Street	Boston	MA	02119	222514422	501(C)(3)	$34,050	$0	Community Partnership
Brockton Interfaith Community
1350 Pleasant Street	Brockton	MA	02301	223135464	501(C)(3)	$132,429	$0	Community Partnership
Brockton Neighborhood Health Center
63 Main Street	Brockton	MA	02301	043165044	501(C)(3)	$200,000	$0	Support of Community Health Center
Brookside Community Health Center
3297 Washington Street	Jamaica Plain	MA	02130	042312909	501(C)(3)	$92,500	$0	Support of Community Health Center
Cape Verdean Women United Inc
PO Box 264	Brockton	MA	02303	813674949	501(C)(3)	$100,000	$0	Community Partnership
Charles River Community Health
495 Western Avenue	Brighton	MA	02135	237221597	501(C)(3)	$112,500	$0	Support of Community Health Center
Children's Mental Health Campaign
125 Hartwell Avenue Suite 1	Lexington	MA	02421	042103596	501(C)(3)	$99,997	$0	Advocacy Support
Children's Services of Roxbury
520 Dudley Street	Roxbury	MA	02119	043082352	501(C)(3)	$184,070	$0	Community Partnership
City of Boston
PO Box 9715	Boston	MA	02114	046001380	GOVT	$2,686,243	$0	PILOT
Clean Water Action
40 Court Street Suite 600A	Boston	MA	02108	237128611	501(C)(4)	$10,000	$0	Community Partnership
Clean Water Fund
40 Court Street	Boston	MA	02108	521043444	501(C)(3)	$6,000	$0	Community Partnership
Codman Square Health Center
637 Washington Street	Dorchester	MA	02124	042678774	501(C)(3)	$100,000	$0	Support of Community Health Center
Codman Square Neighborhood Development Corporation
587 Washington Street	Dorchester	MA	02124	042752507	501(C)(3)	$50,000	$0	Community Partnership
Crossroads for Kids
119 Myrtle Street	Duxbury	MA	02332	042103837	501(C)(3)	$50,000	$0	Community Partnership
Doc Wayne Youth Services
418 Commonwealth Avenue	Boston	MA	02215	274216064	501(C)(3)	$50,000	$0	Community Partnership
Dorchester Food Co-op
PO Box 1051	Northampton	MA	01061	043241596	501(C)(3)	$45,300	$0	Community Partnership
Dothouse Health
1353 Dorchester Avenue	Dorchester	MA	02122	237125970	501(C)(3)	$329,004	$0	Community Partnership
Dudley Street Neighborhood Initiative Inc
550 Dudley Street	Roxbury	MA	02119	042859066	501(C)(3)	$333,478	$0	Community Partnership
East Boston Social Centers
68 Central Square	East Boston	MA	02128	042104257	501(C)(3)	$200,000	$0	Community Partnership
Families First
50 Hunt Street	Watertown	MA	02472	043413397	501(C)(3)	$101,500	$0	Community Partnership
Family Voices
529 Main Street Suite 1M3	Boston	MA	02129	850430800	501(C)(3)	$15,000	$0	Advocacy Support
First Teacher
89 South Street Suite 700	Boston	MA	02111	042261109	501(C)(3)	$50,000	$0	Community Partnership
Friends and Mentors
39 Orchard Avenue	Brockton	MA	02301	822395095	501(C)(3)	$151,000	$0	Community Partnership
Friends of the Children
184 Dudley Street Ste 100	Roxbury	MA	02119	201581289	501(C)(3)	$55,000	$0	Community Partnership
Girls' LEAP
PO Box 220663	Boston	MA	02122	043454124	501(C)(3)	$25,000	$0	Community Partnership
Greater Boston Chamber of Commerce
265 Franklin Street 12th Floor	Boston	MA	02110	041103090	501(C)(6)	$10,000	$0	Community Partnership
Haley House
23 Dartmouth Street	Boston	MA	02116	042437845	501(C)(3)	$50,000	$0	Community Partnership
Health Care for All
One Federal Street 5th Floor	Boston	MA	02110	043071598	501(C)(3)	$40,000	$0	Advocacy Support
Health Equity Compact
40 Court Street 10th Floor	Boston	MA	02108	990943875	501(C)(3)	$60,000	$0	Community Partnership
Health Law Advocates
One Federal Street	Boston	MA	02110	043298116	501(C)(3)	$30,000	$0	Advocacy Support
Health Resources in Action
95 Berkeley Street	Boston	MA	02116	042229839	501(C)(3)	$201,711	$0	Community Partnership
Healthcare Anchor Network
2202 18th Street NW Suite 317	Washington	DC	20009	862147253	501(C)(3)	$50,000	$0	Community Partnership
Hyde Park Seventh-day Adventist Church
6 Webster Street	Hyde Park	MA	02136	854125171	501(C)(3)	$25,000	$0	Community Partnership
ICNA Relief
1529 Jericho Turnpike	New Hyde Park	NY	11040	043810161	501(C)(3)	$60,000	$0	Community Partnership
Immigrant Family Services Institute
1626 Blue Hill Avenue	Mattapan	MA	02126	474400495	501(C)(3)	$250,000	$0	Community Partnership
Jamaica Plain Neighborhood Development Corporation
31 Germania Street	Jamaica Plain	MA	02130	042652919	501(C)(3)	$342,639	$0	Community Partnership
Jamaica Plain Tree of LifeArbol de Vida
295-297 Centre Street	Jamaica Plain	MA	02130	042754281	501(C)(3)	$20,000	$0	Support of Community Health Center
Louis D Brown Peace Institute
15 Christopher Street	Dorchester	MA	02122	263068254	501(C)(3)	$10,000	$0	Community Partnership
Madison Park Development Corporation
184 Dudley Street Suite 200	Roxbury	MA	02119	237164223	501(C)(3)	$52,610	$0	Community Partnership
Massachusetts Affordable Housing Alliance
1803 Dorchester Avenue	Dorchester	MA	02124	223042637	501(C)(3)	$150,000	$0	Community Partnership
Massachusetts Association for Mental Health
50 Federal Street 6th Floor	Boston	MA	02110	042104711	501(C)(3)	$10,000	$0	Advocacy Support
Massachusetts Budget and Policy Center
1 State Street Suite 1250	Boston	MA	02109	042967537	501(C)(3)	$25,000	$0	Advocacy Support
Massachusetts Housing Investment Corporation
21 Custom House Street 8th Floor	Boston	MA	02110	043094550	501(C)(3)	$15,000	$0	Community Partnership
Massachusetts Immigrant and Refugee Advocacy Coalition
69 Canal Street Unit 3	Boston	MA	02114	223115048	501(C)(3)	$15,000	$0	Community Partnership
Massachusetts Law Reform Institute
40 Court Street Suite 700	Boston	MA	02108	046004303	501(C)(3)	$10,000	$0	Advocacy Support
Massachusetts Public Health Association
50 Federal Street 8th Floor	Boston	MA	02120	042326503	501(C)(3)	$25,000	$0	Community Partnership
Massachusetts Society for the Prevention of Cruelty to Children
125 Hartwell Avenue Suite 1	Lexington	MA	02421	042103596	501(C)(3)	$118,884	$0	Advocacy Support
Massachusetts Taxpayers Foundation
333 Washington Street Suite 853	Boston	MA	02108	041590310	501(C)(3)	$10,000	$0	Advocacy Support
Mathematica
955 Massachusetts Avenue Suite 801	Cambridge	MA	02139	222112296	501(C)(3)	$163,936	$0	Community Partnership
Mattapan Community Health Center
1575 Blue Hill Avenue	Mattapan	MA	02126	042544151	501(C)(3)	$92,500	$0	Advocacy Support
Metro SouthWest Workforce Board
201 Boston Post Road West Suite 301	Marlborough	MA	01752	465204651	501(C)(3)	$79,873	$0	Community Partnership
Mothers for Justice and Equality
2201 Washington Street Suite 307	Roxbury	MA	02119	453741482	501(C)(3)	$50,000	$0	Community Partnership
NeighborHealth
10 Grove Street	East Boston	MA	02128	237425849	501(C)(3)	$126,423	$0	Community Partnership
Neighborhood Birth Center
42 Seaverns Ave PO Box 301240	Boston	MA	02130	042433182	501(C)(3)	$49,613	$0	Community Partnership
Neighborhood Villages
64 Sigourney Street	Jamaica Plain	MA	02130	821859365	501(C)(3)	$100,000	$0	Community Partnership
Parent Professional Advocacy League
18 Lyman Street Suite 260	Westborough	MA	01581	043573317	501(C)(3)	$15,000	$0	Advocacy Support
Raising a Reader Massachusetts
3 School Street 3rd Floor	Boston	MA	02108	800297898	501(C)(3)	$131,028	$0	Community Partnership
Rose Conservatory
1350 Pleasant Street	Brockton	MA	02301	862501641	501(C)(3)	$81,965	$0	Community Partnership
Smart From the Start
68 Annunciation Road	Boston	MA	02120	454952663	501(C)(3)	$20,000	$0	Advocacy Support
Soccer Unity Project
PO Box 180833	Boston	MA	02118	900623475	501(C)(3)	$10,000	$0	Community Partnership
Sociedad Latina
1530 Tremont Street	Roxbury	MA	02120	042678255	501(C)(3)	$102,500	$0	Community Partnership
Somali Parents Advocacy Center for Education Inc
1127 Harrison Avenue Suite i	Boston	MA	02119	842743083	501(C)(3)	$60,000	$0	Advocacy Support
South Cove Community Health Center
145 South Street	Boston	MA	02111	042501818	501(C)(3)	$50,000	$0	Support of Community Health Center
Southern Jamaica Plain Health Center
640 Centre Street	Jamaica Plain	MA	02130	042312909	501(C)(3)	$112,500	$0	Support of Community Health Center
Springfield College Department of Social Work
263 Alden Street	Springfield	MA	01109	042104329	501(C)(3)	$200,000	$0	Community Partnership
Strategies for Children - Massachusetts
400 Atlantic Avenue	Boston	MA	02110	043551406	501(C)(3)	$50,000	$0	Community Partnership
The Center for Teen Empowerment
130 Warren Street	Roxbury	MA	02119	043091002	501(C)(3)	$99,709	$0	Community Partnership
The City School
614 Columbia Road	Dorchester	MA	02125	020532474	501(C)(3)	$50,000	$0	Community Partnership
The Community Builders
33 Arch Street	Boston	MA	02110	042324773	501(C)(3)	$55,000	$0	Community Partnership
The Dimock Center
55 Dimock Street	Roxbury	MA	02119	043487835	501(C)(3)	$117,500	$0	Support of Community Health Center
The NAN Project
125 Hartwell Avenue	Lexington	MA	02421	042316924	501(C)(3)	$100,000	$0	Community Partnership
Tifereth Raphael
14 William Jackson Avenue	Brighton	MA	02135	205149181	501(C)(3)	$25,000	$0	Community Partnership
UMass BIRCh Center
100 William T Morrissey Blvd	Boston	MA	02125	043167352	GOVT	$200,000	$0	Community Partnership
UMass Donahue Institute
100 Venture Way Suite 201	Hadley	MA	01035	043167352	GOVT	$106,750	$0	Community Partnership
Upham's Corner Health Center
415 Columbia Road	Dorchester	MA	02125	042708670	501(C)(3)	$92,500	$0	Support of Community Health Center
Urban College of Boston
2 Boylston Street 2nd Floor	Boston	MA	02116	043403049	501(C)(3)	$100,000	$0	Community Partnership
Urban Revival (City LifeVida Urbana)
PO Box 300107	Jamaica Plain	MA	02130	042660311	501(C)(3)	$149,969	$0	Community Partnership
VietAID
42 Charles Street Suite E	Dorchester	MA	02122	043289039	501(C)(3)	$50,000	$0	Community Partnership
Vital Village Networks
801 Albany Street 2-N	Boston	MA	02119	990482390	501(C)(3)	$49,913	$0	Community Partnership
Voices of the Community
160 Hollis Street	Framingham	MA	01702	201332310	501(C)(3)	$99,909	$0	Community Partnership
Walker Inc
1968 Central Avenue	Needham	MA	02492	042171186	501(C)(3)	$199,674	$0	Community Partnership
Waltham Partnership for Youth Inc
617 Lexington Street	Waltham	MA	02452	043399437	501(C)(3)	$210,000	$0	Community Partnership
Watch Inc
24 Crescent Street Suite 201	Waltham	MA	02453	222918528	501(C)(3)	$231,705	$0	Community Partnership
Wayside Youth & Family Support Network
1 Frederick Abbott Way	Framingham	MA	01701	042630450	501(C)(3)	$49,217	$0	Community Partnership
West End House
105 Allston Street	Allston	MA	02134	042105825	501(C)(3)	$12,500	$0	Community Partnership
Whittier Street Health Center
1290 Tremont Street	Boston	MA	02120	042619517	501(C)(3)	$40,000	$0	Support of Community Health Center
William James College
One Wells Avenue	Newton	MA	02459	042620216	501(C)(3)	$205,000	$0	Community Partnership
YMCA of Greater Boston
316 Huntington Avenue	Boston	MA	02115	042103551	501(C)(3)	$25,000	$0	Community Partnership
Young Man with a Plan
1178 River Street	Hyde Park	MA	02136	881544048	501(C)(3)	$56,000	$0	Community Partnership
Youth Advocacy Foundation
44 Bromfield Street 2nd Floor	Boston	MA	02108	043583353	501(C)(3)	$10,000	$0	Advocacy Support
YouthBuild Boston Inc
27 Centre Street	Roxbury	MA	02119	043080098	501(C)(3)	$100,000	$0	Community Partnership

Field	Value	IRS element (for citing)
Total501c3 Org	111	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (25 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Cash GrantCashGrantAmt
A. Shuman Clothing Fund	76	$426	FMV	Emergency clothing
Barber Family Endowment/Income Fund	951	$6,488	FMV	Prep/distribution of promotional materials related to philanthropic programs managed by Center for Families.
Brandano Parent Apartment Fund	1628	$79,432	FMV	Housing supplies for apartment leases as part of the Patient Family Housing Fund.
Broadway Sam Fund	915	$15,000	FMV	Event tickets
Devon Nicole House Operating Fund	1	$3,667	FMV	Office equipment
Extraordinary Needs Fund 2	1249	$184,449	FMV	Emergency clothing/meals/personal supplies, parking vouchers, housing, caregiver webinars, bereavement programs.
Family Wellness Fund	3286	$174,763	FMV	Wellness supplies and services for patients and their families
Hale Center for Families Endowment Operating Fund	24648	$279,698	FMV	Staffing and supplies for children's events; gift cards for families
Jennings Family Fund	1724	$3,657	FMV	Catered meals, pantry supplies, gift cards for Patient Family Housing families
Judith Nelson Endowment/Operating Fund for Families	16927	$20,244	FMV	Staffing in the Center for Families and Career for Caregivers training program
Mannheim Family Endowment/Operating Fund	8754	$13,945	FMV	Support and supplies for Patient Family Housing program
Milagros Para las Familias Fund	177	$20,055	FMV	Support groups and supplies for extraordinary needs of families
Nursing Education Scholarship Fund	108				$111,178
Patient Family Housing Fund	8754	$28,972	FMV	Maintenance expenses and supply costs for housing program.
Pet Therapy Program Fund	7748	$79,323	FMV	Theurapeutic dog visits made to inpatients
Philip Nelson Endowment Operating Fund	7748	$1,434	FMV	Dog lab expenses and travel
Room to Heal Fund	950	$7,388	FMV	Back-to-school supply bags, CME expense for bereavement/end of life care
TAC Operating Fund	18	$8,273	FMV	Supplies and scholarships
Telemachus & Irene Demoulas Family Foundation Extraordinary Needs Endowment Operating Fund	207	$19,235	FMV	PACT Hope program support and event supplies for Keeping Connections and Memorial services
Yawkey Family Inn Fund	780	$469,958	FMV	Housing assistance
Patient Care Support Services Endowment/Income Fund	16927	$24,328	FMV	Books for visiting families, travel, food expense, Boston EMS
Sibylla Orth Young Fund for Student Aid	23				$57,500
Dunkin' Joyful Spaces Fund	780	$170,000	FMV	Kent Street renovation, gaming equipment for playroom
Dunkin' Joy in Childhood Foundation's Dogs for Joy	1	$2,155	FMV	Supplies to prepare for arrival of facility dogs
C. Wendell Paw Print Operating Fund	7748	$362	FMV	Staff hours preparing for arrival of facility dogs

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	Boston Children's Hospital provides three types of grants and assistance: (1) sponsorships, (2) scholarships, and (3) assistance programs. SPONSORSHIPS: Boston Children's supports external strategic partners that enhance Boston 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 Boston 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 Boston Children's has collaborated, or is collaborating, with 2. a non-profit located in and serving Boston Children's target neighborhoods (Fenway, Mission Hill, Jamaica Plain, Roxbury) that address social determinants of health and that Boston Children's has collaborated, or is collaborating, with 3. one of Boston Children's Hospital's affiliated community health centers 4. a citywide non-profit that is a strategic partner in one or more of the Boston Children's primary community health focus areas (asthma, mental health, nutrition/fitness, violence prevention) and that Boston Children's has collaborated, or is collaborating, with 5. a citywide non-profit that is a strategic partner in one or more of Boston Children's secondary community health focus areas (early intervention, early childhood/elementary education) that Boston 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 Boston Children's make site visits to many of the grantees and request end-of-year reports. SCHOLARSHIPS: Boston Children's Hospital offers scholarship programs to support the educational goals of its employees and/or their immediate families. The Nursing Education Scholarship is available to deserving nurses to further his or her education in patient care. All nursing scholarship applicants must have worked at least three months, be enrolled in an academic program leading to a degree, demonstrate a commitment to the patient care and be in good standing, both professionally and academically. Scholarship applications for the Nursing Education Scholarships 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: Boston Children's Hospital offers several financial assistance programs to provide funding to patients and their families burdened by the costs associated with long-term hospitalization, acute/chronic illness, disability or impairment. We recognize the significant financial and support services burdens that patients and families face when experiencing frequent ambulatory services or prolonged inpatient admissions at Boston Children's Hospital. These funds are primarily intended for use in emergent situations, and as a stop-gap intervention only. They are not intended to provide permanent or long term solutions to financial need. Essentially, these are funds of "last resort" when alternative options do not exist. 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 * Family status * Income factors * Clinical factors * Alternate resources available * Funding limits * Other relevant factors	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kevin Churchwell MD
Chief Executive Officer	$1,856,511	$0	$915,518	$0	$539,860	$0	$34,500	$0	$143,934	$0	$3,490,323	$0	$0	$0
Philip Rotner
Chief Investment Officer	$1,060,465	$0	$580,250	$0	$241,963	$0	$34,500	$0	$43,826	$0	$1,961,004	$0	$0	$0
Doug Vanderslice
Treasurer & EVP, System CFO	$1,054,348	$0	$522,489	$0	$282,340	$0	$34,500	$0	$59,999	$0	$1,953,676	$0	$0	$0
Peter Laussen MD
EVP, Health Affairs	$917,563	$0	$377,010	$0	$153,565	$0	$37,950	$0	$71,861	$0	$1,557,949	$0	$0	$0
Laura J Wood DNP MS RN
EVP, Chief Nursing Officer	$794,114	$0	$378,200	$0	$134,997	$0	$37,950	$0	$66,634	$0	$1,411,895	$0	$0	$0
Demosthenes Argys
EVP, Hospital Chief Operating	$823,244	$0	$350,229	$0	$128,066	$0	$37,950	$0	$33,764	$0	$1,373,253	$0	$0	$0
Nancy Andrews
EVP, Chief Scientific Officer	$863,623	$0	$221,697	$0	$140,724	$0	$31,050	$0	$52,329	$0	$1,309,423	$0	$0	$0
Lisa Hogarty
SVP, RE Planning and Development	$687,990	$0	$304,000	$0	$113,126	$0	$31,050	$0	$41,441	$0	$1,177,607	$0	$0	$0
Lisa Abbott
EVP, Chief Human Resource Officer	$685,785	$0	$280,537	$0	$114,657	$0	$24,150	$0	$39,734	$0	$1,144,863	$0	$0	$0
Christopher Viney JD
Secretary & EVP, System General Coun	$732,301	$0	$188,467	$0	$114,168	$0	$20,315	$0	$50,215	$0	$1,105,466	$0	$0	$0
Michele Garvin Esq
EVP, Chief of Staff	$643,416	$0	$185,938	$0	$150,175	$0	$34,500	$0	$40,521	$0	$1,054,550	$0	$0	$0
Alexander McAdam
Department Chief, Lab Medicine	$648,251	$0	$307,880	$0	$3,267	$0	$37,950	$0	$23,194	$0	$1,020,542	$0	$0	$0
Lynn Susman
EVP, Chief Development Officer	$643,665	$0	$165,750	$0	$110,088	$0	$41,400	$0	$38,545	$0	$999,448	$0	$0	$0
Heather Nelson
SVP, Chief Information Officer	$644,794	$0	$168,451	$0	$106,854	$0	$24,150	$0	$41,271	$0	$985,520	$0	$0	$0
Joseph A Mitchell MD END 425
EVP & President, Franciscan Children	$0	$650,870	$0	$254,818	$0	$34,231	$0	$1,000	$0	$0	$0	$940,919	$0	$0
Cynthia Haines
SVP, National & International	$609,690	$0	$130,973	$0	$101,994	$0	$31,050	$0	$40,786	$0	$914,493	$0	$0	$0
Martin Kelly
Director of Investments	$517,634	$0	$286,000	$0	$3,925	$0	$31,050	$0	$15,709	$0	$854,318	$0	$0	$0
Nirav Desai
Director of Investments	$506,738	$0	$286,000	$0	$1,489	$0	$24,150	$0	$23,169	$0	$841,546	$0	$0	$0
Patricia Hickey PhD MBA RN NEA-BC
SVP, Nursing/Patient Care	$566,804	$0	$118,409	$0	$89,822	$0	$41,400	$0	$8,317	$0	$824,752	$0	$0	$0
Stacy Drury
Department Chief, Psychiatry	$699,768	$0	$42,500	$0	$1,983	$0	$37,950	$0	$8,229	$0	$790,430	$0	$0	$0
Michael Gillespie
SVP, Clinical Services	$485,808	$0	$107,588	$0	$81,589	$0	$34,500	$0	$30,088	$0	$739,573	$0	$0	$0
Steven Luber
SVP, Finance	$510,645	$0	$107,588	$0	$79,155	$0	$24,150	$0	$8,939	$0	$730,477	$0	$0	$0
August Cervini
SVP, Research Administration	$421,717	$0	$92,239	$0	$69,661	$0	$24,150	$0	$31,266	$0	$639,033	$0	$0	$0
Sandra Fenwick
Former President & CEO	$0	$0	$0	$0	$437,833	$0	$0	$0	$0	$0	$437,833	$0	$0	$0
Bruce Balter
Asst Treasurer/Dr Corp Fin Svcs	$337,016	$0	$20,505	$0	$4,049	$0	$41,400	$0	$15,677	$0	$418,647	$0	$0	$0
Christine Grenache
Former Asst. Secretary	$122,007	$0	$50,000	$0	$262	$0	$0	$0	$0	$0	$172,269	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 4b	FormAndLineReferenceDesc
Explanation	Boston Children's Hospital made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contribution amounts are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for employee benefits and not for Boston Children's Hospital Director or Officer of the Board services and/or responsibilities. During calendar year 2024, Children's Hospital Corporation made contributions to the supplemental non-qualified retirement plan for the individuals below: Kevin Churchwell, MD received a contribution of $502,587 Philip Rotner received a contribution of $236,247 Douglas Vanderslice received a contribution of $273,489 Peter Laussen, MD received a contribution of $144,503 Laura Wood received a contribution of $123,286 Demosthenes Argys received a contribution of $127,881 Nancy Andrews received a contribution of $136,707 Lisa Hogarty received a contribution of $102,293 Lisa Abbott received a contribution of $103,861 Christopher Viney, JD received a contribution of $86,982 Michele Garvin received a contribution of $133,545 Lynn Susman received a contribution of $101,380 Heather Nelson received a contribution of $99,129 Cynthia Haines received a contribution of $90,506 Patricia Hickey received a contribution of $82,147 Michael Gillespie received a contribution of $74,346 Steven Luber received a contribution of $78,161 August Cervini received a contribution of $66,004 During calendar year 2024, the following individuals received supplemental executive retirement plan distributions: Sandra Fenwick received a distribution of $943,833. Of that amount only $437,833 was considered to be taxable in the current year. During calendar year 2024, Franciscan Hospital for Children, a related organization of Children's Hospital Corporation, made contributions to the supplemental non-qualified retirement plan for the individual below: Joseph A. Mitchell, MD received a contribution of $130,749	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MHEFA Revenue Bonds Series N
A	042456011	57586EUJ8	2010-05-13	$341,590,000	Refunded Series G, H, I, J & K	0	0	0
MDFA Revenue Bonds Series Q
B	043431814	57584YQ69	2014-07-11	$50,255,000	New building construction & renovations	0	0	0
MDFA Revenue Bonds Series S
C	043431814	NoneAvail	2017-12-19	$135,215,000	Refunded Series M	0	0	0
MDFA Revenue Bonds Series T U1 U2 V
D	043431814	57585BAA6	2024-02-08	$905,065,000	New building construction & renovations, refunded Series N, O, R	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$341,590,000	$339,564,138	$2,025,862	2010	Yes (1)	0	Yes (1)	Yes (1)
B	$50,255,000		$255,000	2016	0	0	Yes (1)	Yes (1)	$50,000,000
C	$134,703,799	$134,192,598	$511,201	2017	0	Yes (1)	Yes (1)	Yes (1)
D	$968,498,069	$466,730,000	$4,918,246	2025	Yes (1)	0	0	Yes (1)	$487,713,739	$9,136,084

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)
D	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Goldman Sachs
A	0	0	0	Yes (1)	Yes (1)	Yes (1)	Mitsui Marine	30.000000000000	0	0	0	0	Yes (1)
(no name)
B	0	0	0	Yes (1)	Yes (1)	0					0	0	Yes (1)
(no name)
C	0	0	0	Yes (1)	Yes (1)	0					0	0	Yes (1)
Bank of America
D	0	Yes (1)	0	0	Yes (1)	Yes (1)	NA	7.000000000000	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: MHEFA, Revenue Bonds Series N Date the Rebate Computation was Performed: 09/30/2021 Issuer Name: MDFA, Revenue Bonds Series Q Date the Rebate Computation was Performed: 09/30/2023 Issuer Name: MDFA, Revenue Bonds Series S Date the Rebate Computation was Performed: 12/01/2024
Part I, Line (D), Column (c)	MDFA, Revenue Bond Series T, U1, U2, V: Series T CUSIP #: 57585BAA6, 57585BAB4, 57585BAC2 Series U-1 CUSIP #: 57584Y8H5 Series U-2 CUSIP #: 57584Y8K8 Series V CUSIP #: 57584Y8G7

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	Ryan Nagy	PersonNm
Relationship With Org	Officer	RelationshipWithOrgTxt
Loan Purpose	Housing loan	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$750,205	OriginalPrincipalAmt
Balance Due	$750,205	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$750,205	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Bernard Mathey-Prevot	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Family member of key employee	RelationshipDescriptionTxt
Transaction	$102,712	TransactionAmt
Transaction	Employment	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,400	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value per donor	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$145,606	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value per donor	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	85	ContributionCnt
Noncash Contributions Rpt F990	$15,364,649	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Mean value on gift date	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	20	ContributionCnt
Noncash Contributions Rpt F990	$13,472	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value per donor	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Travel/Dining	44	$206,000	Market value per don
Yes (X)	Miscellaneous	32	$118,280	Market value per don

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Column (b):	The number reported in Column (b) is the number of contributions received for the type of property listed.
Part I, Line 32b:	The Hospital uses an event management firm to assist in processing non-cash donations received for an event auction.
Part I, Line 33:	The Hospital may receive items such as books, stuffed animals and video games that are donated to the units - these items are de minimus and values are not available so they are not reported in revenues.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part III, Line 1 Mission	Founded in 1869, Boston Children's is one of the largest pediatric hospitals in the U.S. and the only freestanding pediatric hospital in Massachusetts, with its main campus located in the Longwood Medical Area. Boston Children's provides access to safe, high quality health care services that meet the unique needs of our patients and their families, regardless of their ability to pay. Boston Children's has been and will continue to be the world leader in compassionate, equitable, family-centered care and science. Our vision and goal is to lead change in the care and well-being of children through cutting edge research, state of the art innovative clinical care and diagnostics and the development of new drugs, therapeutics and devices to treat and cure what is not currently treatable, and to solve the problems of tomorrow. Boston Children's serves a unique role in the pediatric landscape and adds value across our four mission pillars. -CARING for children we are uniquely able to serve, delivering superior outcomes in pediatrics relative to national peers, and caring for an increasingly complex pediatric population. -RESEARCH to develop new treatments and improve child health, running the world's largest pediatric research enterprise and leveraging our research to directly impact patient care. -TEACHING the next generation of leading pediatric care providers, serving as Harvard Medical School's primary pediatric teaching hospital, and filling a critical role in training sub-specialists. -Serving the COMMUNITY as a care provider, collaborator, investor, and economic contributor; offering the only large PICU and 24/7 pediatric intensivist care in New England, serving as a safety net hospital for Massachusetts Medicaid; keeping care local and lower cost by decreasing our inpatient admissions from local/regional areas and providing back-up support to other hospitals; investing in community education and support (collaborate with schools); attracting jobs and funding to the Boston and Massachusetts economies In 2025 U.S. News & World Report ranked Boston Children's among the best in the nation, based on a wide range of factors, including reputation among pediatric specialists, medical outcomes, and care-related indicators of quality, such as nurse staffing and the availability of specialized services. This marks more than 20 years that we have earned our Top 10 spot on that esteemed list. This is also the second year that U.S. News has included Pediatric & Adolescent Behavioral Heath as a specialty, and Boston Children's is among the nation's best. In 2025, Boston Children's was also named among "America's Best Children's Hospitals, and the #2 pediatric hospital in the world by Newsweek on their list of the "World's Best Specialized Hospitals." -In 2008, 2012, 2017, and 2022, Boston Children's achieved Magnet Recognition from the American Nurses Credentialing Center. -For the ninth year in a row, Boston Children's was selected as a Leader in LGBTQ Healthcare Equality by Healthcare Equality Index (HEI). -In 2025, for the first time ever, Boston Children's was recognized by the Disability Equality Index as a "Best Place to Work for Disability Inclusion."
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 Directors of Children's Hospital Corporation must consist of the persons who serve from time to time as the directors 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 or the Hospital; - 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 approve the appointment or removal of the Chief Executive Officer of the Hospital; - to approve mergers, consolidations, and other forms of corporate affiliations with third parties.
Form 990, Part VI, Section B, line 11b	The Form 990 tax return was prepared by the organization's staff and reviewed by management (including the Chief Executive Officer, President & Chief Operating Officer, Chief Financial Officer, General Counsel and other relevant departments of the organization), along with the outside accounting firm of Ernst & Young. The Form 990 tax return was then presented to the Children's Medical Center and affiliates' Audit & Compliance Committee. Also, a copy was made available to the Board before filing.
Form 990, Part VI, Section B, line 12c	The Hospital's Conflict of Interest and Commitment policy applies to all directors, Trust Board members, members of the medical or research staff, faculty, fellow, resident, student, visiting faculty or scientist, consultant, volunteers and employees of the Hospital. Directors, chiefs of service and division chiefs, senior directors 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 policies 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/she 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/she has a financial interest or a consultative role; and 3. avoids any active participation in any financial negotiations between the Hospital, Medical Center or Trust and the person or company with whom or in which he/she has a financial interest or consultative role; and 4. does not permit such outside interests or activities to absorb such amounts of his/her time and effort as to make it impractical for them to fulfill their assigned responsibilities at the Hospital, Medical Center or Trust; and 5. does not permit such outside interests or activities to compromise or appear to compromise the name or reputation of the Hospital, Medical Center or Trust.
Form 990, Part VI, Section B, line 15	The Hospital has a board level compensation committee that annually reviews and approves the compensation for the following individuals: Chief Executive Officer Chief Investment Officer Executive Vice President, Enterprise Services, System Chief Financial Officer Executive Vice President, Health Affairs Executive Vice President, Chief of Staff Executive Vice President, Chief Scientific Officer Executive Vice President, Hospital COO, Satellite & Ambulatory Operations Executive Vice President, Patient Care Operations, System Chief Nursing Officer Executive Vice President & President, Boston Children's Hospital Trust, Chief Development Officer Executive Vice President, Chief Human Resources Officer Senior Vice President, Chief Information Officer Senior Vice President, Real Estate Planning & Development Senior Vice President, Finance Senior Vice President, Research Administration Executive Vice President, System General Counsel The committee is comprised of members of the board who are not employed by the organization, and no member may participate in the review and approval of compensation if the member has a conflict of interest with respect to that compensation arrangement. The committee relies on data, provided by an independent compensation consultant, which includes comparable compensation for similarly qualified persons, in functionally comparable positions, at similarly situated organizations. The deliberations and decisions of the committee are documented in minutes of the meeting.
Form 990, Part VI, Section C, line 19	The Hospital posts its Code of Conduct (which incorporates the Conflict of Interest Policy) and its Compliance Manual (which includes a summary of the Conflict of Interest Policy) on its external website and these are also available from the Compliance Office or the Office of General Counsel. Governing documents are not posted publicly but are available from the Hospital upon request and are also filed with the Massachusetts Secretary of State, where they are available to the public. Audited financial statements are filed annually with the Massachusetts Office of the Attorney General as part of the Hospital's Form PC filing and are available from the organization upon request. Quarterly financial statements are filed with the Hospital's bond trustee and are available to the public through the Electronic Municipal Market Access (EMMA) website maintained by the Municipal Securities Rulemaking Board.
Form 990, Part IX, line 11g	Ambulance Services: Program service expenses 134,117. Management and general expenses 0. Fundraising expenses 0. Total expenses 134,117. Catering Services: Program service expenses 1,190,238. Management and general expenses 806,723. Fundraising expenses 32,175. Total expenses 2,029,136. Collection Agency Fees: Program service expenses 141,880. Management and general expenses 1,613,496. Fundraising expenses 0. Total expenses 1,755,376. Consulting Services: Program service expenses 5,710,684. Management and general expenses 6,238,648. Fundraising expenses 349,194. Total expenses 12,298,526. Employment Agency Services: Program service expenses 2,111,547. Management and general expenses 1,190,624. Fundraising expenses 386,923. Total expenses 3,689,094. Environmental Services: Program service expenses 824,109. Management and general expenses 320,002. Fundraising expenses 0. Total expenses 1,144,111. Laundry Services: Program service expenses 228,024. Management and general expenses 179,949. Fundraising expenses 0. Total expenses 407,973. Misc. Purchased Services: Program service expenses 108,662,418. Management and general expenses 60,278,615. Fundraising expenses 1,178,065. Total expenses 170,119,098. Nursing Agency Fees: Program service expenses 13,231,425. Management and general expenses 176,073. Fundraising expenses 0. Total expenses 13,407,498. Purchased Medical Services: Program service expenses 149,892,973. Management and general expenses 30,114,031. Fundraising expenses 0. Total expenses 180,007,004. Purchased Research Services: Program service expenses 83,676,935. Management and general expenses -342,208. Fundraising expenses 0. Total expenses 83,334,727. Security Services: Program service expenses 18,812,656. Management and general expenses 4,163,913. Fundraising expenses 479. Total expenses 22,977,048. Temp Agency Fees: Program service expenses 18,462,625. Management and general expenses 1,547,499. Fundraising expenses 86,849. Total expenses 20,096,973.
Form 990, Part XI, line 9:	Net transfers/support from Children's Medical Center 84,517,384. Pension adjustment -15,093,773. Other changes in net assets 13,657,198. Net transfers -9,435,801.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Children's One Brookline Place LLC
300 Longwood Avenue	Boston	MA	02115	205850015	Real Estate Holdings	MA	$12,791,350	$97,794,344	Children's Hospital Corporation
Children's Brookline Place LLC
300 Longwood Avenue	Boston	MA	02115	261523020	Real Estate Holdings	MA	$0	$0	Children's Hospital Corporation
Children's Five Brookline Place LLC
300 Longwood Avenue	Boston	MA	02115	205850117	Real Estate Holdings	MA	$522,631	$4,805,312	Children's Hospital Corporation
BCH Washington Street LLC
300 Longwood Avenue	Boston	MA	02115	814382781	Real Estate Holdings	MA	$0	$0	Children's Hospital Corporation
BCH Pearl Street LLC
300 Longwood Avenue	Boston	MA	02115	814393086	Real Estate Holdings	MA	$0	$0	Children's Hospital Corporation
BCH Brookline Ave LLC
300 Longwood Avenue	Boston	MA	02115	814457294	Real Estate Holdings	MA	$0	$0	Children's Hospital Corporation
Boston Children's Health International LLC
300 Longwood Avenue	Boston	MA	02115	814377341	Healthcare	MA	$72,905	$151,973	Children's Medical Center Corp
Children's Westland LLC
300 Longwood Avenue	Boston	MA	02115	262904847	Inactive	MA	$0	$0	Longwood Research Institute
BCH 819 Beacon Street LLC
300 Longwood Avenue	Boston	MA	02115	814382691	Real Estate Holdings	MA	$0	$7,190,109	Longwood Research Institute
Children's Waltham Medical Center LLC
300 Longwood Avenue	Boston	MA	02115	202076874	Real Estate Holdings	MA	$0	$49,770	Children's Medical Center Corp
Boston Children's Health Accountable Care LLC
300 Longwood Avenue	Boston	MA	02115	300991601	Accountable Care	MA	$18,673,319	$2,849,710	Children's Hospital Corporation
Boston Children's Health Physicians LLP
300 Longwood Avenue	Boston	MA	02115	133956599	Healthcare	NY	$185,927,472	$108,539,813	Children's Medical Center Corp
Boston Children's Health Solutions RX LLC
300 Longwood Avenue	Boston	MA	02115	861408128	Specialty Pharmacy	MA	$147,609,737	$17,575,252	Children's Hospital Corporation
Boston Children's Health National LLC
300 Longwood Avenue	Boston	MA	02115	933063006	Healthcare	MA	$27,776,955	$10,246	Children's Medical Center Corp

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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)	Line 12b, 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)	Line 12b, II		0	Children's Medical Center Corporation
CHB Properties Inc
300 Longwood Avenue	Boston	MA	02115	043323330	Holds & manages satellite ambulatory centers; real estate investments	MA	501(c)(3)	Line 10		0	Children's Medical Center Corporation
Physician's Organization at Children's Hospital Inc
300 Longwood Avenue	Boston	MA	02115	043266103	Coord & develop integrated childhlth care system w/ affil members	MA	501(c)(3)	Line 12c, III-FI	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)	Line 7		Yes (1)	Children's Hospital Corporation
Children's Hospital League Corporation
300 Longwood Avenue	Boston	MA	02115	042780811	Fundraising	MA	501(c)(3)	Line 7		Yes (1)	Children's Hospital Corporation
Blood Research Institute Inc
300 Longwood Avenue	Boston	MA	02115	043136318	Owning & Leasing Real Estate	MA	501(c)(3)	Line 12a, I		0	Children's Medical Center Corporation
BIDMCChildren's Hospital Medical Care Corp
300 Longwood Avenue	Boston	MA	02115	043200113	Pediatric Health Care, Education & Research	MA	501(c)(3)	Line 12a, I	N/A	0
Dana-FarberChildren's Hospital Cancer Care Inc
450 Brookline Avenue BP418	Boston	MA	02215	043554536	Joint program in pediatric oncology	MA	501(c)(3)	Line 12a, I	N/A	0
New England Life Flight Inc
Hangar 1727 Hanscom AFB	Bedford	MA	01730	222582060	Critical Care Transport	MA	501(c)(3)	Line 12a, I	N/A	0
Longwood Medical Energy Collaborative Inc
160 Longwood Avenue	Boston	MA	02115	043476764	Energy Related Initiatives	MA	501(c)(3)	Line 12a, I	N/A	0
Boston Children's Network Specialty Physicians Inc
300 Longwood Avenue	Boston	MA	02115	881343469	Healthcare	MA	501(c)(3)	Line 10		Yes (1)	Children's Hospital Corporation
Franciscan Hospital for Children Inc
30 Warren Street	Brighton	MA	02135	042156082	Pediatric Rehabilitation and Behavioral Health	MA	501(c)(3)	Line 3		0	Children's Medical Center Corporation

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Florida Children's Health LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 Longwood Avenue	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02115	ZIPCd

Field	Value	IRS element (for citing)
Primary Activities	Pediatric healthcare	PrimaryActivitiesTxt
Legal Domicile State	DE	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	N/A	PredominantIncomeTypeTxt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Franciscan Pediatrics Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	30 Warren Street	AddressLine1Txt
City	Brighton	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02135	ZIPCd

Field	Value	IRS element (for citing)
EIN	043160358	EIN
Primary Activities	Healthcare	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Franciscan Hospital for Children Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Boston Children's Network Specialty Physicians Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	S	TransactionTypeTxt
Involved	$11,588,731	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt