Form990
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Department of the TreasuryInternal 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.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 10-01-2015 , and ending 09-30-2016
BCheck if applicable:
CName of organization
Children's Hospital Corporation
 
 
Doing business as
Boston Children's Hospital
 
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 $ 1,883,401,726
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 22
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 19
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 12,743
6 Total number of volunteers (estimate if necessary) ............. 6 1,647
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a -270,120
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -605,293
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 307,902,601 342,539,011
9 Program service revenue (Part VIII, line 2g) ......... 1,160,382,586 1,245,443,488
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 51,068,726 22,376,694
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 49,709,566 48,641,844
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,569,063,479 1,659,001,037
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 3,167,654 4,155,715
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) 761,806,877 831,560,153
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 763,376 903,252
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet29,069,094    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 695,548,036 761,321,586
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,461,285,943 1,597,940,706
19 Revenue less expenses. Subtract line 18 from line 12....... 107,777,536 61,060,331
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 4,627,706,004 4,856,437,562
21 Total liabilities (Part X, line 26)............. 1,509,202,253 1,677,206,033
22 Net assets or fund balances. Subtract line 21 from line 20..... 3,118,503,751 3,179,231,529
Part II
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Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
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 rare and complex conditions. BCH's vision is to advance pediatric care - both in our local neighborhoods and worldwide - through a commitment to innovation, science-based care and quality improvement. All of our activities are driven by four interwoven missions: providing access to safe, high quality, compassionate and innovative clinical care to children; 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 $ 1,002,876,165 including grants of $ 4,155,715 ) (Revenue $ 1,225,032,964 )
CLINICAL CARE:As one of the largest pediatric hospitals in the U.S. and the only freestanding pediatric hospital in Massachusetts, Boston Children's provides access to safe, high quality health care services that meet the unique needs of our patients and their families, regardless of their ability to pay. The services we offer - from well child visits and treatment for typical child health issues (broken bones, tonsillitis, etc.) to chronic care (asthma, diabetes, obesity, etc.) and specialty services (oncology, cardiology, neurology) - benefit from our clinicians' high level of specialization, our collaboration with research scientists (many of whom are also physicians) affiliated with the hospital, and our significant investments in equipment, facilities and clinical and support staff. 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.On an annual basis, BCH sees: 24,053 bedded cases at our main campus; 968 bedded cases at our satellites and 616,148 combined outpatients at main campus and satellites; 32,396 patients in our community health clinic. Of the bedded cases, more than 16.5% (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 many 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 FY2016 were approximately $83.2 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 5 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, North Dartmouth, Peabody and Waltham where we offer specialized care in cardiology, gastroenterology, neurology, respiratory diseases, diabetes, orthopedic surgery, urology and other specialties, as well as Martha Eliot Health Center, our community health center in Jamaica Plain. In addition, our physicians offer outpatient services at our Physician Office Locations in Brockton, Milford, Norwood 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 2016, the Center for Patient Safety and Quality Research (CPSQR) undertook several quality improvement initiatives across the enterprise. In addition to awarding 13 research grants worth more than $150,000, CPSQR enabled six BCH faculty to participate in the Harvard Medical School Quality Leadership Program. At the event, which drew a multinational audience of more than 300, the six presented the results of several Boston Children's innovations in pediatric safety and quality, including IPASS, SCAMPS and NSQIP.During National Patient Safety Week, CPSQR hosted two events open to all hospital staff. The first was a forum in the spring where Principal Investigators (PIs) presented the results of their projects funded by the Program for Patient Safety and Quality (PPSQ) grants program. The forum drew a mix of clinical and non-clinical staff; nearly 100 total attendees in 2016. The second event was a speaker panel with leaders in quality and safety at Brigham and Women's Hospital, the Institute for Healthcare Improvement and Harvard University. The panel, which centered on the question of "What Makes for a Safe Health Care Institution," drew more than 150 attendees. CPSQR staff also supported 70 projects, produced 11 publications and participated in 9 national presentations. CPSQR staff participated in a groundbreaking effort to merge discrepant data sources on opioid-related deaths in Massachusetts in 2013 and 2014 as part of a project commissioned by the Department of Public Health. After completing the project, CPSQR staff continued working on several research initiatives focused on opioid use, including "Neonatal Abstinence Syndrome Incidence, Treatment Modalities and Outcomes across Free-Standing Pediatric Hospitals in the United States (PHIS)" (PI, Milliren, MPH) and collaboration with Neonatal Quality Improvement Collaborative (NeoQIC) on Perinatal Substance Use, and "Evaluation of Opioid Trends in PHIS."In 2016, PPSQ continued to serve the needs of physicians claiming Maintenance of Certification (MOC) quality improvement credit through a revised, rigorous MOC process. PPSQ continued to help the hospital's increased focus on transparency, both internally and externally. Additionally, PPSQ provided performance improvement guidance and tools to hospital-wide projects focused on Venous Thromboembolism, Sepsis and Malnutrition. Finally, the program created an internal Quality and Performance Improvement Dashboard that launched hospital-wide in January 2016. All employees at Boston Children's Hospital have access to it.Encourage innovation: In 2016, BCH launched the Innovation and Digital Health Accelerator (IDHA) to identify innovations across the enterprise and scale up patient-centered telehealth technologies. IDHA succeeds the Innovation Acceleration Program, continuing its work to promote innovation at the grassroots level. In 2016, IDHA awarded nine Accelerator Grants, which provide innovators with financial, technical, and project management support. The application process emphasizes the need to vet an innovation's clinical impact potential in Massachusetts and beyond. Accelerator Grants help innovators translate ideas into to commercially viable products, including a suite of devices developed by researchers in the BCH Department of Psychology that uses gaming as an alternative to medication for helping children cope with anger and aggression. The devices help children regulate their emotions using biofeedback mechanisms. If a child's breathing increases, indicating emotional arousal, certain game functions will stop working until their breathing returns to normal. Based on the promising results of clinical trials, the researchers have developed toys that use those mechanisms to build emotional strength. After receiving an Accelerator Grant, the team launched a startup to pursue commercialization; identified a CEO; and iterated their business model and technology.Accelerator Grants also identify opportunities for external partnerships, as was the case with a BCH clinician seeking to improve outcomes for infants with fetal lower urinary tract obstruction (LUTO). Up to 45 percent of infants affected by LUTO die. By intervening in utero to drain the bladder, clinicians can triple an infant's chances of survival. But the two commercially available devices for intervention have shortcomings that have resulted in a 40 percent rate of complications. Because LUTO is rare, there is little commercial pressure for device manufacturers to improve these devices. In 2016, a BCH urologist received an Accelerator Grant to develop a device that would lead to better surgical outcomes. IDHA paired the clinician with external partners to vet the idea, identified a similarly designed stent and established an ongoing development partnership to adapt the stent to treat LUTO.Improve Care in the Community: The Community Asthma Initiative (CAI) has helped improve the health of more than 1,720 Boston children with asthma since 2005. 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 58%, missed schools days by 45% and missed work days for parents or caregivers by 53%.
4b (Code:   ) (Expenses $ 360,508,600 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 $255 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 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 $29 million towards supporting its research activities in 2016. 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:Restoring vision in optic nerve injury: Optic nerve injury is the cause blindness in many head trauma cases and in patients with glaucoma, which affects more than four million Americans. Existing treatments have been able to restore partial vision using genetic techniques that delete or otherwise block tumor suppressor genes. These techniques however, can only be performed in a lab setting. And the same mechanisms that encourage nerve regeneration could also promote cancer. Research from Boston Children's Hospital's F.M. Kirby Neurobiology Center shows that full vision can be restored using gene therapy that could realistically be applied in the clinic and does not interfere with tumor suppressor genes. By experimenting with different growth-promoting genes and blocking natural growth inhibitors, the research team first succeeded in getting optic nerve fibers, or axons, to grow to greater and greater lengths in mice. When it became clear that the regenerated axons were still unable to carry signals from the eye to the brain, they turned to a drug prescribed for multiple sclerosis - the potassium channel blocker 4-aminopyridine - to strengthen nerve signals. Based on the promising results of their research, the team is in the process of translating this FDA-approved gene therapy approach into an injectable cocktail of growth factor proteins that could be administered systematically to maintain nerve conduction. Using newborn umbilical cords as shunts for heart surgery: Cardiac surgeons at Boston Children's have found an alternative to using plastic shunts in newborns that receive open-heart surgery. Typically, infants who undergo open-heart surgery receive a Blalock shunt, a skinny tube made of a synthetic polymer, that re-routes blood to the lungs so that oxygenated blood can be distributed throughout the body. However, when blood is exposed to foreign materials, clots can easily form. Clinicians at Boston Children's have discovered a solution to this problem by using umbilical veins instead of plastic tubing.Clots in Blalock shunts pose a life-threatening risk to newborns. Since all blood flow to the lungs is dependent on the shunt remaining open, a clot can cause a drop in blood oxygen level so severe that a newborn needs emergency surgery. To guard against this risk, clinicians use blood thinners. But this approach carries its own risks because it can also prevent blood clotting in places where it is needed. Umbilical veins do not pose this challenge because they are lined with a protective layer that helps blood flow smoothly without clotting. During pregnancy, umbilical veins carry oxygenated blood to the placenta through the umbilical cord. At birth, this vein closes when the cord is cut, but research from Boston Children's has shown that clinicians can not only collect a usable vein from the cord at birth, but also keep that tissue alive long enough to be used in surgery. These results were presented at the American Association for Thoracic Surgery Annual Meeting in spring 2016. Antibiotic gel for ear infections: Middle ear infections are the cause of at least 12 million hospital visits every year. They are also one of the most common reasons for prescribing antibiotics to children. But many parents struggle to get their child to swallow the unpleasant-tasting antibiotic. Research from Boston Children's Hospital's Department of Anesthesiology have developed a single-dose alternative that could clear up an infection that usually requires a 10-day course of oral antibiotics.Because the eardrum has a tough outer layer that keeps drugs from penetrating, there are currently no topical solutions to middle ear infections. So far, antibiotic eardrops have only proven useful for middle ear infections in children who have ear tubes that can route the drug past that barrier. By packaging an antibiotic together with chemicals used in skin-penetrating drugs, researchers at Boston Children's have succeeded in temporarily opening channels in the eardrum's outer surface. A clinician could squirt the drug deep into the ear canal, where it would harden into a gel in order to stay in place as it slowly released the antibiotic. In addition to making dosing easier, this approach could also help prevent the development of antibiotic-resistant infections. Many parents stop treatment once their child starts feeling better, giving any lingering bacteria time to resurge.
4c (Code:   ) (Expenses $ 34,378,885 including grants of $ 0 ) (Revenue $ 20,410,524 )
TEACHING:Over the course of the year, 164 residents, 348 clinical fellows, 247 research fellows and 747 rotating residents/fellows come to Boston Children's from around the world. 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 roughly 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 Surgery.Boston Children's has the largest accredited training programs in the country for Pediatric Anesthesiology, Pediatric Cardiology and Pediatric Otolaryngology. The hospital also has the largest accredited training program in Child Neurology in New England.In addition, Boston Children's Pediatric Sports Medicine is one of only 28 accredited pediatric sports medicine programs in the country and Neurodevelopmental Disabilities is one of only 13 accredited neurodevelopmental disabilities programs in the country. Congenital Cardiac Surgery is one of 11 in the country, Pediatric Transplant Hepatology is one of 7 in the country, and Medical Biochemical Genetics is one of 16 in the country.Boston Children's Hospital is also home to one of only 7 Pediatrics/Anesthesia Combined Residencies in the country - and the only one in New England. Our combined Pediatrics/Medical Genetics Combined Residencies is one of 19 in the country, and the only one in Massachusetts.Our Clinical Informatics training program is one of only 5 pediatrics-based Clinical Informatics training programs in the country, and is the only such program in New England.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
Community:More than 25 years ago, BCH 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 to innovative models that have proven to advance population health approaches, promote health equities and improve health outcomes for children.BCH'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 living in poverty. In all its endeavors, BCH 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 our community, BCH conducts a Community Health Needs Assessment (CHNA) every three years. The findings inform the direction of the hospital'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. Boston Children's last assessment was completed in 2016. For the 2016 CHNA, BCH used a participatory, collaborative approach and examined health in its broadest context. As part of the CHNA, BCH sought input from its Community Advisory Board members and engaged youth to design, collect and analyze data on youth perceptions of needs and opportunities. The assessment process also included synthesizing existing data on social, economic and health indicators in Boston. Eight stakeholder interviews and two focus groups with community residents were also conducted to explore perceptions of the community, health and social challenges for children and families, and recommendations for how to address these concerns. Additionally, BCH collaborated with other hospitals through the Conference of Boston Teaching Hospitals to gather information on community needs via four focus groups hosted by community coalitions. BCH also gathered information on challenges faced by children with special needs and their families by attending a focus group listening session facilitated by Health Care for All. Lastly, the CHNA was informed by results from BCH's Determination of Need community engagement process. This process, which was guided by an Advisory Group that met in person six times, included conducting seven facilitated open community engagement sessions across the city of Boston. Four targeted small group discussions were also held with communities that were under-represented in the larger community sessions.Some of the key themes from the CHNA include the significant impact of poverty on child and community health, issues around stable and affordable housing and concerns for families about food access and insecurity. Health issues of concern include asthma, obesity, behavioral health and early childhood. More details on all the findings and our process can be found in the complete report and in the Community Health and Benefits Strategic Implementation Plan. The report and plan are available on the hospital's web site, Bostonchildrens.org/community. A formal and comprehensive needs assessment is only one part of BCH's approach to understanding the complex health needs and vital resources within the community. BCH is constantly listening and learning from patient families, community leaders and staff. The staff rely on ongoing conversations with BCH'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, BCH 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 BCH'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 Strategic Implementation Plan. Serving as a safety net:BCH remains committed to its local community, providing primary and preventative care, as well as inpatient care for complex illnesses. It is one of the leading providers of health care to low-income children in Massachusetts and it provides care unavailable elsewhere in the state and sometimes the nation. BCH 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 BCH 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 leader:BCH has identified four priority health area-asthma, obesity, mental/behavioral health and early childhood/child development-and has a programmatic response to each. Community programs are focused where Boston Children's has the clinical expertise, resources and partnerships to make a difference. BCH'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, CAI has served more than 1,720 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 58%, missed schools days by 45% and missed work days for parents/caregivers by 53%.- Boston Children's Hospital Neighborhood Partnerships Program (BCHNP) is the hospital's community-based behavioral health program. CHNP places clinicians in Boston schools and community health centers to provide a comprehensive array of services to better meet the needs of children and adolescents. Last year, more than 1,300 students received school-based services and 185 children received care in community health centers. Professional development training has been offered in seven schools and 325 educators have been reached. - Fitness in the City (FIC) is a community-based approach to addressing obesity by offering prevention and intervention strategies to support children and youth who are overweight or obese, along with their families, in making healthier choices and behavioral changes. FIC supports 11 Boston community health centers to provide almost 1,100 children annually with case-management support, as well as access to nutrition and physical activity programs. Almost 55% of children participating in FIC have reduced their Body Mass Index and 6% have maintained it. Participants also 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 children experiencing school-functioning problems and learning delays through Boston Children's primary care clinic and in three Boston community health centers. Last year, 482 children were cared for by the ASK team.Supporting and working with community partners:BCH has relationships with an array of community partners who provide a voice for the families and neighborhoods they represent. BCH's partners help to ensure that the hospital better understands the needs, uniqueness and strengths that lie within each community. In addition, BCH has three strategic partners-the Boston Public Schools (BPS), Boston Public Health Commission and community health centers. A few examples of accomplishments include:
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
- Continued ongoing partnership with the BPS to strengthen the Comprehensive Behavioral Health Model, adding 10 new schools in FY16. In FY16, BCHNP also launched the Training and Access Project (TAP) with five schools to provide training and consultation in building sustainable systems in schools to support student behavioral health needs.- Working in collaboration with the BPS, BCH continued Healthy Family Fun events in schools across the district. Healthy Family Fun events engage families and children to learn more about the importance of nutrition and physical activities. 30 Boston schools participate and more than 4,900 students, parents and staff were reached.- BCH supports community health centers to: 1) build capacity to provide a full range of services to provide an effective medical home 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. - Another example is the hospital's asthma population health management efforts working with three community health centers. This approach involves:* utilizing successful asthma management strategies and clinical best practices*leveraging the local resources of the Community Asthma Initiative and other resources related to reducing environmental asthma triggers * building upon our longstanding work and relationship with the health centers and their populationsAddressing social determinants of health:Recognizing the link between social and health issues, BCH 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. BCH focuses on providing support at the individual, family and community levels. Based on community need and the hospital's expertise, BCH focuses its efforts and partnerships in three areas: - Education and schools. BCH 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. - Workforce Development. BCH 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. BCH's comprehensive workforce development efforts are in partnership with local organizations such as the Fenway Community Development Corporation. BCH 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. BCH 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 11 Boston community health centers. BCH also has relationships with a wide array of community based organizations, which provide a voice for the families and neighborhoods they represent. Advocating for children and families: Influencing public policy to improve child health is an important aspect of BCH'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, BCH has been an organized force and an influential advocate for children for more than 20 years. BCH 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. BCH'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. In recent years, Massachusetts has emphasized payment reform and cost containment policies within the health care system. BCH 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 BCH's urging. Nationally, BCH is engaged in efforts to preserve Medicaid and the Children's Health Insurance Program, which serve 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, BCH (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. Since that time, the CMHC has had a number of legislative and budget successes that have increased access to appropriate care for children and adolescents with mental health disorders and their families. A significant success during this year was the inclusion in the Substance Use Treatment, Education, and Prevention Act of a requirement for schools to screen all youth for substance use at two different grade points during their middle to high school careers. Current efforts at the state level address: access to behavioral health services, diversion from juvenile justice programs, improving mental health in schools, and adolescent substance use prevention. In addition, the CMHC is working to address mental health parity compliance (legislative and regulatory) Additionally, BCH works in collaboration with a host of public health and prevention advocates to ensure public policies work to keep children safe and healthy. This year, BCH is working to ensure the protection of children and adolescents under the state's new legalized marijuana laws by advocating for appropriate child safety packaging regulation and funding for the Poison Control Center and adolescent substance prevention efforts. The hospital also lends expertise in the effort to raise the minimum purchase age for tobacco products 21, create a tiered tax on sugar sweetened beverages, and improve child passenger safety legislation.
(Code:   ) (Expenses $ 8,110,299 including grants of $ 0 ) (Revenue $ 0 )
BCH has established the over 4,000 member Children's Advocacy Network (CAN), a grassroots advocacy network that leverages the many voices of families, hospital staff, and community partners in support of child health. Since 2006, the hospital has trained hundreds of advocates through an 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 "Caffeinate and Advocate" forums, which offer hospital staff and community partners a monthly opportunity 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 $ 8,110,299 including grants of $ 0 ) (Revenue $ 0 )
4e Total program service expensesMediumBullet1,405,873,949
Form 990 (2015)
Form 990 (2015)
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 IV.....Click 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
 
No
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? Click to see attachment
20b
Yes
 
Form 990 (2015)
Form 990 (2015)
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 domestic 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 or for domestic individuals 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), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
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 ...................
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 "Yes," complete Schedule L, Part II ................
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.........
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 ........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
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...
28c
 
No
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
Yes
 
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 (2015)
Form 990 (2015)
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
1,741
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
12,743
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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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 (2015)
Form 990 (2015)
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
22
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
19
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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletDoug Vanderslice300 Longwood Avenue   Boston,MA02115 (617) 355-6000
Form 990 (2015)
Form 990 (2015)
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) Steve Fishman MD......................................................................
Trustee,ex officio (from 11/2015)
 1.00
.................
1.00 		X           0 0 0
(5) Gary Fleisher MD......................................................................
Trustee, ex officio
 1.00
.................
1.00 		X           0 0 0
(6) Winston Henderson......................................................................
Trustee
 1.00
.................
1.00 		X           0 0 0
(7) Paul Hickey MD......................................................................
Trustee,ex officio (from 11/2015)
 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
 1.00
.................
1.00 		X           0 0 0
(10) Robert Langer......................................................................
Trustee
 1.00
.................
1.00 		X           0 0 0
(11) Harvey Lodish PhD......................................................................
Trustee
 1.00
.................
1.00 		X           0 0 0
(12) Gary Loveman......................................................................
Trustee
 1.00
.................
1.00 		X           0 0 0
(13) Ralph C Martin......................................................................
Trustee
 1.00
.................
1.00 		X           0 0 0
(14) Thomas Melendez......................................................................
Trustee
 1.00
.................
1.00 		X           0 0 0
(15) Mark Proctor MD......................................................................
Trustee, ex officio (thru 10/2015)
 1.00
.................
1.00 		X           0 0 0
(16) Kathleen Regan......................................................................
Trustee (from 9/2016 )
 1.00
.................
1.00 		X           0 0 0
(17) Robert A Smith......................................................................
Trustee
 1.00
.................
1.00 		X           0 0 0
Form 990 (2015)
Form 990 (2015)
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) Robert Smyth........................................................................
Trustee (thru 1/2016)
 1.00
.......................1.00 		X           0 0 0
(19) Anne Stack MD........................................................................
Trustee, ex officio (thru 10/2015)
 1.00
.......................1.00 		X           0 0 0
(20) Alison Taunton-RigbyPhD........................................................................
Trustee
 1.00
.......................1.00 		X           0 0 0
(21) Marc B Wolpow........................................................................
Trustee
 1.00
.......................1.00 		X           0 0 0
(22) Laura J Wood DNP MS RN........................................................................
CNO/Noncomp Trustee
 55.00
.......................5.00 		X           542,370 0 51,235
(23) Gregory Young MD........................................................................
Trustee, ex officio
 1.00
.......................1.00 		X           0 0 0
(24) Sandra Fenwick........................................................................
President & CEO, Noncomp Trustee
 55.00
.......................6.00 		X   X       1,785,722 0 66,447
(25) Kevin Churchwell MD........................................................................
EVP & COO/Noncomp Trustee
 55.00
.......................5.00 		X   X       1,248,467 0 59,776
(26) Douglas Vanderslice........................................................................
SVP, Treasurer & CFO
 55.00
.......................9.00 		    X       846,527 0 53,128
(27) Bruce Balter........................................................................
Asst Treasurer/Dir Corp Finance
 55.00
.......................5.00 		    X       247,479 0 48,819
(28) Michele Garvin Esq........................................................................
General Counsel & Secretary
 55.00
.......................8.00 		    X       684,399 0 49,527
(29) Dianne Hatfield........................................................................
Asst Sec/Exec Asst (thru 7/2016)
 55.00
.......................5.00 		    X       116,579 0 20,411
(30) Chad Cotter........................................................................
Asst Sec/Exec Asst (from 7/2016)
 55.00
.......................5.00 		    X       107,575 0 26,191
(31) Demosthenes Argys........................................................................
SVP, & Chief Administrative Officer
 55.00
.......................5.00 		      X     668,802 0 50,453
(32) August Cervini........................................................................
VP, Research Administration
 55.00
.......................5.00 		      X     349,051 0 39,619
(33) Margaret Coughlin........................................................................
SVP & Chief Marketing Officer
 55.00
.......................5.00 		      X     465,151 0 41,565
(34) Michael Gillespie........................................................................
VP, Clinical Services
 55.00
.......................5.00 		      X     422,766 0 32,936
(35) Cynthia Haines........................................................................
SVP, International Services
 55.00
.......................5.00 		      X     375,323 0 35,691
(36) Patricia Hickey PhD MBA RN NEA-BC........................................................................
VP, Cardiovascular Service
 55.00
.......................5.00 		      X     366,329 0 44,202
(37) Daniel Nigrin MD........................................................................
SVP & Chief Information Officer
 55.00
.......................5.00 		      X     537,849 0 46,264
(38) Philip Rotner........................................................................
Chief Investment Officer
 55.00
.......................5.00 		      X     917,983 0 54,359
(39) Wendy Warring........................................................................
SVP, Network Development
 55.00
.......................5.00 		      X     626,394 0 41,824
(40) Charles Weinstein........................................................................
VP, RE Planning & Development
 55.00
.......................5.00 		      X     522,815 0 47,883
(41) Nader Rifai PhD........................................................................
Director, Chemistry
 55.00
.......................0.00 		        X   668,756 0 47,012
(42) Lynn Susman........................................................................
President, Children's Hospital Trust
 55.00
.......................0.00 		        X   575,552 0 57,191
(43) Orah Platt MD........................................................................
Chief, Lab Medicine
 55.00
.......................0.00 		        X   532,365 0 35,616
(44) Clifford Woolf........................................................................
Director, Neurobiology
 55.00
.......................0.00 		        X   512,623 0 46,971
(45) Inez Stewart........................................................................
VP, Human Resources
 55.00
.......................0.00 		        X   510,047 0 50,104
(46) Eileen Sporing........................................................................
Former SVP & CNO
 0.00
.......................0.00 		          X 313,694 0 0
(47) James Mandell MD........................................................................
Former President & CEO
 0.00
.......................0.00 		          X 180,213 0 0
(48) Stuart Novick Esq........................................................................
Former General Counsel & Secretary
 0.00
.......................0.00 		          X 172,953 0 0
(49) M Laurie Cammisa........................................................................
Former VP, Child Advocacy
 0.00
.......................0.00 		          X 159,374 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 14,457,158 0 1,047,224
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet1,984
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
Turner Construction Company

Two Seaport Lane
Boston,MA02210 		Construction Services 17,970,567
Suffolk Construction

65 Allerton Street
Boston,MA02119 		Construction Services 11,124,947
The Brigham and Women's Hospital

75 Francis Street
Boston,MA02115 		Healthcare/Research Services 10,572,964
G Greene Construction Company

240 Lincoln Street
Boston,MA02134 		Construction Services 10,192,681
Dana Farber Cancer Institute

450 Brookline Avenue
Boston,MA02215 		Healthcare/Research Services 5,948,277
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet262
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 18,606
b Membership dues..1b  
c Fundraising events..1c 3,665,145
d Related organizations1d  
e Government grants (contributions)1e 192,657,752
f All other contributions, gifts, grants, and similar amounts not included above1f 146,197,508
g Noncash contributions included in lines 1a-1f:$ 10,469,260
h Total.Add lines 1a-1f.......MediumBullet 342,539,011
Program Service RevenueAmt Business Code
2a Patient Svc Revenue 621110 1,167,286,316 1,167,286,316    
b Prof Svc Revenue 621110 41,811,365 41,811,365    
c Graduate Medical Educa 611710 20,410,524 20,410,524    
d Prog Svc Grants 621110 15,797,970 15,797,970    
e Lab Revenue 621500 137,313   137,313  
f All other program service revenue.        
g Total.Add lines 2a–2f.....MediumBullet 1,245,443,488
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 3,203,613   -4,156 3,207,769
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet 4,906,463     4,906,463
(ii) Personal (i) Real
6a Gross rents   18,462,928
b Less: rental expenses   2,484,721
c Rental income or (loss)   15,978,207
d Net rental income or (loss)......MediumBullet 15,978,207   -403,277 16,381,484
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 982,348 238,426,496
b Less: cost or other basis and sales expenses 0 220,235,763
c Gain or (loss) 982,348 18,190,733
d Net gain or (loss).....MediumBullet 19,173,081     19,173,081
8a Gross income from fundraising events (not including $ 3,665,145of contributions reported on line 1c). See Part IV, line 18 ....
a 2,224,276
b Less: direct expenses ...b 1,680,205
c Net income or (loss) from fundraising events..MediumBullet 544,071   544,071
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
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        
Business Code Miscellaneous Revenue
11a Other General Services 900099 12,897,329     12,897,329
b Cafeteria Sales 722210 7,188,679     7,188,679
c Parking Revenue 812930 7,127,095     7,127,095
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 27,213,103
12 Total revenue. See Instructions......MediumBullet 1,659,001,037 1,245,306,175 -270,120 71,425,971
Form 990 (2015)
Form 990 (2015)
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 domestic organizations and domestic governments. See Part IV, line 21 2,833,209 2,833,209
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 1,322,506 1,322,506
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 .... 11,641,910   11,641,910  
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 638,932,828 546,418,735 77,635,689 14,878,404
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 37,802,419 34,788,812 2,186,573 827,034
9 Other employee benefits ....... 87,620,846 85,903,709   1,717,137
10 Payroll taxes ........... 55,562,150 54,347,905   1,214,245
11 Fees for services (non-employees):        
a Management ...... 6,163,035 801,972 5,361,063  
b Legal ......... 5,719,886 3,322,669 2,396,940 277
c Accounting ........... 1,356,983 282,375 1,074,608  
d Lobbying ........... 109,267 109,267    
e Professional fundraising services. See Part IV, line 17 903,252 903,252
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) 208,345,037 178,528,441 28,314,787 1,501,809
12 Advertising and promotion .... 3,344,817 3,315,412   29,405
13 Office expenses ....... 11,458,689 2,280,210 3,654,267 5,524,212
14 Information technology ...... 21,372,262 -6,219,513 27,151,780 439,995
15 Royalties ..        
16 Occupancy ........... 99,532,574 98,395,248   1,137,326
17 Travel ............ 6,007,750 5,032,672 899,346 75,732
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 2,128,866 1,493,822 586,396 48,648
20 Interest ........... 33,975,271 33,975,271    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 115,287,397 114,515,779   771,618
23 Insurance ... 6,246,580 4,152,276 2,094,304  
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 180,530,860 180,530,860    
b Uncollectible Accts 41,234,151 41,234,151    
c Uncompensated Care 10,100,445 10,100,445    
d Free Care 8,407,716 8,407,716    
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 1,597,940,706 1,405,873,949 162,997,663 29,069,094
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 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 505,084 2 482,144
3 Pledges and grants receivable, net ...... 157,922,589 3 171,179,592
4 Accounts receivable, net ............. 231,244,764 4 242,250,110
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 ........ 16,588,298 8 21,651,265
9 Prepaid expenses and deferred charges ...... 13,128,143 9 15,249,170
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 2,620,904,373
b Less: accumulated depreciation 10b 1,543,124,993 966,942,194 10c 1,077,779,380
11 Investments—publicly traded securities . 182,642,140 11 175,491,262
12 Investments—other securities. See Part IV, line 11 ..... 951,816,876 12 991,471,487
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 2,106,915,916 15 2,160,883,152
16 Total assets. Add lines 1 through 15 (must equal line 34)... 4,627,706,004 16 4,856,437,562
Liabilities 17 Accounts payable and accrued expenses ..... 225,546,269 17 224,949,350
18 Grants payable ...   18  
19 Deferred revenue ......... 83,764,591 19 99,802,007
20 Tax-exempt bond liabilities ......... 868,836,859 20 862,157,515
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 ..   23 38,235,293
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 331,054,534 25 452,061,868
26 Total liabilities. Add lines 17 through 25.. 1,509,202,253 26 1,677,206,033
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 1,852,299,910 27 1,817,654,228
28 Temporarily restricted net assets ........... 565,670,759 28 630,894,928
29 Permanently restricted net assets 700,533,082 29 730,682,373
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 ........... 3,118,503,751 33 3,179,231,529
34 Total liabilities and net assets/fund balances ........ 4,627,706,004 34 4,856,437,562
Form 990 (2015)
Form 990 (2015)
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
1,659,001,037
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,597,940,706
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
61,060,331
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
3,118,503,751
5
Net unrealized gains (losses) on investments ...............
5
34,030,466
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
-34,363,019
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
3,179,231,529
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 (2015)
Form 990 (2015)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations ..............  

g
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 (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total      

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... 331,388,600 336,637,071 330,383,668 307,902,601 342,539,011 1,648,850,951
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 3 331,388,600 336,637,071 330,383,668 307,902,601 342,539,011 1,648,850,951
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).. 39,244,626
6 Public support. Subtract line 5 from line 4. 1,609,606,325
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
7 Amounts from line 4.. 331,388,600 336,637,071 330,383,668 307,902,601 342,539,011 1,648,850,951
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 21,330,292 22,951,120 25,521,020 32,931,142 24,495,716 127,229,290
9 Net income from unrelated business activities, whether or not the business is regularly carried on.. 65,105 124,827 262,601 264,130 -270,120 446,543
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 18,866,415 31,867,110 26,157,674 28,227,656 27,213,103 132,331,958
11 Total support. Add lines 7 through 10. 1,908,858,742
12
12
5,510,932,043
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
84.320 %
15
15
84.420 %
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) 2015

Schedule A (Form 990 or 990-EZ) 2015
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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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 VI.) ..            
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) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2015 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2015 		(iii)
Distributable
Amount for 2015
1 Distributable amount for 2015 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2015
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......  
e From 2014.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2015 distributable amount  
i Carryover from 2010 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2015 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2015 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2015, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2015. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2016. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a
b
c Excess from 2013.......  
d From 2014.......  
e From 2015.......  
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2015


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
2015
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) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015) 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


(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) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
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) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 4
Name of organization
Children's Hospital Corporation
  		Employer identification number

04-2774441
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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) (2015)

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 BulletInformation about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2015

Schedule C (Form 990 or 990-EZ) 2015
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2012 (b) 2013 (c) 2014 (d) 2015 (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) 2015


Schedule C (Form 990 or 990-EZ) 2015
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 on 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
 
179,063
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
 
476,732
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
655,795
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, lines 1 and 2 (see instructions), 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 2016, 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 2016 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 $194,250 - Amy DeLong Registered Lobbyist Children's Hospital personnel $52,833 - Sandra Fenwick Registered Lobbyist Children's Hospital personnel $6,888 - Kathryn Audette Children's Hospital personnel $72,790 - Katherine Ginnis Children's Hospital personnel $22,088 - Jamie Gaynes Children's Hospital personnel $18,616 - Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $40,000 - Nick Manetto Consultant Faegre BD 1050 K Street NW, Suite 400, Washington, DC 20001 $69,267 Total Lobbyist/Consultant Expenses = $476,732 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $179,063 TOTAL LOBBYING EXPENSES = $655,795 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) 2015


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," on 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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)
Revenue included on 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
Revenue included on 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) 2015

Schedule D (Form 990) 2015
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" on 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, for escrow or custodial account liability?
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" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 939,779,000 976,027,000 894,984,000 828,961,000 712,896,000
b Contributions ... 33,474,000 26,449,000 47,069,000 23,140,000 54,490,000
c Net investment earnings, gains, and losses 77,339,000 -22,205,000 71,647,000 75,015,000 87,370,000
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		43,352,000 40,492,000 37,673,000 32,132,000 25,795,000
f Administrative expenses ....          
g End of year balance ...... 1,007,240,000 939,779,000 976,027,000 894,984,000 828,961,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet58.740 %
b
Permanent endowment SchDMd Bullet19.380 %
c
Temporarily restricted endowment SchDMd Bullet21.880 %
The percentages on 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" on 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' on 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   1,745,298,011 934,129,085 811,168,926
c Leasehold improvements        
d Equipment ...   760,360,579 603,425,125 156,935,454
e Other ...   114,846,435 5,570,783 109,275,652
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,077,779,380
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on 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 		10,580,270 F

(B) Brookside Capital 		1,378,247 F

(C) Highfields Capital 		46,182,802 F

(D) Sankaty Credit Opport Fund IV 		2,403,487 F

(E) Davidson Kempner 		50,003,499 F

(F) King Street 		62,493,927 F

(G) Baupost 		56,426,565 F

(H) Fidelity International Stock 		34,170,985 F

(I) Fidelity Notes Payable 		2,255,946 F

(J) Bain Capital Fund IX 		1,779,053 F

(K) Bain Capital Fund X 		2,614,702 F

(L) SPUR Ventures II 		6,270,330 F

(M) Lone Cascade 		47,451,502 F

(N) Wellington - Emerging Small Cap 		14,324,699 F

(O) Wellington - Real Asset 		15,212,975 F

(P) Wellington - Diversified Hedge 		5,269,057 F

(Q) Walter Scott 		40,623,286 F

(R) MIT Private Equity Fund 		19,959,728 F

(S) Energy Capital Partners 		4,373,051 F

(T) Matrix China II 		7,558,626 F

(U) Nalanda 		13,167,169 F

(V) Somerset 		14,233,489 F

(W) Sankaty COPS Fund V 		8,069,687 F

(X) Matrix India II 		3,897,306 F

(Y) SequoiaUSGrowFund V 		1,456,667 F

(Z) Abrams Capital 		20,653,663 F

(AA) Bain Capital Venture Fund 2012 		1,679,453 F

(AB) Golden Gate Capital 		11,051,961 F

(AC) Crosslink Crossover Fund VI 		4,272,414 F

(AD) Sequoia Capital Global Equities 		4,560,764 F

(AE) Steadfast 		14,604,035 F

(AF) Sequoia China Venture Fund IV 		791,653 F

(AG) Convexity 		29,206,155 F

(AH) Westbrook 		3,492,363 F

(AI) Lone Star Fund VIII 		2,384,283 F

(AJ) Riverstone 		1,335,412 F

(AK) Park West Investors Ltd 		24,011,050 F

(AL) Deccan Value 		18,830,829 F

(AM) Wellington EM Opportunities 		25,401,634 F

(AN) CMB Lone Cedar 		12,915,320 F

(AO) Lone Kauri 		4,682,961 F

(AP) Sequoia US Venture Fund XIV 		1,365,673 F

(AQ) Wellington Spindrift 		202,062 F

(AR) Wellington Quissett 		15,926 F

(AS) Energy Capital Partners III 		2,144,212 F

(AT) Fine Points Capital II 		17,564,763 F

(AU) JMC Capital I-B 		4,401,981 F

(AV) Lone Savin 		4,172,415 F

(AW) Matrix China III 		3,487,370 F

(AX) Matrix Partners X 		855,066 F

(AY) Sequoia Capital India IV 		2,706,782 F

(AZ) Sequoia China Growth III 		2,375,375 F

(BA) Sequoia China Venture Fund V 		1,310,225 F

(BB) SequoiaUSGrowFund VI 		1,950,198 F

(BC) JVL Energy 		14,861,293 F

(BD) Gaoling Feeder, Ltd. 		12,345,569 F

(BE) Loomis Senior Loan Bank Fund 		15,461,433 F

(BF) Standish Opportunistic Fund 		22,063,329 F

(BG) Standish Global Core Plus 		17,159,851 F

(BH) Wellington Ultra Short Duration 		48,223,302 F

(BI) AKO European Long-Only Fund 		14,260,855 F

(BJ) Bain Capital Venture Fund 2014 		2,051,534 F

(BK) Crosslink Crossover Fund VII 		695,935 F

(BL) Dune Real Estate Fund III 		2,676,610 F

(BM) Flare Capital Partners I 		765,847 F

(BN) HMI Capital Partners 		12,374,326 F

(BO) Lone Star Fund IX 		2,583,647 F

(BP) Loomis Sayles Institutional High Income Fund 		4,741,975 F

(BQ) Sequoia US Venture Fund XV 		220,715 F

(BR) Wellington Unconstrained Core Fixed Income 		28,748,715 F

(BS) 3rd Pty External Administered Trusts 		47,880,691 F

(BT) Misc. Investments 		8,616,570 F

(BU) ECM Feeder Fund I 		11,821,051 F

(BV) Hillhouse Fund III 		97,903 F

(BW) Holdco.Opp. Fund II 		4,553,516 F

(BX) ICHIGO Japan Fund B 		11,626,273 F

(BY) Matrix China IV 		740,772 F

(BZ) Rivulet Capital Offshore Fund, Ltd. 		10,978,919 F

(CA) Sequoia Capital Global Growth Fund I 		2,276 F

(CB) Sequoia Capital India V 		466,802 F

(CC) Sequoia China Growth IV 		214,612 F

(CD) Sequoia China Venture Fund VI 		74,335 F

(CE) Taris Biomedical 		4,061 F

(CF) Underscore VC 		436,533 F

(CG) Sequoia US Growth Fund VII 		139,184 F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 991,471,487
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) Interest in the Net Assets of Children's Medical Center 2,106,546,253
(2) Expected Insur Recoveries for Prof Liability Claims 29,178,651
(3) Investment in Subsidiaries 3,669,311
(4) CERNER Asset 21,468,937
(5) Other Assets - Miscellaneous 20,000
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 2,160,883,152
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
Estimated Final Settlement Due to Third Party Payors & Deferred Revenue 15,570,685
Estimated Insured Professional Liability Losses 29,178,651
Salary & Other Benefits 2,137,333
Funds Held for Others 38,917,816
Reserve for Medical Malpractice 4,599,154
Other Liabilities - Miscellaneous 13,438,529
Lease Obligations 25,246,927
Interest Rate Swap Liability 177,093,591
Accrued Pension Cost 124,206,593
Cerner Contra Asset 21,672,589
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 452,061,868
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) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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 $2,994,000 and Contributions of $30,480,000.
Part X, Line 2: There is no FIN48/ASC740 footnote in the organization's audited financial statements.
Schedule D (Form 990) 2015


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
2015
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 29,833
East Asia & The Pacific 0 0 Program Services Patient Care, Research & Education 195,492
Europe 0 0 Program Services Patient Care, Research & Education 492,422
Middle East and North Africa - 0 0 Program Services Patient Care, Research & Education 38,803
North America 0 0 Program Services Patient Care, Research & Education 100,144
South America 0 0 Program Services Patient Care, Research & Education 87,504
South Asia 0 0 Program Services Patient Care, Research & Education 53,222
Sub-Saharan Africa 0 0 Program Services Patient Care, Research & Education 296,202
Central America & the Caribbean 0 0 Investment   349,327,961
Sub-Saharan Africa 0 0 Investment   20,238,059
Central America & the Caribbean 0 0 Insurance   590,807
Russia & the Newly Independent States - 0 0 Program Service Patient Care, Research & Education 12,333
           
           
           
           
           
3a Sub-total ..... 0 0 1,293,622
b Total from continuation sheets to Part I ... 0 0 370,169,160
c Totals (add lines 3a and 3b) 0 0 371,462,782
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015
Schedule F (Form 990) 2015
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)		 (a)(c) Region (b)(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) 2015
Schedule F (Form 990) 2015Page 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) 2015
Schedule F (Form 990) 2015
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 separately 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2015
Schedule F (Form 990) 2015
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.
Part I, line 3: Expenditures are accounted for and reported on an accrual basis.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2015
Additional Data


Software ID:  
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" on 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 arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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" on 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
 
Chapman Cubine Adams & Hussey
2000 15th Street North
 
Arlington, VA22201 		Direct Mail Counsel   No 924,790 401,711 523,079
 
M&R Strategic Services
1901 L Street
 
Washington, DC20036 		Fundraising Counsel   No 237,060 109,647 127,413
 
Bentz Whaley Flessner
7251 Ohms Lane
 
Minneapolis, MN55439 		Counsel/Reports   No 0 88,078 -88,078
 
Artsmarketing Services Inc
260 King Street East Ste 500
 
Toronto, Ontario
CA   		Call Center Mrkt.   No 0 116,746 -116,746
 
Connelly Partners LLC
46 Waltham Street
 
Boston, MA02118 		Fundraising Counsel   No 0 48,246 -48,246
 
ESP Properties LLC
350 North Orleans Suite 1200
 
Chicago, IL60654 		Fundraising Counsel   No 0 47,500 -47,500
 
The Offord Group
1501-44 Victoria Street
 
Toronto, Ontario
CA   		Fundraising Counsel   No 0 33,818 -33,818
 
Gift Strategies LLC
1539 Fall River Avenue
 
Seekonk, MA02771 		Fundraising Counsel   No 0 57,506 -57,506
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow 1,161,850 903,252 258,598
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 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2015
Schedule G (Form 990 or 990-EZ) 2015
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on 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.




VerticalRevenue
(a) Event #1

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

Investment Conference
(event type) 		(c) Other events

2
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
2,591,471
2,353,200
944,750
5,889,421

2
Less: Contributions . . . .
2,019,840
889,500
755,805
3,665,145
3 Gross income (line 1 minus
line 2) . . . . . .
571,631
1,463,700
188,945
2,224,276



VerticalDirectExpenses
4 Cash prizes . . . . . 0 0 0  
5 Noncash prizes . . . . 0 400 0 400
6 Rent/facility costs . . . . 0 12,002 4,280 16,282
7 Food and beverages . . . 254,711 96,835 118,357 469,903
8 Entertainment . . . . 0 0 9,900 9,900
9 Other direct expenses . . . 695,605 206,692 281,423 1,183,720
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 1,680,205
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 544,071
Part III
Gaming. Complete if the organization answered "Yes" on 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 . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
695,605
206,692
281,423
1,183,720


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct 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) 2015
Schedule G (Form 990 or 990-EZ) 2015
Page 3
11
Does the organization conduct 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 conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
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 SVP of Finance
Address right arrow
300 Longwood Avenue
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
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
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) 2015
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" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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) . . . 		    12,625,320 3,849,996 8,775,324 0.560 %
b Medicaid (from Worksheet 3, column a) . . . . .     302,640,205 206,425,351 96,214,854 6.180 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     315,265,525 210,275,347 104,990,178 6.740 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     5,452,766 256,050 5,196,716 0.330 %
f Health professions education (from Worksheet 5) . . .     34,378,885 6,326,980 28,051,905 1.800 %
g Subsidized health services (from Worksheet 6) . . . .     24,467,231 19,132,742 5,334,489 0.340 %
h Research (from Worksheet 7) .     360,508,600 341,905,600 18,603,000 1.200 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     1,680,000   1,680,000 0.110 %
j Total. Other Benefits . .     426,487,482 367,621,372 58,866,110 3.780 %
k Total. Add lines 7d and 7j .     741,753,007 577,896,719 163,856,288 10.520 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
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 48   2,234,719   2,234,719 0.140 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy 11   678,864   678,864 0.040 %
8 Workforce development            
9 Other            
10 Total 59   2,913,583   2,913,583 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
13,622,048
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
11,444,177
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
10,046,506
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
1,397,671
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) 2015
Schedule H (Form 990) 2015
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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		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
www.childrenshospital.org
MA LICENSE #2139 		X X X X   X X      
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
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 letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 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 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 15
5 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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): childrenshospital.org/about-us/community-mission/community-needs-assessment
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, 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) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Boston Children's Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
www.childrenshospital.org/financialassistance
b
 
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

Boston Children's Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 7
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Boston Children's Hospital Part V, Section B, Line 5: For the 2016 CHNA, Boston Children's Hospital used a participatory, collaborative approach and examined health in its broadest context. As part of the CHNA, Boston Children's sought input from its Community Advisory Board (CAB) members and engaged youth to design, collect and analyze data on youth perceptions of needs and opportunities. The assessment process also included synthesizing existing data on social, economic, and health indicators in Boston. Eight stakeholder interviews and two focus groups with community residents were also conducted to explore perceptions of the community, health and social challenges for children and families, and recommendations for how to address these concerns. Additionally, Boston Children's collaborated with other hospitals through the Conference of Boston Teaching Hospitals to gather information on community needs via four focus groups hosted by community coalitions. Boston Children's also gathered information on challenges faced by children with special needs and their families by attending a focus group listening session facilitated by Health Care for All. Lastly, the CHNA was informed by results from Boston Children's Determination of Need community engagement process. This process, which was guided by an Advisory Group that met in person six times, included conducting seven facilitated open community engagement sessions across the city of Boston. Four targeted small group discussions were also held with communities that were under-represented in the larger community sessions.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 the hospital'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 CAB, which meets on a quarterly basis, Boston Children's has a direct link to expertise on Boston neighborhoods, community organizations and current health needs. The CAB is instrumental in providing feedback throughout the year and in the development and execution of Boston Children's formal assessment process.
Boston Children's Hospital Part V, Section B, Line 7d: A comprehensive report on Boston Children's CHNA is available on the hospital's website. In addition, a special report on the CHNA was created to share the process, top findings and Boston Children's plan to address community-identified concerns. The special report was distributed by mail and by email to key stakeholders and all external participants involved in the community process. Boston Children's also distributed the report widely to internal staff. The complete assessment and special report can be found on our website at Bostonchildrens.org/community
Boston Children's Hospital Part V, Section B, Line 11: Boston Children's addresses the health and social needs identified in a comprehensive community health assessment process through our clinical care, services and programs and in collaboration with community partners. Below is a summary of the needs identified and Boston Children's efforts. For the complete Community Health and Benefits Plan, visit bostonchildrens.org/community. Behavioral health and issues related to substance abuse- Offering training and education for school and health center staff- Providing education and direct services in schools and community health locations for children and families- Advocating for changes to improve systems of careAsthma management, education and treatment- Improving health and quality of life outcomes for children with asthma through home visiting and case management services- Developing cost-effective program models that help families to better control asthma- Advocating for changes to improve asthma careObesity with a focus on healthy eating and access to physical fitness opportunities- Offering prevention and treatment efforts- Supporting children and families and connecting them to community resources.- Building capacity in community settings to help children improve nutrition and increase physical activityImpact of violence and trauma on children, families and communities- Utilizing clinical expertise to provide prevention, treatment and advocacy services- Supporting efforts to help children and families affected by violenceSupport for early childhood/child development- Building community capacity to identify and help children and families with behavioral health concerns- Supporting efforts to create integrated systems of care for families with children starting at birth- Partnering with community organizations that provide families with support and treatment servicesPrograms and opportunities for youth including workforce development efforts- Continuing support for programming related to youth-identified needs and interests- Working with partners to provide education support and recreation for youthHealth education for children and families- Building upon the health education opportunities currently provided through community programs and services- Coordinating these resources to better meet the need for health education in the communityOther issues that affect the health of children and families such as housing, jobs, food and safety- Supporting, funding and working closely with partners and coalitions working on these issues
Boston Children's Hospital Part V, Section B, Line 15e: The Financial Assistance Policy provides as follows:Patients/Parents will be referred to a Hospital Financial counselor for determination of eligibility for public assistance or Charity Care programs. Under special circumstances, cases may be referred directly to the Director of Patient Financial Services. For patients not qualifying for public assistance, information collected will be provided to the Director, Patient Financial Services, for determination of eligibility in the Hospital Charity Care Program. Patients who potentially qualify for a Charity Care program will be approved by the Hospital Chief Financial Officer and/or Director, Patient Financial Services, with consultation and approval of the appropriate Foundation Chief or a designee.
Boston Children's Hospital Part V, Section B, Line 16i: Children's takes the following additional 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 22d: The 501(r) regulations did not become effective until tax years beginning after January 1, 2016 (for the Hospital - October 1, 2016). In September 2016, the Boston Children's Hospital's Board of Trustees adopted a new financial assistance policy that was in compliance with 501(r) requirements. The new policy requires the Hospital to use the look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims during a 12-month period.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 8
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?6
Name and address Type of Facility (describe)
1 1 - Boston Children's at Waltham
9 Hope Ave
Waltham,MA02453 		Outpatient Satellite Facility
2 2 - Boston Children's at Lexington
482 Bedford Street
Lexington,MA02173 		Outpatient Satellite Facility
3 3 - Martha Eliot Health Center
75 Bickford Street
Boston,MA02130 		Outpatient Community Health Center
4 4 - Boston Children's at Peabody
1 Essex Center Drive
Peabody,MA01960 		Outpatient Satellite Facility
5 5 - Boston Children's at North Dartmouth
500 Faunce Corner Road
North Dartmouth,MA02747 		Outpatient Satellite Facility
6 6 - Children's Clinics at 333 Longwood Ave
333 Longwood Avenue
Boston,MA02115 		Outpatient Pediatric Clinic
7
8
9
10
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 9
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
Part I, Line 3c: Children's, based on its participation in the state of Massachusetts Health Safety Net, utilizes Federal Poverty Guidelines for determining eligibility for free care and discounted care to low income individuals. For purposes of discounted care, Children's offers discounts to individuals, regardless of income, who are uninsured and are ineligible for free care or other public programs.
Part I, Line 6a: Children's files an annual community benefits report with the Attorney General's Office (AG) in Massachusetts. There are significant differences between the AG and IRS requirements for reporting community benefits expenditures. The IRS counts the following as community benefits while the AG does not: Medicaid shortfalls, indirect costs, health professions education, and research funded by tax-exempt and government sources. Children's AG Report is publicly available and can be accessed directly on the AG's web site, www.mass.gov/AG and Children's web site, www.childrenshospital.org.
Part I, Line 7: Children's used an internal cost accounting system for purposes of reporting certain amounts on Part I, line 7. The system is designed to address all segments of patient care (inpatient, outpatient and emergency) and assigns costs to patients from all payer sources (Medicaid, Medicare, managed care, commercial, uninsured and self-pay). The cost of charity care was determined based on the overall relationship of hospital costs as a percentage of hospital charges, applied to charges that qualified as charity care.Children's provides charity care to all children in need who meet the hospital's charity care standards, which are in alignment with all state mandated regulations.Nearly 30% of children who receive their care at Children's are insured through Medicaid programs in a number of states including Massachusetts. In aggregate, Medicaid programs do not reimburse the hospital for the total costs of providing care to these children.Children's has a strong commitment to improving the health status of the children in our local community. Based on a tri-annual community needs assessment, Children's supports a variety of programs and partners both internal and external that are addressing the needs of Boston children. Children's has also identified four major health focus areas in which it concentrates its efforts. For children in Boston, asthma, mental health, obesity and child development are major concerns. Children's has community based programs in each of these issue areas. The hospital also has an Office of Child Advocacy that provides support to these programs. Children's is a leader in education and training for healthcare professionals. Children's subsidizes services that are either limited or unavailable in the broader community. Examples include psychiatry, primary care, and dental care. Children's is home to the world's largest and most active research enterprise at a pediatric center. Recognizing that Children's does not have the capacity to meet all the needs of the children of Boston, it supports (through financial contributions and in kind services) a large number of community based organizations who are providing these important services. Beneficiaries range from full service community health centers to Head Start programs for pre-school children.For more information, visit www.childrenshospital.org/community.
Part I, Line 7g: Children's does not subsidize physician services; thus there are none reported in the dollar amount for subsidized health services.
Part I, Ln 7 Col(f): The total bad debt expense of $41,234,151 is included in Form 990, Part IX, line 25 column (A), but subtracted for purposes of calculating the percentage in this column.
Part II, Community Building Activities: In FY16, Children's reported two types of community building activities: $2.234,719 for 48 community support programs and $678,864 for community health improvement advocacy. Children's community building activities are designed specifically to address health disparities and improve the health of children, families and communities. According to public health literature (see Ambulatory Pediatrics and Health Affairs), initiatives that address disparities for children across four different levels: the individual, systemic, community and society can lead to meaningful improvements in health.As described in Form 990, Part III Program Service Accomplishments, Children's takes a multi-pronged approach to tackle the most pressing health issues facing Boston children. At the same time, Children's addresses non-health or social determinants of health issues such as violence, workforce development and education, which also impact a child's health. Therefore, Children's directs its community building activities in the following areas: - Children's public policy advocacy efforts help to improve access to health care for all individuals and ensure high-quality pediatric services.- As a major employer in Massachusetts and civic leader in Boston, Children's supports efforts to ensure a diverse and culturally competent health care workforce as well as promotes economic health in the surrounding communities. - To improve life in local neighborhoods, Children's has targeted support towards community based organizations that do not focus specifically on health, but rather on the vibrancy of the community. Contributions to groups such as the Fenway Community Development Corporation and Sociedad Latina are as important as partnerships with community health centers.For more information, visit http://www.childrenshospital.org/about-us/community-mission.
Part III, Line 4: Children's Medical Center and Subsidiaries' Audited Financial Statements contain the following bad debt footnote:"The provision for uncollectible accounnts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. Accounts receivable are reduced by an allowance for uncollectible accounts. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Medical Center follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the Medical Center. Accounts receivable are written off after collection efforts have been followed in accordance with the Medical Center's policies."Bad debt expense reflects patient charges that have been deemed uncollectible, converted to cost based on the ratio of patient care cost to charges from Worksheet 2. There is not any amount of bad debt reflected as charity care, because it can't be quantified accurately at this time. However, some bad debts would be charity care.
Part III, Line 8: Medicare allowable costs are obtained directly from the Medicare Cost Report and are determined in accordance with Medicare principles of reimbursement.
Part III, Line 9b: Children's makes reasonable and diligent efforts to collect each patient's insurance and other information and to verify coverage for health care services. Children's applies collection actions to all patients in the same manner, irrespective of their insurance status. Children's does not (and does not permit its agents to) engage in collection action of any kind, including billing, with respect to patients/guarantors that are exempt from collection action under Children's Credit and Collection Policy and under Massachusetts regulations governing the Health Safety Net program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. Children's does not (and does not permit its agents to) engage in legal action against patients/guarantors, including liens, wage garnishments, or lawsuits, or report patients/guarantors to credit bureaus or credit agencies without specific, case-by-case authorization by Children's Board of Trustees. No legal action occurred during the year. Children's Credit and Collection Policy is filed with the Massachusetts Division of Health Care Finance and Policy. That policy and related policies are also available to patients upon request and on the Hospital's website.
Part VI, Line 2: Boston Children's assesses the community needs on an ongoing basis through continuous dialogue with the community, participation on committees, working groups, and task forces, as well as input from Community Advisory Board and partners. For more information, visit www.childrenshospital.org/about-us/community-mission/community-needs-assessment.
Part VI, Line 3: Children's provides patients with information about financial assistance programs that are available through the Commonwealth of Massachusetts or through the hospital's own financial assistance program.For those patients that request financial assistance, Children's assists patients by screening them for eligibility in an available public program and assisting them in applying for the program. All patients/guarantors who are not exempt from collection action are advised in all billing-related communications of the availability of free care and financial assistance, including assistance in applying for public programs and the availability of charity care. The screening and application process for a financial assistance programs is done through either the Virtual Gateway (which is an internet portal designed by the Massachusetts Executive Office of Health and Human Services to provide an online application for the programs offered by the state) or through a standard paper application. All Virtual Gateway and paper applications are reviewed and processed by the Massachusetts Office of Medicaid. Hospitals have no role in the determination of program eligibility made by the state, but at the patient's request may take a direct role in appealing or seeking information related to the coverage decisions.
Part VI, Line 4: Boston Children's conducted a community health needs assessment to ensure that it was addressing the most pressing health concerns across Boston and its four priority neighborhoods- Roxbury, Mission Hill, Fenway and Jamaica Plain. FINDINGS:The residents of Boston Children's priority neighborhoods are ethnically and linguistically diverse, with wide variations in socioeconomic levels. Minority and low-income residents are disproportionately affected by the social and economic context in which they live.Demographic Characteristics: Residents and stakeholders commented on the variety of cultures represented in the communities served by Boston Children's. Quantitative data illustrate that racial and ethnic diversity varies across Boston Children's priority neighborhoods and citywide. While the majority of residents in Roxbury/Mission Hill self-identify as Black (60.9%), Fenway and Jamaica Plain have a larger proportion of White residents (70.2% and 62.0%, respectively) compared to the city (53.9%).Poverty, Income, and Employment: Economic data demonstrate that among the priority neighborhoods, a greater proportion of families in Roxbury/Mission Hill (31.0%) were living in poverty compared to families citywide (16.0%). Additionally, nearly half of female headed households with children under five years of age in Boston were living in poverty (46.7%). Education: Quantitative data show that educational attainment across the priority neighborhoods ranges from 71.0% of Fenway residents with a bachelor's degree or higher to 25.0% of Roxbury/Mission Hill adults. Additionally, Black and Hispanic students graduate at lower rates than their White and Asian counterparts.Housing: Housing concerns disproportionately affect renters, who represent the majority in Boston; 42.4% of renters in Boston contribute 35% or more of their income to housing costs.Neighborhood Crime and Perceptions of Safety: Quantitative data validate residents' concerns; between January and June 2013, Boston Children's priority neighborhoods collectively accounted for approximately 40% of the total crimes reported citywide during this time period, the majority of which were classified as larceny or attempted larceny. Furthermore, over half of all homicides occurred in Roxbury/Mission Hill.There are 4 hospitals and 7 community health centers serving our priority neighborhoods.There are 22 Census Tracks that fall under 2 different MUA/P areas that are within the Boston Children's Hospital priority areas.Massachusetts has a low rate of uninsured children. 0-5 years 1.1% uninsured - 35.9% on Medicaid6-18 years 1.5% uninsured - 30.6% on Medicaid19-25 yrs-7% uninsured - 18.9% on Medicaid
Part VI, Line 5: As the only free-standing children's hospital in the state, Children's treats 90% of the sickest kids in Massachusetts and offers a range of services that are unavailable elsewhere in the region, including pediatric transplants, critical care transport services, a level 1 Pediatric Trauma Unit and a level 3 Neonatal Intensive Care Unit. Children's also qualifies for DSH payments as the state's largest provider of pediatric care to low-income families. Approximately 30% of its patients are covered by Medicaid, including patients insured by out-of-state Medicaid programs. In addition, Children's has an open medical staff model. Children's is also a leader in education and training for healthcare professionals. It sponsors 38 Accreditation Council for Graduate Medical Education-accredited training programs, one American Dental Association accredited training program and 15 non-accredited subspecialty fellowships with 512 residents/clinical fellows enrolled in these programs. Children's partners with 27 schools of nursing throughout Massachusetts and New England to provide clinical experiences in pediatrics. Children's offers a variety of continuing education courses designed for health care professionals in pediatric practice. The courses are accredited by the Office of Continuing Education at Harvard Medical School and each hour of instruction is approved for Category 1 credits towards the AMA Physician's Recognition Award. Topics include autism, eating disorders, sports injuries, endometriosis, substance abuse, concussions, strabismus, Type II Diabetes and vascular anomalies. Children's also offers half-day programs titled Pediatric Health Care Summits that are held at local hospitals, such as Beverly Hospital, Lawrence General and South Shore Hospital (Weymouth). Additionally, Children's partners with area community hospitals such as Good Samaritan Medical Center, Holy Family, Lawrence General, South Shore, St. Anne's and St. Joseph's to sponsor Community Hospital Pediatrics Grand Rounds with monthly lectures provided by faculty in medical and surgical sub-specialties. Children's also operates "Career Opportunity Advancement Children's Hospital", a seven-week program for Boston youth to explore health care careers while having a safe and meaningful summer and the program "Student Career Opportunity Outreach Program", designed by Children's nurses to introduce young people to nursing career opportunities. Children's is home to the world's largest and most active research enterprise at a pediatric center. Children's research mission encompasses basic research, clinical research, community service programs and the postdoctoral training of new scientists.Children's has a twenty-two person voluntary Board of Trustees. Nineteen of the Board members are not direct employees of the hospital and all of them live in the hospital's service area. The Board oversees the hospital's endowment and follows a 5% spending rule in keeping with the industry standard of the responsible management of assets. Reserves are invested back into patient care, teaching, research, patient safety and quality initiatives, equipment, facilities, community benefits and to subsidize vital services that run a deficit.
Part VI, Line 6: Although Children's does not have true affiliates as defined by the IRS, it does have other affiliations. As the largest pediatric referral center in the region, Children's maintains a variety of relationships with community hospitals and other smaller pediatric programs throughout New England. These relationships include seven community hospitals in eastern Massachusetts where Children's physicians have formal arrangements to provide on-site emergency medicine, inpatient, neonatal and/or outpatient pediatric specialty services. Children's also owns and operates five outpatient facilities in Waltham, Lexington, Peabody, North Dartmouth and Jamaica Plain that offer access to pediatric specialty care in a wide array of subspecialties. Children's provides assistance to other pediatric facilities (Hasbro, RI, Dartmouth Hitchcock, NH, and Boston Medical Center) in the region through training, recruitment, consultations, on-site care and referrals for care that is not otherwise available.In addition, the Pediatric Physicians Organization at Children's brings together pediatricians, pediatric medical groups and pediatric specialists at Children's.
Part VI, Line 7, Reports Filed With States MA
Schedule H (Form 990) 2015
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," on 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
2015
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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 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) Health Resources In Action
622 Washington Street
Dorchester,MA02124 		04-2229839 501(c)(3) 124,479       Community Partnership
(2) Boston Public Health Commission
1010 Massachusetts Ave
Boston,MA02118 		04-3316655 115 590,000       Community Partnership
(3) Boston Public Schools
26 Court St 6th Fl
Boston,MA02108 		22-2514422 115 461,500       Community Partnership
(4) Bowdoin Street Health Center Inc
230 Bowdoin Street
Boston,MA02122 		04-2529788 501(c)(3) 100,000       Support of Community Health Center
(5) Community Catalyst Inc
30 Winter Street 10th Floor
Boston,MA02108 		04-3355127 501(c)(3) 50,000       Advocacy Support
(6) The Dimock Center
55 Dimock Street
Roxbury,MA02119 		04-3487835 501(c)(3) 90,000       Community Partnership
(7) Fenway Community Development Corporation
73 Hemenway Street
Boston,MA02115 		04-2666507 501(c)(3) 52,500       Community Partnership
(8) Project RIGHT
320 A Blue Hill Avenue
Dorchester,MA02121 		04-3265420 501(c)(3) 50,000       Advocacy Support
(9) Community Service Care Inc
295 Center Street
Jamaica Plain,MA02130 		04-2754281 501(c)(3) 83,300       Community Partnership - JP Coalition
(10) Mattapan Community Health Center
1425 Blue Hill Ave
Mattapan,MA02426 		04-2544151 501(c)(3) 42,500       Support of the Community Health Center
(11) YMCA of Greater Boston inc
316 Huntington Avenue
Boston,MA02115 		04-2103551 501(c)(3) 35,500       Community Partnership - Roxbury YMCA
(12) Sociedad Latina Inc
1530 Tremont Street
Roxbury,MA02120 		04-2678255 501(c)(3) 36,000       Community Partnership
(13) South Cove Community Health Center Inc
145 South Street
Boston,MA02111 		04-2501818 501(c)(3) 95,000       Support of the Community Health Center
(14) South End Community Health Center Inc
1601 Washington Street
Boston,MA02118 		04-2456134 501(c)(3) 82,500       Support of the Community Health Center
(15) Upham's Corner Community Center Inc
500 Columbia Road
Dorchester,MA02125 		04-2708670 501(c)(3) 70,000       Support of the Community Health Center
(16) Whittier Street Health Center Committee Inc
1125 Tremont Street
Roxbury,MA02120 		04-2619517 501(c)(3) 88,500       Support of the Community Health Center
(17) Nurtury Inc
95 Berkeley Street Suite 306
Boston,MA02116 		04-2105893 501(c)(3) 38,500       Community Partnership
(18) Massachusetts League of Community Health Centers
40 Court Street 10th Floor
Boston,MA02108 		04-2507409 501(c)(3) 5,000       Community Partnership
(19) Mission Hill Youth Collaborative
1481 Tremont Street
Boston,MA02120 		04-3103865 501(c)(3) 600       Community Partnership
(20) The Hyde Square Task Force Inc
375 Centre Street
Jamaica Plain,MA02130 		04-3118543 501(c)(3) 5,000       Community Partnership
(21) Action for Boston Community Development
178 Tremont Street
Boston,MA02111 		04-2304133 501(c)(3) 5,000       Community Partnership
(22) Massachusetts Public Health Association
101 Tremont Street
Boston,MA02108 		04-2326503 501(c)(3) 10,000       Community Partnership
(23) Smart from the Start Inc
68 Annunciation Road
Boston,MA02120 		45-4952663 501(c)(3) 82,500       Community Partnership
(24) Health Law Advocates
30 Winter Street 10th Floor
Boston,MA02108 		04-3298116 501(c)(3) 10,000       Advocacy Support
(25) Northeastern University
360 Huntington Avenue
Boston,MA02115 		04-1679980 501(c)(3) 51,000       Community Partnership
(26) Mass Society for the Prevention of Cruelty to Children
3815 Washington Street Ste 2
Boston,MA02130 		04-2103596 501(c)(3) 25,000       Advocacy Support
(27) Greater Boston Chamber of Commerce
265 Franklin Street 12th Floor
Boston,MA02110 		04-1103090 501(c)(3) 10,000       Community Partnership
(28) Fund for Parks & Recreation in Boston
10 Massachusetts Avenue
Boston,MA02118 		04-2784811 501(c)(3) 1,000       Community Partnership
(29) Massachusetts Communities Action Network
50 Mt Vernon Street
Boston,MA02125 		04-2863903 501(c)(3) 2,500       Community Partnership
(30) Center for Comm Health Education Research & Service Inc
320 Huntington Avenue
Boston,MA02115 		04-3286409 501(c)(3) 5,000       Community Partnership
(31) Express Yourself Inc
6 Ellis Street
Peabody,MA01960 		04-3294365 501(c)(3) 1,000       Community Partnership
(32) Breakthrough Greater Boston
PO Box 381486
Cambridge,MA02238 		04-3307783 501(c)(3) 5,000       Community Partnership
(33) Families First Parenting Programs Inc
99 Bishop Allen Drive
Cambridge,MA02139 		04-3413397 501(c)(3) 10,000       Community Partnership
(34) Friends of Ramler Park
PO Box 231143 Astor Station
Boston,MA02123 		04-3484629 501(c)(3) 100       Community Partnership
(35) NAACP Boston
30 Martin Luther King Boulevard
Roxbury,MA02119 		04-3574060 501(c)(3) 5,000       Massachusetts Voter Education
(36) Boston Municipal Research Bureau
333 Washington Street
Boston,MA02108 		22-2673755 501(c)(3) 12,000       Community Partnership
(37) Mission Hill Neighborhood Housing Services
1620 Tremont Street
Mission Hill,MA02120 		23-7428011 501(c)(3) 1,000       Community Partnership
(38) Louis D Brown Peace Institute
1452 Dorchester Avenue
Dorchester,MA02122 		26-3068254 501(c)(3) 5,000       Community Partnership
(39) Doc Wayne Youth Services Inc
418 Commonwealth Avenue
Boston,MA02215 		27-4216064 501(c)(3) 10,000       Community Partnership
(40) Asian Women for Health
83 Wallace Street
Somerville,MA02144 		32-0390494 501(c)(3) 1,500       Community Partnership
(41) WriteBoston
2300 Washington Street
Roxbury,MA02119 		46-1255108 501(c)(3) 1,000       Community Partnership
(42) Umass Memorial Foundation Inc
55 Lake Avenue North
Worcester,MA01655 		04-3108190 501(c)(3) 6,000       Advocacy Support
(43) Black Ministerial Alliance of Greater Boston
2010 Columbus Avenue
Boston,MA02119 		04-3499852 501(c)(3) 2,500       Community Partnership
(44) Brigham and Women's Hospital Inc
3297 Washington Street
Jamaica Plain,MA02130 		04-2312909 501(c)(3) 80,000       Support of Community Health Center
(45) City of Boston
City Hall Plaza
Boston,MA02201 		04-6001380 115 2,500       Community Partnership
(46) Charles River Community Health Inc
287 Western Avenue
Allston,MA02134 		23-7221597 501(c)(3) 80,000       Support of Community Health Center
(47) City Mission Inc
14 Beacon Street
Boston,MA02108 		04-2104003 501(c)(3) 9,530       Community Partnership
(48) Dana-Farber Cancer Institute Inc
450 Brookline Avenue
Boston,MA02215 		04-2263040 501(c)(3) 20,000       Advocacy Support
(49) Fenmway Civic Association
PO Box 230435
Boston,MA02123 		04-3312332 501(c)(3) 100       Community Partnership
(50) Franciscan Hospital for Children
30 Warren Street
Brighton,MA02135 		04-2156082 501(c)(3) 2,500       Community Partnership
(51) Friends of the Children - Boston Inc
555 Armory Street
Boston,MA02130 		20-1581289 501(c)(3) 12,500       Community Partnership
(52) Greater Boston Food Bank
70 South Bay Avenue
Boston,MA02118 		04-2717782 501(c)(3) 5,000       Community Partnership
(53) Massachusetts Asian AIDS Prevention Project Inc
322 Tremont Street
Boston,MA02116 		04-3294008 501(c)(3) 10,000       Community Partnership
(54) Massachusetts Budget and Policy Center
15 Court Square Suite 700
Boston,MA02108 		04-2967537 501(c)(3) 25,000       Advocacy Support
(55) Massachusetts Health Quality Partners
42 Pleasant Street 3
Watertown,MA02472 		04-3542817 501(c)(3) 5,000       Advocacy Support
(56) Massachusetts Law Reform Institute
99 Chauncy Street Suite 500
Boston,MA02111 		04-6004303 501(c)(3) 20,000       Advocacy Support
(57) Melvia Wright Patten Scholarship Fund Inc
PO Box 300317
Jamaica Plain,MA02130 		46-3545138 501(c)(3) 600       Community Partnership
(58) Metropolitan Boston Housing Project
125 Lincoln Street 3rd Floor
Boston,MA02111 		04-2775991 501(c)(3) 10,000       Community Partnership
(59) Mission SAFE
PO Box 201060
Roxbury,MA02120 		04-3457195 501(c)(3) 10,000       Community Partnerships
(60) Playworks Massachusetts
67 Kemble Street Suite 3
Boston,MA02119 		94-3251867 501(c)(3) 5,000       Community Partnership
(61) Practice Greenhealth
12355 Sunrise Valley Drive Suite
680
Reston,VA20191 		76-0815736 501(c)(3) 9,000       Advocacy Support
(62) Rennie Center for Education Research & Policy
114 State Street
Boston,MA02109 		51-0548106 501(c)(3) 17,500       Advocacy Support
(63) Silver Linings Mentoring
727 Atlantic Avenue
Boston,MA02111 		04-3575764 501(c)(3) 10,000       Community Partnership
(64) Southern Jamaica Plain Health Center
640 Centre Street
Jamaica Plain,MA02130 		04-2312909 501(c)(3) 80,000       Support of Community Health Center
(65) The Food Project
10 Lewis Street
Lincoln,MA01773 		04-3262532 501(c)(3) 5,000       Community Partnership
(66) Urban Edge
1542 Columbus Avenue Suite 2
Roxbury,MA02119 		22-2483475 501(c)(3) 50,000       Community Partnership
(67) VietAID
42 Charles Street
Boston,MA02122 		04-3289039 501(c)(3) 1,000       Community Partnership
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
64
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
3
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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) Nursing Education Scholarship Fund 13 31,154   FMV  
(2) Joshua T. Shairs Cardiology Fund 5 5,000   FMV  
(3) Family Resource Center Fund 15   38,660 FMV Educational Resources
(4) Yawkey Family Inn Fund 1675   705,398 FMV Housing Assistance
(5) Devon Nicole House Operating Fund 1048   117,979 FMV Housing Assistance
(6) Pet Therapy Program Fund 1730   55,128 Other Theurapeutic dog visits made to inpatients
(7) Matthew Puffer Parking Fund 24 3,003   FMV  
(8) Sandra & Geoffrey Fenwick Family Income Fund 98   7,336 FMV Memorial services and grief conference
(9) Extraordinary Needs Fund II 190 95,652   FMV  
(10) Volunteer Department Fund 4000 42,855   FMV Supplies, Catering and Entertainment for Patients and Patient's families.
(11) Broadway Sam Fund 1496   21,015 FMV Tickets for Art and Entertainment Events
(12) Family Services Fund 1379   15,210 FMV Greeting Cards and supplies for Adopt a Family Program & wellness supplies
(13) Milagros Para las Family Fund 469   32,625 FMV Translation services and program support for spanish speaking families.
(14) Judith Nelson Endowment/Income Fund 64   9,391 FMV Wellness Activities/Massage Therapy Expenses
(15) Knez Family Fund for Patient Family Housing 26   118,307 FMV Housing Assistance
(16) Barber Family Endowment Fund 23   3,396 FMV Teen Advisory Committee expenses
(17) Live4Evan Fund for Patient Family Housing 5   20,397 FMV Housing Assistance
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 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 Boston Children's Hospital. These funds are primarily intended for use in emergent situations, and as a stop-gap intervention only. They are not intended to provide permanent or long term solutions to financial need. Essentially, these are funds of "last resort" when alternative options do not exist. All financial assistance requests are assessed by a social worker. If there appears to be significant financial hardship, the social worker does a financial assessment based on the policies and guidelines for the use of these special funds. Typical requests include assistance with transportation, utilities (a child cannot be discharged without adequate heat, electricity, telephone contact in the home), etc. Each request is reviewed by the Director of the Fund. Checks are not payable to the family, rather a payment may be made directly to the company involved via an invoice from that company, e.g., National Grid. Assessment considerations for Special Fund requests are based on: * Duration of Need * Demographic * Family Status * Income Factors * Clinical Factors * Alternate Resources Available * Funding Limits
Schedule I (Form 990) 2015



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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 on 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
 
 
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
 
 
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 on 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
 
No
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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on 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 on 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" on 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) 2015

Schedule J (Form 990) 2015
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 on 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 in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Laura J Wood DNP MS RNCNO/Noncomp Trustee (i)

(ii)		 373,245
-------------
0 		100,200
-------------
0 		68,925
-------------
0 		21,200
-------------
0 		30,035
-------------
0 		593,605
-------------
0 		0
-------------
0
2Sandra FenwickPresident & CEO, Noncomp Trustee (i)

(ii)		 849,467
-------------
0 		500,000
-------------
0 		436,255
-------------
0 		26,500
-------------
0 		39,947
-------------
0 		1,852,169
-------------
0 		0
-------------
0
3Kevin Churchwell MDEVP & COO/Noncomp Trustee (i)

(ii)		 644,671
-------------
0 		325,000
-------------
0 		278,796
-------------
0 		18,550
-------------
0 		41,226
-------------
0 		1,308,243
-------------
0 		0
-------------
0
4Douglas VandersliceSVP, Treasurer & CFO (i)

(ii)		 580,004
-------------
0 		149,500
-------------
0 		117,023
-------------
0 		18,550
-------------
0 		34,578
-------------
0 		899,655
-------------
0 		0
-------------
0
5Bruce BalterAsst Treasurer/Dir Corp Finance (i)

(ii)		 206,992
-------------
0 		15,609
-------------
0 		24,878
-------------
0 		30,634
-------------
0 		18,185
-------------
0 		296,298
-------------
0 		0
-------------
0
6Michele Garvin EsqGeneral Counsel & Secretary (i)

(ii)		 476,599
-------------
0 		131,700
-------------
0 		76,100
-------------
0 		21,200
-------------
0 		28,327
-------------
0 		733,926
-------------
0 		0
-------------
0
7Demosthenes ArgysSVP, & Chief Administrative Officer (i)

(ii)		 436,374
-------------
0 		134,700
-------------
0 		97,728
-------------
0 		23,850
-------------
0 		26,603
-------------
0 		719,255
-------------
0 		0
-------------
0
8August CerviniVP, Research Administration (i)

(ii)		 250,463
-------------
0 		58,600
-------------
0 		39,988
-------------
0 		15,900
-------------
0 		23,719
-------------
0 		388,670
-------------
0 		0
-------------
0
9Margaret CoughlinSVP & Chief Marketing Officer (i)

(ii)		 325,416
-------------
0 		73,100
-------------
0 		66,635
-------------
0 		21,200
-------------
0 		20,365
-------------
0 		506,716
-------------
0 		0
-------------
0
10Michael GillespieVP, Clinical Services (i)

(ii)		 315,561
-------------
0 		54,000
-------------
0 		53,205
-------------
0 		18,550
-------------
0 		14,386
-------------
0 		455,702
-------------
0 		0
-------------
0
11Cynthia HainesSVP, International Services (i)

(ii)		 229,845
-------------
0 		69,333
-------------
0 		76,145
-------------
0 		0
-------------
0 		35,691
-------------
0 		411,014
-------------
0 		0
-------------
0
12Patricia Hickey PhD MBA RN NEA-BCVP, Cardiovascular Service (i)

(ii)		 282,174
-------------
0 		30,442
-------------
0 		53,713
-------------
0 		31,800
-------------
0 		12,402
-------------
0 		410,531
-------------
0 		0
-------------
0
13Daniel Nigrin MDSVP & Chief Information Officer (i)

(ii)		 387,454
-------------
0 		85,200
-------------
0 		65,195
-------------
0 		23,850
-------------
0 		22,414
-------------
0 		584,113
-------------
0 		0
-------------
0
14Philip RotnerChief Investment Officer (i)

(ii)		 612,317
-------------
0 		201,525
-------------
0 		104,141
-------------
0 		18,550
-------------
0 		35,809
-------------
0 		972,342
-------------
0 		0
-------------
0
15Wendy WarringSVP, Network Development (i)

(ii)		 425,029
-------------
0 		108,100
-------------
0 		93,265
-------------
0 		21,200
-------------
0 		20,624
-------------
0 		668,218
-------------
0 		0
-------------
0
16Charles WeinsteinVP, RE Planning & Development (i)

(ii)		 370,618
-------------
0 		88,100
-------------
0 		64,097
-------------
0 		26,500
-------------
0 		21,383
-------------
0 		570,698
-------------
0 		0
-------------
0
17Nader Rifai PhDDirector, Chemistry (i)

(ii)		 459,385
-------------
0 		208,190
-------------
0 		1,181
-------------
0 		29,150
-------------
0 		17,862
-------------
0 		715,768
-------------
0 		0
-------------
0
18Lynn SusmanPresident, Children's Hospital Trust (i)

(ii)		 410,514
-------------
0 		93,400
-------------
0 		71,638
-------------
0 		26,500
-------------
0 		30,691
-------------
0 		632,743
-------------
0 		0
-------------
0
19Orah Platt MDChief, Lab Medicine (i)

(ii)		 485,414
-------------
0 		39,031
-------------
0 		7,920
-------------
0 		29,150
-------------
0 		6,466
-------------
0 		567,981
-------------
0 		0
-------------
0
20Clifford WoolfDirector, Neurobiology (i)

(ii)		 518,926
-------------
0 		0
-------------
0 		-6,303
-------------
0 		29,150
-------------
0 		17,821
-------------
0 		559,594
-------------
0 		0
-------------
0
21Inez StewartVP, Human Resources (i)

(ii)		 385,119
-------------
0 		66,500
-------------
0 		58,428
-------------
0 		23,850
-------------
0 		26,254
-------------
0 		560,151
-------------
0 		0
-------------
0
22Eileen SporingFormer SVP & CNO (i)

(ii)		 0
-------------
0 		0
-------------
0 		313,694
-------------
0 		0
-------------
0 		0
-------------
0 		313,694
-------------
0 		0
-------------
0
23James Mandell MDFormer President & CEO (i)

(ii)		 0
-------------
0 		0
-------------
0 		180,213
-------------
0 		0
-------------
0 		0
-------------
0 		180,213
-------------
0 		0
-------------
0
24Stuart Novick EsqFormer General Counsel & Secretary (i)

(ii)		 0
-------------
0 		0
-------------
0 		172,953
-------------
0 		0
-------------
0 		0
-------------
0 		172,953
-------------
0 		0
-------------
0
25M Laurie CammisaFormer VP, Child Advocacy (i)

(ii)		 0
-------------
0 		0
-------------
0 		159,374
-------------
0 		0
-------------
0 		0
-------------
0 		159,374
-------------
0 		0
-------------
0
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
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 4b Boston Children's Hospital made contributions to the supplemental non-qualified retirement plan for the individuals listed below. Contribution amounts are generally based on a percentage of compensation. Participants of the supplemental executive retirement plan are fully vested. All payments with respect to a participant's separation from service will be made in a single sum following the separation from service unless participant has elected to receive the accrued interest portion of his or her account in three annual installments. Contributions were for employee benefits and not for Boston Children's Hospital Trustee or Officer of the Board services and/or responsibilities. Demosthenes Argys, received in 2015, a contribution of $47,958 August Cervini, received in 2015, a contribution of $18,517 Kevin Churchwell, received in 2015, a contribution of $99,900 Margaret Coughlin, received in 2015, a contribution of $31,585 Sandra Fenwick, received in 2015, a contribution of $401,200 Michele Garvin, received in 2015, a contribution of $41,655 Michael Gillespie, received in 2015, a contribution of $28,149 Cynthia Haines, received in 2015, a contribution of $11,200 Daniel Nigrin, received in 2015, a contribution of $42,139 Philip Rotner, received in 2015, a contribution of $80,611 Inez Stewart, received in 2015, a contribution of $37,257 Lynn Susman, received in 2015, a contribution of $45,115 Doug Vanderslice, received in 2015, a contribution of $70,358 Wendy Warring, received in 2015, a contribution of $46,213 Charles Weinstein, received in 2015, a contribution of $35,445 Laura Wood, received in 2015, a contribution of $39,400 During Calendar Year 2015, the following individuals received supplemental executive retirement plan distributions: James Mandell, received in 2015, a distribution of $176,443 Stuart Novick, received in 2015, a distribution of $171,997 M. Laurie Cammisa, received in 2015, a distribution of $159,374 Eileen Sporing, received in 2015, a distribution of $313,694
Schedule J (Form 990) 2015
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.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 126,110,000 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 136,685,000 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 ...............   339,564,138 200,000,000  
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     150,000,000
11 Other spent proceeds .............        
12 Other unspent proceeds .............        
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) 2015

Schedule K (Form 990) 2015
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   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 "Yes" to 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 		Goldmn SachsBOA
  		 
 
c Term of hedge .........   3000.0000000000 % 3000.0000000000 %  
d Was the hedge superintegrated? ......       X   X    
e Was the hedge terminated? ........       X   X    
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
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
Date Rebate Computation Performed Issuer Name: MHEFA, Revenue Bonds Series M Date the Rebate Computation was Performed: 09/30/2014 Issuer Name: MHEFA, Revenue Bonds Series N Date the Rebate Computation was Performed: 09/30/2014
Schedule K (Form 990) 2015

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.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 126,110,000 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 136,685,000 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 ...............   339,564,138 200,000,000  
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     150,000,000
11 Other spent proceeds .............        
12 Other unspent proceeds .............        
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) 2015

Schedule K (Form 990) 2015
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   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 "Yes" to 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 		Goldmn SachsBOA
  		 
 
c Term of hedge .........   3000.0000000000 % 3000.0000000000 %  
d Was the hedge superintegrated? ......       X   X    
e Was the hedge terminated? ........       X   X    
Schedule K (Form 990) 2015

Schedule K (Form 990) 2015
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
Date Rebate Computation Performed Issuer Name: MHEFA, Revenue Bonds Series M Date the Rebate Computation was Performed: 09/30/2014 Issuer Name: MHEFA, Revenue Bonds Series N Date the Rebate Computation was Performed: 09/30/2014
Schedule K (Form 990) 2015

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
2015
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 54,846 Mkt Value per Donor
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 74 10,307,681 Mean Value on Gift Date
10 Securities—Closely held stock . X 1 0 Other
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 25 4,790 Mkt Value per Donor
19 Food inventory ... X 2 5,100 Mkt Value per Donor
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Misc. Other ) X 36 85,248 Mkt Value per Donor
26 Other Right pointing arrow large image ( Travel/Dining ) X 13 11,595 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
 
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) (2015)
Schedule M (Form 990) (2015)
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) (2015)

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 990-EZ 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
2015
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 Services & Chief Nursing Officer Senior Vice President & Chief Administrative Officer Vice President, Research Administration President, Children's Hospital Trust Vice President, Government Relations Senior Vice President & Chief Marketing and Communications Officer 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 Senior Vice President, International Services 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 92,895,564. Management and general expenses 10,713,258. Fundraising expenses 0. Total expenses 103,608,822. Purchased Research Services: Program service expenses 35,378,538. Management and general expenses 0. Fundraising expenses 0. Total expenses 35,378,538. Consulting Services: Program service expenses 15,353,376. Management and general expenses 9,922,327. Fundraising expenses 1,126,492. Total expenses 26,402,195. Misc. Purchased Services: Program service expenses 18,962,163. Management and general expenses 5,727,890. Fundraising expenses 182,214. Total expenses 24,872,267. Nursing Agency Fees: Program service expenses 4,382,823. Management and general expenses 137,771. Fundraising expenses 0. Total expenses 4,520,594. Laundry Services: Program service expenses 1,885,682. Management and general expenses 167,754. Fundraising expenses 0. Total expenses 2,053,436. Security Services: Program service expenses 3,940,668. Management and general expenses 72,141. Fundraising expenses 0. Total expenses 4,012,809. Catering Fees: Program service expenses 846,855. Management and general expenses 136,675. Fundraising expenses 50,388. Total expenses 1,033,918. Collection Agency Fees: Program service expenses 166,526. Management and general expenses 852,128. Fundraising expenses 0. Total expenses 1,018,654. Temp Agency Fees: Program service expenses 2,167,491. Management and general expenses 388,196. Fundraising expenses 142,715. Total expenses 2,698,402. Ambulance Services: Program service expenses 119,847. Management and general expenses 0. Fundraising expenses 0. Total expenses 119,847. Environmental Services: Program service expenses 2,428,908. Management and general expenses 196,647. Fundraising expenses 0. Total expenses 2,625,555.
Form 990, Part XI, line 9: Net Transfers/Support from Children's Medical Center -3,472,970. Pension Adjustment -49,360,123. Merger of Fenmore Realty Corporation 21,280,510. Other Adjustments 71,654. Tran of Prof Svc Surplus from Net Assets to Funds Held for Others -2,882,090.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


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 Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
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
(1) CarePlex LLC
300 Longwood Avenue
Boston,MA02115
47-2258145 		Inactive MA 0 0 Children's Medical Center Corp
 
(2) Children's One Brookline Place LLC
300 Longwood Avenue
Boston,MA02115
20-5850015 		Real Estate Holdings MA 0 0 Children's Hospital Corporation
 
(3) Children's Brookline Place LLC
300 Longwood Avenue
Boston,MA02115
26-1523020 		Real Estate Holdings MA 0 0 Children's Hospital Corporation
 
(4) Children's Five Brookline Place LLC
300 Longwood Avenue
Boston,MA02115
20-5850117 		Real Estate Holdings MA 0 0 Children's Hospital Corporation
 
(5) BCH Washington Street LLC
300 Longwood Avenue
Boston,MA02115
81-4382691 		Real Estate Holdings MA -5,643 45,056,758 Children's Hospital Corporation
 
(6) BCH Pearl Street LLC
300 Longwood Avenue
Boston,MA02115
81-7393086 		Real Estate Holdings MA -468,687 16,784,286 Children's Hospital Corporation
 
(7) BCH Brookline Ave LLC
300 Longwood Avenue
Boston,MA02115
81-4457294 		Real Estate Holdings MA -274,257 2,807,917 Children's Hospital Corporation
 
(8) Boston Children's Health International LLC
300 Longwood Avenue
Boston,MA02115
81-4377341 		Inactive MA 0 0 Children's Medical Center Corp
 
(9) Children's Westland LLC
300 Longwood Avenue
Boston,MA02115
26-2904847 		Inactive MA 0 0 Longwood Research Institute
 
(10) BCH 819 Beacon Street LLC
300 Longwood Avenue
Boston,MA02115
81-4382691 		Real Estate Holdings MA 100,719 3,899,039 Longwood Research Institute
 
(11) Children's Fremont LLC
300 Longwood Avenue
Boston,MA02115
26-0422409 		Inactive MA 0 0 Children's Medical Center Corp
 
(12) Children's Waltham Medical Center LLC
300 Longwood Avenue
Boston,MA02115
20-2076874 		Real Estate Holdings MA 0 0 Children's Medical Center Corp
 
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 Corporation
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)Children's Hospital League Corporation
300 Longwood Avenue

Boston,MA02115
04-2780811 		Fundraising MA 501(c)(3) 7 - 170b1Avi Children's Hospital Corporation
 
Yes
 
(9)Blood Research Institute Inc
CLSB 3rd Floor 3 Blackfan Circle

Boston,MA02115
04-3136318 		Owning & Leasing Real Estate MA 501(c)(3) Line 11b, II Children's Medical Center Corporation
 
 
No
(10)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
(11)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
(12)New England Life Flight Inc
Hangar 1727 Hanscom AFB

Bedford,MA01730
22-2582060 		Critical Care Transport MA 501(c)(3) Line 11a, I N/A
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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 14,590 4,329,596   No 5,942   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) 2015
Schedule R (Form 990) 2015
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
 
No
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) 2015
Schedule R (Form 990) 2015
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) 2015
Schedule R (Form 990) 2015
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) 2015

Additional Data


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