2025-08-11T12:10:54-04:00 2023-09-30 990 2022-10-01 042156082 FRANCISCAN HOSPITAL FOR CHILDREN FRAN 6172543800 30 WARREN SREET BRIGHTON MA 02135 DANIEL LEFAIVRE VP OF FINANCE 6177791225 2025-08-11 false 2022 2025-03-06 01:10:19Z JOSEPH A MITCHELL 30 WARREN STREET BRIGHTON MA 02135 87658784 false X FRANCISCANCHILDRENS.ORG X 1945 MA ORGANIZATION'S MISSION: TO CREATE A COMPASSIONATE AND SUPPORTIVE ENVIRONMENT WHERE CHILDREN WITH COMPLEX MEDICAL, MENTAL HEALTH, AND EDUCATIONAL NEEDS RECEIVE EXPERT, SPECIALIZED CARE. OUR DEDICATED TEAM IS COMMITTED TO EXCELLENCE, INNOVATION, AND EMPOWERING FAMILIES, ENSURING THAT EVERY CHILD CAN REACH THEIR FULLEST POTENTIAL AND LIVE THEIR BEST LIFE. 18 18 972 170 0 23416559 9281774 66294833 75526454 -914386 917563 377422 1791985 89174428 87517776 0 0 52068033 59104823 0 1160683 24580206 26998854 76648239 86103677 12526189 1414099 93031789 128264495 23455564 22740081 69576225 105524414 X ORGANIZATION'S MISSION: TO CREATE A COMPASSIONATE AND SUPPORTIVE ENVIRONMENT WHERE CHILDREN WITH COMPLEX MEDICAL, MENTAL HEALTH, AND EDUCATIONAL NEEDS RECEIVE EXPERT, SPECIALIZED CARE. OUR DEDICATED TEAM IS COMMITTED TO EXCELLENCE, INNOVATION, AND EMPOWERING FAMILIES, ENSURING THAT EVERY CHILD CAN REACH THEIR FULLEST POTENTIAL AND LIVE THEIR BEST LIFE. false false 41902765 50076455 INPATIENT SERVICES:FRANCISCAN CHILDREN'S HOSPITAL PROVIDES COMPREHENSIVE MEDICAL, MENTAL HEALTH, EDUCATIONAL, AND SPECIALIZED SERVICES TAILORED TO MEET THE UNIQUE NEEDS OF A PEDIATRIC POPULATION WITH SPECIAL NEEDS IN EASTERN MASSACHUSETTS. IN FY 2023, THE HOSPITAL EXPERIENCED 718 ADMISSIONS, WITH PATIENTS RECEIVING CARE ACROSS A WIDE SPECTRUM OF SERVICES. THESE SERVICES ARE CRUCIAL FOR CHILDREN REQUIRING LONG-TERM REHABILITATION, BEHAVIORAL HEALTH INTERVENTIONS, OR COMPLEX MEDICAL CARE. OVER THE COURSE OF THE YEAR, THE HOSPITAL PROVIDED A TOTAL OF 27,251 PATIENT DAYS, REFLECTING THE EXTENSIVE AND INTENSIVE CARE REQUIRED BY THESE VULNERABLE CHILDREN. THE INPATIENT SERVICES ARE DESIGNED TO OFFER A HOLISTIC APPROACH, ENSURING THAT EACH CHILDS MEDICAL AND PSYCHOLOGICAL NEEDS ARE MET WITHIN A SUPPORTIVE AND NURTURING ENVIRONMENT. 21487123 25449999 OUTPATIENT SERVICES:FRANCISCAN CHILDREN'S HOSPITAL PROVIDES A WIDE ARRAY OF OUTPATIENT SERVICES, INCLUDING MEDICAL CARE, MENTAL HEALTH SUPPORT, EDUCATIONAL RESOURCES, AND SPECIALIZED TREATMENTS FOR CHILDREN WITH SPECIAL NEEDS IN EASTERN MASSACHUSETTS. IN FY 2023, THE HOSPITAL CONDUCTED 31,667 OUTPATIENT VISITS, ENCOMPASSING CLINICAL APPOINTMENTS, REHABILITATION SESSIONS, BEHAVIORAL HEALTH INTERVENTIONS, AND SURGICAL PROCEDURES. THESE OUTPATIENT SERVICES ARE CRITICAL IN DELIVERING ONGOING CARE AND SUPPORT FOR CHILDREN WHO REQUIRE SPECIALIZED ATTENTION BUT DO NOT NEED INPATIENT ADMISSION. THE EXTENSIVE RANGE OF SERVICES OFFERED ENSURES THAT EACH CHILD RECEIVES TAILORED CARE, ADDRESSING THEIR UNIQUE MEDICAL, PSYCHOLOGICAL, AND EDUCATIONAL NEEDS IN A SETTING DESIGNED TO SUPPORT THEIR OVERALL WELL-BEING AND DEVELOPMENT. 63389888 true true false true false false false false false true true false false false true true true true false false false false false true true false true true false false true true false false false false false false false false false false false false false false false true false true false true X 61 0 true 972 true false false false false false false false false false false false false false false X 18 18 false false true false false false false true true false true true true true true true true true true true false MA X DANIEL LEFAIVRE 6172543800 30 WARREN STREET BRIGHTON MA 02135 JOSEPH A MITCHELL PRESIDENT 40.00 X 897080 0 21500 JANE O'BRIEN CHIEF MED OF 40.00 X 356946 0 35362 BOB CROSBY SR. VP & CFO 40.00 X 345159 0 35362 DIDEM INANOGLU PHYSICIAN 40.00 X 357136 0 21398 JOHN NASH FORMER CEO 40.00 X 359969 0 1000 SIOBHIAN SPROTT VP OF DENTAL 40.00 X 290200 0 68394 KIMBERLEY W LUBIN VP DEVELOPME 40.00 X 313677 0 42197 CATHERINE MILLER PHYSICIAN 40.00 X 330177 0 18210 ELISABETH G SCHAINKER ASSOCIATE CM 40.00 X 298485 0 21686 ELIZABETH SMITH SR. VP & CNO 40.00 X 284398 0 28344 THOMAS M O'BRIEN CORPORATE CO 40.00 X 249566 0 11250 GARCIA GEORGINA PHYSICIAN 40.00 X 212615 0 21957 HARRY DIEUVEUIL CHRO 40.00 X 197027 0 21474 ROBERT INSOFT COO 40.00 X 160667 0 10461 ROBERT COUGHLIN CO-VICE CHAI X 0 0 0 JONATHAN DESIMONE DIRECTOR X 0 0 0 JOAN E STIFF ESQ CLERK X 0 0 0 SR ALINE GIROUX FMM DIRECTOR X 0 0 0 SR LOIS ANN PEREIRA FMM DIRECTOR X 0 0 0 WENDOLY ORTIZ LANGLOIS CO-VICE CHAI X 0 0 0 JOHN E LARSEN DIRECTOR X 0 0 0 JANE L LUNDQUIST DIRECTOR X 0 0 0 DR JAMES MANDELL CHAIRMAN X 0 0 0 ELAINE MANN DIRECTOR X 0 0 0 DOMINQUE MORGAN-SOLOMON DIRECTOR X 0 0 0 IKE PAPADOPOULOS DIRECTOR X 0 0 0 JAY PIEPER DIRECTOR X 0 0 0 JAMES PRINCE DIRECTOR X 0 0 0 JAMES RAPPAPORT DIRECTOR X 0 0 0 TRACEY WEEDEN DIRECTOR X 0 0 0 DR MICHAEL YOGMAN CO-VICE CHAI X 0 0 0 DANIEL LEFAIVRE VP OF FINANC 40.00 X 0 0 0 4653102 358595 66 true true false 51 410884 4871392 3999498 9281774 NET PATIENT SERVICE REVENUE 900099 67996159 67996159 KDS DAY SCHOOL PROGRAM 900099 7530295 7530295 75526454 917563 917563 410884 141008 -141008 -141008 CWI PROGRAM CONTRACT REVEN 900099 1257600 1257600 MISC. 900099 506580 506580 CAFETERIA REVENUE 900099 168813 168813 1932993 87517776 77459447 776555 2894902 751415 2143487 757634 86321 345283 326030 47116853 36269720 10297316 549817 8335434 6507631 1659586 168217 3491490 3491490 597585 597585 119737 119737 100100 100100 5263425 3535065 1712177 16183 105626 1213 100669 3744 1524385 902760 579789 41836 1817791 935262 874264 8265 115955 90210 25021 724 331163 263387 67776 2634376 2107501 526875 534256 424370 109886 MEDICAL SUPPLIES 2565753 2565753 TEMPORARY HELP 2116826 2066702 50124 R&M CONTRACTS 1353582 649073 695839 8670 DRUGS 1172840 1172840 3153964 1569175 1547592 37197 86103677 63389888 21553106 1160683 13535401 7971182 5968922 7105751 1595615 2492531 560091 725700 451417 702019 92938281 25221162 31320719 67717119 36080718 37267623 3518906 4282570 93031789 128264495 9723615 9336660 1143480 1112500 12189989 11886430 398480 404491 23455564 22740081 X 41715051 76627976 27861174 28896438 69576225 105524414 93031789 128264495 X 1414099 -496823 35030913 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 100100 false false 100100 false SCHEDULE C, PART II-B, LINE 1 ENGAGEMENT WITH AND ADVOCACY BEFORE STATE AGENCIES RESPONSIBLE FOR DETERMINING HOSPITAL PAYMENT RATES AND OVERSEEING REGULATORY COMPLIANCE. THIS INCLUDES EFFORTS TO INFLUENCE POLICY DECISIONS, SECURE FAVORABLE REIMBURSEMENT RATES, AND ENSURE THAT THE HOSPITALS INTERESTS ARE REPRESENTED IN DISCUSSIONS RELATED TO HEALTHCARE REGULATIONS AND STANDARDS. THESE LOBBYING ACTIVITIES ARE AIMED AT SHAPING POLICIES THAT AFFECT THE HOSPITALS FINANCIAL STABILITY AND ITS ABILITY TO DELIVER QUALITY CARE TO PATIENTS. 9407038 27966853 1190224 250000 48732 38765384 461383 9961517 -1030915 860483 845430 9407038 444383 1506 420338 404844 461383 681180 3444 240240 444383 499477 3432 1458794 1280523 681180 0.25000 0.75000 true false 60000000 60000000 32286220 25221162 7065058 652061 652061 67717119 LT ASSET RETIREMENT OBLIGATION 384613 DUE TO 3RD PARTY 19878 404491 X 87517776 87517776 87517776 86103677 86103677 86103677 SCHEDULE D, PAGE 3, PART X IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP), THE HOSPITAL CONDUCTS AN ANNUAL EVALUATION OF ITS TAX STATUS AND THE TAX POSITIONS IT HAS TAKEN IN RELATION TO ITS OPERATIONS AND FINANCIAL STANDING.UNDER ACCOUNTING STANDARDS CODIFICATION (ASC) 740, AN ORGANIZATION MUST RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION TAKEN ON A TAX RETURN WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE UPHELD UPON EXAMINATION BY A TAXING AUTHORITY. THE HOSPITAL DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS AND, AS A RESULT, HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION HAS OBTAINED INCOME TAX EXEMPTION IN ALL REQUIRED JURISDICTIONS AND HAS CONSISTENTLY FILED IRS FORM 990, ALONG WITH ALL OTHER APPLICABLE RETURNS, AS MANDATED.FOR THE FISCAL YEARS ENDING SEPTEMBER 30, 2023, AND 2022, NO INTEREST OR PENALTIES WERE RECORDED OR INCLUDED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. ALTHOUGH THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING AUTHORITIES, AS OF SEPTEMBER 30, 2023, IT WAS NOT UNDER EXAMINATION BY ANY TAXING AUTHORITY. SCHEDULE D, PAGE 4, PART XIII THE USE OF THE ENDOWMENT FUNDS HAS BEEN SPECIFICALLY RESTRICTED BY THE DONOR TO FULFILL CERTAIN PURPOSES OR TO BE UTILIZED WITHIN A DESIGNATED PERIOD. THESE RESTRICTIONS ARE LEGALLY BINDING AND ENSURE THAT THE FUNDS ARE APPLIED IN A MANNER CONSISTENT WITH THE DONOR'S INTENTIONS. X X X X X X X true MA NY CT CA OH RI GOLF 234381 234381 27295 17077 5986 4084 5K ROAD RACE 90740 90740 7668 1979 27544 2 85763 85763 6609 27218 8115 7433 410884 410884 6609 62181 25192 7965 39061 141008 -141008 true true X true X true X true false true true 13273 13273 0.00020 52063283 49344253 2719030 0.03160 52076556 49344253 2732303 0.03180 788000 788000 0.01000 399108 399108 0.00470 1187108 1187108 0.01470 53263664 49344253 3919411 0.04650 68700 68700 0.00080 68700 68700 0.00080 true -118887 604354 901379 -297025 X true true 1 1 FRANCISCAN HOSPITAL FOR CHILDREN 30 WARREN STREET BRIGHTON MA 02135 WWW.FRANCISCANCHILDRENS.ORG X X X ADOLESCENT PSYCH UNIT FRANCISCAN HOSPITAL FOR CHILDREN 1 false false true X X X X X X X X X 21 true false false true X WWW.FRANCISCANCHILDRENS.ORG X true 21 true HTTPS://FRANCISCANCHILDRENS.ORG true false true X 200.000000000000 400.000000000000 X X X true true X X X X true X X true X false X X X false X X false false FACILITY 1, FRANCISCAN HOSPITAL FOR CHILDREN - PART V, LINE 5 PART V - LINE 5 FRANCISCAN HOSPITAL FOR CHILDREN PART V, SECTION B, LINE 11: IN 2021, FRANCISCAN CHILDREN'S CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY KEY HEALTH PRIORITIES WITHIN THE ALLSTON/BRIGHTON COMMUNITY. THE PRIORITIES WERE SELECTED BASED ON DEMONSTRATED COMMUNITY NEEDS, POTENTIAL IMPACT, FEASIBILITY, AND ALIGNMENT WITH THE HOSPITAL'S MISSION AND STRATEGIC GOALS:IMPROVE ACCESS TO MENTAL HEALTH SERVICES:RECOGNIZING THE CRITICAL NEED FOR MENTAL HEALTH SUPPORT, FRANCISCAN CHILDREN'S PRIORITIZED ENHANCING ACCESS TO MENTAL HEALTH SERVICES IN THE ALLSTON/BRIGHTON AREA. THIS INITIATIVE AIMS TO ADDRESS THE GROWING DEMAND FOR MENTAL HEALTH CARE BY EXPANDING SERVICES AND CREATING MORE OPPORTUNITIES FOR COMMUNITY MEMBERS TO RECEIVE THE HELP THEY NEED.IMPROVE ACCESS TO AND RAISE AWARENESS OF DENTAL SERVICES:THE ASSESSMENT HIGHLIGHTED A SIGNIFICANT NEED TO IMPROVE ACCESS TO DENTAL CARE IN ALLSTON/BRIGHTON. FRANCISCAN CHILDREN'S HAS COMMITTED TO INCREASING AWARENESS OF AVAILABLE DENTAL SERVICES AND REMOVING BARRIERS THAT PREVENT COMMUNITY MEMBERS FROM RECEIVING ADEQUATE DENTAL CARE.IMPLEMENTATION STRATEGIES:STRATEGIES TO ADDRESS THESE IDENTIFIED NEEDS ARE DETAILED IN THE HOSPITAL'S IMPLEMENTATION PLAN, WHICH WAS ATTACHED TO THE PREVIOUS IRS FORM 990 AND IS ALSO AVAILABLE ON FRANCISCAN CHILDREN'S WEBSITE.OTHER IDENTIFIED AREAS NOT PRIORITIZED:WHILE THE CHNA ALSO IDENTIFIED OTHER COMMUNITY CONCERNS SUCH AS INCOME, EDUCATION, EMPLOYMENT, HOUSING, DOMESTIC VIOLENCE, SUBSTANCE USE, AND THE NEED FOR A CENTRALIZED SOURCE OF INFORMATION, THESE AREAS WERE NOT PRIORITIZED BY FRANCISCAN CHILDRENS. THE DECISION WAS BASED ON A COMBINATION OF LOWER DEMONSTRATED COMMUNITY NEED, ANTICIPATED IMPACT, FEASIBILITY, AND ALIGNMENT WITH THE HOSPITAL'S MISSION AND STRATEGIC OBJECTIVES. USE OF A COLLECTION AGENCY FACILITY 1, FRANCISCAN HOSPITAL FOR CHILDREN - PART V, LINE 29E IF PATIENTS HAVE OUTSTANDING BALANCES, THE HOSPITALS PATIENT ACCOUNTING DEPARTMENT INITIALLY SENDS OUT THREE STATEMENTS. IF THE BALANCE REMAINS UNPAID AFTER THESE ATTEMPTS, THE ACCOUNT IS FORWARDED TO A COLLECTION AGENCY, WHICH THEN ATTEMPTS TO COLLECT THE OUTSTANDING AMOUNTS. FACILITY 1, FRANCISCAN HOSPITAL FOR CHILDREN - PART V, LINE 20E THE PATIENT ACCOUNTING DEPARTMENT SENDS THREE STATEMENTS TO PATIENTS BEFORE SENDING THE OUTSTANDING BALANCES TO COLLECTION AGENCY. SCHEDULE H, PART I, LINE 7 A COSTING METHOLOLOGY WAS NOT USED TO CALCULATE AMOUNTS ON PART I, LINE 7. THE COST TO CHARGE RATIO WAS DERIVED FROM WORKSHEET 2. SCHEDULE H, PART II 1. THE CHILDREN'S WELLNESS INITAITIVE (CWI) IS AN ONGOING PROGRAM THAT PROVIDES SCHOOL-BASED MENTAL HEALTH COUNSELING AND PSYCHIATRY SERVICES, COMBINED WITH OUTREACH, EDUCATION, AND PARENT CONSULTATION. IN FY23, CWI PROVIDED SERVICES IN 20 BOSTON SCHOOL SITES, SERVING ALMOST 700 STUDENTS. THE GOAL OF THE PROGRAM IS TO INCREASE ACCESS TO MENTAL HEALTH SERVICES FOR CHILDREN AND FAMILIES, AS WELL AS BUILD CONNECTIONS BETWEEN SCHOOLS AND FAMILIES AND DE-STIGMATIZE ACCESSING MENTAL HEALTH SERVICES. THE NEED FOR MORE SCHOOL-BASED MENTAL HEALTH SERVICES WAS IDENTIFIED IN OUR 2021 COMMUNITY HEALTH NEEDS ASSESSMENT. THE PROGRAM CONTINUES TO GROW TO MEET THE MENTAL HEALTH NEEDS OF CHILDREN AND ADOLESCENTS IN BOSTON. 2. FRANCISCAN CHILDRENS SERVED OVER 430 CHILDREN FROM THE SURROUNDING COMMUNITY IN FY23 WITH ADAPTIVE SPORTS PROGRAMMING DIRECTED TOWARD CHILDREN WITH SPECIAL HEALTH CARE NEEDS IN THE BOSTON AREA. PROGRAMS CONSISTED OF ADAPTIVE DANCE, TRACK, BASKETBALL, SKATING, AND HOCKEY, AS WELL AS AN AUGMENTATIVE AND ALTERNATIVE COMMUNICATION CAMP AND WHEELCHAIR BASKETBALL AND TENNIS. ALL PROGRAMS INCLUDED THERAPEUTIC COMPONENTS. THE HOSPITAL ALSO WORKED TO OFFER ADDITIONAL SPORTS THROUGH COMMUNITY PARTNERS. 3. FRANCISCAN CHILDREN'S COORDINATES OPPORTUNITIES FOR VOLUNTEERS FOR THE SURROUNDING COMMUNITY. 4. FRANCISCAN CHILDREN'S PARTNERED WITH NORTHEASTERN UNIVERSITY TO RUN A SUMMER COURSE ON CAREERS IN CHILD AND ADOLESCENT MENTAL HEALTH FEATURING 12 SPEAKERS THAT SPOKE ABOUT CAREERS IN PSYCHOLOGY, NURSING, SOCIAL WORK, HEALTH POLICY, RESEARCH, AND HEALTH CARE ADMINISTRATION, AMONG OTHERS. SCHEDULE H, PART III, LINE 2 PART III, LINE 3: BAD DEBT EXPENSE IS RECORDED TO REPORT ACCOUNTS RECEIVABLE AT THEIR NET REALIZABLE VALUE. SHOWING THE BAD DEBT AS A DEDUCTION FROM REVENUE MORE CLEARLY REPRESENTS THE AMOUNT OF REVENUE THAT THE FRANCISCAN HOSPITAL ACTUALLY EXPECTS TO COLLECT, THERBY IMPROVING THE QUALITY AND COMPARABILITY OF THE FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 PART III, LINE 8: THE COSTING METHOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COST WAS THE COST TO OUTPATIENT ANCILLARY CHARGE RATIOS AS REPORTED ON THE MEDICARE 2552 COST REPORT FOR FYE 9/30/2023. SCHEDULE H, PART III, LINE 9B PART III, LINE 9B: THE COLLECTION PROCESS ENCOMPASSES BILLING THE PATIENT'S HEALTH INSURANCE(S), FILING APPEALS FOR NON-PAYMENT AND BILLING THE PATIENT. THE STATEMENT/DATA MAILERS ARE PROCESSED BY THE HOSPITAL AND AN OUTSIDE COMPANY. THEY ARE SENT ONCE A MONTH, ONE BUSINESS DAY AFTER THE MONTH-END CLOSE. STATEMENTS/DATA MAILERS ARE SENT TO THE PATIENT'S RESPONSIBLE PARTY EACH MONTH FOR SERVICE NOT COVERED BY THE PATIENT'S INSURANCE COMPANY. THERE WILL BE THREE STATEMENTS FOR SELF AND SELF-PAY AFTER INSURANCE AND FIVE FOR SELF PAYMENT. THERE IS A DIFFERENT MASSAGE ON EACH STATEMENT INDICATING STATUS OF ACCOUNT CONTACT. LOW INCOME FAMILIES WHO MEET THE FOLLOWING CRITERIA ARE ELIGIBLE FOR PARTIAL FREE CARE: 1. MASSACHUSETTS RESIDENTS WHOSE FAMILY INCOME IS FROM 201% - 400% OF THE FEDERAL POVERTY INCOME GUIDELINES WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE FOR THAT PORTION OF THE BILL WHICH EXCEED THEIR FAMILY'S ANNUAL DEDUCTIABLE. THIS WILL BE DETERMINED BY A SLIDING FEE SCALE. 2. ANY PARTICIPANT IN THE CHILDREN'S MEDICAL SECURITY PLAN WHOSE FAMILY INOCME IS FROM 201% - 400% OF THE FEDERAL POVERTY INCOME GUIDELINES WILL BE ELIGIBLE FOR FINANICAL ASSISTANCE FOR THAT PORTION OF THE BILL WHICH EXCEEDS THEIR FAMILY ANNUAL DEDUCTIBLE. 3. ANY PARTICIPANT IN HEALTH START WHOSE FAMILY INCOME IS FROM 201% - 400% OF THE FEDERAL POVERTY INOCME GUIDELINES WILL BE ELIGIBLE FOR THAT PORTION OF THE BILL WHICH EXCEEDS THEIR FAMILY ANNUAL DEDUCTIBLE. NOTE: THE ANNUAL DEDUCTIBLE FOR PARTIAL FREE CARE EQUALS 40% OF THE DIFFERENCE BETWEEN THE APPLICANT'S FAMILY INCOME AND 200% OF POVERTY INCOME GUIDELINES. THE PATIENT IS RESPONSIBLE FOR PAYMENT FOR ALL SERVICES PROVIDED UP TO THIS DEDUCTIBLE AMOUNT. THERE IS ONLY ONE DEDUCTIBLE PER APPROVED PERIOD. THEREFORE, IT IS THE RESPONSIBILITY OF THE PATIENT TO PROVIDE DOCUMENTATION THAT THEIR OBLIGATION HAS BEEN MET. SCHEDULE H, PART VI, LINE 2 FRANCISCAN CHILDREN'S IDENTIFIED THE FOLLOWING PRIORITIES FROM OUR 2021 COMMUNITY HEALTH NEEDS ASSESSMENT BASED ON DEMONSTRATED COMMUNITY NEED, IMPACT, FEASIBILITY, AND ALIGNMNET WITH OUR MISSION AND STRATEGIC GOALS: 1. IMPROVE ACCESS TO MENTAL HEALTH SERVICES IN ALLSTON/BRIGHTON 2. IMPROVE ACCESS TO AND RAISE AWARENESS OF DENTAL SERVICES IN ALLSTON/BRIGHTON STRATEGIES TO ADDRESS THESE NEEDS ARE OUTLINED IN THE IMPLEMENTATION PLAN ATTACHED TO THE 990 AND LOCATED ON FRANCISCAN'S WEBSITE. THE OTHER AREAS IDENTIFIED IN THE 2021 CHNA - INCOME, EDUCATION, EMPLOYMENT, HOUSING, DOMESTIC VIOLENCE, SUBSTANCE USE, AND A CENTRALIZED SOURCE OF INFORMATION - ARE AREAS THAT FRNACISCAN CHILDREN'S DID NOT ADDRESS DURING THE YEAR DUE TO A LOWER DEOMONSTRATED NEED, LESS PERCEIVED IMPACT AND FEASIBILITY, AND/OR LACK OF ALIGNMENT WITH FRANCISCAN CHIDLREN'S MISSION AND INSTITUTIONAL STRATEGIC PRIORITIES. SCHEDULE H, PART VI, LINE 6 THE HOSPITAL HAS MAINTAINED A RELATIONSHIP WITH BOSTON UNIVERSITY SCHOOL OF DENTAL MEDICINE'S OUTPATIENT PEDIATRIC DENTAL PROGRAM. RESIDENTS OF THAT PROGRAM COMPLETE A ROTATION IN THE DENTAL CLINIC AT THE HOSPITAL. SCHEDULE H, PART VI, LINE 7 MASSACHUSETTS SCHEDULE H, PART VI PART I, LINE 4: TARGET POPULATION - ALLSTON/BRIGHTON NEIGHBORHOOD BUT ALSO FROM METRO BOSTON AND BEYOND. 50% OF RESIDENTS ARE BETWEEN THE AGES OF 20 -29. ~90% OF HOUSEHOLDS ARE CHILDLESS (DO NOT HAVE CHILDREN UNDER 18). ~80% OF RESIDENTS REPORT RENTING RATHER THAN OWNING THEIR PRIMARY RESIDENCE. PART VI, LINE 3: INPATIENT: WE REVIEW ALL POTENTIAL PATIENTS INSURANCE POLICIES PRIOR TO ADDMISSION FOR LENGTH OF STAY AND COVERAGE GUIDELINES AND LIMITATIONS. MOST PATIENTS WHO HAVE PRIVATE INSURANCE EXHAUST THEIR REHABILITATION BENEFITS WHILE HERE. WE MEET WITH PARENTS/GUARDIANS TO EDUCATE THEM ON THEIR OPTIONS AND IF NECESSARY ASSIST THEM WITH APPLYING FOR GOVERNMENT SPONSORED ASSISTANCE PROGRAMS. FOR THOSE WHO DO NOT APPLY OR DO NOT QUALIFY FOR GOVERNMENT ASSISTANCE, THE HOSPITAL PROVIDES MEDICAL AND FINANCIAL HARDSHIP ASSISTANCE BASED ON THE FEDERAL AND STATE POVERTY GUIDELINES. OUTPATIENT: WE REVIEW INSURANCE ELIGIBILITY FOR EACH VISIT AND CONTACT PARENT/GUARDIAN IF THERE IS AN ISSUE. WE ALSO ASSIST PATIENTS WITH MASSHEALTH ENROLLMENT WHERE NEEDED. THE HOSPITAL PROVIDES MEDICAL AND FINANCIAL HARDSHIP ASSISTANCE BASED ON THE FEDERAL AND STATE POVERTY GUIDELINES. ALLSTON-BRIGHTON HAS A PREDOMINANTLY CAUCASION POPULATION. IT IS ALSO HOME TO A LARGE NUMBER OF DIVERSE GROUPS INCLUDING MANY RECENT IMMIGRANTS FROM LATIN AMERICA, BRAZIL, CHINA, AND RUSSIA. THE MEDIAN INCOME OF ALLSTON-BRIGHTON RESIDENTS IS 38,274. PART VI, LINE 5: 1. FAMILY SUPPORT - WE CONDUCT FAMILY SUPPORT GROUPS TO HELP FOSTER COMMUNITY AND EXPAND ACCESS TO FAMILY-TO-FAMILY LEARNING. THE HOSPITAL CULTURALLY COMPETENT PROVIDES INTERPRETER SERVICES TO INCREASE ACCESS TO CARE FOR FAMILIES WHOSE PRIMARY LANGUAGE IS NOT ENGLISH. 2. CHILD SAFETY ADVOCACY - HOST PRESS CONFERENCES TO INFORM CAREGIVERS ABOUT POOL SAFETY AND HAZARDS TO AVOID. 3. EDUCATION AND TRAINING - WE SERVE AS A TRAINING SITE WHERE NURSING, PSYCHOLOGY AND MEDICAL RESIDENTS DO THEIR CLINICAL ROTATION. 4. PARTICIPATION IN THE ALLSTON-BRIGHTON SUBSTANCE ABUSE TASK FORCE. COMMUNITY BENEFIT ARE ONGOING BY MULTI-DISCIPLINARY COMMITTEES, INCLUDING: ADVISORY CONUCIL, BEHAVIORAL PARENT ADVISORY COUNCIL AND KENNEDY DAY SCHOOL ADVISORY GROUP. X X X X false false false false false false false false false JOSEPH A MITCHELL PRESIDENT 631449 265001 630 21500 918580 JANE O'BRIEN CHIEF MED OFFICER 324082 28760 4104 21500 13862 392308 BOB CROSBY SR. VP & CFO 314107 28898 2154 21500 13862 380521 DIDEM INANOGLU PHYSICIAN 346280 10000 856 1000 20398 378534 JOHN NASH FORMER CEO 226833 130740 2396 1000 360969 SIOBHIAN SPROTT VP OF DENTAL 289904 296 650 67744 358594 KIMBERLEY W LUBIN VP DEVELOPMENT 290069 22923 685 21500 20697 355874 CATHERINE MILLER PHYSICIAN 326215 3962 1000 17210 348387 ELISABETH G SCHAINKER ASSOCIATE CMO 297806 679 21500 186 320171 ELIZABETH SMITH SR. VP & CNO 261247 22767 384 21500 6844 312742 THOMAS M O'BRIEN CORPORATE COUNSEL 228945 19702 919 11250 260816 GARCIA GEORGINA PHYSICIAN 212285 330 1000 20957 234572 HARRY DIEUVEUIL CHRO 172655 23348 1024 11827 9647 218501 ROBERT INSOFT COO 132813 26940 914 10461 171128 A M & T BANK 061213065 2020-03-24 13074915 THE NEW TAX-EXEMPT BOND WAS TO CONSOLIDATE THE OUTSTANDING SERIES 2015 BOONDS, THE PROCEEDS OF WHICH false false false A false false false false A false false false false false false false A false false false false false false false false false A false PURPOSE OF ISSUE DESCRIPTION M & T BANK THE NEW TAX-EXEMPT BOND WAS TO CONSOLIDATE THE OUTSTANDING SERIES 2015 BOONDS, THE PROCEEDS OF WHICH WERE USED TO FINANCE PRELIMINARY CAPITAL COSTS WITH RESPECT TO THE CONSTRUCTION OF APPROXIMATELY 75,000 SQUARE-FOOT ADDITON TO THE FACILITY AT 30 WARREN STEET, BRIGHTON, MASSACHUSETTS AND TO REFINANCE THE OUTSTANDING MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS,FRANCISCAN HOSPITAL FOR CHILDREN ISSUE, SERIES A (2010), THE PROCEEDS OF WHICH WERE USED TO: (A) FINANCE THE CONSTRUCTION, FURNISHING AND EQUIPPING OF AN APPROXIMATELY 20,000 SQUARE-FOOT ADDITION TO THE KENNEDY DAY SCHOOL AND USED FOR EDUCATIONAL FACILITIES FOR SPECIAL NEEDS CHILDREN; AND (B) FINANCE VARIOUS RENOVATIONS SUCH AS ADDING FOUR INPATIENT MEDICAL BEDS, EQUIPMENT ACQUISITIONS, AND MISCELLANEOUS CAPITAL IMPROVEMNETS AT THE HOSPITAL. FORM 990 - ORGANIZATION'S MISSION ORGANIZATION'S MISSION: TO CREATE A COMPASSIONATE AND SUPPORTIVE ENVIRONMENT WHERE CHILDREN WITH COMPLEX MEDICAL, MENTAL HEALTH, AND EDUCATIONAL NEEDS RECEIVE EXPERT, SPECIALIZED CARE. OUR DEDICATED TEAM IS COMMITTED TO EXCELLENCE, INNOVATION, AND EMPOWERING FAMILIES, ENSURING THAT EVERY CHILD CAN REACH THEIR FULLEST POTENTIAL AND LIVE THEIR BEST LIFE. FORM 990, PAGE 2, PART III, LINE 4A INPATIENT SERVICES:FRANCISCAN CHILDREN'S HOSPITAL PROVIDES COMPREHENSIVE MEDICAL, MENTAL HEALTH, EDUCATIONAL, AND SPECIALIZED SERVICES TAILORED TO MEET THE UNIQUE NEEDS OF A PEDIATRIC POPULATION WITH SPECIAL NEEDS IN EASTERN MASSACHUSETTS. IN FY 2023, THE HOSPITAL EXPERIENCED 718 ADMISSIONS, WITH PATIENTS RECEIVING CARE ACROSS A WIDE SPECTRUM OF SERVICES. THESE SERVICES ARE CRUCIAL FOR CHILDREN REQUIRING LONG-TERM REHABILITATION, BEHAVIORAL HEALTH INTERVENTIONS, OR COMPLEX MEDICAL CARE. OVER THE COURSE OF THE YEAR, THE HOSPITAL PROVIDED A TOTAL OF 27,251 PATIENT DAYS, REFLECTING THE EXTENSIVE AND INTENSIVE CARE REQUIRED BY THESE VULNERABLE CHILDREN. THE INPATIENT SERVICES ARE DESIGNED TO OFFER A HOLISTIC APPROACH, ENSURING THAT EACH CHILDS MEDICAL AND PSYCHOLOGICAL NEEDS ARE MET WITHIN A SUPPORTIVE AND NURTURING ENVIRONMENT. FORM 990, PAGE 2, PART III, LINE 4B OUTPATIENT SERVICES:FRANCISCAN CHILDREN'S HOSPITAL PROVIDES A WIDE ARRAY OF OUTPATIENT SERVICES, INCLUDING MEDICAL CARE, MENTAL HEALTH SUPPORT, EDUCATIONAL RESOURCES, AND SPECIALIZED TREATMENTS FOR CHILDREN WITH SPECIAL NEEDS IN EASTERN MASSACHUSETTS. IN FY 2023, THE HOSPITAL CONDUCTED 31,667 OUTPATIENT VISITS, ENCOMPASSING CLINICAL APPOINTMENTS, REHABILITATION SESSIONS, BEHAVIORAL HEALTH INTERVENTIONS, AND SURGICAL PROCEDURES. THESE OUTPATIENT SERVICES ARE CRITICAL IN DELIVERING ONGOING CARE AND SUPPORT FOR CHILDREN WHO REQUIRE SPECIALIZED ATTENTION BUT DO NOT NEED INPATIENT ADMISSION. THE EXTENSIVE RANGE OF SERVICES OFFERED ENSURES THAT EACH CHILD RECEIVES TAILORED CARE, ADDRESSING THEIR UNIQUE MEDICAL, PSYCHOLOGICAL, AND EDUCATIONAL NEEDS IN A SETTING DESIGNED TO SUPPORT THEIR OVERALL WELL-BEING AND DEVELOPMENT. FORM 990, PAGE 5, PART V, LINE 3B FRANCISCAN HOSPITAL FOR CHILDREN IS AN EXEMPT ORGAINIZATION THAT DOES NOT HAS ANY GROSS INCOME FROM AN UNRELATED BUSINESS, THEREFORE, WE ARE NOT REQUIRED TO FILE 990-T. FORM 990, PAGE 6, PART VI, LINE 4 BUSINESS COMBINATION ON JULY 1, 2023 (DATE OF THE BUSINESS COMBINATION), CHILDREN'S MEDICAL CENTER CORPORATION ("CMCC"), A MASSACHUSETTS CHARITABLE ORGANIZATION, BECAME THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. CMCC IS THE PARENT OF A NONPROFIT PEDIATRIC HEALTH CARE DELIVERY SYSTEM AND IS THE SOLE CORPORATE MEMBER OF THE CHILDREN'S HOSPITAL CORPORATION, A MASSACHUSETTS CHARITABLE ORGANIZATION, DOING BUSINESS AS BOSTON CHILDREN'S HOSPITAL ("BCH"), THAT OWNS AND OPERATES AN INTERNATIONALLY RECOGNIZED FREESTANDING PEDIATRIC ACUTE CARE HOSPITAL THAT PROVIDES A FULL CONTINUUM OF PEDIATRIC CARE, INCLUDING TO CHILDREN AND ADOLESCENTS WITH COMPLEX MEDICAL AND MENTAL HEALTH NEEDS. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 AND THE RELATED DISCLOSURES ARE PREPARED BY THE SENIOR DIRETOR OF FINANCE AND REVIEWED BY THE CFO AND THEN COPIES ARE MADE AVAILABLE TO THE BOARD OF DIRECORS FOR THEIR REVIEW. IN ADDITION, CFO REVIEWS KEY SCHEDULES AT FINANCE COMMITTEE. THE FORM 990 IS SIGNED BY THE CFO/SVP PRIOR TO SUBMISSION TO IRS ELECTRONICALLY. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION MANDATES THAT ALL BOARD MEMBERS, OFFICERS, AND MEMBERS OF ANY BOARD COMMITTEES DISCLOSE IN WRITING ANY BUSINESS OR OTHER RELATIONSHIPS THAT COULD POTENTIALLY CREATE A CONFLICT OF INTEREST, AS DEFINED BY THE ORGANIZATION'S POLICY. THESE DISCLOSURES MUST BE UPDATED ANNUALLY. THE WRITTEN DISCLOSURE MUST DETAIL ANY SIGNIFICANT CONFLICTS OF INTEREST ARISING FROM THE INDIVIDUALS EXTERNAL ACTIVITIES. THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE LEGAL DEPARTMENT TO ENSURE THAT INDIVIDUALS WITH EXTERNAL RELATIONSHIPS DO NOT IMPROPERLY INFLUENCE BUSINESS DECISIONS WHERE THEIR INDEPENDENCE MAY BE COMPROMISED. THIS PROCESS HELPS SAFEGUARD THE INTEGRITY OF THE ORGANIZATION'S DECISION- MAKING. FORM 990, PAGE 6, PART VI, LINE 15A ALL COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT IS DETERMINED AND REVIEWED BY THE BOARD OF DIRECTORS. TO ENSURE IMPARTIALITY, THE BOARD HAS ESTABLISHED A COMPENSATION COMMITTEE COMPOSED OF INDEPENDENT TRUSTEES. THIS COMMITTEE IS EMPOWERED TO SET AND APPROVE COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT. THE COMPENSATION COMMITTEE CONDUCTS ANNUAL EVALUATIONS TO REVIEW AND APPROVE EXECUTIVE COMPENSATION, ENSURING THAT IT ALIGNS WITH INDUSTRY STANDARDS AND THE ORGANIZATION'S GOALS. FORM 990, PAGE 6, PART VI, LINE 15B SAME PROCESS AS DESCRIBE UNDER "COMPENSATION PROCESS FOR TOP OFFICIAL". FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. ADDITIONALLY, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ACCESSIBLE ON THE PUBLIC CHARITIES WEBSITE MAINTAINED BY THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL, ENSURING TRANSPARENCY AND ACCOUNTABILITY. FORM 990, PART XI, LINE 9 PPE ADJ - BUILDING AT FAIR VALUE 35,030,913 ON JULY 1, 2023, CHILDRENS MEDICAL CENTER CORPORATION (CMCC), A MASSACHUSETTS-BASED CHARITABLE ORGANIZATION, BECAME THE SOLE CORPORATE MEMBER OF FRANCISCAN CHILDREN'S, FURTHER SOLIDIFYING ITS COMMITMENT TO ADVANCING PEDIATRIC CARE IN THE REGION. CMCC IS ALSO THE PARENT ORGANIZATION OF THE CHILDRENS HOSPITAL CORPORATION, WHICH OVERSEES BOSTON CHILDRENS HOSPITAL (BCH), A GLOBALLY RECOGNIZED INSTITUTION KNOWN FOR ITS COMPREHENSIVE AND SPECIALIZED CARE FOR CHILDREN AND ADOLESCENTS, PARTICULARLY THOSE WITH COMPLEX MEDICAL AND MENTAL HEALTH NEEDS. THE BUSINESS COMBINATION WAS STRATEGICALLY ACCOUNTED FOR USING THE ACQUISITION METHOD, WITH CMCC IMPLEMENTING A FAIR VALUE ADJUSTMENT OF APPROXIMATELY 35 MILLION. THIS ADJUSTMENT PRIMARILY REFLECTED THE VALUATION OF LAND AND BUILDINGS OWNED BY FRANCISCAN CHILDREN'S, ENSURING THAT THE FINANCIAL CONSOLIDATION ACCURATELY REPRESENTED THE ORGANIZATION'S ASSETS AND STRENGTHENED ITS INFRASTRUCTURE FOR FUTURE GROWTH AND DEVELOPMENT. FORM 990, PART XII THE ORGANIZATION'S FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS BY AN INDEPENDENT ACCOUNTING FIRM. AN AUDIT COMMITTEE WITHIN THE ORGANIZATION IS RESPONSIBLE FOR OVERSEEING THE AUDIT PROCESS, INCLUDING THE REVIEW OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. THIS COMMITTEE ENSURES THAT THE AUDIT IS CONDUCTED WITH INTEGRITY, TRANSPARENCY, AND IN COMPLIANCE WITH ALL RELEVANT REGULATIONS AND STANDARDS. CHILDREN'S MEDICAL CENTER CORP CHILDREN'S MEDICAL CENTER CORP 300 LONGWOOD AVENUE 300 LONGWOOD AVENUE BOSTON MA 02115 041174680 MA 501C3 12B NA N/A false CHILDREN'S HOSPITAL CORPORATION CHILDREN'S HOSPITAL CORPORATION 300 LONGWOOD AVENUE 300 LONGWOOD AVENUE BOSTON MA 02115 042774441 MA 501C3 3 CMCC CMCC false LONGWOOD RESEARCH INSTITUTE INC LONGWOOD RESEARCH INSTITUTE INC 300 LONGWOOD AVENUE 300 LONGWOOD AVENUE BOSTON MA 02115 042781368 MA 501C3 12B CMCC CMCC false BLOOD RESEARCH INSTITUTE INC BLOOD RESEARCH INSTITUTE INC 300 LONGWOOD AVENUE 300 LONGWOOD AVENUE BOSTON MA 02115 043136318 MA 501C3 12A CMCC CMCC false BOSTON CHILDREN'S NETWORK SPECIALTY BOSTON CHILDREN'S NETWORK SPECIALTY 300 LONGWOOD AVENUE 300 LONGWOOD AVENUE BOSTON MA 02115 881343469 MA 501C3 10 CHC CHC false CHB PROPERTIES INC CHB PROPERTIES INC 300 LONGWOOD AVENUE 300 LONGWOOD AVENUE BOSTON MA 02115 043323330 MA 501C3 10 CHC CHC false FRANCISCAN PEDIATRICS INC 30 WARREN STREET 30 WARREN STREET 30 WARREN STREET BRIGHTON MA 02135 043160358 PHYS GROUP MA N/A C CORP false false false false false false false false false false false false false false true false false true true false FRANCISCAN PEDIATRICS INC N 1020638 COST FRANCISCAN PEDIATRICS INC R 1997622 COST