2026-08-15T10:41:29-05:00 2025-09-30 346565596 Ernst & Young LLP 1 Manhattan West New York NY 10001 990 2024-10-01 042774441 Children's Hospital Corporation CHIL 6173556000 300 Longwood Avenue Boston MA 02115 Doug Vanderslice EVP, CFO & Treasurer 6173556000 2026-08-13 1 1 Nicole Sokolowski P01683199 2127733000 2024 2025-03-06 01:10:19Z Boston Children's Hospital Kevin B Churchwell MD 300 Longwood Avenue Boston MA 02115 3885726857 0 X www.childrenshospital.org X 1982 MA Provider of pediatric healthcare, education, research & community service 23 22 18275 421 2977000 0 646395665 598845413 2291646600 2754847975 104288131 81959512 122884435 152935924 3165214831 3588588824 15211936 16371788 0 0 1399102430 1532400971 1744238 2443533 48573279 1734478431 1975873567 3150537035 3527089859 14677796 61498965 8899360805 9124927004 3535034881 3492539389 5364325924 5632387615 X See Schedule O 0 0 2415976666 16371788 2840728137 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. 510257684 0 0 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. 62710211 0 23373408 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. 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. 26729261 -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. 26729261 0 0 3015673822 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 1 0 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 1915 0 1 18275 1 1 1 0 0 0 1 1 1 1 0 0 0 0 1 0 X 23 22 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X Doug Vanderslice - Treasurer & CFO 6173556000 300 Longwood Avenue Boston MA 02115 Kevin Churchwell MD Chief Executive Officer 55.00 6.00 X X 3311889 0 178434 Ryan Nagy MD BEGIN TERM 22625 President & System COO 55.00 6.00 X X 0 0 0 Douglas Berthiaume Director - Chairperson 5.00 5.00 X X 0 0 0 Allan Bufferd Director 1.00 1.00 X 0 0 0 Eugene Flood PhD Director 1.00 1.00 X 0 0 0 Winston Henderson Director 1.00 1.00 X 0 0 0 Ivor Horn MD Director 1.00 1.00 X 0 0 0 Stephen Karp Director 1.00 1.00 X 0 0 0 Steven Krichmar Director 1.00 1.00 X 0 0 0 Samarth Kulkarni PhD Director 1.00 1.00 X 0 0 0 Robert Langer ScD Director 1.00 1.00 X 0 0 0 Vivian Lee MD Director 1.00 1.00 X 0 0 0 Harvey Lodish PhD Director 1.00 1.00 X 0 0 0 Gary Loveman MD Director 1.00 1.00 X 0 0 0 James Mandell MD Director 1.00 1.00 X 0 0 0 Ralph C Martin Director 1.00 1.00 X 0 0 0 Thomas Melendez Director 1.00 1.00 X 0 0 0 Ted Pappendick Director 1.00 1.00 X 0 0 0 Kathleen Regan Director 1.00 1.00 X 0 0 0 Anthony Ryan Director 1.00 1.00 X 0 0 0 Robert A Smith Director - Vice Chairman 2.00 2.00 X X 0 0 0 Alison Taunton-Rigby PhD Director 1.00 1.00 X 0 0 0 Lisa Wieland Director 1.00 1.00 X 0 0 0 Doug Vanderslice Treasurer & EVP, System CFO 55.00 6.00 X 1859177 0 94499 Christopher Viney JD Secretary & EVP, System General Counsel 55.00 6.00 X 1034936 0 70530 Bruce Balter Asst Treasurer/Dr Corp Fin Svcs 55.00 5.00 X 361570 0 57077 Rob Graham END TERM 31625 Asst Secretary/Sr Dr Enterprise Comm 55.00 5.00 X 147144 0 392 Shea Asfaw BEGIN TERM 31725 Asst Secretary/Exec Director 55.00 5.00 X 0 0 0 Philip Rotner Chief Investment Officer 55.00 5.00 X 1882678 0 78326 Lisa Abbott EVP, Chief Human Resource Officer 55.00 5.00 X 1080979 0 63884 Nancy Andrews EVP, Chief Scientific Officer 55.00 5.00 X 1226044 0 83379 Demosthenes Argys EVP, Hospital Chief Operating 55.00 5.00 X 1301539 0 71714 Joseph A Mitchell MD END 425 EVP & President, Franciscan Children's Hospital 5.00 55.00 X 0 939919 1000 Michele Garvin Esq EVP, Chief of Staff 55.00 5.00 X 979529 0 75021 Peter Laussen MD EVP, Health Affairs 55.00 5.00 X 1448138 0 109811 Lynn Susman EVP, Chief Development Officer 55.00 5.00 X 919503 0 79945 Laura J Wood DNP MS RN EVP, Chief Nursing Officer 55.00 5.00 X 1307311 0 104584 Heather Nelson SVP, Chief Information Officer 55.00 5.00 X 920099 0 65421 Lisa Hogarty SVP, RE Planning and Development 55.00 5.00 X 1105116 0 72491 Patricia Hickey PhD MBA RN NEA-BC SVP, Nursing/Patient Care 55.00 5.00 X 775035 0 49717 Michael Gillespie SVP, Clinical Services 55.00 5.00 X 674985 0 64588 Steven Luber SVP, Finance 55.00 5.00 X 697388 0 33089 August Cervini SVP, Research Administration 55.00 5.00 X 583617 0 55416 Alexander McAdam Department Chief, Lab Medicine 55.00 0.00 X 959398 0 61144 Cynthia Haines SVP, National & International 55.00 5.00 X 842657 0 71836 Stacy Drury Department Chief, Psychiatry 55.00 5.00 X 744251 0 46179 Martin Kelly Director of Investments 55.00 5.00 X 807559 0 46759 Nirav Desai Director of Investments 55.00 5.00 X 794227 0 47319 Sandra Fenwick Former President & CEO 0.00 0.00 X 437833 0 0 Christine Grenache Former Asst. Secretary 0.00 0.00 X 172269 0 0 26374871 939919 1682555 4893 1 1 0 Turner Construction Company 2 Seaport Lane Suite 200 Boston MA 02210 Construction services 128711318 Wise Construction 21 East Street Winchester MA 01890 Construction services 68542635 Suffolk Construction 65 Allerton Street Boston MA 02119 Construction services 59654634 Impact Advisors LLC 400 E Diehl Road Suite 190 Naperville IL 60563 Consulting services 56618513 Skanska USA Building Inc 350 Fifth Avenue 32nd Floor New York NY 10118 Construction services 40021275 1013 11031 7923272 343196319 247714791 15849407 598845413 Patient Service Revenu 621110 2635384392 2635384392 Program Service Grants 621110 77530101 77530101 Graduate Medical Educa 611710 23373408 23373408 Professional Service R 621110 18560074 18560074 2754847975 18865125 18865125 38688043 11531161 27156882 27156882 2405277 24751605 346356722 283262335 63094387 63094387 63094387 992037 7923272 2344537 -1352500 -1352500 Other General Services 900099 54322396 54322396 ACO Revenue 621110 30866632 30866632 Shared Service Revenue 900099 24064542 24064542 17877972 571723 17306249 127131542 3588588824 2864101545 2977000 122664866 X 14589858 14589858 1781930 1781930 22993943 21994494 999449 1183296665 976232174 181180481 25884010 72009708 70209414 1800294 145316626 141378439 416255 3521932 108784029 105742914 321437 2719678 11970595 11970595 10069789 10058045 11744 3976966 3976966 107293 107293 2443533 2443533 511400681 403079631 106287365 2033685 6613498 5056293 1079479 477726 259044645 176760514 76270309 6013822 53648304 16637109 36116396 894799 154509284 150318530 2813880 1376874 9219778 6809834 2272813 137131 1427558 1099260 237686 90612 50283586 50283586 206149879 205981889 167990 14746224 9869999 4876225 Lab/Medical/Pharmacy 517503452 514533120 2970332 Uncompensated Care 72548135 72548135 Uncollectible Accounts 67725294 67725294 Free Care 24928606 24928606 3527089859 3015673822 462842758 48573279 5045407 5859207 187827049 210923216 574615073 592864486 35000 750205 47834417 47601500 40144914 40703437 5855253624 2900698979 2750531782 2954554645 982261447 752034960 1023208771 1358005566 1662644 1539477 3286194301 3160090305 8899360805 9124927004 423991336 438503021 199607367 186145438 1242608943 1237379095 822784286 822784286 846042949 807727549 3535034881 3492539389 X 3107995016 3194504647 2256330908 2437882968 5364325924 5632387615 8899360805 9124927004 X 61498965 132917718 73645008 X 0 1 X 1 1 1 X 544299928 620211449 542541293 646395665 598845413 2952293748 544299928 620211449 542541293 646395665 598845413 2952293748 61093650 2891200098 28655925 32927683 41217378 46333207 44758708 193892901 813623 1589479 2736127 5139229 47431442 37344165 58554300 75959863 17306249 236596019 3387921897 10627195230 0.85340 0.84000 X Schedule A, Part II, Line 10, Explanation of Other Income: Other General Services Parking Revenue Cafeteria Revenue RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 207995 0 0 1 578547 0 0 786542 0 Part II-B, Line 1 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. 1284361000 10885000 36175000 84350000 1247071000 1269126000 13454000 65945000 64164000 1284361000 1209728000 34355000 87576000 62533000 1269126000 1281297000 42734000 -77210000 37093000 1209728000 1222213000 13623000 158528000 113067000 1281297000 0.52150 0.29470 0.18380 0 0 38481368 38481368 3806538443 1897240675 1909297768 1244710002 996384140 248325862 765523811 7074164 758449647 2954554645 3rd Pty External Administered Trusts 45174154 F Alternative Investments 1312831412 F 1358005566 Interest in the Net Assets of Children's Medical Center 2502026916 Expected Insur Recoveries for Prof Liability Claims 53997834 Investment in Subsidiaries 20780423 Other Assets - Miscellaneous 14129779 Right of Use Assets 463050619 Deferred Implementation Costs 96689210 Unamortized Bond Fees 9415524 3160090305 Estimated Final Settlement Due to Third Party Payors & Deferred Revenue 80675688 Funds Held for Others 24332590 Reserve for Medical Malpractice 11879314 Interest Rate Swap Liability 37423068 Operating Lease Liability 524417914 Malpractice Unpaid Loss 53997834 Other Liabilities - Miscellaneous 14496651 Accrued Pension Cost 36830144 Deferred Compensation Plans 23674346 807727549 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. Central America & the Caribbean 0 0 Investments 509341323 Sub-Saharan Africa 0 0 Investments 64355948 Europe 0 0 Investments 52306325 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Program services Patient care, research & education 36686 East Asia and the Pacific - Australia, Brunei, Burma, Cambodia, 0 0 Program services Patient care, research & education 105699 Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium 0 0 Program services Patient care, research & education 364978 Middle East and North Africa - Algeria, Bahrain, Djibouti, Egypt, 0 0 Program services Patient care, research & education 215894 North America - Canada and Mexico, but not the United States 0 0 Program services Patient care, research & education 86746 Russia and Neighboring States - Armenia, Azerbijan, Belarus, 0 0 Program services Patient care, research & education 1075 South America - Argentina, Bolivia, Brazil, Chile, Columbia, Ecuador, 0 0 Program services Patient care, research & education 37618 South Asia - Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, 0 0 Program services Patient care, research & education 38848 Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso, 0 0 Program services Patient care, research & education 74528 0 0 0 0 0 0 626813599 152069 626965668 0 0 0 0 0 0 X X X X X X X 1 Interactive Strategies LLC 1133 Connecticut Ave NW Ste 600 Washington DC 20036 Fundraising Counsel 0 2509460 109080 2400380 NNE Marketing LLC 1666 Massachusetts Ave Ste 14 Lexington MA 02420 Direct Mail Counsel 0 2092202 334752 1757450 Green Planet Sales Company Inc 407 College Ave Ste 349 Ithaca NY 14850 Fundraising Solicitation 0 1632152 1374520 257632 The Stelter Company 10425 New York Ave Des Moines IA 50322 Fundraising Counsel 0 0 210902 -210902 Marts & Lundy 15 Olde Lyme Rd Winchester MA 01890 Fundraising Counsel 0 0 183485 -183485 Doing Good Digital LLC 668 N Coast Highway Laguna Beach CA 92651 Fundraising Counsel 0 0 115500 -115500 Anthony John Cotrupi 33 Park St Charlestown MA 02129 Fundraising Counsel 0 0 50000 -50000 Barker and Scott Consulting LLC 2202 18th St NW Ste 372 Washington DC 20009 Fundraising Counsel 0 0 7795 -7795 Rue Clair Digital LLC 6280 Arapahoe Dr Evergreen CO 80439 Fundraising Counsel 0 0 14800 -14800 Downtown Ecommerce Partners LLC 157 Little Conestoga Rd Ste 1 Chester Springs PA 19425 Fundraising Counsel 0 0 42699 -42699 6233814 2443533 3790281 AL AK AR CA CO CT FL GA HI KS KY LA ME MA MD MI MN MO NV NH NJ NM NY ND OH OK OR PA RI SC TN VA WA WV WI VT Champions Dinner/Auction 5285371 4661929 623442 0 0 66632 387238 0 749123 BIC Dinner/Auction 1306110 1279205 26905 0 0 243765 16961 0 34648 3 2323828 1982138 341690 0 0 334065 136765 16893 358447 8915309 7923272 992037 644462 540964 16893 1142218 2344537 -1352500 1 1 X 1 X 400.000000000000 1 X 1 1 0 1 1 20892296 3849996 17042300 0.00490 876088749 618553997 257534752 0.07440 0 0 896981045 622403993 274577052 0.07930 12218426 2634057 9584369 0.00280 62710211 7351405 55358806 0.01600 58303862 37386087 20917775 0.00600 645897470 596051031 49846439 0.01440 11433253 20000 11413253 0.00330 790563222 643442580 147120642 0.04250 1687544267 1265846573 421697694 0.12180 22 2536168 2536168 0.00070 13 541413 541413 0.00020 35 3077581 3077581 0.00090 0 5170388 14606472 10962447 3644025 X 1 1 1 1 Boston Children's Hospital 300 Longwood Avenue Boston MA 02115 www.childrenshospital.org MA LICENSE #2139 X X X X X X Boston Children's Hospital 1 0 0 1 X X X X X X X X 24 1 0 0 1 X https://www.childrenshospital.org/about-us/community-health/needs X X 1 24 1 https://www.childrenshospital.org/about-us/community-health/needs 0 1 X 400.000000000000 400.000000000000 X X 1 1 X X X X 1 X https://www.childrenshospital.org/patients-families/about-boston-childrens/ X https://www.childrenshospital.org/patients-families/about-boston-childrens/ X https://www.childrenshospital.org/patients-families/about-boston-childrens/ X X X X X X X 1 X 0 X X X X 1 X 0 0 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. 8 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 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 1 Action for Boston Community Development 178 Tremont Street Boston MA 02111 042304133 501(C)(3) 31724 0 Community Partnership Africano Waltham (African Cultural Services Inc) PO Box 540325 Waltham MA 02451 273145250 501(C)(3) 60000 0 Community Partnership Allston Brighton Community Development Corporation 18R Shepard Street Suite 100 Brighton MA 02135 042716278 501(C)(3) 51000 0 Community Partnership Alternatives for Community and Environment Inc 2201 Washington Street Suite 302 Boston MA 02119 043228509 501(C)(3) 11000 0 Community Partnership Autism Insurance Resource Center 55 Lake Avenue North S3-301 Worcester MA 01655 043108190 GOVT 15000 0 Advocacy Support BOLD Teens 81 Brent Street Boston MA 02124 853198745 501(C)(3) 50000 0 Community Partnership Boston Alliance of Gay Lesbian Bisexual and Transgender Youth 28 Court Square Boston MA 02108 042785336 501(C)(3) 100000 0 Community Partnership Boston Basics 89 South Street Suite 700 Boston MA 02111 042261109 501(C)(3) 100000 0 Community Partnership Boston Chinatown Neighborhood Center 38 Ash Street Boston MA 02111 237209691 501(C)(3) 325606 0 Community Partnership Boston Community Pediatrics 527 Albany Street Suite 200 Boston MA 02118 843091463 501(C)(3) 65000 0 Community Partnership Boston Food Forest Coalition 1452 Dorchester Avenue Boston MA 02122 465327936 501(C)(3) 50000 0 Community Partnership Boston Green Academy 20 Warren Street Brighton MA 02135 464779019 501(C)(3) 50000 0 Community Partnership Boston Housing Authority 52 Chauncy Street 10th Floor Boston MA 02111 046001907 GOVT 185000 0 PILOT Boston Opportunity Agenda 75 Arlington Street 3rd Floor Boston MA 02116 042104021 501(C)(3) 200000 0 Community Partnership Boston Public Health Commission 1010 Massachusetts Avenue 2nd Floor Boston MA 02118 043316655 GOVT 290000 0 PILOT Boston Public Schools 26 Court Street Boston MA 02108 046001380 GOVT 1210230 0 PILOT Boston Raiders Youth Football & Cheer PO Box 240779 Dorchester MA 02124 811281063 501(C)(3) 6500 0 Community Partnership Boston's Higher Ground 384 Warren Street Roxbury MA 02119 273660369 501(C)(3) 333000 0 Community Partnership Bowdoin Street Community Health Center 230 Bowdoin Street Dorchester MA 02122 042529788 501(C)(3) 92500 0 Support of Community Health Center Boys & Girls Clubs of Boston Inc 200 High Street 3rd Floor Boston MA 02110 042103922 501(C)(3) 100000 0 Community Partnership Boys and Girls Clubs of Metro South 19 Court Street 2nd Floor Taunton MA 02780 222963214 501(C)(3) 333838 0 Community Partnership Bridge Over Troubled Waters Inc 47 West Street Boston MA 02111 042472126 501(C)(3) 100000 0 Community Partnership Brighton High School 6 Roxbury Street Boston MA 02119 222514422 501(C)(3) 34050 0 Community Partnership Brockton Interfaith Community 1350 Pleasant Street Brockton MA 02301 223135464 501(C)(3) 132429 0 Community Partnership Brockton Neighborhood Health Center 63 Main Street Brockton MA 02301 043165044 501(C)(3) 200000 0 Support of Community Health Center Brookside Community Health Center 3297 Washington Street Jamaica Plain MA 02130 042312909 501(C)(3) 92500 0 Support of Community Health Center Cape Verdean Women United Inc PO Box 264 Brockton MA 02303 813674949 501(C)(3) 100000 0 Community Partnership Charles River Community Health 495 Western Avenue Brighton MA 02135 237221597 501(C)(3) 112500 0 Support of Community Health Center Children's Mental Health Campaign 125 Hartwell Avenue Suite 1 Lexington MA 02421 042103596 501(C)(3) 99997 0 Advocacy Support Children's Services of Roxbury 520 Dudley Street Roxbury MA 02119 043082352 501(C)(3) 184070 0 Community Partnership City of Boston PO Box 9715 Boston MA 02114 046001380 GOVT 2686243 0 PILOT Clean Water Action 40 Court Street Suite 600A Boston MA 02108 237128611 501(C)(4) 10000 0 Community Partnership Clean Water Fund 40 Court Street Boston MA 02108 521043444 501(C)(3) 6000 0 Community Partnership Codman Square Health Center 637 Washington Street Dorchester MA 02124 042678774 501(C)(3) 100000 0 Support of Community Health Center Codman Square Neighborhood Development Corporation 587 Washington Street Dorchester MA 02124 042752507 501(C)(3) 50000 0 Community Partnership Crossroads for Kids 119 Myrtle Street Duxbury MA 02332 042103837 501(C)(3) 50000 0 Community Partnership Doc Wayne Youth Services 418 Commonwealth Avenue Boston MA 02215 274216064 501(C)(3) 50000 0 Community Partnership Dorchester Food Co-op PO Box 1051 Northampton MA 01061 043241596 501(C)(3) 45300 0 Community Partnership Dothouse Health 1353 Dorchester Avenue Dorchester MA 02122 237125970 501(C)(3) 329004 0 Community Partnership Dudley Street Neighborhood Initiative Inc 550 Dudley Street Roxbury MA 02119 042859066 501(C)(3) 333478 0 Community Partnership East Boston Social Centers 68 Central Square East Boston MA 02128 042104257 501(C)(3) 200000 0 Community Partnership Families First 50 Hunt Street Watertown MA 02472 043413397 501(C)(3) 101500 0 Community Partnership Family Voices 529 Main Street Suite 1M3 Boston MA 02129 850430800 501(C)(3) 15000 0 Advocacy Support First Teacher 89 South Street Suite 700 Boston MA 02111 042261109 501(C)(3) 50000 0 Community Partnership Friends and Mentors 39 Orchard Avenue Brockton MA 02301 822395095 501(C)(3) 151000 0 Community Partnership Friends of the Children 184 Dudley Street Ste 100 Roxbury MA 02119 201581289 501(C)(3) 55000 0 Community Partnership Girls' LEAP PO Box 220663 Boston MA 02122 043454124 501(C)(3) 25000 0 Community Partnership Greater Boston Chamber of Commerce 265 Franklin Street 12th Floor Boston MA 02110 041103090 501(C)(6) 10000 0 Community Partnership Haley House 23 Dartmouth Street Boston MA 02116 042437845 501(C)(3) 50000 0 Community Partnership Health Care for All One Federal Street 5th Floor Boston MA 02110 043071598 501(C)(3) 40000 0 Advocacy Support Health Equity Compact 40 Court Street 10th Floor Boston MA 02108 990943875 501(C)(3) 60000 0 Community Partnership Health Law Advocates One Federal Street Boston MA 02110 043298116 501(C)(3) 30000 0 Advocacy Support Health Resources in Action 95 Berkeley Street Boston MA 02116 042229839 501(C)(3) 201711 0 Community Partnership Healthcare Anchor Network 2202 18th Street NW Suite 317 Washington DC 20009 862147253 501(C)(3) 50000 0 Community Partnership Hyde Park Seventh-day Adventist Church 6 Webster Street Hyde Park MA 02136 854125171 501(C)(3) 25000 0 Community Partnership ICNA Relief 1529 Jericho Turnpike New Hyde Park NY 11040 043810161 501(C)(3) 60000 0 Community Partnership Immigrant Family Services Institute 1626 Blue Hill Avenue Mattapan MA 02126 474400495 501(C)(3) 250000 0 Community Partnership Jamaica Plain Neighborhood Development Corporation 31 Germania Street Jamaica Plain MA 02130 042652919 501(C)(3) 342639 0 Community Partnership Jamaica Plain Tree of LifeArbol de Vida 295-297 Centre Street Jamaica Plain MA 02130 042754281 501(C)(3) 20000 0 Support of Community Health Center Louis D Brown Peace Institute 15 Christopher Street Dorchester MA 02122 263068254 501(C)(3) 10000 0 Community Partnership Madison Park Development Corporation 184 Dudley Street Suite 200 Roxbury MA 02119 237164223 501(C)(3) 52610 0 Community Partnership Massachusetts Affordable Housing Alliance 1803 Dorchester Avenue Dorchester MA 02124 223042637 501(C)(3) 150000 0 Community Partnership Massachusetts Association for Mental Health 50 Federal Street 6th Floor Boston MA 02110 042104711 501(C)(3) 10000 0 Advocacy Support Massachusetts Budget and Policy Center 1 State Street Suite 1250 Boston MA 02109 042967537 501(C)(3) 25000 0 Advocacy Support Massachusetts Housing Investment Corporation 21 Custom House Street 8th Floor Boston MA 02110 043094550 501(C)(3) 15000 0 Community Partnership Massachusetts Immigrant and Refugee Advocacy Coalition 69 Canal Street Unit 3 Boston MA 02114 223115048 501(C)(3) 15000 0 Community Partnership Massachusetts Law Reform Institute 40 Court Street Suite 700 Boston MA 02108 046004303 501(C)(3) 10000 0 Advocacy Support Massachusetts Public Health Association 50 Federal Street 8th Floor Boston MA 02120 042326503 501(C)(3) 25000 0 Community Partnership Massachusetts Society for the Prevention of Cruelty to Children 125 Hartwell Avenue Suite 1 Lexington MA 02421 042103596 501(C)(3) 118884 0 Advocacy Support Massachusetts Taxpayers Foundation 333 Washington Street Suite 853 Boston MA 02108 041590310 501(C)(3) 10000 0 Advocacy Support Mathematica 955 Massachusetts Avenue Suite 801 Cambridge MA 02139 222112296 501(C)(3) 163936 0 Community Partnership Mattapan Community Health Center 1575 Blue Hill Avenue Mattapan MA 02126 042544151 501(C)(3) 92500 0 Advocacy Support Metro SouthWest Workforce Board 201 Boston Post Road West Suite 301 Marlborough MA 01752 465204651 501(C)(3) 79873 0 Community Partnership Mothers for Justice and Equality 2201 Washington Street Suite 307 Roxbury MA 02119 453741482 501(C)(3) 50000 0 Community Partnership NeighborHealth 10 Grove Street East Boston MA 02128 237425849 501(C)(3) 126423 0 Community Partnership Neighborhood Birth Center 42 Seaverns Ave PO Box 301240 Boston MA 02130 042433182 501(C)(3) 49613 0 Community Partnership Neighborhood Villages 64 Sigourney Street Jamaica Plain MA 02130 821859365 501(C)(3) 100000 0 Community Partnership Parent Professional Advocacy League 18 Lyman Street Suite 260 Westborough MA 01581 043573317 501(C)(3) 15000 0 Advocacy Support Raising a Reader Massachusetts 3 School Street 3rd Floor Boston MA 02108 800297898 501(C)(3) 131028 0 Community Partnership Rose Conservatory 1350 Pleasant Street Brockton MA 02301 862501641 501(C)(3) 81965 0 Community Partnership Smart From the Start 68 Annunciation Road Boston MA 02120 454952663 501(C)(3) 20000 0 Advocacy Support Soccer Unity Project PO Box 180833 Boston MA 02118 900623475 501(C)(3) 10000 0 Community Partnership Sociedad Latina 1530 Tremont Street Roxbury MA 02120 042678255 501(C)(3) 102500 0 Community Partnership Somali Parents Advocacy Center for Education Inc 1127 Harrison Avenue Suite i Boston MA 02119 842743083 501(C)(3) 60000 0 Advocacy Support South Cove Community Health Center 145 South Street Boston MA 02111 042501818 501(C)(3) 50000 0 Support of Community Health Center Southern Jamaica Plain Health Center 640 Centre Street Jamaica Plain MA 02130 042312909 501(C)(3) 112500 0 Support of Community Health Center Springfield College Department of Social Work 263 Alden Street Springfield MA 01109 042104329 501(C)(3) 200000 0 Community Partnership Strategies for Children - Massachusetts 400 Atlantic Avenue Boston MA 02110 043551406 501(C)(3) 50000 0 Community Partnership The Center for Teen Empowerment 130 Warren Street Roxbury MA 02119 043091002 501(C)(3) 99709 0 Community Partnership The City School 614 Columbia Road Dorchester MA 02125 020532474 501(C)(3) 50000 0 Community Partnership The Community Builders 33 Arch Street Boston MA 02110 042324773 501(C)(3) 55000 0 Community Partnership The Dimock Center 55 Dimock Street Roxbury MA 02119 043487835 501(C)(3) 117500 0 Support of Community Health Center The NAN Project 125 Hartwell Avenue Lexington MA 02421 042316924 501(C)(3) 100000 0 Community Partnership Tifereth Raphael 14 William Jackson Avenue Brighton MA 02135 205149181 501(C)(3) 25000 0 Community Partnership UMass BIRCh Center 100 William T Morrissey Blvd Boston MA 02125 043167352 GOVT 200000 0 Community Partnership UMass Donahue Institute 100 Venture Way Suite 201 Hadley MA 01035 043167352 GOVT 106750 0 Community Partnership Upham's Corner Health Center 415 Columbia Road Dorchester MA 02125 042708670 501(C)(3) 92500 0 Support of Community Health Center Urban College of Boston 2 Boylston Street 2nd Floor Boston MA 02116 043403049 501(C)(3) 100000 0 Community Partnership Urban Revival (City LifeVida Urbana) PO Box 300107 Jamaica Plain MA 02130 042660311 501(C)(3) 149969 0 Community Partnership VietAID 42 Charles Street Suite E Dorchester MA 02122 043289039 501(C)(3) 50000 0 Community Partnership Vital Village Networks 801 Albany Street 2-N Boston MA 02119 990482390 501(C)(3) 49913 0 Community Partnership Voices of the Community 160 Hollis Street Framingham MA 01702 201332310 501(C)(3) 99909 0 Community Partnership Walker Inc 1968 Central Avenue Needham MA 02492 042171186 501(C)(3) 199674 0 Community Partnership Waltham Partnership for Youth Inc 617 Lexington Street Waltham MA 02452 043399437 501(C)(3) 210000 0 Community Partnership Watch Inc 24 Crescent Street Suite 201 Waltham MA 02453 222918528 501(C)(3) 231705 0 Community Partnership Wayside Youth & Family Support Network 1 Frederick Abbott Way Framingham MA 01701 042630450 501(C)(3) 49217 0 Community Partnership West End House 105 Allston Street Allston MA 02134 042105825 501(C)(3) 12500 0 Community Partnership Whittier Street Health Center 1290 Tremont Street Boston MA 02120 042619517 501(C)(3) 40000 0 Support of Community Health Center William James College One Wells Avenue Newton MA 02459 042620216 501(C)(3) 205000 0 Community Partnership YMCA of Greater Boston 316 Huntington Avenue Boston MA 02115 042103551 501(C)(3) 25000 0 Community Partnership Young Man with a Plan 1178 River Street Hyde Park MA 02136 881544048 501(C)(3) 56000 0 Community Partnership Youth Advocacy Foundation 44 Bromfield Street 2nd Floor Boston MA 02108 043583353 501(C)(3) 10000 0 Advocacy Support YouthBuild Boston Inc 27 Centre Street Roxbury MA 02119 043080098 501(C)(3) 100000 0 Community Partnership 111 2 A. Shuman Clothing Fund 76 426 FMV Emergency clothing Barber Family Endowment/Income Fund 951 6488 FMV Prep/distribution of promotional materials related to philanthropic programs managed by Center for Families. Brandano Parent Apartment Fund 1628 79432 FMV Housing supplies for apartment leases as part of the Patient Family Housing Fund. Broadway Sam Fund 915 15000 FMV Event tickets Devon Nicole House Operating Fund 1 3667 FMV Office equipment Extraordinary Needs Fund 2 1249 184449 FMV Emergency clothing/meals/personal supplies, parking vouchers, housing, caregiver webinars, bereavement programs. Family Wellness Fund 3286 174763 FMV Wellness supplies and services for patients and their families Hale Center for Families Endowment Operating Fund 24648 279698 FMV Staffing and supplies for children's events; gift cards for families Jennings Family Fund 1724 3657 FMV Catered meals, pantry supplies, gift cards for Patient Family Housing families Judith Nelson Endowment/Operating Fund for Families 16927 20244 FMV Staffing in the Center for Families and Career for Caregivers training program Mannheim Family Endowment/Operating Fund 8754 13945 FMV Support and supplies for Patient Family Housing program Milagros Para las Familias Fund 177 20055 FMV Support groups and supplies for extraordinary needs of families Nursing Education Scholarship Fund 108 111178 Patient Family Housing Fund 8754 28972 FMV Maintenance expenses and supply costs for housing program. Pet Therapy Program Fund 7748 79323 FMV Theurapeutic dog visits made to inpatients Philip Nelson Endowment Operating Fund 7748 1434 FMV Dog lab expenses and travel Room to Heal Fund 950 7388 FMV Back-to-school supply bags, CME expense for bereavement/end of life care TAC Operating Fund 18 8273 FMV Supplies and scholarships Telemachus & Irene Demoulas Family Foundation Extraordinary Needs Endowment Operating Fund 207 19235 FMV PACT Hope program support and event supplies for Keeping Connections and Memorial services Yawkey Family Inn Fund 780 469958 FMV Housing assistance Patient Care Support Services Endowment/Income Fund 16927 24328 FMV Books for visiting families, travel, food expense, Boston EMS Sibylla Orth Young Fund for Student Aid 23 57500 Dunkin' Joyful Spaces Fund 780 170000 FMV Kent Street renovation, gaming equipment for playroom Dunkin' Joy in Childhood Foundation's Dogs for Joy 1 2155 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 Part I, Line 2: 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 X X X X X X 0 1 0 0 0 0 0 0 0 Kevin Churchwell MD Chief Executive Officer 1856511 0 915518 0 539860 0 34500 0 143934 0 3490323 0 0 0 Philip Rotner Chief Investment Officer 1060465 0 580250 0 241963 0 34500 0 43826 0 1961004 0 0 0 Doug Vanderslice Treasurer & EVP, System CFO 1054348 0 522489 0 282340 0 34500 0 59999 0 1953676 0 0 0 Peter Laussen MD EVP, Health Affairs 917563 0 377010 0 153565 0 37950 0 71861 0 1557949 0 0 0 Laura J Wood DNP MS RN EVP, Chief Nursing Officer 794114 0 378200 0 134997 0 37950 0 66634 0 1411895 0 0 0 Demosthenes Argys EVP, Hospital Chief Operating 823244 0 350229 0 128066 0 37950 0 33764 0 1373253 0 0 0 Nancy Andrews EVP, Chief Scientific Officer 863623 0 221697 0 140724 0 31050 0 52329 0 1309423 0 0 0 Lisa Hogarty SVP, RE Planning and Development 687990 0 304000 0 113126 0 31050 0 41441 0 1177607 0 0 0 Lisa Abbott EVP, Chief Human Resource Officer 685785 0 280537 0 114657 0 24150 0 39734 0 1144863 0 0 0 Christopher Viney JD Secretary & EVP, System General Coun 732301 0 188467 0 114168 0 20315 0 50215 0 1105466 0 0 0 Michele Garvin Esq EVP, Chief of Staff 643416 0 185938 0 150175 0 34500 0 40521 0 1054550 0 0 0 Alexander McAdam Department Chief, Lab Medicine 648251 0 307880 0 3267 0 37950 0 23194 0 1020542 0 0 0 Lynn Susman EVP, Chief Development Officer 643665 0 165750 0 110088 0 41400 0 38545 0 999448 0 0 0 Heather Nelson SVP, Chief Information Officer 644794 0 168451 0 106854 0 24150 0 41271 0 985520 0 0 0 Joseph A Mitchell MD END 425 EVP & President, Franciscan Children 0 650870 0 254818 0 34231 0 1000 0 0 0 940919 0 0 Cynthia Haines SVP, National & International 609690 0 130973 0 101994 0 31050 0 40786 0 914493 0 0 0 Martin Kelly Director of Investments 517634 0 286000 0 3925 0 31050 0 15709 0 854318 0 0 0 Nirav Desai Director of Investments 506738 0 286000 0 1489 0 24150 0 23169 0 841546 0 0 0 Patricia Hickey PhD MBA RN NEA-BC SVP, Nursing/Patient Care 566804 0 118409 0 89822 0 41400 0 8317 0 824752 0 0 0 Stacy Drury Department Chief, Psychiatry 699768 0 42500 0 1983 0 37950 0 8229 0 790430 0 0 0 Michael Gillespie SVP, Clinical Services 485808 0 107588 0 81589 0 34500 0 30088 0 739573 0 0 0 Steven Luber SVP, Finance 510645 0 107588 0 79155 0 24150 0 8939 0 730477 0 0 0 August Cervini SVP, Research Administration 421717 0 92239 0 69661 0 24150 0 31266 0 639033 0 0 0 Sandra Fenwick Former President & CEO 0 0 0 0 437833 0 0 0 0 0 437833 0 0 0 Bruce Balter Asst Treasurer/Dr Corp Fin Svcs 337016 0 20505 0 4049 0 41400 0 15677 0 418647 0 0 0 Christine Grenache Former Asst. Secretary 122007 0 50000 0 262 0 0 0 0 0 172269 0 0 0 Part I, Line 4b 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 A MHEFA Revenue Bonds Series N 042456011 57586EUJ8 2010-05-13 341590000 Refunded Series G, H, I, J & K 0 0 0 B MDFA Revenue Bonds Series Q 043431814 57584YQ69 2014-07-11 50255000 New building construction & renovations 0 0 0 C MDFA Revenue Bonds Series S 043431814 NoneAvail 2017-12-19 135215000 Refunded Series M 0 0 0 D MDFA Revenue Bonds Series T U1 U2 V 043431814 57585BAA6 2024-02-08 905065000 New building construction & renovations, refunded Series N, O, R 0 0 0 A 341590000 339564138 2025862 2010 1 0 1 1 B 50255000 255000 50000000 2016 0 0 1 1 C 134703799 134192598 511201 2017 0 1 1 1 D 968498069 466730000 4918246 487713739 9136084 2025 1 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 1 1 1 Goldman Sachs Mitsui Marine 30.000000000000 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 1 0 0 1 1 Bank of America NA 7.000000000000 0 0 0 0 1 A 1 B 1 C 1 D 1 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 Ryan Nagy Officer Housing loan X 750205 750205 0 1 1 750205 Bernard Mathey-Prevot Family member of key employee 102712 Employment 0 X 1 1400 Market value per donor X 145606 Market value per donor X 85 15364649 Mean value on gift date X 20 13472 Market value per donor X Travel/Dining 44 206000 Market value per don X Miscellaneous 32 118280 Market value per don 0 1 1 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. 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. Children's One Brookline Place LLC 300 Longwood Avenue Boston MA 02115 205850015 Real Estate Holdings MA 12791350 97794344 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 522631 4805312 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 72905 151973 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 7190109 Longwood Research Institute Children's Waltham Medical Center LLC 300 Longwood Avenue Boston MA 02115 202076874 Real Estate Holdings MA 0 49770 Children's Medical Center Corp Boston Children's Health Accountable Care LLC 300 Longwood Avenue Boston MA 02115 300991601 Accountable Care MA 18673319 2849710 Children's Hospital Corporation Boston Children's Health Physicians LLP 300 Longwood Avenue Boston MA 02115 133956599 Healthcare NY 185927472 108539813 Children's Medical Center Corp Boston Children's Health Solutions RX LLC 300 Longwood Avenue Boston MA 02115 861408128 Specialty Pharmacy MA 147609737 17575252 Children's Hospital Corporation Boston Children's Health National LLC 300 Longwood Avenue Boston MA 02115 933063006 Healthcare MA 27776955 10246 Children's Medical Center Corp 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 Children's Medical Center Corporation 0 CHB Properties Inc 300 Longwood Avenue Boston MA 02115 043323330 Holds & manages satellite ambulatory centers; real estate investments MA 501(c)(3) Line 10 Children's Medical Center Corporation 0 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 Children's Hospital Corporation 1 Children's Hospital League Corporation 300 Longwood Avenue Boston MA 02115 042780811 Fundraising MA 501(c)(3) Line 7 Children's Hospital Corporation 1 Blood Research Institute Inc 300 Longwood Avenue Boston MA 02115 043136318 Owning & Leasing Real Estate MA 501(c)(3) Line 12a, I Children's Medical Center Corporation 0 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 Children's Hospital Corporation 1 Franciscan Hospital for Children Inc 30 Warren Street Brighton MA 02135 042156082 Pediatric Rehabilitation and Behavioral Health MA 501(c)(3) Line 3 Children's Medical Center Corporation 0 Florida Children's Health LLC 300 Longwood Avenue Boston MA 02115 Pediatric healthcare DE N/A N/A 0 0 Franciscan Pediatrics Inc 30 Warren Street Brighton MA 02135 043160358 Healthcare MA Franciscan Hospital for Children Inc C 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 Boston Children's Network Specialty Physicians Inc S 11588731 FMV