Form990
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Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 10-01-2013 , 2013, and ending 09-30-2014
BCheck if applicable:
CName of organization
Children's Hospital Corporation
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
300 Longwood Avenue
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Boston, MA02115
D Employer identification number

04-2774441
E Telephone number

G Gross receipts $ 1,827,801,648
F Name and address of principal officer:
Sandra Fenwick
300 Longwood Avenue
Boston,MA02115
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.childrenshospital.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1982
M State of legal domicile: MA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: Provider of pediatric healthcare, education, research & community service
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 21
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 14
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 11,683
6 Total number of volunteers (estimate if necessary) ............. 6 1,401
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 264,130
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -75,422
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 336,637,071 330,383,668
9 Program service revenue (Part VIII, line 2g) ......... 1,007,927,735 1,108,053,862
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 49,054,992 31,411,708
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 47,492,694 44,683,570
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,441,112,492 1,514,532,808
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,091,073 4,021,598
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 728,668,108 720,660,180
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 1,514,933 1,144,084
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet24,471,083    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 605,887,704 677,630,794
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,339,161,818 1,403,456,656
19 Revenue less expenses. Subtract line 18 from line 12....... 101,950,674 111,076,152
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 4,026,419,766 4,453,644,764
21 Total liabilities (Part X, line 26)............. 1,183,972,980 1,373,599,722
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,842,446,786 3,080,045,042
Part II
Signature Block
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Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: Boston Children's Hospital (BCH) is the nation's premier pediatric hospital. We serve as the community hospital for the children of Boston; provide specialty pediatric care throughout the region; and offer access to innovative, life saving care to children across the world facing challenging medical issues. BCH's vision is to advance pediatric care - both in our local neighborhoods and worldwide - through a commitment to innovation and science-based care. All of our activities are driven by four interwoven missions: providing access to safe, high quality, compassionate and innovative clinical care to children, especially to those with complex medical conditions and rare diseases; researching new cures and treatments for diseases and methods of care delivery; training the next generation of pediatric caregivers; and improving the health and well being of children, with a special emphasis on helping the children of Boston grow and learn in safe, healthy environments.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 844,122,346 including grants of $ 4,021,598 ) (Revenue $ 1,043,099,775 )
CLINICAL CARE: As one of the largest pediatric hospitals in the US and the only freestanding pediatric hospital in Massachusetts, Boston Children's Hospital(BCH), 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. The services we offerfrom 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. Our team has a deep commitment to setting the bar for quality and safety and exceeding the expectations of our patients and their families for service, undertaking significant investments in each of these areas.Annually, BCH sees: 23,172 inpatients at our main campus; 849 bedded cases at our satellites and 551,660 combined outpatients at main campus and satellites; 29,594 patients in our community health clinic. Of these patients, more than 22.8%(CMI > 2.00)can be qualified as clinically complex. Of these patients, approximately 33%(patients on Medicaid/Medicare)are considered low income.BCH 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. BCH is the single largest provider of care to children enrolled in the Medicaid program, caring for approximately 30% of all pediatric Medicaid patients statewide, including more than 90% of the sickest children in the state. BCH also provides clinical care for the largest number of uninsured children in the state; total free care and losses from Medicaid in FY2014 were approximately $52.5 million.Recognizing the difficulties that community-based hospitals face in providing specialized pediatric care(which requires significant investments in staff, equipment and training), BCH has formed partnerships with 8 community hospitals throughout eastern Massachusetts, including Beverly Hospital, Winchester Hospital and South Shore Hospital. With approximately 100 physicians serving those community hospitals, we enhance the community's-and the state's-ability to provide access to emergency, neonatal, inpatient and outpatient specialty services for children. BCH also operates satellite facilities in Lexington, Peabody and Waltham where we offer specialized care in cardiology, gastroenterology, neurology, respiratory diseases, diabetes, orthopedic surgery, urology and other specialties. In addition, our physicians offer outpatient services at our Physician Office Locations in Brockton, Milford, Norwood, North Dartmouth and Weymouth.Each year, BCH improves the quality of the clinical care it provides by recruiting talented staff, investing in cutting-edge equipment and technology, undertaking safety and quality initiatives, supporting community health programs and ensuring that our facilities make the care process easier and more comfortable for all the patients and families we serve. For example:Focus on Quality: In 2014, BCH's Program for Patient Safety and Quality (PPSQ) awarded 139 research grants, totaling more than $1.5 million and launched a Quality Improvement Science course, which taught Quality Improvement (QI) fundamentals that help staff to better implement QI projects across departments. Through the Program, the Hospital also supports 20 quality and safety registries where data from other pediatric hospitals are used to benchmark performance.PPSQ grant-funded research led to the development of new quality and safety measures for nursing, 10 of which are being tested through a national consortium. PPSQ also established a more rigorous Maintenance of Certification(MOC)process to better assist physicians and physician leaders in maintaining their board certifications through the creation and execution of QI projects. In that same time, the hospital's Center for Patient Safety and Quality Research(CPSQR)awarded $400,000 across 4 grants. A CPSQR-funded national registry of clavicle fractures in adolescents expanded from 3 sites to 5 sites nationwide. Surgical repairs are more common for clavicle fractures, but also more expensive and riskier. The registry will help determine whether surgical treatments are more effective, which is likely to drive safer and higher quality orthopedic care for children with clavicle injuries.Additionally, CPSQR supported a study on safe sleep practices for preterm infants in the Neonatal Intensive Care Unit(NICU). The study led to the development of safe sleep practices for infants that have been shown to reduce the risk of sleep-related morbidity and mortality. Approximately half of level III NICUs in Massachusetts will adopt those practices. CPSQR also launched a pilot Scholars Program for academic faculty, which provides research support for hospital faculty for up to 2 years. The highly targeted support is intended to accelerate the academic careers of leading patient safety and quality researchers and includes dedicated project management support, analytic support for large database projects, and faculty mentoring. In 2014, CPSQR selected 3 researchers from a competitive pool of 13 nominations. Encourage Innovation: The Innovation Acceleration Program(IAP)at BCH promotes innovation at a grassroots level by creating opportunities for hospital staff to develop solutions that effectively address real clinical pain points. The IAP offers "innovestment" grants and Fast Track Innovation in Technology(FIT)project awards, which are both open to all hospital staff. Instead of funding, FIT project awards offer software development resources. The FIT team rapidly creates "proof of concept" software that can be piloted inside BCH. The software is refined and can then be adapted for the institution's use or distributed externally for other organizations. In 2014, the FIT team streamlined this process by creating a platform that already complies with the hospital's IT security framework, allowing the team to create software in less time. The IAP's innovestment grants support early stage innovations with up to $15,000. More than 1/2 of recipients have gone on to attract external partners as a result of their grant, including MIT Lincoln Labs and the Wyss Institute for Biologically Inspired Engineering. The IAP awarded 4 innovestment grants in 2014, one of which funded the creation of device that could cut healthcare spending nationwide by $2.34 billion.About 41,000 patients contract central line infections every year. Up to a 1/4 die from them and survivors can require 2-3 extra weeks of inpatient care. This adds as much as $55,000 to a patient's hospital stay, explaining why the US spends $2.34 billion treating central line infections.Central line infections start when the catheter's hub(the port where it enters the body)is exposed to bacteria. The academic literature concluded that 94 percent of hospitals do not meet existing guidelines from the Centers for Disease Control(CDC), that call for clinicians to scrub a hub for 30 seconds before leaving it to dry for another 30. The typical ICU cardiac patient needs 30-40 injections per day, adding up to 40 minutes of scrubbing and drying per day for each patient. BCH researchers used an innovestment grant to create a handheld device that easily cleans and dries central line hubs. Clinicians snap a hub onto the device, set a scrubbing time and press a button. The device scrubs faster and harder than a human can, eliminating the potential for human error.The IAP also strengthens BCH's culture of innovation by organizing events that connect hospital staff with resources they need to turn their ideas into a reality, including monthly Innovators' Forum events, where hospital innovators can share their work with their colleagues and staff from nearby institutions. The IAP also organizes panel discussions that bring external experts together to discuss issues relevant to innovators including licensing, vendor contracts and intellectual property rights.Improve Care in the Community: The Community Asthma Initiative(CAI)has helped improve the health of more than 1,360 Boston children with asthma. CAI provides case-management services, offers home visits, educates caregivers and providers, distributes asthma control supplies and connects families to local resources. The program has reduced the percentage of patients with any asthma-related hospitalizations by 80%, emergency department visits by 57%, missed schools days by 43% and missed work days for parents or caregivers by 52%.
4b (Code:   ) (Expenses $ 345,655,791 including grants of $ 0 ) (Revenue $ 0 )
RESEARCH:Boston Children's is dedicated to enhancing the wellbeing of children and families by leading research and innovation around child health issues, and by seeking new approaches to the prevention, diagnosis and treatment of childhood and adult diseases.With over $300 million in annual funding and 800,000 square feet of space, Boston Children's is home to the world's largest and most active research enterprise at a pediatric center. Boston Children's research mission encompasses basic research, clinical and translational research, community service programs and the postdoctoral training of new scientists. While the National Institutes of Health is our largest sponsor, Boston Children's has made a significant investment of more than $23 million towards supporting its research activities in 2014. Our investigators hold numerous prestigious honors and awards, including many "research firsts." In our laboratories and clinics, hundreds of scientists seek to identify the factors that contribute to both childhood and adult diseases and to develop effective treatments for them. Our investigators are Harvard Medical School faculty - basic scientists, clinical researchers and epidemiologists - who are accelerating the pace of medical discovery from brainstorm to bench to bedside. Our researchers were the first to develop 10 new disease-based stem cell lines by reprogramming adult stem cells that can be used to study treatments for diseases ranging from Parkinson's to Diabetes. Clinicians and researchers at Boston Children's work with colleagues throughout the medical community to translate basic science research into applications for clinical care. These projects frequently have applications that go beyond pediatrics to impact adult care as well. For example:Skin cream for Peripheral Neuropathy: Peripheral Neuropathy causes weakness, numbness and pain, usually in hands and feet, as a result of damage to peripheral nerves. One form, called small-fiber neuropathy, is especially difficult to treat and causes pain, tingling and loss of sensation, usually starting at the feet. The loss of sensation can increase the chances of ulcers and infections that may lead to amputation. Current treatment options rely on painkillers to reduce pain, but those medications don't address the underlying cause of neuropathy. Researchers at Boston Children's Hospital developed a skin cream that may do just that. Small-fiber neuropathy is known to degenerate nerve endings of sensory neurons and diminish the body's supply of GNDF, a group of factors that stimulate nerve growth. Because GDNF is a large molecule, it was thought that the only way to get it into the nervous system was through invasive methods such as injections into the spinal cord. The skin cream bypasses this barrier by delivering a small-molecule compound (called XIB4035) known to enhance the GDNF's effects through the skin.3D printing gives clinicians a rehearsal for complex procedures: Boston Children's Hospital was one of the first hospitals in the country to develop a simulation program and last year it became one of the first to adapt 3D printing technology for clinical use. Boston Children's Hospital developed its own 3D printer, which it uses to produce replicas of patient anatomy with a resolution of between 16 and 32 microns per layer, meaning that each layer is about the width of a filament of cotton. The printer can print multiple resins or textures, allowing doctors to work on replicas that model different types of tissues such as brain matter and blood vessels. That technology is an especially useful tool for clinicians treating the complex, one-of-a-kind patients that are often referred to Boston Children's Hospitals. Because, those cases are incredibly rare, the clinicians and surgeons treating those complex patients rarely have opportunities to practice the equally complex surgeries these patients require. 3D printing allows them to create replicas of their patients' anatomy and perform a "dress rehearsal" before anyone enters the operating room. One neurosurgeon at Boston Children's recently used several different 3D models to perform brain surgery on a 15-year-old patient with an abnormal cluster of veins above his optical nerve. Because of the delicate work involved, even the smallest mistake could have left the patient blind. The neurosurgeon used a see-through replica of the patient's skull on a light box in the operating room as a reference, enabling him to not only finish the operation successfully, but also complete the operation in less than half the usual time for a similar operation. 3D printing technology is also used to help parents understand their children's surgeries before the operation as well as to educate medical students and residents.Adapting behavioral drugs to return the brain to "critical periods": A team of Boston Children's Hospital researchers has discovered that behavioral drugs can return the chemistry of the brain to what they describe as "critical periods" in its development. These periods typically occur during childhood when the brain is rapidly growing, and help explain why children younger than seven can learn new skills like language and music much faster than adults can. The ability to return the chemistry of the brain to that state has created new opportunities to treat conditions in older patients that would typically need to be treated at a much younger age.The research team was able to do just that with one 14-year-old patient suffering from amblyopia. The condition, commonly referred to as lazy eye, left her with extremely poor vision in one eye. Typically, the best chance for correcting amblyopia is before a child turns eight. Those who don't get treatment early enough, or for whom treatment does not work, usually end up living with their condition for the rest of their lives. The research team used Donepezil, which is typically prescribed to treat Alzheimer's disease, to return to a critical period, allowing her brain to properly learn how to process visual stimuli from the amblyopic eye and dramatically improving her vision.
4c (Code:   ) (Expenses $ 34,841,350 including grants of $ 0 ) (Revenue $ 17,799,283 )
TEACHING:Over the course of the year, 149 residents, 267 clinical fellows, 545 research fellows and more than 900 rotating residents/fellows come to Boston Children's from around the world. More importantly, these men and women are selected for their potential leadership in their respective fields and their commitment to advancing the frontiers of pediatric care. In fact, a 24-year analysis of residents who have graduated from our Department of Medicine found that about 40% go on to become leaders in academic medicine, filling positions such as deans, chairs and program heads across the country. Over a third of the chiefs of pediatric departments across the country trained at Boston Children's. We train individuals throughout all areas of the care continuum, including medical students, interns, residents, fellows, nursing students and community pediatricians. We provide continuing professional education for all of our clinical staff.Boston Children's offers the only training programs in Massachusetts for: Adolescent Medicine, Medical Biochemical Genetics, Neurodevelopmental Disabilities, Pediatric Cardiology, Pediatric Hematology/Oncology, Pediatric Nephrology, Pediatric Orthopedics, Pediatric Pathology, Pediatric Surgery, Pediatric Sports Medicine, Pediatric Urology, Pediatric Transplant Hepatology and Congenital Cardiac Surgery.Boston Children's offers the only training programs in New England for Adolescent Medicine, Medical Biochemical Genetics, Neurodevelopmental Disabilities, Pediatric Sports Medicine, Pediatric Urology, Pediatric Transplant Hepatology and Congenital Cardiac SurgeryBoston Children's has the largest accredited training programs in the country for Child Neurology, Pediatric Anesthesiology, Pediatric Cardiology, Pediatric Endocrinology and Pediatric Otolaryngology.In addition, Boston Children's Pediatric Sports Medicine is one of only 14 accredited pediatric sports medicine programs in the country and Neurodevelopmental Disabilities is one of only 9 accredited neurodevelopmental disabilities programs in the country. Congenital Cardiac Surgery is one of 12 in the country, Pediatric Transplant Hepatology is one of 7 in the country, and Medical Biochemical Genetics is one of 11 in the country.
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Community:More than 20 years ago, Boston Children's Hospital was among the first academic medical centers in the country to expand the traditional missions of patient care, teaching and research to embrace a fourth core mission-community. 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 living in Boston to innovative models that have proven to address health disparities and improve health outcomes for children.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 to address non-health issues that have an impact on health such as an individual's exposure to violence or the consequences of living in poverty. 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:To better understand current health needs in the community, Boston Children's conducts a comprehensive needs assessment every three years. The findings inform the direction of Boston Children's community mission and the scope of its community health work. It also helps to ensure that Boston Children's is utilizing resources and leveraging community partnerships in the most effective way.The most recent assessment was conducted during 2013. The assessment focused on children and families living in four priority neighborhoods in Boston-Roxbury, Mission Hill, Fenway and Jamaica Plain. It had three goals: 1) evaluate the current health status of children and families; 2) identify current health priorities as well as emerging health concerns and 3) understand strengths, resources and gaps in health and health care services.Boston Children's reviewed current data on social, economic and health indicators in Boston. Data also was available through the Boston Child Health Study, a survey conducted by the Boston Public Health Commission with support from Boston Children's. The study engaged over 2,100 parents from across Boston through a phone survey. It provided new perspectives from parents regarding their views on their child's health.The heart of Boston Children's assessment is direct internal and external feedback from community residents and stakeholders. Five focus groups with community residents were held and interviews were conducted with providers, elected officials and staff from community-based organizations and health centers. In total, 115 residents and stakeholders were engaged for the assessment.Key issues identified through the assessment process included obesity, asthma, mental and behavioral health, early childhood/child development and access to care concerns. These needs and issues are addressed through Boston Children's clinical care, services and programs and in collaboration with community partners. For a copy of the Community Health and Benefits Plan with details on how Boston Children's is addressing the needs identified through the assessment process, visit bostonchildrens.org/community.Ongoing assessment:A formal and comprehensive needs assessment is only one part of Boston Children's approach to understanding the complex health needs and vital resources within the community. Boston Children's is constantly 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, facilitates and strengthens the development of partnerships and helps to shape the implementation of the hospital's Community Health and Benefits Plan.For more details on the needs assessment process and key findings, visit bostonchildrens.org/community. A copy of the last assessment completed in 2013 as well as 2009 can also be found on the web site.Serving as a safety netBoston Children's remains committed to its local community, providing primary and preventative care, as well as inpatient care for complex illnesses. It is one of the leading providers of health care to low-income and underinsured 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 very limited capacity, such as mental health and dental care.Being a community health leaderBoston Children's has identified four priority health areas-asthma, obesity, mental health and child development-and developed 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.- The Community Asthma Initiative (CAI) helped to improve the health of Boston children with asthma. To date, more than 1,360 children have benefitted from the program. CAI provides case-management services, offers home visits, educates caregivers and providers, distributes asthma control supplies and connects families to local resources. The program has reduced the percentage of patients with any asthma-related hospitalizations by 80%, emergency department visits by 57%, missed schools days by 43% and missed work days for parents or caregivers by 52%.- Boston Children's Hospital Neighborhood Partnerships Program (CHNP) is a community mental health program. CHNP places clinicians in Boston schools and community health centers to provide a comprehensive array of mental health services to better meet the needs of children and adolescents. Nearly 1,500 students have received school-based services and over 300 children have received care in community health centers this year. In addition, 165 teachers and parents participated in 750 hours of consultation or training. - Fitness in the City (FIC) is a community-based approach to addressing obesity. FIC supports 10 Boston community health centers to provide almost 1,000 children annually with case-management support, as well as access to nutrition and physical activity programs. Almost 62% of children participating in FIC have reduced or maintained their Body Mass Index and have made behavioral changes such as reducing consumption of sugar sweetened beverages and increasing the amount of time being physically active.- The Advocating Success for Kids Program (ASK) provides access to intensive and critically needed services for hundreds of children experiencing school-functioning problems and learning delays through Boston Children's primary care clinic and in three Boston community health centers. ASK has successfully reduced the wait times for families seeking in-demand assessment and case management services.For more details on the community programs mentioned above visit, bostonchildrens.org/community
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Supporting and working with community partnersBoston Children's has relationships with an array of community partners who provide a voice for the families and neighborhoods they represent. Boston Children's partners help to ensure that the hospital better understands the needs, uniqueness and strengths that lie within each community. In addition, Boston Children's has three strategic partners-key entities that form the child health and wellness infrastructure in Boston-the Boston Public Schools, Boston Public Health Commission and community health centers.Boston Public SchoolsBoston Children's and the Boston Public Schools (BPS) have worked together on a range of initiatives over the past several years. Key highlights from our work in FY 14 include:- Continued implementation of the district-wide Behavioral Health model jointly developed by Boston Children's and the BPS. As a result of its partnership and experiences in the BPS, Children's Hospital Neighborhood Partnerships has been the main partner in the development and implementation of a new district-wide behavioral health model. The model enables schools to provide a comprehensive system of care that integrates appropriate levels of behavioral support for all students. In FY14, the model was piloted in 23 schools.- Implemented health and nutrition education programming for BPS students, parents and caregivers through the Kohl's Healthy Family Fun Program (KohlsHealthyFamilyFun.org). Working in collaboration with the BPS, Boston Children's is helping to implement Healthy Family Fun events in 25 schools in the district. Healthy Family Fun events engage families and children to learn more about healthful eating and physical activity. More than 5,600 were reached during the last year. Boston Public Health CommissionBoston Children's has been a longtime partner with the Boston Public Health Commission (BPHC) working together on pressing health issues and supporting efforts to help children, adolescents and young adults, including:- The report, The Health of Boston's Children: Parent and Caregiver Perspectives, is the result of a partnership between the BPHC and Boston Children's to survey 2,100 parents and caregivers about a variety of health-related issues for children from birth to age seventeen. The purpose of this study was to encourage public dialogue and to inform programs, services and research to improve health outcomes for children.- The second part of the study will be released later in 2015 and includes an assessment of the environmental factors that impact child health. The final piece is an analysis of health insurance claims data, which will provide a better understanding of health care utilization and the overall health of Boston children.- Participation in the BPHC's Tobacco-Free Hospital Initiative and Sugar-sweetened Beverage Learning Network, which aligned with the formation of an internal Healthy Hospital Workgroup.- This group has recommended and implemented changes to help improve the health environment at Boston Children's for patients, families and staff.Community Health CentersBoston Children's supports Boston community health centers to: 1) build capacity to provide a full range of services for children; 2) provide pediatric services that address the most pressing health issues affecting children; and 3) demonstrate their value through effective assessment and reporting of quality outcomes. Boston Children's provides financial and programmatic support to 10 Boston community health centers: Bowdoin Street, Brookside, Dimock, Joseph Smith, South Cove, South End, Southern Jamaica Plain, Upham's Corner, Whittier Street and Mattapan. These health centers provide primary care and support, including medical, dental and mental health services, to more than 33,000 Boston children and their families, particularly the uninsured and underinsured. With support from Boston Children's, the health centers have been able to focus on not only the quality of care provided but also how they can expand the range of services delivered, serving as part of a patient-centered medical home.For more details on Boston Children's community partnerships, visit bostonchildrens.org/community. Addressing social determinants of healthRecognizing the link between social and health issues, Boston Children's actively participates and collaborates with its key community partners to respond to social determinants of health, which are non-medical issues that have a significant impact on individual and community health. Boston Children's focuses on providing support at the individual, family and community levels. Based on community need and the hospital's expertise, Boston Children's focuses its efforts and partnerships in three areas: - Education and schools. Boston Children's partners closely 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 overcome barriers that may prevent their children from functioning well in school. See above on BPS. These programs include the Boston Children's Hospital Neighborhood Partnerships Program, the Advocating Success for Kids Program and various efforts in the area of child development. - Workforce Development. Boston Children's recognizes that one of the most significant ways to support the community and help to ensure a diverse workforce is the recruitment and retention of Boston residents as employees. Boston Children's comprehensive workforce development efforts are in partnership with local organizations such as Sociedad Latina, Fenway Community Development Corporation, Year Up and Jewish Vocational Services. 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. - 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-the Boston Public Health Commission (BPHC) and 10 Boston community health centers. Boston Children's also has relationships with a wide array of community based organizations who provide a voice for the families and neighborhoods they represent. Boston Children's provides support to several community based organizations to implement key family and social support programs that benefit the broader community and build community cohesion. These partnerships help ensure that Boston Children's better understands the needs, uniqueness and strengths that lie within each community. See above for more on BPHC and community health centers.Advocating for children and familiesInfluencing public policy to improve child health is an important aspect of Boston Children's commitment to community health. As the leading provider of medical and behavioral services to low-income children in Boston and Massachusetts as well as a critical safety net for children throughout New England, Boston Children's has been an organized force and an influential advocate for children for more than 20 years. Boston Children's is a forceful advocate on legislative and regulatory matters in Massachusetts that affect children's wellbeing, such as increasing access to quality pediatric mental health programs and promoting better treatment models for children with chronic conditions, such as asthma. Boston Children's advocacy history is rooted in the promotion of better insurance coverage for children, including major child health expansions in the 1990s, strong involvement in Massachusetts' Affordable Care Today Coalition (the catalyst behind 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 and the Affordable Care Act. As a result, Massachusetts has achieved near universal health access for children, with less than 1 percent of children uninsured-the lowest rate in the country.
(Code:   ) (Expenses $ 7,408,722 including grants of $ 0 ) (Revenue $ 0 )
In recent years, 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 payment reform legislation that was signed into law in August 2012. The hospital's advocacy resulted in numerous considerations for children, including developing pediatric standards for Accountable Care Organizations and studying the impact of the law on access to high quality care for children. The law also added language to improve retention in the MassHealth program, at Boston Children's urging. Nationally, Boston Children's is engaged in efforts to preserve the Children's Health Insurance Program, which serves as safety net for children in all fifty states, ensuring their access to high-quality, effective coverage and facilitates important quality measurement and improvement initiatives.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, 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. The CMHC is determined to hold key stakeholders accountable for implementing the new laws secured through its advocacy efforts. Current efforts address mental health parity compliance (legislative and regulatory), access to appropriate levels of care, and comprehensive school based services, among others.Additionally, Boston Children's works in collaboration with a host of public health and injury prevention advocates to ensure public policies work to keep children safe and healthy. Of note, in recent years, Boston Children's engaged in efforts that led to the passage of laws prohibiting children under the age of fourteen from riding all-terrain vehicles (ATVs); requiring those involved with school athletics to be trained in the recognition and management of brain injuries; and establishing healthy standards for snacks and beverages sold in school vending machines, school stores and cafeterias. 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 more than 300 advocates through an annual in-depth, five-session training series that gives advocates a better understanding of the legislative process and the skills needed for effective advocacy. The CAN hosts monthly "Advocacy Lunch & Learns", which offer hospital staff and community partners a forum each month to learn about a current topic related to children's health policy and explore ways to advocate for children. Staff members from departments throughout the hospital regularly engage with the CAN in order 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.
4d Other program services (Describe in Schedule O.)
(Expenses $ 7,408,722 including grants of $ 0 ) (Revenue $ 0 )
4e Total program service expensesMediumBullet1,232,028,209
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions).... Click to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
Yes
 
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M............. Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
937
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
11,683
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
Yes
 
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
Yes
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
Yes
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
1
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
21
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletDouglas Vanderslice300 Longwood AvenueBostonMA02115 (617) 355-7312
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Stephen Karp........................................................................
Trustee - Chairman
 5.00
.......................5.00 		X           0 0 0
(2) Douglas Berthiaume........................................................................
Trustee - Vice Chair
 2.00
.......................2.00 		X           0 0 0
(3) Allan Bufferd........................................................................
Trustee
 1.00
.......................1.00 		X           0 0 0
(4) Kevin Churchwell MD........................................................................
EVP & COO/Noncomp Trustee
 55.00
.......................5.00 		X           432,447 0 13,727
(5) Gary Fleisher MD........................................................................
Trustee, ex officio
 1.00
.......................1.00 		X           0 0 0
(6) William Harmon MD........................................................................
Trustee, ex officio (thru 6/2014)
 1.00
.......................1.00 		X           0 0 0
(7) Winston Henderson........................................................................
Trustee
 1.00
.......................1.00 		X           0 0 0
(8) James Kasser MD........................................................................
Trustee,ex officio
 1.00
.......................1.00 		X           0 0 0
(9) Steven Krichmar........................................................................
Trustee (from 9/2014)
 1.00
.......................1.00 		X           0 0 0
(10) Harvey Lodish PhD........................................................................
Trustee
 1.00
.......................1.00 		X           0 0 0
(11) Gary Loveman........................................................................
Trustee
 1.00
.......................1.00 		X           0 0 0
(12) Ralph C Martin........................................................................
Trustee
 1.00
.......................1.00 		X           0 0 0
(13) Thomas Melendez........................................................................
Trustee
 1.00
.......................1.00 		X           0 0 0
(14) Mark Proctor MD........................................................................
Trustee, ex officio (from 7/2014)
 1.00
.......................1.00 		X           0 0 0
(15) Robert A Smith........................................................................
Trustee
 1.00
.......................1.00 		X           0 0 0
(16) Robert Smyth........................................................................
Trustee
 1.00
.......................1.00 		X           0 0 0
(17) Anne Stack MD........................................................................
Trustee, ex officio (from 5/2014)
 1.00
.......................1.00 		X           0 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Alison Taunton-RigbyPhD........................................................................
Trustee
 1.00
.......................1.00 		X           0 0 0
(19) Marc B Wolpow........................................................................
Trustee
 1.00
.......................1.00 		X           0 0 0
(20) Laura J Wood DNP MS RN........................................................................
CNO/Noncomp Trustee
 55.00
.......................5.00 		X           364,164 0 21,566
(21) Gregory Young MD........................................................................
Trustee, ex officio
 1.00
.......................1.00 		X           0 0 0
(22) Sandra Fenwick........................................................................
President & CEO, Noncomp Trustee
 55.00
.......................6.00 		X   X       1,117,328 0 66,958
(23) Douglas Vanderslice........................................................................
SVP, Treasurer & CFO
 55.00
.......................8.00 		    X       861,581 0 29,318
(24) Bruce Balter........................................................................
Asst Treasurer/Dir Corp Fin Svcs
 55.00
.......................5.00 		    X       261,294 0 53,107
(25) Stuart Novick Esq........................................................................
General Counsel & Secretary
 55.00
.......................8.00 		    X       657,552 0 55,205
(26) Dianne Hatfield........................................................................
Asst Secretary/Exec Asst
 55.00
.......................5.00 		    X       104,193 0 27,626
(27) Michael Anderegg........................................................................
Exec Director, Heart Center
 55.00
.......................5.00 		      X     312,353 0 20,794
(28) Demosthenes Argys........................................................................
SVP, & Chief Administrativ Officer
 55.00
.......................5.00 		      X     570,257 0 50,755
(29) Margaret Coughlin........................................................................
SVP & Chief Marketing Officer
 55.00
.......................5.00 		      X     430,232 0 45,173
(30) Michael Gillespie........................................................................
VP, Clinical Services
 55.00
.......................5.00 		      X     371,801 0 31,656
(31) Daniel Nigrin MD........................................................................
SVP & Chief Information Officer
 55.00
.......................5.00 		      X     504,698 0 46,268
(32) Philip Rotner........................................................................
Chief Investment Officer
 55.00
.......................5.00 		      X     865,533 0 51,385
(33) Wendy Warring........................................................................
SVP, Network Development
 55.00
.......................5.00 		      X     590,994 0 35,687
(34) Charles Weinstein........................................................................
VP, RE Planning & Development
 55.00
.......................5.00 		      X     466,239 0 53,071
(35) Nader Rifai PhD........................................................................
Director, Chemistry
 55.00
.......................0.00 		        X   630,952 0 50,997
(36) Lynn Susman........................................................................
President, Children's Hospital Trust
 55.00
.......................0.00 		        X   496,062 0 54,734
(37) Orah Platt MD........................................................................
Chief, Lab Medicine
 55.00
.......................0.00 		        X   489,882 0 39,070
(38) Inez Stewart........................................................................
VP, Human Resources
 55.00
.......................0.00 		        X   445,661 0 48,921
(39) Carlo Brugnara MD........................................................................
Director, Hematology
 55.00
.......................0.00 		        X   432,459 0 50,167
(40) Eileen Sporing........................................................................
Former SVP & CNO
 55.00
.......................5.00 		          X 1,133,972 0 43,783
(41) James Mandell MD........................................................................
Former President & CEO
 55.00
.......................5.00 		          X 2,309,399 0 43,457
(42) David Kirshner........................................................................
Former Sr. VP & CFO
 55.00
.......................0.00 		          X 391,144 0 9,937
(43) Carleen Brunelli PhD........................................................................
Former VP, Research Admin
 55.00
.......................5.00 		          X 263,057 0 4,641
(44) M Laurie Cammisa........................................................................
Former VP, Child Advocacy
 55.00
.......................5.00 		          X 722,132 0 6,900
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 15,225,386 0 954,903
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet1,616
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Walsh Brothers Inc210 Commercial StreetBostonMA02109 Construction Services 36,152,219
Turner Construction CompanyTwo Seaport LaneBostonMA02210 Construction Services 22,273,701
Wise Construction21 East StreetWinchesterMA01890 Construction Services 15,289,830
The Brigham and Women's Hospital75 Francis StreetBostonMA02115 Healthcare/Research Services 11,559,331
G Greene Construction Company240 Lincoln StreetBostonMA02134 Construction Services 6,054,812
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet229
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 25,563
b Membership dues....1b  
c Fundraising events....1c 4,930,835
d Related organizations...1d  
e Government grants (contributions)1e 187,214,893
f All other contributions, gifts, grants, and
similar amounts not included above1f 		138,212,377
g Noncash contributions included in lines
1a-1f:$ 		6,580,817
h Total. Add lines 1a-1f.......MediumBullet 330,383,668
Program Service RevenueAmt Business Code
2a Patient Svc Revenue 621110 1,042,979,651 1,042,979,651    
b Prog Svc Grants 621110 37,476,789 37,476,789    
c Graduate Medical Educa 611710 17,799,283 17,799,283    
d Prof Svc Revenue 621110 9,678,015 9,678,015    
e Lab Revenue 621500 120,124   120,124  
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,108,053,862
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 6,669,397   144,006 6,525,391
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet 4,429,153     4,429,153
(i) Real (ii) Personal
6a Gross rents 14,566,476  
b Less: rental expenses 0  
c Rental income or (loss) 14,566,476  
d Net rental income or (loss).......MediumBullet 14,566,476     14,566,476
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 336,562,716  
b Less: cost or other basis and sales expenses 311,820,405  
c Gain or (loss) 24,742,311  
d Net gain or (loss)..........MediumBullet 24,742,311     24,742,311
8a Gross income from fundraising events (not including
$ 4,930,835
of contributions reported on line 1c). See Part IV, line 18 ..
a 660,902
b Less: direct expenses ...b 1,400,714
c Net income or (loss) from fundraising events..MediumBullet -739,812   -739,812
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 317,800
b Less: direct expenses ...b 47,721
c Net income or (loss) from gaming activities...MediumBullet 270,079     270,079
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a Other General Services 900099 14,366,291     14,366,291
b Parking Revenue 812930 6,947,796     6,947,796
c Cafeteria Sales 722210 4,843,587     4,843,587
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 26,157,674
12 Total revenue. See Instructions......MediumBullet 1,514,532,808 1,107,933,738 264,130 75,951,272
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 2,719,616 2,719,616
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 1,301,982 1,301,982
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 8,512,962   8,512,962  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 571,848,410 497,991,792 61,921,176 11,935,442
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 27,235,178 26,268,687 237,825 728,666
9 Other employee benefits ....... 63,551,949 61,674,187 462,063 1,415,699
10 Payroll taxes ........... 49,511,681 47,754,666 432,351 1,324,664
11 Fees for services (non-employees):        
a Management ...... 5,568,175 207,112 5,361,063  
b Legal ......... 3,848,380 1,451,440 2,396,940  
c Accounting ........... 1,538,117 463,509 1,074,608  
d Lobbying ........... 58,620 58,620    
e Professional fundraising services. See Part IV, line 17 1,144,084 1,144,084
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 183,872,983 156,535,592 27,235,729 101,662
12 Advertising and promotion .... 5,264,554 3,899,151 1,365,403  
13 Office expenses ....... 9,609,971 1,997,289 2,341,676 5,271,006
14 Information technology ...... 41,087,014 8,566,891 31,879,567 640,556
15 Royalties ..        
16 Occupancy ........... 82,916,639 81,860,363   1,056,276
17 Travel ............ 5,257,846 4,409,423 781,296 67,127
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 1,491,734 914,933 516,589 60,212
20 Interest ........... 29,567,899 29,567,899    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 102,311,548 101,585,859   725,689
23 Insurance .............. 6,251,667 3,813,551 2,438,116  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Lab/Medical/Pharmacy 158,333,916 158,333,916 0 0
b Uncollecible Accts 23,110,929 23,110,929 0 0
c Free Care 9,323,576 9,323,576 0 0
d Uncompensated Care 8,217,226 8,217,226 0 0
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 1,403,456,656 1,232,028,209 146,957,364 24,471,083
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing .............   1  
2 Savings and temporary cash investments ......... 626,167 2 587,742
3 Pledges and grants receivable, net ........... 170,056,900 3 172,100,523
4 Accounts receivable, net ............. 152,885,784 4 192,000,421
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 13,468,461 8 13,728,854
9 Prepaid expenses and deferred charges .......... 10,028,709 9 10,154,497
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,248,960,122
b Less: accumulated depreciation ..... 10b 1,308,355,758 913,578,550 10c 940,604,364
11 Investments—publicly traded securities .......... 505,545,054 11 253,454,098
12 Investments—other securities. See Part IV, line 11 ..... 543,117,336 12 914,420,948
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 1,717,112,805 15 1,956,593,317
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 4,026,419,766 16 4,453,644,764
Liabilities 17 Accounts payable and accrued expenses ......... 222,700,118 17 201,859,451
18 Grants payable .................   18  
19 Deferred revenue ................ 67,973,092 19 70,543,090
20 Tax-exempt bond liabilities ............. 466,102,994 20 869,580,978
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 200,000,000 23 0
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 227,196,776 25 231,616,203
26 Total liabilities. Add lines 17 through 25......... 1,183,972,980 26 1,373,599,722
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 1,685,520,185 27 1,817,010,453
28 Temporarily restricted net assets ........... 535,413,501 28 589,977,483
29 Permanently restricted net assets ........... 621,513,100 29 673,057,106
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 2,842,446,786 33 3,080,045,042
34 Total liabilities and net assets/fund balances ........ 4,026,419,766 34 4,453,644,764
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,514,532,808
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,403,456,656
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
111,076,152
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
2,842,446,786
5
Net unrealized gains (losses) on investments ...............
5
39,480,028
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
87,042,076
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
3,080,045,042
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 280,671,226 358,360,283 331,388,600 336,637,071 330,383,668 1,637,440,848
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3 280,671,226 358,360,283 331,388,600 336,637,071 330,383,668 1,637,440,848
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. 17,800,690
6 Public support. Subtract line 5 from line 4. 1,619,640,158
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4.. 280,671,226 358,360,283 331,388,600 336,637,071 330,383,668 1,637,440,848
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 23,111,481 21,919,339 21,330,292 22,951,120 25,521,020 114,833,252
9 Net income from unrelated business activities, whether or not the business is regularly carried on.. -63,794 -5,269 65,105 124,827 264,130 384,999
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.).. 6,132,315 19,300,140 18,866,415 31,867,110 26,157,674 102,323,654
11 Total support (Add lines 7 through 10). 1,854,982,753
12
12
1,074,194,836
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
87.310 %
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
Children's Hospital Corporation
  		Employer identification number

04-2774441
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
Children's Hospital Corporation
  		Employer identification number

04-2774441
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
Children's Hospital Corporation
  		Employer identification number

04-2774441
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet See separate instructions.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2013


Schedule C (Form 990 or 990-EZ) 2013
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
95,946
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
484,603
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
580,549
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Part II-B, Line 1 Children's Hospital is a section 501(c)(3) organization whose mission is fourfold - to provide the best possible pediatric health care, combining compassion with advanced technical capabilities; to be the leading source of research and discovery, seeking new approaches to the prevention, diagnosis, and treatment of childhood diseases; to educate the next generation of leadership in child health care; and to provide education and healthcare services to the community. In fulfillment of the above mission, the Hospital advocates on behalf of children and the providers who care for them at the State and Federal levels. Professional staff in the Hospital's Office of Government Relations direct these activities and coordinate the work of other Hospital staff who support the advocacy efforts on an intermittent basis. The Hospital has also sent correspondence to and met directly with 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 2014, four Office of Government Relations staff members registered with the State as lobbyists for some or all of the fiscal year, dedicating a portion of their time to lobbying activities. In accordance with state lobbying laws, the Hospital also registered its CEO and President as a lobbyist, although her involvement in these efforts was minimal. Two Office of Government Relations staff members registered as lobbyists at the Federal level. The Hospital utilized the services of two outside consultants in Fiscal Year 2014 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 $246,383 - Karen Darcy Registered Lobbyist Children's Hospital personnel $24,536 - Maria Fernandes Registered Lobbyist Children's Hospital personnel $12,749 - Amy DeLong Registered Lobbyist Children's Hospital personnel $64,558 - Sandra Fenwick Registered Lobbyist Children's Hospital personnel $6,602 - Kathryn Audette Children's Hospital personnel $71,155 - Ann Langley Consultant Health Policy Strategies 728 Battery Place, Alexandria, VA 22314 $23,620 - Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $35,000 Total Lobbyist/Consultant Expenses = $484,603 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $95,946 TOTAL LOBBYING EXPENSES = $580,549 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.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 894,984,000 828,961,000 712,896,000 567,567,000 474,444,000
b Contributions ........ 47,069,000 23,140,000 54,490,000 192,306,000 63,114,000
c Net investment earnings, gains, and losses 71,647,000 75,015,000 87,370,000 -11,529,000 48,022,000
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		37,673,000 32,132,000 25,795,000 35,448,000 18,013,000
f Administrative expenses ....          
g End of year balance ...... 976,027,000 894,984,000 828,961,000 712,896,000 567,567,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet55.880 %
b
Permanent endowment SchDMd Bullet17.340 %
c
Temporarily restricted endowment SchDMd Bullet26.780 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   399,348 399,348
b Buildings ................   1,511,013,840 771,924,532 739,089,308
c Leasehold improvements ............        
d Equipment ................   678,762,838 531,064,095 147,698,743
e Other .................   58,784,096 5,367,131 53,416,965
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 940,604,364
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) Wellington - Energy 		10,087,309 F

(B) Brookside Capital 		1,316,408 F

(C) Highfields Capital 		42,202,111 F

(D) Sankaty 		4,579,427 F

(E) Davidson Kempner 		46,430,101 F

(F) King Street 		62,004,361 F

(G) Baupost 		51,207,022 F

(H) Fidelity International Stock 		27,859,836 F

(I) Fidelity Notes Payable 		2,233,748 F

(J) Bain IX Fund 		4,175,604 F

(K) Bain X Fund 		4,363,486 F

(L) Bain Arc 		14,586,972 F

(M) SPUR Ventures 		6,187,348 F

(N) Lone Cascade 		51,829,567 F

(O) Wellington - Emerging Small Cap 		25,395,423 F

(P) Wellington - Real Asset 		21,536,314 F

(Q) Wellington - Diversified Hedge 		7,446,251 F

(R) Walter Scott 		51,493,642 F

(S) MIT Private Equity Fund 		24,754,192 F

(T) Energy Capital Partners 		9,854,292 F

(U) Matrix China II 		5,211,835 F

(V) Nalanda 		14,056,581 F

(W) Somerset 		14,696,388 F

(X) Sankaty COPS Fund V 		4,569,021 F

(Y) Matrix India II 		865,094 F

(Z) SequoiaUSGrowFUund V 		1,986,473 F

(AA) Abrams Capital 		17,282,139 F

(AB) Bain Venture 		1,140,142 F

(AC) Golden Gate Capital 		3,632,423 F

(AD) Crosslink Capital 		3,588,898 F

(AE) Sequoia Capital Global Equities 		11,513,273 F

(AF) Steadfast 		14,319,232 F

(AG) Sequoia China Venture Fund IV 		429,534 F

(AH) Convexity 		31,589,695 F

(AI) Westbrook 		1,449,466 F

(AJ) Lone Star Fund 		3,564,130 F

(AK) Riverstone 		1,463,585 F

(AL) Park West Investors Ltd 		12,121,561 F

(AM) Deccan Value 		18,534,873 F

(AN) Wellington EM Opportunities 		21,847,202 F

(AO) Lone Cedar 		11,451,552 F

(AP) Lone Kauri 		4,098,029 F

(AQ) Sequoia US Venture Fund XIV 		644,899 F

(AR) Wellington Spindrift 		348,261 F

(AS) Wellington Quissett 		17,225,839 F

(AT) Energy Capital Partners III 		216,899 F

(AU) Fine Points Capital II 		17,476,559 F

(AV) JMC Capital I-B 		532,811 F

(AW) Lone Savin 		3,638,126 F

(AX) Matrix China III 		534,081 F

(AY) Matrix Partners X 		227,752 F

(AZ) Sequoia Capital India IV 		326,209 F

(BA) Sequoia China Growth III 		655,589 F

(BB) Sequoia China Venture Fund V 		256,189 F

(BC) SequoiaUSGrowFUund VI 		587,151 F

(BD) JVL Energy 		10,312,467 F

(BE) Gaoling Feeder, Ltd. 		6,200,883 F

(BF) Loomis Senior Loan Bank Fund 		16,778,623 F

(BG) Standish Opportunistic Fund 		20,474,990 F

(BH) Standish Global Core Plus 		18,584,068 F

(BI) Wellington Ultra Short Duration 		74,447,161 F

(BJ) Private Real Estate 		55,997,851 F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 914,420,948
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Unamortized Bond Issuance Fees 6,472,966
(2) Interest in the Net Assets of Children's Medical Center 1,930,151,147
(3) Expected Insur Recoveries for Prof Liability Claims 19,942,885
(4) Other Assets - Miscellaneous 26,319





Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 1,956,593,317
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue 22,036,554
Estimated Insured Professional Liability Losses 19,942,885
Salary & Other Benefits 2,949,053
Funds Held for Others 34,742,373
Reserve for Medical Malpractice 4,523,118
Other Liabilities - Miscellaneous 15,099,030
Lease Obligations 16,520,345
Interest Rate Swap Liability 112,735,246
Accrued Pension Cost 3,067,599
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 231,616,203
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Part V, Line 4: The Children's Hospital's investment and spending policies for endowment assets are intended to provide a predictable stream of funding to support Children's Hospital's missions in pediatric patient care, education, research, and community programs. Part V, Line 1b: The Contribution line is comprised of Net Assets Reclassifications of $1,202,000 and Contributions of $45,867,000.
Part X, Line 2: There is no FIN48/ASC740 footnote in the organization's audited financial statements.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers.Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ...............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Central America & the Caribbean 0 0 Program Services Patient Care, Research & Education 60,982
East Asia & The Pacific 0 0 Program Services Patient Care, Research & Education 189,540
Europe 0 0 Program Services Patient Care, Research & Education 457,629
Middle East and North Africa - 0 0 Program Services Patient Care, Research & Education 156,253
North America 0 0 Program Services Patient Care, Research & Education 204,765
South America 0 0 Program Services Patient Care, Research & Education 55,419
South Asia 0 0 Program Services Patient Care, Research & Education 33,367
Sub-Saharan Africa 0 0 Program Services Patient Care, Research & Education 184,733
Central America & the Caribbean 0 0 Investment   276,982,241
Sub-Saharan Africa 0 0 Investment   14,921,675
Central America & the Caribbean 0 0 Insurance   2,291,487
Russia & the Newly Independent States - 0 0 Program Service Patient Care, Research & Education 8,851
           
           
           
           
           
3a Sub-total ..... 0 0 1,342,688
b Total from continuation sheets to Part I ... 0 0 294,204,254
c Totals (add lines 3a and 3b) 0 0 295,546,942
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................
Schedule F (Form 990) 2013
Schedule F (Form 990) 2013
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
Part I, Line 2: Children's Hospital's employees may travel outside the United States to support its missions in pediatric patient care, education, research, and community services. Business travel, on behalf of Children's Hospital, must follow the Hospital's Travel Policy. The traveler must complete a Travel Expense Report (TER) form, and provide original itemized receipts as supporting documentation. TER form approval is the responsibility of the Manager of the Department/Director/VP in which that activity is budgeted and expensed. In addition, the Department Manager/Principal Investigator/Director/VP is responsible for: - Ensuring that the travel policy and procedures are clearly communicated to all authorized travelers. - Ensuring compliance with all BCH travel policy and procedures, and applicable sponsor guidelines in the case of grant-sponsored activities; including timeliness and proper documentation requirements. - Maintaining supporting documentation of travel activity and expenses for proper record keeping and auditing purposes. - Assuring that proper authorization signatures are documented on the TER form with the understanding that unauthorized expenses and/or personal expenses will not be reimbursed to the traveler. In general, the ordinary and necessary expenses incurred while traveling on hospital business are reimbursable upon presentation and authorization of a completed TER form with original receipts as supporting documentation. Reimbursable expenses include transportation, hotel/lodging, meals and other reasonable expenses incidental to travel. Personal expenses are not reimbursable.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2013
Additional Data


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Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
Advanced Marketing Direct
99 Thielman Drive
 
Buffalo, NY14206 		Direct mail creative & management   No 120,811 465,946 -345,135
 
Bentz Whaley Flessner
7251 Ohms Lane
 
Minneapolis, MN55439 		Counsel/Reports   No 0 207,869 -207,869
 
Artsmarketing Services Inc
260 King Street East Ste 500
 
Toronto, Ontario
CA   		Call Center Mrkt.   No 0 77,750 -77,750
 
Connelly Partners LLC
46 Waltham Street
 
Boston, MA02118 		Fundraising Counsel   No 0 50,000 -50,000
 
The Pursuant Group Inc
820 W Jackson Blvd Ste 800
 
Dallas, TX75320 		Fundraising Counsel   No 0 30,154 -30,154
 
Event 360
820 W Jackson Boulevard Ste 800
 
Chicago, IL60607 		Fundraising Counsel   No 0 26,197 -26,197
 
Perrone Group
45 Braintree Hill Office Park Ste
 
Braintree, MA02184 		Direct mail creative & management   No 0 286,168 -286,168
             
             
             
Total .................right arrow 120,811 1,144,084 -1,023,273
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
CT, RI, NH, VT, ME, FL, NY, NJ, NV, MA
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

Dinner/Auction
(event type) 		(b) Event #2

Investment Conference
(event type) 		(c) Other events

1
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 3,217,016 1,841,250 533,471 5,591,737
2 Less: Contributions . . 2,723,172 1,806,950 400,713 4,930,835
3 Gross income (line 1
minus line 2) . . . 		493,844 34,300 132,758 660,902
VerticalDirectExpenses 4 Cash prizes . . . 0 0 0  
5 Noncash prizes . . 0 0 0  
6 Rent/facility costs . . 0 8,460 0 8,460
7 Food and beverages . 260,741 40,040 139,617 440,398
8 Entertainment . . . 0 0 10,500 10,500
9 Other direct expenses . 653,947 145,672 141,737 941,356
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 1,400,714
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow -739,812
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .     317,800 317,800
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .     500 500
5 Other direct expenses . .     47,221 47,221
6 Volunteer labor . . .
%
%
71.000 %
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow 47,721
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow 270,079
9
Enter the state(s) in which the organization operates gaming activities: MA
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
0 %
b
An outside facility ........................
13b
100.000 %
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Doug Vanderslice Sr Vice Presiden
Address right arrow
300 Longwood Ave
Boston,MA02115
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Ethridge King
Gaming manager compensation right arrow $ 0
Description of services provided right arrow
Mr. King, Director of Development Services at Children's, was not compensated as a gaming manager. His job includes overseeing any fundraising gaming operations.
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    13,824,040 3,849,996 9,974,044 0.720 %
b Medicaid (from Worksheet 3,
column a) .... 		    264,000,375 208,455,857 55,544,518 4.020 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    277,824,415 212,305,853 65,518,562 4.740 %
Other Benefits
     4,849,467   4,849,467 0.350 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    34,841,350 5,795,599 29,045,751 2.100 %
g Subsidized health services
(from Worksheet 6) .. 		    19,919,833 17,134,336 2,785,497 0.200 %
h Research (from Worksheet 7)     345,655,791 322,296,477 23,359,314 1.690 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    1,663,504   1,663,504 0.120 %
j Total. Other Benefits ..     406,929,945 345,226,412 61,703,533 4.460 %
k Total. Add lines 7d and 7j .     684,754,360 557,532,265 127,222,095 9.200 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 37   1,857,062   1,857,062 0.130 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy 10   702,193   702,193 0.050 %
8 Workforce development            
9 Other            
10 Total 47   2,559,255   2,559,255 0.180 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
8,061,167
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
10,761,239
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
10,733,442
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
27,797
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
11 None
  		       
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 Boston Children's Hospital
300 Longwood Avenue
Boston,MA02115 		X X X X   X X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Boston Children's Hospital
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................... 3 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If "Yes," indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
Boston Children's Hospital Part V, Section B, Line 3: Boston Children's Hospital contracted Health Resources in Action (HRiA), a nonprofit public health organization in Boston to work with the hospital to conduct its community health assessment study. HRiA's consultants were selected because of their experience conducting health assessments and familiarity with the communities that Boston Children's serves. HRiA used a participatory process to engage stakeholders, community residents and the Boston Children's Community Advisory Board (CAB) to inform the process. This type of approach helps guide the research methods and questions as well as aids in building support and buy-in at the community level for both the assessment study and subsequent planning process. The CAB engaged in two formal meetings during the planning process, reviewed and recommended potential stakeholders for interviews, and provided feedback on the stakeholder and focus group guides. In addition to analyzing epidemiological data from Boston Children's priority neighborhoods, HRiA conducted qualitative research with community stakeholders and residents to gauge their perceptions of the community, their health concerns, what programming or services are most needed to address these concerns, and their perceptions of Boston Children's to accomplish this. To this end, HRiA conducted 27 interviews with community stakeholders, 6 focus groups with parents and 4 focus groups with youth during the data collection period, with a total of 120 individuals participating in the qualitative research.
Boston Children's Hospital Part V, Section B, Line 5d: An Executive Summary of the CHNA was emailed and mailed out to all of the stakeholders and focus group participants with information on how to access the full report either online or from the hospital. Boston Children's also distributed it widely to internal staff. A link was also sent out to advocates and supporters of Boston Children's. An overview of the findings and Boston Children's plans to address the identified needs will also be included in the Office of Community Health's annual report on the community mission.
Boston Children's Hospital Part V, Section B, Line 7: Boston Children's addressed all of the needs identified in the assessment that are health related: access to care, asthma, obesity, physical activity and nutrition, sexual health and teen pregnancy, mental health, alcohol, tobacco and other drugs, injury prevention, chronic diseases, oral health and early childhood developmental issues.
Boston Children's Hospital Part V, Section B, Line 10: Children's, based on its participation in the state of Massachusetts Health Safety Net, utilizes Federal Poverty Guidelines for determining eligibility for free care to low income individuals. For purposes of discounted care, Children's offers discounts to individuals, regardless of income, who are uninsured and are ineligible for free care or other public programs.
Boston Children's Hospital Part V, Section B, Line 11: 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.
Boston Children's Hospital Part V, Section B, Line 14g: Children's takes the following steps to make patients aware of the availability of financial assitance:- Posting of signage in all patient care admission areas of the availability of financial assitance,- All billing correspondence includes language regarding the availability of financial assistance,- The Hospital web-site provides contact information for Hospital Financial Counselors who can help assist patients with applying for programs to cover medical expenses.
Boston Children's Hospital Part V, Section B, Line 18e: Children's does not (and does not permit its agents to) engage in legal action against patients/guarantors, including liens, wage garnishments, or lawsuits, or report patients/guarantors to credit bureaus or credit agencies without specific, case-by-case authorization by Children's Board of Trustees. No legal action occurred during the year.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?5
Name and address Type of Facility (describe)
1 Children's Hospital Boston-At Waltham
9 Hope Ave
Waltham,MA02453 		Outpatient Satellite Facility
2 Children's Hospital at Lexington
482 Bedford Street
Lexington,MA02173 		Outpatient Satellite Facility
3 Martha Eliot Health Center
75 Bickford Street
Boston,MA02130 		Outpatient Community Health Center
4 Children's Hospital at Peabody
1 Essex Center Drive
Peabody,MA01960 		Outpatient Satellite Facility
5 Children's Clinics at 333 Longwood Ave
333 Longwood Avenue
Boston,MA02115 		Outpatient Pediatric Clinic
6
7
8
9
10
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Boston Children's Hospital Part V, Section B, Line 3: Boston Children's Hospital contracted Health Resources in Action (HRiA), a nonprofit public health organization in Boston to work with the hospital to conduct its community health assessment study. HRiA's consultants were selected because of their experience conducting health assessments and familiarity with the communities that Boston Children's serves. HRiA used a participatory process to engage stakeholders, community residents and the Boston Children's Community Advisory Board (CAB) to inform the process. This type of approach helps guide the research methods and questions as well as aids in building support and buy-in at the community level for both the assessment study and subsequent planning process. The CAB engaged in two formal meetings during the planning process, reviewed and recommended potential stakeholders for interviews, and provided feedback on the stakeholder and focus group guides. In addition to analyzing epidemiological data from Boston Children's priority neighborhoods, HRiA conducted qualitative research with community stakeholders and residents to gauge their perceptions of the community, their health concerns, what programming or services are most needed to address these concerns, and their perceptions of Boston Children's to accomplish this. To this end, HRiA conducted 27 interviews with community stakeholders, 6 focus groups with parents and 4 focus groups with youth during the data collection period, with a total of 120 individuals participating in the qualitative research.
Boston Children's Hospital Part V, Section B, Line 5d: An Executive Summary of the CHNA was emailed and mailed out to all of the stakeholders and focus group participants with information on how to access the full report either online or from the hospital. Boston Children's also distributed it widely to internal staff. A link was also sent out to advocates and supporters of Boston Children's. An overview of the findings and Boston Children's plans to address the identified needs will also be included in the Office of Community Health's annual report on the community mission.
Boston Children's Hospital Part V, Section B, Line 7: Boston Children's addressed all of the needs identified in the assessment that are health related: access to care, asthma, obesity, physical activity and nutrition, sexual health and teen pregnancy, mental health, alcohol, tobacco and other drugs, injury prevention, chronic diseases, oral health and early childhood developmental issues.
Boston Children's Hospital Part V, Section B, Line 10: Children's, based on its participation in the state of Massachusetts Health Safety Net, utilizes Federal Poverty Guidelines for determining eligibility for free care to low income individuals. For purposes of discounted care, Children's offers discounts to individuals, regardless of income, who are uninsured and are ineligible for free care or other public programs.
Boston Children's Hospital Part V, Section B, Line 11: 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.
Boston Children's Hospital Part V, Section B, Line 14g: Children's takes the following steps to make patients aware of the availability of financial assitance:- Posting of signage in all patient care admission areas of the availability of financial assitance,- All billing correspondence includes language regarding the availability of financial assistance,- The Hospital web-site provides contact information for Hospital Financial Counselors who can help assist patients with applying for programs to cover medical expenses.
Boston Children's Hospital Part V, Section B, Line 18e: Children's does not (and does not permit its agents to) engage in legal action against patients/guarantors, including liens, wage garnishments, or lawsuits, or report patients/guarantors to credit bureaus or credit agencies without specific, case-by-case authorization by Children's Board of Trustees. No legal action occurred during the year.
Schedule H (Form 990) 2013
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number
04-2774441
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Alliance for Inclusion & Prevention
105 Cummings Highway
Roslindale,MA02131 		04-3285237 501(c)(3) 10,000       Community Partnership
(2) Health Resources In Action
622 Washington Street
Dorchester,MA02124 		04-2229839 501(c)(3) 108,000       Community Partnership
(3) BalletRox
PO Box 301134
Jamaica Plain,MA02130 		04-3140203 501(c)(3) 10,000       Community Partnership
(4) Boston Center for Youth and Families
1483 Tremont Street
Boston,MA02120 		04-2602576 501(c)(3) 15,000       Community Partnership
(5) Boston Public Health Commission
1010 Massachusetts Ave
Boston,MA02118 		04-3316655 115 370,000       Community Partnership
(6) Boston Public Schools
26 Court St 6th Fl
Boston,MA02108 		22-2514422 115 444,155       Community Partnership
(7) Bowdoin Street Health Center Inc
230 Bowdoin Street
Boston,MA02122 		04-2529788 501(c)(3) 100,000       Support of Community Health Center
(8) Brigham & Women's Hospital Inc
75 Francis Street
Boston,MA02115 		04-2312909 501(c)(3) 150,000       Support of Brookside Community Health Center
(9) Community Catalyst Inc
30 Winter Street 10th Floor
Boston,MA02108 		04-3355127 501(c)(3) 50,000       Advocacy Support
(10) The Dimock Center
55 Dimock Street
Roxbury,MA02119 		04-3487835 501(c)(3) 105,000       Community Partnership
(11) Family Nurturing Center of Massachusetts
200 Bowdoin Street
Dorchester,MA02122 		31-1626186 501(c)(3) 50,000       Community Partnership
(12) Fenway Community Development Corporation
73 Hemenway Street
Boston,MA02115 		04-2666507 501(c)(3) 52,500       Community Partnership
(13) Project RIGHT
320 A Blue Hill Avenue
Dorchester,MA02121 		04-3265420 501(c)(3) 50,000       Advocacy Support
(14) Joseph M Smith Community Health Center Inc
287 Western Avenue
Allston,MA02134 		23-7221597 501(c)(3) 160,000       Support for the Community Health Canter
(15) Community Service Care Inc
295 Center Street
Jamaica Plain,MA02130 		04-2754281 501(c)(3) 95,457       Community Partnership - JP Coalition
(16) Mattapan Community Health Center
1425 Blue Hill Ave
Mattapan,MA02426 		04-2544151 501(c)(3) 40,000       Support of the Community Health Center
(17) YMCA of Greater Boston inc
316 Huntington Avenue
Boston,MA02115 		04-2103551 501(c)(3) 35,500       Community Partnership - Roxbury YMCA
(18) Sociedad Latina Inc
1530 Tremont Street
Roxbury,MA02120 		04-2678255 501(c)(3) 35,250       Community Partnership
(19) South Cove Community Health Center Inc
145 South Street
Boston,MA02111 		04-2501818 501(c)(3) 93,004       Support of the Community Health Center
(20) South End Community Health Center Inc
1601 Washington Street
Boston,MA02118 		04-2456134 501(c)(3) 85,000       Support of the Community Health Center
(21) Upham's Corner Community Center Inc
500 Columbia Road
Dorchester,MA02125 		04-2708670 501(c)(3) 80,000       Support of the Community Health Center
(22) Whittier Street Health Center Committee Inc
1125 Tremont Street
Roxbury,MA02120 		04-2619517 501(c)(3) 88,750       Support of the Community Health Center
(23) Nurtury Inc ( fka Associated Early Care and Education Inc)
95 Berkeley Street Suite 306
Boston,MA02116 		04-2105893 501(c)(3) 44,000       Community Partnership
(24) Massachusetts League of Community Health Centers
40 Court Street 10th Floor
Boston,MA02108 		04-2507409 501(c)(3) 7,500       Community Partnership
(25) Mission Hill Youth Collaborative
1481 Tremont Street
Boston,MA02120 		04-3103865 501(c)(3) 5,000       Community Partnership
(26) The Hyde Square Task Force Inc
375 Centre Street
Jamaica Plain,MA02130 		04-3118543 501(c)(3) 12,500       Community Partnership
(27) Action for Boston Community Development
178 Tremont Street
Boston,MA02111 		04-2304133 501(c)(3) 30,000       Community Partnership
(28) Massachusetts Public Health Association
101 Tremont Street
Boston,MA02108 		04-2326503 501(c)(3) 15,000       Community Partnership
(29) Smart from the Start Inc
68 Annunciation Road
Boston,MA02120 		45-4952663 501(c)(3) 83,000       Community Partnership
(30) United Way of Massachusetts Bay & Merrimack Valley
51 Sleeper Street
Boston,MA02210 		04-2382233 501(c)(3) 25,000       Community Partnership
(31) Health Care For All
One Federal Street
Boston,MA02110 		04-3071598 501(c)(3) 10,000       Advocacy Support
(32) Health Law Advocates
30 Winter Street 10th Floor
Boston,MA02108 		04-3298116 501(c)(3) 30,000       Advocacy Support
(33) Healthworks Community Fitness
450 Washington Street
Dorchester,MA02124 		04-3431534 501(c)(3) 10,000       Community Partnership
(34) Northeastern University
360 Huntington Avenue
Boston,MA02115 		04-1679980 501(c)(3) 40,000       Community Partnership
(35) Massachusetts Budget and Policy Center
15 Court Square Ste 700
Boston,MA02108 		04-2967537 501(c)(3) 45,000       Advocacy Support
(36) Massachusetts Health Quality Partners
42 Pleasant Street Ste 3
Watertown,MA02472 		04-3542817 501(c)(3) 30,000       Advocacy Support
(37) Massachusetts Law Reform Institute
99 Chauncy Street Ste 500
Boston,MA02111 		04-6004303 501(c)(3) 40,000       Advocacy Support
(38) Third Sector New England
PO Box 201060
Roxbury,MA02120 		04-2261109 501(c)(3) 10,000       Community Partnership
(39) Mass Society for the Prevention of Cruelty to Children
3815 Washington Street Ste 2
Boston,MA02130 		04-2103596 501(c)(3) 40,000       Advocacy Support
(40) New England Eye Institute Inc
930 Commonwealth Avenue
Boston,MA02215 		04-3575676 501(c)(3) 10,000       Community Partnership
(41) American Cancer Society
30 Speen Street
Framingham,MA01701 		13-1788491 501(c)(3) 5,000       Advocacy Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
39
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) Sibylla Orth Young Fund for Student Aid 22 38,800   FMV  
(2) Nursing Education Scholarship Fund 24 52,994   FMV  
(3) Joshua T. Shairs Cardiology Fund 4 4,100   FMV  
(4) Alexander Mosse Baer Entertainment Fund 3070   6,624 FMV Craft Supplies and Family Entertainers
(5) Family Resource Center Fund 27   12,109 FMV Educational Resources
(6) Yawkey Family Inn Fund 1011   705,333 FMV Housing Assistance
(7) Devon Nicole House Operating Fund 531   90,791 FMV Housing Assistance
(8) Pet Therapy Program Fund 1218   49,682 Other Theurapeutic dog visits made to inpatients
(9) Brandano Parent Apartment Fund 1371   75,788 FMV Supplies for patient and families
(10) Matthew Puffer Parking Fund 42 5,908   FMV  
(11) Sandra & Geoffrey Fenwick Family Income Fund 221   3,350 FMV Memorial services and grief conference; room fees & food
(12) Extraordinary Needs Fund I & II 210 100,009   FMV  
(13) Patient Care Support Services Endowment/Income Fund 2   3,071 FMV Medical Equipment, Skilled Nursing Care, Ambulance Transportation.
(14) Foster Grandparent Program Fund 385   11,985 FMV Discharge Buddy and Greeter program expenses.
(15) Volunteer Department Fund 3280   45,440 FMV Supplies, Catering and Entertainment for Patients and Patient's families.
(16) Broadway Sam Fund 1125   12,998 FMV Tickets for Art and Entertainment Events
(17) Center for Families Extraordinary Needs Fund 20   56,849 FMV Family Advisory Council stipwnsa, food and parking
(18) Family Services Fund 193   11,082 FMV Memorial services, Christmas Trees for Patients rooms, Pedometers
(19) Mannion Family Fund 340 1,240   FMV  
(20) Milagros Para las Family Fund 26   13,829 FMV Translation services and program support for spanish speaking families.
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Part I, Line 2: Children's Hospital provides three types of grants and assistance: (1) Sponsorships, (2) Scholarships, and (3) Assistance Programs. SPONSORSHIPS: Children's supports external strategic partners that enhance Children's role and reputation as (1) a good neighbor; (2) community health partner; (3) civic leader; (4) and an employer of choice. The criteria for Children's funding decisions to the requesting organization are based on the following: 1. a non-profit that promotes careers in healthcare or health services and that Children's has collaborated, or is collaborating, with 2. a non-profit located in and serving Children's target neighborhoods (Fenway, Mission Hill, Jamaica Plain, Roxbury) that address social determinants of health and that Children's has collaborated, or is collaborating, with 3. one of Children's Hospital's affiliated community health centers 4. a citywide non-profit that is a strategic partner in one or more of the Children's primary community health focus areas (asthma, mental health, nutrition/fitness, violence prevention) and that Children's has collaborated, or is collaborating, with 5. a citywide non-profit that is a strategic partner in one or more of Children's secondary community health focus areas (early intervention, early childhood/elementary education,) that Children's has collaborated, or is collaborating, with 6. a business , civic, or advocacy strategic partner that senior management is actively engaged in 7. meets the IRS and the Massachusetts Attorney General's community support or community benefit criteria 8. meets the City of Boston eligibility as a "payment in lieu of taxes' investment Records and copies of sponsorship requests and the resulting grants are kept in paper form in the Office of Child Advocacy. All sponsorships requests are commonly for general operating support. All sponsorship is sent a letter that reiterates the stated use of the grant or assistance and with any Community Partnership Grants, representatives of Children's make site visits to many of the grantees and request end-of-year reports. SCHOLARSHIPS: Children's Hospital offers several scholarship programs to support the educational goals of its employees and/or their immediate families. The Sibylla Orth Young Scholarship is available to employees and their immediate families who have worked at least six months and meet income and grade point average guidelines as well as demonstration of sincere commitment to the healthcare profession. Priority will be given to those pursuing careers in healthcare positions experiencing labor shortages (e.g., radiographer, pharmacy technician, clinical lab technician, nursing). Sibylla Orth Young Scholarship applications are reviewed and maintained by the Office of Learning and Development selection committee. The Nursing Education Scholarship is available to deserving nurses to further his or her education in patient care and the Joshua T. Shairs Cardiology Fund is a scholarship for nurses in the field of cardiology. All nursing scholarship applicants must have worked at least three months, be enrolled in an academic program leading to a degree, demonstrate a commitment to the patient care and be in good standing, both professionally and academically. Scholarship applications for the Nursing Education Scholarships and Joshua T. Shairs Cardiology Funds are reviewed and maintained by the Department of Nursing/Patient Services selection committee. All scholarship recipients are required to sign a Terms of Acceptance agreement affirming the funds will only be used for tuition, fees and/or class materials required for course instructions. ASSISTANCE PROGRAMS: Children's Hospital offers several financial assistance programs to provide funding to patients and their families burdened by the costs associated with long-term hospitalization, acute/chronic illness, disability or impairment. We recognize the significant financial and support services burdens that patients and families face when experiencing frequent ambulatory services or prolonged inpatient admissions at Children's Hospital Boston. These funds are primarily intended for use in emergent situations, and as a stop-gap intervention only. They are not intended to provide permanent or long term solutions to financial need. Essentially, these are funds of "last resort" when alternative options do not exist. Below is a listing of our various Assistance Program Funds: Frieze Social Work Fund - provide broad financial assistance to needy children and families during their illness or hospitalization at Children's Hospital. Family Resource Center Fund - support of the family resource center's activities. Yawkee Family Inn Fund/Kent Street Operating Fund - support patient family housing at Kent Street. Devon Nicole House Operating Fund - support patient family housing at Devon Nicole House. Pet Therapy Program Fund - provide pet therapy for patients. Brandano Parent Apartment Fund - to provide housing for needy parents of children receiving treatment at Children's Hospital. Matthew Puffer Parking Fund - provide discounted parking for patient families whose children are being treated for chronic diseases. Sandra & Geoffrey Fenwick Family Income Fund - support for the Center for Families especially needy patients. Extraordinary Needs Fund I & II - cover immediate desperate needs of parents to include access to alternative therapeutic interventions. Patient Care Support Services Income Fund - cover immediate desperate needs of parents to include medical equipment, skilled nursing care and anmbulance transport. Alexander Moss Baer Entertainment Fund - provide patient and patient family entertainers (i.e. magicians, face-painters) and craft supplies. Foster Grandparent Program Fund - provide resources towards the Hospital's Discharge Buddy and ASK ME Volunteer Greeter program. Volunteer Department Fund - to fund the Hospital's volunteer program. Broadway Sam Fund at BCH - provide tickets for art and entertainment events for patients and patient's families. Family Services Fund - support of the family resource center's activities. Mannion Family Fund for the Center for Families - support the activities of the Center for Families. Milagros Para Las Familias Fund - to provide translation services and program support for the Hospital's Spanish speaking families. All financial assistance requests are assessed by a social worker. If there appears to be significant financial hardship, the social worker does a financial assessment based on the policies and guidelines for the use of these special funds. Typical requests include assistance with transportation, utilities (a child cannot be discharged without adequate heat, electricity, telephone contact in the home), etc. Each request is reviewed by the Director of the Fund. Checks are not payable to the family, rather a payment may be made directly to the company involved via an invoice from that company, e.g., National Grid. Assessment considerations for Special Fund requests are based on: * Duration of Need * Demographic * Family Status * Income Factors * Clinical Factors * Alternate Resources Available * Funding Limits
Schedule I (Form 990) 2013


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Kevin Churchwell MDEVP & COO/Noncomp Trustee (i)
(ii)		 265,271
0 		100,000
0 		67,176
0 		0
0 		13,727
0 		446,174
0 		0
0
(2)Laura J Wood DNP MS RNCNO/Noncomp Trustee (i)
(ii)		 222,405
0 		83,000
0 		58,759
0 		0
0 		21,566
0 		385,730
0 		0
0
(3)Sandra FenwickPresident & CEO, Noncomp Trustee (i)
(ii)		 580,834
0 		285,000
0 		251,494
0 		25,500
0 		41,458
0 		1,184,286
0 		0
0
(4)Douglas VandersliceSVP, Treasurer & CFO (i)
(ii)		 513,062
0 		248,247
0 		100,272
0 		0
0 		29,318
0 		890,899
0 		0
0
(5)Bruce BalterAsst Treasurer/Dir Corp Fin Svcs (i)
(ii)		 191,263
0 		15,857
0 		54,174
0 		31,600
0 		21,507
0 		314,401
0 		0
0
(6)Stuart Novick EsqGeneral Counsel & Secretary (i)
(ii)		 402,007
0 		130,000
0 		125,545
0 		28,050
0 		27,155
0 		712,757
0 		0
0
(7)Michael AndereggExec Director, Heart Center (i)
(ii)		 269,021
0 		21,706
0 		21,626
0 		16,551
0 		4,243
0 		333,147
0 		0
0
(8)Demosthenes ArgysSVP, & Chief Administrativ Officer (i)
(ii)		 376,804
0 		104,500
0 		88,953
0 		22,950
0 		27,805
0 		621,012
0 		0
0
(9)Margaret CoughlinSVP & Chief Marketing Officer (i)
(ii)		 301,965
0 		64,600
0 		63,667
0 		20,400
0 		24,773
0 		475,405
0 		0
0
(10)Michael GillespieVP, Clinical Services (i)
(ii)		 279,544
0 		46,800
0 		45,457
0 		16,722
0 		14,934
0 		403,457
0 		0
0
(11)Daniel Nigrin MDSVP & Chief Information Officer (i)
(ii)		 364,644
0 		80,100
0 		59,954
0 		22,950
0 		23,318
0 		550,966
0 		0
0
(12)Philip RotnerChief Investment Officer (i)
(ii)		 570,116
0 		198,314
0 		97,103
0 		17,850
0 		33,535
0 		916,918
0 		0
0
(13)Wendy WarringSVP, Network Development (i)
(ii)		 402,488
0 		98,700
0 		89,806
0 		20,400
0 		15,287
0 		626,681
0 		0
0
(14)Charles WeinsteinVP, RE Planning & Development (i)
(ii)		 342,984
0 		62,800
0 		60,455
0 		25,500
0 		27,571
0 		519,310
0 		0
0
(15)Nader Rifai PhDDirector, Chemistry (i)
(ii)		 419,871
0 		208,209
0 		2,872
0 		29,050
0 		21,947
0 		681,949
0 		0
0
(16)Lynn SusmanPresident, Children's Hospital Trust (i)
(ii)		 337,465
0 		97,000
0 		61,597
0 		25,500
0 		29,234
0 		550,796
0 		0
0
(17)Orah Platt MDChief, Lab Medicine (i)
(ii)		 449,002
0 		32,426
0 		8,454
0 		29,050
0 		10,020
0 		528,952
0 		0
0
(18)Inez StewartVP, Human Resources (i)
(ii)		 336,762
0 		56,900
0 		51,999
0 		22,950
0 		25,971
0 		494,582
0 		0
0
(19)Carlo Brugnara MDDirector, Hematology (i)
(ii)		 419,872
0 		20,107
0 		-7,520
0 		29,050
0 		21,117
0 		482,626
0 		0
0
(20)Eileen SporingFormer SVP & CNO (i)
(ii)		 243,621
0 		0
0 		890,351
0 		28,050
0 		15,733
0 		1,177,755
0 		594,795
0
(21)James Mandell MDFormer President & CEO (i)
(ii)		 497,207
0 		750,000
0 		1,062,192
0 		28,050
0 		15,407
0 		2,352,856
0 		585,578
0
(22)David KirshnerFormer Sr. VP & CFO (i)
(ii)		 312,500
0 		0
0 		78,644
0 		0
0 		9,937
0 		401,081
0 		0
0
(23)Carleen Brunelli PhDFormer VP, Research Admin (i)
(ii)		 50,027
0 		0
0 		213,030
0 		0
0 		4,641
0 		267,698
0 		180,460
0
(24)M Laurie CammisaFormer VP, Child Advocacy (i)
(ii)		 238,671
0 		0
0 		483,461
0 		0
0 		6,900
0 		729,032
0 		335,506
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
Part I, Line 1a The Organization provided housing allowances to three listed individuals as a part of their relocation packages. All amounts were included as taxable income in the W-2 of the listed person.
Part I, Lines 4a-b Children's Hospital made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contribution amounts are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for employee benefits and not for Children's Hospital Trustee or Officer of the Board services and/or responsibilities. Demosthenes Argys, received in 2013, a contribution of $39,683 Kevin Churchwell, received in 2013, a contribution of $15,196 Margaret Coughlin, received in 2013, a contribution of $29,117 Sandra Fenwick, received in 2013, a contribution of $217,000 Michael Gillespie, received in 2013, a contribution of $20,900 James Mandell, received in 2013, a contribution of $322,912 Daniel Nigrin, received in 2013, a contribution of $38,392 Stuart Novick, received in 2013, a contribution of $105,420 Philip Rotner, received in 2013, a contribution of $74,073 Eileen Sporing, received in 2013, a contribution of $24,525 Inez Stewart, received in 2013, a contribution of $31,328 Lynn Susman, received in 2013, a contribution of $35,574 Doug Vanderslice, received in 2013, a contribution of $28,355 Wendy Warring, received in 2013, a contribution of $43,254 Charles Weinstein, received in 2013, a contribution of $32,303 Laura Wood, received in 2013, a contribution of $11,157 During Calendar Year 2013, M. Laurie Cammisa (former Vice President, Child Advocacy) received severance payments totaling $190,655. During Calendar Year 2013, David Kirshner (former Senior Vice President of Finance & Chief Financial Officer) received severance payments totaling $312,500. During Calendar Year 2013, the following individuals received supplemental executive retirement plan distributions: James Mandell, received in 2013, a distribution of $707,471 Carlene Brunelli, received in 2013, a distribution of $207,802 M. Laurie Cammisa, received in 2013, a distribution of $473,986 David Kirshner, received in 2013, a distribution of $77,000 Eileen Sporing, received in 2013, a distribution of $845,233
Part II, Column F (Compensation Reported in Prior Form 990): The compensation reported in Part II, column B, of this Schedule J (Form 990) is for the calendar year 2013 and a portion of it may have already been reported on a prior year Form 990 as deferred compensation. Compensation amounts in Column F reflects the compensation already reported in a prior return and needs to be taken into consideration to correct the overstatement of the cumulative compensation reported as paid to the individuals listed.
Schedule J (Form 990) 2013

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number
04-2774441
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A MHEFA Revenue Bonds Series M
  		04-2456011 57586EMT5 11-19-2009 124,329,713 Purchase of med off bldg, reno & leasehold impr   X   X   X
B MHEFA Revenue Bonds Series N
  		04-2456011 57586EUJ8 05-13-2010 341,590,000 Refunded Series G, H, I, J & K   X   X   X
C MDFA Revenue Bonds Series O
  		04-3431814 NoneAvail 12-11-2013 200,640,000 Refunded Series L   X   X   X
D MDFA Revenue Bonds Series P
  		04-3431814 57583UK31 05-21-2014 151,753,430 New bldg construction, reno. & capital equip   X   X   X
MDFA Revenue Bonds Series Q
  		04-3431814 NoneAvail 07-11-2014 50,255,000 New building construction & renovations   X   X   X
MDFA Revenue Bonds Series R
  		04-3431814 NoneAvail 07-29-2014 125,350,000 Refunded a portion of Series N   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . .        
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 124,329,713 341,590,000 200,640,000 151,753,430
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 339,564,138 339,564,138 200,000,000  
7 Issuance costs from proceeds . . . . . . . . . . . . 1,829,713 2,025,862 640,000 1,753,430
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 122,500,000     143,659,200
11 Other spent proceeds . . . . . . . . . . . . . .        
12 Other unspent proceeds . . . . . . . . . . . . . . 6,340,800     6,340,800
13 Year of substantial completion . . . . . . . . . . . . 2011 2010 2013 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X     X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X     X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X     X   X X  
b Exception to rebate? . . . . . . . .   X X   X     X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X X   X     X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X X   X     X
b Name of provider . . . . . . . . . Goldman Sachs
Mitsui Marine 		Goldman Sachs
Mitsui Marine 		Goldmn SachsBOA
  		 
 
c Term of hedge . . . . . . . . . . 30.000000000000 30.000000000000 30.000000000000  
d Was the hedge superintegrated? . . . .   X   X   X    
e Was the hedge terminated? . . . . . .   X   X   X    
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number
04-2774441
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A MHEFA Revenue Bonds Series M
  		04-2456011 57586EMT5 11-19-2009 124,329,713 Purchase of med off bldg, reno & leasehold impr   X   X   X
B MHEFA Revenue Bonds Series N
  		04-2456011 57586EUJ8 05-13-2010 341,590,000 Refunded Series G, H, I, J & K   X   X   X
C MDFA Revenue Bonds Series O
  		04-3431814 NoneAvail 12-11-2013 200,640,000 Refunded Series L   X   X   X
D MDFA Revenue Bonds Series P
  		04-3431814 57583UK31 05-21-2014 151,753,430 New bldg construction, reno. & capital equip   X   X   X
MDFA Revenue Bonds Series Q
  		04-3431814 NoneAvail 07-11-2014 50,255,000 New building construction & renovations   X   X   X
MDFA Revenue Bonds Series R
  		04-3431814 NoneAvail 07-29-2014 125,350,000 Refunded a portion of Series N   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . .        
2 Amount of bonds legally defeased . . . . . . . . . . .        
3 Total proceeds of issue . . . . . . . . . . . . . . 124,329,713 341,590,000 200,640,000 151,753,430
4 Gross proceeds in reserve funds . . . . . . . . . . . .        
5 Capitalized interest from proceeds . . . . . . . . . . .        
6 Proceeds in refunding escrows . . . . . . . . . . . . 339,564,138 339,564,138 200,000,000  
7 Issuance costs from proceeds . . . . . . . . . . . . 1,829,713 2,025,862 640,000 1,753,430
8 Credit enhancement from proceeds . . . . . . . . . . .        
9 Working capital expenditures from proceeds . . . . . . . . .        
10 Capital expenditures from proceeds . . . . . . . . . . . 122,500,000     143,659,200
11 Other spent proceeds . . . . . . . . . . . . . .        
12 Other unspent proceeds . . . . . . . . . . . . . . 6,340,800     6,340,800
13 Year of substantial completion . . . . . . . . . . . . 2011 2010 2013 2013
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X     X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X     X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X   X   X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X     X   X X  
b Exception to rebate? . . . . . . . .   X X   X     X
c No rebate due? . . . . . . . .   X   X   X   X
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X X   X     X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X X   X     X
b Name of provider . . . . . . . . . Goldman Sachs
Mitsui Marine 		Goldman Sachs
Mitsui Marine 		Goldmn SachsBOA
  		 
 
c Term of hedge . . . . . . . . . . 30.000000000000 30.000000000000 30.000000000000  
d Was the hedge superintegrated? . . . .   X   X   X    
e Was the hedge terminated? . . . . . .   X   X   X    
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K (Form 990) 2013

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Waters Corporation
  		Director 101,982 Equipment Children's Hospital Corporation received, at fair market value, equipment & supplies from Waters Corporation, where Douglas Berthiaume, a member of the hospital's Board of Trustees, is the Chief Executive Officer. All transactions above were at fair market value and negotiated at arms length in the ordinary course of business. Waters Corporation manufactures high end scientific equipment and supplies. During the year the hospital paid Waters Corporation $101,982 for equipment & supplies.   No
(2) CRICO
  		Director 11,128,524 InsuranceThe Risk Management Foundation of the Harvard Medical Institutions, Inc (CRICO/RMF) is the patient safety and medical malpractice company serving the Harvard medical community. Insurance coverage is provided to its member institutions and their affiliates by Controlled Risk Insurance Company, Ltd (CRICO/Cayman) and Controlled Risk Insurance Company of Vermont, Inc (A Risk Retention Group) (CRICO/Vermont). Both CRICO/RMF and CRICO/Cayman are owned by their member Institutions. CRICO/Vermont is wholly owned by CRICO/RMF. All CRICO/RMF and CRICO/Cayman shareholders are entities exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. Members of CRICO/RMF and CRICO/Cayman are entitled to representation on the boards of these entities. Alan Bufferd, Trustee of Children's Hospital Corporation, sits on the Boards of CRICO/RMF, CRICO/Cayman and CRICO/Vermont. See next item for continuation.   No
(3) CRICO
  		Director 11,128,524 InsuranceSandra Fenwick, Preisdent & Chief Executive Officer of Children's Hospital Corporation, sits on the Board of CRICO/RMF and CRICO/Cayman. Children's Hospital pays these entities for insurance for Children's Hospital and its affiliates for the period covered by this filing. Children's Hospital paid a total of $11,128,524 to CRICO and RMF for professional, general, and directors and officers insurance coverage.   No
(4) FedEx
  		Director 485,481 ShippingChildren's Hospital Corporation received, at fair market value, shipping services from FedEx, where Gary Loveman, a member ofthe hospital's Board of Trustees, is on the Board of Directors. Alltransactions above were at fair market value and negotiated at armslength in the ordinary course of business. During the year the hospitalpaid FedEx $485,481 for shipping services.   No
(5) Blue Cross Blue Shield of Massachusetts
  		Director 70,065,948 InsuranceChildren's Hospital Corporation received, at fair market value, employee health insurance claim administration services from Blue Cross Blue Shield of Massachusetts, where Ralph Martin, a member of the hospital's Board of Trustees, is on the Board of Directors. All transactions above were at fair market value and negotiated at arms length in the ordinary course of business. During the year the hospital paid Blue Cross Blue Shield of Massachusetts $70,065,948 for actual claims processed by Blue Cross Blue Shield of Massachusetts on behalf of the organization's employees and health claim administration fees.   No
(6) CVSCaremark
  		Spouse of Key Emp 11,330,984 Prescription Drug ProgramChildren's Hospital Corporation received, at fair market value, employee prescription drug plan benefits from CVS/Caremark, where Wendy Warring's, a key employee of the hospital, spouse is an Officer. All transactions above were at fair market value and negotiated at arms length in the ordinary course of business. During the year the hospital paid CVS/Caremark $11,330,984 for employee prescription drug plan benefits.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		X 8,888 Mkt Value per Donor
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 48 6,391,700 Mean Value on Gift Date
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles ..... X 12 5,345 Mkt Value per Donor
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Travel/Dining ) X 9 119,250 Mkt Value per Donor
26 Other Right pointing arrow large image ( Misc. Other ) X 27 55,634 Mkt Value per Donor
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
1
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2013)
Schedule M (Form 990) (2013)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Part I, Line 32b: The Hospital uses an event management firm to assist in processing non-cash donations received for an event auction.
Part I, Line 33: The Hospital may receive items such as books, stuffed animals and video games that are donated to the units - these items are de minimus and values are not available so they are not reported in revenues.
Schedule M (Form 990) (2013)
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Return Reference Explanation
Form 990, Part VI, Section A, line 6 Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation.
Form 990, Part VI, Section A, line 7a Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation. The Children's Medical Center Corporation elects the governing body of Children's Hospital Corporation because the Board of Trustees of Children's Hospital Corporation must consist of the persons who serve from time to time as the trustees of The Children's Medical Center Corporation.
Form 990, Part VI, Section A, line 7b Children's Medical Center Corporation is the sole Member of the Children's Hospital Corporation ("the Hospital"). As stated in the Hospital's By Laws, Children's Medical Center Corporation has the powers and rights: - to approve proposed operating and capital budgets of the Hospital; - to approve the sale of all or substantially all of the Hospital's assets; - to approve the establishment of all long-range plans, goals and objectives of the Hospital; - to approve any incurrence of long-term indebtedness by the Hospital; - to set executive compensation.
Form 990, Part VI, Section B, line 11 The Form 990 tax return was prepared by the organization's staff and reviewed by management (including the President & Chief Executive Officer, Executive Vice President of Health Affairs and Chief Operating Officer, Chief Financial Officer, Legal and other relevant departments of the organization), along with the outside accounting firm of Ernst & Young. The Form 990 tax return was then presented to the Children's Medical Center and affiliates' Audit & Compliance Committee. Also, a copy was made available to the Board before filing.
Form 990, Part VI, Section B, line 12c The Hospital's conflict of interest policy applies to all trustees, Trust Board members, members of the medical staff and employees of the Hospital. Trustees, chiefs of service and division chiefs, senior managers and others who exercise influence over important strategic, business and purchasing decisions of the Hospital are required to complete an annual conflict of interest disclosure questionnaire about their financial interests and outside activities. If an expected questionnaire is not returned, the Compliance Officer notifies the individual's supervisor or the CEO or COO, and repeated requests for the completed questionnaire are made until the questionnaire is completed. Responses are reviewed by the Compliance Officer and any potential conflicts are discussed with the Office of General Counsel and/or the individual's supervisor; any actual or potential conflicts are managed by termination of the conflict, management of the conflict, recusal, disclosure, review, or a combination thereof. Outside interests and outside activities may be permitted as long as the Hospital, Medical Center or Trust determines that such interests and activities are consistent with the best interests of the Hospital, Medical Center or Trust and the Hospital, Medical Center or Trust Board member, medical staff member or employee involved does the following: 1. discloses the fact that he has a financial interest or a consultative role in or with a person or company with which the Hospital, Medical Center or Trust is doing or is thinking of doing business; and 2. refrains from voting or exercising any personal influence whatsoever in the selection of a person or company to do business with the Hospital, Medical Center or Trust with whom or in which he has a financial interest or a consultative role; and 3. avoids any active participation in any dealings between the Hospital, Medical Center or Trust and the person or company with whom or in which he has a financial interest or consultative role; and 4. does not permit such outside interests or activities to absorb such amounts of his time and effort as to make it impractical for him to fulfill his assigned responsibilities at the Hospital, Medical Center or Trust; and 5. does not permit such outside interests or activities to compromise or appear to compromise the name or reputation of the Hospital, Medical Center or Trust.
Form 990, Part VI, Section B, line 15 The Hospital has a board level compensation committee that annually reviews and approves the compensation for the following individuals: President & Chief Executive Officer Executive Vice President Health Affairs & Chief Operating Officer Senior Vice President & Chief Financial Officer Senior Vice President & General Counsel Senior Vice President, Patient Care Operations Senior Vice President & Chief Administrative Officer Vice President, Research Administration President, Children's Hospital Trust Vice President, Government Affairs Vice President, Public Affairs & Marketing Senior Vice President & Chief Information Officer Vice President, Human Resources Vice President, Support Services Vice President, Real Estate Planning & Development Chief Investment Officer Senior Vice President, Network Development & Strategic Partnerships Vice President, Clinical Services Executive Director, Cardiovascular Program 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 Purchased Medical Services: Program service expenses 81,571,191. Management and general expenses 7,411,189. Fundraising expenses 0. Total expenses 88,982,380. Purchased Research Services: Program service expenses 35,126,142. Management and general expenses 0. Fundraising expenses 0. Total expenses 35,126,142. Consulting Services: Program service expenses 13,454,654. Management and general expenses 12,203,255. Fundraising expenses 0. Total expenses 25,657,909. Misc. Purchased Services: Program service expenses 14,741,904. Management and general expenses 6,084,787. Fundraising expenses 101,662. Total expenses 20,928,353. Nursing Agency Fees: Program service expenses 4,205,023. Management and general expenses 52,856. Fundraising expenses 0. Total expenses 4,257,879. Laundry Services: Program service expenses 1,727,298. Management and general expenses 173,903. Fundraising expenses 0. Total expenses 1,901,201. Security Services: Program service expenses 2,968,599. Management and general expenses 75,662. Fundraising expenses 0. Total expenses 3,044,261. Catering Fees: Program service expenses 740,566. Management and general expenses 190,740. Fundraising expenses 0. Total expenses 931,306. Collection Agency Fees: Program service expenses 116,108. Management and general expenses 758,504. Fundraising expenses 0. Total expenses 874,612. Temp Agency Fees: Program service expenses 1,250,123. Management and general expenses 97,096. Fundraising expenses 0. Total expenses 1,347,219. Ambulance Services: Program service expenses 102,707. Management and general expenses 0. Fundraising expenses 0. Total expenses 102,707. Environmental Services: Program service expenses 531,277. Management and general expenses 187,737. Fundraising expenses 0. Total expenses 719,014.
Form 990, Part XI, line 9: Net Transfers/Support from Children's Medical Center 111,686,028. Pension Adjustment -31,731,817. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others 7,087,453. Other Adjustments 412.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Children's Hospital Corporation
 
Employer identification number

04-2774441
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) Children's Medical Center Corporation

55 Shattuck Street

Boston,MA02115
04-1174680 		Holds & manages security, real estate investments for Children's Hospital MA 501(c)(3) 11 - Type II N/A
 
No
(2) Longwood Research Institute Inc

300 Longwood Avenue

Boston,MA02115
04-2781368 		Medical & scientific research; holds real estate investments MA 501(c)(3) 11 - Type II Children's Medical Center Corporation
 
 
No
(3) CHB Properties Inc

300 Longwood Avenue

Boston,MA02115
04-3323330 		Holds & manages satellite ambulatory centers; real estate investments MA 501(c)(3) 9 Children's Medical Center Corporation
 
 
No
(4) Longwood Coporation

55 Shattuck Street

Boston,MA02115
04-2779882 		Holds & manages real estate investments MA 501(c)(2)   Children's Medical Center Corporation
 
 
No
(5) Fenmore Realty Corporation

55 Shattuck Street

Boston,MA02115
22-2478110 		Holds & manages real estate investments MA 501(c)(2)   Children's Medical Center Corporation
 
 
No
(6) Physician's Organization at Children's Hospital Inc

300 Longwood Avenue

Boston,MA02115
04-3266103 		Coord & develop integrated childhlth care system w/ affil members MA 501(c)(3) 11 - Type III N/A
 
No
(7) New England Congenital Cardiology Research Foundation

300 Longwood Avenue

Boston,MA02115
80-0368043 		Improve patient safety & quality for children w/ heart disease MA 501(c)(3) 7 - 170b1Avi Children's Hospital Corporation
 
Yes
 
(8) Institute for Relevant Clinical Data Analytics Inc

300 Longwood Avenue

Boston,MA02115
38-3854536 		Improve patient safety and quality of care MA 501(c)(3) 7 - 170b1Avi Children's Hospital Corporation
 
Yes
 
(9) Children's Hospital League Corporation

300 Longwood Avenue

Boston,MA02115
04-2780811 		Fundraising MA 501(c)(3) 7 - 170b1Avi Children's Hospital Corporation
 
Yes
 
(10) Blood Research Institute Inc

CLSB 3rd Floor 3 Blackfan Circle

Boston,MA02115
04-3136318 		Owning & Leasing Real Estate MA 501(c)(3) Line 11c, III-FI N/A
 
No
(11) Beth Israel Hospital and Children's Hospital Medical Corporation

300 Longwood Avenue

Boston,MA02115
04-3200113 		Pediatric Health Care, Education & Research MA 501(c)(3) Line 11a, I N/A
 
No
(12) Dana-FarberChildren's Hospital Cancer Care Inc

450 Brookline Avenue BP418

Boston,MA02215
04-3554536 		Joint program in pediatric oncology MA 501(c)(3) Line 11a, I N/A
 
No
(13) New England Life Flight Inc

Hangar 1727 Hanscom AFB

Bedford,MA01730
22-2582060 		Critical Care Transport MA 501(c)(3) Line 11a, I  
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Marketplace LaGuardia LLC

One Wells Avenue
Newton,MA02459
20-0417454 		Investment in Marketplace LaGuardia LP MA Children's Hospital Corporation
  		5% Investment 44,139 4,748,348   No     No 65.680 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Longwood Associates Inc

55 Shattuck Street
Boston,MA02115
04-2943755 		Property Management MA Children's Medical Center Corporation
  		C         No












Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


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