2025-08-13T13:58:28-05:00 2024-09-30 346565596 Ernst & Young LLP 1 Manhattan West New York NY 10001 990 2023-10-01 042774441 Children's Hospital Corporation CHIL 6173556000 300 Longwood Avenue Boston MA 02115 Doug Vanderslice EVP, CFO & Treasurer 6173556000 2025-08-12 1 1 Nicole Sokolowski P01683199 2127733000 2023 2025-03-06 01:10:19Z Boston Children's Hospital Kevin B Churchwell MD 300 Longwood Avenue Boston MA 02115 3608322535 0 X www.childrenshospital.org X 1982 MA Provider of pediatric healthcare, education, research & community service 19 18 17819 396 1881049 0 542541296 646395665 2028312606 2291646600 28189134 104288131 113772190 122884435 2712815226 3165214831 14499651 15211936 0 0 1311079018 1399102430 1813902 1744238 44009236 1547564575 1734478431 2874957146 3150537035 -162141920 14677796 8080111478 8899360805 2991147261 3535034881 5088964217 5364325924 X See Schedule O 0 0 2078043669 15211936 2293313593 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. 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. 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 FY24, Boston Children's saw approximately 775,000 outpatient visits, 68,000 emergency department visits, 26,000 inpatient or observation stays, and 32,000 inpatient or day surgeries. Our inpatient case mix index was 2.11 (MA only) and the average length of stay was 6.4 days. Of these patients, approximately 35% (patients on Medicaid/Medicare) are considered low income.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 health.We remain committed to advancing health equity through Boston Children's Sandra L. Fenwick Institute. Through the Institute's works, we seek to transform pediatrics by addressing persistent disparities in the delivery of care to our nation's children. In 2024, the Massachusetts Department of Public Health's Public Health Council unanimously approved our Determination of Need (DoN) application for the modernization of the Franciscan Children's campus and programs. This latest approval is affirmation by the state of the growing demand of meeting the needs of children for both behavioral health and rehabilitative care, and to further support the critical dental surgical program located on the Franciscan campus. The project will allow us to build out the full continuum of behavioral health services to meet the needs of our patients, as well as update Kennedy Day School, which provides integrated special education, therapeutic and health services to more than 60 students with complex needs from more than 30 communities across Massachusetts.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. 514288562 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 13 members of the National Academy of Sciences, 30 members of the National Academy of Medicine, 25 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 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. 58106532 0 21785709 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, more than 2,000 of our 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.In 2024, our Continuing Education Office earned Reaccreditation with Commendation from Joint Accreditation for Interprofessional Continuing Education, the organization consisting of the three global leaders in the field of accreditation. Commendation status represents the pinnacle of accreditation for interprofessional education, reflecting our steadfast dedication to upholding the highest standards in healthcare education and collaborative practice. It reflects our demonstrated commitment to using our education platform to listen to the patient's voice, consider the social determinants of health and population outcomes, pursue research and scholarship in education, and ultimately to improve healthcare.We offer more than 70 Training Programs (44 are accredited - 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. 22779888 0 0 COMMUNITY: 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 determinants 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 Needs:Boston Children's conducts a comprehensive community health needs assessment every three years as required by the Internal Revenue Service. The full report from the 2022 assessment can be found here. 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 utilizes its resources and leverages community partnerships in the most effective way. The assessment was approved by the Boston Children's Board of Trustees in the fall of 2022. The 2022 assessment identified the health-related needs, strengths, and resources available to children, youth, families, and residents in Boston - specifically the neighborhoods of Dorchester, Jamaica Plain, Mattapan, Mission Hill, and Roxbury. The assessment also looked at those living in the communities served by Boston Children's locations outside of Boston, which includes Brookline, Lexington, North Dartmouth, Peabody, Waltham, and Weymouth.Boston Children's 2022 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.Key themes from the assessment include how poverty impacts child and community health, access to stable and affordable housing, concerns about food access and insecurity, and the importance of prevention and focus on early childhood and youth development. Health issues of concern for families continue to be around mental/behavioral health, asthma, and obesity. 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. This feedback from experts, community leaders, and partners as well as the Community Advisory Board informs the hospital's community mission, strengthens the development of partnerships, and helps to shape the implementation of the hospital's Strategic Implementation Plan. The 2025 community health needs assessment is underway, and the results will be available at the end of this year.Being A Community Health Leader:Boston Children's has identified priority health areas - 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 2,731 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, connects families to resources and increases access through advocacy. CAI surpassed its quality goal, reducing the percentage of patients with any hospitalizations by 82% and any emergency department visits by 54% after one year in the program. The program provided education and training for 153 community meetings with 1,679 participants, 5 community events with 103 participants, and 16 trainings/talks with 191 participants. CAI cared for 120 new patients with 73 completing at least one home visit (60%). Boston Children's staff completed an additional 41 visits.-Boston Children's Hospital Neighborhood Partnerships Program (BCHNP) is the hospital's community-based behavioral health program. BCHNP places clinicians in Boston schools to provide a comprehensive array of services to better meet the needs of children and adolescents. In 2024, 647 students participated in 8 BCHNP classroom interventions focused on a range of topics, including but not limited to community building, emotion regulation, identity/self-awareness, and social skills. BCHNP implemented clinical intervention, early intervention, and prevention/promotion services with 726 students across five elementary, K8, middle, and high schools. Clinicians intervened in 34 crisis situations with a median wait time of 3.5 minutes, provided individual therapy to 40 students. BCHNP provided professional development webinars through its Training and Access Project (TAP), reaching 1650 school-based social workers, psychologists, school nurses, and counselors in 2024. Average satisfaction ratings across all stakeholders (students, caregivers, educators, and school staff) and services were over 94%. -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 2024, 63% of children decreased and 8% 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 FY24, there were 56,000 visits to the pantry. The food pantry became an official site of the Greater Boston Food Bank, and it has received great support from community partners and families. Families were also provided additional social and health care supports through our primary care locations at the Martha Eliot Health Center and the Primary Care Center at Longwood. Serving as an Anchor for the Community:Since 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.Four Focus AreasThe Boston Children's anchor strategy puts corporate goals and business practices in place to address social inequities and aims to help improve community conditions that contribute to poor health. There are four pillars: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.The Boston Children's anchor strategy builds upon and amplifies the work of the hospital's community mission to improve the health and well-being of children and families.In FY24, Boston Children's made 3 new community investments totaling $2.45M in partnership with the Massachusetts Housing Investment Corporation. These investments are part of the hospital's larger $10M endowment commitment in community investment. The Hospital continued its community engagement efforts: launched an externally facing website landing page; convened quarterly meetings of the Community Investment Advisory Committee; and convened monthly internal Anchor Institution Team meetings to coordinate efforts on community investment, purchasing, and workforce development. As part of its partnership work, the Boston Children's Hospital's Community Investment, Workforce Development, and Purchasing teams met with other healthcare organizations at the annual Healthcare Anchor Network Convening. Members of the Boston Children's Anchor Institution team alongside Boston Medical Center met with representatives from the Massachusetts Executive Office of Health and Human Services to discuss collaborative priorities. Anchor Team staff presented on the Community Investment and Sustainability efforts during a webinar hosted by the Office of Community Health. The Anchor Team reported on FY23 progress to the Health Care Anchor Network.Expanded Commitment through the Collaboration for Community Health:Boston Children's had an opportunity to build on its history of building partnerships with the community. In August 2018, Boston Children's started to distribute additional funds as part of an agreement with the Massachusetts Department of Public Health's Determination of Need/Community Health Initiative program.These funds - Boston Children's Collaboration for Community Health - are distributed to community organizations in addition to our ongoing commitments and support for programs and partners. The strategy to distribute funds followed a two-year community engagement process to inform how Boston Children's could make a long-lasting impact. That process resulted in identifying several strategic funding areas to address the critical needs of children and families.Funding and support for community-based projects are in the following strategic areas: Mental Health and Youth Support Systems, Community Trauma Response, Birth to Five Child Health and Development, Family Housing Stability and Economic Opportunity, Community Physical Activity, Recreation and Food Access and through the Children's Health Equity Collaborative.Through the Boston Children's Collaboration for Community Health, more than 80 organizations have now received funds and support from the hospital. The leadership and staff also have been convened by Boston Children's to network, share lessons learned, provide feedback, and receive assistance around advocacy and evaluation.More details on the Collaboration and the funded projects can be found at BostonChildrens.org/funding.Addressing Social Determinants of Health:Boston 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 FY24, BCHNP's Training and Access Project (TAP) continued to provide professional development and consultation services focused on building the capacity of school communities to address social, emotional, and behavioral health. Through TAP's online free training series for school communities, we have increased our national reach to over 12,000 participants to date. In 2023-2024, TAP provided a webinar training series that reached 1650 BPS clinicians (school social workers, school psychologists, school nurses, and school counselors). Trainings were developed based on needs identified by the social workers. The series included 10 interactive training courses. TAP training can be accessed at www.childrenshospital.org/TAPOnline.-Workforce Development. Boston Children's strives to bridge community and incumbent talent to build 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 program had 61 high school and 35 college students participating. Examples of other programs include:-Aspire Internship Program (MGH): internship program for adults with high cognitive autism spectrum disorder or a related social profile to gain real-world work experience. -ARCH JVS Training Program: Training program developed by Boston Children's and Jewish Vocational Services to train local community members in the field of animal care in research operations. The program offers on-the-job training for the role. The program pays wages while trainees learn. Upon successful completion, graduates are eligible to be offered full-time jobs. -JVS Pharmacy Technician Program: Boston Children's sponsors community members to attend the JVS Pharmacy Tech program and then hosts trainees for externship hours. Upon successful completion, graduates are eligible to be offered a position. -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 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 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, 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 Net:Boston 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 Families:As 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 the 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. 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. In 2008, the CMHC was instrumental in securing passage of two landmark state laws. An Act Relative to Children's Mental Health (Chapter 321) creates a structure for enhancing early identification of behavioral health needs, treating children in the most appropriate settings, enhancing coordination among state health care agencies, and establishing mechanisms for oversight of and input into the state children's mental health system. Chapter 256 strengthened the state's mental health parity law by expanding the categories of disorders for which health insurance plans must provide mental health benefits. In 2022, the CMHC was also a strong advocate for An Act Addressing Barriers to Mental Health Care (Chapter 177 of the Acts of 2022), which increased access to emergency behavioral health services, the pediatric behavioral health workforce, and addressed the behavioral health boarding crisis. The CMHC is determined to hold key stakeholders accountable for implementing the new laws secured through its advocacy efforts. 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. Boston Children's public health work includes social determinants of health and social justice as an essential component. With this in mind, our priorities include addressing issues in the housing market, promoting environmental health, improving access to healthy, locally grown fruits and vegetables, eliminating the 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 sessions, which offer hospital staff and community partners 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 Offices of Health Equity and Community Health. 22779888 0 0 2673218651 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 0 0 0 1 1 1 0 0 0 1 1938 0 1 17819 1 1 1 0 0 0 1 1 1 1 0 0 0 0 1 0 X 19 18 0 0 1 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 President & CEO 55.00 6.00 X X 3062633 0 135259 Douglas Berthiaume Director - Chairperson 5.00 5.00 X X 0 0 0 Allan Bufferd 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 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 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 Robert A Smith Director - Vice Chair 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 James Mandell MD Director 1.00 1.00 X 0 0 0 Doug Vanderslice EVP, CFO & Treasurer 55.00 7.00 X 1604073 0 80122 Bruce Balter Asst Treasurer/Dir Corp Fin 55.00 5.00 X 315669 0 54758 Rob Graham Asst Secretary/Sr Dr Ent Comm (BEGIN TERM 7/1/24) 55.00 5.00 X 0 0 0 Christine Grenache Asst Sec/Exec Manager (END TERM 6/30/24) 55.00 5.00 X 148571 0 18155 Christopher Viney JD EVP, General Counsel & Sec 55.00 5.00 X 174862 0 20376 Philip Rotner Chief Investment Officer 55.00 5.00 X 1976654 0 67747 Peter Laussen MD EVP, Health Affairs 55.00 5.00 X 1255547 0 93916 Michele Garvin Esq EVP, Chief of Staff 55.00 6.00 X 1201614 0 53172 Laura J Wood DNP MS RN EVP, Chief Nursing Officer 55.00 5.00 X 1005064 0 74650 Demosthenes Argys EVP, Hospital Chief Operating Officer, CCO 55.00 5.00 X 1085881 0 51848 Lynn Susman EVP, Chief Development Off 55.00 5.00 X 973008 0 65718 Lisa Hogarty SVP, RE Planning and Devel 55.00 5.00 X 779598 0 56590 Michael Gillespie SVP, Clinical Services 55.00 5.00 X 639424 0 52482 Patricia Hickey PhD MBA RN NEA-BC SVP, Nursing/Patient Care 55.00 5.00 X 783148 0 48968 August Cervini SVP, Research Administration 55.00 5.00 X 545881 0 50152 Heather Nelson SVP, Chief Information Off 55.00 5.00 X 846498 0 52926 Joseph A Mitchell MD EVP & President, Franciscan's 5.00 55.00 X 0 1068859 128100 Nancy Andrews EVP, Chief Scientific Officer 55.00 5.00 X 1169328 0 73187 Steven Luber SVP, Finance 55.00 5.00 X 663304 0 29388 Lisa Abbott EVP, Chief Human Resources Officer 55.00 5.00 X 979532 0 26630 Martin Kelly Director, Investments 55.00 5.00 X 863256 0 48759 Nirav Desai Director, Investments 55.00 5.00 X 803146 0 45903 Cynthia Haines SVP, National & International Services 55.00 5.00 X 783533 0 56028 Nader Rifai PhD Director, Lab Medicine 55.00 5.00 X 667474 0 52594 Stacy Drury Department Chief, Psychiatry 55.00 5.00 X 950877 0 43367 Sandra Fenwick Former President & CEO 0.00 0.00 X 939289 0 0 Daniel Nigrin MD Former SVP & CIO 0.00 0.00 X 315203 0 0 24533067 1068859 1480795 4522 1 1 0 Suffolk Construction 65 Allerton Street Boston MA 02119 Construction services 104248024 Turner Construction Company 2 Seaport Lane Suite 200 Boston MA 02210 Construction services 67068643 Vaya Workforce Solution LLC 5930 Cornerstone Ct W San Diego CA 92121 Staffing services 65926684 Wise Construction 21 East Street Winchester MA 01890 Construction services 58638973 VPNE Parking Solutions 343 Congress Street Boston MA 02210 Parking/security services 27164189 427 18150 7845597 364555824 273976094 22589628 646395665 Patient Service Revenu 621110 2190589887 2190589887 Program Service Grants 621110 66721245 66721245 Graduate Medical Educa 611710 21785709 21785709 Professional Service R 621110 12549759 12549759 2291646600 23434114 23434114 8975159 8975159 35691622 11776483 23915139 23915139 1320812 22594327 510252079 429398062 80854017 80854017 80854017 929653 7845597 1933159 -1003506 -1003506 Other General Services 900099 50054881 50054881 ACO Revenue 621110 23452702 23452702 Parking Revenue 812930 8971288 8971288 8518772 560237 7958535 90997643 3165214831 2315099302 1881049 201838815 X 13476337 13476337 1735599 1735599 20149611 19110885 1038726 1089183381 905385376 160646956 23151049 63562349 57854348 4098970 1609031 124433595 121386191 3047404 101773494 99197178 2576316 10448318 10448318 7391634 7382059 9575 3310701 3309919 782 107280 107280 1744238 1744238 529191847 413408179 114544021 1239647 8250142 6519919 1290233 439990 186730551 112501194 67724850 6504507 49587457 15461007 33379850 746600 142862824 137734633 3686183 1442008 9764614 7729875 1906112 128627 935622 840782 94840 51219093 51219093 187109843 186873947 235896 15108916 10589336 4519580 Lab/Medical/Pharmacy 421010609 419749397 1261212 0 Uncollectible Accounts 53797705 53797705 0 0 Uncompensated Care 42866940 42866940 0 0 Free Care 14784335 14784335 0 0 3150537035 2673218651 433309148 44009236 26259736 5045407 193986825 187827049 492291322 574615073 35000 43755767 47834417 23223012 40144914 5425484560 2674952778 2400815495 2750531782 697273878 982261447 958258523 1023208771 1785810 1662644 3242461110 3286194301 8080111478 8899360805 437029812 423991336 187188034 199607367 717200000 1242608943 865101692 822784286 784627723 846042949 2991147261 3535034881 X 3075653961 3107995016 2013310256 2256330908 5088964217 5364325924 8080111478 8899360805 X 14677796 139573700 121110211 X 0 1 X 1 1 1 X 573205044 544299928 620211449 542541293 646395665 2926653379 573205044 544299928 620211449 542541293 646395665 2926653379 83843620 2842809759 39457318 28655925 32927683 41217378 46333207 188591511 0 0 0 813623 1589479 2403102 47347934 47431442 37344165 58554300 75959863 266637704 3384285696 9141197004 0.84000 0.87100 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 205353 0 0 1 532461 0 0 737814 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 2024, five 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. Three 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 2024 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 $77,702 - Alyce Norcross Registered Lobbyist Children's Hospital personnel $21,091 - Sarah Mills Registered Lobbyist Children's Hospital personnel $15,818 - Kailey Sultaire Registered Lobbyist Children's Hospital personnel $45,500 - Ben Thomas Registered Lobbyist Children's Hospital personnel $43,680 - Shantel Gooden Registered Lobbyist Children's Hospital personnel $26,390 - Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $40,000 - Nick Manetto Consultant Faegre BD 1050 K Street NW, Suite 400, Washington, DC 20001 $67,280 - Total Lobbyist/Consultant expenses = $532,461 Expenses incurred by the Office of Government Relations for lobbying activities = $205,353 TOTAL LOBBYING EXPENSES = $737,814 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. 1269126000 13454000 65945000 64164000 1284361000 1209728000 34355000 87576000 62533000 1269126000 1281297000 42734000 -77210000 37093000 1209728000 1222213000 13623000 158528000 113067000 1281297000 1171359000 14137000 44286000 7569000 1222213000 0.51840 0.27760 0.20400 0 0 38481368 38481368 3667451419 1743388063 1924063356 1185348963 924564938 260784025 534202810 6999777 527203033 2750531782 3rd Pty External Administered Trusts 45443046 F Limited Partnerships 977765725 F 1023208771 Interest in the Net Assets of Children's Medical Center 2565127961 Expected Insur Recoveries for Prof Liability Claims 60812256 Investment in Subsidiaries 28379506 CERNER Asset 3389833 Other Assets - Miscellaneous -6497743 Right of Use Assets 514389369 Deferred Implementation Costs 110573322 Unamortized Bond Fees 10019797 3286194301 Estimated Final Settlement Due to Third Party Payors & Deferred Revenue 67772894 Funds Held for Others 25141708 Reserve for Medical Malpractice 13025876 Interest Rate Swap Liability 54819572 Cerner Contra Asset 7235619 Operating Lease Liability 568934181 Malpractice Unpaid Loss 60812256 Other Liabilities - Miscellaneous 17792786 Accrued Pension Cost 10443404 Deferred Compensation Plans 20064653 846042949 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 330833410 Sub-Saharan Africa 0 0 Investments 35251755 Europe 0 0 Investments 50810760 Central America and the Caribbean 0 0 Program services Patient care, research & education 8307 East Asia and the Pacific 0 0 Program services Patient care, research & education 104077 Europe (Including Iceland & Greenland) 0 0 Program services Patient care, research & education 297305 Middle East and North Africa 0 0 Program services Patient care, research & education 79522 North America 0 0 Program services Patient care, research & education 133133 Russia and Neighboring States 0 0 Program services Patient care, research & education 2405 South America 0 0 Program services Patient care, research & education 32964 South Asia 0 0 Program services Patient care, research & education 33018 Sub-Saharan Africa 0 0 Program services Patient care, research & education 85805 0 0 0 0 0 0 417518269 154192 417672461 0 0 0 0 0 0 X X X X X X X 1 Interactive Strategies LLC 1133 Connecticut Ave NW Suite 600 Washington DC 20036 Fundraising Counsel 0 2379411 105472 2273939 NNE Marketing LLC 1666 Massachusetts Ave Lexington MA 02420 Direct Mail Counsel 0 1298117 293500 1004617 Green Planet Sales Company Inc 407 College Ave Ste 349 Ithaca NY 14850 Fundraising Solicitation 0 975271 753380 221891 Sarah Gardner 13 Smokey Hill Rd Wayland MA 01778 Fundraising Counsel 0 524008 64400 459608 Good United 804 Meeting St Charleston SC 29403 Fundraising Counsel 0 0 26140 -26140 The Stelter Company 10425 New York Ave Des Moines IA 50322 Fundraising Counsel 0 0 262415 -262415 Brodeur and Coville LLC 535 Boylston Street Floor 10 Boston MA 02116 Fundraising Counsel 0 0 20000 -20000 Marts & Lundy 15 Olde Lyme Rd Winchester MA 01890 Fundraising Counsel 0 0 63775 -63775 Doing Goods Digital LLC 668 N Coast Highway Laguna Beach CA 92651 Fundraising Counsel 0 0 115500 -115500 Bentz Whaley Flessner Inc 7900 Xerxes Ave South Ste 980 Minneapolis MN 55431 Counsel/Reporting 0 0 39656 -39656 5176807 1744238 3432569 CT RI NH VT ME FL NY NJ NV MA Champions Dinner/Auction 5722505 5136202 586303 0 0 85308 334051 0 729103 BIC Dinner/Auction 1189060 1040210 148850 0 0 218772 5041 0 43005 2 1863685 1669185 194500 0 0 59450 138440 18600 301389 8775250 7845597 929653 363530 477532 18600 1073497 1933159 -1003506 Doug Vanderslice CFO Treasurer 300 Longwood Avenue Boston MA 02115 1 1 X 1 X 400.000000000000 1 X 1 1 0 1 1 16525350 3849996 12675354 0.00410 814418206 528461331 285956875 0.09230 0 0 830943556 532311327 298632229 0.09640 8783410 2388833 6394577 0.00210 58106532 6996420 51110112 0.01650 72708800 49640255 23068545 0.00740 629766731 589148737 40617994 0.01310 11620429 120000 11500429 0.00370 780985902 648294245 132691657 0.04280 1611929458 1180605572 431323886 0.13920 23 1803304 1803304 0.00060 12 565995 565995 0.00020 3 6750 6750 0.00000 38 2376049 2376049 0.00080 0 10355944 0 10424071 10975110 -551039 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 21 1 0 0 1 X www.childrenshospital.org/community-health/needs X X 1 22 1 www.childrenshospital.org/community-health/needs 0 1 X 400.000000000000 400.000000000000 X X 1 1 X X X X 1 X https://www.childrenshospital.org/patient-resources/about-boston-childrens/ X https://www.childrenshospital.org/patient-resources/about-boston-childrens/ X https://www.childrenshospital.org/patient-resources/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 2022 assessment used a participatory, collaborative approach and examined health in its broadest context. The assessment draws on data collected for the larger Boston Community Health Needs Assessment (CHNA) that includes data from the Massachusetts Department of Public Health, vital records, and surveillance systems. In Greater Boston, key informant interviews were conducted with 62 leaders across sectors including 8 interviews conducted by Boston Children's. In addition, there were 29 focus groups facilitated with residents including 6 focus groups with families and parents, and 8 focus groups with youth. To understand experiences and needs of those served by Boston Children's satellite clinics outside Boston, 9 interviews were conducted with community representatives from public health, health care, housing and homelessness, government, and social services sectors in Brookline, Lexington, North Dartmouth/New Bedford, and Peabody. Boston Children's also conducted a Community Health Survey, completed by 157 respondents, to inform the prioritization of community health needs. 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/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 addresses the health and social needs identified in the community health assessment process through our clinical care, services and programs and in collaboration with community partners.The Boston Children's Community Health Improvement Plan can be viewed at: www.childrenshospital.org/sites/default/files/2022-12/community-health-needs-2022-improvement-plan.pdf.Below is a summary of the goals of the Boston Children's Community Health Improvement Plan.Goal 1. Promote mental health and emotional wellness by nurturing resilient communities and building equitable, accessible, and supportive systems of care. Goal 2. Support safe, stable, healthy, equitable, affordable housing for children and families.Goal 3. Promote healthy youth development through youth-centered programming and career pathways.Goal 4. Increase access to affordable and nutritious food.Goal 5. Improve early childhood education, health, and developmental supports.Goal 6. Improve the health of children and families managing asthma and obesity. 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 Brookline Place 2 Brookline Place Brookline MA 02445 Outpatient Satellite Facility 5 - Boston Children's at Peabody 1 Essex Center Drive Peabody MA 01960 Outpatient Satellite Facility 6 - Martha Eliot Health Center 75 Bickford Street Boston MA 02130 Outpatient Community Health Center 7 - Boston Children's at Weymouth 200 Libbey Parkway Weymouth MA 02189 Outpatient Satellite Facility 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 four major health focus areas in which it concentrates its efforts. For children in Boston, asthma, mental health, obesity and child development are major concerns. 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 $53,797,705 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 FY24, Children's reported two types of community building activities: $1,803,304 for 23 community support programs and $565,995 for 12 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 conducted a community health needs assessment to ensure that it was addressing the most pressing health concerns across Boston - specifically the neighborhoods of Dorchester, Fenway, Jamaica Plain, Mattapan, Mission Hill, and Roxbury. The assessment also looked at those living in the communities served by Boston Children's locations outside of Boston, which includes Brookline, Lexington, North Dartmouth, Peabody, Waltham, and Weymouth.FINDINGS:The residents of Boston Children's priority neighborhoods are ethnically and linguistically diverse, with wide variations in socioeconomic levels. Low-income residents are disproportionately affected by the social and economic context in which they live. Population Overview: Boston's population is incredibly diverse in terms of race and ethnicity, country of birth, and language use. According to Census estimates, approximately 3 in 5 (60.0%) Boston residents identify as people of color. Key informants and focus group participants noted many languages spoken among residents, including Cantonese, Mandarin, Russian, Spanish, Haitian Creole, Cape Verdean Creole, and indigenous languages. About 1 in 5 Boston residents are 19 years old or younger. Charlestown (8.8%), Jamaica Plain (7.3%), and Mattapan (6.9%) have the highest proportion of children under 5 years old. The proportion of school-aged children (between the ages of 5 and 17) in Boston has declined over time. Education: Education is an important issue to Boston families and a critical factor affecting health. Assessment participants discussed how many children struggle in school, especially during the pandemic. In a survey during the pandemic, nearly 15% of Boston adults with children reported that they had unmet educational needs for children or teens during the COVID-19 pandemic. Early Childhood Services: In focus groups and interviews, early childhood and childcare services emerged as a growing need exacerbated by the pandemic. Between December 2017 and March 2021, there was an 11.3% decrease in the number of available childcare seats for children 0-5 years old across Boston. Between February 2020 and February 2021, the percent of eligible children referred to Early Intervention Services who actually received services decreased from 81% to 55%. Employment and Workforce: Jobs that pay well make it easier for families to afford childcare, high quality education, health care, and healthy food. However, interview and focus group participants described significant job loss linked with the pandemic and noted that finding and securing stable jobs is more difficult for residents from certain marginalized backgrounds. According to the Bureau of Labor Statistics, the Boston metro area's unemployment rate was 16.0% during the early stages of the pandemic in April 2020 and dropped to 3.7% nearly two years later in February 2022. Income and Financial Security: Community leaders and residents described financial stability as critical for health and shared that low-wage work and minimum wage is insufficient for many families to survive in Boston. Participants noted that the pandemic has worsened poverty for low-income residents across Boston. While 12.8% of families in Boston live below the poverty level, there are stark differences by race and ethnicity; for example, 3.2% of white families compared to 24.6% of Hispanic or Latino families are living below the poverty level. Housing and Homelessness: Interview and focus group participants cited housing affordability as a dominant concern that has been exacerbated by the pandemic and that directly impacts children. In the COVID-19 Health Equity Survey, 41.5% of adults overall and 54.7% of adults with at least one child in the home reported having trouble paying their rent or mortgage during the pandemic. Boston Children's Hospital Emergency Department Social Work records show a substantial increase in the annual number of families needing social work assistance with housing or homelessness from 51 families in 2014 to 411 families in 2021. Community leaders and residents described housing assistance as insufficient to meet the needs of low-income residents and families. Additionally, housing quality and in particular exposure to lead and asthma triggers were highlighted by a few interviewees as specific concerns for children and families. Transportation: Boston-based participants discussed transportation in the context of accessing services. Reports of transportation difficulties in the past year were highest among residents of Dorchester (02121 and 02125 zip codes; 20.4%), Mattapan (17.2%), and South Boston (16.2%). Many participants from satellite communities noted that public transportation options are often unreliable and cumbersome, and that transportation poses a challenge for coordinating school, childcare, and medical care for children. 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 475 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-five person voluntary Board of Directors. Eighteen 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, 2024 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 Part V, Section B, Line 11 A review of Boston Children's Hospital's 501(r) compliance was undertaken by outside counsel in December 2023 and January 2024. As a result of said review, the following omission, error or other failure to meet requirements was discovered in January of 2024. Boston Children's promptly took steps to correct the omission, error or other failure, as described below.Boston Children's discovered that in its implementation strategy to meet the community health needs identified in Boston Children's most recent Community Health Needs Assessment, Boston Children's had failed to identify resources the Hospital plans to commit to address each significant health need that the Hospital plans to address. In April and May 2024, Boston Children's revised its implementation strategy to identify resources the Hospital plans to commit to address each significant health need that the Hospital plans to address. 1 Africano Waltham (African Cultural Services Inc) PO Box 540325 Waltham MA 02451 273145250 501(c)(3) 50000 0 Community Partnership Autism Insurance Resource Center 55 Lake Avenue North S3-301 Worcester MA 01655 043108190 GOVT 15000 0 Support of Community Health Center Boston Alliance of Gay Lesbian Bisexual and Transgender Youth 28 Court Square Boston MA 02108 042785336 501(c)(3) 50000 0 Community Partnership Boston Centers for Youth and Families 75 Newbury Street 3rd Floor Boston MA 02116 042602576 501(c)(3) 50000 0 Community Partnership Boston Chinatown Neighborhood Center 38 Ash Street Boston MA 02111 237209691 501(c)(3) 324448 0 Community Partnership Boston Community Pediatrics 527 Albany Street Suite 200 Boston MA 02118 843091463 501(c)(3) 57500 0 Community Partnership Boston Housing Authority 52 Chauncy Street 10th Floor Boston MA 02111 046001907 GOVT 170000 0 Community Partnership Boston Municipal Research Bureau 333 Washington Street Suite 854 Boston MA 02108 222673755 501(c)(3) 8750 0 Community Partnership Boston Opportunity Agenda 75 Arlington Street 3rd Floor Boston MA 02116 042104021 501(c)(3) 200000 0 Community Partnership Boston Private Industry Council 2 Oliver Street Boston MA 02109 042676661 501(c)(3) 49995 0 Community Partnership Boston Public Health Commission 1010 Massachusetts Avenue 2nd Floor Boston MA 02118 043316655 GOVT 410000 0 Community Partnership Boston Public Schools 95 G Street Boston MA 02127 046001380 GOVT 822000 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 Brazilian Women's Group 697 Cambridge Street Suite 106 Brighton MA 02135 043549382 501(c)(3) 10000 0 Community Partnership Brazilian Worker's Center 14 Harvard Avenue 2nd Floor Allston MA 02134 043273525 501(c)(3) 10000 0 Community Partnership Bridge Over Troubled Waters 47 West Street Boston MA 02111 042472126 501(c)(3) 10000 0 Community Partnership Bridges Homeward 60 Gore Street Cambridge MA 02141 042104057 501(c)(3) 105000 0 Community Partnership Brockton Interfaith Community 1350 Pleasant Street Brockton MA 02301 223135464 501(c)(3) 171738 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) 73580 0 Support of Community Health Center Brookview House 2 Brookview Street Dorchester MA 02124 223032466 501(c)(3) 50000 0 Community Partnership 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 Services of Roxbury 520 Dudley Street Roxbury MA 02119 043082352 501(c)(3) 150000 0 Community Partnership City of Boston 95 G Street Boston MA 02127 046001380 GOVT 2007287 0 Community Partnership City of Boston - Fund for Parks & Recreation 95 G Street Boston MA 02127 046001380 GOVT 280000 0 Community Partnership City of Boston - Office of Early Childhood 95 G Street Boston MA 02127 046001380 GOVT 200000 0 Community Partnership City of Boston - Office of Youth Engagement & Advancement (OYEA) 95 G Street Boston MA 02127 046001380 GOVT 125000 0 Community Partnership Codman Square Health Center 637 Washington Street Dorchester MA 02124 042678774 501(c)(3) 250000 0 Support of Community Health Center 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 Dot House Health 1353 Dorchester Avenue Dorchester MA 02122 237125970 501(c)(3) 357276 0 Community Partnership Dudley Street Neighborhood Initiative Inc 550 Dudley Street Roxbury MA 02119 042859066 501(c)(3) 331455 0 Community Partnership East Boston Social Centers 68 Central Square Boston MA 02128 042104257 501(c)(3) 200000 0 Community Partnership Families First 50 Hunt Street Suite 320 Watertown MA 02472 043413397 501(c)(3) 100000 0 Community Partnership Family Aid Boston 3815 Washington Street Boston MA 02130 042105756 501(c)(3) 10000 0 Community Partnership Family Voices The Schrafft Center 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 Freedom House 5 Crawford Street Boston MA 02121 042240448 501(c)(3) 50000 0 Community Partnership Friends and Mentors 39 Orchard Avenue Brockton MA 02301 822395095 501(c)(3) 150000 0 Community Partnership Friends of the Children Boston 184 Dudley Street Suite 100 Roxbury MA 02119 201581289 501(c)(3) 55000 0 Community Partnership Greater Boston Chamber of Commerce 265 Franklin Street 12th Floor Boston MA 02110 041103090 501(c)(6) 13000 0 Community Partnership Greatest MINDS 89 South Street Suite 601 Boston MA 02111 201308560 501(c)(3) 25000 0 Community Partnership Heading Home 186 Massachusetts Avenue Boston MA 02115 237364546 501(c)(3) 10000 0 Community Partnership Health Care for All One Federal Street 5th Floor Boston MA 02110 043071598 501(c)(3) 30000 0 Advocacy Support Health Law Advocates One Federal Street Boston MA 02110 043298116 501(c)(3) 25000 0 Advocacy Support Health Resources in Action 95 Berkeley Street Boston MA 02116 042229839 501(c)(3) 34657 0 Community Partnership Healthcare Anchor Network 2202 18th Street NW Suite 317 Washington DC 20009 862147253 501(c)(3) 50000 0 Community Partnership Higher Ground 384 Warren Street Roxbury MA 02119 273660369 501(c)(3) 334000 0 Community Partnership Hyde Square Task Force PO Box 301871 Jamaica Plain MA 02130 043118543 501(c)(3) 27500 0 Community Partnership Immigrant Family Services Institute 1626 Blue Hill Avenue Mattapan MA 02126 474400495 501(c)(3) 150000 0 Community Partnership Inquilinos Boricuas en Accin 405 Shawmut Avenue Boston MA 02118 237090081 501(c)(3) 25000 0 Community Partnership Jamaica Plain Neighborhood Development Corporation 31 Germania Street Jamaica Plain MA 02130 042652919 501(c)(3) 305463 0 Community Partnership Jamaica Plain Tree of LifeArbol de Vida 36 Perkins Street Jamaica Plain MA 02130 042754281 501(c)(3) 20000 0 Support of Community Health Center Leap Self Defense PO Box 220663 Boston MA 02122 043454124 501(c)(3) 25000 0 Community Partnership Madison Park Development Corporation 184 Dudley Street Suite 200 Roxbury MA 02119 237164223 501(c)(3) 97390 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) 12500 0 Community Partnership Massachusetts Budget and Policy Center 1 State Street Suite 1250 Boston MA 02109 042967537 501(c)(3) 25000 0 Advocacy Support Massachusetts Law Reform Institute 40 Court Street Suite 700 Boston MA 02108 046004303 501(c)(3) 10000 0 Advocacy Support Massachusetts Public Health Association 14 Beacon Street Suite 706 Boston MA 02108 042326503 501(c)(3) 10000 0 Community Partnership Massachusetts Society for the Prevention of Cruelty to Children 125 Hartwell Avenue Suite 1 Lexington MA 02421 042103596 501(c)(3) 296727 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) 186690 0 Community Partnership Mattapan Community Health Center 1575 Blue Hill Avenue Mattapan MA 02126 042544151 501(c)(3) 92500 0 Support of Community Health Center Mission Safe A New Beginning PO Box 201060 Boston MA 02120 043457195 501(c)(3) 100000 0 Community Partnership More Than Words 56 Felton Street Waltham MA 02453 042784985 501(c)(3) 10000 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 Gove Street Boston MA 02128 237425849 501(c)(3) 57500 0 Community Partnership Neighborhood Birth Center 42 Seaverns Ave PO Box 301240 Boston MA 02130 042433182 501(c)(3) 52663 0 Community Partnership Neighborhood Villages 64 Sigourney Street Jamaica Plain MA 02130 821859365 501(c)(3) 100000 0 Community Partnership Nurtury Inc 2202 Washington Street Suite 306 Roxbury MA 02119 042105893 501(c)(3) 49938 0 Community Partnership Peer Health Exchange 1423 Broadway Suite 1059 Oakland CA 94612 562374305 501(c)(3) 52500 0 Community Partnership Project RIGHT 320 A Blue Hill Avenue Boston MA 02121 043265420 501(c)(3) 50000 0 Community Partnership 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) 109016 0 Community Partnership Silver Lining Mentoring 727 Atlantic Avenue 3rd Floor Boston MA 02111 043575764 501(c)(3) 50000 0 Community Partnership Simmons University School of Social Work 300 The Fenway Boston MA 02115 042103629 501(c)(3) 198871 0 Community Partnership Smart from the Start 68 Annunciation Road Boston MA 02120 454952663 501(c)(3) 15000 0 Advocacy Support Sociedad Latina 1530 Tremont Street Mission Hill MA 02120 042678255 501(c)(3) 101500 0 Community Partnership Somali Parents Advocacy Center for Education 15 Myrtle Street Apt 3 Everett MA 02149 842743083 501(c)(3) 30000 0 Community Partnership 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 3297 Washington Street Jamaica Plain MA 02130 042312909 501(c)(3) 102500 0 Support of Community Health Center Springfield College Department of Social Work 263 Alden Street Springfield MA 01109 042104329 501(c)(3) 85255 0 Community Partnership Strategies for Children - Massachusetts 400 Atlantic Avenue Boston MA 02110 043551406 501(c)(3) 50000 0 Community Partnership The Basics 89 South Street Suite 700 Boston MA 02111 042261109 501(c)(3) 100000 0 Community Partnership The Center for Teen Empowerment 130 Warren Street Roxbury MA 02119 043091002 501(c)(3) 26853 0 Community Partnership The Children's Trust 55 Court Street 4th Floor Boston MA 02108 043123184 501(c)(3) 10000 0 Community Partnership The City School 614 Columbia Road Dorchester MA 02125 020532474 501(c)(3) 50000 0 Community Partnership The Community Builders 185 Dartmouth Street 9th Floor Boston MA 02116 042324773 501(c)(3) 55000 0 Community Partnership The Dimock Center 55 Dimock Street Roxbury MA 02119 043487835 501(c)(3) 107500 0 Support of Community Health Center The NAN Project 125 Hartwell Avenue Lexington MA 02421 042316924 501(c)(3) 100000 0 Community Partnership UMass BIRCh Center 55 Lake Avenue North S3-301 Worcester MA 01655 043167352 GOVT 249776 0 Support of Community Health Center UMass Donahue Institute 55 Lake Avenue North S3-301 Worcester MA 01655 043167352 GOVT 76350 0 Support of Community Health Center 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 Inc dba City LifeVida Urbana 284 Amory Street Jamaica Plain MA 02130 042660311 501(c)(3) 149819 0 Community Partnership Vietnamese American Initiative for Development 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 02451 043399437 501(c)(3) 200000 0 Community Partnership WATCH CDC 24 Crescent Street Suite 201 Waltham MA 02453 222918528 501(c)(3) 150000 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) 55000 0 Community Partnership Whittier Street Health Center 1290 Tremont Street Boston MA 02120 042619517 501(c)(3) 43000 0 Support of Community Health Center William James College 1 Wells Avenue Newton MA 02459 042620216 501(c)(3) 253000 0 Community Partnership Young Man with a Plan 1178 River Street Boston MA 02136 881544048 501(c)(3) 75000 0 Community Partnership Youth Advocacy Foundation 44 Bromfield Street 2nd Floor Boston MA 02108 043583353 501(c)(3) 10000 0 Advocacy Support 108 1 A. Shuman Clothing Fund 995 509 FMV Emergency clothing Barber Family Endowment/Income Fund 1000 6821 FMV Prep/distribution of promotional materials related to philanthropic programs managed by Center for Families. Brandano Parent Apartment Fund 4355 14535 FMV Housing supplies for new apartment leases as part of the Patient Family Housing Fund. Broadway Sam Fund 1600 18014 FMV Event tickets and weekly breakfast for families staying in patient housing Devon Nicole House Operating Fund 2 845 FMV Housing assistance Extraordinary Needs Fund 2 2803 413788 FMV Emergency clothing/meals/personal supplies, parking vouchers, housing, caregiver webinars, bereavement programs. Family Wellness Fund 2957 209968 FMV Wellness supplies and services for patients and their families Hale Center for Families Endowment Operating Fund 18783 248552 FMV Staffing and supplies for children's events; gift cards for families Jennings Family Fund 950 11528 FMV Catered meals for Patient Family Housing families Judith Nelson Endowment/Operating Fund for Families 18816 46982 FMV Staffing in the Center for Families and Career for Caregivers training program Mannheim Family Endowment/Operating Fund 1670 10194 FMV Support and supplies for Patient Family Housing program Milagros Para las Familias Fund 150 16294 FMV Support groups and supplies for extraordinary needs of families Nursing Education Scholarship Fund 72 90969 Patient Family Housing Fund 1670 123209 FMV Maintenance expenses and supply costs for housing program. Pet Therapy Program Fund 5581 82902 FMV Theurapeutic dog visits made to inpatients Philip Nelson Endowment Operating Fund 5581 16381 FMV Dog lab expenses and travel Room to Heal Fund 18933 5221 FMV Back-to-school supply bags & coffee hour supplies TAC Operating Fund 17 5625 FMV Supplies and scholarships Telemachus & Irene Demoulas Family Foundation Extraordinary Needs Endowment Operating Fund 329 20086 FMV PACT Hope program support and event supplies for Keeping Connections and Memorial services Yawkey Family Inn Fund 3757 386443 FMV Housing assistance Amos's Endowment/Operating Fund 1200 6465 FMV Website video production for Pawprints program Patient Care Support Services Endowment/Income Fund 780 268 FMV Books for visiting families 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 1 0 X X X X X X 0 1 0 0 0 0 0 0 0 Kevin Churchwell MD President & CEO 1575560 0 927675 0 559398 0 29700 0 105559 0 3197892 0 0 0 Philip Rotner Chief Investment Officer 867348 0 876800 0 232506 0 29700 0 38047 0 2044401 0 0 0 Doug Vanderslice EVP, CFO & Treasurer 902247 0 353818 0 348008 0 29700 0 50422 0 1684195 0 0 0 Peter Laussen MD EVP, Health Affairs 839522 0 253052 0 162973 0 33000 0 60916 0 1349463 0 0 0 Michele Garvin Esq EVP, Chief of Staff 768780 0 270589 0 162245 0 29700 0 23472 0 1254786 0 0 0 Nancy Andrews EVP, Chief Scientific Officer 792793 0 239400 0 137135 0 26400 0 46787 0 1242515 0 0 0 Joseph A Mitchell MD EVP & President, Franciscan's 0 634904 0 399762 0 34193 0 128100 0 0 0 1196959 0 0 Demosthenes Argys EVP, Hospital Chief Operating Office 732464 0 216971 0 136446 0 29700 0 22148 0 1137729 0 0 0 Laura J Wood DNP MS RN EVP, Chief Nursing Officer 673992 0 199386 0 131686 0 29700 0 44950 0 1079714 0 0 0 Lynn Susman EVP, Chief Development Off 572766 0 292843 0 107399 0 36300 0 29418 0 1038726 0 0 0 Lisa Abbott EVP, Chief Human Resources Officer 623579 0 168938 0 187015 0 0 0 26630 0 1006162 0 0 0 Stacy Drury Department Chief, Psychiatry 521792 0 427708 0 1377 0 36300 0 7067 0 994244 0 0 0 Sandra Fenwick Former President & CEO 0 0 0 0 939289 0 0 0 0 0 939289 0 939289 0 Martin Kelly Director, Investments 495767 0 363939 0 3550 0 26400 0 22359 0 912015 0 0 0 Heather Nelson SVP, Chief Information Off 591336 0 151200 0 103962 0 19800 0 33126 0 899424 0 0 0 Nirav Desai Director, Investments 461157 0 340707 0 1282 0 23100 0 22803 0 849049 0 0 0 Cynthia Haines SVP, National & International Servic 540132 0 138048 0 105353 0 26400 0 29628 0 839561 0 0 0 Lisa Hogarty SVP, RE Planning and Devel 501089 0 186244 0 92265 0 26400 0 30190 0 836188 0 0 0 Patricia Hickey PhD MBA RN NEA-BC SVP, Nursing/Patient Care 566841 0 124805 0 91502 0 39600 0 9368 0 832116 0 0 0 Nader Rifai PhD Director, Lab Medicine 502002 0 158007 0 7465 0 36300 0 16294 0 720068 0 0 0 Steven Luber SVP, Finance 481762 0 113400 0 68142 0 19800 0 9588 0 692692 0 0 0 Michael Gillespie SVP, Clinical Services 446609 0 113400 0 79415 0 29700 0 22782 0 691906 0 0 0 August Cervini SVP, Research Administration 383125 0 97222 0 65534 0 23100 0 27052 0 596033 0 0 0 Bruce Balter Asst Treasurer/Dir Corp Fin 292776 0 19173 0 3720 0 38293 0 16465 0 370427 0 0 0 Daniel Nigrin MD Former SVP & CIO 0 0 0 0 315203 0 0 0 0 0 315203 0 315203 0 Christopher Viney JD EVP, General Counsel & Sec 114425 0 60000 0 437 0 18616 0 1760 0 195238 0 0 0 Christine Grenache Asst Sec/Exec Manager (END TERM 6/30 148300 0 0 0 271 0 9316 0 8839 0 166726 0 0 0 Part I, Line 1a One key employee received a gross-up payment for temporary housing, which is included in taxable compensation reported in Part II, Column (B)(iii). 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 2023, Children's Hospital Corporation made contributions to the supplemental non-qualified retirement plan for the individuals below: Kevin Churchwell, MD received a contribution of $482,116 Philip Rotner received a contribution of $204,300 Douglas Vanderslice received a contribution of $246,666 Peter Laussen, MD received a contribution of $127,220 Michele Garvin received a contribution of $123,124 Nancy Andrews received a contribution of $110,628 Demosthenes Argys received a contribution of $102,000 Laura Wood received a contribution of $97,485 Lynn Susman received a contribution of $76,200 Lisa Abbott received a contribution of $57,803 Heather Nelson received a contribution of $73,746 Cynthia Haines received a contribution of $71,374 Lisa Hogarty received a contribution of $58,941 Patricia Hickey received a contribution of $57,087 Steven Luber received a contribution of $44,690 Michael Gillespie received a contribution of $49,685 August Cervini received a contribution of $39,386 During calendar year 2023, the following individuals received supplemental executive retirement plan distributions: Sandra Fenwick received a distribution of $939,289 Daniel Nigrin received a distribution of $315,203 During calendar year 2023, 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 $127,100 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 447333554 49516269 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 Demosthenes Argys Key Employee Advance for expenses X 35000 35000 0 1 1 35000 Bernard Mathey-Prevot Family member of key employee 87279 Employment 0 X 72650 Market value per donor X 308 20853851 Mean value on gift date X 24 12210 Market value per donor X 2 25986 Market value per donor X 40 1402192 Market value per donor X Travel/Dining 26 151850 Market value per don X Miscellaneous 19 70890 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 are 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 2024, 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 first 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 2024, Boston Children's was also named the #1 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 eighth year in a row, Boston Children's was selected as a Leader in LGBTQ Healthcare Equality by Healthcare Equality Index (HEI). Form 990, Part VI, Section A, line 4 The organization's bylaws were updated to expand the size of the board and add term limits. 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 President & Chief Executive 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: President & 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 59,914. Management and general expenses 319. Fundraising expenses 0. Total expenses 60,233. Catering Services: Program service expenses 1,088,447. Management and general expenses 1,323,681. Fundraising expenses 32,643. Total expenses 2,444,771. Collection Agency Fees: Program service expenses 192,282. Management and general expenses 1,866,885. Fundraising expenses 0. Total expenses 2,059,167. Consulting Services: Program service expenses 6,880,228. Management and general expenses 7,885,610. Fundraising expenses 202,164. Total expenses 14,968,002. Employment Agency Services: Program service expenses 2,147,131. Management and general expenses 1,634,089. Fundraising expenses 144,297. Total expenses 3,925,517. Environmental Services: Program service expenses 492,373. Management and general expenses 1,498,209. Fundraising expenses 0. Total expenses 1,990,582. Laundry Services: Program service expenses 214,719. Management and general expenses 101,419. Fundraising expenses 0. Total expenses 316,138. Misc. Purchased Services: Program service expenses 104,202,990. Management and general expenses 65,636,778. Fundraising expenses 785,505. Total expenses 170,625,273. Nursing Agency Fees: Program service expenses 29,115,727. Management and general expenses -10,549. Fundraising expenses 0. Total expenses 29,105,178. Purchased Medical Services: Program service expenses 143,545,807. Management and general expenses 30,091,316. Fundraising expenses 0. Total expenses 173,637,123. Purchased Research Services: Program service expenses 82,521,139. Management and general expenses -291,871. Fundraising expenses 0. Total expenses 82,229,268. Security Services: Program service expenses 23,037,597. Management and general expenses 3,442,215. Fundraising expenses 0. Total expenses 26,479,812. Temp Agency Fees: Program service expenses 19,909,825. Management and general expenses 1,365,920. Fundraising expenses 75,038. Total expenses 21,350,783. Form 990, Part XI, line 9: Net transfers/support from Children's Medical Center 85,515,057. Pension adjustment 32,982,410. Net assets released from restrictions -4,645,914. Extinguishment of debt -2,115,291. Net transfers 9,373,949. Children's One Brookline Place LLC 300 Longwood Avenue Boston MA 02115 205850015 Real Estate Holdings MA 0 53922053 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 0 2522835 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 Inactive MA 0 0 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 6965992 Longwood Research Institute Children's Waltham Medical Center LLC 300 Longwood Avenue Boston MA 02115 202076874 Real Estate Holdings MA 0 0 Children's Medical Center Corp Boston Children's Health Accountable Care LLC 300 Longwood Avenue Boston MA 02115 300991601 Accountable Care MA 20392495 8182044 Children's Hospital Corporation BCD Hospital Energy Collaborative LLC 300 Longwood Avenue Boston MA 02115 821711826 Hospital Energy MA 0 0 Children's Hospital Corporation Boston Children's Health Physicians LLP 300 Longwood Avenue Boston MA 02115 133956599 Healthcare NY 172964323 94804224 Children's Medical Center Corp Boston Children's Health Solutions RX LLC 300 Longwood Avenue Boston MA 02115 861408128 Specialty Pharmacy MA 89915210 13954377 Children's Hospital Corporation Boston Children's Health National LLC 300 Longwood Avenue Boston MA 02115 933063006 Healthcare MA 13020557 0 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 0 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 1 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 11905699 FMV